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    1 OF 209

    Advanced magnetic resonance imaging and neuropsychological assessment for detecting brain injury in a prospective cohort of university amateur boxers.
    Neuroimage Clin 2017 26;15:194-199. Epub 2017 Apr 26.
    Academic Division of Neurosurgery, Department of Clinical Neurosciences, Department of Neurosurgery, Box 167, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom.
    Background/aim: The safety of amateur and professional boxing is a contentious issue. We hypothesised that advanced magnetic resonance imaging and neuropsychological testing could provide evidence of acute and early brain injury in amateur boxers.

    Methods: We recruited 30 participants from a university amateur boxing club in a prospective cohort study. Read More

    Clinical investigation of chronic subdural hematoma with impending brain herniation on arrival.
    Neurosurg Rev 2017 May 20. Epub 2017 May 20.
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital, Daikai-dori9-2-6, Hyogo-ku, Kobe, 652-0803, Japan.
    Chronic subdural hematoma (CSDH) with brain herniation signs is rarely seen in the emergent department. As such, there are few cumulative data to analyze such cases. In this study, we evaluated the clinical features, risk factors, and rates of completion with impending brain herniation on arrival in a cohort study. Read More

    [An acute subdural hematoma caused by rupture of a middle cerebral artery aneurysm].
    Zh Vopr Neirokhir Im N N Burdenko 2017 ;81(2):67-71
    Inozemtsev City Clinical Hospital, Moscow, Russia.
    Acute subdural hematoma caused by cerebral aneurysm rupture is rare. We describe a clinical case of an acute subdural hematoma developed due to rupture of an aneurysm at the M1 segment bifurcation of the middle cerebral artery (MCA). The acute subdural hematoma associated with intracranial hypertension and transtentorial herniation resulted in a comatose condition. Read More

    A chronic thromboembolic pulmonary hypertension catch-22 situation: inferior vena caval filter plays a pivotal role in an unlikely situation.
    J Thorac Dis 2017 Apr;9(4):E346-E348
    Department of Cardiovascular Surgery, Mount Sinai Medical Center, New York, NY, USA.
    Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare clinical entity that occurs in a small subset of acute pulmonary embolism (PE) cases and is surgically cured by pulmonary endarterectomy. We report a case of a 44-year-old female with a complex history of CTEPH treated by thromboendarterectomy who presented with a subdural hematoma while on warfarin. The patient eventually recovered by a multidisciplinary approach, use of inferior vena caval filter, and effective anticoagulation management. Read More

    Motorcycle-related hospitalizations of the elderly.
    Biomed J 2017 Apr 8;40(2):121-128. Epub 2017 May 8.
    Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
    Background: To investigate the injury pattern, mechanisms, severity, and mortality of the elderly hospitalized for treatment of trauma following motorcycle accidents.

    Methods: Motorcycle-related hospitalization of 994 elderly and 5078 adult patients from the 16,548 hospitalized patients registered in the Trauma Registry System between January 1, 2009 and December 31, 2013.

    Results: The motorcycle-related elderly trauma patients had higher injury severity, less favorable outcomes, higher proportion of patients admitted to the intensive care unit (ICU), prolonged hospital and ICU stays and higher mortality than those adult motorcycle riders. Read More

    Secondary Eating Disorder: A Reality? Case Report of Post Brain Injury Sequelae.
    Indian J Psychol Med 2017 Mar-Apr;39(2):205-208
    Department of Psychiatry, Maulana Azad Medical College, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.
    Traumatic brain injury (TBI) can lead to changes in eating behavior patterns. This report describes the case of a patient with alcohol dependence presenting with behavioral changes and eating disorder following frontal lobe trauma. A 42-year-old male, premorbidly well-adjusted presented with alcohol use in dependent pattern for years. Read More

    Spontaneous Acute Subdural Hemorrhage in a Patient with a Tick Borne Bunyavirus-Induced Severe Fever with Thrombocytopenia Syndrome.
    Korean J Neurotrauma 2017 Apr 30;13(1):57-60. Epub 2017 Apr 30.
    Department of Neurosurgery, Brain Tumor Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
    We report the first case of severe fever with thrombocytopenia syndrome (SFTS) and a spontaneous acute subdural hematoma (SDH) in Korea. A 79-year-old male presented with fever and thrombocytopenia. On the third day of hospitalization, his mental changed from drowsy to semi-coma. Read More

