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paediatric neurosurgery

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https://www.readbyqxmd.com/read/27822762/clinical-practice-audit-concerning-antimicrobial-prophylaxis-in-paediatric-neurosurgery-results-from-a-german-paediatric-oncology-unit
#1
Katja Weiss, Arne Simon, Norbert Graf, Jakob Schöpe, Joachim Oertel, Stefan Linsler
BACKGROUND: Perioperative antimicrobial prophylaxis (PAP) has been identified as an important target for internal audits, concerning the judicious use of antibiotics. Paediatric oncology patients with brain tumours face an increased risk of surgical site infection (SSI) after neurosurgery and receive routine PAP in this setting. PATIENTS AND METHODS: All patients younger than 18 years admitted to the paediatric oncology centre (POC) with a neurosurgical intervention...
November 7, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27778076/a-retrospective-one-year-estimation-of-the-volume-and-nature-of-surgical-and-anaesthetic-services-delivered-to-the-populations-of-the-fako-division-of-the-south-west-region-of-cameroon-an-urgent-call-for-action
#2
Alain Chichom-Mefire, Victor Mbome Njie, Vincent Verla, Julius Atashili
BACKGROUND: Surgery-related conditions account for the majority of admissions in primary referral hospitals in Sub-Saharan Africa. The role of surgery in the reduction of global disease burden is well recognized, but there is a great qualitative and quantitative disparity in the delivery of surgical and anaesthetic services between countries. This study aims at estimating the nature and volume of surgery delivered in an entire administrative division of Cameroon. METHODS: In this retrospective survey conducted during the year 2013, we used a standard tool to analyse the infrastructure and human resources involved in the delivery of surgical and anaesthetic services in the Fako division in the south-west region of Cameroon...
October 24, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27746701/regional-versus-general-anaesthesia-for-improved-cognitive-function-after-procedures-other-than-cardiac-surgery-or-neurosurgery-in-adult-and-paediatric-patients
#3
Michael H Andreae, Arthur Atchabahian, Aileen M McCrillis, Jerry Y Chao, Suzuko Suzuki, Shlomo Shinnar, Charles B Hall, Richard B Lipton
This is the protocol for a review and there is no abstract. The objectives are as follows: The objective of this review is to compare the effects of regional versus general anaesthesia on cognitive function after procedures other than cardiac surgery or neurosurgery in adult and in paediatric patients.
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27687144/neonatal-post-haemorrhagic-hydrocephalus-in-the-uk-a-survey-of-current-practice
#4
Naveen Kumar, Wisam Al-Faiadh, Jignesh Tailor, Conor Mallucci, Chris Chandler, Sanj Bassi, Benedetta Pettorini, Bassel Zebian
OBJECTIVES: The management of neonatal post-haemorrhagic hydrocephalus (nPHH) varies considerably between centres and even between neurosurgeons in the same centre. We performed a nationwide survey to evaluate current practice in the UK and reviewed the evidence for each intervention. METHODS: An online semi-structured questionnaire was emailed to all units registered on the British Paediatric Neurosurgery Group Mailing List. The survey consisted of 18 questions designed to establish the status quo in the management of nPHH, including preferred temporising procedure, factors guiding the timing of intervention and willingness to participate in a prospective study...
September 30, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27666293/management-of-csf-leak-in-base-of-skull-fractures-in-adults
#5
See Yung Phang, Kathrin Whitehouse, Lucy Lee, Hisham Khalil, Paul McArdle, Peter C Whitfield
AIMS: CSF leaks are not uncommon after a base of skull fracture. Currently there is no standardised algorithm for the investigation and management of post-traumatic CSF leaks. In this paper we aim to provide an evidence-based framework for managing post-traumatic CSF leaks. METHODS: We searched the English literature over the past 45 years using CINAHL, EMBASE and MEDLINE for the terms (1) post-traumatic CSF leaks or fistulas, and (2) basilar or base of skull fractures, but excluded papers on post-operative and non-traumatic CSF leaks, and papers on paediatric post- traumatic CSF leaks...
September 26, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27659828/intra-operative-neurophysiological-mapping-and-monitoring-during-brain-tumour-surgery-in-children-an-update
#6
Angela Coppola, Vincenzo Tramontano, Federica Basaldella, Chiara Arcaro, Giovanna Squintani, Francesco Sala
INTRODUCTION: Over the past decade, the reluctance to operate in eloquent brain areas has been reconsidered in the light of the advent of new peri-operative functional neuroimaging techniques and new evidence from neuro-oncology. To maximise tumour resection while minimising morbidity should be the goal of brain surgery in children as much as it is in adults, and preservation of brain functions is critical in the light of the increased survival and the expectations in terms of quality of life...
