353 results match your criteria Epidural and Subdural Infections


meningitis in a Saudi infant: case report and literature review.

Int J Pediatr Adolesc Med 2018 Sep 18;5(3):122-126. Epub 2018 Sep 18.

Children Specialized Hospital, King Fahad Medical City, Saudi Arabia.

Background: Anaerobic meningitis is mainly caused by and it is rarely detected in children. Few cases have been reported and there is usually an underlying cause. The timing of early recognition is crucial because any delay in the diagnosis and initiation of appropriate antimicrobial therapy has a devastating outcome. Read More

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http://dx.doi.org/10.1016/j.ijpam.2018.05.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363260PMC
September 2018
1 Read

Mutation in Gene Can Cause Syndromic Multisystem Autoimmune Disease With Acute Liver Failure.

Pediatrics 2019 Feb;143(2)

Departments of Pediatrics, Gastroenterology, and Hepatology and

Pediatric intractable autoimmune hepatitis is rare and may be responsible for acute liver failure. Mutations in the itchy E3 ubiquitin protein ligase () gene (located on chromosome 20q11.22) can lead to a deficiency of the encoded protein, resulting in increased T-cell activity with lack of immune tolerance and manifestation of a complex systemic autoimmune disease. Read More

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http://pediatrics.aappublications.org/lookup/doi/10.1542/ped
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http://dx.doi.org/10.1542/peds.2018-1554DOI Listing
February 2019
20 Reads

Primary Care for Persons Who Inject Drugs.

Am Fam Physician 2019 Jan;99(2):109-116

University of Maryland School of Medicine, Baltimore, MD, USA.

More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, neurologic, and other causes of morbidity and mortality. Nonjudgmental inquiries about current drug use can uncover information about readiness for addiction treatment and identify modifiable risk factors for complications of injection drug use. Read More

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January 2019
17 Reads

The interhemispheric approach in children: our experience and review of the literature.

Childs Nerv Syst 2019 Mar 7;35(3):445-452. Epub 2019 Jan 7.

Departments of Neurosurgery and Pediatric Neurosurgery, Tel-Aviv Sourasky Medical Center and Dana Children's Hospital Tel Aviv, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.

Objective: The interhemispheric approach (IA) has been extensively described for treating pathologies located at the lateral or third ventricle, pineal region, and periventricular locations. While these anatomical locations are the target of many pediatric pathologies, very few series have analyzed the morbidity and outcome of the IA in children. The aim of this study is to describe our experience using the IA in children, emphasizing the approach-related morbidity. Read More

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http://dx.doi.org/10.1007/s00381-018-04039-2DOI Listing
March 2019
6 Reads

Case report of Actinomyces turicensis meningitis as a complication of purulent mastoiditis.

BMC Infect Dis 2018 Dec 20;18(1):686. Epub 2018 Dec 20.

Semmelweis University, Institute of Medical Microbiology, Budapest, Hungary.

Background: Central nervous system (CNS) infections caused by Actinomyces spp. including brain abscess, actinomycoma, subdural empyema and epidural abscess are well described, however reports of Actinomyces-associated meningitis are scarcely reported.

Case Report: We present the case of a 43-year-old Hungarian male patient with poor socioeconomic status who developed acute bacterial meningitis caused by Actinomyces turicensis originating from the left side mastoiditis. Read More

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http://dx.doi.org/10.1186/s12879-018-3610-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302302PMC
December 2018
8 Reads

Long-Term Follow-Up of a Patient with Spondylodiscitis after Laparoscopic Sacrocolpopexy: An Unusual Complication with a Review of the Literature.

Urol Int 2018 Nov 28:1-5. Epub 2018 Nov 28.

Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.

Sacrocolpopexy is the gold standard treatment for apical compartment prolapse with reported success rates of 78-100%. Spondylodiscitis is a rare complication of sacrocolpopexy and includes a spectrum of spinal infections such as discitis, osteomyelitis, epidural abscess, meningitis, subdural empyema, and spinal cord abscess. Here we report a case of spondylodiscitis following laparoscopic sacrocolpopexy with long-term follow-up and discuss management of spondylodiscitis after abdominal sacrocolpopexy, with a review of the literature. Read More

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http://dx.doi.org/10.1159/000494370DOI Listing
November 2018
6 Reads

Reconstruction of Large Calvarial Defects Using Titanium Mesh Versus Autologous Split Thickness Calvarial Bone Grafts: A Comprehensive Comparative Evaluation of the Two Major Cranioplasty Techniques.

