5,619 results match your criteria Clinical Neurology and Neurosurgery[Journal]


Migraine in patients with fibromyalgia and outcomes of greater occipital nerve blockage.

Clin Neurol Neurosurg 2019 Apr 9;181:54-57. Epub 2019 Apr 9.

Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Ankara, Turkey.

Objectives: The aim of this study is to evaluate the efficacy of greater occipital nerve (GON) blockage in patients with migraine and fibromyalgia (FM) comorbidity.

Patients And Method: 20 patients who were diagnosed as FM according to 2010 American College of Rheumatology (ACR) diagnostic criteria and migraine according to International Classification of Headache Disorers II criteria and did not recieve any medication or GON block for both disorders were included for the study. GON blocks were repeated every week in the first month and repeated montly for the following 2 months. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193009
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http://dx.doi.org/10.1016/j.clineuro.2019.04.004DOI Listing
April 2019
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Response Letter Regarding "Utility of CT angiography in screening for traumatic cerebrovascular injury".

Clin Neurol Neurosurg 2019 Apr 7;181:53. Epub 2019 Apr 7.

Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Boulevard, St. Louis, MO, 63110, United States. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2019.04.001DOI Listing

Retrospective analysis of accuracy and positive predictive value of preoperative lumbar MRI grading after successful outcome following outpatient endoscopic decompression for lumbar foraminal and lateral recess stenosis.

Clin Neurol Neurosurg 2019 Apr 5;181:52. Epub 2019 Apr 5.

Center For Advanced Spine Care of Southern Arizona, Surgical Institute of Tucson, 4787 E. Camp Lowell Drive, 85712, Tucson, AZ, United States; Department of Orthopaedics, Fundación Universitaria Sanitas, Bogotá, D.C., Colombia. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193006
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http://dx.doi.org/10.1016/j.clineuro.2019.03.011DOI Listing
April 2019
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Association between perioperative stroke and 30-day mortality in carotid endarterectomy: A meta-analysis.

Clin Neurol Neurosurg 2019 Apr 1;181:44-51. Epub 2019 Apr 1.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address:

Objectives: Perioperative stroke is a known complication of carotid endarterectomy (CEA) for patients with symptomatic and asymptomatic carotid stenosis. The Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) has shown that stroke following CEA is associated with nearly a 3-fold increase in the 4-year mortality compared to patients without such an event. However, no studies to date can establish whether the stroke was the cause of the short term mortality. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.028DOI Listing

Trending serial CSF samples to guide treatment of refractory coccidioidal meningitis with intrathecal liposomal amphotericin.

Clin Neurol Neurosurg 2019 Apr 5;181:41-43. Epub 2019 Apr 5.

Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA.

Intrathecal amphotericin B deoxycholate (AmB-d) can be prescribed as an adjunct to systemic therapy for severe or recalcitrant cases coccidioidal meningitis. Recently intravenous (IV) Liposomal amphotericin B (L-AmB) has been recommended as monotherapy therapy for refractory coccidioidal meningitis based on its advantages over (AmB-d), however, its intrathecal use has not been reported. Moreover, there is nothing in the literature quantifying clinical improvement with objective laboratory data in human patients. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.019DOI Listing

A descriptive study of clinical and radiological profile of longitudinal extensive myelitis in a tertiary hospital in Rajasthan, India.

Clin Neurol Neurosurg 2019 Apr 8;181:33-40. Epub 2019 Apr 8.

Department of Neurosciences, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.

Objectives: To explore the aetiological, clinical and radiological profiles of patients with LETM presenting to this tertiary care hospital in North India.

Patients And Methods: All eligible LETM patients presenting to our hospital between April 2015 and Jan 2016 were prospectively studied. A total of 37 patients were included and after thorough history, examination, relevant laboratory and radiological investigation, were profiled according to the various aetiologies of LETM. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.04.002DOI Listing

Frameless stereotactic neuronavigated biopsy: A retrospective study of morbidity, diagnostic yield, and the potential of fluorescence: A single-center clinical investigation.

Clin Neurol Neurosurg 2019 Mar 31;181:28-32. Epub 2019 Mar 31.

Department of Neurosurgery, Odense University Hospital, Sdr. Boulevard 29, DK-5000 Odense, Denmark; Department of Clinical Research and BRIDGE (Brain Research - Inter Disciplinary Guided Excellence), University of Southern Denmark, Odense, Denmark.

Objective: The primary objective of this retrospective study was to evaluate the diagnostic yield and morbidity/mortality associated with frameless stereotactic neuronavigated intracranial biopsies with and without the use of fluorescein.

