Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Sep 2015
ReviewEarly cranioplasty vs. late cranioplasty for the treatment of cranial defect: A systematic review.
Cranioplasty is considered as a routine procedure in everyday neurosurgical practice for the patient with cranial defect, however, there is no established consensus on optimal surgical timing. ⋯ Early CP can only reduce the duration of operation, but cannot reduce the complications of patients and even increase the risk of hydrocephalus. More evidence from advanced multi-center studies is needed to provide illumination for the timing selection of CP surgery.
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Clin Neurol Neurosurg · Sep 2015
Impact of elective versus emergent admission on perioperative complications and resource utilization in lumbar fusion.
The notion of higher complication rate and mortality in emergency surgeries is well established. There is a paucity of literature demonstrating the impact of emergent versus elective admissions for spinal surgery on the perioperative outcomes. We aim to evaluate the influence of the type of admission (elective or emergent) and day of surgery (same day versus other days within the emergent group) on the incidence, pattern of perioperative complications and hospital charges in the patients undergoing lumbar fusion for degenerative spine disease. ⋯ 'Emergent admission' and surgery performed on the 'other days' in lumbar fusion are independent risk factors for the higher incidence of perioperative complications. Complicated hospital course and longer stay of the patients in the emergent admission and 'other days' group seems to be associated with higher total hospital charges.
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Clin Neurol Neurosurg · Sep 2015
Risk factors for predicting complications associated with growing rod surgery for early-onset scoliosis.
To identify risk factors for postoperative complications associated with growing rod surgery for early-onset scoliosis (EOS). ⋯ The occurrence of postoperative complications in growing rod surgery for EOS is most likely multifactorial and is related to curve magnitude in last follow-up and duration between growing-rod lengthening procedures.
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Clin Neurol Neurosurg · Sep 2015
Case ReportsSporadic lower motor neuron disease with a snake eyes appearance on the cervical anterior horns by MRI.
Lower motor neuron disease (LMND) is the term generally used to describe diseases in which only lower motor neuron signs are detected. A snake eyes appearance on magnetic resonance imaging (MRI) is associated with a wide spectrum of neurological conditions including LMND. The author reports on three unique LMND patients with upper limb muscle weakness and atrophy who show a snake eyes appearance by MRI. ⋯ These patients should be classified as sporadic LMND with snake eyes on MRI with a relatively benign prognosis.
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Clin Neurol Neurosurg · Sep 2015
Extradural transcavernous approach to cavernous sinus cavernous hemangiomas.
Cavernous sinus cavernous hemangioma (CSCH) is a rare extra-axial vascular lesion and is difficult to be removed due to their location, propensity for profuse bleeding during surgery, and relationship to complex neurovascular structures. The purpose of this study is to report our experience of the removal of CSCHs through a completely extradural transcavernous approach. ⋯ CSCHs are rare and challenging skull base tumors. The microsurgical resection, using an extradural transcavernous approach which allows complete tumor resection with an acceptable intraoperative and postoperative complications, should be considered as a favorable choice among all treatments.