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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

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

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