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Neurology, Neurosurgery

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https://www.readbyqxmd.com/read/29460065/the-impact-of-intraoperative-magnetic-resonance-in-routine-pediatric-neurosurgical-practice-a-6-year-appraisal
#1
Sonia Tejada, Shivaram Avula, Benedetta Pettorini, Dawn Henningan, Laurence Abernethy, Conor Mallucci
BACKGROUND: The intraoperative magnetic resonance scanner (ioMR) was introduced in our unit in 2009, and has been used routinely since then. OBJECTIVE: This study aims to describe indications, radiological features, and clinical outcomes of the patients operated on with ioMRI and analyze our experience. METHODS: A retrospective analysis of a prospective surgical database has been performed, including surgical procedure, intent, radiological reports, need for second-look surgery, and complications, supplemented by further review of the clinical notes and the scans...
February 19, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29457559/functional-outcomes-of-inpatient-rehabilitation-in-very-elderly-patients-with-stroke-differences-across-three-age-groups
#2
Hitoshi Mutai, Tomomi Furukawa, Ayumi Wakabayashi, Akihito Suzuki, Tokiji Hanihara
Background As the population continues to age rapidly, clarifying the factors affecting the prognosis in very elderly stroke patients is essential to enhance the quality of their rehabilitation. Objectives To compare the functional recovery of elderly stroke patients classified into three age groups and to identify the predictors of functional recovery in the very elderly following acute inpatient rehabilitation. Methods Observational study: We collected data on 461 stroke patients in the neurology and neurosurgery ward and classified them into three age groups (65-74, 75-84, and ≥ 85 years)...
February 19, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29446151/organisational-framework-and-outputs-of-international-medical-evacuation-in-guinea-a-need-for-change
#3
Timothé Guilavogui, Alioune Camara, Elhadj Marouf Diallo, Akoï Koïvogui, Aminatou Barry, Koligna Zoumanigui, Alpha Ahmadou Diallo, Alexandre Delamou, Moussa Koulibaly
The study aims to describe the organizational framework of International Medical Evacuation (IME), the profile of persons evacuated, and the associated cost of IME in Guinea. This was a descriptive study of IME policy in Guinea. We described the politico-structural organization of IME and the profile of patient accessing IME through the Ministry of Health (MOH: 2001-2015) and through the National Social Security Fund (NSSF: 2011-2015). From 1958 to 1992 since the health system was restricted, the country negotiated the free medical treatment with Socialist countries...
February 15, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29438792/the-first-neurosurgery-boot-camp-in-southeast-asia-evaluating-impact-on-knowledge-and-regional-collaboration-in-yangon-myanmar
#4
Jack Rock, Roberta Glick, Isabelle M Germano, Robert Dempsey, John Zervos, Tyler Prentiss, Matthew Davis, Ernest Wright, Kyi Hlaing, Myat Thu, Zaw Wai Soe, Win Myaing
BACKGROUND: For the first time in Southeast Asia, a Fundamentals of Neurosurgery Boot Camp was held at the University of Medicine 1 in Yangon, Myanmar, February 24-26, 2017. The aim of this course was to teach and train fundamental skills to neurosurgery residents. METHODS: The Myanmar Neurosurgical Society, the Foundation for International Education in Neurosurgery, the Society for Neurological Surgeons, The University of Medicine 1 in Yangon, Myanmar and the Henry Ford Department of Neurosurgery developed a two-day resident training course...
February 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29438528/maintenance-of-certification-perceptions-and-attitudes-of-neurosurgeons
#5
Maya A Babu, Linda M Liau, E Sander Connolly, Fredric B Meyer
Assuring clinical competence throughout the career of a neurosurgeon is of paramount importance for patient safety. We present the first comprehensive survey of all neurosurgeons board certified through the American Board of Neurological Surgery (ABNS) to evaluate perceptions of Maintenance of Certification (MOC). We administered a validated, online, confidential survey to 4899 neurosurgeons (2435 ABNS diplomates participating in MOC, 1440 diplomates certified prior to 1999 [time-unlimited certificates], and 1024 retired diplomates)...
February 9, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29433572/evaluation-of-a-multicomponent-pathway-to-address-inpatient-delirium-on-a-neurosciences-ward
#6
Ethan G Brown, S Andrew Josephson, Noriko Anderson, Mary Reid, Melissa Lee, Vanja C Douglas
BACKGROUND: Delirium is a frequent and detrimental complication of inpatient hospitalization. Multicomponent intervention in selected groups has been shown to prevent and treat delirium, though little data exists on the effect of intervention in neurological patients. We studied the efficacy of a multicomponent delirium care pathway implemented on a largely neurology and neurosurgery hospital ward among unselected patients. METHODS: We incorporated a multicomponent delirium care pathway into the workflow of a university hospital for patients older than 50 years...
February 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29432238/nervous-system-malformations
#7
John Gaitanis, Tomo Tarui
PURPOSE OF REVIEW: This article provides an overview of the most common nervous system malformations and serves as a reference for the latest advances in diagnosis and treatment. RECENT FINDINGS: Major advances have occurred in recognizing the genetic basis of nervous system malformations. Environmental causes of nervous system malformations, such as perinatal infections including Zika virus, are also reviewed. Treatment for nervous system malformations begins prior to birth with prevention...
