Acta neurochirurgica
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Acta neurochirurgica · Mar 2010
Outcome correlates with blood distribution in subarachnoid hemorrhage of unknown origin.
Between 15 and 30 % of patients with subarachnoid hemorrhage (SAH) have no bleeding source and usually have a benign clinical course and outcome. The objectives of this study were to classify the pattern of blood distribution on initial computed tomography (CT) and to correlate it with clinical outcome in aneurysmal (ASAH) and SAH of unknown origin (SAHuO). ⋯ In SAH of unknown origin, a new classification allows to predict outcome based on the extent of blood on CT.
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Acta neurochirurgica · Feb 2010
Skin complications in deep brain stimulation for Parkinson's disease: frequency, time course, and risk factors.
Deep brain stimulation (DBS) has been recognized as an efficacious treatment for movement disorders. Its beneficial effects however may be lost due to skin complications such as erosions or infections over the implanted foreign material. We sought to document skin complications in the entire Parkinson's disease patient population who received a DBS system at the Marburg/Kassel implantation centre since the start of our DBS program in January 2002 to analyze frequency, time course, and possible risk factors. ⋯ We conclude that (1) PD patients have a risk for skin complications after DBS as long as the system remains in situ and (2) there are at present no identifiable risk factors for skin complications after DBS, other than PD itself.