    Postoperative Contralateral Hematoma in Patient with Acute Traumatic Brain Injury.
    Korean J Neurotrauma 2017 Apr 30;13(1):24-28. Epub 2017 Apr 30.
    Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
    Objective: Head injury is a leading cause of death and disability in subjects who suffer a traumatic accident. Contralateral hematomas after surgery for traumatic brain injury are rare. However, an unrecognized, these hematomas can cause devastating results. Read More

    Membranectomy in Chronic Subdural Hematoma: a Meta-Analysis.
    World Neurosurg 2017 May 13. Epub 2017 May 13.
    UC Irvine Department of Neurological Surgery, Irvine, CA, USA. Electronic address:
    Objective: Initial management strategies of chronic subdural hematoma (cSDH) are controversial, and range from bedside twist-drill or burr hole drainage, to craniotomy with membranectomy (CWM). We aim to (1) perform a meta-analysis of the available data on the outcomes of CWM for treatment of cSDH in published English-language literature, and (2) evaluate collective outcomes of CWM with respect to morbidity, mortality, and recurrence rates.

    Methods: A search of English-language literature performed in PubMed, Ovid, and Cochrane databases using keywords ("subdural hematoma" or "chronic subdural hematoma") and ("membrane" or "membranectomy") from inception to December 2016 was conducted. Read More

    Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature.
    Adv Biomed Res 2017 17;6:46. Epub 2017 Apr 17.
    Department of Neurosurgery, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
    The present report describes an acute subdural hematoma (ASDH) associated with subarachnoid hemorrhage (SAH), due to ruptured cortical aneurysm. To our knowledge, extremely rare cases of this sort have been reported so far. A 23-year-old male patient without previous trauma presented with severe headache and rapidly decreasing level of consciousness to decerebrate status. Read More

    A retrospective analysis of postoperative recurrence of septated chronic subdural haematoma: endoscopic surgery versus burr hole craniotomy.
    Neurol Res 2017 May 13:1-10. Epub 2017 May 13.
    a Department of Neurosurgery , The Affiliated Jiangyin Hospital, School of Medicine, Southeast University , Jiangyin , China.
    Objective: To identify the factors associated with Septated chronic subdural haematoma (sCSDH) recurrence and to compare the advantages and disadvantages of burr hole craniotomy (BHC) and endoscopic surgery (ES) with respect to preventing sCSDH recurrence.

    Methods: A total of 76 consecutive patients with sCSDH underwent BHC or ES in our institution. Their clinical data were retrospectively analysed to identify the factors associated with sCSDH recurrence and to evaluate the effectiveness of BHC and ES with respect to preventing sCSDH recurrence. Read More

    Spontaneous lumbar spinal subdural hematoma: a case report.
    Br J Neurosurg 2017 May 13:1-5. Epub 2017 May 13.
    a The University of Tokushima Graduate School , Department of Orthopedics , Tokushima , Japan.
    Spinal subdural hematoma (SSDH) is an uncommon disease causing acute onset of spinal disorder. Several causes of SSDH have been reported, but reports of spontaneous occurrence of SSDH are limited. Read More

    Motocross-associated head and spine injuries in adult patients evaluated in an emergency department.
    Am J Emerg Med 2017 Apr 27. Epub 2017 Apr 27.
    Department of Emergency Medicine, Mayo Clinic, Rochester, MN, United States. Electronic address:
    Background: Motor vehicle-related injuries (including off-road) are the leading cause of traumatic brain injury (TBI) and acute traumatic spinal cord injury in the United States.

    Objectives: To describe motocross-related head and spine injuries of adult patients presenting to an academic emergency department (ED).

    Methods: We performed an observational cohort study of adult ED patients evaluated for motocross-related injuries from 2010 through 2015. Read More

    Risk for intracranial pressure increase related to enclosed air in post-craniotomy patients during air ambulance transport: a retrospective cohort study with simulation.
    Scand J Trauma Resusc Emerg Med 2017 May 12;25(1):50. Epub 2017 May 12.
    Anesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden.
    Background: Post-craniotomy intracranial air can be present in patients scheduled for air ambulance transport to their home hospital. We aimed to assess risk for in-flight intracranial pressure (ICP) increases related to observed intracranial air volumes, hypothetical sea level pre-transport ICP, and different potential flight levels and cabin pressures.

