A modified transcondylar screw to accommodate anatomical skull base variations.
CONCLUSION: The modified mTCS technique allows for direct visualization and, therefore, helps to avoid damage to the hypoglossal nerve and lateral aspect of brain stem. PMID: 28695045 [PubMed - in process]
PMID: 32842013 [PubMed - as supplied by publisher]
In conclusion, we have found this to be an excellent closure technique and wanted to present our initial results for consideration by other skull base surgeons. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
Conclusion: The fronto-orbital approach through eyelid incision remains a reliable approach to the skull base. It provides natural anatomical dissection planes through the eyelid incision and a fronto-orbital craniotomy, creating a wide surgical corridor to manage specific lesions with consistent surgical and cosmetic outcome. PMID: 32754358 [PubMed]
We read with great interest the research work published in Journal of the Neurological Sciences by C. Moln ár et al. where the authors concluded that a single preoperative diclofenac administration reduces postcraniotomy headache as well as postoperative analgesic requirements. The benefit of the same persisted for all five post-operative days in their study. The authors evaluated postoperative pain in 54 craniotomy patients using a 10-cm-long visual analogue scores (VAS) preoperatively, on evenin of surgery, on first and fifth postoperative morning.
Condition: Pain, Postoperative Interventions: Drug: Dexamethasone plus ropivacaine; Drug: Dexamethasone lipid microsphere plus ropivacaine; Drug: Ropivacaine Sponsors: Beijing Tiantan Hospital; Beijing Sanbo Brain Hospital; Xuanwu Hospital, Beijing Not yet recruiting
Authors: Qu L, Liu B, Zhang H, Sankey EW, Chai W, Wang B, Li Z, Niu J, Zhao B, Jiang X, Ye L, Zhao L, Zhang Y, Zheng T, Xue Y, Chen L, Chen L, Han H, Liu W, Li R, Gao G, Wang X, Wang Y, He S Abstract Objective: To prospectively evaluate the efficacy of a neurosurgical enhanced recovery after surgery (ERAS) protocol on the management of postoperative pain after elective craniotomies. Methods: This randomized controlled trial was conducted in the neurosurgical center of Tangdu Hospital (Fourth Military Medical University, Xi'an, China). A total of 129 patients undergoing craniotomies between October 2016 and July 201...
Abstract Intracranial Rosai-Dorfman disease is quite rare. Here, we report a 67-year-old man with a 90 day history of pain and numbness in his right limbs. The patient was suspected of suffering from melanoma. Then he received craniotomy and was finally diagnosed with intracranial Rosai-Dorfman disease. MEDLINE was used to search the related literature; and the diagnosis, mechanism, treatment and prognosis of this rare tumor are discussed. PMID: 32661485 [PubMed]
Conclusion: To our knowledge, only 6 cases of cranial CCC have been reported, and only 2 reported mixed cranial/spinal involvement. We report a rare case of CCC metastasis to the spine and cranium that was treated with surgery, chemotherapy, and radiotherapy. CCC should be considered an exceedingly rare etiology with treatment options aimed solely at palliation. This case supplements the existing literature to inform medical and surgical decision-making. PMID: 32612476 [PubMed]
This study is designed to explore the effect and feasibility of SNB with ropivacaine for postoperative analgesia in pediatric patients undergoing craniotomy. Further aims are to compare the effects of preoperative and postoperative SNB on postoperative analgesia in order to identify whether there is a preemptive analgesic effect and determine the better time to implement SNB in pediatric patients during craniotomy.Trial registrationChinese Clinical Trial RegistryChiCTR1800017386. Registered on 27 July 2018.
Conclusions: Concomitant use of bilateral SPG block with general anesthesia is an effective and safe alternative technique to scalp blockade for obtundation of hemodynamic responses due to noxious stimulus during craniotomy surgeries.