17,597 results match your criteria Subdural Empyema


Association of time to craniectomy with survival in patients with severe combat-related brain injury.

Authors:

Neurosurg Focus 2018 Dec;45(6):E2

OBJECTIVEIn combat and austere environments, evacuation to a location with neurosurgery capability is challenging. A planning target in terms of time to neurosurgery is paramount to inform prepositioning of neurosurgical and transport resources to support a population at risk. This study sought to examine the association of wait time to craniectomy with mortality in patients with severe combat-related brain injury who received decompressive craniectomy. Read More

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December 2018

Blast-induced traumatic brain injury: the experience from a level I trauma center in southern Thailand.

Authors:

Neurosurg Focus 2018 Dec;45(6):E7

OBJECTIVEIn the ongoing conflict in southern Thailand, the improvised explosive device (IED) has been a common cause of blast-induced traumatic brain injury (bTBI). The authors investigated the particular characteristics of bTBI and the factors associated with its clinical outcome.METHODSA retrospective cohort study was conducted on all patients who had sustained bTBI between 2009 and 2017. Read More

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December 2018

Statistical weights for model-based reconstruction in cone-beam CT with electronic noise and dual-gain detector readout.

Phys Med Biol 2018 Nov 14. Epub 2018 Nov 14.

Department of Biomedical Engineering, Johns Hopkins University, Baltimore, UNITED STATES.

Cone-beam CT (CBCT) systems commonly incorporate a flat-panel detector (FPD) with multiple-gain readout capability to reduce electronic noise and extend dynamic range. In this work, we report a penalized weighted least-squares (PWLS) method for CBCT image reconstruction with a system model that includes the electronic noise characteristics of FPDs, including systems with dynamic-gain or dual-gain (DG) readout in which the electronic noise is spatially varying. Statistical weights in PWLS were modified to account for the contribution of the electronic noise (algorithm denoted PWLS^DG), and the method was combined with a certainty-based approach that improves the homogeneity of spatial resolution (algorithm denoted PWLS_Cert^DG). Read More

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November 2018

Understanding Subdural Collections in Pediatric Abusive Head Trauma.

AJNR Am J Neuroradiol 2018 Dec 6. Epub 2018 Dec 6.

Institute of Diagnostic and Interventional Radiology and Neuroradiology (M.L.H.), University Hospital Essen, Essen, Germany.

Life-threatening physical abuse of infants and toddlers is frequently correlated with head injuries. A common variant of the abusive head trauma is the shaken baby syndrome. The present review article sheds light on subdural collections in children with abusive head trauma and aims at providing a recent knowledge base for various medical disciplines involved in diagnostic procedures and legal proceedings. Read More

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December 2018

Interhemispheric Subdural Empyema Secondary to Sinusitis in an Adolescent Girl.

Chin Med J (Engl) 2018 Dec;131(24):2989-2990

Department of Neurology, The Affiliated Hospital of Jiujiang University, Jiujiang, Jiangxi 332000, China.

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December 2018

No Value of Routine Brain Computed Tomography 6 Weeks after Evacuation of Chronic Subdural Hematoma.

Authors:
Mehmet Turgut

Surg J (N Y) 2018 Oct 10;4(4):e235-e236. Epub 2018 Dec 10.

Department of Neurosurgery, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey.

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October 2018

Social media for dissemination and public engagement in neurosurgery-the example of Brainbook.

Acta Neurochir (Wien) 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurosurgery, The Royal London Hospital, London, UK.

Background: Public engagement has become one of the most effective tools in gaining feedback and perspectives from members of the public, involving patients with decisions, and inspiring young people to carry the medical profession forwards. Brainbook is a multi-platform, social media-based resource that was created specifically to enhance public engagement in neurosurgery and results from one of its case discussions will be reported in this paper.

Methods: A Brainbook case was created in collaboration with the NIHR Global Health Research Group on Neurotrauma and presented over 3 days (23-25 February 2018). Read More

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December 2018

Commentary: Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: A Series of 60 Cases.

