World Neurosurg
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The effect of statins and diabetes on angiographic and clinical outcomes in aneurysms treated with pipelines has not been adequately reported. Our aim is to assess the effect of concurrent statin medications and diabetes mellitus (DM) on aneurysm occlusion status and outcomes in patients treated with the pipeline embolization device. ⋯ Our analysis did not identify a statistically significant association between statin therapy or DM and higher occlusion rates or better outcomes after pipeline embolization. Diabetic patients may have a theoretic risk of significant in-stent stenosis.
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Case Reports
Surgical treatment for primary brainstem hemorrhage to improve postoperative functional outcomes.
It remains controversial whether primary brainstem hemorrhage (PBH) should be managed conservatively or treated promptly by surgical evacuation of the hematoma. In the present study, we discuss 5 cases of PBH that were treated surgically and the ability of surgical management to improve postoperative functional outcomes. ⋯ Because of the good results with these 5 patients with PBH, this surgical strategy could be encouraged with exclusion criteria for early initiation of rehabilitation strategies. We hope to increase our number of patients to accumulate further evidence.
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This study is aimed to comprehensively assess the prevalence and distribution of thoracic disc herniation (TDH) or thoracic hypertrophied ligamentum flavum causing stenosis (HLFS) by magnetic resonance image (MRI) in patients with back or leg pain. ⋯ The prevalence of TDH had a significant association with the presence of lumbar surgical lesions and no association with age. The prevalence of thoracic HLFS had a strong association with age and no association with lumbar surgical lesions.
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In the neurosurgery residency, inherent personality traits can play a significant role in the adaptability and success of the resident physician. ⋯ Personality typing can be used to gain valuable insight into the composition of neurosurgery residency cohorts and resolve conflicts arising from personality differences within these groups as well as within the larger hospital setting.