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History of neurosurgery

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https://www.readbyqxmd.com/read/28072804/multidisciplinary-care-of-unruptured-brain-arteriovenous-malformations-to-improve-symptomatic-headache-and-the-onset-progression-and-outcomes-of-unruptured-brain-arteriovenous-malformations
#1
Ling-Feng Lai, Min Chen, Jia-Xiang Chen, Kuang Zheng, Xu-Ying He, Xi-Feng Li, Xin Zhang, Jian Yin, Qiu-Jing Wang, Tuan-Ming Zou, Chuan-Zhi Duan
BACKGROUND: Symptomatic headaches attributed to unruptured brain arteriovenous malformations (ubAVMs) are very common and affect patients' quality life, but multidisciplinary care of ubAVMs to improve symptomatic headache remains unclear. OBJECTIVE: The objective is to identify the features of symptomatic headaches, and to obtain headache outcomes following multidisciplinary care of ubAVMs, as well as provide background on the natural history of ubAVMs. STUDY DESIGN: The features of symptomatic headaches and headache outcomes were analyzed in a large cohort of cases after multidisciplinary care of ubAVMs...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28028451/diagnostic-and-clinical-management-of-skull-fractures-in-children
#2
Christoph Arneitz, Maria Sinzig, Günter Fasching
OBJECTIVE: The indications of routine skull X-rays after mild head trauma are still in discussion, and the clinical management of a child with a skull fracture remains controversial. The aim of our retrospective study was to evaluate our diagnostic and clinical management of children with skull fractures following minor head trauma. METHODS: We worked up the medical history of all consecutive patients with a skull fracture treated in our hospital from January 2009 to October 2014 and investigated all skull X-rays in our hospital during this period...
2016: Journal of Clinical Imaging Science
https://www.readbyqxmd.com/read/28017754/an-ethiopian-training-programme-in-neurosurgery-with-norwegian-support
#3
Morten Lund-Johansen, Tsegazeab Laeke, Abenezer Tirsit, Tadios Munie, Mersha Abebe, Abat Sahlu, Hagos Biluts, Knut Wester
After a four-year planning period, a joint Ethiopian/Norwegian training program in neurosurgery was started in June 2006. The collaborating partners were the Addis Ababa University, Department of surgery, Tikur Anbessa specialized hospital, the University of Bergen, Haukeland University hospital and Myungsung Christian Medical Center, a Korean missionary hospital in Addis Ababa. A Memorandum of understanding was signed at Dean/CEO levels. Although other initiatives have been involved in supporting neurosurgery in Addis Ababa during the same period, this institutionally founded program has been the main external contributor to neurosurgical capacity building through the education of 21 Ethiopian neurosurgeons, and in supporting a sustainable environment for neurosurgical training within a network of five centres in Addis Ababa...
December 22, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27993746/neurosurgery-in-lebanon-history-development-and-future-challenges
#4
Youssef Fares, Jawad Fares
Lebanon stands out as the one of the first countries in the Middle East and the Arab world to practice the medical specialty of neurosurgery. In addition, Lebanon has one of the best reputations for neurosurgery in this region. This article documents the history and current status of Lebanese neurosurgery. Residency and fellowship training are also highlighted, and political, socioeconomic, and academic challenges for the future of the profession are presented.