    Methods: A cohort of consecutive subdural hematoma evacuation patients from one University Medical Centre was assessed with post-operative intracranial air volume measurements by computed tomography. Read More

    Tine after tine: a varied approach to the removal of a long-standing IVC filter.
    Radiol Case Rep 2017 Jun 7;12(2):335-339. Epub 2017 Apr 7.
    Department of Surgery, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX 79905, USA.
    Inferior vena cava filters are important tools used to help prevent life-threatening pulmonary embolisms in hospitalized patients with contraindications to pharmacological prophylactic anticoagulation. This is a case report of a patient who had an inferior vena cava filter placed after a traumatic subdural hematoma. He made a complete recovery but was lost to follow-up until he presented 1825 days after filter deployment with abdominal pain discovered to be from penetration of the filter tines outside the lumen and into adjacent structures. Read More

    Spinal subarachnoid and subdural hematoma presenting as a Brown-Séquard-like myelopathy following minor trauma in a patient on dabigatran etexilate.
    Radiol Case Rep 2017 Jun 22;12(2):257-260. Epub 2017 Mar 22.
    Department of Radiology, Richmond University Medical Center, Staten Island, NY 11310.
    Dabigatran etexilate is a relatively new anticoagulant from the class of direct thrombin inhibitors which is administered orally and does not require routine blood work monitoring. Dabigatran may be attractive to both clinicians and patients because of both its convenience and efficacy; however, clinical complications are still being elucidated. Here, we present a previously unreported case of spinal subarachnoid and subdural hematoma presenting as a Brown-Séquard-like myelopathy in a patient after minor trauma in the setting of Dabigatran anticoagulation. Read More

    Multiloculated Hydrocephalus: Open Craniotomy or Endoscopy?
    J Korean Neurosurg Soc 2017 May 1;60(3):301-305. Epub 2017 May 1.
    Department of Neurosurgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
    Multiloculated hydrocephalus (MLH) is a condition in which patients have multiple, separate abnormal cerebrospinal fluid collections with no communication between them. Despite technical advancements in pediatric neurosurgery, neurological outcomes are poor in these patients and the approach to this pathology remains problematic especially given individual anatomic complexity and cerebrospinal fluid (CSF) hydrodynamics. A uniform surgical strategy has not yet been developed. Read More

    Aneurysm Tears Caused by an Aneurysm Clip Springing from the Clip Applier.
    Can J Neurol Sci 2017 May;44(3):326-328
    Department of Neurological Surgery,Nippon Medical School,Tokyo,Japan.
    We experienced two cases in which aneurysm clips sprang from the applier. In case 1, a subdural haematoma from a ruptured anterior cerebral artery aneurysm was detected. When the clip was opened for final positioning, it suddenly sprang from the applier and ruptured the aneurysm. Read More

    Self inflicted stab with a knife: An unusual mode of penetrating brain injury.
    Asian J Neurosurg 2017 Apr-Jun;12(2):276-278
    Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.
    Self-inflicted penetrating injuries have been very rarely described in the medical literature. We describe a middle-aged woman, who had driven a long knife inside her skull with the help of a brick. She had done this to get relief from chronic headache, which was troubling her for 10 years. Read More

    Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation.
    Asian J Neurosurg 2017 Apr-Jun;12(2):259-262
    Guntur Medical College, Guntur, Andhra Pradesh, India.
    Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. Read More

    Efficacy of arachnoid-plasty on chronic subdural hematoma following surgical clipping of unruptured intracranial aneurysms.
    World Neurosurg 2017 May 4. Epub 2017 May 4.
    Background: We aimed to elucidate the effects of arachnoid plasty (ARP) on chronic subdural hematoma (CSDH) occurrence following clipping surgery.

