World Neurosurg
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Historical Article
A Bosphorus submarine passage and the reinvention of neurosurgery.
One of the major themes characterizing the emergence of modern neurosurgery has been the concept of technology transfer and the application of a broad spectrum of revolutionary elements of technology from both physical and biological science. These transference applications are now apparent in modern neurosurgery as it is practiced on all continents of the globe. More than 3 decades ago, these ideas that now have come to fruition were in states of formulation. This article describes and further documents one such fertile cauldron of ideas and practical realities--the United States Navy Nuclear Submarine Service and its role and affect on the life and professional career of an academic neurosurgeon who was active in areas of progress as modernity was established for the early 21st century.
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This study sought to present an overview of dabigatran, a new anticoagulant, and to discuss the implications for the perioperative management of patients taking dabigatran. ⋯ We present a basic overview of dabigatran, discuss the implications for the perioperative management of patients taking this new anticoagulant, and offer recommendations for the management of intracranial hemorrhage related to this drug.
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Multicenter Study
Outcomes and complications of extension of previous long fusion to the sacro-pelvis: is an anterior approach necessary?
Patients with previous multilevel spinal fusion may require extension of the fusion to the sacro-pelvis. Our objective was to evaluate the outcomes and complications of these patients, stratified based on whether the revision was performed using a posterior-only spinal fusion (PSF) or combined anterior-posterior spinal fusion (APSF). ⋯ Among adults with previously treated scoliosis requiring extension to the sacro-pelvis, PSF produced radiographic fusion and clinical outcomes equivalent to APSF, whereas complication rates may be lower. PSO resulted in greater sagittal plane correction, without an increase in overall complication rates.
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Review Case Reports
Factors influencing the prognosis in intracranial dural arteriovenous fistulas with perimedullary drainage.
Intracranial dural arteriovenous fistulas with perimedullary venous drainage (IDAVFPD) are classified as type V dural arteriovenous fistulas. Publications are limited to single case reports and small case series. We conducted a systematic review of the literature for patients with IDAVFPD. The aim of this study is to identify the predictive factors of poor prognosis in patients with IDAVFPD. ⋯ The poor outcomes were correlated to the presence of brainstem signal abnormalities on magnetic resonance imaging, whereas the prognosis does not depend on age, sex, clinical presentation, or anatomic characteristics of the fistula.
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Biography Historical Article
Florence Nightingale: light to illuminate the world from the woman with the lantern.
The Ottoman-Russian war of 1853 to 1855 was significant not only as a war, but also in response to a reflex from the West brought with itself novel approaches related to care of patients under severe health conditions. Florence Nightingale and her associates assigned at that time to care for soldiers in Istanbul who were severely ailing as a result of battle conditions were instrumental in the emergence of a hitherto unknown profession. This article examines the progress of events in the London-Istanbul axis that led to this development.