Flexible endoscopically assisted evacuation of acute and subacute subdural hematoma through a small craniotomy: preliminary results
ConclusionsThe results reported here suggest that small craniotomy evacuation with a flexible endoscope is a safe, effective, and minimally invasive treatment for acute and subacute SDH in selected cases.
Tumul Chowdhury, Gyaninder P. Singh, Frederick A. Zeiler, Abseret Hailu, Hal Loewen, Bernhard Schaller, Ronald B. Cappellani, Michael West
Conclusions The validation of prediction scores is the first step toward on-demand intensive care unit admission. Further research is needed to improve the score ’s performance before routine use.
Publication date: Available online 7 November 2018Source: Journal of Clinical NeuroscienceAuthor(s): Farshad Nassiri, Lawrence Li, Jetan H. Badhiwala, Tze Yeng Yeoh, Laureen D. Hachem, Rebecca Moga, Justin Z. Wang, Pirjo Manninen, Mark Bernstein, Lashmi VenkatraghavanAbstractBackgroundWith increasing fiscal restraints on health care systems, procedural cost-effectiveness has become an important metric for evaluating surgical procedures. While outpatient craniotomy has been shown to be safe and effective, the economic implications of this procedure has yet to be examined. Here, we present the first cost analysis comparing i...
Kotoe Kamata, Makoto OzakiIndian Journal of Anaesthesia 2018 62(10):832-833
ConclusionsDexmedetomidine-based anesthesia and scalp block facilitated AC surgery without any requirement for urgent airway intervention or unplanned conversion to a full general anesthetic. This approach can enable physiologic testing before and during tumour resection facilitating real-time surgical decision-making based on intraoperative brain mapping with patients awake thereby minimizing the risk of neurologic deficit and increasing the opportunity for optimal surgical resection.
CONCLUSIONS: Most investigators agree that the ACWM is the best currently available approach to optimize oncofunctional balance in this difficult-to-treat patient population. This qualitative review synthesizes the most currently available data on the topic to provide contemporaneous insight into how and why the ACWM has become the favorite operation of neurosurgeons worldwide for the resection of gliomas from eloquent brain. PMID: 30259721 [PubMed - as supplied by publisher]
CONCLUSION: We demonstrate a proof-of-concept comparison of DPOAEs and teeth acceleration levels elicited by a bone vibrator placed either against the skin-covered temporal bone, as in audiometry, or directly against the dura mater in patients undergoing a craniotomy. It was demonstrated that DPOAEs could be elicited via non-osseous pathways within the skull contents and that the required measurements could be performed intra-operatively. PMID: 30292958 [PubMed - as supplied by publisher]
Conclusion: Thus, the proposed method allows eliminating the complications associated with sedation and provides radical resection of pathological epileptogenic foci with low complication rate. PMID: 30221022 [PubMed]
Conclusion: The balanced crystalloid maintains metabolic status more favorably than normal saline in neurosurgical patients. Hyperchloremic metabolic acidosis, and the other problems which occur as a consequence of normal saline infusion may be circumvented by choosing a balanced crystalloid electrolyte solution. Neither of the crystalloids appeared to have any adverse effect on brain relaxation.
Patients undergoing craniotomy operations are prone to various noxious stimuli, many strategies are commenced to provide state of analgesia, for better control of the stress response and to overcome its undesi...