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Procedure: Craniotomy

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Total 402 results found since Jan 2013.

Checkerboard Visual Field Defect in Occipital Stroke
Abstract: A 74-year-old man with vasculopathic risk factors presented to the emergency room with a chief complaint of peripheral vision loss resulting from an intracranial hemorrhage in his right parietal and occipital lobes. Urgent craniotomy and ventriculostomy led to a stable clinical condition with subsequent development of a crossed quadrant homonymous hemianopsia (checkerboard visual field) due to a new right parieto-occipital infarct superimposed on a prior left occipital infarct. This uncommon visual field defect represents juxtaposed homonymous quadrantanopias that produce a striking checkerboard appearance that...
Source: Journal of Neuro-Ophthalmology - May 19, 2020 Category: Opthalmology Tags: Trainees' Corner Source Type: research

Long-term Outcomes and Risk Factors Related to Hydrocephalus After Intracerebral Hemorrhage
AbstractHydrocephalus after intracerebral hemorrhage (ICH) is a common and treatable complication. However, the long-term outcomes and factors for predicting hydrocephalus have seldom been studied. The goal of this study was to determine the long-term outcomes and analyze the risk factors of hydrocephalus after ICH. A consecutive series of 1342 patients with ICH were reviewed from 2010 to 2016 to identify significant risk factors for hydrocephalus. Patients with a first-ever ICH without any prior diagnosis of hydrocephalus after ICH were followed up for survival status and cause of death. Risk factors for hydrocephalus wer...
Source: Translational Stroke Research - June 7, 2020 Category: Neurology Source Type: research

Neuroanesthesia Practice During the COVID-19 Pandemic: Recommendations From Society for Neuroscience in Anesthesiology and Critical Care (SNACC)
The pandemic of coronavirus disease 2019 (COVID-19) has several implications relevant to neuroanesthesiologists, including neurological manifestations of the disease, impact of anesthesia provision for specific neurosurgical procedures and electroconvulsive therapy, and health care provider wellness. The Society for Neuroscience in Anesthesiology and Critical Care appointed a task force to provide timely, consensus-based expert guidance for neuroanesthesiologists during the COVID-19 pandemic. The aim of this document is to provide a focused overview of COVID-19 disease relevant to neuroanesthesia practice. This consensus s...
Source: Journal of Neurosurgical Anesthesiology - June 9, 2020 Category: Anesthesiology Tags: SNACC Clinical Guidelines and Consensus Statement Source Type: research

Minimally invasive surgical treatment of intracranial meningiomas in elderly patients ( ≥ 65 years): outcomes, readmissions, and tumor control.
CONCLUSIONS: This analysis suggests that elderly patients with meningiomas, when carefully selected, generally have excellent surgical outcomes and tumor control. When applied appropriately, use of minimally invasive approaches and endoscopy may be helpful in achieving maximal safe resection, reducing complications, and promoting short hospitalizations. Notably, one-third of our elderly meningioma patients referred for possible surgery from 2015 to 2019 were managed nonoperatively. PMID: 33002879 [PubMed - in process]
Source: Neurosurgical Focus - September 30, 2020 Category: Neurosurgery Authors: Thakur JD, Mallari RJ, Corlin A, Yawitz S, Huang W, Eisenberg A, Sivakumar W, Krauss HR, Griffiths C, Barkhoudarian G, Kelly DF Tags: Neurosurg Focus Source Type: research

Hinge/floating craniotomy as an alternative technique for cerebral decompression: a scoping review
AbstractHinge craniotomy (HC) is a technique that allows for a degree of decompression whilst retaining the bone flap in situ, in a ‘floating’ or ‘hinged’ fashion. This provides expansion potential for ensuing cerebral oedema whilst obviating the need for cranioplasty in the future. The exact indications, technique and outcomes of this procedure have yet to be determined, but it is likely that HC provides an alternative technique to decompressive craniectomy (DC) in certain contexts. The primary objective was to collate and describe the current evidence base for HC, including perioperative parameters, functional ou...
Source: Neurosurgical Review - November 21, 2020 Category: Neurosurgery Source Type: research

Naoxueshu relieves hematoma after clot removal in acute spontaneous intracerebral hemorrhage
ConclusionNaoxueshu oral liquid could relieve hematoma volume and cerebral edema after clot removal surgery in acute SICH patients. Moreover, it had the potential to improve patients ’ short‐term neurological function.
Source: Brain and Behavior - December 4, 2020 Category: Neurology Authors: Juexian Song, Yuting Nie, Pingping Wang, Huiqiang Lu, Li Gao Tags: ORIGINAL RESEARCH Source Type: research