December 16, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27935890/-surgical-prevention-of-ischaemic-strokes-by-means-of-an-extraintracranial-microanastomosis-eicma-in-the-carotid-basin
#5
V V Krylov, V A Luk'yanchikov, A S Tokarev, O Yu Nakhabin, N A Polunina, I V Sen'ko, V A Dalibaldyan, E V Grigor'eva, N E Kudryashova, G K Guseinova, E V Udodov, T A Fedulova
BACKGROUND: Not less than 50% of all ischaemic strokes appear to occur resulting from pathology of extracranial arteries. Occlusions and stenoses are more commonly encountered in carotid arteries, with the incidence of occlusion of the internal carotid artery (ICA) ranging from 5 to 10% within the structure of all lesions of brachiocephalic arteries (BCA). AIM: The study was aimed at assessing the results of a surgical procedure of extra-intracranial microanastomosis (EICMA) performed in patients presenting with occlusive and stenotic lesions of BCA at the Neurosurgical Department...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/27931941/the-unforgettable-neurosurgical-operations-of-musicians-in-last-century
#6
REVIEW
Elena Romana Gasenzer, Ayhan Kanat, Edmund Neugebauer
BACKGROUND: there is no study for interesting craniotomies of famous musician in history. This subject was investigated. MATERIAL ANDMETHODS: The key words were "neurosurgery and music" and the names of composers. We used digital catalogues like "pubmed" as well as the libraries of universities. RESULTS: We found four musicians with different neurosurgical diseases who are Maurice Ravel, George Gershwin, Clara Haskil, Pat Martino.from the 20(th) century eras...
December 5, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27824804/predictors-of-postoperative-nausea-and-vomiting-in-neurosurgical-patients
#7
Jodi D Hellickson, Wendy R Worden, Crystal Ryan, Anne G Miers, Deborah A Benike, Sydney P Frank, Lori M Rhudy
In the neurosurgery patient population, one of the most frequent complications is postoperative nausea and vomiting (PONV). The purpose of this predictive correlational study was to examine the incidence and predictors of PONV in a cohort of 519 neurosurgery patients undergoing elective spinal and intracranial procedures. Patients were interviewed, and their medical records were reviewed every 24 hours for up to 72 hours postoperatively to identify risk factors for PONV development. After summarizing univariate associations, a multivariable logistic regression model for each outcome was developed using forward and backward stepwise selection, with the p value for a variable to enter or leave the model set to ...
December 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27798988/global-surgery-for-pediatric-hydrocephalus-in-the-developing-world-a-review-of-the-history-challenges-and-future-directions
#8
Ryan T Muir, Shelly Wang, Benjamin C Warf
OBJECTIVE Pediatric hydrocephalus is one of the most common neurosurgical conditions and is a major contributor to the global burden of surgically treatable diseases. Significant health disparities exist for the treatment of hydrocephalus in developing nations due to a combination of medical, environmental, and socioeconomic factors. This review aims to provide the international neurosurgery community with an overview of the current challenges and future directions of neurosurgical care for children with hydrocephalus in low-income countries...
November 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27746252/surgical-approaches-in-psychiatry-a-survey-of-the-world-literature-on-psychosurgery
#9
REVIEW
Felix Neumaier, Mario Paterno, Serdar Alpdogan, Etienne E Tevoufouet, Toni Schneider, Jürgen Hescheler, Walid Albanna
Brain surgery to promote behavioral or affective changes in humans remains one of the most controversial topics at the interface of medicine, psychiatry, neuroscience, and bioethics. Rapid expansion of neuropsychiatric deep brain stimulation has recently revived the field and careful appraisal of its 2 sides is warranted: namely, the promise to help severely devastated patients on the one hand and the dangers of premature application without appropriate justification on the other. Here, we reconstruct the vivid history of the field and examine its present status to delineate the progression from crude freehand operations into a multidisciplinary treatment of last resort...
October 13, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27698835/cerebellar-hemangioblastoma-mimicking-an-aneurysm-a-case-report-and-literature-review
#10
Yu-Chen Ji, Yan Li, Jing-Xia Hu, Hong-Bo Zhang, Peng-Xiang Yan, Huan-Cong Zuo
Hemangioblastomas (HBMs) are highly vascular tumors of the central nervous system. Sporadic HBMs are nearly always solitary, and solitary HBMs are similar to intracranial arteriovenous malformations due to their highly vascular characteristics. However, to the best of our knowledge, cases of HBM in the cerebellum mimicking an aneurysm have never been reported in the literature. The present study reports a case of an HBM on the right cerebellar hemisphere mimicking an aneurysm, which originated from the right posterior inferior cerebellar artery, as determined using magnetic resonance angiography and digital subtraction angiography...
