World Neurosurg
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The prevalence of obesity is increasing at a disparaging rate in the United States. Although previous studies have associated obesity with increased surgical complications and readmission rates, the impact of obesity on surgical outcomes after cranial surgery remains understudied. The aim of this study is to assess the effect of obesity on complication and 30-day readmission rates after cranial surgery. ⋯ Our study suggests that obesity may not have a significant impact on surgical outcomes after cranial surgery.
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Takotsubo cardiomyopathy (TCM) is caused by excessive physical and mental stress, and sometimes causes potentially fatal arrhythmias such as torsades de pointes. This study characterized the features of TCM due to aneurysmal subarachnoid hemorrhage, particularly the delayed normalization of electrocardiograms compared with that of transthoracic echocardiograms. ⋯ This study showed a notable delay in recovery of abnormal electrocardiographic findings compared with the recovery of echocardiographic findings. Sufficient attention to persistent abnormalities on electrocardiography is warranted, even after improvements in cardiac wall motion and the vasospasm period.
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This report describes 2 techniques for controlling otherwise difficult-to-control hemorrhage from choanoid bony foramina. ⋯ Vigorous bleeding, whether arterial or venous, from choanoid foramina can be quickly and reliably controlled by the techniques described.
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Chronic subdural hematoma (cSDH) is one of the most common neurosurgical diseases typically affecting older people. Many of these patients have coronary artery disease and receive antiplatelet therapy, usually acetylsalicylic acid (ASA). Despite growing clinical relevance, there is still a lack of data focusing on the perioperative management of such patients. ⋯ Given the lack of guidelines regarding perioperative management with antiplatelet therapy, our findings elucidate one issue, showing comparable recurrence rates with and without discontinuation of low-dose ASA in patients undergoing burr-hole drainage for cSDH.
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Review Multicenter Study
Endoscopic endonasal management of rare sellar lesions: clinical and surgical experience on 78 cases and review of the literature.
In the present study we aim to provide further definition of a group of rare sellar diseases treated by the endoscopic endonasal approach. ⋯ Endoscopic endonasal approaches offer some specific benefits in the treatment of these patients.