Patients And Methods: Patient cases from January 2007 to December 2017 were identified using the ICD-10 procedure code AAG00. Relevant clinical data, including histological diagnosis, were collected retrospectively from the electronic patient charts and independently reviewed by two authors. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.004DOI Listing

Vascular white matter lesions negatively correlate with brain metastases in malignant melanoma-Results from a retrospective comparative analysis.

Clin Neurol Neurosurg 2019 Mar 19;180:117-121. Epub 2019 Mar 19.

Klinik für Radioonkologie und Strahlentherapie, Universitätsklinikum Leipzig, Stephanstraße 9 a, 04103, Leipzig, Germany. Electronic address:

Objectives: Brain metastasis (BM) is a major complication of different cancers. There is increasing evidence for influence of vascular factors on BM in patients with non-small cell lung cancer (NSCLC). It is not known if the same is true for other tumors that might rely on different forms of vasculogenesis. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.016DOI Listing
March 2019
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Meta-analysis of recent literature on utility of follow-up imaging in isolated perimesencephalic hemorrhage.

Clin Neurol Neurosurg 2019 Mar 11;180:111-116. Epub 2019 Mar 11.

Department of Radiology and Biomedical Imaging, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, CT, 06520-8042, United States. Electronic address:

Objectives: Isolated perimesencephalic subarachnoid hemorrhage is an uncommon, distinct subtype of subarachnoid hemorrhage with a more benign prognosis. A negative computed tomographic angiogram has been shown to be reliable in excluding aneurysmal rupture as the underlying etiology. However, some studies continue advocating for more imaging to determine a vascular cause in perimesencephalic subarachnoid hemorrhage. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.006DOI Listing
March 2019
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Prognostic value of preoperative neutrophil to lymphocyte ratio is superior to systemic immune inflammation index for survival in patients with Glioblastoma.

Clin Neurol Neurosurg 2019 Mar 20;181:24-27. Epub 2019 Mar 20.

Department of Radiology, Shandong Provincial Qianfoshan Hospital Affiliated to Shandong University, Jinan, Shandong, PR China. Electronic address:

Objective: This study evaluated the prognostic value of preoperative neutrophil to lymphocyte ratio(NLR), platelet to lymphocyte ratio(PLR), and systemic immune inflammation index(SII) in patients with Glioblastoma(GBM).

Patients And Methods: The peripheral blood indexes and other clinical data were obtained within 1 week before surgery. Receiving operating characteristics(ROC) curve was used to find the optimal cut-off value of NLR, SII and PLR, respectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193008
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http://dx.doi.org/10.1016/j.clineuro.2019.03.017DOI Listing
March 2019
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Proposal of modification in management strategy for intracranial hemorrhage in low- and middle-income countries.

Clin Neurol Neurosurg 2019 Apr 1;181:21-23. Epub 2019 Apr 1.

Neurosurgery Unit, Department of Surgery, Lagoon Hospitals, Lagos, Nigeria. Electronic address:

This brief communication describes the challenges faced by neurosurgeons in Low- or middle-income countries to treat neurosurgical emergencies from intracranial bleeds (whether traumatic or spontaneous). The authors point out that in low- or middle-income countries and Africa in particular, resources, facilities, and personnel are lacking to follow the guidelines proposed for treating these conditions in high-income countries. The proposal offered here is to move to early surgical intervention because algorithms to monitor patients under conservative management guidelines are often not possible. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.026DOI Listing
April 2019
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Reduplicative paramnesia for places: A comprehensive review of the literature and a new case report.

Clin Neurol Neurosurg 2019 Apr 2;181:7-20. Epub 2019 Apr 2.

Center for Mind/Brain Sciences, University of Trento, 38068, Rovereto, Italy; Centro Interdisciplinare Linceo 'Beniamino Segre', Accademia dei Lincei, Rome, Italy. Electronic address:

Reduplicative paramnesia for places (i.e., the delusional belief that a place has been duplicated or exists in two different locations) is a rare disorder observed in neurological patients. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.022DOI Listing
April 2019
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30-day Outcomes in Primary vs. Revision Posterior Spinal Fusion for Pediatric Spinal Deformity.

Clin Neurol Neurosurg 2019 Apr 1;180:106-110. Epub 2019 Apr 1.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, United States. Electronic address:

Objectives: Current evidence, with regard to primary vs. revision spinal fusions in pediatric spine deformities, is limited to inpatient outcomes only. The current study aims to analyze and compare 30-day outcomes in pediatric spine deformity patients undergoing a primary vs. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.023DOI Listing

Determinants of reoperation after decompressive craniectomy in patients with traumatic brain injury: A comparative study.

