World Neurosurg
-
Comparative Study
A comparative anatomic study of a modified temporal-occipital transtentorial transpetrosal-ridge approach and a transpetrosal presigmoid approach.
To evaluate the anatomic features of a modified temporal-occipital transtentorial transpetrosal-ridge approach versus the conventional approach for surgery of petroclival tumors. ⋯ The modified temporal-occipital transtentorial transpetrosal-ridge approach is a feasible surgical approach to remove petroclival tumors.
-
The Japanese Society of Neurotraumatology announced guidelines for management of severe traumatic brain injury (TBI) in 2000. To evaluate subsequent implementation of these guidelines, we investigated current severe TBI practices in Japan. ⋯ Neurosurgeons in Japan are positively involved in management of severe TBI, but few medical centers monitor TBI patients. Many medical centers find it difficult to conform to the guidelines due to lack of neurosurgeons and equipment. These problems can be addressed by consolidation of neurosurgeons into centralized centers and improvement of the medical insurance system.