Is endoscopic third ventriculostomy safe and efficient in the treatment of obstructive chronic hydrocephalus in adults? A prospective clinical and MRI study

ConclusionETV seems to be a safe and efficient alternative to shunt for chronic hydrocephalus with obstruction; the clinical improvement is usual and ventricular size decreases slightly.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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INTRODUCTION: Fall is common after stroke. The Short-form Physiological Profile Assessment (S-PPA) was developed to assess the fall risks and underlying physiological factors, and it has been used in healthy older adults and older adults with stroke. This ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
Publication date: Available online 24 May 2019Source: The Lancet HaematologyAuthor(s): Margarita Kushnir, Yun Choi, Ruth Eisenberg, Devika Rao, Seda Tolu, Jackson Gao, Wenzhu Mowrey, Henny H BillettSummaryBackgroundBecause studies of direct oral anticoagulants in patients with venous thromboembolism and non-valvular atrial fibrillation have had minimal representation of morbidly obese patients (ie, body-mass index [BMI] ≥40 kg/m2), their efficacy and safety in this population are unclear. We investigated whether apixaban and rivaroxaban are as effective and safe as warfarin in morbidly obese patients.MethodsWe did a sin...
Source: The Lancet Haematology - Category: Hematology Source Type: research
This study aimed to establish the occurrence of stroke and major bleeding events in patients with nonvalvular atrial fibrillation and left atrial appendage closure with long-term follow-up and to explore the factors associated with higher long-term mortality.MethodsAnalysis of a multicenter single cohort prospectively recruited from 2009 to 2015. Thromboembolic and bleeding events were compared with those expected from CHA2DS2-VASc and HAS-BLED scores. Multivariate analysis examined variables associated with mortality during follow-up.ResultsA total of 598 patients (1093 patient-years) with a contraindication for anticoagu...
Source: Revista Espanola de Cardiologia - Category: Cardiology Source Type: research
AbstractThere have been many attempts to develop a better toileting aid for bedridden patients to replace conventional incontinence products such as absorbent products, indwelling urinary catheters, and bedpans, although without much success. Automatic urine and faeces disposal systems that detect, transport, and store urine and faeces temporarily for future disposal have been developed and commercialized in South Korea and Japan, but they have not been well-received by patients and carers owing to their inconvenience. For better excretion care, we developed a toilet integrated medical bed that is easy to use for both pati...
Source: Health and Technology - Category: Information Technology Source Type: research
Publication date: Available online 25 May 2019Source: Actas Urológicas Españolas (English Edition)Author(s): M.A. Jiménez-Cidre, L. López-Fando, A.M. Mora, IFU Group, Group of Investigation of Health Outcomes in Functional and Urodynamic UrologyAbstractObjectiveTo evaluate the clinical and urodynamic differences associated with the presence or absence of detrusor overactivity (DO) in women with overactive bladder (OAB) referred to Functional Urology and Urodynamic Units in Spain.Material and methodsObservational, cross-sectional, multicenter and prospective study conducted in Spain in women with...
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
ConclusionThis surgery achieves high healing rates, with few complications, improvement of subjective symptoms and high level of satisfaction of the patients.ResumenIntroducción y objetivoEl riesgo de intervención por prolapso urogenital en la vida de una mujer es del 11,1%. Las recidivas después de la cirugía clásica alcanzan el 38%. Para tratar de mejorar estos resultados se usan kits de mallas de polipropileno transvaginales. El propósito del estudio es describir los resultados de eficacia y seguridad a largo plazo de la cirugía de prolapsos vaginales con mallas de polipr...
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
Abstract OBJECTIVEA short-term lumbar drain (LD) trial is commonly used to assess the response of normal pressure hydrocephalus (NPH) patients to CSF diversion. However, it remains unknown whether the predictors of passing an LD trial match the predictors of improvement after ventriculoperitoneal shunting. The aim of this study was to examine outcomes, complication rates, and associations between predictors and outcomes after an LD trial in patients with NPH.METHODSThe authors retrospectively reviewed the records of 254 patients with probable NPH who underwent an LD trial between March 2008 and September 2017. Mul...
Source: Journal of Neurosurgery - Category: Neurosurgery Authors: Tags: J Neurosurg Source Type: research
Publication date: April 2016 Source:Seminars in Ultrasound, CT and MRI, Volume 37, Issue 2 Author(s): William G. Bradley Normal pressure hydrocephalus (NPH) is a syndrome found in the elderly, which is characterized by ventriculomegaly and deep white matter ischemia (DWMI) on magnetic resonance imaging (MRI) and the clinical triad of gait disturbance, dementia, and urinary incontinence. NPH has been estimated to account for up to 10% of cases of dementia and is significant because it is treatable by ventriculoperitoneal shunting. Patients with a known cause of chronic communicating hydrocephalus, that is, meningitis or ...
Source: Seminars in Ultrasound, CT and MRI - Category: Radiology Source Type: research
Publication date: Available online 20 January 2016 Source:Seminars in Ultrasound, CT and MRI Author(s): William G. Bradley Normal Pressure Hydrocephalus (NPH) is a syndrome found in the elderly which is characterized by ventriculomegaly and deep white matter ischemia (DWMI) on MRI and the clinical triad of gait disturbance, dementia and urinary incontinence. NPH has been estimated to account for up to 10% of cases of dementia and is significant because it is treatable by ventriculoperitoneal shunting (VPS). Patients with a known cause of chronic communicating hydrocephalus, ie, meningitis or hemorrhage, tend to respond ...
Source: Seminars in Ultrasound, CT and MRI - Category: Radiology Source Type: research
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