Clin Neurol Neurosurg 2019 Apr 1;181:1-6. Epub 2019 Apr 1.

Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

Objectives: Reoperation after decompressive craniectomy (DC) in patients with traumatic brain injury (TBI) remains a dilemma and the risk factors are to be identified. The aim of the current study was to determine the determinants and risk factors of reoperation after DC in patients with TBI.

Patients And Methods: This retrospective case-controlled study was conducted during a 4-year period from September 2013 to October 2017 in a level I trauma center affiliated with Shiraz University of Medical Sciences in southern Iran. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.030DOI Listing

Age-related differences in social media use in the neurosurgical community: A multi-institutional study.

Clin Neurol Neurosurg 2019 Apr 1;180:97-100. Epub 2019 Apr 1.

Departments of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States; Departments of Radiation Oncology, Los Angeles (UCLA), Los Angeles, CA, United States; Departments of Head and Neck Surgery, Los Angeles (UCLA), Los Angeles, CA, United States; Departments of Jonsson Comprehensive Cancer Center, Los Angeles (UCLA), Los Angeles, CA, United States; Departments of Los Angeles Biomedical Research Institute, Los Angeles (UCLA), Los Angeles, CA, United States; Departments of Harbor-UCLA Medical Center, Los Angeles (UCLA), Los Angeles, CA, United States; Departments of David Geffen School of Medicine of the University of California, Los Angeles (UCLA), Los Angeles, CA, United States. Electronic address:

Objectives: Social media is evolving and growing at an exponential rate today. From a healthcare perspective, these platforms can be used to enhance professional networking, education, organizational promotion, patient care, patient education, and public health programs without the limitations of geographic and time-related access barriers. Given the possible importance of social media in medicine, and the conflicting reports in literature about its use in healthcare, it is important to identify its utility within the neurosurgical community. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.027DOI Listing
April 2019
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Early versus late percutaneous kyphoplasty for treating osteoporotic vertebral compression fracture: A retrospective study.

Clin Neurol Neurosurg 2019 Apr 1;180:101-105. Epub 2019 Apr 1.

Department of Orthopedics, First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang, China. Electronic address:

Objective: Osteoporotic vertebral compression fracture (OVCF) is a common disease in the aged population that can greatly affect the quality of life. Percutaneous kyphoplasty (PKP) has become a mainstream approach for treating OVCF, but the optimal surgical timing for treating OVCF with PKP remains controversial. In the current study, we retrospectively studied patients with OVCF that underwent PKP, and aimed to find out whether surgical timing could affect the clinical and radiological outcomes. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.029DOI Listing

Spinal Arachnoid Cysts: Presentation, management and pathophysiology.

Clin Neurol Neurosurg 2019 Mar 20;180:87-96. Epub 2019 Mar 20.

Department of Neurosurgery, Wessex Neurological Centre, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton SO16 6YD, United Kingdom.

Objective: Evaluation of the presentation and outcomes associated with surgical marsupialisation of spinal arachnoid cysts and formulation of a putative hypothesis explaining their pathogenesis.

Patients And Methods: Cases were identified from electronic and theatre records at a single centre. All patients underwent pre-operative assessment and radiographic evaluation with subsequent spinal multidisciplinary discussion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193007
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http://dx.doi.org/10.1016/j.clineuro.2019.03.014DOI Listing
March 2019
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Assessing the differences in outcomes between general and non-general anesthesia in spine surgery: Results from a national registry.

Clin Neurol Neurosurg 2019 Mar 29;180:79-86. Epub 2019 Mar 29.

Mayo Clinic Neuro-Informatics Laboratory, Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

Objectives: Endotracheal/general anesthesia is one of the most commonly used anesthetic techniques when performing thoracic and lumbar surgeries. However, spinal and epidural (non-general) anesthesia have been increasingly employed for lumbar decompressions (LD) and lumbar fusion recently. The objective of this study was to investigate the outcomes of general and non-general anesthesia in patients undergoing posterior lumbar fusion (PLF) and LD using a national registry. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193008
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http://dx.doi.org/10.1016/j.clineuro.2019.03.021DOI Listing
March 2019
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Optimal stimulation intensity for Br(E)-MsEP waveform derivation at baseline in pediatric spinal surgery.

Clin Neurol Neurosurg 2019 Mar 31;180:74-78. Epub 2019 Mar 31.

