Zhou X, Chen J, Li Q, et al. Minimally invasive surgery for spontaneous supratentorial intracerebral hemorrhage: a meta-analysis of randomized controlled trials. Stroke. 2012 Nov;43(11):2923-30. doi: 10.1161/STROKEAHA.112.667535. Epub 2012 Sep 18. (Review) PMID: 22989500   BACKGROUND AND PURPOSE: There has been a nonstandard surgical procedure and extensive international controversy in minimally invasive surgery (MIS) for [...]

We report a rare case of anterior cerebral artery (ACA) thrombosis following transsphenoidal surgery in a case of growth hormone secreting pituitary macroadenoma. During the surgery, there was arachnoid breach with cerebrospinal fluid (CSF) leak. Post operatively, she became blind in both eyes for which re-exploration was done. A computed tomographic (CT) scan 16 hours [...]

Hemorrhagic contusions HC represent a common consequence of traumatic brain injury TBI and usually evolve during the first 12 h after trauma. The relationship between decompressive craniectomy DC and evolution of the post-traumatic HC is still unclear. The aim of the present study was to evaluate the impact of DC on HC evolution. Fifty-seven patients with [...]

BACKGROUND: Dramatic growth of meningiomas is occasionally encountered during pregnancy. While cell proliferation is often assumed, hemodynamic changes have also been touted as a cause. OBJECTIVE: We identified 17 meningiomas resected during pregnancy or within 3 weeks post-partum and characterized them to determine the cause of occasional rapid growth in pregnancy. METHODS: Seventeen tumors were [...]

BACKGROUND: It is unclear whether long-term seizure outcomes in children are similar to those in adult epilepsy surgery patients. OBJECTIVE: To determine 5-year outcomes and antiepilepsy drug (AED) use in pediatric epilepsy surgery patients from a single institution. METHODS: The cohort consisted of children younger than 18 years of age whose 5-year outcome data would [...]

Study Design. A retrospective single-center study. Objective. To investigate the prevalence of symptoms before and after surgery in a large series of patients with cervical spondylotic myelopathy (CSM). Summary of Background Data. No study has elucidated the epidemiological data regarding the prevalence of pre- and postoperative symptoms in patients with CSM. Methods. Five hundred twenty [...]

Objective The relationship between traumatic brain injury (TBI) and the risk of dementia remains controversial. This population based study was designed to estimate and compare the risk of dementia in TBI and non-TBI individuals during the 5 year period after TBI. Methods This study was a retrospective cohort study. Data were obtained from the Longitudinal [...]

Movimentos com decisão Sem dúvidas em sua razão Aspirador a lhe dar caminho E um bipolar na outra mão Não sente nem sede nem fome Concentração é a sua fonte Enquanto as horas se consomem Deus trabalha na mão do homem Coagula os pequenos vasos Amarra bem forte os mais largos Seu campo é limpo [...]

Neurol Med Chir (Tokyo). 2010;50(9):800-8. What is the role of clipping surgery for ruptured cerebral aneurysms in the endovascular era? A review of recent technical advances and problems to be solved. CLICK HERE Ishikawa T. Source Department of Neurological Surgery, Research Institute for Brain and Blood Vessels-Akita, 6-10 Senshu-Kubota-machi, Akita, Japan. teddyish@akita-noken.jp Abstract Craniotomy and [...]

Evidence-based guidelines recommend intracranial pressure (ICP) monitoring for patients with severe traumatic brain injury (TBI), but there is limited evidence that monitoring and treating intracranial hypertension reduces mortality. This study uses a large, prospectively collected database to examine the effect on 2-week mortality of ICP reduction therapies administered to patients with severe TBI treated either [...]