J Maxillofac Oral Surg 2018 Sep 27;17(3):308-323. Epub 2017 Sep 27.

Command Military Dental Centre (Northern Command), Udhampur, Jammu & Kashmir India.

Background: Both alloplastic 3-D dynamic titanium mesh implants and Autogenous split calvarial cortico-cancellous bone grafts have been extensively used for cranial defect reconstruction. Whether either method is procedurally, cosmetically or therapeutically superior to the other, has rarely been studied or evaluated.

Aim: The aim of the study was to objectively examine, assess, evaluate and compare the procedural ease, convenience, safety and versatility of cranioplasty performed using titanium mesh implants versus split calvarial grafts and to compare the intra- and post-operative complications encountered, and the cosmetic and therapeutic outcomes achieved using these two cranioplasty techniques. Read More

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http://dx.doi.org/10.1007/s12663-017-1047-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028346PMC
September 2018

Intensive care resources required to care for critically ill children with focal intracranial infections.

J Neurosurg Pediatr 2018 Oct 13;22(4):453-461. Epub 2018 Jul 13.

Division of Critical Care Medicine, Nationwide Children's Hospital.

The authors reviewed cases in which children with a focal infection inside the head (ex: a brain abscess) were cared for in their pediatric ICU to describe the frequency of complications and quantify the ICU resources needed (ex: breathing tube, blood pressure medications, and/or an intracranial pressure monitor). This information helps clarify illness severity and has identified complications that we should further investigate to improve care for these children. Read More

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http://dx.doi.org/10.3171/2018.4.PEDS17715DOI Listing
October 2018
25 Reads

Pediatric spinal infections-a review of non-tuberculous infections.

Childs Nerv Syst 2018 Oct 3;34(10):1947-1956. Epub 2018 Jul 3.

Bombay Hospital Institute of Medical Sciences, Mumbai, India.

Pediatric spinal infection includes spinal epidural abscess, spondylodiscitis and intradural (extramedullary and intramedullary) spinal infections. However, these entities are extremely rare and no clear guidelines exist for their management. Pertinent literature was searched and a detailed narrative review of this topic is presented. Read More

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http://dx.doi.org/10.1007/s00381-018-3885-8DOI Listing
October 2018
9 Reads

Intracranial complications of acute sinusitis in children: The role of endoscopic sinus surgery.

Int J Pediatr Otorhinolaryngol 2018 Jul 11;110:147-151. Epub 2018 May 11.

University of Texas Southwestern Medical Center Department of Otolaryngology, United States; Children's Medical Center Dallas, United States.

Objective: To study the role of endoscopic sinus surgery (ESS) in the management of intracranial complications of children with acute rhinosinusitis METHODS: Retrospective chart review at a tertiary care pediatric hospital MAIN OUTCOMES: Demographics, intracranial complications, length of hospital stay (LOS), neurological sequelae, ESS, neurosurgical procedures RESULTS: Twenty-four children with a mean age (SD) of 12.9 years (+/-3.2) with an intracranial complication(s) of acute rhinosinusitis were identified between 2005-2016. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.05.015DOI Listing
July 2018
6 Reads

Posttraumatic Cerebrospinal Fluid Leak Associated with an Upper Cervical Meningeal Diverticulum.

World Neurosurg 2018 Aug 17;116:50-55. Epub 2018 May 17.

Department of Neurosurgery, Institute of Health Biosciences, Graduate School of Medical Sciences, University of Tokushima, Tokushima, Japan.

Background: Spontaneous intracranial hypotension (SIH) has been increasingly recognized as a phenomenon caused by cerebrospinal fluid (CSF) leaks; however, its pathogenesis remains unclear.

Case Description: We report 2 cases of SIH resulting from CSF leak from a meningeal diverticulum at the C2 nerve root sleeve. The first case is that of a 46-year-old man who experienced orthostatic headache after a bicycle accident at age 45. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.061DOI Listing
August 2018
11 Reads

Not quite Pott's puffy tumour.

BMJ Case Rep 2018 Apr 25;2018. Epub 2018 Apr 25.

Department of Otolaryngology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, Scotland, UK.

Pott's puffy tumour (PPT) is characterised by a subperiosteal abscess associated with osteomyelitis of the frontal bone-a rare complication of frontal sinusitis, more common in the paediatric population. We describe a case mimicking PPT, where abscess extension was facilitated by previous surgery. Usually patients with PPT would be systemically unwell, but our patient, a 63-year-old Caucasian man, was systemically well with a large swelling of his forehead. Read More

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http://dx.doi.org/10.1136/bcr-2018-224463DOI Listing
April 2018
9 Reads

The Role of the Visor Flap in Scalp Reconstruction: A Case Series of 21 Patients.

