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    1 OF 115

    Treatment and outcome of subdural hematoma in patients with spontaneous intracranial hypotension: a report of 35 cases.
    Acta Neurol Belg 2017 Oct 20. Epub 2017 Oct 20.
    Anaesthesia and Intensive Care Department, University of Insubria, Varese, Italy.
    Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache, low CSF pressure and diffuse pachymeningeal enhancement on brain MRI. SIH results from spontaneous CSF leakage leading to brain sag. Sometimes, tearing of bridging veins may produce subdural hematomas (SDHs). Read More

    A pilot study on the efficacy and safety of a minimally invasive surgical and anesthetic approach for ventricular assist device implantation.
    Int J Artif Organs 2017 Oct 16. Epub 2017 Oct 16.
    Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua - Italy.
    Background: The aim of our study was to compare 2 surgical and anesthetic approaches during ventricular assist device implantation.

    Methods: 68 patients (50.4 ± 17. Read More

    The pathogenesis of delayed epidural hematoma after posterior fossa surgery.
    J Clin Neurosci 2017 Oct 13. Epub 2017 Oct 13.
    Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:
    The purpose of this study was to analyze the pathogenesis of delayed epidural hematoma (EDH) after posterior fossa surgery. Non-traumatic, non-arterial origin delayed EDH after posterior fossa surgery is extremely rare. Moreover, the pathogenesis of its supratentorial extension is obscure. Read More

    Posterior Epidural Herniation of a Lumbar Disk Fragment at L2-3 That Mimicked an Epidural Hematoma.
    Korean J Spine 2017 Sep 30;14(3):115-117. Epub 2017 Sep 30.
    Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine & Hospital, Iksan, Korea.
    Lumbar disk herniation is common. Because of the posterior longitudinal ligament, migration usually occurs into the ventral epidural space. Rarely, fragments migrate into the dorsal epidural space. Read More

    Spontaneous Epidural Hematoma Associated with Venous Phlebolith in Cervical Spine and Possible Pathogenesis.
    Korean J Spine 2017 Sep 30;14(3):96-98. Epub 2017 Sep 30.
    Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
    Although the etiology of spontaneous spinal epidural hematoma (SSEH) is unclear, SSEH is known to be associated with anticoagulants, coagulopathy, vascular malformation, hypertension, and pregnancy. However, no report has been issued on the relation between SSEH and venous phlebolith. Here, the authors present an extremely rare case of SSEH associated with phlebolith in the cervical spine and suggest a possible pathogenesis. Read More

    Risks and Benefits of Ceasing or Continuing Anticoagulant Medication for Image-Guided Procedures for Spine Pain: A Systematic Review.
    Pain Med 2017 Jul 28. Epub 2017 Jul 28.
    Manning Pain Management, Mayo Private Hospital, Taree, New South Wales, Australia.
    Objective: To determine the risks of continuing or ceasing anticoagulant or antiplatelet medications prior to image-guided procedures for spine pain.

    Design: Systematic review of the literature with comprehensive analysis of the published data.

    Interventions: Following a search of the literature for studies pertaining to spine pain interventions in patients on anticoagulant medication, seven reviewers appraised the studies identified and assessed the quality of evidence presented. Read More

    Raised intracranial pressure and brain edema.
    Handb Clin Neurol 2017 ;145:25-37
    Department of Pathology, Institute of Clinical Medicine, University of Eastern Finland and Department of Pathology, Kuopio University Hospital, Kuopio, Finland.
    Acutely increased intracranial pressure (ICP) is a life-threatening neurosurgical emergency. Optimal management strategy is selected according to the causative process. Typical causes are intracranial bleeds like traumatic subdural, epidural, or intracerebral hematoma (ICH); spontaneous ICH, intraventricular hemorrhage, subarachnoid hemorrhage, and hydrocephalus. Read More

    Spinal cord injury after traumatic spine fracture in patients with ankylosing spinal disorders.
    J Neurosurg Spine 2017 Oct 6:1-8. Epub 2017 Oct 6.
    Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
    OBJECTIVE Spinal cord injury (SCI) is a major complication of spinal fractures in patients with ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH). Due to the uncommon nature of these conditions, existing literature consists of relatively small case series without detailed neurological data. This study aims to investigate the incidence, predictors, and sequelae of SCI in patients with a traumatic fracture of the ankylosed spine. Read More

