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Procedure: Craniotomy

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Total 402 results found since Jan 2013.

Orbital Cerebrospinal Fluid Accumulation After Complicated Pterional–Orbitozygomatic Craniotomy
We describe 2 patients who developed postoperative orbital cerebrospinal fluid (CSF) collection after orbitozygomatic pterional craniotomy. An 18-year-old woman underwent exploratory pterional–orbitozygomatic craniotomy. Five days postoperatively, after removal of a lumbar drain, proptosis and a compressive optic neuropathy developed. Computed tomography demonstrated a CSF collection contiguous with the craniotomy site. Resolution followed percutaneous aspiration and replacement of the lumbar drain. A 57-year-old woman underwent a pterional–orbitozygomatic craniotomy for removal of a left anterior clinoid meningioma, c...
Source: Journal of Neuro-Ophthalmology - December 1, 2014 Category: Opthalmology Tags: Original Contribution Source Type: research

Spontaneous Cerebellar Hemorrhage in a Patient Taking Apixaban
Conclusions Recent FDA approval of several novel oral anticoagulants for use in patients with atrial fibrillation has resulted in a significant number of patients formerly treated with warfarin being switched to these newer agents. There remains a lack of clear guidelines for the management of hemorrhagic complications. This case report describes one management strategy and highlights the paucity of current evidence to support critical clinical decisions.
Source: Interdisciplinary Neurosurgery - December 24, 2014 Category: Neurosurgery Source Type: research

Hybrid surgery for dural arteriovenous fistula in the neurosurgical hybrid operating suite
This report illustrates the usefulness of the neurosurgical hybrid operating suite for the treatment of difficult dural AVFs.
Source: Journal of NeuroInterventional Surgery - January 13, 2015 Category: Neurosurgery Authors: Shen, S.-C., Tsuei, Y.-S., Chen, W.-H., Shen, C.-C. Tags: Hemorrhagic stroke Electronic pages Source Type: research

Emergent intracranial surgical embolectomy in conjunction with carotid endarterectomy for acute internal carotid artery terminus embolic occlusion and tandem occlusion of the cervical carotid artery due to plaque rupture.
Abstract Acute internal carotid artery (ICA) terminus occlusion is associated with extremely poor functional outcomes or mortality, especially when it is caused by plaque rupture of the cervical ICA with engrafted thrombus that elongates and extends into the ICA terminus. The goal of this study was to evaluate the efficacy and safety of surgical embolectomy in conjunction with carotid endarterectomy (CEA) for acute ICA terminus occlusion associated with cervical plaque rupture resulting in tandem occlusion. A retrospective review of medical records was performed. Clinical and radiographic characteristics were eval...
Source: Journal of Neurosurgery - January 9, 2015 Category: Neurosurgery Authors: Hasegawa H, Inoue T, Tamura A, Saito I Tags: J Neurosurg Source Type: research

O-017 a retrospective case review using the apollo™ system for endoscopic assisted, neuro-navigation guided evacuation of intracerebral hemorrhage
ConclusionPreliminary experience using the Apollo™ System in the evacuation of ICH shows promising results in rapidly reducing overall clot volume with a favorable safety profile and ICU stay compared with historical controls. Further study is required to determine the association between the reduction in clot volume and outcome measures such as length of hospital stay and clinical recovery.Abstract O-017 Figure 1DisclosuresR. Ryan: 2; C; Penumbra, Inc.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Ryan, R. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

Surgical Position, Cause of Extracranial Internal Carotid Artery Dissection, Presenting as Pourfour Du Petit Syndrome: Case Report and Literature Review.
We report a craniotomy with 30 degrees rotation of the neck (standard position) in a patient with no major risk factors for carotid dissection, who showed a Pourfour du Petit syndrome due to a dissection of the internal carotid artery. To the best of our knowledge, this is the first reported case in which a common surgical position causes an internal carotid artery dissection in a patient without relevant risk factors. The presentation with Pourfour du Petit syndrome is extremely unusual. PMID: 26242349 [PubMed - in process]
Source: Turkish Neurosurgery - August 7, 2015 Category: Neurosurgery Authors: Martinez GV, Gomez IN, Perez LS, Ortiz SG, Fernandez-Candil JL, Steinhauer EG Tags: Turk Neurosurg Source Type: research

Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery
A 30-year-old man presented with headache, left hemiparesis, and uncal herniation. Magnetic resonance imaging showed acute infarction in the right middle cerebral artery (MCA). Lifesaving craniotomy proceeded because of the uncal herniation. Assessment of brain tissue led to a diagnosis of MCA dissection. His skin biopsy showed ultrastructural abnormalities of dermal connective tissue. This is the unique case that dissection was diagnosed from both a biopsy specimen of the MCA and the dermal connective tissue.
Source: Journal of Stroke and Cerebrovascular Diseases - August 13, 2015 Category: Neurology Authors: Kenichi Sakuta, Renpei Sengoku, Hidetaka Mitsumura, Yu Kono, Issei Kan, Shogo Kaku, Yasuyuki Iguchi Tags: Case Report Source Type: research

Intraoperative angiography does not lead to increased rates of surgical site infections
Conclusions IOA does not increase the risk of developing a surgical site infection. It can be conducted without exposing patients to an undue risk of infection.
Source: Journal of NeuroInterventional Surgery - September 13, 2015 Category: Neurosurgery Authors: Stetler, W. R., Wilson, T. J., Al-Holou, W. N., Khan, A., Thompson, B. G., Pandey, A. S. Tags: Neuroimaging Source Type: research

