World Neurosurg
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Randomized Controlled Trial Multicenter Study
Plasma Potassium Concentration on Admission Correlates with Neurological Outcome in Traumatic Brain Injury Patients Treated with Targeted Temperature Management: a Post Hoc Analyses of a Multicenter Randomized Controlled Trial.
Recent studies have focused on the association between plasma electrolytes, particularly potassium level and neurologic outcomes in patients with traumatic brain injury (TBI). We hypothesized that potassium level on admission is an indicator for initiation of targeted temperature management in patients with severe TBI. ⋯ The initial potassium level may be an indicator in determining appropriate targeted temperature management for patients with TBI. Fever control may be considered instead of MTH for normokalemia patients with TBI on admission.
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The optimal timing of cranioplasty remains uncertain. ⋯ Early cranioplasty in non-infection-related craniectomy is relatively safe. There does not appear to be an added advantage to delaying cranioplasties more than 12 weeks after the initial craniectomy in terms of infection reduction. There was no significant difference in infection rates or risk of hydrocephalus between the early and late cohorts.
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Cervical spine surgery is a common procedure for treatment of wide variety of pathologies. In this paper we report approach-related complication rates experienced by our patients. ⋯ Both the posterior and the anterior approaches are highly efficacious in preventing neurologic deterioration and in most cases improve neurological function. This study demonstrates that the anterior approach was associated with significantly lower rates of complication especially infection related complications.
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Cavernous sinus hemangioma (CSH) is a rare type of benign vascular tumor. Microsurgery for CSH treatment usually results in profuse bleeding and cranial nerve injury. Radiosurgery is an alternative treatment for CSH. The objective of this study was to elucidate the efficacy and safety of gamma knife surgery (GKS) for the treatment of CSH. ⋯ GKS is a safe and effective treatment for most cases of CSH. The concept of GKS as an adjuvant treatment for CSH requires reconsideration.