    [The possibilities for the expert diagnostics of the injuries for the purpose of examination of the remains of the strongly burnt and carbonized corpses].
    Sud Med Ekspert 2017 ;60(5):44-48
    Professor V.N. Kryukov Department of Forensic Medicine and Pathological Anatomy with the course of additional professional education, Altai State Medical University, Ministry of Health of the Russian Federation, Barnaul, Russia, 656038.
    The objective of the present study was the analysis of the publications in the domestic and foreign literature containing the reports concerning the experience with forensic medical expertise of the strongly burnt and carbonized human corpses. Flame is known to sometimes cause injuries simulating the intravital wounds. Such injuries are categorized into the following types. Read More

    Controversies in the differential diagnosis of Brown-Sequard syndrome due to cervical spinal disease from stroke: A case series.
    Turk J Emerg Med 2017 Sep 3;17(3):115-120. Epub 2017 Jun 3.
    Department of Emergency Medicine, Recep Tayyip Erdoğan University, Research and Training Hospital, Rize, Turkey.
    Stroke is generally considered to be the first preliminary diagnosis in patients presenting with acute hemiparesia in the emergency department. But rarely in unexpected spontaneous neurological pathologies that may lead to hemiparesis. The data from 8 non-traumatic patients who underwent surgical treatment for brown-sequard syndrome (BSS) were reviewed retrospectively. Read More

    Mild hemophilia A presaged by recurrent postoperative hemorrhagic complications in an elderly patient.
    Surg Neurol Int 2017 6;8:205. Epub 2017 Sep 6.
    Department of Neurosurgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
    Background: Mild hemophilia without spontaneous bleeding can remain undiagnosed for a lifetime. However, intracranial hemorrhage is one of the most serious complications for patients with hemophilia. In addition, hemorrhagic complications after emergency surgery tend to arise from coagulopathy. Read More

    Intramuscular hematoma with motor weakness after trigger point injection: A case report.
    Medicine (Baltimore) 2017 Sep;96(39):e8135
    Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea.
    Rationale: Although trigger point injection is known as an easy and low-risk procedure, it is contraindicated to patients with hemorrhagic disorders or who regularly take anticoagulants/antiplatelets. However, taking clopidogrel is not a defined contraindication to this low-risk procedure.

    Patient Concerns: The chief complaint of a 76-year old woman regularly taking clopidogrel was low back and left buttock pain which prolonged for several years. Read More

    A Teenager With Sickle Cell Disease and Scalp Swelling.
    Pediatr Emerg Care 2017 Sep 25. Epub 2017 Sep 25.
    From the *Division of Emergency Medicine, The Children's Hospital of Philadelphia; and †Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
    An intracranial bleed with a midline shift is a potentially life-threatening clinical condition. We present the unusual case of a 13-year-old boy with sickle cell disease who had numerous emergency department visits for a scalp hematoma and was subsequently determined to have subdural and epidural hematomas with midline shift, associated with a skull bone infarction. We review the pathophysiology of this unusual condition and emphasize the importance of including it in the differential diagnosis of any child with sickle cell anemia presenting with a nontraumatic scalp hematoma. Read More

    Epidural hematoma development contralateral to dura after lumbar transforaminal epidural steroid injection.
    Pain Manag 2017 Sep 22;7(5):367-375. Epub 2017 Sep 22.
    Department of Psychiatry, Hofstra Northwell Health, Staten Island University Hospital, NY, USA.
    Aim: To illustrate the anatomical and pathophysiological risks of epidural hematoma formation, other than direct needle trauma, after lumbar transforaminal epidural steroid injection in the setting of severe central canal stenosis.

    Case Report: This case report presents the development of an epidural hematoma after lumbar transforaminal epidural steroid injection in a patient who has anatomical risk factor of severe lumbar spinal stenosis. The anatomic location of epidural hematoma was at the injected level, but on the contralateral side of the dura at a distance from the needle path. Read More

    Post-traumatic cervical spine epidural hematoma: Incidence and risk factors.
    Injury 2017 Aug 30. Epub 2017 Aug 30.
    Department of Orthopaedic Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA; Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, NY, USA.
    Background: The incidence and risk factors for post-traumatic cervical epidural hematoma are not well described in the current literature. Our aim was to determine the incidence and associated risk factors for post-traumatic cervical spine epidural hematoma (SEH).

    Methods: We performed a retrospective review of our institution's prospectively collected data submitted to the state trauma registry, using ICD-9 codes, for all patients activated as a trauma with cervical spine injuries, between the years 2010 and 2014. Read More

    Minimally invasive posterior cervical foraminotomy for treatment of radiculopathy : An effective, time-tested, and cost-efficient motion-preservation technique.
    Oper Orthop Traumatol 2017 Sep 19. Epub 2017 Sep 19.
    Clinic for Spine Surgery, Schön Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Germany.
    Objective: To relieve foraminal root impingement due to lateral soft disc fragments, bony spurs, or other rarer causes.