Oper Neurosurg (Hagerstown) 2018 Dec;15(6):651-655

University of Illinois at Chicago, Chicago, Illinois.

Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More

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http://dx.doi.org/10.1093/ons/opy042DOI Listing
December 2018
6 Reads

Cerebrospinal fluid drains reduce risk of spinal cord injury for thoracic/thoracoabdominal aneurysm surgery: A review.

Authors:
Nancy E Epstein

Surg Neurol Int 2018 23;9:48. Epub 2018 Feb 23.

Professor of Clinical Neurosurgery, School of Medicine, State University of New York at Stony Brook, Mineola, New York, USA.

Background: The risk of spinal cord injury (SCI) due to decreased cord perfusion following thoracic/thoracoabdominal aneurysm surgery (T/TL-AAA) and thoracic endovascular aneurysm repair (TEVAR) ranges up to 20%. For decades, therefore, many vascular surgeons have utilized cerebrospinal fluid drainage (CSFD) to decrease intraspinal pressure and increase blood flow to the spinal cord, thus reducing the risk of SCI/ischemia.

Methods: Multiple studies previously recommend utilizing CSFD following T/TL-AAA/TEVAR surgery to treat SCI by increasing spinal cord blood flow. Read More

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http://dx.doi.org/10.4103/sni.sni_433_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843969PMC
February 2018
3 Reads

Simultaneous treatment of intracranial complications of paranasal sinusitis.

Eur Arch Otorhinolaryngol 2018 May 13;275(5):1165-1173. Epub 2018 Mar 13.

Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznań, Poland.

Purpose: The objective of this study was to analyse 51 patients with intracranial complications of sinusitis treated in the Department of Otolaryngology and Laryngeal Oncology at Poznań University of Medical Sciences from 1964 to 2016.

Materials And Methods: Males made up a significant portion of study participants at 70.5%. Read More

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http://dx.doi.org/10.1007/s00405-018-4932-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893661PMC
May 2018
9 Reads

Management of spinal infection: a review of the literature.

Acta Neurochir (Wien) 2018 03 22;160(3):487-496. Epub 2018 Jan 22.

Department of Neurosurgery, Medical University lnnsbruck, Anichstrasse 35, A-6020, Innsbruck, Austria.

Spinal infection (SI) is defined as an infectious disease affecting the vertebral body, the intervertebral disc, and/or adjacent paraspinal tissue and represents 2-7% of all musculoskeletal infections. There are numerous factors, which may facilitate the development of SI including not only advanced patient age and comorbidities but also spinal surgery. Due to the low specificity of signs, the delay in diagnosis of SI remains an important issue and poor outcome is frequently seen. Read More

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http://dx.doi.org/10.1007/s00701-018-3467-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807463PMC
March 2018
21 Reads

Diffuse Nocardial Spinal Subdural Empyema: Diagnostic Dilemma and Treatment Options.

Cureus 2017 Oct 24;9(10):e1795. Epub 2017 Oct 24.

Department of Neurosurgery, University of Louisville School of Medicine.

Nocardiosis of the central nervous system and spine, in particular, is a rare infection with significant morbidity and mortality. Treatment is usually with antibiotics and surgical drainage or biopsy. The authors report a case of a 49-year-old man who presented with chronic lower back pain and paraplegia. Read More

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http://dx.doi.org/10.7759/cureus.1795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741274PMC
October 2017
9 Reads

The Utility of Local Anesthesia for Neurosurgical Interventions in a Low-Resource Setting: A Case Series.

World J Surg 2018 05;42(5):1248-1253

UNC -Project Malawi, Lilongwe, Malawi.

Introduction: Trauma is a major contributor to global morbidity and mortality, and injury to the central nervous system is the most common cause of death in these patients. While the provision of surgical services is being recognized as essential to global public health efforts, specialty areas such as neurosurgery remain overlooked.

Method: This is a retrospective case review of patients with operable lesions, such as extra-axial hematomas and unstable depressed skull fractures that underwent neurosurgical interventions under local anesthesia. Read More

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http://dx.doi.org/10.1007/s00268-017-4285-zDOI Listing
May 2018
6 Reads

Spinal subdural abscess following repeat lumbar microdiscectomy: A case report of imaging findings for a rare infection.