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65, Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan. Electronic address:

Objectives: Br(E)-MsEP monitoring is widely used in spinal surgery for detection of spinal cord injury. However, Br(E)-MsEP waveform derivation requires high-intensity stimulation, and this raises a concern of adverse effects due to the immature corticospinal tract in pediatric patients. The purpose of this study is to determine the optimal stimulation intensity required for derivation of Br(E)-MsEP waveforms at baseline in pediatric spinal surgery. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.005DOI Listing

Novel gap junction protein beta-1 gene mutation associated with a stroke-like syndrome and central nervous system involvement in patients with X-linked Charcot-Marie-Tooth Type 1: A case report and literature review.

Clin Neurol Neurosurg 2019 Mar 28;180:68-73. Epub 2019 Mar 28.

Department of Neurology, Chinese PLA General Hospital, Beijing, 100853, China. Electronic address:

Gap junction protein beta-1 (GJB1) gene mutations lead to X-linked Charcot-Marie-Tooth Type 1 (CMTX1). We studied a Chinese family with CMTX1 and identified a novel GJB1 point mutation. Our patient had a transient stroke-like clinical manifestations and magnetic resonance imaging (MRI) changes. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.018DOI Listing

Is it dangerous to treat spontaneous intracerebral hemorrhage by minimally invasive surgery plus local thrombolysis in patients with coexisting unruptured intracranial aneurysms?

Clin Neurol Neurosurg 2019 Mar 15;180:62-67. Epub 2019 Mar 15.

Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. Electronic address:

Objectives: Limited evidence supports the presumed increased frequency of hemorrhage caused by the unruptured intracranial aneurysms which coexist in patients with spontaneous intracerebral hemorrhage treated with minimally invasive surgery plus local thrombolysis. Subsequently, we sought to determine the safety of local thrombolysis for this particular subset of patients.

Patients And Methods: We reviewed the medical records of patients treated with minimally invasive surgery plus local thrombolysis for intracerebral hemorrhage between November 2013 to December 2015 in an intensive care unit of a tertiary care hospital. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.013DOI Listing
March 2019
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Success of treating medically refractory trigeminal neuralgia: Comparing apples to apples.

Clin Neurol Neurosurg 2019 Mar 16;180:61. Epub 2019 Mar 16.

Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, United States.

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http://dx.doi.org/10.1016/j.clineuro.2019.03.009DOI Listing

Improvement of quality of life and mental health in patients with spasmodic torticollis after microvascular decompression.

Clin Neurol Neurosurg 2019 Mar 4;180:57-60. Epub 2019 Mar 4.

Department of Neurological Surgery, Tongren Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Electronic address:

Objective: Although not life threatening, spasmodic torticollis (ST) impairs patients' daily activity, socialization and work. The aim of this study was to evaluate the quality of life (QOL) and mental health in patients with ST after microvascular decompression (MVD).

Patients And Methods: From June 2014 to June 2017, patients with ST who underwent MVD in our department were included in this study. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.001DOI Listing
March 2019
2 Reads
1.248 Impact Factor

Peripheral blood neutrophil-to-lymphocyte ratio in preterm infants with intraventricular hemorrhage.

Clin Neurol Neurosurg 2019 Mar 16;180:52-56. Epub 2019 Mar 16.

Division of Pediatric Neurosurgery, Joe DiMaggio Children's Hospital, 1150 N 35th Ave., Hollywood, FL, 33021, USA. Electronic address:

Objectives: Intraventricular hemorrhage (IVH) remains a major complication of prematurity, affecting 20-25% of premature infants of very low birth weight. Preterm infants with IVH are at risk for developing significant complications, including posthemorrhagic hydrocephalus and seizures. Multiple studies have reported an association between the neutrophil-to-lymphocyte ratio (NLR) in peripheral blood and outcomes after acute intracranial hemorrhage in adults. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.012DOI Listing
March 2019
2 Reads

Myofibrillar myopathy caused by a novel FHL1 mutation presenting a mild myopathy with ankle contracture.

Clin Neurol Neurosurg 2019 Mar 19;180:48-51. Epub 2019 Mar 19.

Neurology, Pusan National University Yangsan Hospital, Yangsan, South Korea. Electronic address:

FHL1-related myopathies are clinically heterogeneous, involving skeletal and cardiac muscles. Overlapping clinical features include joint contractures, rigid spine, scapuloperoneal weakness and cardiac diseases. Histopathologically, reducing bodies are the most characteristic finding, but not present in all FHL1-related cases. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.015DOI Listing
March 2019
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Clinical considerations for spinal surgery in the osteoporotic patient: A comprehensive review.

Clin Neurol Neurosurg 2019 Mar 11;180:40-47. Epub 2019 Mar 11.