    Indications: Soft disc fragment whose bulk is >2/3 lateral to the lateral border of the thecal sac. Intraforaminal dorsal bony narrowing of the root canal. Read More

    Rare Neurosurgical Complications of Epidural Injections: An 8-Yr Single-Institution Experience.
    Oper Neurosurg (Hagerstown) 2017 Apr;13(2):271-279
    Department of Neurosurgery, University Hospitals Case Medical Center, Cleveland, Ohio.
    Background: Neurosurgical complications from epidural injections have rarely been reported.

    Objective: To define the spectrum of complications from these procedures in order to identify risk factors and strategies for prevention.

    Methods: A prospectively maintained database of 14 247 neurosurgical admissions over 8 yr was screened to identify patients who had suffered procedural complications associated with 1182 cervical and 4617 lumbar interlaminar epidural injection procedures performed at a single institution. Read More

    Paediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Neurosurgery, Children's Hospital, Westmead Public and Private Hospitals, Sydney, New South Wales, Australia.
    Background: Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving neurosurgical lesions could be safely managed in primary hospitals. Read More

    Incidence and Risk Factors of Coagulation Profile Derangement After Liver Surgery: Implications for the Use of Epidural Analgesia-A Retrospective Cohort Study.
    Anesth Analg 2017 Sep 14. Epub 2017 Sep 14.
    From the *Department of Anesthesiology and Critical Care, †Department of Digestive, Hepato-biliary and Liver Transplantation Surgery, and ‡Department of Hepatology, Clinical Research Center, Croix-Rousse University Hospital, Hospices Civils de Lyon (HCL), Lyon, France; and §Department of Hepato-biliary and Pancreatic Surgery, Beaujon University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Clichy, France.
    Background: Hepatic surgery is a major abdominal surgery. Epidural analgesia may decrease the incidence of postoperative morbidities. Hemostatic disorders frequently occur after hepatic resection. Read More

    Swirl sign in traumatic acute epidural hematoma: prognostic value and surgical management.
    Neurol Sci 2017 Sep 11. Epub 2017 Sep 11.
    Department of Neurosurgery, The First People's Hospital of Jingmen, Jingmen, Hubei, People's Republic of China.
    The swirl sign is identified as a small area of low attenuation within an intracranial hyperattenuating clot on non-enhanced computed tomography (CT) scans of the brain, which represents active bleeding. The purpose of this study was to evaluate the incidence of the swirl sign among patients with acute epidural hematoma (AEDH) and to identify its prognostic value and impact on surgical treatment. A retrospective review was performed of patients with a diagnosis of traumatic EDH by CT scan who were surgically treated at the Department of Neurosurgery of the First People's Hospital of Jingmen between January 2010 and January 2014. Read More

    Management of Thoracic Disc Herniations via Posterior Unilateral Modified Transfacet Pedicle-Sparing Decompression With Segmental Instrumentation and Interbody Fusion.
    Global Spine J 2017 Sep 6;7(6):506-513. Epub 2017 Apr 6.
    St John Providence Health System, Southfield, MI, USA.
    Study Design: Retrospective consecutive case series.

    Objective: The objective of this case series was to demonstrate the safety of a modified transfacet pedicle-sparing decompression and instrumented fusion in patients with thoracic disc herniations (TDHs).

    Methods: Consecutive patients undergoing operative management of TDH from July 2007 to December 2011 using a posterior unilateral modified transfacet pedicle-sparing approach were identified. Read More

    Incidence of postoperative hematomas requiring surgical treatment in neurosurgery: a retrospective observational study.
    World Neurosurg 2017 Sep 8. Epub 2017 Sep 8.
    University of Helsinki, Helsinki, Finland; Yliopistonkatu 4, 00100 Helsinki; Department of Anesthesiology and Intensive Care Medicine, Helsinki University Hospital, Töölö Hospital, Topeliuksenkatu 5, P.O. Box 266, FIN-00029 HUS, Helsinki, Finland. Electronic address:
    Objective: We aimed to characterize the occurrence of postoperative hematoma (POH) after neurosurgery overall and according to procedure type, and describe the prevalence of possible confounders.