Clin Imaging 2017 Jul - Aug;44:74-78. Epub 2017 Apr 27.

University of Virginia, Department of Radiology and Medical Imaging, United States. Electronic address:

Spinal subdural abscess is a rare central nervous system infection with just over a hundred cases reported. It is much less common than spinal epidural abscess. While most case reports have focused on route of infection and treatment options, there have not been any reports that focused on the unique MRI findings of spinal subdural abscess. Read More

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http://dx.doi.org/10.1016/j.clinimag.2017.04.010DOI Listing
December 2017
10 Reads

A Pott's Puffy Tumor Associated with Epidural - Cutaneous Fistula and Epidural Abscess: Case Report.

Balkan Med J 2017 May 13;34(3):284-287. Epub 2017 Apr 13.

Department of Neurosurgery, Military Medical Academy School of Medicine, Belgrade, Serbia.

Background: Pott's puffy tumour is characterized by a fluctuate swelling of the frontal region as a result of osteomyelitis of the frontal bone. This inflammatory lesion may propagate endocranially, resulting in acute meningitis, epidural abscess, subdural empyema, cavernous sinus trombophlebitis, cerebritis, and frontal lobe abscess of the brain.

Case Report: We present an unusual case of a 33-year-old man suffering from Pott's puffy tumour whose condition was further complicated by a draining epidural-cutaneous fistula and an epidural abscess. Read More

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http://dx.doi.org/10.4274/balkanmedj.2016.1304DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450872PMC
May 2017
8 Reads

Subdural hematoma occurred after spinal anesthesia in a human immunodeficiency virus-infected patient.

Saudi J Anaesth 2017 Jan-Mar;11(1):102-105

Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.

A 25-year-old male patient who was infected with human immunodeficiency virus (HIV) underwent a condyloma excision under spinal anesthesia. The patient complained of suspicious postdural puncture headache. The patient did not respond to conservative management. Read More

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http://dx.doi.org/10.4103/1658-354X.197356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292830PMC
February 2017
14 Reads

Anatomical complications of epidural anesthesia: A comprehensive review.

Clin Anat 2017 Apr 9;30(3):342-346. Epub 2017 Mar 9.

Seattle Science Foundation, Seattle, WA.

Epidural anesthesia is a versatile technique widely used in treating lumbar spinal pain syndromes. Complications during these procedures can arise either from needle placement or from administration of medication. Potential risks include infection, hematoma, intravascular or subdural injections of medication, direct nerve trauma, air embolism, entry into a disc space, urinary retention, radiation exposure, and hypersensitivity reactions. Read More

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http://dx.doi.org/10.1002/ca.22831DOI Listing
April 2017
35 Reads

Stereotactic Electroencephalography Is a Safe Procedure, Including for Insular Implantations.

World Neurosurg 2017 Mar 19;99:353-361. Epub 2016 Dec 19.

Department of Neurosurgery, Hospital for Neurology and Neurosurgery Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France; Université Claude Bernard, University of Lyon, Lyon, France; Neuroscience Research Center of Lyon, INSERM U1028, CNRS 5292, Lyon, France.

Background: In some cases of drug-resistant focal epilepsy, noninvasive presurgical investigation may be insufficient to identify the ictal onset zone and the eloquent cortical areas. In such situations, invasive investigations are proposed using either stereotactic electroencephalography (SEEG) or subdural grid electrodes. Meta-analysis suggests that SEEG is safer than subdural grid electrodes, but insular implantation of SEEG electrodes has been thought to carry an additional risk of intraparenchymal hemorrhagic complications. Read More

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http://dx.doi.org/10.1016/j.wneu.2016.12.025DOI Listing
March 2017
14 Reads

Postoperative Cerebrospinal Fluid Leak Rates with Subfascial Epidural Drain Placement after Intentional Durotomy in Spine Surgery.

Global Spine J 2016 Dec 13;6(8):780-785. Epub 2016 Apr 13.

Department of Neurosurgery, University of California, Los Angeles, California, United States; Brain Research Institute, University of California, Los Angeles, California, United States.

 Retrospective chart review.  Postoperative cerebrospinal fluid (CSF) leak is a known complication of intraoperative durotomy. Intraoperative placement of subfascial epidural drains following primary dural repair has been proposed as a potential management strategy to prevent formation of CSF cutaneous fistula and symptomatic pseudomeningocele. Read More

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http://dx.doi.org/10.1055/s-0036-1582392DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110360PMC
December 2016
11 Reads

Pan-spinal infection: a case series and review of the literature.

