World Neurosurg
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Review Meta Analysis
Effects of Cranioplasty on Contralateral Subdural Effusion After Decompressive Craniectomy: A Literature Review.
Contralateral subdural effusion (CSE) after decompressive craniectomy (CSEDC) is occasionally observed. Cranioplasty is routinely performed for reconstruction and has recently been associated with improving contralateral subdural effusion. We sought to systematically review all available literature and evaluate the effectiveness of cranioplasty for CSE. ⋯ This review suggests that cranioplasty is effective for the treatment of CSEDC, particularly intractable cases, but early cranioplasty may be more effective. In addition, hydrocephalus is fairly common after cranioplasty and requires further treatment.
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Cervical disc diseases have been treated by cervical disc arthroplasty (CDA). Nevertheless, some patients will experience a mobility failure in their cervical prostheses over time because of heterotopic ossification. The aim of this study was to investigate the role of gender in long-term outcomes after CDA. ⋯ The incidence of mobility failure in our series of single-level CDA was lower in female patients. Several gender-specific factors both in static and in dynamic features may play a significant role in spinal pathology and CDA long-term radiological outcome.
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Meta Analysis
Mechanical Thrombectomy for M2 Segment Occlusion in Acute Ischemic Stroke：a systematic review and meta analysis.
The safety and benefit of mechanical thrombectomy (MT) in the treatment of acute ischemic stroke (AIS) patients with M2 segment middle cerebral artery occlusions remain uncertain. ⋯ Compared with M1 occlusion, patients with M2 occlusion treated by MT demonstrated similar clinical outcomes in this study. Moreover, there was no difference between stent retriever and aspiration in treating M2 occlusion in terms of functional independence at 90 days. However, aspiration exerted a conspicuously higher recanalization rate in M2 occlusion than in M1 occlusion.