World Neurosurg
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To evaluate outcomes for workers' compensation (WC) patients versus patients with commercial insurance (CI) undergoing lumbar decompression at an ambulatory surgical center. ⋯ WC patients report inferior preoperative and postoperative outcomes in disability, mental health, and physical function compared to CI patients. However, WC patients were more likely to report clinically significant improvements in depressive burden. Surgeons can counsel WC patients on expected mental health improvements and recommend psychosocial and physical rehabilitation.
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This historical account reviews the course and lasting impact of Dr. Harvey Cushing (1869-1939) in neurosurgery. ⋯ This historical reconstruction provides glimpses into the personality of Dr. Harvey Cushing and his marked impact on neurosurgery and adds to the growing literature on his person.
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Early identification of risk factors associated with early neurological deterioration (END) in patients with acute minor stroke and large vessel occlusion (LVO) receiving intravenous thrombolysis (IVT) could assist in formulating treatment decisions. ⋯ Isolated ICA occlusion and delayed antiplatelet therapy were significantly associated with END in minor stroke patients with LVO following IVT. Bridging thrombectomy and early administration of antiplatelet therapy may be considered reasonable strategies.
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Epidermoid cyst (EC) located completely within the pituitary infundibulum is a rare entity with only seven reported cases. In this study, we have described our experience with resection of intra-infundibular epidermoid cysts (IECs) and reviewed the existing literature highlighting its distinguishing features and operative nuances. ⋯ IECs are rare tumors that are often misdiagnosed preoperatively. They have different postoperative morbidity profiles compared to other cystic lesions in the infundibulum. This makes it important to recognize this distinct entity.
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This study was conducted to evaluate the time gap between earliest head CT with a significant Radscale score and ventriculo-peritoneal (VP) shunt placement. ⋯ Evaluation of the time gap between the appearance of the earliest radiological signs and clinical diagnosis of idiopathic normal pressure hydrocephalus.