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Procedure: Craniotomy

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Total 402 results found since Jan 2013.

Emergency decompressive surgery in patients with transtentorial brain herniation and pupillary abnormalities: the importance of improved pupillary response after osmotherapy and surgery
CONCLUSIONS: With aggressive medical and surgical management, patients with transtentorial brain herniation, including those with bilaterally fixed and dilated pupils, may have considerable rates of survival and functional recovery. Young age, less midline shift, and improved pupillary response following osmotic therapy or decompressive surgery are favorable prognosticators.PMID:37548576 | DOI:10.3171/2023.5.JNS23163
Source: Journal of Neurosurgery - August 7, 2023 Category: Neurosurgery Authors: Daniel W Griepp Aaron Miller Sahar Sorek Komal Naeem Stephanie Moawad David Klein Joseph A DeMattia Ralph Rahme Source Type: research

Surveillance neuroimaging and neurologic examinations affect care for intracerebral hemorrhage
Conclusions: More than 25% of surgical interventions performed after ICH were prompted by delayed imaging or clinical findings. Serial neurologic examinations and neuroimaging are important and effective surveillance techniques for monitoring patients with ICH.
Source: Neurology - July 8, 2013 Category: Neurology Authors: Maas, M. B., Rosenberg, N. F., Kosteva, A. R., Bauer, R. M., Guth, J. C., Liotta, E. M., Prabhakaran, S., Naidech, A. M. Tags: Diagnostic test assessment, Critical care, Intracerebral hemorrhage ARTICLE Source Type: research

Cerebrovascular complications and granuloma formation after wrapping or coating of intracranial aneurysms with cotton gauze and human fibrin adhesives: results from a single-center patient series over a 5-year period.
Conclusions These data should add to the awareness of significant cerebrovascular complications following wrapping or coating of IAs with cotton gauze and human fibrin adhesives and indicate that major ischemic strokes need to be included in the risk/benefit considerations during decision making for such treatment strategies. Patients who receive IA wrapping should be monitored and followed up closely for arterial narrowing and granuloma formation. PMID: 23930856 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 9, 2013 Category: Neurosurgery Authors: Beitzke M, Leber KA, Deutschmann H, Gattringer T, Poltrum B, Fazekas F Tags: J Neurosurg Source Type: research

STICH 2: does decompression have a role in superficial intracerebral hematoma?
The recently published second Surgical Trial in Intracerebral Haemorrhage (STICH‐2) tested whether surgical evacuation of superficial spontaneous intracerebral haemorrhage was effective at reducing death and disability at 6 months after onset. Participants were randomised to a policy of early surgical intervention or initial medical management alone within 48 hours of symptom onset. After enrolling 601 patients across 78 centres in 27 countries, intention to treat analysis showed no difference in outcome. Time to intervention was a median of 26 hours after symptom onset in the surgical arm, and craniotomy accounted for 9...
Source: International Journal of Stroke - September 11, 2013 Category: Neurology Authors: Keith W. Muir Tags: Leading opinion Source Type: research

Severe Subarachnoid Hemorrhage Associated with Cerebral Venous Thrombosis in Early Pregnancy: A Case Report
Conclusions: A rare case of severe SAH due to CVT is reported, with emphasis on the potential pitfalls of CVT diagnosis in early pregnancy.
Source: The Journal of Emergency Medicine - September 26, 2013 Category: Emergency Medicine Authors: Junkoh Yamamoto, Shingo Kakeda, Mayu Takahashi, Masaru Idei, Yoshiteru Nakano, Yoshiteru Soejima, Takeshi Saito, Daisuke Akiba, Eiji Shibata, Yukunori Korogi, Shigeru Nishizawa Tags: Clinical Communications: OB/GYN Source Type: research

Geometry of Saccular Cerebral Aneurysms Not Associated with a Branch Vessel
Conclusions: Saccular aneurysms occurring at nonbranching sites are uncommon. Their geometry is particularly favorable for flow directed stents and is most amenable to aneurysms located on large-diameter conducting vessels such as the internal carotid, vertebral, and vertebrobasilar vessels. Smaller parent arteries harboring this type of aneurysm will require new technology to maintain patency of these more distal vessels. If endovascular techniques cannot achieve aneurysm sac obliteration, then open craniotomy and aneurysm clipping will provide a satisfactory alternative.
Source: Journal of Stroke and Cerebrovascular Diseases - June 10, 2013 Category: Neurology Authors: Michael B. Pritz Tags: Original Articles Source Type: research

Cerebral Infarction Occurrence in Settings of Acute Traumatic Injury. Analysis of a Prospective Multicenter Trial (P3.095)
Conclusions: Cerebral infarction can be infrequently seen in the settings of acute traumatic injury particularly in patients with mass lesions requiring craniotomy.Disclosure: Dr. Mohindroo has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Minhas has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Mohindroo, T., Adil, M., Minhas, S., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Clinical Management Source Type: research