    Methods: In total 217 patients (ARP, n = 97; non-ARP, n = 120) who had undergone unruptured intracranial aneurysm (UIA) surgical clipping via the pterional approach were retrospectively assessed. Predisposing factors for CSDH development following the surgery were investigated. Read More

    Postoperative thromboembolic prophylaxis with low-molecular-weight heparin and risk of re-bleeding in patients with chronic subdural hematomas - A comparative retrospective cohort study.
    World Neurosurg 2017 May 3. Epub 2017 May 3.
    Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria. Electronic address:
    Objective: Early postoperative administration of low-molecular-weight heparin (LMWH) to prevent thromboembolic events in patients with chronic subdural hematoma (cSDH) is controversial. Our goal was to investigate the impact of early postoperative LMWH administration on recurrence rate of cSDHs.

    Methods: N=136 patients with cSDHs operated in 18 months were evaluated retrospectively. Read More

    Correlation of vascular endothelial growth factor with magnetic resonance imaging in chronic subdural hematomas.
    J Neurol Sci 2017 Jun 12;377:149-154. Epub 2017 Apr 12.
    Department of Neurosurgery of the First Clinical Hospital, Jilin University, Changchun, China; Department of Pathology and Laboratory Medicine, University of California, Irvine, USA. Electronic address:
    Background: Chronic subdural hematoma (CSDH) is an inflammatory angiogenic disease. It is believed that vascular endothelial growth factor (VEGF) plays an important role in pathological CSDH angiogenesis.

    Methods: In this study, magnetic resonance imaging (MRI) results were used to assign 115 primary CSDH patients to four MRI types. Read More

    Rivaroxaban withdrawal and rebound hypercoagulability leading to upper extremity deep vein thrombosis: a case report.
    Age Ageing 2017 May 3:1-2. Epub 2017 May 3.
    Changi General Hospital, Singapore, Singapore.
    As the newer oral anticoagulants (NOACs) are increasingly used in older patients, clinical scenarios when they may need to be discontinued temporarily or indefinitely, may be encountered. Similarly with increasing use of permanent pacemakers and other intra-cardiac devices, there is an increased risk of upper limb venous thrombosis even few years after their insertion. We report a case of a patient with a permanent pacemaker, on rivaroxaban (NOAC) for atrial fibrillation, who developed an upper extremity deep vein thrombosis after its temporary withdrawal following a traumatic acute subdural haematoma. Read More

    Rapid Spontaneously Resolving Acute Subdural Hematoma.
    J Craniofac Surg 2017 May;28(3):e287-e289
    *Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu †Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, Kunming ‡Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.
    Introduction: This study reports a rare patient of a rapid spontaneously resolving acute subdural hematoma. In addition, an analysis of potential clues for the phenomenon is presented with a review of the literature.

    Patient Presentation: A 1-year-and-2-month-old boy fell from a height of approximately 2 m. Read More

    Clinical Observation of Treatment of Chronic Subdural Hematoma With Novel Double Needle Minimally Invasive Aspiration Technology.
    J Craniofac Surg 2017 May;28(3):646-649
    *Department of Neurosurgery, Suzhou Kowloon Hospital Affiliated With Shanghai Jiao Tong University School of Medicine †Department of Neurosurgery, The First People's Hospital of Kunshan Affiliated With Jiangsu University, Suzhou, China.
    Objective: The aim of the present study was to explore the clinical effects, including the prevention of complications, of the treatment of chronic subdural hematoma with double needle aspiration.

    Methods: The clinical data of 31 patients with chronic subdural hematoma treated by double YL-1 needle double skull drilling and 31 controls treated by traditional drilling and drainage were analyzed retrospectively.

    Results: In the YL-1 needle group, only 1 patient was with hematoma recurrence, 1 patient was with intracranial pneumocephalus, and the remaining patients who were followed up for 3 months achieved a clinical cure. Read More

    In Vivo Demonstration of Traumatic Rupture of the Bridging Veins in Abusive Head Trauma.
    Pediatr Neurol 2017 Apr 8. Epub 2017 Apr 8.
    Department of Pediatric Neurosurgery, Children's Hospital of Pittsburgh at UPMC, Pittsburgh, Pennsylvania.
    Objective: In victims of abusive head trauma, bridging vein thrombosis is a common finding on magnetic resonance imaging. We aimed to evaluate the utility of high-resolution coronal susceptibility-weighted imaging (SWI) in depicting bridging vein thrombosis as well as to verify the morphology of the bridging vein thrombosis on axial SWI. We additionally analyzed the correlations between bridging vein thrombosis or bridging vein deformation and other magnetic resonance imaging findings that often occur in association with abusive head trauma. Read More

    Drain Insertion in Chronic Subdural Hematoma: An International Survey of Practice.
    World Neurosurg 2017 Apr 28. Epub 2017 Apr 28.
    Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.
    Objective: The aim of this international survey was to investigate whether practice concerning drain insertion after burr hole drainage of cSDH following the publication of grade I evidence that it reduces recurrence rates has changed. Further, we aimed to document various practice modalities concerning the insertion of a drain adopted by neurosurgeons internationally.