    Methods: Patient data between 2010 and 2012 at the Department of Neurosurgery in Helsinki University Hospital were retrospectively analyzed. Data search was performed according to the type of surgery including craniotomies; shunt procedures, spine surgery and spinal cord stimulators (SCS) implantation. Read More

    Timing and risks of chemoprophylaxis after spinal surgery: a single-center experience with 6869 consecutive patients.
    J Neurosurg Spine 2017 Sep 8:1-13. Epub 2017 Sep 8.
    Department of Neurological Surgery, Northwestern University Feinberg School of Medicine; and.
    OBJECTIVE Venous thromboembolism (VTE) after spinal surgery is a major cause of morbidity, but chemoprophylactic anticoagulation can prevent it. However, there is variability in the timing and use of chemoprophylactic anticoagulation after spine surgery, particularly given surgeons' concerns for spinal epidural hematomas. The goal of this study was to provide insight into the safety, efficacy, and timing of anticoagulation therapy after spinal surgery. Read More

    Traumatic Brain Injury in Children under Age 24 Months: Analysis of Demographic Data, Risk Factors, and Outcomes of Post-traumatic Seizure.
    J Korean Neurosurg Soc 2017 Sep 30;60(5):584-590. Epub 2017 Aug 30.
    Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Korea.
    Objective: Traumatic brain injury (TBI) in children under age 24 months has characteristic features because the brain at this age is rapidly growing and sutures are opened. Moreover, children this age are completely dependent on their parents. We analyzed the demographic data and risk factors for outcomes in TBI patients in this age group to elucidate their clinical characteristics. Read More

    Traumatic cervical epidural hematoma due to fusion mass fracture following elective rod removal.
    J Orthop 2017 Dec 5;14(4):548-549. Epub 2017 Aug 5.
    Division of Spine Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA.
    Many studies have examined complications associated with spinal instrumentation, however, few have analyzed complications associated with removal. In this case report, we outline the course of a patient who presented with cervical epidural hematoma secondary to fusion mass fracture five years after removal of spinal hardware. Read More

    Impact of low coagulation factor XIII activity in patients with chronic subdural hematoma associated with cerebrospinal fluid hypovolemia: A retrospective study.
    Surg Neurol Int 2017 14;8:192. Epub 2017 Aug 14.
    Department of Neurosurgery, Kyushu Rosai Hospital, Kokura Minami-Ku, Kitakyushu, Japan.
    Background: Cerebrospinal fluid hypovolemia (CSFH) is sometimes associated with chronic subdural hematomas (CSHs). Affected patients often develop enlargement and recurrence of the CSH, even if appropriate treatments such as epidural blood patch (EBP) and/or burr-hole surgery for the CSH are performed. This situation may lead to subclinical coagulopathy, including low coagulation factor XIII (CFXIII) activity. Read More

    Spontaneous resolved cervical spine epidural hematoma: A case report.
    Surg Neurol Int 2017 10;8:183. Epub 2017 Aug 10.
    Department of Neurosurgery, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
    Background: Cervical spine epidural hematomas (CSEH) are rare, and surgical intervention is typically required. Here, we present the rare case of a CSEH resulting from chiropractic manipulation successfully treated conservatively.

    Case Description: A 44-year-old female with cervical myelopathy presented with a mild quadriparesis following manipulation by a chiropractor. Read More

    Spinal epidural hematoma mimicking subarachnoid hemorrhage: A case study.
    Surg Neurol Int 2017 10;8:182. Epub 2017 Aug 10.
    Neurosurgical Department, Asclepeion General Hospital of Athens, Athens, Greece.
    Background: Spontaneous spinal epidural hematoma (SSEH) is a rare spinal cord disorder requiring urgent diagnosis and prompt treatment to prevent irreversible neurological damage. Subarachnoid hemorrhage (SAH), usually presenting with headache and neck stiffness, is also a worldwide neurosurgical emergency. In this case study, a patient on clopidogrel presented with an SSEH mimicking a spontaneous SAH. Read More

    Venous thromboembolism in adult elective spinal surgery: a tertiary centre review of 2181 patients.
    Bone Joint J 2017 Sep;99-B(9):1204-1209
    Welsh Centre for Spinal Trauma and Surgery, Cardiff and Vale LHB, Cardiff CF14 4XW, UK.
    Aims: To evaluate the incidence of primary venous thromboembolism (VTE), epidural haematoma, surgical site infection (SSI), and 90-day mortality after elective spinal surgery, and the effect of two protocols for prophylaxis.

