Operative neurosurgery (Hagerstown, Md.)
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Oper Neurosurg (Hagerstown) · Jan 2021
Meta AnalysisDeep Brain Electrode Externalization and Risk of Infection: A Systematic Review and Meta-Analysis.
When evaluating deep brain stimulation (DBS) for newer indications, patients may benefit from trial stimulation prior to permanent implantation or for investigatory purposes. Although several case series have evaluated infectious complications among DBS patients who underwent trials with external hardware, outcomes have been inconsistent. ⋯ The rate of infection in patients with electrode externalization is comparable to that reported in the literature for DBS implantation without a trial period. Future studies are needed before this information can be confidently used in the clinical setting.
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Oper Neurosurg (Hagerstown) · May 2019
Review Case ReportsUse of Tubular Retractor for Resection of Colloid Cysts: Single Surgeon Experience and Review of the Literature.
Colloid cysts are challenging lesions to access. Various surgical approaches are utilized which all require brain retraction, creating focal pressure, local trauma, and potentially surgical morbidity. Recently, tubular retractors have been developed that reduce retraction pressure by distributing it radially. Such retractors may be beneficial in colloid cyst resection. ⋯ Tubular retractors offer an attractive surgical corridor for colloid cyst resections, avoiding much of the morbidity of interhemispheric approaches, while minimizing damage to normal cortex. There were no permanent complications in our series of ten cases, and a literature review found a similarly benign safety profile.