    Methods: We administered a survey to neurosurgeons all over the world with questions relating the surgical treatment of cSDH, emphasizing on their practices concerning the use of a drain. Read More

    Post-traumatic Seizures in a Rural Nigerian Neurosurgical Service.
    World Neurosurg 2017 Apr 28. Epub 2017 Apr 28.
    Division of Neurological Surgery, Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
    Background: Traumatic brain injury (TBI) is a recognized risk factor for seizures. In Nigeria, there is paucity of literature on post-traumatic seizures (PTS). This study provides the profile and pattern of PTS in TBI patients in a rural Nigerian neurosurgical service. Read More

    Unintentional Cerebral Acute Subdural Hematoma After Transforaminal Lumbar Interbody Fusion: A Case Report.
    A A Case Rep 2017 Apr 28. Epub 2017 Apr 28.
    From the *Operating Rooms; Departments of †Anesthesiology and Critical Care Medicine; ‡Orthopaedic Surgery; §Orthopaedic Surgery, Graduate School of Medical Sciences; and ‖Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
    We present a 68-year-old woman who developed acute cerebral subdural hematoma (SDH) early after transforaminal lumbar interbody fusion. Four hours postoperatively, the patient complained of headache and nausea. Enhanced cranial computed tomography showed cerebral SDH. Read More

    The outcome of a pregnant woman with a minor head injury: an ossified subdural hematoma (OSDH).
    J Surg Case Rep 2017 Mar 7;2017(3):rjx048. Epub 2017 Mar 7.
    Department of Pathology, Istanbul Fatih Sultan Mehmet Education and Research Hospital,, Health Sciences University, Istanbul,Turkey.
    We experienced an ossified subdural hematoma (OSDH), which is an extremely rare form of chronic subdural hematoma (SDH), in the dominant hemisphere of a 35-year-old woman. She presented to our outpatient clinic with a complaint of a headache; she had previously experienced a head injury while she was pregnant. We performed surgery with extreme caution because the lesion was attached to the surrounding tissue. Read More

    Fully endoscopic combined transsphenoidal and supraorbital keyhole approach for parasellar lesions.
    J Neurosurg 2017 Apr 28:1-10. Epub 2017 Apr 28.
    Department of Neurosurgery, Nagoya University Graduate School of Medicine; and.
    OBJECTIVE Parasellar tumors that extend far laterally beyond the internal carotid artery or that are fibrous and adhere firmly to critical structures are difficult to remove totally via the endoscopic transsphenoidal approach alone. In such cases, a combined transsphenoidal-transcranial approach is effective to achieve maximal resection in a single stage. In this paper, a new minimally invasive surgical technique for complicated parasellar lesions, a fully endoscopic combined transsphenoidal-supraorbital keyhole approach, is presented. Read More

    A hemorrhagic complication after Onyx embolization of a tentorial dural arteriovenous fistula: A caution about subdural extension with pial arterial supply.
    Interv Neuroradiol 2017 Jan 1:1591019917694839. Epub 2017 Jan 1.
    3 Department of Neurosurgery, Tohoku University Graduate School of Medicine, Japan.
    We report a case of tentorial dural arteriovenous fistula (DAVF) with a severe intracranial hemorrhage occurring after Onyx embolization. A 40-year-old man presented with an asymptomatic tentorial DAVF on angiography. Transarterial embolization with Onyx was performed via the middle meningeal artery, and the cast filled the fistula itself and its proximal draining vein. Read More

    Aggressive medical management of acute traumatic subdural hematomas before emergency craniotomy in patients presenting with bilateral unreactive pupils. A cohort study.
    Acta Neurochir (Wien) 2017 Apr 24. Epub 2017 Apr 24.
    Ospedale "M Bufalini", Anestesia e Rianimazione, Area Vasta Romagna, Cesena, Italy.
    Background: The outcome of patients with severe traumatic brain injury (TBI) and acute traumatic subdural hematoma (aSDH) admitted to the emergency room with bilaterally dilated, unreactive pupils (bilateral mydriasis) is notoriously poor.