Department of Neurological Surgery, Weill Cornell Medical College, New York, NY, United States. Electronic address:

Osteoporosis is a skeletal condition characterized by low bone mineral density (BMD). Common in older patients undergoing spinal fusion, it is a significant risk factor for instrumentation failure and related complications. The objective of this review is to articulate clear suggestions for screening and medical/surgical management strategies in patients with osteoporosis. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.010DOI Listing
March 2019
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Risk factors for preoperative and late postoperative seizures in primary supratentorial meningiomas.

Clin Neurol Neurosurg 2019 Mar 11;180:34-39. Epub 2019 Mar 11.

Department of Neurosurgery, Seoul National University Bundang Hospital, Republic of Korea; Department of Neurosurgery, Seoul National University College of Medicine, Republic of Korea. Electronic address:

Objective: We performed a retrospective study to identify factors associated with preoperative and late postoperative seizures in primary supratentorial meningiomas.

Patients And Methods: Between July 2003 and December 2014, we extracted 303 consecutive patients who underwent primary resection for supratentorial meningiomas at a single institution. Univariate analysis and multivariate logistic regression analysis were performed to determine the associations of seizure occurrence and outcome. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.007DOI Listing
March 2019
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Exclusion criteria for dysphagia for outpatient single-level anterior cervical discectomy and fusion using inpatient data from a spine registry.

Clin Neurol Neurosurg 2019 Mar 11;180:28-33. Epub 2019 Mar 11.

Department of Neurosurgery, Kaiser Permanente Medical Group, 2025 Morse Ave., Sacramento, CA, 95825, United States. Electronic address:

Objectives: Reported incidence of dysphagia after ACDFs has been as high as 79%. There, however, have been no studies that have specifically looked at developing a criteria for reducing the incidence of dysphagia for outpatient ACDFs. The aim of this study was to determine the risks factors for significant dysphagia that will exclude patients from outpatient single-level anterior cervical discectomy and fusions (ACDFs). Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.008DOI Listing

Dystextia and dystypia as modern stroke symptoms: A case series and literature review.

Clin Neurol Neurosurg 2019 Feb 23;180:25-27. Epub 2019 Feb 23.

Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6A 5A5, Canada; Stroke, Dementia & Heart Disease Laboratory. Western University, London, Ontario, N6A 5C1, Canada; Department of Anatomy & Cell Biology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6A 5A5, Canada; Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6A 5A5, Canada.

Stroke recognition remains a barrier to care in cerebrovascular disease. Despite an increasing reliance on digital communication, the clinical utility of deficits relating to technology remains unexplored. Dystextia and dystypia, terms used to refer to impairments in texting and typing, respectively, may serve as modern indicators of stroke and provide information regarding stroke duration, symptomatology, and etiological diagnosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193002
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http://dx.doi.org/10.1016/j.clineuro.2019.02.001DOI Listing
February 2019
2 Reads

The role of navigated transcranial magnetic stimulation for surgery of motor-eloquent brain tumors: a systematic review and meta-analysis.

Clin Neurol Neurosurg 2019 Mar 5;180:7-17. Epub 2019 Mar 5.

Division of Neurosurgery, University of Messina, Italy.

Navigated transcranial magnetic stimulation (nTMS) is an emerging tool for surgery of motor-eloquent intrinsic brain tumors, but a critical reappraisal of the literature evidence has never been performed, so far. A systematic review and meta-analysis was performed searching on PubMed/MEDLINE, and the Cochrane Central Register of Controlled Trials for studies that analyzed the impact of nTMS-based motor mapping on surgery of patients affected by motor-eloquent intrinsic brain tumors, in comparison with series of patients operated without using nTMS. The impact of nTMS mapping was assessed analyzing the occurrence of postoperative new permanent motor deficits, the gross total resection rate (GTR), the size of craniotomy and the length of surgery. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.003DOI Listing
March 2019
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Neurosurgical contribution within a complex NF1 supraregional service.

Clin Neurol Neurosurg 2019 Mar 4;180:18-24. Epub 2019 Mar 4.

Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal NHS Foundation Trust, Manchester Academic Health Sciences Centre, Salford, Greater Manchester, UK; Division of Neuroscience & Experimental Psychology, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Objectives: The goal of this study was to review and present neurosurgical related activity within a multidisciplinary nationally commissioned specialty neurofibromatosis type I (NF1) center.

Patients & Methods: We reviewed all NF1 Neurosurgical MDTs, NF1 Neurosurgical clinics and all neurosurgical procedures carried out in NF1 patients over an 8-year period.

Results: Since the inception of the service in 2009, 1505 cases were discussed at our NF-1 multidisciplinary meeting, 171 clinic appointments in complex NF1 patients with neurosurgical pathologies and 43(cranial and spinal) operations were performed. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.03.002DOI Listing
March 2019
1 Read

Intensive blood pressure control reduces the risk of progressive hemorrhage in patients with acute hypertensive intracerebral hemorrhage: A retrospective observational study.