Middle latency auditory-evoked potential index monitoring of cerebral function to predict functional outcome after emergency craniotomy in patients with brain damage
Background: At present, no satisfactory reports on the monitoring of cerebral function to predict functional outcomes after brain damage such as traumatic brain injury (TBI) and stroke. The middle latency auditory-evoked potential index (MLAEPi) monitor (aepEX plus®, Audiomex, UK) is a mobile MLAEP monitor measuring the degree of consciousness that is represented by numerical values. Hence, we hypothesized that MLAEPi predicts neurological outcome after emergency craniotomy among patients with disturbance of consciousness (DOC), which was caused by brain damage. Methods: The afore-mentioned patients who underwent emergenc...
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - October 20, 2015 Category: Emergency Medicine Authors: Junya TsurukiriKatsuhiro NagataAkira HoshiaiTaishi OomuraHiroyuki JimboYukio Ikeda Source Type: research

Transorbital neuroendoscopic surgery for the treatment of skull base lesions
In this study, we aimed to retrospectively review the largest experience to our knowledge with regards to surgical outcomes of skull base pathologies treated with a TONES procedure. Forty patients (aged 3–89years) underwent 45 TONES procedures between the years of 2006–2013. Pathologies were cerebrospinal fluid leak repair (n=16), traumatic fracture (n=8), tumor (n=11), meningoencephalocele (n=5), hematoma (n=1), and infection (n=4). Three patients had a persistent complication at 3months, including a case each of enophthalmos (unnoticed by patient), epiphora (delayed presentation at 2months requiring dacryocystorhinos...
Source: Journal of Clinical Neuroscience - November 10, 2015 Category: Neuroscience Source Type: research

Intracerebral hemorrhage with a favorable outcome in a patient with childhood primary angiitis of the central nervous system
We present the case of a boy with cPACNS that previously suffered an ischemic stroke. At the age of 7 years and 10 months, he presented a sudden and severe headache, vomiting and reduction in consciousness level (Glasgow coma scale 7), requiring prompt tracheal intubation. Brain computed tomography demonstrated intraparenchymal hematoma in the right parieto-occipital lobe and a small focus of bleeding in the right frontal lobe, vasogenic edema, herniation of the uncus and a 10mm deviation to the left from the midline. C-reactive protein (9.2mg/dL) and von Willebrand factor (vWF) antigen (202%) were elevated. Decompressive ...
Source: Revista Brasileira de Reumatologia - December 1, 2015 Category: Rheumatology Source Type: research

Increased Resting Energy Expenditure after Endovascular Coiling for Subarachnoid Hemorrhage
Appropriate nutritional care from the acute stage is essential for improved functional outcomes and reduced mortality in patients with subarachnoid hemorrhage (SAH). Although endovascular coiling is increasingly being used as an alternative to neurosurgical clipping and craniotomy for ruptured aneurysms, the resting energy expenditure (REE) of patients treated with this new technique has not been systemically evaluated.
Source: Journal of Stroke and Cerebrovascular Diseases - January 18, 2016 Category: Neurology Authors: Ayano Nagano, Yoshitaka Yamada, Hiroji Miyake, Kazuhisa Domen, Tetsuo Koyama Source Type: research

Changes in Binding of 123 ICLINDE, a High-Affinity Translocator Protein 18 kDa (TSPO) Selective Radioligand in a Rat Model of Traumatic Brain Injury
This study demonstrates the applicability of [123I]CLINDE for detailed regional and quantitative assessment of glial activity in experimental models of TBI.
Source: NeuroMolecular Medicine - March 11, 2016 Category: Neurology Source Type: research

Cortical spreading depression occurs during elective neurosurgical procedures.
CONCLUSIONS CSD can occur during elective neurosurgical procedures even in brain regions distant from the immediate operative site. ECoG monitoring with a DC-coupled full-spectrum amplifier seemed to provide the most stable signal despite significant challenges to the operating room environment. CSD may be responsible for some cases of secondary surgical injury. Though further studies on outcome related to the occurrence of these events is needed, efforts to decrease the occurrence of CSD by modification of anesthetic regimen may represent a novel target for study to increase the safety of neurosurgical procedures. PM...
Source: Journal of Neurosurgery - March 11, 2016 Category: Neurosurgery Authors: Carlson AP, William Shuttleworth C, Mead B, Burlbaw B, Krasberg M, Yonas H Tags: J Neurosurg Source Type: research

Intraoperative seizures during craniotomy under general anesthesia
An acute symptomatic seizure is a clinical seizure occurring at the time of a systemic insult or in close temporal association with a documented brain insult [1]. Seizures have been reported to occur at the time of focal brain insults including head trauma, ischemic stroke, and intracranial hemorrhage [2] but have not previously been reported as an intraoperative consequence of a neurosurgical procedure. Propofol is commonly used as an anesthetic agent [3] and a treatment for status epilepticus [4], but it has been reported to be a proconvulsant in some cases [5].
Source: Seizure: European Journal of Epilepsy - March 31, 2016 Category: Neurology Authors: John Howe, Xiaoying Lu, Zoe Thompson, Gordon W. Peterson, Travis E. Losey Tags: Short communication Source Type: research