Neurosurgery 2018 Dec 11. Epub 2018 Dec 11.

Toshiba Stroke and Vascular Research Center, Department of Neurosurgery, Department of Radiology, University at Buffalo, State University of New York, Buffalo, New York.

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December 2018

Utility of Various Ultrafast Magnetic Resonance Sequences in the Detection of Fetal Intracranial Hemorrhage.

Ann Indian Acad Neurol 2018 Oct-Dec;21(4):275-279

Department of Sonography, Mediscan Systems, Chennai, Tamil Nadu, India.

Objective: The aim of this study is to compare the images obtained from standard ultrafast magnetic resonance (MR) imaging sequences with gradient (GRE) sequence images in identifying fetal intracranial hemorrhage (ICH).

Materials And Methods: MR images of fetal brains with ICH done between October 2012 and September 2015 were reviewed. The images obtained from four ultrafast MR sequences- Turbo Fast Low Angle Shot (Turbo FLASH) T1-weighted images, Half Fourier Acquisition single-shot turbo spin echo (HASTE) T2-weighted images, b0 images of diffusion-weighted imaging (DWI) and b800 images of DWI were compared with images obtained from GRE sequence in depicting fetal ICH. Read More

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December 2018
1 Read

Cortical surface intracranial electrodes identify clinically relevant seizures missed on scalp EEG after traumatic intracranial hemorrhage.

Epileptic Disord 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Seizures and other electrophysiological disturbances are an under-recognized cause of coma, focal deficits, and prolonged encephalopathy following subdural hematoma evacuation. In these patients, it is possible that seizures remain unrecognized on scalp EEG. It has been shown that a high burden of seizures and other electrophysiological disturbances exist following surgical evacuation and underlie the encephalopathy commonly seen in this patient population, predisposing them to medical complications and confounding estimates of prognosis. Read More

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December 2018

Carotid Artery Stenting for Symptomatic Internal Carotid Artery Stenosis Associated with Moyamoya Syndrome.

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Department of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawaramachi, Shogoin, Sakyo-ku, Kyoto City, Kyoto 606-8507, JAPAN.

Background: The surgical intervention in a case of internal carotid artery stenosis with Moyamoya vessels has not been well described. We present such a case with detailed description about its procedure and perioperative management.

Case Description: A 58-year-old man with symptomatic internal carotid artery stenosis had concurrent moyamoya vessels intracranially. Read More

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December 2018

Use of Anti-coagulation Agents after Traumatic Intracranial Hemorrhage.

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Vivian L. Smith Department of Neurosurgery, University of Texas Health Science Center at Houston, Texas USA. Electronic address:

Objectives: Anticoagulant therapy (ACT) after traumatic intracranial hemorrhage may lead to progression of hemorrhage, but in the presence of thromboembolic events the clinician must decide if the benefits outweigh the risks. Currently, no data exist to guide therapy in the acute setting.

Patients And Methods: We retrospectively identified all patients admitted to our institution with traumatic intracranial hemorrhage that received intravenous heparin, full dose enoxaparin, or warfarin during their initial hospitalization over a three-year period. Read More

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December 2018

[Application of modified brain protection double-lumen drainage tube in external drainage of chronic subdural hematoma].

Zhonghua Yi Xue Za Zhi 2018 Dec;98(45):3681-3685

Department of Neurosurgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.

To compare the clinical effects of modified double-lumen drainage tube and traditional silicone tube in external drainage of chronic subdural hematoma. Selected 49 patients suffering from chronic subdural hematoma hospitalized in the Department of Neurosurgery, the First Affiliated Hospital of Bengbu Medical College between July 2016 and June 2018 who underwent external drainage, and divided them randomly into experimental groups (using modified brain protection double lumen drainage tube in 23 cases) and control group (using traditional silicone drainage tube in 26 cases). Comparison of postoperative hematoma residual volume, the tube indwelling time, the numbers of drainage tube contact with brain tissue and arachnoid membrane, the numbers of infections, the numbers of postoperative epilepsy cases, and changes in Modified Rankin Scale scores between the two groups. Read More

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December 2018

Influence of antiplatelet and anticoagulant drug use on outcomes following chronic subdural hematoma drainage.

