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Source: Journal of Neurosurgery
Condition: Hemorrhagic Stroke

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Total 231 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

The hemodynamic effects during sustained low-efficiency dialysis versus continuous veno-venous hemofiltration for uremic patients with brain hemorrhage: a crossover study.
Conclusions With this controlled crossover study, the authors provide the pilot evidence that both SLED and CVVH display identical acute hemodynamic effects and increased ICP after dialysis in brain hemorrhage patients. Clinical trial registration no.: NCT01781585 ( ClinicalTrials.gov ). PMID: 23706048 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - May 24, 2013 Category: Neurosurgery Authors: Wu VC, Huang TM, Shiao CC, Lai CF, Tsai PR, Wang WJ, Huang HY, Wang KC, Ko WJ, Wu KD, NSARF Group Tags: J Neurosurg Source Type: research

Low-dose intravenous heparin infusion in patients with aneurysmal subarachnoid hemorrhage: a preliminary assessment.
Conclusions In patients with Fisher Grade 3 aSAH whose aneurysm is secured, postprocedure use of a low-dose intravenous heparin infusion may be safe and beneficial. PMID: 24032706 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - September 13, 2013 Category: Neurosurgery Authors: Simard JM, Aldrich EF, Schreibman D, James RF, Polifka A, Beaty N Tags: J Neurosurg Source Type: research

Predicting inpatient complications from cerebral aneurysm clipping: the Nationwide Inpatient Sample 2005-2009.
Conclusions The featured model can provide individualized estimates of the risks of postoperative complications based on preoperative conditions and can potentially be used as an adjunct in decision making in cerebrovascular neurosurgery. PMID: 24032701 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - September 13, 2013 Category: Neurosurgery Authors: Bekelis K, Missios S, Mackenzie TA, Desai A, Fischer A, Labropoulos N, Roberts DW Tags: J Neurosurg Source Type: research

Treatment of moyamoya disease in the adult population with pial synangiosis.
Conclusions Pial synangiosis is a safe and durable method of cerebral revascularization in adult patients with moyamoya and can be considered as a potential treatment option for moyamoya disease in adults. PMID: 24405066 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 3, 2014 Category: Neurosurgery Authors: Lin N, Aronson JP, Manjila S, Smith ER, Scott RM Tags: J Neurosurg Source Type: research

The epidemiology of spontaneous fever and hypothermia on admission of brain injury patients to intensive care units: a multicenter cohort study.
Conclusions Fever is frequently encountered in the acute phase of brain injury, and a small proportion of patients with brain injuries may also develop spontaneous hypothermia. The effect of fever on mortality rates differed by neurological diagnosis. Both early spontaneous fever and hypothermia conferred a higher risk of in-hospital death after brain injury. PMID: 25105701 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 8, 2014 Category: Neurosurgery Authors: Rincon F, Hunter K, Schorr C, Dellinger RP, Zanotti-Cavazzoni S Tags: J Neurosurg Source Type: research

Surgical outcomes following encephaloduroarteriosynangiosis in North American adults with moyamoya.
Conclusions This series demonstrates that EDAS is an effective procedure for MMD/S in a North American cohort of patients. PMID: 25280094 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - October 3, 2014 Category: Neurosurgery Authors: Agarwalla PK, Stapleton CJ, Phillips MT, Walcott BP, Venteicher AS, Ogilvy CS Tags: J Neurosurg Source Type: research

Clinical features and long-term outcomes of moyamoya disease: a single-center experience with 528 cases in China.
CONCLUSIONS  There was no difference in the sex distribution of Chinese patients with MMD. Patients with hemorrhagic MMD had a much higher rate of rebleeding and poorer prognosis than those with the ischemic type. Surgical revascularization procedures can improve cerebral perfusion and have a positive impact in preventing rebleeding in patients with hemorrhagic MMD. PMID: 25423267 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 25, 2014 Category: Neurosurgery Authors: Liu XJ, Zhang D, Wang S, Zhao YL, Teo M, Wang R, Cao Y, Ye X, Kang S, Zhao JZ Tags: J Neurosurg Source Type: research

Spontaneous subarachnoid hemorrhage of unknown origin: hospital course and long-term clinical and angiographic follow-up.
CONCLUSIONS Hydrocephalus and delayed cerebral ischemia, while infrequent, do occur in SAH of unknown origin. Long-term neurological outcomes are generally good. A thorough evaluation to rule out an etiology of hemorrhage is necessary; however, imaging beyond 6 weeks from ictus has little utility, and rebleeding is unexpected. PMID: 25526276 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - December 19, 2014 Category: Neurosurgery Authors: Elhadi AM, Zabramski JM, Almefty KK, Mendes GA, Nakaji P, McDougall CG, Albuquerque FC, Preul MC, Spetzler RF Tags: J Neurosurg Source Type: research

Symptomatic contralateral subdural hygromas after decompressive craniectomy: plausible causes and management protocols.
CONCLUSIONS Arachnoid tears and blockage of arachnoid villi appear to be the underlying causes of a CLSDC. The absence of sufficient fluid pressure required for CSF absorption after a DC further aggravates such fluid collections. Underlying hydrocephalus may appear as subdural collections in some patients after the DC. Bur hole drainage appears to be only a temporary measure and leads to recurrence of a CLSDC. Therefore, cranioplasty is the definitive treatment for such collections and, if performed early, may even avert CLSDC formation. A temporary ventriculostomy or an external lumbar drainage may be added to aid the cra...
Source: Journal of Neurosurgery - December 12, 2014 Category: Neurosurgery Authors: Salunke P, Garg R, Kapoor A, Chhabra R, Mukherjee KK Tags: J Neurosurg 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

Timing of deep vein thrombosis formation after aneurysmal subarachnoid hemorrhage.
CONCLUSIONS DVT formation most commonly occurs in the first 2 weeks following aSAH, with detection in this cohort peaking between Days 5 and 9. Chemoprophylaxis is associated with a significantly lower incidence of DVT. PMID: 26162047 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - July 10, 2015 Category: Neurosurgery Authors: Liang CW, Su K, Liu JJ, Dogan A, Hinson HE Tags: J Neurosurg Source Type: research

Molsidomine for the prevention of vasospasm-related delayed ischemic neurological deficits and delayed brain infarction and the improvement of clinical outcome after subarachnoid hemorrhage: a single-center clinical observational study.
CONCLUSIONS In this post hoc analysis, patients with CVS who were treated with intravenous molsidomine had a significant improvement in clinical outcome and less cerebral infarction. Molsidomine offers a promising therapeutic option in patients with severe SAH and CVS and should be assessed in a prospective study. PMID: 26162034 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - July 10, 2015 Category: Neurosurgery Authors: Ehlert A, Schmidt C, Wölfer J, Manthei G, Jacobs AH, Brüning R, Heindel W, Ringelstein EB, Stummer W, Pluta RM, Hesselmann V Tags: J Neurosurg Source Type: research