    Methods: Of 2074 TBI patients consecutively admitted to our facility between 1997 and 2012, 115 had a first CT scan with aSDH, unreactive bilateral mydriasis, and a Glasgow Coma Score of 3 or 4. Sixty-two patients were unoperated and died within hours or a few days. Read More

    Spinal subdural hematoma: a rare case of spinal subdural hematoma complicating routine, minimally invasive lumbar discectomy and decompression and relevant literature review.
    J Spine Surg 2017 Mar;3(1):112-118
    Department of Psychiatry and Radiology, Mayo Clinic, Rochester, MN 55905, USA.
    We present a case of apparently uncomplicated lumbar decompression and discectomy with delayed postoperative neurological deterioration secondary to subdural hematoma at the thoracolumbar level of the spinal cord. Previously described subdural hematomas have occurred spontaneously or related to iatrogenic injury. Hitherto, no case of acute postoperative subdural hematoma has been reported in the postoperative setting in the absence of known iatrogenic dural injury. Read More

    Use of Pneumoperitoneal Puncture for Peritoneal Catheter Placement in Lumboperitoneal Shunt Surgery:Technical Note.
    World Neurosurg 2017 Apr 19. Epub 2017 Apr 19.
    Department of Neurosurgery, Tongde Hospital of Zhejiang Province,HangZhou,China.
    Background: In hydrocephalus shunt surgery, a peritoneal catheter is traditionally inserted with laparotomy incision. The abdominal incision length will not be shorter than 3 cm in most cases. A longer incision has to be made in obese patients. Read More

    10-year results of On-X bileaflet mechanical heart valve in the aortic position: low target INR regimen in Japanese.
    Gen Thorac Cardiovasc Surg 2017 Apr 19. Epub 2017 Apr 19.
    Cardiovascular Surgery, Chikamori Hospital Heart Center, 1-1-16 Ohkawasuji, Kochi, 780-8522, Japan.
    Objectives: This study was designed to establish clinical outcomes after aortic valve replacement (AVR) with On-X bileaflet mechanical heart valve.

    Methods: Between 2006 and 2014, AVR was performed to 686 patients. Of them, 78 patients using On-X valve were enrolled. Read More

    Shunting of the over 80s in normal pressure hydrocephalus.
    Acta Neurochir (Wien) 2017 Jun 18;159(6):987-994. Epub 2017 Apr 18.
    Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
    Background: Idiopathic normal pressure hydrocephalus is predominantly a disease of the elderly. By its nature, many of those who present to clinic are in advanced old age with multiple comorbidities. Majority of patients treated are younger than 80 years old. Read More

    [Hemodialysis Increases the Incidence of Post-Traumatic Seizure in Hemodialysis Patients with Traumatic Intracranial Hemorrhage].
    No Shinkei Geka 2017 Apr;45(4):303-309
    Department of Neurosurgery, Yaizu Municipal Hospital.
    Background: In Japan, the number of hemodialysis patients increases every year, along with the average age of this patient population. Further, certain complications of hemodialysis make the care of traumatic head injury(THI)patients particularly difficult.

    Objective: This study was aimed at investigating the occurrence of and risk factors for post-traumatic seizures in hemodialysis patients with a history of THI, and determining patient outcomes. Read More

    Real-Time Fluoroscopic and C-Arm Computed Tomography Evaluation of Ommaya Reservoir Integrity.
    Cureus 2017 Mar 15;9(3):e1097. Epub 2017 Mar 15.
    Department of Radiology, Stanford University School of Medicine.
    We describe a case of a 24-year-old patient with relapsed acute myelogenous leukemia involving the central nervous system. After placement of an Ommaya reservoir for intrathecal chemotherapy administration, the patient developed progressive headache, nausea, and drowsiness and was found to have an enlarging subdural collection underlying the Ommaya. To exclude leakage of the Ommaya system into the subdural space, real-time fluoroscopic and C-arm computed tomographic evaluation of the Ommaya reservoir was performed after iodinated contrast injection into the reservoir. Read More

    Thromboembolism prevention after chronic subdural hematoma in the elderly: A leap in the dark.
    Neurology 2017 May 14;88(20):1880-1881. Epub 2017 Apr 14.
    From the Division of Vascular Neurology and Neurocritical Care (J.I.S.), Department of Neurology, Baylor College of Medicine, CHI Baylor St Luke's Medical Center, Houston, TX; and Departments of Neurosurgery & Neurology (G.K.), Hofstra Northwell School of Medicine, Manhasset, NY.

