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262 Limb-shaking linked to haemodynamic cerebrovascular disease
We present a case of a 61-year-old patient who developed transient but persistent right upper limb shaking and syncope on turning to the left. He suffered a recent NSTEMI causing severe left ventricular dysfunction and associated anaemia. His ictal EEG was unremarkable. CT angiography and doppler ultrasound revealed severe left internal carotid artery stenosis. This suggested an underlying low-flow TIA and symptoms resolved with blood pressure optimisation and blood transfusions. Cerebrovascular events typically present with acute negative symptoms including loss of power, sensation, vision or speech. Alternatively, focal ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 27, 2022 Category: Neurosurgery Authors: Cleaver, J., Pope, L., Mayo, T., Gbadamoshi, L. Tags: Poster Presentations Source Type: research

Intra-and postoperative complications in the treatment of spinal metastases. A multicentre surveillance study from the German Spinal Registry (DWG-Register).
CONCLUSIONS: This analysis provides predictive models for surgeons to identify patients who may benefit from transitional care programmes. Preoperative status, invasiveness, blood loss> 500 ml and blood transfusions are independent predictors associated with higher risk of complication. PMID: 33047579 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgical Sciences - October 15, 2020 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

E-011 Neuroendovascular procedures for skull base neoplasia
Conclusion Neurointerventional procedures play a pivotal role in the management of skull base neoplasms. Pre-operative embolization must performed judiciously in the context of the potential harms and benefits imposed on the patient. While effective intervention can yield improved perioperative visualization with reduced tumor size and resultant blood loss, important risks for consideration include cranial nerve injury, tissue necrosis, access vessel injury, and death from inadvertent non-target embolization. Disclosures A. Dmytriw: None. D. Sarma: None. M. Cusimano: None. A. Bharatha: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Dmytriw, , Sarma, D., Cusimano, M., Bharatha, A. Tags: Electronic Poster Abstracts Source Type: research

Groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience
Conclusions These findings suggest that concerns for groin complications should not preclude the use of BGCs and large-bore sheaths in mechanical thrombectomy for acute ischemic stroke.
Source: Journal of NeuroInterventional Surgery - May 12, 2016 Category: Neurosurgery Authors: Shah, V. A., Martin, C. O., Hawkins, A. M., Holloway, W. E., Junna, S., Akhtar, N. Tags: Open access, Ischemic stroke Source Type: research

Does the microendoscopic technique reduce mortality and major complications in patients undergoing lumbar discectomy? A propensity score-matched analysis using a nationwide administrative database.
CONCLUSIONS The microendoscopic technique was associated with lower risks for SSI and major complications following discectomy in patients with lumbar disc herniation. PMID: 26828886 [PubMed - in process]
Source: Neurosurgical Focus - February 1, 2016 Category: Neurosurgery Authors: Ohya J, Oshima Y, Chikuda H, Oichi T, Matsui H, Fushimi K, Tanaka S, Yasunaga H Tags: Neurosurg Focus Source Type: research

Complications after craniosynostosis surgery: comparison of the 2012 Kids' Inpatient Database and Pediatric NSQIP Database.
CONCLUSIONS Both the KID and Peds NSQIP databases provide large samples of surgical patients, with more cases reported in KID. The rates of complications studied were similar between the 2 data sets, with the exception of blood transfusion events where the retrospective chart review process of Peds NSQIP captured almost double the rate reported in KID. PMID: 26621409 [PubMed - in process]
Source: Neurosurgical Focus - December 1, 2015 Category: Neurosurgery Authors: Lin Y, Pan IW, Mayer RR, Lam S Tags: Neurosurg Focus Source Type: research

O-001 groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience
ConclusionsIn our series, the low groin complication rate (0.4%-0.8%) in thrombectomy suggests that concerns for vascular complications should not preclude the use of BGCs in the endovascular treatment of ischemic stroke.DisclosuresV. Shah: None. C. Martin: None. A. Hawkins: None. W. Holloway: None. S. Junna: None. N. Akhtar: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Shah, V., Martin, C., Hawkins, A., Holloway, W., Junna, S., Akhtar, N. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

National Trends and In-hospital Complication Rates in More Than 1600 Hemispherectomies From 1988 to 2010: A Nationwide Inpatient Sample Study
CONCLUSION: This is the largest study to date examining hemispherectomy and associated in-hospital complication rates. This study supports early surgery in patients with medically intractable epilepsy and severe hemispheric disease. ABBREVIATIONS: ICD-9-CM, International Classification of Diseases, 9th Revision–Clinical Modification NIS, Nationwide Inpatient Sample
Source: Neurosurgery - July 25, 2015 Category: Neurosurgery Tags: Research-Human-Clinical Studies: Editor's Choice Source Type: research

Risks of In-Hospital Death and Complications After Fusion Surgery in Patients with Atlantoaxial Subluxation: Analysis of 1090 Patients Using the Japanese Diagnosis Procedure Combination Database
Conclusions The in-hospital mortality after fusion surgery for AAS was relatively low. However, patients with RA had an increased risk of postoperative complications and massive blood transfusion compared with patients without RA.
Source: World Neurosurgery - February 9, 2015 Category: Neurosurgery Source Type: research

Frequency and predictors of complications in neurological surgery: national trends from 2006 to 2011.
Conclusions Understanding the landscape of neurosurgical complications will allow better targeting of the most costly and harmful complications of preventive measures. Data from the ACS NSQIP database provide a starting point for developing paradigms of improved care of neurosurgical patients. PMID: 24266542 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 22, 2013 Category: Neurosurgery Authors: Rolston JD, Han SJ, Lau CY, Berger MS, Parsa AT Tags: J Neurosurg Source Type: research