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Procedure: Craniotomy

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Total 402 results found since Jan 2013.

Body habitus, serum albumin, and the outcomes after craniotomy for tumor: a National Surgical Quality Improvement Program analysis.
CONCLUSIONS In this National Surgical Quality Improvement Program analysis evaluating patients who underwent craniotomy for tumor, body habitus was not associated with differential mortality or neurological complications. However, obese patients had increased odds of a major perioperative complication, primarily due to higher rates of venous thromboembolic events and surgical site infections. Preoperative hypoalbuminemia was associated with increased odds of mortality and a nonroutine hospital discharge, suggesting that serum albumin may have utility in stratifying risk preoperatively in patients undergoing craniotomy. ...
Source: Journal of Neurosurgery - May 19, 2016 Category: Neurosurgery Authors: Dasenbrock HH, Liu KX, Chavakula V, Devine CA, Gormley WB, Claus EB, Smith TR, Dunn IF Tags: J Neurosurg Source Type: research

Evaluation of laser bacterial anti‐fouling of transparent nanocrystalline yttria‐stabilized‐zirconia cranial implant
ConclusionsOur results show that E. coli biofilm formation across the thickness of the nc‐YSZ implant can be disrupted using NIR laser treatment. The results of this in vitro study suggest that using nc‐YSZ as a cranial implant in vivo may also allow for locally selective, non‐invasive, chronic treatment of bacterial layers (fouling) that might form under cranial implants, without causing adverse thermal damage to the underlying host tissue when appropriate laser parameters are used. Lasers Surg. Med. © 2016 Wiley Periodicals, Inc.
Source: Lasers in Surgery and Medicine - June 30, 2016 Category: Laser Surgery Authors: Yasaman Damestani, Natalie De Howitt, David L. Halaney, Javier E. Garay, Guillermo Aguilar Tags: Basic Science Source Type: research

Challenges managing end‐stage renal disease and kidney transplantation in a child with MTFMT mutation and moyamoya disease
We describe a four‐yr‐old female with features of moyamoya disease referred to our center for kidney transplant evaluation with ESRD secondary to presumed renal dysplasia along with concern for cerebral vascular anomalies. With her constellation of organ involvement, a genetic workup revealed a homozygous, frameshift mutation in the mitochondrial methionyl‐tRNA formyltransferase gene. Given her vascular anomalies and evidence of prior infarcts seen on cerebral imaging, it was felt that her risk of future stroke events was high and that hypotension or intravascular volume depletion would further exacerbate this risk. ...
Source: Pediatric Transplantation - July 7, 2016 Category: Transplant Surgery Authors: Aris Oates, Jessica Brennan, Anne Slavotinek, Adnan Alsadah, Daniel Chow, Marsha M. Lee Tags: Case Report Source Type: research

Evaluation of laser bacterial anti ‐fouling of transparent nanocrystalline yttria‐stabilized‐zirconia cranial implant
ConclusionsOur results show that E. coli biofilm formation across the thickness of the nc‐YSZ implant can be disrupted using NIR laser treatment. The results of this in vitro study suggest that using nc‐YSZ as a cranial implant in vivo may also allow for locally selective, non‐invasive, chronic treatment of bacterial layers (fouling) that might form under cranial implants, without causing adverse thermal damage to the underlying host tissue when appropriate laser parameters are used. Lasers Surg. Med. © 2016 Wiley Periodicals, Inc.
Source: Lasers in Surgery and Medicine - July 7, 2016 Category: Laser Surgery Authors: Yasaman Damestani, Natalie De Howitt, David L. Halaney, Javier E. Garay, Guillermo Aguilar Tags: Basic Science Source Type: research

Challenges managing end ‐stage renal disease and kidney transplantation in a child with MTFMT mutation and moyamoya disease
We describe a four‐yr‐old female with features of moyamoya disease referred to our center for kidney transplant evaluation with ESRD secondary to presumed renal dysplasia along with concern for cerebral vascular anomalies. With her constellation of organ involvement, a genetic workup revealed a homozygous, frameshift mutation in the mitochondrial methionyl‐tRNA formyltransferase gene. Given her vascular anomalies and evidence of prior infarcts seen on cerebral imaging, it was felt that her risk of future stroke events was high and that hypotension or intravascular volume depletion would further exacerbate this risk. ...
Source: Pediatric Transplantation - July 7, 2016 Category: Transplant Surgery Authors: Aris Oates, Jessica Brennan, Anne Slavotinek, Adnan Alsadah, Daniel Chow, Marsha M. Lee Tags: Case Report 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 [ 123 I]CLINDE for detailed regional and quantitative assessment of glial activity in experimental models of TBI.
Source: NeuroMolecular Medicine - May 31, 2016 Category: Neurology 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 10 mm deviation to the left from the midline. C-reactive protein (9.2 mg/dL) and von Willebrand factor (vWF) antigen (202%) were elevated. Decompressiv...
Source: Revista Brasileira de Reumatologia - August 22, 2016 Category: Rheumatology Source Type: research