J Spine Surg 2016 Sep;2(3):202-209

Department of Neurosurgery, Alfred Hospital; ; Department of Surgery, Monash University, Melbourne, Australia.

Background: Panspinal infection usually presents with fever, back pain, neurological deficit, and in advanced cases multi-organ failure and septic shock. The choice of treatment for panspinal infection is challenging because these patients are usually medically unstable with severe neurological compromise. The objective of this study is to review management and long term outcomes for patients with panspinal infection. Read More

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http://jss.osspress.com/article/view/3611/4320
Publisher Site
http://dx.doi.org/10.21037/jss.2016.08.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067279PMC
September 2016
25 Reads

Application of COMPONT Medical Adhesive Glue for Tension-Reduced Duraplasty in Decompressive Craniotomy.

Med Sci Monit 2016 Oct 14;22:3689-3693. Epub 2016 Oct 14.

Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).

BACKGROUND The aim of this study was to evaluate the application of medical adhesive glue for tension-reduced duraplasty in decompressive craniotomy. MATERIAL AND METHODS A total of 56 cases were enrolled for this study from Jan 2013 to May 2015. All patients underwent decompressive craniotomy and the dura was repaired in all of them with tension-reduced duraplasty using the COMPONT medical adhesive to glue artificial dura together. Read More

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http://dx.doi.org/10.12659/MSM.896982DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072381PMC
October 2016
11 Reads

Treatment of chronic subdural hematoma by novel YL-1 hollow needle aspiration drainage system (697 cases report).

Neurol Sci 2017 Jan 20;38(1):109-113. Epub 2016 Sep 20.

Department of Neurosurgery, Clinical Medical College, Yang Zhou University, Yangzhou, Jiangsu, 225001, People's Republic of China.

It is written to discuss the effect and syndromes of novel YL-1 hollow needle aspiration drainage system to treat chronic subdural hematoma. Collecting clinical data about 697 patients with chronic subdural hematoma in neurosurgery of People' Hospital in North Jiangsu from January 2004 to December 2014, including clinical manifestation, imaging data, operation time, postoperative complications and prognostic factors and so on. 593 patients got cured, 53 patients with recurrence, 19 patients with acute subdural hematoma, 13 patients with poor drainage, 9 case of patients with acute epidural hematoma, puncture failure in 6 cases, 3 cases of pulmonary infection, one got intracranial hemorrhage (brain stem and basal ganglia hemorrhage). Read More

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http://dx.doi.org/10.1007/s10072-016-2717-4DOI Listing
January 2017
50 Reads

Sequential antimicrobial treatment with linezolid for neurosurgical infections: efficacy, safety and cost study.

Acta Neurochir (Wien) 2016 10 13;158(10):1837-43. Epub 2016 Aug 13.

Instituto de Biomedicina de Sevilla (IBIS), University Hospital Virgen del Rocío/CSIC/University of Seville, Seville, Spain.

Background: Evidence for the effectiveness of linezolid in neurosurgical infections (NSIs) is growing. The comfortable oral dosage and tolerance of linezolid opens the possibility for sequential antimicrobial treatment (SAT) in stable patients after a period of intravenous treatment.

Methods: To evaluate the efficacy and safety of SAT with oral linezolid in patients with NSI and to analyse the cost implications, an observational, non-comparative, prospective cohort study was conducted on clinically stable consecutive adult patients at the Neurosurgical Service. Read More

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http://link.springer.com/10.1007/s00701-016-2915-0
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http://dx.doi.org/10.1007/s00701-016-2915-0DOI Listing
October 2016
4 Reads

Neurological outcomes and surgical complications in 221 spinal nerve sheath tumors.

J Neurosurg Spine 2017 Jan 29;26(1):103-111. Epub 2016 Jul 29.

Departments of 1 Neurological Surgery.

OBJECTIVE Among all primary spinal neoplasms, approximately two-thirds are intradural extramedullary lesions; nerve sheath tumors, mainly neurofibromas and schwannomas, comprise approximately half of them. Given the rarity of these lesions, reports of surgical complications are limited. The aim of this study was to identify the rates of new or worsening neurological deficits and surgical complications associated with the resection of spinal nerve sheath tumors and the potential factors related to these outcomes. Read More

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http://dx.doi.org/10.3171/2016.5.SPINE15974DOI Listing
January 2017
17 Reads

Complications of sinusitis.

Authors:
Tara F Carr

Am J Rhinol Allergy 2016 Jul;30(4):241-5

Department of Medicine, University of Arizona, Tucson, Arizona, USA.