February 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29427813/life-after-the-neurosurgical-ward-in-subsaharan-africa-neurosurgical-treatment-and-outpatient-outcomes-in-uganda
#8
Linda W Xu, Silvia D Vaca, Juliet Nalwanga, Christine Muhumuza, Daniel Vail, Benjamin J Lerman, Joel Kiryabwire Surg, Hussein Ssenyonjo, John Mukasa, Michael Muhumuza, Michael M Haglund, Gerald Grant
BACKGROUND: In the past decade, neurosurgery in Uganda experienced increasing surgical volume and a new residency training program. While research has examined surgical capacity, minimal data exists on the patient population treated by neurosurgery and their eventual outcomes in sub-Saharan Africa. METHODS: Patients admitted to Mulago National Referral Hospital neurosurgical ward over two years (2014 and 2015) were documented in a prospective database. 1167 were discharged with documented phone numbers, thus eligible for follow-up...
February 7, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29424650/factors-associated-with-burnout-among-us-neurosurgery-residents-a-nationwide-survey
#9
Frank J Attenello, Ian A Buchanan, Timothy Wen, Daniel A Donoho, Shirley McCartney, Steven Y Cen, Alexander A Khalessi, Aaron A Cohen-Gadol, Joseph S Cheng, William J Mack, Clemens M Schirmer, Karin R Swartz, J Adair Prall, Ann R Stroink, Steven L Giannotta, Paul Klimo
OBJECTIVE Excessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees. METHODS An 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015...
February 9, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29419328/brain-focused-ultrasound-what-s-the-fus-all-about-a-review-of-current-and-emerging-neurological-applications
#10
Laure Bretsztajn, Wladyslaw Gedroyc
Magnetic resonance-guided focused ultrasound surgery (MRgFUS) allows for precise non-invasive thermal ablation of target tissues for a wide range of clinical applications. It is an innovative and rapidly expanding technology which has already established itself as an effective and safe incisionless alternative in the treatment of various soft tissue tumours, with many more research studies underway to extend its therapeutic envelope. The non-invasiveness of the procedure makes FUS particularly attractive in functional neurosurgery, where existing treatment options are not suitable for all patients...
February 8, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29408776/readability-and-quality-of-wikipedia-pages-on-neurosurgical-topics
#11
Omeed Modiri, Daipayan Guha, Naif M Alotaibi, George M Ibrahim, Nir Lipsman, Aria Fallah
OBJECTIVES: Wikipedia is the largest online encyclopedia with over 40 million articles, and generating 500 million visits per month. The aim of this study is to assess the readability and quality of Wikipedia pages on neurosurgical related topics. PATIENTS AND METHODS: We selected the neurosurgical related Wikipedia pages based on the series of online patient information articles that are published by the American Association of Neurological Surgeons (AANS). We assessed readability of Wikipedia pages using five different readability scales (Flesch Reading Ease, Flesch Kincaid Grade Level, Gunning Fog Index, SMOG) Grade level, and Coleman-Liau Index)...
January 29, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29404249/extended-endoscopic-endonasal-approach-for-suprasellar-craniopharyngioma
#12
D Locatelli, F Pozzi, G Agresta, S Padovan, A Karligkiotis, P Castelnuovo
Objectives  We illustrate a suprasellar craniopharyngiomas treated with an extended endoscopic endonasal approach (EEEA). Design  Case report of a 43-year-old male affected by cerebral lesion located in suprasellar region involving the third ventricle and compressing the neurovascular structures, causing an anterosuperior dislocation of the chiasma. There is a complete disruption of the pituitary stalk that can explain the clinical finding of partial anterior hypopituitarism and hyperprolactinemia. The lesion is characterized by a solid and cystic component...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29395117/letter-to-the-readership-of-the-polish-journal-of-neurology-and-neurosurgery
#13
EDITORIAL
Zbigniew K Wszolek, Jaroslaw Slawek
No abstract text is available yet for this article.
January 22, 2018: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/29394423/assessing-correlation-of-residency-applicants-interview-dates-with-likelihood-of-matching
#14
Sameer Avasarala, Elizabeth Thompson, Sarah Whitehouse, Sean Drake
OBJECTIVES: This study aimed to determine whether the timing of an interview relative to the recruitment season was associated with being ranked or matched at an academic medical center. METHODS: Eleven specialties (anesthesiology, diagnostic radiology, emergency medicine, family medicine, general surgery, internal medicine, neurology, neurosurgery, obstetrics-gynecology, orthopedic surgery, and psychiatry) that participated in the National Resident Matching Program were included in the study...
