Early prediction of ventricular peritoneal shunt dependency in aneurysmal subarachnoid haemorrhage patients by recurrent neural network-based machine learning using routine intensive care unit data
AbstractAneurysmal subarachnoid haemorrhage (aSAH) can lead to complications such as acute hydrocephalic congestion. Treatment of this acute condition often includes establishing an external ventricular drainage (EVD). However, chronic hydrocephalus develops in some patients, who then require placement of a permanent ventriculoperitoneal (VP) shunt. The aim of this study was to employ recurrent neural network (RNN)-based machine learning techniques to identify patients who require VP shunt placement at an early stage. This retrospective single-centre study included all patients who were diagnosed with aSAH and treated in t...
Source: Journal of Clinical Monitoring and Computing - March 21, 2024 Category: Information Technology Source Type: research

Efficacy and safety of shunt surgery in patients with idiopathic normal pressure hydrocephalus: Can we predict shunt response by preoperative MRI?
To identify preoperative MRI findings that can predict the shunt responsiveness in idiopathic normal pressure hydrocephalus (iNPH) patients and to investigate postoperative outcome and complications. (Source: Clinical Radiology)
Source: Clinical Radiology - March 21, 2024 Category: Radiology Authors: Su Young Yun, Chong Hyun Suh, Joon ho Byun, Sung yang Jo, Sun Ju Chung, Jae-Sung Lim, Jae-Hong Lee, Min Ju Kim, Ho Sung Kim, Sang Joon Kim Source Type: research

Efficacy and safety of shunt surgery in patients with idiopathic normal-pressure hydrocephalus: can we predict shunt response by preoperative magnetic resonance imaging (MRI)?
The aim of this study was to identify preoperative magnetic resonance imaging (MRI) findings that can predict the shunt responsiveness in idiopathic normal-pressure hydrocephalus (iNPH) patients and to investigate postoperative outcome and complications. (Source: Clinical Radiology)
Source: Clinical Radiology - March 21, 2024 Category: Radiology Authors: S.Y. Yun, C.H. Suh, J.H. Byun, S.Y. Jo, S.J. Chung, J-S. Lim, J-H. Lee, M.J. Kim, H.S. Kim, S.J. Kim Source Type: research

Occupational performance one to five years after aneurysmal subarachnoid haemorrhage: a cohort study
CONCLUSION: Even patients who have had aneurysmal subarachnoid haemorrhage with a favourable outcome may encounter occupational performance difficulties for several years. It is vital to use patient-reported outcome measures to identify these issues. This research enhances our comprehension of aneurysmal subarachnoid haemorrhage patients' self-perceived occupational performance and the factors that affect their performance.PMID:38506427 | DOI:10.2340/jrm.v56.24187 (Source: Journal of Rehabilitation Medicine)
Source: Journal of Rehabilitation Medicine - March 20, 2024 Category: Rehabilitation Authors: Marcus Kessner Jan Mehrholz Svein Harald M ørkve Tina Taule Source Type: research

Cancers, Vol. 16, Pages 1223: Proteomic Profiling of Cerebrospinal Fluid and Its Extracellular Vesicles from Extraventricular Drainage in Pediatric Pilocytic Astrocytoma, towards Precision Oncology
Maurizio Bruschi Pediatric pilocytic astrocytoma (PA) is the most common brain tumor in children. Complete resection provides a favorable prognosis, except for unresectable PA forms. There is an incomplete understanding of the molecular and cellular pathogenesis of PA. Potential biomarkers for PA patients, especially the non-BRAF-mutated ones are needed. Cerebrospinal fluid (CSF) is a valuable source of brain tumor biomarkers. Extracellular vesicles (EVs), circulating in CSF, express valuable disease targets. These can be isolated from CSF from waste extraventricular drainage (EVD). We analyzed the proteome of EVD C...
Source: Cancers - March 20, 2024 Category: Cancer & Oncology Authors: Sonia Spinelli Xhuliana Kajana Andrea Garbarino Martina Bartolucci Andrea Petretto Marco Pavanello Enrico Verrina Giovanni Candiano Isabella Panfoli Maurizio Bruschi Tags: Article Source Type: research

Ultrasound-guided initial diagnosis and follow-up of pediatric idiopathic intracranial hypertension
ConclusionsThe combined use of US optic nerve sheath and third ventricle diameter is an ideal non-invasive screening tool in pediatric idiopathic intracranial hypertension to indicate elevated intracranial pressure while ruling out hydrocephalus. Treatment can effectively be monitored by repeated US, which also reliably indicates relapse. (Source: Pediatric Radiology)
Source: Pediatric Radiology - March 20, 2024 Category: Radiology Source Type: research

Basilar artery perforator aneurysms: a comparison with non-perforator saccular aneurysms
ConclusionsDespite their small size, BAPAs present with similar volume SAH, WFNS grade and hydrocephalus to other aneurysms. They are difficult to identify on CTA but enhance strikingly on VWI. The majority thrombosed. Initial conservative management reserving treatment for growth was associated with no rebleeds or complications. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 19, 2024 Category: Neurosurgery Source Type: research

Intraventricular Hemorrhage and Related Hydrocephalus Patients Demographics in a University Hospital NICU: Single-Center Data
CONCLUSION: The permanent CSF diversion rate was significantly higher in the high-grade hemorrhage group, which had significantly lower weight and gestational age at birth. Moreover, only weight at VAD insertion had minimal effect on the need for permanent CSF diversion.PMID:38497181 | DOI:10.5137/1019-5149.JTN.43279-22.1 (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - March 18, 2024 Category: Neurosurgery Authors: Gulden Demirci Otluoglu Semra Isik Berkay Paker Orkun Koban Teyyub Hasanov Akin Akakin Zafer Orkun Toktas Baran Yilmaz Ali Haydar Turhan Source Type: research

Intraventricular Hemorrhage and Related Hydrocephalus Patients Demographics in a University Hospital NICU: Single-Center Data
CONCLUSION: The permanent CSF diversion rate was significantly higher in the high-grade hemorrhage group, which had significantly lower weight and gestational age at birth. Moreover, only weight at VAD insertion had minimal effect on the need for permanent CSF diversion.PMID:38497181 | DOI:10.5137/1019-5149.JTN.43279-22.1 (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - March 18, 2024 Category: Neurosurgery Authors: Gulden Demirci Otluoglu Semra Isik Berkay Paker Orkun Koban Teyyub Hasanov Akin Akakin Zafer Orkun Toktas Baran Yilmaz Ali Haydar Turhan Source Type: research

Intraventricular Hemorrhage and Related Hydrocephalus Patients Demographics in a University Hospital NICU: Single-Center Data
CONCLUSION: The permanent CSF diversion rate was significantly higher in the high-grade hemorrhage group, which had significantly lower weight and gestational age at birth. Moreover, only weight at VAD insertion had minimal effect on the need for permanent CSF diversion.PMID:38497181 | DOI:10.5137/1019-5149.JTN.43279-22.1 (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - March 18, 2024 Category: Neurosurgery Authors: Gulden Demirci Otluoglu Semra Isik Berkay Paker Orkun Koban Teyyub Hasanov Akin Akakin Zafer Orkun Toktas Baran Yilmaz Ali Haydar Turhan Source Type: research