Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications

ConclusionA safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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Conclusions: Preoperative analysis of retinal atrophy with optic coherence tomography allows a reliable assessment of the patient's visual outcome in CPs involving the optic chiasm. PMID: 30775061 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
CONCLUSIONS. The current study demonstrates a robust anxiolytic response to cingulum bundle stimulation in 3 patients with epilepsy. TRIAL REGISTRATION. The current study was not affiliated with any formal clinical trial. FUNDING. This project was supported by the American Foundation for Suicide Prevention and the NIH.
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
Publication date: Available online 27 November 2018Source: The American Journal of SurgeryAuthor(s): David J. Skarupa, Muhammad Khan, Albert Hsu, Firas G. Madbak, David J. Ebler, Brian Yorkgitis, Gazanfar Rahmathulla, Dunbar Alcindor, Bellal JosephAbstractIntroductionThe aim of our study is to analyze the 5 years' trends, mortality rate, and factors that influence mortality after civilian pTBI.MethodsWe performed a 5-year-analysis of all trauma patients diagnosed with penetrating TBI in the TQIP. Our outcome measures were trends of penetrating TBI.ResultsA total of 26,871 had penetrating brain injury over the 5-year period...
Source: The American Journal of Surgery - Category: Surgery 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
CONCLUSION: Patient controlled analgesia with 0,5 mg morphine may be safe and effective for pain management following supratentorial craniotomies. Integrated pulmonary index can be used for detecting opioid-induced respiratory depression. PMID: 30010438 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - Category: Research Tags: Curr Med Res Opin 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
We report a case of a 56-year-old woman with no past history or family history of psychiatric illness who developed acute-onset right-sided weakness, depressive symptoms, and other neuropsychiatric deficits. A diagnosis of organic mood disorder caused by an arachnoid cyst was made. Her symptoms and neuropsychiatric deficits remitted after cyst marsupialisation by open craniotomy. Therefore, it is important to investigate the organic aetiology in elderly patients who present with simultaneous mood disorder and cognitive dysfunction. PMID: 29921743 [PubMed - in process]
Source: East Asian Archives of Psychiatry - Category: Psychiatry Tags: East Asian Arch Psychiatry Source Type: research
Bone wax is a commonly used hemostatic agent with minimal complications. Some of the known complications include inflammation, granuloma formation, infection, and impaired osteogenesis. Several clinical reports of bone wax migration have also been reported. In this paper, the authors present a rare patient of bone wax migration intracranially in a 6-year-old patient who initially underwent craniotomy for the evacuation of subdural hematoma and repair of depressed skull fracture. The patient then underwent craniotomy scalp scar revision several months later. Postoperatively he developed short-term memory loss, apraxia, and ...
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Clinical Studies Source Type: research
CONCLUSIONS Ketamine effectively inhibits SD over a wide range of doses commonly used for sedation, even in nonintubated patients. These data also provide the first prospective evidence that the occurrence of SD can be influenced by clinical intervention and does not simply represent an unavoidable epiphenomenon after injury. These data provide the basis for future studies assessing clinical improvement with SD-directed therapy. Clinical trial registration no.: NCT02501941 (clinicaltrials.gov). PMID: 29799344 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - Category: Neurosurgery Authors: Tags: J Neurosurg Source Type: research
AbstractRecurrent chemical meningitis from cyclic leakage of cyst content from a craniopharyngioma is a rare phenomenon. Here, we report a case of leaking cystic craniopharyngioma presenting with recurrent episodes of sterile meningitis, depression, and paranoia. The diagnosis after an initial craniotomy and exploration was hypophysitis. Signs and symptoms were not alleviated by puncture and biopsy of the tumour but they disappeared after complete resection with a final histological diagnosis of craniopharyngioma.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research
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