Nonconvulsive Status Epilepticus in the Neurosurgical Setting.
Authors: Kubota Y, Nakamoto H, Kawamata T Abstract Herein, we review the current state of nonconvulsive status epilepticus (NCSE). NCSE has recently been recognized as one of the causes of unexplained impaired consciousness in the neurosurgical or neurocritical setting. The causes of NCSE include not only central nervous system disorders such as craniotomy, stroke, traumatic brain injury, and central nervous system inflammation, but also severe critical conditions such as sepsis and uremia, among others. NCSE shows no overt clinical manifestations; therefore, prompt and correct diagnosis is difficult. The diagnosis...
Source: Neurologia Medico-Chirurgica - September 2, 2016 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research

Intraoperative monitoring of cerebral oximetry and depth of anaesthesia during neuroanesthesia procedures
Purpose of review: This review reports recent evidence on intraoperative monitoring of cerebral oximetry and depth of anaesthesia during neuroanaesthesia procedures. Recent findings: The clinical benefits of intraoperative monitoring with cerebral oximetry [near infrared spectroscopy (NIRS) and brain tissue oxygenation monitoring (brptiO2)] and depth of anaesthesia with bispectral index (BIS) have recently been studied in surgical (carotid endarterectomy, cerebral arteriovenous malformations resection and brain tumour resections) and neuroradiological vascular procedures. BrptiO2/PaO2 ratio is much more reliable than abso...
Source: Current Opinion in Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: NEUROANESTHESIA: Edited by Keith J. Ruskin Source Type: research

Unfractionated heparin after TBI reduces in vivo cerebrovascular inflammation, brain edema and accelerates cognitive recovery
BACKGROUND: Severe traumatic brain injury (TBI) may increase the risk of venous thromboembolic complications; however, early prevention with heparinoids is often withheld for its anticoagulant effect. New evidence suggests low molecular weight heparin reduces cerebral edema and improves neurological recovery after stroke and TBI, through blunting of cerebral leukocyte (LEU) recruitment. It remains unknown if unfractionated heparin (UFH) similarly affects brain inflammation and neurological recovery post-TBI. We hypothesized that UFH after TBI reduces cerebral edema by reducing LEU-mediated inflammation and improves neurolo...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 24, 2016 Category: Orthopaedics Tags: WTA 2016 Plenary Papers Source Type: research

A systematic review of epileptic seizures in adults with subdural haematomas
Conclusions PTS are a serious complication in patients with SDH, particularly in aSDH. The “prophylactic use” of antiepileptic drugs might be beneficial in patients with cumulative risk factors.
Source: Seizure - November 24, 2016 Category: Neurology Source Type: research

Long-term utility and complication profile of open craniotomy for biopsy in patients with idiopathic encephalitis
Publication date: Available online 12 December 2016 Source:Journal of Clinical Neuroscience Author(s): Kalil G. Abdullah, Yin Li, Prateek Agarwal, Nikhil R. Nayak, Jayesh P. Thawani, Ramani Balu, Timothy H. Lucas Neurosurgeons are often asked to perform open biopsy for diagnosis of encephalitis after medical investigations are non-diagnostic. These patients may be critically ill with multiple comorbidities. Patients and their families often request data regarding the success rates and complication profile of biopsy, but minimal literature exists in this area. Retrospective chart review of all patients undergoing open brai...
Source: Journal of Clinical Neuroscience - December 11, 2016 Category: Neuroscience Source Type: research

Nuclear Factor kB and Inhibitor of kB: Acupuncture Protection Against Acute Focal Cerebral Ischemia in Rodents.
Conclusions • Acupuncture can significantly enhance the expression of IκB-α, which is the inhibitory protein of NF-κB, and it can inhibit the expression of various inflammatory cytokines induced by NF-κB, thereby alleviating acute, focal, cerebral ischemic injury. PMID: 28236616 [PubMed - as supplied by publisher]
Source: Alternative Therapies in Health and Medicine - February 26, 2017 Category: Complementary Medicine Authors: Huang W, Zhou Z, Wan B, Chen G, Li J Tags: Altern Ther Health Med Source Type: research

The value of endoscope assistance during transcranial surgery for tuberculum sellae meningiomas.
CONCLUSIONS The present series confirms a favorable visual outcome after TSM surgery via supraorbital or frontolateral endoscope-assisted approaches. With endoscopic visualization, major manipulation of the optic apparatus could be avoided, perhaps affecting the favorable visual outcome. PMID: 28387626 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 7, 2017 Category: Neurosurgery Authors: Marx S, Clemens S, Schroeder HW Tags: J Neurosurg Source Type: research

Dexmedetomidine and general anesthesia: a narrative literature review of its major indications for use in adults undergoing non-cardiac surgery.
CONCLUSIONS: The properties of dexmedetomidine lead to its use for elective indications such as awake fiberoptic intubation and neurosurgical anesthesia. New topics are under debate. These subjects must be studied thoroughly because of their implication in the patients' surgical course. These advantages must be weighed against the major drawback of dexmedetomidine administration which is the potential for hemodynamic abnormalities. PMID: 28643999 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - June 25, 2017 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research