    Patients And Methods: A total of 2181 adults underwent 2366 elective spinal procedures between January 2007 and January 2012. All patients wore anti-embolic stockings, mobilised early and were kept adequately hydrated. Read More

    Incidence and risk factors for symptomatic spinal epidural haematoma following lumbar spinal surgery.
    Int Orthop 2017 Aug 29. Epub 2017 Aug 29.
    Department of Orthopedic Surgery, the First Affiliated Hospital of Nanchang University, No.17 Yong Wai Zheng Street, Donghu District, Nanchang, Jiangxi Province, 330006, People's Republic of China.
    Purpose: Spinal epidural haematoma (SEH) is a common complication after lumbar spinal decompression surgery, and symptomatic SEH usually causes devastating neurological deficits. Although different risk factors for post-operative SEH have been reported, few studies focused on patients' laboratory tests. The purpose of this study was to analyze the incidence of symptomatic SEH following lumbar spinal surgery, as well as identify the risk factors for it. Read More

    Neuraxial blocks and spinal haematoma: Review of 166 cases published 1994 - 2015. Part 2: diagnosis, treatment, and outcome.
    Scand J Pain 2017 Apr 17;15:130-136. Epub 2017 Mar 17.
    Clinical neurosciences, BUPA Cromwell Hospital, 164-178 Cromwell Road, London SW5 0TU, U.K.
    Background: Bleeding into the vertebral canal causing a spinal haematoma (SH) is a rare but serious complication to central neuraxial blocks (CNB). Of all serious complications to CNBs, neurological injury associated with SH has the worst prognosis. Around the turn of the millennium, the first guidelines aiming to reduce the risk of this complication were published. Read More

    The relevance of postoperative magnetic resonance image in evaluating the epidural hematoma after thoracic fixation surgery.
    World Neurosurg 2017 Aug 24. Epub 2017 Aug 24.
    Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address:
    Background: It is difficult to evaluate the significant findings of epidural hematoma in magnetic resonance image (MRI) obtained immediately after thoracic posterior screw fixation (PSF).

    Methods: Prospectively, an immediate postoperative MRI was performed in 10 patients who underwent thoracic PSF from April to December 2013. Additionally, we retrospectively analysed the MRI from three patients before hematoma evacuation out of 260 patients who underwent thoracic PSF from January 2000 to March 2013. Read More

    Surgical treatment for spinal dural arteriovenous fistulas: Outcome, complications and prognostic factors.
    Neurol Neurochir Pol 2017 Jul 10. Epub 2017 Jul 10.
    Department of Neurosurgery, Medical University of Warsaw, Warsaw, Poland.
    Background And Purpose: Spinal dural arteriovenous fistulas (SDAVFs) are rare, acquired pathology and they inevitably lead to severe disability if untreated. The aim of this study is to present the outcome and complications, and to find factors that may affect the outcome after surgical treatment.

    Methods: Seventeen consecutive patients (men - 14, women - 3, age: 41-79) were retrospectively analyzed. Read More

    Epidural Haematoma Causing Paraplegia in a Patient with Ankylosing Spondylitis: A Case Report.
    Anesth Pain Med 2017 Apr 12;7(2):e43873. Epub 2017 Feb 12.
    Department of Anaesthesia, Salford Royal Foundation Trust, Manchester, United Kingdom.
    Introduction: We present a case of paraplegia due to cord compression from epidural hematoma following an uneventful epidural catheter insertion in a patient with ankylosing spondylitis.

    Case Presentation: A 65-year-old gentleman was scheduled for a major laparotomy for abdominal wall reconstruction. He has a past medical history of mild asthma, ankylosing spondylitis, duodenal ulcer and a superior mesenteric artery thrombosis in the past which led to bowel ischemia and intestinal failure. Read More

    Thromboprophylaxis in Spinal Surgery.
    Spine (Phila Pa 1976) 2017 Aug 17. Epub 2017 Aug 17.
    *Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medicine Division of Biological Sciences, 5841 S. Maryland Avenue, MC 3079, Chicago, IL 60637 †Department of Surgery, Section of Neurosurgery, University of Chicago Medicine Division of Biological Sciences.
    Study Design: Systematic review and meta-analysis OBJECTIVE.: Determine the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) in spinal surgery patients receiving no thromboprophylaxis, mechanoprophylaxis, and chemoprophylaxis.

