Neurosurgery
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Multicenter Study
Variation in Patient Characteristics and Outcomes Between Early and Delayed Surgery in Poor-Grade Aneurysmal Subarachnoid Hemorrhage.
There is no consensus regarding the optimal timing for surgery for poor-grade aneurysmal subarachnoid hemorrhage. ⋯ Although patients with brain herniation and a lower Fisher grade were more likely to undergo early surgery, there was a slight trend toward an excellent outcome in the early surgery group. Patients with a younger age, World Federation of Neurosurgical Societies grade IV after resuscitation, and middle cerebral artery aneurysms were more likely to experience an excellent outcome.
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Review Meta Analysis
Predictors of Outcome Following Cerebral Aqueductoplasty: An Individual Participant Data Meta-analysis.
The evidence supporting the efficacy and safety of cerebral aqueductoplasty (CA) is limited to small surgical series. ⋯ Small retrospective cohort studies are inherently prone to biases, some of which are overcome through the use of individual participant data. The best available evidence suggests that CA is an effective procedure with a moderate morbidity profile. Older age at surgery, congenital etiology, and use of stent predict a good outcome with respect to delaying the requirement for a second CSF diversion procedure.