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.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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This article discusses the etiology and management of post-craniotomy headache and pain. A review of available as well as investigatory treatment modalities is offered, followed by suggestions for optimal management of post-craniotomy headache.Recent FindingsThere is a dearth of evidence-based practice regarding the differential diagnosis, natural history, and management of post-craniotomy headache. The etiology of post-craniotomy headache is typically multifactorial, with patients ’ medical history, type of craniotomy, and perioperative management all playing a role. Post-craniotomy headaches are often undertreated,...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
Condition:   Intracranial Glioma Interventions:   Procedure: Awake Anesthesia Protocol;   Procedure: Non-awake Anesthesia Protocol Sponsor:   Mayo Clinic Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Intracranial Glioma Interventions:   Procedure: Awake Anesthesia Protocol;   Procedure: Non-awake Anesthesia Protocol Sponsor:   Mayo Clinic Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Intracranial Glioma Interventions:   Procedure: Awake Anesthesia Protocol;   Procedure: Non-awake Anesthesia Protocol Sponsor:   Mayo Clinic Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Intracranial Glioma Interventions:   Procedure: Awake Anesthesia Protocol;   Procedure: Non-awake Anesthesia Protocol Sponsor:   Mayo Clinic Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In this study, we aimed to evaluate the efficacy and safety of sufentanil versus remifentanil both in combination with propofol as maintenance therapy for anesthesia in patients undergoing craniotomy.
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Original article Source Type: research
CONCLUSIONS: In this case series, Xenon anesthesia was successfully used for the sedative phase of an awake craniotomy accomplished with an AAA approach. PMID: 30035455 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
AbstractPurpose of ReviewThe purpose of this article is to review the current evidence on perioperative management for awake craniotomy (AC).Recent FindingsWith the advancement of diagnostic modalities, newer intraoperative monitoring technologies, and safer and shorter-acting anesthetic agents, the indications of AC are expanding beyond epilepsy surgery. Anesthesia techniques including asleep-awake-asleep and monitored anesthesia care are generally safe and without any serious side effects when performed by experienced providers; however, data regarding awake-awake-awake technique is limited. Currently, an α-2 agoni...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
AbstractPurpose of reviewManagement of patients with subdural hematomas starts with Emergency Neurological Life Support guidelines. Patients with acute or chronic subdural hematomas (SDHs) associated with rapidly deteriorating neurologic exam, unilaterally or bilaterally dilated nonreactive pupils, and extensor posturing are considered imminently surgical; likewise, SDHs more than 10  mm in size or those associated with more than 5-mm midline shift are deemed operative.Recent findingsWhile twist drill craniostomy and placement of subdural evacuating vport system (SEPS) are quick, bedside procedures completed under loc...
Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research
CONCLUSIONS: The change in firing rate may point to an overall inhibitory influence of bladder stimulation on vlPAG neurons. These data suggest an inhibitory relay station at the vlPAG, before sensory bladder signals would affect pontine micturition center. The lack of the inhibitory effect on PSTH may be due to a longer interval between neuronal response and the stimulation. PMID: 30016723 [PubMed - as supplied by publisher]
Source: Brain Research Bulletin - Category: Neurology Authors: Tags: Brain Res Bull Source Type: research
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