J Neurotrauma 2018 Dec 10. Epub 2018 Dec 10.

Western General Hospital, 59892, Department of Clinical Neuroscience, Edinburgh, United Kingdom of Great Britain and Northern Ireland.

We aim to describe the outcomes following CSDH management in a large cohort of patients on antithrombotic drugs, either antiplatelets or anticoagulants, at presentation and to inform clinical decision making on the timing of surgery and recommencement of these drugs. We used data from a previous UK-based multicenter prospective cohort study. Outcomes included recurrence within 60 days, functional outcome at discharge, and thromboembolic event during hospital stay. Read More

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December 2018

Long-term seizure outcome in frontal lobe epilepsy surgery.

Epilepsy Behav 2018 Dec 3;90:93-98. Epub 2018 Dec 3.

IRCCS "NEUROMED", Pozzilli, IS, Italy; Department of Neurology and Psychiatry, "Sapienza" University of Rome, Italy.

Purpose: The purpose of this study was to report long-term seizure outcome in patients who underwent frontal lobe epilepsy (FLE) surgery.

Method: This retrospective study included 44 consecutive subjects who underwent resective surgery for intractable FLE at IRCCS NEUROMED (period 2001-2014), followed up for at least 2 years (mean: 8.7 years). Read More

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December 2018
5 Reads

Left Atrial Appendage Closure Device Implantation in Patients with Prior Intracranial Hemorrhage.

Heart Rhythm 2018 Nov 19. Epub 2018 Nov 19.

Section of Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, OH. Electronic address:

Background: The Watchman™ device (Boston Scientific, MN), used for left atrial appendage closure (LAAC) was approved for stroke prevention in patients with atrial fibrillation (AF) and an appropriate rationale to avoid long-term oral anticoagulation. Patients with AF and prior intracranial hemorrhage (ICH) were excluded from clinical trials due to perceived risks of peri-operative anticoagulation.

Objective: We studied the efficacy and safety of LAAC using Watchman™ in patients with AF and prior ICH. Read More

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November 2018
1 Read

Spontaneous Acute Subdural Hematoma Associated with Arachnoid Cyst and Intra-cystic Hemorrhage.

Cureus 2018 Sep 28;10(9):e3383. Epub 2018 Sep 28.

Neurosurgery, Advocate Christ Medical Center, Oak Lawn, USA.

Arachnoid cysts (ACs) are congenital, extra-axial lesions containing fluid similar to the composition of cerebrospinal fluid. Usually found incidentally, these lesions are observed with serial imaging to document their growth patterns and stability, and are then followed conservatively until clinical symptoms develop. Surgical options for symptomatic arachnoid cysts include cyst aspiration, cyst evacuation with fenestration into the subarachnoid space, and shunt procedures including cysto-peritoneal and cysto-ventricular shunts. Read More

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September 2018
1 Read

Dispersion in Scores on the Richmond Agitation and Sedation Scale as a Measure of Delirium in Patients with Subdural Hematomas.

Neurocrit Care 2018 Nov 30. Epub 2018 Nov 30.

Division of Critical Care Neurology, Department of Neurology, Columbia University Medical Center, Milstein Hospital Building, 177 Fort Washington Avenue, 8-300 Center, New York, NY, 10032, USA.

Background: Delirium is a frequent complication of critical illness, but its diagnosis is more difficult in brain-injured patients due to language impairment and disorders of consciousness. We conducted a prospective cohort study to determine whether Richmond Agitation and Sedation Scale (RASS) scores could be used to reliably diagnose delirium in the setting of brain injury. We also examined clinical factors associated with delirium in patients with subdural hematomas (SDH) and assessed its impact on functional outcome at discharge. Read More

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November 2018
1 Read

Invasive evaluation in children (SEEG vs subdural grids).

