Neurology India
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Cervical spondylotic myelopathy (CSM) is emerging as the most common cause of spinal cord dysfunction in the elderly worldwide. In the past decade, our understanding of the biomechanics of the spine has improved along with advances in spinal instrumentation and this has led to significant changes in the surgical management of CSM. This review will discuss the indications, advantages and limitations of different operative approaches as well as the complications and prognosis of surgery for cervical spondylotic myelopathy. Choice of surgical approach for CSM should be based on the clinical and radiological characteristics of the individual patient and not on the preferences of the surgeon.
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Three-dimensional (3D)-computed tomographic angiography (CTA) has been widely used for surgical simulation of intracranial aneurysms. Stereo imaging technology is progressing rapidly in recent years and stereo imaging may make more realistic surgical simulation possible. Therefore, we aimed at the establishment of a technique for stereoscopic viewing of minute volume rendering images while pursuing a low cost. ⋯ Our method for stereo viewing of multilayer fusion images resulted in an improvement in the capability of diagnostic imaging and the image-guided support for neurosurgical procedures in intracranial aneurysm.
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Clinical Trial
Application of the Willis covered stent for the management of posttraumatic carotid-cavernous fistulas: an initial clinical study.
To evaluate the feasibility of using the Willis covered stent in the management of patients with traumatic carotid-cavernous fistulas (CCFs). ⋯ This initial experience indicates that the use of the Willis covered stent is a feasible procedure and may be an alternative treatment option for CCFs.
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Patients with Guillain-Barré syndrome (GBS) require assisted ventilation frequently. However, no single factor can predict ventilator requirement. ⋯ Comprehensive assessment of clinical features may predict the need for mechanical ventilation in patients of GBS.