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Indolent nonendemic central nervous system histoplasmosis presenting as an isolated intramedullary enhancing spinal cord lesion
CONCLUSION: Disseminated histoplasmosis should be considered in granulomatous disease, even if the patient resides in a nonendemic region. Furthermore, clinicians should be mindful that CNS histoplasmosis may present in an atypical fashion.PMID:34513158 | PMC:PMC8422457 | DOI:10.25259/SNI_345_2021
Source: Surgical Neurology International - September 13, 2021 Category: Neurosurgery Authors: Matthew J Recker Steven B Housley Lindsay J Lipinski Source Type: research

Treatment strategies for giant pituitary adenomas in the era of endoscopic transsphenoidal surgery: a multicenter series
CONCLUSIONS: ETS as a primary treatment modality to relieve mass effect in GPAs and extent of resection are dependent on GPA morphology. The pattern of residual pituitary adenoma guides further treatment strategies, including early transcranial reoperation, delayed endoscopic transsphenoidal/transcranial reoperation, and adjuvant radiosurgery.PMID:34388714 | DOI:10.3171/2021.1.JNS203982
Source: Journal of Neurosurgery - August 13, 2021 Category: Neurosurgery Authors: Alexander Micko Matthew S Agam Andrew Brunswick Ben A Strickland Martin J Rutkowski John D Carmichael Mark S Shiroishi Gabriel Zada Engelbert Knosp Stefan Wolfsberger Source Type: research

Fatal Cerebral Vasospasm following a < b > < i > Haemophilus influenzae < /i > < /b > Meningitis in a Young Child with Ventriculoperitoneal Shunt
Conclusions: We aim to alert for the possible critical condition caused byH. influenzae. It is essential to treat the underlying illness, despite the presence of a VPS. Surgical implant tends to be overlooked by other subspecialists. Being vaccinated toH. influenzae does not protect from different subtypes like non-typeableH. influenzae. The cause of vasospasm remains unclear.Pediatr Neurosurg
Source: Pediatric Neurosurgery - January 28, 2021 Category: Neurosurgery Source Type: research

Predictors of deep-vein thrombosis in subarachnoid hemorrhage: a retrospective analysis
ConclusionElevated d-dimer level at the time of hospitalization, motor deficit, and the presence of an intraparenchymal hemorrhage are independent risk factors for deep-vein thrombosis. Patients with DVT also had a significantly longer hospital stay. Even though further studies are needed, patients with elevated d-dimer at hospitalization and intraparenchymal cerebral hemorrhage may benefit from a more aggressive screening strategy for deep-vein thrombosis.
Source: Acta Neurochirurgica - August 13, 2020 Category: Neurosurgery Source Type: research

Lumbar drain trial outcomes of normal pressure hydrocephalus: a single-center experience of 254 patients.
CONCLUSIONSThe LD trial is generally safe and well tolerated. The best predictors of passing the LD trial include a negative history of stroke and having disproportionate subarachnoid spaces. PMID: 30611143 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 4, 2019 Category: Neurosurgery Authors: El Ahmadieh TY, Wu EM, Kafka B, Caruso JP, Neeley OJ, Plitt A, Aoun SG, Olson DM, Ruchinskas RA, Cullum CM, Barnett S, Welch BG, Batjer HH, White JA Tags: J Neurosurg Source Type: research

Intracranial complications of acute bacterial endocarditis.
Conclusion: Here, we reviewed the literature for intracranial pathology accompanying ABE versus SBE. ABE typically results in acute ischemia, septic emboli, stroke/hemorrhagic infarcts, or ICH. SBE more classically produces septic microemboli and mycotic aneurysms that may leak, but rarely producing ICH. We also presented a patient with ABE attributed to S. aureus whose septic emboli/stroke was accompanied by a mycotic aneurysm; the ruptured resulting in a large right occipital ICH. PMID: 29930873 [PubMed]
Source: Surgical Neurology International - June 24, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Nosocomial Infections in the Neurointensive Care Unit
This article reviews the concept of brain injury –induced immune modulation, and summarizes available data and knowledge on nosocomial meningitis and ventriculitis, and systemic infectious complications in patients with traumatic brain injury, ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, and status epilepticus.
Source: Neurosurgery Clinics of North America - April 1, 2018 Category: Neurosurgery Authors: Katharina Maria Busl Source Type: research

Feasibility of endoscopic endonasal approach for clip application of cerebral aneurysms: a systematic review.
CONCLUSIONS: Despite a moderate increase in utilization, caution should be exercised when choosing an endonasal strategy for treatment of aneurysmal pathology over more traditional and established methods such as microsurgical clip application and endovascular methods. Anecdotal evidence suggests that inferior and/or medial projecting aneurysms involving the paraclinoid ICA not amenable to traditional open/endovascular strategies may be reasonable to consider for EEA clip application. Wide-necked, midline, ventrolaterally-projecting aneurysms involving the vertebrobasilar system may represent an additional exception, as lo...
Source: Journal of Neurosurgical Sciences - March 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

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