February 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29385923/high-intensity-focused-ultrasound-past-present-and-future-in-neurosurgery
#15
Syed A Quadri, Muhammad Waqas, Inamullah Khan, Muhammad Adnan Khan, Sajid S Suriya, Mudassir Farooqui, Brian Fiani
Since Lynn and colleagues first described the use of focused ultrasound (FUS) waves for intracranial ablation in 1942, many strides have been made toward the treatment of several brain pathologies using this novel technology. In the modern era of minimal invasiveness, high-intensity focused ultrasound (HIFU) promises therapeutic utility for multiple neurosurgical applications, including treatment of tumors, stroke, epilepsy, and functional disorders. Although the use of HIFU as a potential therapeutic modality in the brain has been under study for several decades, relatively few neuroscientists, neurologists, or even neurosurgeons are familiar with it...
February 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29385914/transcranial-magnetic-resonance-imaging-guided-focused-ultrasound-thalamotomy-for-tremor-technical-note
#16
Tony R Wang, Aaron E Bond, Robert F Dallapiazza, Aaron Blanke, David Tilden, Thomas E Huerta, Shayan Moosa, Francesco U Prada, W Jeffrey Elias
Although the use of focused ultrasound (FUS) in neurosurgery dates to the 1950s, its clinical utility was limited by the need for a craniotomy to create an acoustic window. Recent technological advances have enabled efficient transcranial delivery of US. Moreover, US is now coupled with MRI to ensure precise energy delivery and monitoring. Thus, MRI-guided transcranial FUS lesioning is now being investigated for myriad neurological and psychiatric disorders. Among the first transcranial FUS treatments is thalamotomy for the treatment of various tremors...
February 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29370183/oral-anticoagulant-re-initiation-following-intracerebral-hemorrhage-in-non-valvular-atrial-fibrillation-global-survey-of-the-practices-of-neurologists-neurosurgeons-and-thrombosis-experts
#17
Yan Xu, Ashkan Shoamanesh, Sam Schulman, Dar Dowlatshahi, Rustam Al-Shahi Salman, Ioana Doina Moldovan, Philip Stephen Wells, Fahad AlKherayf
BACKGROUND: While oral anticoagulants (OACs) are highly effective for ischemic stroke prevention in atrial fibrillation, intracerebral hemorrhage (ICH) remains the most feared complication of OAC. Clinical controversy remains regarding OAC resumption and its timing for ICH survivors with atrial fibrillation because the balance between risks and benefits has not been investigated in randomized trials. AIMS/HYPOTHESIS: To survey the practice of stroke neurologists, thrombosis experts and neurosurgeons on OAC re-initiation following OAC-associated ICH...
2018: PloS One
https://www.readbyqxmd.com/read/29369958/epidural-hematoma-following-cessation-of-a-direct-oral-anticoagulant-a-case-report
#18
Jessica E Burjorjee, Rachel Rooney, Melanie Jaeger
OBJECTIVE: In this case report, we describe a case of epidural hematoma following epidural analgesia in a patient with recent cessation of a direct oral anticoagulant (DOAC). CASE REPORT: An 89-year-old woman requiring upper abdominal surgery presented with multiple comorbidities, including a prior cerebrovascular accident resulting in a left-sided hemiparesis and atrial fibrillation requiring anticoagulation with rivaroxaban. In accordance with our departmental guidelines at the time of procedure, rivaroxaban was discontinued 4 days preoperatively...
January 24, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29369471/management-of-pregnancy-complicated-with-intracranial-arteriovenous-malformation
#19
Shinji Katsuragi, Jun Yoshimatsu, Hiroaki Tanaka, Kayo Tanaka, Masafumi Nii, Takekazu Miyoshi, Reiko Neki, Kazunori Toyoda, Kazuyuki Nagatsuka, Jun C Takahashi, Kenji Fukuda, Eika Hamano, Tetsu Satow, Susumu Miyamoto, Koji Iihara, Tomoaki Ikeda
AIM: To clarify the perinatal outcomes in pregnancy complicated with intracranial arteriovenous malformation (i-AVM). METHODS: A retrospective study was performed in 36 pregnancies complicated by i-AVM from 1981 to 2013 at one institution. RESULTS: In total, 6 women miscarried, and 30 had live births. The median (range) gestational age at delivery was 38 (24-40) weeks; 11 cases experienced initial i-AVM rupture during pregnancy (first, second and third trimester: 18%, 64% and 18%, respectively)...
January 25, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29351626/neuroendovascular-fellowship-training-self-assessment-of-a-program-accredited-by-the-committee-on-advanced-subspecialty-training
#20
Hakeem J Shakir, Hussain Shallwani, Leonardo Rangel-Castilla, Amade Bregy, Jason M Davies, Ashish Sonig, Christopher S Ogilvy, Kenneth V Snyder, L Nelson Hopkins, Adnan H Siddiqui, Elad I Levy
The University at Buffalo's neuroendovascular fellowship is one of the longest running fellowship programs in North America. The burgeoning neurointerventional workforce and the rapid growth in the neurointerventional space on the heels of groundbreaking clinical trials prompted us to assess the fellowship's academic impact and its graduates' perceptions and productivity. An anonymized web-based survey was sent to all former neuroendovascular fellows with specific questions pertaining to current practice, research and funding, and perceptions about the fellowship's impact on their skills, competitiveness, and compensation...
January 17, 2018: Neurosurgery
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