Background: Sinusitis is a common disorder associated with significant patient symptomatology that adversely affects quality of life. Sinusitis can cause further morbidity and mortality through its impact on comorbid disorders, progression of inflammation, and extension of infection.

Objective: This review highlights common complications of acute bacterial rhinosinusitis (ABRS) and chronic rhinosinusitis (CRS). Read More

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http://dx.doi.org/10.2500/ajra.2016.30.4322DOI Listing
July 2016
5 Reads

A case report of racemose pattern of intracranial tuberculoma with brain stem and hypophyseal involvement developing paradoxically during treatment.

BJR Case Rep 2016 28;2(3):20160034. Epub 2016 Jul 28.

Department of Radiodiagnosis, St John's Medical College, Bangalore, India.

Tuberculosis involving the central nervous system, a source of considerable morbidity and mortality, forms 5-10% of the disease burden associated with tuberculosis. Central nervous system tuberculosis may present as meningitis, tuberculoma, abscesses, cerebritis or miliary tuberculosis. The most common site of tuberculoma has been reported to be at the grey-white matter junction and the periventricular region. Read More

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http://dx.doi.org/10.1259/bjrcr.20160034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243367PMC
July 2016
14 Reads

Infection.

Handb Clin Neurol 2016 ;135:365-397

Department of Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.

Imaging is useful in the diagnosis and management of infections of the central nervous system. Typically, imaging findings at the outset of the disease are subtle and nonspecific, but they often evolve to more definite imaging patterns in a few days, with less rapidity than for stroke but faster than for neoplastic lesions. This timing is similar to that of noninfectious inflammatory brain disease, such as multiple sclerosis. Read More

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http://dx.doi.org/10.1016/B978-0-444-53485-9.00019-2DOI Listing
February 2017
10 Reads

Spinal Subdural Abscess Following Laminectomy for Symptomatic Stenosis: A Report of 2 Cases and Review of the Literature.

Am J Case Rep 2016 Jul 12;17:476-83. Epub 2016 Jul 12.

Department of Neurological Surgery, University of California, San Francisco, CA, USA.

BACKGROUND Spinal subdural abscesses, also known as empyemas, are rare infectious lesions, the exact incidence of which is unknown. Presentation is typically dramatic, with back pain, fever, motor, and sensory deficits. Rapid identification and surgical intervention with laminectomy, durotomy, and washout provides the best outcomes. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944552PMC
July 2016
15 Reads

Decompressive Craniectomy for Stroke: Early Cranioplasty Is a Predictor for Postoperative Complications.

World Neurosurg 2016 Aug 6;92:83-88. Epub 2016 May 6.

Department of Neurosurgery, Rheinische Friedrich-Wilhelms-University Bonn, Bonn, Germany.

Background: Previous clinical studies assumed that early cranioplasty (CP) was mandatory for a favorable neurologic recovery after decompressive craniectomy (DC) for malignant stroke. However, the appropriate timing of the CP procedure after DC remains controversial. This study assessed patients who underwent DC because of cerebral ischemia to determine the appropriate time point of CP and surgical-associated complications. Read More

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http://dx.doi.org/10.1016/j.wneu.2016.04.113DOI Listing
August 2016
5 Reads

Which should be appropriate surgical treatment for subtentorial epidural empyema? Burr-hole evacuation versus decompressive craniectomy: Review of the literature with a case report.

Asian J Neurosurg 2016 Apr-Jun;11(2):81-6

Department of Otorhinolaryngology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.

Subtentorial empyema is a rare intracranial complication of chronic otitis media. Moreover, if not correctly treated, it is a life-threatening infection. Epidural and subdural empyemas on subtentorial space have different effects. Read More

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http://dx.doi.org/10.4103/1793-5482.175630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802958PMC
April 2016
12 Reads

Intracranial Suppurative Complications of Sinusitis.

Scand J Surg 2016 Dec 22;105(4):254-262. Epub 2016 Jun 22.

1 Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.

Background: Intracranial complications of paranasal sinusitis have become rare due to widespread and early use of antibiotics. Potentially life-threatening intracranial complications of sinusitis include subdural empyema, epidural and intracerebral abscess, meningitis, and sinus thrombosis. Patients with intracranial complication of sinusitis can present without neurological signs, which may delay diagnosis and correct treatment. Read More

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http://dx.doi.org/10.1177/1457496915622129DOI Listing
December 2016
5 Reads

A 14-Year Review of Socioeconomics and Sociodemographics Relating to Intracerebral Abscess, Subdural Empyema, and Epidural Abscess in Southeastern Louisiana.