Seizure 2018 Nov 16. Epub 2018 Nov 16.

Service de neurochirurgie pédiatrique, Fondation Rothschild 25-29, rue Manin Paris Cedex 19, France.

Designed from the 60s to the 80s for adults, and despite the development of many new techniques, invasive explorations still have indications in children with focal drug-resistant epilepsy. The main types are stereoelectroencephalography (SEEG) and subdural explorations (SDE). They provide precise information on the localization of the epileptogenic zone (EZ), its relationships with eloquent cortex, and the feasibility of performing a tailored surgical resection. Read More

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November 2018
6 Reads

Langerhans cell histiocytosis of the skull in the burr-hole site covered with hydroxyapatite material: a case report.

World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.

Department of Neurosurgery, Ebina General Hospital, Kanagawa, Japan.

Background: We present a case report of a male patient with Langerhans cell histiocytosis (LCH), which occurred in a burr-hole site for chronic subdural hematoma covered with hydroxyapatite material. LCH is a rare dendritic histiocytic disorder that affects the bones, especially the skull. Until now, the association with foreign-body reaction has rarely been reported by any author. Read More

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November 2018
4 Reads

Dexamethasone for adult patients with a symptomatic chronic subdural haematoma (Dex-CSDH) trial: study protocol for a randomised controlled trial.

Trials 2018 Dec 4;19(1):670. Epub 2018 Dec 4.

Department of Clinical Neurosciences, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.

Background: Chronic subdural haematoma (CSDH) is a common neurosurgical condition, typically treated with surgical drainage of the haematoma. However, surgery is associated with mortality and morbidity, including up to 20% recurrence of the CSDH. Steroids, such as dexamethasone, have been identified as a potential therapy for reducing recurrence risk in surgically treated CSDHs. Read More

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December 2018
1 Read

Chronic subdural hematomas: randomised trial of single vs double burr holes.

J Neurosurg Sci 2018 Dec 5. Epub 2018 Dec 5.

Neurosurgical Unit of Miulli Hospital, Acquaviva delle Fonti, Bari, Italy.

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December 2018
1 Read

Subdural empyema complicated with intracranial hemorrhage in a postradiotherapy nasopharyngeal carcinoma patient: A case report and review of literature.

World J Clin Cases 2018 Nov;6(14):825-829

Department of Neurosurgery, First Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China.

The prevalence of nasopharyngeal carcinoma (NPC) is higher in southern China, Hong Kong, and Taiwan than in other areas in the world. Radiotherapy is an important part of treatment for NPC patients, especially those with stage III/IV disease. Subdural empyema is a rare but life-threatening complication in postradiotherapy NPC patients which should be paid more attention. Read More

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November 2018
1 Read

Infective endocarditis complicated with nonobstructive ST elevation myocardial infarction related to septic embolism with intracranial hemorrhage: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13089

Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital.

Rationale: Infective endocarditis (IE) complicated with obstructive ST elevation myocardial infarction (STEMI) has been reported in the literature and which were mostly related to coronary artery embolism, obstruction, or compression. However, there has been no reported case discussing about IE complicated with nonobstructive STEMI.

Patient Concerns: In this report, we report a 38-year-old female suffering from intermittent fever and was later diagnosed as IE. Read More

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November 2018
4 Reads

Autologous bone dust technique for one burr hole surgery to prevent severe skin depression.

Clin Neurol Neurosurg 2018 Nov 26;176:41-43. Epub 2018 Nov 26.

Department of Neurosurgery, Shizuoka City Shimizu Hospital, Shizuoka, Japan.

Objective: One burr hole surgery is a common treatment modality for initial chronic subdural hematoma and stereotactic hematoma surgery, but severe skin depression is often a postoperative complication. We report the autologous bone dust technique, which uses autogenous bone dust generated during burr hole creation to prevent cosmetic deformity.