October 2016: Oncology Letters
https://www.readbyqxmd.com/read/27676667/subtle-sensory-abnormalities-detected-by-quantitative-sensory-testing-in-patients-with-trigeminal-neuralgia
#11
Herta Flor, Dirk Rasche, Ariyan Pirayesh Islamian, Claudia Rolko, Pinar Yilmaz, Marc Ruppolt, H Holger Capelle, Volker Tronnier, Joachim K Krauss
BACKGROUND: Trigeminal neuralgia (TN) is characterized by paroxysmal pain attacks affecting the somatosensory distributions of the trigeminal nerve. It is thought to be associated with a neurovascular conflict most frequently, but pathomechanisms have not been fully elucidated. In general, no sensory deficit is found in routine clinical examination. There is limited data available, however, showing subtle subclinical sensory deficits upon extensive testing. OBJECTIVE: We used quantitative sensory testing (QST) to detect abnormalities in sensory processing in patients with TN by comparing the affected and non-affected nerve branches with their contralateral counterparts and by comparing the results of the patients with those of controls...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27659835/preoperative-neurocognitive-evaluation-as-a-predictor-of-brain-tumor-grading-in-pediatric-patients-with-supratentorial-hemispheric-tumors
#12
D Chieffo, Gianpiero Tamburrini, P Frassanito, V Arcangeli, M Caldarelli, C Di Rocco
OBJECTIVE: The objective of the present study was to retrospectively evaluate the relationship between tumor grading and a selective evaluation of neurocognitive and behavioral functions in children with supratentorial hemispheric brain tumors. METHODS: Children admitted with a diagnosis of supratentorial hemispheric tumors involving the cerebral hemispheres or the thalamus at the Pediatric Neurosurgery Unit of the Catholic University of Rome between January 2008 and January 2014 were considered for the present study...
October 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27641259/neurosurgical-postgraduate-training-in-china-moving-toward-a-national-training-standard
#13
Tao Xu, Alexander I Evins, Ning Lin, Jun Chang, Guohan Hu, Lijun Hou, Juxiang Chen, Antonio Bernardo, Ying Mao, Philip E Stieg
China is currently the most populous and rapidly aging nation in the world. In the next few decades, China will have to increase the throughput, quality, and scope of its neurosurgical training programs in order to meet forecasted demand. Until recently, China lacked national education standards in neurosurgery that fostered imbalances in medical and pedagogical resources, quality of care, and education between different regions; and introduced significant heterogeneity in neurosurgical competency. In 2010, Shanghai implemented the first new standards-based comprehensive neurosurgery training program, which spans 7 years broken down into 2 blocks...
September 15, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27634495/schizophrenia-and-neurosurgery-a-dark-past-with-hope-of-a-brighter-future
#14
REVIEW
Prateek Agarwal, Christina E Sarris, Yehuda Herschman, Nitin Agarwal, Antonios Mammis
Schizophrenia is a chronic and progressive psychiatric disease that remains difficult to manage in the 21st century. Current medical therapies have been able to give reprieve and decrease incidence of psychotic episodes. However, as the disease progresses, patients can become ever more refractory to current pharmaceutical agents and the polypharmacy that is attempted in treatment. Additionally, many of these drugs have significant adverse effects, leaving the practitioner in a difficult predicament for treating these patients...
December 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27589599/pediatric-neurosurgery-telemedicine-clinics-a-model-to-provide-care-to-geographically-underserved-areas-of-the-united-states-and-its-territories
#15
Hector E James
OBJECTIVE The author describes the creation, structuring, and development of a pediatric neurosurgery telemedicine clinic (TMC) to provide telehealth across geographical, time, social, and cultural barriers. METHODS In July 2009 the University of Florida (UF) Division of Pediatric Neurosurgery received a request from the Southeast Georgia Health District (Area 9-2) to provide a TMC to meet regional needs. The Children's Medical Services (CMS) of the State of Georgia installed telemedicine equipment and site-to-site connectivity...