Neurosurgery 2016 Aug;79(2):265-9

*Department of Neurosurgery, Louisiana State University Health Sciences Center New Orleans, New Orleans, Louisiana; ‡Department of Neurosurgery, Children's Hospital New Orleans, New Orleans, Louisiana.

Background: Secondary intracranial infections are a persistent health concern despite advancements in medicine and improvements in surgical care. Previous studies have reported on the incidence of infection and outcomes in the immunocompromised patient, yet few studies have investigated demographic elements linked to contracting a secondary intracranial infection, a preventable disease.

Objective: The aim of this study was to uniquely describe immunocompetent pediatric patients with secondary intracranial infections and further examine the socioeconomic and sociodemographic factors that may put them at higher risk of acquiring an infection. Read More

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http://dx.doi.org/10.1227/NEU.0000000000001225DOI Listing
August 2016
17 Reads

Relationship between demography, etiology, level of consciousness, and outcome of surgical intracranial suppurations of bacterial origin in a tropical tertiary center.

Asian J Neurosurg 2016 Jan-Mar;11(1):41-5

Department of Anaesthesia, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Introduction: Intracranial suppurations (ICS) of bacterial origin are associated with significant mortality and morbidity. This study aimed to review demography, etiology, level of consciousness, and outcome of surgical ICS in a tropical tertiary hospital.

Materials And Methods: All patients admitted to the neurosurgical unit within the study period of 7 years that had a surgical intervention for their ICS were prospectively included in the study. Read More

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http://www.asianjns.org/text.asp?2016/11/1/41/165798
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http://dx.doi.org/10.4103/1793-5482.165798DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732241PMC
February 2016
16 Reads

Hospital cost of pediatric patients with complicated acute sinusitis.

Int J Pediatr Otorhinolaryngol 2016 Jan 24;80:17-20. Epub 2015 Nov 24.

Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, United States. Electronic address:

Objective: Review costs for pediatric patients with complicated acute sinusitis.

Methods: A retrospective case series of patients in a pediatric hospital was created to determine hospital costs using a standardized activity-based accounting system for inpatient treatment between November 2010 and December 2014. Children less than 18 years of age who were admitted for complicated acute sinusitis were included in the study. Read More

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http://dx.doi.org/10.1016/j.ijporl.2015.11.021DOI Listing
January 2016
48 Reads

Endovascular treatment of intracranial infectious aneurysms.

Neuroradiology 2016 Mar 23;58(3):277-84. Epub 2015 Dec 23.

Ege University Medical Faculty, Department of Radiology, Division of Interventional Radiology, Izmir, Turkey.

Introduction: Intracranial infectious aneurysm (IIA) accounts for less than 5% of all intracranial aneurysms. The aim of this study was to evaluate the role of endovascular treatment for IIA.

Methods: During a 14-year period, 15 patients (age range, 2-68 years; mean, 42. Read More

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http://dx.doi.org/10.1007/s00234-015-1633-2DOI Listing
March 2016
9 Reads

Concomitant epidural and subdural spinal abscess: a case report.

Spine J 2016 04 11;16(4):e275-82. Epub 2015 Dec 11.

Department of Neurological Surgery, The Ohio State University Wexner Medical Center, N1014 Doan Hall, 410 W 10th Ave, Columbus, OH 43210, USA. Electronic address:

Background Context: Spinal subdural abscess (SSA) is a rare occurrence for which the management typically involves open surgical removal and washout.

Purpose: This case report aims to review the literature and discuss the management of patients with SSA.

Study Design: We present a case of a 33-year-old female who presented with a spinal epidural abscess and concurrent SSA. Read More

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http://dx.doi.org/10.1016/j.spinee.2015.11.060DOI Listing
April 2016
4 Reads

Factors influencing the outcome (GOS) in reconstructive cranioplasty.

Neurosurg Rev 2016 Jan 1;39(1):133-9. Epub 2015 Dec 1.

Department of Neurosurgery, UKSH Campus Kiel, Arnold-Heller Str.3, Haus 41, 24105, Kiel, Germany.

After performing a decompressive craniectomy, a cranioplastic surgery is usually warranted. The complications of this reconstructive procedure may differ from the initial operation. The authors of this study report on their experience to define patient-specific and procedural risk factors for possible complications following cranioplasty influencing the outcome (Glasgow Outcome Scale (GOS)), mobility, shunt dependency, and seizures. Read More

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http://dx.doi.org/10.1007/s10143-015-0678-3DOI Listing
January 2016
18 Reads

[The specific clinical features of otogenic intracranial complications: the current views].