October 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27569564/-syringomyelias-in-paediatrics-a-retrospective-study-of-25-cases
#7
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/27526098/results-of-the-prophylactic-surgery-of-lumbosacral-lipomas-20%C3%A2-years-of-experience-in-the-paediatric-neurosurgery-department-la-timone-enfants-hospital-marseille-france
#8
Sandra Pérez da Rosa, Didier Scavarda, Maurice Choux
We conducted a retrospective study of children with lumbosacral lipomas treated in the Department of Pediatric Neurosurgery hospital Timone Enfants in the last 20 years. We selected patients with lipomas of the conus medullaris who underwent preventive surgery. 86 ,4 % of the patients remained asymptomatic during the follow-up. Worse results were observed in children older than one year old at surgery with transitional lipoma, with the conus medullaris was below L5 and when the resection had been partial...
August 15, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27418377/the-glasgow-outcome-scale-40-years-of-application-and-refinement
#9
REVIEW
Tom McMillan, Lindsay Wilson, Jennie Ponsford, Harvey Levin, Graham Teasdale, Michael Bond
The Glasgow Outcome Scale (GOS) was first published in 1975 by Bryan Jennett and Michael Bond. With over 4,000 citations to the original paper, it is the most highly cited outcome measure in studies of brain injury and the second most-cited paper in clinical neurosurgery. The original GOS and the subsequently developed extended GOS (GOSE) are recommended by several national bodies as the outcome measure for major trauma and for head injury. The enduring appeal of the GOS is linked to its simplicity, short administration time, reliability and validity, stability, flexibility of administration (face-to-face, over the telephone and by post), cost-free availability and ease of access...
August 2016: Nature Reviews. Neurology
https://www.readbyqxmd.com/read/27416574/glioblastoma-and-abo-blood-groups-further-evidence-of-an-association-between-the-distribution-of-blood-group-antigens-and-brain-tumours
#10
Mohammed Z Allouh, Mohammed M Al Barbarawi, Mohammad Y Hiasat, Mohammed A Al-Qaralleh, Emad I Ababneh
BACKGROUND: Glioblastoma is a highly malignant brain tumour that usually leads to death. Several studies have reported a link between the distribution of ABO blood group antigens and a risk of developing specific types of cancer, although no consensus has been reached. This study aims to investigate the relationship between the distribution of ABO blood group antigens and the incidence of glioblastoma. MATERIALS AND METHODS: The study cohort consisted of 115 glioblastoma patients who were diagnosed at King Abdullah University Hospital, Jordan, between 2004 and 2015...
June 30, 2016: Blood Transfusion, Trasfusione del Sangue
https://www.readbyqxmd.com/read/27400755/paediatric-recreational-vehicle-related-head-injuries-presenting-to-the-emergency-department-of-a-major-paediatric-trauma-centre-in-australia-is-there-room-for-improvement
#11
Silvia Bressan, Marco Daverio, Ruth Barker, Charlotte Molesworth, Franz E Babl
OBJECTIVE: This study examines clinical characteristics and helmet use of children presenting to the ED with a recreational vehicle (RV)-related head injury (HI). METHODS: Observational retrospective study of children <18 years presenting with a RV-related HI to the ED of a state-wide paediatric trauma centre in Australia between April 2011 and January 2014. RESULTS: In the 647 presentations identified, corresponding to 7.5% (95% CI 7...
August 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27161098/learning-from-lawsuits-ten-years-of-nhs-litigation-authority-claims-against-11-surgical-specialities-in-england
#12
Kathryn E Ford, Lilli R L Cooper
INTRODUCTION: Medico-legal claims are a drain on NHS resources and promote defencive practice. The litigious burden of surgery in England has not been previously described. This paper describes trends over ten years of claims made against the NHS across 11 surgical specialities. MATERIALS AND METHODS: Data were requested for all claims received by the NHS Litigation Authority (NHSLA) from 2004 to 2014. Surgical specialities included cardiothoracic, general, neurosurgery, obstetric, oral and maxillofacial (OMFS), orthopaedic, otorhinolaryngology, paediatric, plastic, urology and vascular surgery...
May 6, 2016: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/26926894/oncology-referral-concerning-paediatric-neurosurgery-analysis-of-the-situation-between-2008-2013-in-the-north-of-portugal
#13
Ana Batista, Luís Nogueira-Silva, Rui Vaz, Joana Oliveira
INTRODUCTION: Primary central nervous system tumours represent the second most frequent neoplasm and are the leading cause of death from solid tumours in children. Our study aimed to provide the most up-to-date epidemiological analysis of primary central nervous system tumours in children living in the north of Portugal and to explore a possible effect of the centralisation of care on outcomes. MATERIAL AND METHODS: This population-based study included all newly diagnosed and histologically confirmed primary central nervous system tumours in people below 18 years old, living in the north of Portugal, from January 2008 to December 2013...