Clin Neurol Neurosurg 2019 Feb 26;180:1-6. Epub 2019 Feb 26.

Department of Neurosurgery, Huashan Hospital, Fudan University, 12 Wulumuqi Road (M), Shanghai, 200040, PR China. Electronic address:

Objective: To investigate the impact of intensive blood pressure control on progressive intracerebral hemorrhage and outcome in patients with high blood pressure and intracerebral hemorrhage.

Patients And Methods: A retrospective study was conducted recruiting 659 patients with acute hemorrhagic stroke between Jan. 2012 and May 2018. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.021DOI Listing
February 2019
2 Reads

Retrospective analysis of accuracy and positive predictive value of preoperative lumbar MRI grading after successful outcome following outpatient endoscopic decompression for lumbar foraminal and lateral recess stenosis.

Clin Neurol Neurosurg 2019 Apr 25;179:74-80. Epub 2019 Feb 25.

Center For Advanced Spine Care of Southern Arizona, Surgical Institute of Tucson, United States; Departmemt of Orthopaedics, Fundación Universitaria Sanitas, Bogotá, D.C., Colombia; Department of Neurosurgery in the Video-Endoscopic Postgraduate Program at the, Universidade Federal do Estado do Rio de Janeiro - UNIRIO, Brazil; American Board of Orthopaedic Surgery (ABOS), United States; American Board of Spinal Surgery (ABSS), United States; American Academy of Orthopaedic Surgeons (AAOS), United States; North American Spine Society (NASS), United States; Sociedad Interamericana de Cirugía de Columna Mínimamente Invasiva (SICCMI), United States; International Intradiscal Therapy Society (IITS), United States; World Congress Minimally Invasive Spine Surgery and Techniques (WCMISST), United States. Electronic address:

Objectives: The aim of this study was to analyze the accuracy and positive predictive value (PPV) of preoperative lumbar MRI grading for successful outcome after outpatient endoscopic decompression for lumbar foraminal and lateral recess stenosis. Lumbar MRI is commonly employed in preoperative decision making to identify symptomatic pain generators amenable to surgical decompression. However, its accuracy and positive predictive value for successful postoperative pain relief after endoscopic transforaminal decompression for sciatica-type back and leg pain has not been reported. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.019DOI Listing

Long-term outcomes of deep brain stimulation in severe Parkinson's disease utilizing UPDRS III and modified Hoehn and Yahr as a severity scale.

Clin Neurol Neurosurg 2019 Apr 21;179:67-73. Epub 2019 Feb 21.

Ochsner Clinic Foundation, Department of Neurosurgery, New Orleans, LA, USA; Tulane Medical Center, Department of Neurosurgery, New Orleans, LA, USA.

Objectives: Deep brain stimulation (DBS) is the surgical treatment of choice for moderate to severe Parkinson's Disease (PD). However, few studies have assessed its efficacy in severe PD as defined by the modified Hoehn and Yahr scale (HY). This study evaluates long-term and medication outcomes of DBS in severe PD. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.018DOI Listing
April 2019
3 Reads
1.248 Impact Factor

Bias in determining factors associated with early seizures after surgery of unruptured intracranial aneurysms.

Clin Neurol Neurosurg 2019 Apr 1;179:66. Epub 2019 Mar 1.

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2019.02.023DOI Listing
April 2019
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Disability patterns over the first year after a diagnosis of epilepsy.

Clin Neurol Neurosurg 2019 Apr 28;179:60-65. Epub 2019 Feb 28.

The George Institute for Global Health, Faculty of Medicine, University of New South Wales, 83-117 Missenden Road, Camperdown, NSW 2050, Australia; School of Public Health, Faculty of Medicine and Health, Edward Ford Building (A27) Fisher Road, University of Sydney, NSW 2006, Australia; Faculty of Health and Wellbeing, University of Central Lancashire, Preston, PR1 2HE, UK. Electronic address:

Objective: To determine the patterns and predictors of disability over the first 12 months after a diagnosis of epilepsy.

Patients And Methods: The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people with newly diagnosed epilepsy in Sydney, Australia. Disability was assessed using the World Health Organization's, Disability Assessment Schedule (WHODAS) 2. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.022DOI Listing
April 2019
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Predictors of reoperation and noninfectious complications following craniotomy for cerebral abscess.

Clin Neurol Neurosurg 2019 Apr 27;179:55-59. Epub 2019 Feb 27.

Department of Neurological Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, United States.

