Neurosurgery
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Primary hyperhidrosis of the upper limbs is a common and troublesome condition in Taiwan. Therefore, we present our experience in treating hyperhidrosis via uniportal endoscopic thoracic sympathectomy. ⋯ Uniportal endoscopic thoracic sympathectomy is a safe, effective method for the treatment of patients with palmar or axillary hyperhidrosis. For surgery, both a semi-sitting position and single-lumen-intubation anesthesia are recommended.
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A common assumption in sports medicine is that a history of concussion is predictive of a lower threshold for, as well as a worse outcome after, subsequent concussive injury. The current study was conducted to investigate the relationship between concussion history in high school athletes and the on-field presentation of symptoms after subsequent concussion. ⋯ This study is the first to suggest a cumulative effect of concussion in high school athletes. A more severe on-field presentation of concussion markers is evidenced in high school athletes with a pronounced history of concussion. This study's findings highlight the need for more long-term outcome studies in high school athletes who sustain sports-related concussions.
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Comparative Study
Evaluation of vasospasm after subarachnoid hemorrhage by use of multislice computed tomographic angiography.
Multislice computed tomographic angiography (CTA) can provide clearer vascular images, even of the peripheral arteries, than conventional CTA. Multislice CTA was compared with digital subtraction angiography (DSA) for the detection of cerebral vasospasm in patients with acute aneurysmal subarachnoid hemorrhage (SAH) to analyze whether multislice CTA can replace DSA in the detection of vasospasm after SAH. ⋯ Multislice CTA can detect angiographic vasospasm after SAH with accuracy equal to that of DSA.
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Historical Article
Development of Japanese neurosurgery: from the Edo era to 1973.
IN JAPAN, ALTHOUGH eminent surgeons have performed major operations while the patient is under general anesthesia since the end of the 18th century and the beginning of the 19th century, neurosurgical operations were performed only sporadically for many years after 1877. The Japanese Neurological Society was formed in 1948. ⋯ The Board of Neurological Surgery was founded in 1966. The Fifth International Congress of Neurological Surgery, held in Tokyo in 1973, strongly influenced young Japanese neurosurgeons.
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Biography Historical Article
Beyond conservatism and the boundaries of a medical discipline: a short history of the department of neurosurgery at kyoto university graduate school of medicine.
CONSTANT CHANGE AND the occasional fusion of two different entities can result in the creation of masterpieces, not only in art but also in neurosurgery. Chisato Araki is one of the pioneers of neurosurgery in Japan; his 2-year sojourn in the United States and Europe provided him with an extraordinary amount of experience. ⋯ His successor, Hajime Handa, established neurosurgery as one of the branches of neuroscience and fostered the collaborations and exchanges among different disciplines that have become a tradition and hallmark of our Department of Neurosurgery. Through anecdotes and glimpses of the evolution of neurosurgery at our institution, we offer insights into the unique nature of Japanese neurosurgery that may illuminate the path toward the resolution of some of the recent and enduring problems encountered in our specialty.