    Anticoagulant and antiplatelet use in seniors with chronic subdural hematoma: Systematic review.
    Neurology 2017 May 14;88(20):1889-1893. Epub 2017 Apr 14.
    From the Cumming School of Medicine (S.N.), Departments of Medicine (Z.G., J.H.-L.), Community Health Sciences (N.J., J.H.-L.), and Clinical Neurosciences (N.J., C.G.), Hotchkiss Brain Institute (N.J., C.G., J.H.-L.), and O'Brien Institute for Public Health (N.J., J.H.-L.), University of Calgary, Canada.
    Objective: To address whether to restart older patients on anticoagulants or antiplatelet agents in the setting of a chronic subdural hematoma (cSDH).

    Methods: This is an update of a previous review (searched until July 2012). Medline, EMBASE, ISI Web of Knowledge, Google Scholar, PLOS, and the Cochrane Register for Systematic Reviews databases were searched from January 2012 to December 2016. Read More

    Endovascular management of acute epidural hematomas: clinical experience with 80 cases.
    J Neurosurg 2017 Apr 14:1-7. Epub 2017 Apr 14.
    Neurosurgery, University of São Paulo School of Medicine, São Paulo, Brazil.
    OBJECTIVE Small acute epidural hematomas (EDHs) treated conservatively carry a nonmeasurable risk of late enlargement due to middle meningeal artery (MMA) lesions. Patients with EDHs need to stay hospitalized for several days, with neurological supervision and repeated CT scans. In this study, the authors analyzed the safety and efficacy of the embolization of the involved MMA and associated lesions. Read More

    Intracranial pressure in patients undergoing decompressive craniectomy: new perspective on thresholds.
    J Neurosurg 2017 Apr 14:1-9. Epub 2017 Apr 14.
    Departments of 1 Neurosurgery and.
    OBJECTIVE Decompressive craniectomy (DC) is an established part of treatment in patients suffering from malignant infarction of the middle cerebral artery (MCA) or traumatic brain injury (TBI). However, no clear evidence for intracranial pressure (ICP)-guided therapy after DC exists. The lack of this evidence might be due to the frequently used, but simplified threshold for ICP of 20 mm Hg, which determines further therapy. Read More

    Imipramine versus placebo for multiple functional somatic syndromes (STreSS-3): a double-blind, randomised study.
    Lancet Psychiatry 2017 May 10;4(5):378-388. Epub 2017 Apr 10.
    The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade, Aarhus, Denmark.
    Background: Functional somatic syndromes, including chronic fatigue syndrome or irritable bowel syndrome, often co-exist. Treatment guidelines supported by high quality evidence exist for most functional somatic syndromes, but are lacking for multiple comorbid functional somatic syndromes. We aimed to assess the effect of the tricyclic antidepressant, imipramine, in patients with multiple functional somatic syndromes defined by the criteria for multiorgan bodily distress syndrome, a unifying diagnosis that encompasses most functional somatic syndromes and somatoform disorders. Read More

    Complications After Surgery for Mesial Temporal Lobe Epilepsy Associated with Hippocampal Sclerosis.
    World Neurosurg 2017 Apr 5. Epub 2017 Apr 5.
    Department of Neurosurgery, La Pitié-Salpêtrière University Hospital, Paris, France.
    Background: Hippocampal sclerosis is the most common cause of drug-resistant epilepsy amenable for surgical treatment and seizure control. This study aimed to analyze morbidities related to surgery of mesial temporal lobe epilepsy associated with hippocampal sclerosis and to identify possible risk factors for complications.

    Methods: A retrospective analysis of postoperative complications was made for 389 operations performed between 1990 and 2015 on patients aged 15-67 years (mean 36. Read More

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