Objectives: There is a paucity of literature that examines predictors of reoperation and noninfectious complications following treatment of cerebral abscess with craniotomy. The goal of the present study is to identify predictors for each of these outcomes.

Patients And Methods: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database 2012-2016 file was the data source. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.020DOI Listing
April 2019
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Methyl-DOPA causing reversible peripheral facial palsy.

Authors:
Josef Finsterer

Clin Neurol Neurosurg 2019 Apr 28;179:53-54. Epub 2019 Feb 28.

Krankenanstalt Rudolfstiftung, Messerli Institute, Veterinary University of Vienna, Postfach 20, Vienna, 1180, Austria. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2019.02.008DOI Listing

Application of an artificial neural network model for early outcome prediction of gamma knife radiosurgery in patients with trigeminal neuralgia and determining the relative importance of risk factors.

Clin Neurol Neurosurg 2019 Apr 12;179:47-52. Epub 2019 Feb 12.

Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Science, Tehran, Iran.

Objectives: Stereotactic radiosurgery (SRS) is a minimally invasive modality for the treatment of trigeminal neuralgia (TN). Outcome prediction of this modality is very important for proper case selection. The aim of this study was to create artificial neural networks (ANN) to predict the clinical outcomes after gamma knife radiosurgery (GKRS) in patients with TN, based on preoperative clinical factors. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.11.007DOI Listing

Relationship between auditory pathway fractional anisotropy and audibility in patients with cerebellopontine angle tumors on diffusion tensor imaging.

Clin Neurol Neurosurg 2019 Apr 18;179:42-46. Epub 2019 Feb 18.

Department of Neurosurgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo, 663-8501, Japan. Electronic address:

Objective: Recent reports demonstrated that acoustic nerve disorders affect the auditory pathway on diffusion tensor imaging (DTI). The aim was to investigate whether auditory pathway fractional anisotropy (FA) values are associated with audibility in patients with cerebellopontine angle tumors.

Patients And Methods: Patients with cerebellopontine angle tumors were included in this retrospective study. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.017DOI Listing

Idiopathic intracranial hypertension: Proposal of a stratification strategy for monitoring risk of disease progression.

Clin Neurol Neurosurg 2019 Apr 15;179:35-41. Epub 2019 Feb 15.

Neurosurgery Division, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria; Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

Objectives: A general consensus based on a multidisciplinary perspective involving an international panel was recently developed for management of patients with idiopathic intracranial hypertension (IIH). In this paper, the authors sought to develop further on the aspect of this consensus that concerns monitoring progression of the disease.

Patients And Methods: A systematic literature review of previous publications on monitoring disease progression in IIH and a meta-analysis to examine efficacy of method of monitoring employed in each study. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.013DOI Listing
April 2019
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1.248 Impact Factor

Retrievable inferior vena cava filters in neurosurgical patients: Retrieval rates and clinical outcomes.

Clin Neurol Neurosurg 2019 Apr 18;179:30-34. Epub 2019 Feb 18.

University of Illinois College of Medicine, Department of Radiology, Division of Interventional Radiology, Chicago, IL, United States. Electronic address:

Objective: To assess inferior vena cava (IVC) filter retrieval rates and clinical outcomes in neurosurgical patients and to determine patient characteristics associated with filter retrieval.

Patients And Methods: This single-center retrospective study included 204 consecutive neurosurgical patients (120 men, 84 women; mean age 60 ± 13 years) who underwent retrievable IVC filter insertion between 1/2011-9/2013. Institutional IVC filter database review was used to identify demographic and clinical data, indication for IVC filtration, and IVC filter type. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.016DOI Listing
April 2019
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Relationship between mobility and cognitive impairment in patients with Alzheimer's disease.

Clin Neurol Neurosurg 2019 Apr 18;179:23-29. Epub 2019 Feb 18.

Department of Nursing, University of Valencia, Valencia, Spain. Electronic address:

Objective: Alzheimer's disease (AD) is usually accompanied by impairments to mobility, performance of the basic activities of daily life (ADL), and progressive cognitive decline. We analyzed the relationship between cognitive performance and related cognitive subdomains and mobility.

Patients And Methods: All AD patients of the recruited individuals were living in nursing homes; they underwent a blood analysis, cognitive examination by using the Mini-Mental State Examination, functional evaluation of independence in the ADLs with Barthel score and Katz index, and mobility assessment with the elderly mobility scale. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.015DOI Listing
April 2019
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The effects of hyperglycemia on outcomes in surgical high-grade glioma patients.

Clin Neurol Neurosurg 2019 Apr 11;179:9-13. Epub 2019 Feb 11.

Lillian S. Wells Department of Neurosurgery, 1600 S.W. Archer Road, University of Florida, Gainesville, FL, 32608, United States.

