Neurosurgery
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Meta Analysis
The value of scheduled repeat cranial computed tomography after mild head injury: single-center series and meta-analysis.
After an initial computed tomography (CT) scan revealing intracranial hemorrhage resulting from traumatic brain injury, a standard of care in many trauma centers is to schedule a repeat CT scan to rule out possible progression of bleed. ⋯ The available evidence indicates that it is unnecessary to schedule a repeat CT scan after mild head injury when patients are unchanged or improving neurologically. In the absence of supporting data, we question the value of routine follow-up imaging given the associated accumulative increase in cost and risks.
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Meta Analysis
Spinal glomus (type II) arteriovenous malformations: a pooled analysis of hemorrhage risk and results of intervention.
The natural history and treatment results for spinal glomus (type II) arteriovenous malformations (AVMs) remain relatively obscure. ⋯ Spinal glomus (type II) AVMs with previous hemorrhage, particularly within 10 years, demonstrated a greater risk of hemorrhage. Complete obliteration and even partial endovascular treatment significantly decreased their hemorrhage rate.