Journal of neurosurgery
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Journal of neurosurgery · May 2007
Nonconvulsive status epilepticus in patients suffering spontaneous subarachnoid hemorrhage.
Nonconvulsive status epilepticus (NCSE) is an underrecognized and poorly understood complication of aneurysmal subarachnoid hemorrhage (SAH). The authors evaluated the risk factors, electroencephalographic (EEG) characteristics, hospital course, and clinical outcomes associated with NCSE in a population with SAH treated at a single institution. ⋯ Nonconvulsive status epilepticus is a devastating complication of SAH with a high rate of associated morbidity. Based on these findings it appears that the patients at highest risk for NCSE can be identified, and this should provide a basis for further studies designed to determine the clinical significance of various EEG patterns and to develop preventative strategies.
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Journal of neurosurgery · May 2007
Case ReportsMedial plantar nerve compression by a tibial artery schwannoma. Case report.
The authors describe the case of a patient with a novel cause of medial plantar symptoms due to extrinsic compression by a schwannoma arising within the adventitia of the tibial artery in the ankle region. Additionally they provide the operative, histological, and imaging findings.
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Journal of neurosurgery · May 2007
The surgical anatomy of ulnar and median nerve communications in the palmar surface of the hand.
Sensation in the palmar surface of the digits is supplied by the median and ulnar nerves, with the boundary classically being the midline of the ring finger. Overlap and variations of this division exist, and a communicating branch between the ulnar and median nerve could potentially explain further variations in digital sensory innervations. The aim of this study was to examine the origin and distribution of the communicating branch between the ulnar and median nerves and to apply such findings to the risk involved in surgical procedures in the hand. ⋯ According to the origin and distribution of these branching patterns, the investigators were able to define a risk area in which the communicating branch(es) may be subject to iatrogenic injury during common hand procedures.
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Journal of neurosurgery · May 2007
Cargo areas of pickup trucks: an avoidable mechanism for neurological injuries in children.
Falls from pickup truck cargo areas represent a unique mode of injury in children and adolescents. The goal of this study was to identify the neurological spectrum of injuries resulting from children riding in the back of pickup trucks. ⋯ Falls or ejections from pickup truck cargo areas result in a relatively high incidence of traumatic head, spine, and peripheral nerve injury. Head CT scanning should therefore be considered in pediatric patients with this mechanism of injury. Cargo area occupancy poses an unacceptable risk of injury and should be avoided.