Neurology India
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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.
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Comparative Study Clinical Trial
Clinical outcomes of two different types of open-door laminoplasties for cervical compressive myelopathy: a prospective study.
Hirabayashi open-door laminoplasty is the most typical surgical treatment option for cervical compressive myelopathy, however, this conventional approach has many complications. To minimize these complications, many modified approaches have been devised. ⋯ Both the conventional and instrumented techniques provide similar good results but the instrumented technique provided better axial pain relief and lower incidence of perioperative complications.
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Clinical Trial
An initial experience with therapeutic drug monitoring of levetiracetam as reported from a pediatric clinical setting in India.
Monitoring of levetiracetam in routine clinical practice is not strongly recommended. The aim of this study was to investigate any difference in serum levetiracetam concentration between patients on enzyme-inducing and -inhibiting antiepileptic co-medication and also to identify any correlation between levetiracetam concentration and clinical response. ⋯ Levetiracetam monitoring has a role in patients on antiepileptic polypharmacy and for confirmation of compliance.