    Summary Of Background Data: The incidence of thromboembolic complications after spinal surgery is not well established. Read More

    Prevalence and risk factors of deep vein thrombosis in patients undergoing lumbar spine surgery.
    J Orthop Sci 2017 Aug 14. Epub 2017 Aug 14.
    Department of Orthopaedics Surgery, Kamimoku Spa Hospital, Tonegun, Gunmaken, Japan.
    Background: Spinal surgery is classified as a moderate risk for DVT. The occurrence of DVT after various spinal surgical procedures was reviewed retrospectively, and the perioperative risk factors in the high-risk group were identified. In addition, the administration of the factor Xa inhibitor to DVT subjects with unstable thrombosis was evaluated to reveal its effectiveness in the prevention of PTE and postoperative complications. Read More

    Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal.
    J Int Adv Otol 2017 Aug;13(2):186-190
    Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Wuerzburg, Wuerzburg, Germany.
    Objective: To analyze postoperative complications after microsurgery for acoustic neuroma (AN) via the middle fossa approach (MFA).

    Materials And Methods: In total, 203 consecutive patients of a tertiary skull base referral center at a university hospital were included in this retrospective chart and database analysis. All patients had undergone primary microsurgery at the Otorhinolaryngology department via MFA between December 2005 and October 2014. Read More

    Timing of cranioplasty: a 10.75-year single-center analysis of 754 patients.
    J Neurosurg 2017 Aug 11:1-5. Epub 2017 Aug 11.
    Departments of 1 Neurological Surgery.
    OBJECTIVE Despite their technical simplicity, cranioplasty procedures carry high reported morbidity rates. The authors here present the largest study to date on complications after cranioplasty, focusing specifically on the relationship between complications and timing of the operation. METHODS The authors retrospectively reviewed all cranioplasty cases performed at Harborview Medical Center over the past 10. Read More

    Post traumatic dural sinus thrombosis following epidural hematoma: Literature review and case report.
    World J Clin Cases 2017 Jul;5(7):292-298
    Lorenzo Pescatori, Maria Pia Tropeano, Cristina Mancarella, Emiliano Prizio, Giorgio Santoro, Maurizio Domenicucci, DAI Neurology and Psichiatry - Department of Neurosurgery, Policlinico Umberto I - Sapienza University of Rome, 00161 Rome, Italy.
    Dural sinus thrombosis following a head trauma is a rare condition, described in literature along with the lack of consensus regarding diagnosis and management. We present a case of a fifty-year-old man with a head injury and combined supratentorial-subtentorial epidural hematoma who was treated conservatively through the administration of low molecular weight heparin. The diagnosis and management of this condition are discussed based on a literature review. Read More

    Cerebrospinal vascular diseases misdiagnosed as decompression illness: the importance of considering other neurological diagnoses.
    Undersea Hyperb Med 2017 Jul-Aug;44(4):309-313
    Divers Alert Network, Durham, North Carolina, U.S.
    The diagnosis of decompression illness (DCI), which is based on a history of decompression and clinical findings, can sometimes be confounded with other vascular events of the central nervous system. The authors report three cases of divers who were urgently transported to a hyperbaric facility for hyperbaric oxygen treatment of DCI which at admission turned out to be something else. The first case, a 45-year-old experienced diver with unconsciousness, was clinically diagnosed as having experienced subarachnoid hemorrhage, which was confirmed by CT scan. Read More

    [Surgical techniques for severe brain injury : With special emphasis on polytrauma].
    Unfallchirurg 2017 Aug 3. Epub 2017 Aug 3.
    Universitätsklinik für Neurochirurgie, Auenbruggerplatz 29, 8036, Graz, Österreich.
    Clinical Issue: In Austria approximately 2000 people suffer from severe brain injury per year. Brain trauma is the most common cause of death under the age of 45 years. In polytrauma patients the treatment and management of severe brain injury is particularly challenging because the life-threatening injuries of other organ systems significantly influence the timing of surgery and the outcome. Read More

    Nasoseptal flap necrosis: a rare complication of endoscopic endonasal surgery.
    J Neurosurg 2017 Jul 21:1-10. Epub 2017 Jul 21.
    Departments of 1 Neurosurgery.
    OBJECTIVE The vascularized nasoseptal flap (NSF) has become the workhorse for skull base reconstruction during endoscopic endonasal surgery (EES) of the ventral skull base. Although infrequently reported, as with any vascularized flap the NSF may undergo ischemic necrosis and become a nidus for infection. The University of Pittsburgh Medical Center's experience with NSF was reviewed to determine the incidence of necrotic NSF in patients following EES and describe the clinical presentation, imaging characteristics, and risk factors associated with this complication. Read More

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