Patients And Methods: The autologous bone dust technique was performed for 51 sides on which burr hole surgery was conducted mainly for chronic subdural hematoma and stereotactic hematoma removal. Read More

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November 2018
2 Reads

T2-blackout effect on DWI as a sign of early bone infarct and sequestration in a patient with sickle cell disease.

Clin Imaging 2018 Nov 15;54:15-20. Epub 2018 Nov 15.

Department of Radiology, University of Florida, Gainesville, FL, United States of America.

Differentiation of bone infarct from osteomyelitis is one of the most challenging issues in the evaluation of acute bone pain in sickle cell patients. The imaging modalities that are currently being used for assessment of bone marrow in this population have several limitations. We present a case of an 18-year-old male with a history of sickle cell disease, who was transferred to our emergency department with progressively severe headache and jaw pain for one-week. Read More

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November 2018
3 Reads

Subdural effusion and ischemic stroke complicating meningococcal meningitis in an adult.

J Microbiol Immunol Infect 2018 Nov 22. Epub 2018 Nov 22.

Department of Infectious Disease, Buddhist Tzu Chi General Hospital, Hualien, Taiwan. Electronic address:

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November 2018
1 Read
2.349 Impact Factor

Contralateral progression after unilateral evacuation of bilateral chronic subdural hematomas: the volume relation ratio as prognostic factor?

Authors:

J Neurosurg 2018 Nov 1:1-8. Epub 2018 Nov 1.

OBJECTIVEUnilateral evacuation of bilateral chronic subdural hematomas (bcSDHs) is associated with higher retreatment rates than an initial bilateral intervention. One reason for that is a possible progression in the size of the contralateral side after unilateral treatment. Thus, the authors focused their study on finding predictors of the need for contralateral retreatment. Read More

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November 2018
1 Read

Outcomes and complications of different surgical treatments for idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis.

Authors:

J Neurosurg 2018 Nov 1:1-13. Epub 2018 Nov 1.

OBJECTIVEDifferent CSF diversion procedures (ventriculoperitoneal, ventriculoatrial, and lumboperitoneal shunting) have been utilized for the treatment of idiopathic normal pressure hydrocephalus. More recently, endoscopic third ventriculostomy has been suggested as a reasonable alternative in some studies. The purpose of this study was to perform a systematic review and meta-analysis to assess overall rates of favorable outcomes and adverse events for each of these treatments. Read More

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November 2018
1 Read

Cerebral vasospasm after endoscopic fenestration of a temporal arachnoid cyst in a child-a case report and review of the literature.

Childs Nerv Syst 2018 Nov 28. Epub 2018 Nov 28.

Department of Neurosurgery, Faculty of Medicine, Saarland University Medical Center and Saarland University, Gebäude 90.5, 66421, Homburg/Saar, Germany.

Introduction: Intracranial arachnoid cysts (ACs) represent rare extra-axial CSF-containing lesions. Surgical management mainly depends on the cyst location and its size. Nevertheless, pure endoscopic fenestration represents a relatively straightforward and safe technique, and-in most cases-the treatment of choice for symptomatic intracranial ACs. Read More

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November 2018
1 Read

Septicemia, Meningitis and Bilateral Subdural Empyema in an Infant Caused by Staphylococcus aureus.

Mymensingh Med J 2018 Oct;27(4):898-903

Dr Shameem Ahmed, Senior Consultant Neurosurgeon, Department of Neurosurgery, Apollo Hospitals (Unit: International Hospital), Guwahati , India.

Staphylococcus aureus is a global bacterial pathogen. It is an uncommon pathogen causing central nervous system infections, accounting for <1% cases of bacterial meningitis. Sinusitis, trauma and presence of an intracranial device have been reported as risk factors for developing meningitis and brain abscesses. Read More

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October 2018
2 Reads

A retrospective analysis of chronic subdural haematoma recurrence rates following burr hole trephination versus minicraniotomy.

J Clin Neurosci 2018 Nov 26. Epub 2018 Nov 26.