Subdural and Intracerebral Hemorrhage Caused by Spontaneous Bleeding in the Middle Meningeal Artery after Coil Embolization of a Cerebral Aneurysm
Nontraumatic acute subdural hemorrhage (SDH) with intracerebral hemorrhage (ICH) is rare and is usually caused by severe bleeding from aneurysms or arteriovenous fistulas. We encountered a very rare case of spontaneous bleeding from the middle meningeal artery (MMA), which caused hemorrhage in the temporal lobe and subdural space 2 weeks after coil embolization of an ipsilateral, unruptured internal cerebral artery aneurysm in the cavernous portion. At onset, the distribution of hematoma on a computed tomography scan led us to believe that the treated intracavernous aneurysm could bleed into the intradural space. Emergenc...
Source: Journal of Stroke and Cerebrovascular Diseases - August 18, 2014 Category: Neurology Authors: Shinya Kohyama, Yoshiaki Kakehi, Fumitaka Yamane, Hidetoshi Ooigawa, Hiroki Kurita, Shoichiro Ishihara Tags: Case Reports Source Type: research

Red blood cell transfusion in neurosurgical patients
Purpose of reviewAnemia is common in neurosurgical patients, and is associated with secondary brain injury. Although recent studies in critically ill patients have shifted practice toward more restrictive red blood cell (RBC) transfusion strategies, the evidence for restrictive versus liberal transfusion strategies in neurosurgical patients has been controversial. In this article, we review recent studies that highlight issues in RBC transfusion in neurosurgical patients. Recent findingsRecent observational, retrospective studies in patients with traumatic brain injury, subarachnoid hemorrhage, and intracranial hemorrhage ...
Source: Current Opinion in Anaesthesiology - October 1, 2014 Category: Anesthesiology Tags: NEUROANESTHESIA: Edited by Kristin Engelhard Source Type: research

Endoscopic supraorbital eyebrow approach for the surgical treatment of extraaxialand intraaxial tumors.
Conclusions The endoscopic supraorbital eyebrow approach is a safe and effective minimally invasive approach to remove extra- and intraaxial anterior skull base, parasellar, and frontal lesions, promoting a rapid recovery and short hospital stay. The location of the eyebrow incision demands a meticulous cosmetic closure, but, with proper technique, cosmetic results are excellent. PMID: 25270140 [PubMed - in process]
Source: Neurosurgical Focus - October 1, 2014 Category: Neurosurgery Authors: Gazzeri R, Nishiyama Y, Ph D, Teo C Tags: Neurosurg Focus Source Type: research

Minimally invasive surgery treatment for the patients with spontaneous supratentorial intracerebral hemorrhage (MISTICH): protocol of a multi-center randomized controlled trial
DiscussionThe MISTICH trial is a randomized controlled trial designed to determine whether minimally invasive surgeries could improve the prognosis for patients with spontaneous intracerebral hemorrhage compared with craniotomy. (ChiCTR-TRC-12002026. Registered 23 March 2012).
Source: BMC Neurology - October 10, 2014 Category: Neurology Authors: Jun ZhengHao LiRui GuoSen LinXin HuWei DongLu MaYuan FangAnqi XiaoMing LiuChao You Source Type: research

Rapidly Fatal Internal Carotid Artery Mycotic Aneurysm Rupture in a Rheumatoid Patient Taking a TNF-α Inhibitor: Case Report and Literature Review
Conclusions Although fungal mycotic aneurysms of the ICA are rare, their incidence may increase with the expanded use of immunosuppressive medications. Patients with rheumatoid arthritis who take potent immunosuppression regimens may be prime candidates for mycotic aneurysms because they often have two favoring conditions: atherosclerosis and immunosuppression. These ICA aneurysms carry a high mortality rate, so early diagnosis and aggressive therapy, potentially by endovascular trapping/vessel occlusion coupled with long-term antifungal therapy, is essential.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Th...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 21, 2014 Category: Neurosurgery Authors: Bowers, Christian A.Saad, DanyClegg, Daniel O.Ng, PerryClayton, FredericHaydoura, SouhaSchmidt, Richard H. Tags: Case Report Source Type: research

Risk factors for venous thromboembolism in patients undergoing craniotomy for neoplastic disease
Abstract Patients undergoing neurosurgical procedures for neoplasia have historically been considered at higher risk for developing venous thromboembolism (VTE). We sought to identify risk factors associated with VTE in patients undergoing craniotomy for tumor resection. We reviewed a national surgical quality database (American College of Surgeons National Surgical Quality Improvement Project, ACS-NSQIP, http://site.acsnsqip.org/). Patients undergoing non-emergent craniotomy for neoplastic indications were identified based on current procedural terminology codes. Clinical factors were identified that were associ...
Source: Journal of Neuro-Oncology - November 19, 2014 Category: Cancer & Oncology Source Type: research

E-009 Dissecting Ruptured and Symptomatic Intracranial Pseudo-aneurysm who Underwent Endovascular Repair-A Case Series
Conclusions Our series demonstrates that dissecting intracranial aneurysm is predominantly present in the Petro-Cavernous junction of the ICA. Most of them could be treated successfully with good clinical outcome using stent-assisted coiling, stent-remodeling or primary coiling. However, the recurrence rate is extremely common; therefore close early follow-up is necessary for all cases especially those located in Petro-cavernous junction of the ICA. Further long-term follow-up study is required. Disclosures Y. Lodi: None. V. Reddy: None. A. Devasenapathy: None. J. Chou: None. K. Shehades: None. K. Sethi: None. D. Galyon: ...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Electronic poster abstracts Source Type: research