December 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27583931/effect-of-2-different-anesthesia-methods-on-stress-response-in-neurosurgical-patients-with-hypertension-or-normal-a-prospective-clinical-trial
#16
Ying Chen, Shan Jiang, Yong Wu
Hypertensive patients in neurosurgery are becoming more common, which increased the risk of surgical stress response. Meanwhile, the relationship between hypertension and anesthesia methods is unclear on the stress response. The purpose of this study is to compare the effect of different anesthesia methods on high-sensitivity C-reactive protein (Hs-CRP), blood glucose, and leucocyte levels in neurosurgical patients with hypertension or normal.Eighty neurosurgical patients were randomly divided into 4 groups (n = 20): balanced anesthesia group (A), balanced anesthesia with hypertension group (B), total intravenous anesthesia group (C), total intravenous anesthesia with hypertension group (D)...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27570383/bloodstream-infections-in-nnicu-blight-on-icu-stay
#17
Man Mohan Mehndiratta, Rajeev Nayak, Sana Ali, Ajay Sharma
BACKGROUND: Bloodstream infections (BSIs) are among the serious hospital-acquired infections. Data regarding BSIs in intensive care units (ICUs) are available but there is limited information regarding these infections in neurology and neurosurgery intensive care units (NNICUs). OBJECTIVES: This study was conducted to find out the occurrence of BSI in NNICU patients of a tertiary care institute in India, along with the microbiological profile and risk factors associated with it...
July 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27569564/-syringomyelias-in-paediatrics-a-retrospective-study-of-25-cases
#18
I Martinez-Albaladejo, M Prochazkova, I Perez-Sebastian, B Bernardino-Cuesta, C Martinez-Ferrandez, O M Suarez-Traba, M Budke, J J Garcia-Penas
INTRODUCTION: Syringomyelia is defined as a cavity containing cerebrospinal fluid inside the spinal cord. AIM: To describe the clinical characteristics of a series of patients with syringomyelia, as well as its diagnosis and treatment. PATIENTS AND METHODS: We conducted a retrospective descriptive study by reviewing the medical records at our centre. RESULTS: We reviewed 25 patients diagnosed with syringomyelia. In five cases, the diagnosis was reached casually, and eight of them presented a previous severe pathology (tumour, bone or vascular)...
September 1, 2016: Revista de Neurologia
https://www.readbyqxmd.com/read/27535633/history-of-the-neurosurgery-department-of-pontificia-universidad-cat%C3%A3-lica-santiago-chile
#19
Felipe Sfeir, Pablo Villanueva, Patricio Tagle
Pontificia Universidad Católica de Chile´s medical school was founded in 1929. Interest for neurosurgical development arose in the minds of the Dean, Dr. Cristobal Espíldora, and the Chief of Surgery, Dr. Rodolfo Rencoret in 1946. They encouraged and supported Dr. J. Ricardo Olivares to specialize in Neurosurgery with Professor H. Olivecrona in Stockholm, Sweden. The first neurosurgical procedure in the Hospital Clínico de la Universidad Católica was performed in 1950. Since then, intensive efforts have been made to develop Neurosurgery and its science...
August 12, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27496007/a-case-of-vertebral-artery-aneurysm-presenting-with-dysphagia
#20
Hiroyuki Morishita, Satoshi Nakamura, Naoki Toma, Yoshinari Nakatsuka, Kazuhiko Takeuchi
Here, we report a case of vertebral artery aneurysm causing dysphagia in a 56-year-old man who had no remarkable past history. Two months before the first visit, he developed posterior neck pain followed by difficulty swallowing 1 month later. He was referred to our clinic because of gradually worsening dysphagia. Physical examination showed paralysis of cranial nerves IX, X, and XII; therefore, he was hospitalized. Because enhanced CT and MRI showed a partially thrombosed right vertebral artery aneurysm, he was transferred to the care of the Department of Neurosurgery...
August 2, 2016: Auris, Nasus, Larynx
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