Department of Neurosurgery, John Hunter Hospital, New Lambton, NSW 2305, Australia.

The aim of this study was to determine the subdural haematoma recurrence rate in patients with symptomatic chronic subdural haematomas (CSDH) treated with either burr hole trephination (BHT) or minicraniotomy (MC) and to determine whether a statistically significant difference exists between the two techniques. A retrospective analysis of all consecutive patients with symptomatic CSDH treated with BHT or MC at the John Hunter Hospital Neurosurgery Department between July 2004 and July 2016 was performed. After inclusion/exclusion criteria were applied, 368 patients with 439 CSDHs were eligible. Read More

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November 2018
1 Read

How to Treat Chronic Subdural Hematoma? Past and Now.

Authors:
Kyeong-Seok Lee

J Korean Neurosurg Soc 2018 Nov 30. Epub 2018 Nov 30.

Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea.

Treatment of chronic subdural hematoma (CSDH) is relatively straightforward, however, there is still some debate regarding the best strategy for treatment. The most practical recommendations of up to date were identified by a review of literature. The author reviewed the literature on CSDH management from the past to now to identify the best methods. Read More

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November 2018
1 Read

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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November 2018
1 Read

Riskier-than-expected occlusive treatment of ruptured posterior communicating artery aneurysms: treatment and outcome of 620 consecutive patients.

Authors:

J Neurosurg 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEOcclusive treatment of posterior communicating artery (PCoA) aneurysms has been seen as a fairly uncomplicated procedure. The objective here was to determine the radiological and clinical outcome of patients after PCoA aneurysm rupture and treatment and to evaluate the risk factors for impaired outcome.METHODSIn a retrospective clinical follow-up study, data were collected from 620 consecutive patients who had been treated for ruptured PCoA aneurysms at a single center between 1980 and 2014. Read More

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October 2018
1 Read

Management of hydrocephalus in infants with severe hemophilia A: report of 2 cases.

Authors:

J Neurosurg Pediatr 2018 Oct 1:1-5. Epub 2018 Oct 1.

The authors report on the clinical course of two infants with severe hemophilia A (HA) and concomitant progressive hydrocephalus that required management with a ventriculoperitoneal shunt. The first child, with known HA, presented with a spontaneous intracranial hemorrhage and acquired hydrocephalus. He underwent cerebrospinal fluid diversion with a temporary external ventricular drain, followed by placement of a ventriculoperitoneal shunt. Read More

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October 2018
2 Reads

North American survey on the post-neuroimaging management of children with mild head injuries.

Authors:

J Neurosurg Pediatr 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEThere remains uncertainty regarding the appropriate level of care and need for repeating neuroimaging among children with mild traumatic brain injury (mTBI) complicated by intracranial injury (ICI). This study's objective was to investigate physician practice patterns and decision-making processes for these patients in order to identify knowledge gaps and highlight avenues for future investigation.METHODSThe authors surveyed residents, fellows, and attending physicians from the following pediatric specialties: emergency medicine; general surgery; neurosurgery; and critical care. Read More

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October 2018
3 Reads

Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: Meta-Analysis and Systematic Review.

World Neurosurg 2018 Nov 24. Epub 2018 Nov 24.

Departments of Neurosurgery. Electronic address:

Background: Chronic subdural hematoma (CSDH) is one of the most common diseases in neurosurgery. Though conventional surgical methods like burr-hole irrigation have been the mainstay of treatment, middle meningeal artery (MMA) embolization has recently emerged as a promising adjunctive or alternative treatment. We present the first meta-analysis and systematic review on this topic. Read More

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November 2018
8 Reads

Author Correction: Signal quality of simultaneously recorded endovascular, subdural and epidural signals are comparable.

Sci Rep 2018 Nov 27;8(1):17469. Epub 2018 Nov 27.

Vascular Bionics Laboratory, Department of Medicine, Royal Melbourne Hospital, (RMH), The University of Melbourne, Parkville, Australia.

