Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Jun 2019
Migraine in patients with fibromyalgia and outcomes of greater occipital nerve blockage.
The aim of this study is to evaluate the efficacy of greater occipital nerve (GON) blockage in patients with migraine and fibromyalgia (FM) comorbidity. ⋯ GON blockage reduces pain severity, headache frequency and duration and increases QoL in patients with migraine and FM comorbidity.
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Clin Neurol Neurosurg · May 2019
Meta AnalysisMeta-analysis of recent literature on utility of follow-up imaging in isolated perimesencephalic hemorrhage.
Isolated perimesencephalic subarachnoid hemorrhage is an uncommon, distinct subtype of subarachnoid hemorrhage with a more benign prognosis. A negative computed tomographic angiogram has been shown to be reliable in excluding aneurysmal rupture as the underlying etiology. However, some studies continue advocating for more imaging to determine a vascular cause in perimesencephalic subarachnoid hemorrhage. The objective of this study is to evaluate the evidence for use and utility of repeat angiographic imaging after a negative computed tomographic angiogram in patients with perimesencephalic subarachnoid hemorrhage. ⋯ Use of repeat angiographic imaging after a negative computed tomographic angiogram for perimesencephalic subarachnoid hemorrhage patients remains not uncommon, despite previous meta-analysis. Review of the more recent literature is consistent with previously published meta-analysis and shows limited benefits despite frequent use. In patients with a strictly defined perimesencephalic subarachnoid hemorrhage pattern and clinical picture consistent with perimesencephalic subarachnoid hemorrhage, an initial negative computed tomographic angiogram should be adequate and repeated follow-up studies can be avoided.
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Clin Neurol Neurosurg · May 2019
Risk factors for preoperative and late postoperative seizures in primary supratentorial meningiomas.
We performed a retrospective study to identify factors associated with preoperative and late postoperative seizures in primary supratentorial meningiomas. ⋯ Identifying factors associated with preoperative or late postoperative seizures may help guide treatment strategies, eventually improving the quality of life for patients with meningiomas.
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Clin Neurol Neurosurg · Apr 2019
Early management of poor-grade aneurysmal subarachnoid hemorrhage: A prognostic analysis of 104 patients.
This study aimed to investigate the efficacy of early management for poor-grade aneurysmal subarachnoid hemorrhage (aSAH; WFNS grade IV and V), and analyze the prognostic factors. ⋯ The treatment of aSAH at the early stage by microsurgical clipping or endovascular coiling should be highlighted, especially for patients with WFNS grade IV. CT Fisher grade I-II, WFNS grade IV and endovascular coiling may predict a favorable prognosis, and the CT low-density area appeared to be a possible risk factor for poor prognosis.