Objective: To define the glucose values associated with an increase in complication rates in post-operative brain tumor patients.

Patients And Methods: Patients who underwent craniotomy for resection of WHO Grade III or IV glioma from 2011 to 2014 were retrospectively reviewed. Post-operative blood glucose values were recorded for post-operative day #0, #1, and #2. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.011DOI Listing
April 2019
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The impact of BMI on operating room time, blood loss, and hospital stay in patients undergoing spinal fusion.

Clin Neurol Neurosurg 2019 Apr 11;179:19-22. Epub 2019 Feb 11.

Boulder Neurosurgical Associates, Boulder, CO, United States; Justin Parker Neurological Institute, Boulder, CO, United States. Electronic address:

Objective: Obesity affects not only the health of an individual but society as a whole and especially the healthcare system. Healthcare providers are faced with challenges to deliver adequate care in this resource-limited environment, assure safety, and accommodate the increasing population of overweight patients. The effects of increased body mass index (BMI) on clinical outcomes, complications, health care resource utilization, effectiveness of minimally invasive approaches, and perioperative parameters in spine surgeries have all been previously studied, but the majority of these findings are conflicting rather than conclusive. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467193003
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http://dx.doi.org/10.1016/j.clineuro.2019.02.012DOI Listing
April 2019
4 Reads

Symptomatic radiation necrosis in brain metastasis patients treated with stereotactic radiosurgery and immunotherapy.

Clin Neurol Neurosurg 2019 Apr 11;179:14-18. Epub 2019 Feb 11.

Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States. Electronic address:

Objectives: The association of symptomatic radiation necrosis (RN) with stereotactic radiosurgery (SRS) and immune checkpoint inhibitors (ICIs) in brain metastases patients has been incompletely explored. We aim to discuss the incidence, risk factors, and prognosis of symptomatic RN in patients treated with these modalities.

Patients And Methods: We retrospectively evaluated the incidence of symptomatic RN among all patients with brain metastases treated with both SRS and an ICI at a single academic center. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.010DOI Listing

Early management of poor-grade aneurysmal subarachnoid hemorrhage: A prognostic analysis of 104 patients.

Clin Neurol Neurosurg 2019 Apr 5;179:4-8. Epub 2019 Feb 5.

Department of Neurosurgery, The Second Hospital of Shandong University, Jinan 250033, Shandong, China. Electronic address:

Objective: This study aimed to investigate the efficacy of early management for poor-grade aneurysmal subarachnoid hemorrhage (aSAH; WFNS grade IV and V), and analyze the prognostic factors.

Patients And Methods: A total of 104 consecutive patients with poor-grade aSAH from the Department of Neurosurgery, the Second Hospital of Shandong University were enrolled between January 2010 and December 2017. All these patients underwent early microsurgical clipping or endovascular coiling within three days after onset. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.003DOI Listing
April 2019
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A rare cause of axial worsening in Parkinson's disease: A case of myasthenic pseudo-parkinsonism.

Clin Neurol Neurosurg 2019 Apr 11;179:1-3. Epub 2019 Feb 11.

Neurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy.

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http://dx.doi.org/10.1016/j.clineuro.2019.02.009DOI Listing
April 2019
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Is there a relationship between basilar artery tortuosity and vertigo?

Clin Neurol Neurosurg 2019 Mar 6;178:97-100. Epub 2019 Feb 6.

Kirikkale University, Faculty of Medicine, Department of Radiology, Kirikkale, Turkey.

Objective: The aim of this study was to investigate the relationship between basilar artery (BA) tortuosity, hypogenesis/agenesis of the vertebral artery (VA), and vertigo, with the use of magnetic resonance imaging (MRI).

Patients And Methods: This case-control study included patients admitted to the outpatient clinics, who were aged 18-80 years, without any known systemic diseases. All patients were evaluated with a 1. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.006DOI Listing
March 2019
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Factors associated with early seizures after surgery of unruptured intracranial aneurysms.

Clin Neurol Neurosurg 2019 Mar 8;178:93-96. Epub 2019 Feb 8.

Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan. Electronic address:

Objective: The aim of the study was to better define the incidence of and risk factors for early seizures after repair of unruptured intracranial aneurysms in modern microsurgical techniques.

Patients And Methods: The medical records of 414 consecutive patients who underwent neck clipping of unruptured intracranial aneurysms in our institution over a 5-year period were retrospectively reviewed. Clinical and neuroimaging variables were analyzed to investigate putative predictors of perioperative seizures using multivariate logistic regression analysis. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.007DOI Listing
March 2019
1 Read