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper. Read More

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November 2018
1 Read

Ictal onset patterns of subdural intracranial electroencephalogram in children: How helpful for predicting epilepsy surgery outcome?

Epilepsy Res 2018 Oct 28;149:44-52. Epub 2018 Oct 28.

Department of Neurology, Division of Child Neurology, New York-Presbyterian Hospital/ Columbia University College of Physicians and Surgeons, 180 Fort Washington Avenue, New York, New York, USA. Electronic address:

Aims: We aimed to classify ictal onset patterns (IOPs) in pediatric patients undergoing intracranial electroencephalography (IEEG) to guide surgery for refractory epilepsy. We aimed to determine if morphology of IOPs can predict surgical outcome.

Materials And Methods: We performed a retrospective review of pediatric patients who underwent epilepsy surgery guided by subdural IEEG from 2007 to 2016. Read More

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October 2018
1 Read

First-in-Man Clinical Experience Using a High-Definition 3-Dimensional Exoscope System for Microneurosurgery.

Oper Neurosurg (Hagerstown) 2018 Nov 26. Epub 2018 Nov 26.

Department of Neurosurgery, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, New York, New York.

Background: During its development and preclinical assessment, a novel, 3-dimensional (3D), high-definition (4K-HD) exoscope system was formerly shown to provide an immersive surgical experience, while maintaining a portable, low-profile design.

Objective: To assess the clinical applicability of this 3D 4K-HD exoscope via first-in-man surgical use.

Methods: The operative workflow, functionality, and visual haptics of the 3D 4K-HD exoscope were assessed in a variety of microneurosurgical cases at 2 US centers. Read More

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November 2018
6 Reads

The current status of decompressive craniectomy in traumatic brain injury.

Curr Trauma Rep 2018 Sep;4(4):326-332

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital & University of Cambridge, Cambridge, UK.

Purpose: This review describes the evidence base that has helped define the role of decompressive craniectomy (DC) in the management of patients with traumatic brain injury (TBI).

Recent Findings: The publication of two randomized trials (DECRA and RESCUEicp) has strengthened the evidence base. The DECRA trial showed that neuroprotective bifrontal DC for moderate intracranial hypertension is not helpful, whereas the RESCUEicp trial found that last-tier DC for severe and refractory intracranial hypertension can significantly reduce the mortality rate but is associated with a higher rate of disability. Read More

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September 2018
1 Read

Neuroendoscopic hematoma removal with a small craniotomy for acute subdural hematoma.

J Clin Neurosci 2018 Nov 21. Epub 2018 Nov 21.

Department of Neurosurgery, Shizuoka City Shimizu Hospital, Shizuoka, Japan.

The present study evaluated the safety and effectiveness of neuroendoscopic hematoma removal with a small craniotomy for the treatment of acute subdural hematoma (ASDH). Five patients (4 men and 1 woman) with ASDH underwent neuroendoscopic surgery with a small-size craniotomy between October 2016 and June 2018. The mean age was 87. Read More

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November 2018
6 Reads

Pediatric Central Nervous System Imaging of Nonaccidental Trauma: Beyond Subdural Hematomas.

Radiographics 2018 Nov 23:180084. Epub 2018 Nov 23.

From the Department of Radiological Sciences, University of Oklahoma Health Sciences Center, PO Box 26901, Garrison Tower, Suite 4G4250, Oklahoma City, OK 73126 (D.G., B.O.C., S.J., A.M.A.); and Department of Radiology, Stanford University School of Medicine, Palo Alto, Calif (H.M.D.).

Infants and children under 2 years of age are at greatest risk for devastating neurologic complications following nonaccidental trauma. While a subdural hematoma (SDH) is the most common finding and is often enough to raise suspicion for abuse, no single injury is pathognomonic for abusive head trauma (AHT). Rather, the combination of imaging and physical findings and the clinical presentation help confirm the diagnosis of AHT. Read More

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November 2018
3 Reads

Direct Carotid Cavernous Fistula Due to Rupture of a Cavernous Carotid Aneurysm Embedded within a Prolactinoma after Cabergoline Administration.