January 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/26913859/late-post-traumatic-epilepsy-in-children-and-young-adults-impropriety-of-long-term-antiepileptic-prophylaxis-and-risks-in-tapering
#14
Sandra Strazzer, Marco Pozzi, Paolo Avantaggiato, Nicoletta Zanotta, Roberta Epifanio, Elena Beretta, Francesca Formica, Federica Locatelli, Sara Galbiati, Emilio Clementi, Claudio Zucca
BACKGROUND: After traumatic brain injury, epilepsy affects up to 20 % of children. It is a risk factor, for both clinical recovery and cognitive performance; therefore pharmacological therapy is advisable. Current guidelines recommend prophylaxis to be initiated as soon as possible and tapered 1 week after trauma. However, no guideline exists for paediatric patients and the clinical practice is heterogeneous. OBJECTIVE: In our institute, prophylaxis was routinely tapered 6 months after trauma...
June 2016: Paediatric Drugs
https://www.readbyqxmd.com/read/26908533/a-prospective-surveillance-of-paediatric-head-injuries-in-singapore-a-dual-centre-study
#15
Shu-Ling Chong, Su Yah Chew, Jasmine Xun Yi Feng, Penny Yun Lin Teo, Sock Teng Chin, Nan Liu, Marcus Eng Hock Ong
OBJECTIVE: To study the causes of head injuries among the paediatric population in Singapore, and the association between causes and mortality, as well as the need for airway or neurosurgical intervention. DESIGN: This is a prospective observational study utilising data from the trauma surveillance system from January 2011 to March 2015. SETTING: Paediatric emergency departments (EDs) of KK Women's and Children's Hospital and the National University Health System...
2016: BMJ Open
https://www.readbyqxmd.com/read/26826883/neurofibromatosis-type-2-service-delivery-in-england
#16
S K Lloyd, D G Evans
Neurofibromatosis type 2 (NF2) is a complex disease characterized by the development of multiple schwannomas, especially vestibular schwannomas, as well as other types of benign tumours including meningioma and spinal ependymoma. Due to its multisystem nature, the management of NF2 requires a multidisciplinary approach. In England, the delivery of care for NF2 patients has been centralized to four-"hub" centres in Manchester, Cambridge, Oxford and London each having associated "spoke" centres. Each centre has a core multidisciplinary team consisting of genetics, otolaryngology, neurosurgery, paediatrics, neurology, audiology, radiology, psychology, physiotherapy, specialist nurses and administrative staff...
January 27, 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/26575479/paediatric-intravenous-splint-a-cause-of-pressure-injury-during-neurosurgery-in-prone-position
#17
Rudrashish Haldar, Ashutosh Kaushal, Shashi Srivastava, Prabhat K Singh
Splint application avoids unwanted movement of limbs and kinking of intravenous catheters in infants, allowing free flow of intravenous fluids. However, if placed in contact with dependent surfaces during prone surgeries, they have the propensity to cause inadvertent pressure injuries. This occurs due to the weight of the limb and continuous friction and is augmented by a rise in the local temperature and perspiration. We wish to share our experience of such an unintentional injury caused by a paediatric intravenous splint...
2016: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26517917/abcb1-in-children-s-brain-tumours
#18
REVIEW
Beth Coyle, Maya Kessler, Durgagauri H Sabnis, Ian D Kerr
Tumours of the central nervous system are the most common solid tumour, accounting for a quarter of the 1500 cases of childhood cancer diagnosed each year in the U.K. They are the most common cause of cancer-related death in children. Treatment consists of surgery followed by adjuvant chemotherapy and/or radiotherapy. Survival rates have generally increased, but many survivors suffer from radiotherapy-related neurocognitive and endocrine side effects as well as an increased risk of secondary cancer. Adjuvant chemotherapy is normally given in combination to circumvent chemoresistance, but several studies have demonstrated it to be ineffective in the absence of radiotherapy...
October 2015: Biochemical Society Transactions
https://www.readbyqxmd.com/read/26500010/pediatric-emergency-care-applied-research-network-head-injury-clinical-prediction-rules-are-reliable-in-practice
#19
Deborah Schonfeld, Silvia Bressan, Liviana Da Dalt, Mira N Henien, Jill A Winnett, Lise E Nigrovic
OBJECTIVE: The Pediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury (TBI) age-based clinical prediction rules identify children at very low risk of a significant head injury who can safely avoid CT. Our goal was to independently validate these prediction rules. DESIGN: Cross-sectional study. SETTING: Two paediatric emergency departments located in USA and in Italy. PATIENTS: All children presenting within 24 h of a head injury with a Glasgow Coma Score of ≥ 14...
November 2015: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/26464408/are-mothers-always-right-when-acute-meningitis-is-something-more
#20
Catarina Gomes, Patrícia Romão, Jose Miguens, Ana Mouzinho
A 22-month-old girl with a history of a congenital occipital cutaneous cyst was brought to the paediatric emergency department for lethargy and occipital headache. She had been discharged 5 days before for acute meningitis without bacterial isolates. At physical observation, she presented with irritability and neck hyperextension, with negative meningeal signs. CT scan revealed a vermian cyst and hydrocephalus. She was submitted to neurosurgery with removal of an infected midline dermoid cyst with a fistulous track to the skin...
2015: BMJ Case Reports
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