Spreading depolarization occurs in repeating, recognizable, patient-specific patterns after human brain injury.
Conclusion: This validation of internal patient specific patterns offers more insight into ECoG readings of high artifact regions. This, in addition to traditional SD scoring heuristics, offers another scoring tool for the neuro-ICU care of patient experiencing SD. Furthermore, description of neurologic disease by its SD patterns may offer a new direction for precision medicine. PMID: 33529080 [PubMed - as supplied by publisher]
Source: Brain Injury - February 3, 2021 Category: Neurology Tags: Brain Inj Source Type: research

Use of Radiofrequency Technology in Endonasal Skull Base and Transcranial Procedures
Conclusion Initial experience with radiofrequency ablation showed that it was a safe technique to use in both endonasal skull-base and transcranial procedures. It seemed particularly useful for highly vascularized tumors but a greater experience is needed to further clarify its role in these procedures. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part B: Skull Base - March 9, 2021 Category: Neurosurgery Authors: Tish, Shahed Habboub, Ghaith Borghei-Razavi, Hamid Woodard, Troy D. Sindwani, Raj Kshettry, Varun R. Recinos, Pablo F. Tags: Original Article Source Type: research

Mini Craniotomy in the Management of Supratentorial Spontaneous Intracranial Hemorrhage: A Single-Center Outcome of the Minimally Invasive Treatment
Adv Exp Med Biol. 2021 Mar 14. doi: 10.1007/5584_2021_632. Online ahead of print.ABSTRACTHemorrhagic stroke accounts for a significant proportion of mortality and confers a poor quality of life with high dependency among survivors. Surgical evacuation of hematoma has the advantage of rapidly controlling the increased intracranial pressure, halting the ongoing herniation syndrome, and mitigating the secondary cascades of events mediated by the inflammatory and blood degradation products. The advantage is hindered by the concurrent insult to the healthy brain tissue while passing through the normal brain tissue. Therefore, m...
Source: Advances in Experimental Medicine and Biology - March 13, 2021 Category: Research Authors: Binod Bhattarai Aliza Bajracharya Suja Gurung Sweta Giri Sashi Bhusan Sah Sunil Munakomi Source Type: research

Intracerebral Hemorrhage
Intracerebral hemorrhage is a stroke subtype with high mortality and poor functional outcome in survivors. Its main causes are hypertension, cerebral amyloid angiopathy, and anticoagulant treatment. Hematomas have a high frequency of expansion in the first hours after symptom onset, a process associated with neurologic deterioration and poor outcome. Control of severe hypertension, reversal of anticoagulant effect, and management of increased intracranial pressure are the mainstays of management of intracerebral hemorrhage in the acute phase. Surgical evacuation of the hematoma by conventional craniotomy does not improve o...
Source: Neurologic Clinics - March 31, 2021 Category: Neurology Authors: Carlos S. Kase, Daniel F. Hanley Source Type: research

Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult: Case report
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021 Mar 31. doi: 10.5507/bp.2021.018. Online ahead of print.ABSTRACTINTRODUCTION: Fusiform dilatation of the internal carotid artery (ICA) is reported as a possible complication of craniopharyngioma resection in childhood. Here, the authors describe such a complication in an adult patient who presented with acute symptomatic thrombosis 7 months after surgery.MATERIALS AND METHODS: A 45-year-old woman presented with left hemispheric stroke due to a thrombotic supraclinoid occlusion of the terminal ICA (so called "T" occlusion). Successful revascularisation was achieved w...
Source: Biomedical Papers of the Medical Faculty of the Univ Palacky Olomouc Czech Repub - April 6, 2021 Category: Biomedical Science Authors: Pavel Ryska Miroslav Lojik Naci Kocer Kamil Zelenak Tomas Cesak Petra Cimflova Aprajita Milind Bhorkar Eva Vitkova Antonin Krajina Source Type: research

Significance of endoscopic hematoma evacuation in elderly patients with spontaneous putaminal hemorrhage
CONCLUSION: The evacuation of deep-seated intracranial hematomas using the endoscope might improve functional outcomes and mortality, regardless of age.PMID:33880226 | PMC:PMC8053465 | DOI:10.25259/SNI_872_2020
Source: Surgical Neurology International - April 21, 2021 Category: Neurosurgery Authors: Naohide Fujita Hideaki Ueno Mitsuya Watanabe Yasuaki Nakao Takuji Yamamoto Source Type: research