Neurology India
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Chronic subdural hematoma: results of a homogeneous series of 159 patients operated on by residents.
A series of cases with chronic subdural hematoma operated upon by residents in neurosurgery is analysed. ⋯ In CSDH, operation by the residents is safe and the results are comparable to those of the major series of the literature as the surgical procedure is standardized.
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The authors analyze epidemiology, location, clinical profile and outcome of double extradural hematoma (EDH) or EDH at more than one site. ⋯ Majority of the double EDH cases presented with a low GCS and there was a relatively quick neurological deterioration in these cases.
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Clinical Trial
Craniovertebral realignment for basilar invagination and atlantoaxial dislocation secondary to rheumatoid arthritis.
We present our experience of treating nine consecutive cases of rheumatoid arthritis involving the craniovertebral junction by atlantoaxial joint manipulation and attempts towards restoration of craniovertebral region alignments. ⋯ Manipulation of the atlantoaxial joints and restoring the anatomical craniovertebral alignments in selected cases of rheumatoid arthritis involving the craniovertebral junction leads to remarkable and sustained clinical recovery.
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Brain death is the absence of all cortical functions, including the brainstem. The apnea test (AT) is a necessary requisite to complete this diagnosis. Anecdotal reports describing hypotension and acidosis due to apnea test have been reported. However, there are few studies that evaluate complications or difficulties related to this procedure. ⋯ The apnea test is not an innocuous procedure. Complications during the AT are more common than reported and limit organ procurement for transplantation. Guidelines for performing the AT should be followed in order to avoid clinical complications.