Vestn Otorinolaringol 2015 ;80(5):23-29

City Polyclinic No 17, St.-Petersburg, Russia, 195176.

The objective of the present study was to elucidate the specific clinical features of otogenic intracranial complications (ICC) encountered in the current otorhinolaryngological practice. The work is based on the results of the retrospective analysis of 106 adult patients presenting with otogenic intracranial complications admitted for the treatment to multidisciplinary clinics of Sankt-Peterburg and Krasnoyarsk. Forty six (42. Read More

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http://dx.doi.org/10.17116/otorino201580523-29DOI Listing
December 2015
5 Reads

Rapidly Progressive Gas-containing Lumbar Spinal Epidural Abscess.

Korean J Spine 2015 Sep 30;12(3):139-42. Epub 2015 Sep 30.

Department of Neurosurgery, Dongguk University Ilsan Hospital, Goyang, Korea and Dongguk University, Seoul, Korea.

Gas-containing (emphysematous) infections of the abdomen, pelvis, and extremities are well-known disease entities, which can potentially be life-threatening. They require aggressive medical and often surgical treatment. In the neurosurgical field, some cases of gas-containing brain abscess and subdural empyema have been reported. Read More

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http://dx.doi.org/10.14245/kjs.2015.12.3.139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623168PMC
September 2015
3 Reads

Intracranial complications from sinusitis.

Otolaryngol Pol 2015 ;69(3):6-14

Klinika Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu Kierownik: prof. dr hab. med. Witold Szyfter.

Introduction: Despite increasingly better diagnostic and therapeutic methods intracranial sinogenic complications, invariably pose a direct threat to the lives of patients and a challenge for otolaryngologists.

Aim: The aim of the study was to analyze patients with intracranial sinogenic complications treated at the Department of Otolaryngology and Otolaryngological Oncology of Poznań University of Medical Sciences in the years 2000-2013.

Material And Methods: Analysis covered the period from January 2000 to December 2013. Read More

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http://dx.doi.org/10.5604/00306657.1156326DOI Listing
February 2017
6 Reads

Pediatric sinogenic epidural and subdural empyema: The role of endoscopic sinus surgery.

Int J Pediatr Otorhinolaryngol 2015 Oct 13;79(10):1752-60. Epub 2015 Aug 13.

Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France. Electronic address:

Aim: To analyze the indications and outcomes of open neurosurgical approaches (ONA) and endoscopic transnasal approaches (ETA) in the surgical management of pediatric sinogenic subdural and epidural empyema.

Material And Methods: Retrospective single-center study design within a tertiary care referral center setting. Children less than 18 years of age consecutively operated on between January 2012 and February 2014 for drainage of a sinogenic subdural empyema (SE) or epidural (EE) empyema were included. Read More

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http://dx.doi.org/10.1016/j.ijporl.2015.08.007DOI Listing
October 2015
31 Reads

Metastatic endophthalmitis combined with subretinal abscess in a patient with diabetes mellitus--a case report.

BMC Ophthalmol 2015 Aug 14;15:105. Epub 2015 Aug 14.

Department of Ophthalmology, Chi Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist., Tainan City, 710, Taiwan.

Background: Endogenous endophthalmitis, extra-hepatic metastasis from liver abscess with diabetes mellitus, could lead to a devastating outcome without a prompt and appropriate management. We report a case of metastatic endophthalmitis combined with subretinal abscess with successful visual outcome after treatment.

Case Presentation: A 56-year-old male patient with diabetes mellitus under poor control presented to our emergency room with fever, sore throat, cough and poor appetite for 2 weeks. Read More

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http://dx.doi.org/10.1186/s12886-015-0079-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536864PMC
August 2015
3 Reads

Cranial Reconstruction in a Pediatric Patient Using a Tissue Expander and Custom-made Hydroxyapatite Implant.

Tokai J Exp Clin Med 2015 Jun 20;40(2):76-80. Epub 2015 Jun 20.

Department of Plastic Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.

A tissue expansion technique in conjunction with a custom-made artificial bone implant was effective for a large cranial reconstruction in a pediatric patient. The patient was an eight-year-old boy with cranial bone fracture, acute subdural hematoma in the left lobe, and acute epidural hematoma in the right lobe due to an accident. Wound dehiscence and artificial dura infection were observed as postoperative complications. Read More

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June 2015
8 Reads