Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Jun 2009
The relation of testosterone levels with fatigue and apathy in Parkinson's disease.
Fatigue and apathy are frequent in patients with Parkinson's disease (PD). Testosterone deficiency in male patients may contribute in development of fatigue and apathy as well. We investigated whether a possible relation exists between serum testosterone levels, fatigue and apathy in male PD patients. ⋯ Apathy and fatigue are frequent in PD and show significant correlation with the severity of the disease. f-Testosterone levels are not related with apathy or fatigue in male PD patients and the role of testosterone in the pathophysiology of these non-motor symptoms is still controversial.
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Clin Neurol Neurosurg · May 2009
Comparative StudyImpact of the lunar cycle on the incidence of aneurysmal subarachnoid haemorrhage: myth or reality?
To investigate the impact of the lunar cycle on the incidence of aneurysmal subarachnoid haemorrhages. ⋯ The impact of the lunar cycle on aneurysmal subarachnoid haemorrhage is a myth rather than reality.
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Clin Neurol Neurosurg · Apr 2009
Case ReportsEarly onset tension pneumocephalus following ventriculoperitoneal shunt insertion for normal pressure hydrocephalus: a case report.
The occurrence of tension pneumocephalus following ventriculoperitoneal (v.p.) shunt insertion is extremely rare, and is usually of delayed onset. We report a patient who developed an acute subdural tension pneumocephalus within 1 day following placement of a v.p. shunt for normal pressure hydrocephalus as a complication from shunt surgery.
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Clin Neurol Neurosurg · Apr 2009
Trigeminal schwannomas: a report of 42 cases and review of the relevant surgical approaches.
This study aims to achieve the complete removal of trigeminal schwannoma (TS) while preserving cranial nerve function. We focused on the outcomes of different surgical approaches and address the contributions of different operative techniques. Forty-two TS cases, treated surgically in Qilu Hospital during a 12-year period, were reviewed and analyzed. ⋯ In comparison to the conventional approach, the skull base approach provides better exposure of the tumors and increases the frequency of total and near-total/partial resections. Cavernous sinus involvement was the major impediment to total removal of the trigeminal schwannomas. Treatment always aims for total tumor resection; preservation or improvement of cranial nerve function can be achieved in most cases.