World Neurosurg 2018 Nov 19. Epub 2018 Nov 19.

Department of Neurosurgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan.

Background: A small number of reports have discussed subarachnoid hemorrhage from a ruptured aneurysm embedded within a prolactinoma. To the best of our knowledge, however, no reports have discussed an embedded carotid cavernous fistula (CCF). We report a patient with CCF secondary to a ruptured internal carotid artery (ICA) aneurysm embedded within a prolactinoma. Read More

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November 2018
4 Reads

Assessing a Method of Mechanical Cervical Dislocation as a Humane Option for On-Farm Killing Using Anesthetized Poults and Young Turkeys.

Front Vet Sci 2018 7;5:275. Epub 2018 Nov 7.

Department of Animal Biosciences, University of Guelph, Guelph, ON, Canada.

Our objective was to determine the efficacy of manual cervical dislocation vs. a mechanical cervical dislocation device for on-farm killing of poults and young turkeys. Forty-two 1- and 3-week old turkeys were randomly assigned to one of three experimental groups: awake manual cervical dislocation (CD), anesthetized manual cervical dislocation (aCD), or anesthetized mechanical cervical dislocation (MCD). Read More

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November 2018
11 Reads

Extradural Hematoma Following Decompressive Craniectomy for Acute Subdural Hematoma: Two Case Reports Illustrating Different Mechanisms.

Asian J Neurosurg 2018 Oct-Dec;13(4):1213-1215

Department of Neurosurgery, Sultan Qaboos University Hospital, Al Khaud, Muscat, Oman.

The occurrence of extradural hematoma (EDH) after decompressive craniectomy (DC) for traumatic brain injury is uncommon. We report two cases, one developing ipsilateral EDH and another developing contralateral simultaneous EDH and subdural hematoma after DC. The strategies to anticipate the occurrence of such concurrent hematomas (CH) are highlighted. Read More

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November 2018
2 Reads

Armored Brain Associated with Secondary Craniostenosis Development at 7-year following Ventriculoperitoneal Shunt Surgery during Infancy: Extremely Unusual Association and Review.

Asian J Neurosurg 2018 Oct-Dec;13(4):1175-1178

Department of Forensic Medicine, AIIMS, New Delhi, India.

Calcification is uncommon in chronic subdural hematoma and popularly known as calcified chronic subdural hematoma (CSSDH), and about hundred cases are reported in the form of isolated cases report. The calcified inner membrane of chronic subdural hematoma gets adherent to underlying cerebral cortex preventing re-expansion of the brain and producing mass effect. Calcification can develop in chronic subdural hematoma of traumatic origin or postmeningitic effusion or extremely rarely after shunt surgery. Read More

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November 2018
3 Reads

The Optimal Operative Timing of Traumatic Intracranial Acute Subdural Hematoma Correlated with Outcome.

Asian J Neurosurg 2018 Oct-Dec;13(4):1158-1164

Department of Surgery, Neurosurgery Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.

Objective: Acute subdural hematoma (ASDH) has been associated with mortality in traumatic brain injury. The timing of surgical evacuation for ASDH has still been controversial. The object of this study was to determine the temporal and clinical factors associated with outcome following surgery for ASDH. Read More

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November 2018
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Proposal of Treatment Strategies for Bilateral Chronic Subdural Hematoma Based on Laterality of Treated Hematoma.

Asian J Neurosurg 2018 Oct-Dec;13(4):1134-1139

Department of Neurosurgery, Soka Municipal Hospital, Soka, Saitama, Japan.

Background: Chronic subdural hematoma (CSDH) is a disorder that is commonly seen in routine neurosurgery. Although risk factors for recurrence have been studied, the findings are inconsistent. Furthermore, bilateral CSDHs are operated unilaterally or bilaterally depending on symptoms or hematoma volume. Read More

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November 2018
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