AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsInformation ScienceNamed GroupsHealth CareGeographicals
CraniotomyPostoperative PeriodNefopamPostoperative CarePivampicillinShiveringPostoperative ComplicationsPain, PostoperativeAbdomenMortalityProspective StudiesTime FactorsTreatment OutcomeNeurosurgical ProceduresHospital MortalityPneumocephalusInfant MortalityFrontal BoneHematoma, Subdural, AcuteTrephiningCause of DeathHead Injuries, PenetratingBrain NeoplasmsIntracranial AneurysmHematoma, SubduralDelayed Emergence from AnesthesiaRetrospective StudiesDura MaterMeningeal NeoplasmsSurgical Fixation DevicesSupratentorial NeoplasmsFrontal SinusMeningiomaChild MortalityArachnoid CystsGlasgow Coma ScaleTomography, X-Ray ComputedSubdural SpaceMicrosurgeryMaternal MortalityFollow-Up StudiesHematoma, Epidural, CranialHematoma, Subdural, ChronicCerebrospinal Fluid RhinorrheaTemporal BoneCranial Fossa, AnteriorCohort StudiesFourth VentricleStereotaxic TechniquesBrain AbscessMagnetic Resonance ImagingNeurosurgerySurgical InstrumentsHematoceleProportional Hazards ModelsVentriculostomyCerebellar DiseasesSurgical FlapsBrain InjuriesAneurysm, RupturedSubarachnoid HemorrhageConsciousness MonitorsSurvival AnalysisSkull BaseSkull FracturesSurvival RateCerebral AngiographyIntracranial HemorrhagesCranial Nerve NeoplasmsSkull Base NeoplasmsConscious SedationPrognosisCerebral VeinsDecompression, SurgicalUnited StatesCardiovascular DiseasesRisk AssessmentBrain DiseasesInfant, NewbornCerebral HemorrhageMortality, PrematureCraniopharyngiomaAge FactorsIntracranial Hemorrhage, HypertensiveAnterior Cerebral ArteryOrbitAnesthesiaPerinatal MortalityNeuroendoscopyMonitoring, IntraoperativeSkullIncidenceCranial Fossa, MiddleGlasgow Outcome Scale
MorbidityComplicationsIntraoperativeSurgicalClinicalNeurosurgeryCerebralNeurosurgical patientsIncidence of postoperativeAwakeOpen craniotomyLarge craniotomyCohortPreoperativeTumorComplicationAcutePerioperativeLesionsOutcomeNeurologicalSurgeryAnesthesiaMalignantMethodsFindingsTumorsMeningiomasSubduralPathologyPost-operativeRetrospectiveExcisionSurgically managedSevere traumatic brainPrognosisSuboccipitalResectionTraumaticOutcomes of patientsCraniectomyUnderwentPediatric20212017RhinorrheaResultsCharacteristicsUndergoneDeficitsHighIntracranial aneurysmsLeakageAneurysmsRateGuidelineCareMucormycosisHematomaDischargeCognitiveDeteriorationInvasiveEndovascular
Morbidity17
  • SDHs can be associated with high mortality and morbidity, even when the best medical and neurosurgical care is provided. (medscape.com)
  • Cerebral abscess related to organic congenital heart disease is one of the leading causes of morbidity and mortality in the pediatric population. (pediatricneurosciences.com)
  • Shunt-related complications are a significant cause of morbidity and mortality in this population. (pediatricneurosciences.com)
  • Is it reasonable to have a 10% morbidity for a rapidly advancing disease with a 100% mortality in a year's time? (surgicalneurologyint.com)
  • Rates of mortality and morbidity can be high, even with the best medical and neurosurgical care (see Prognosis). (medscape.com)
  • Objectives We used electronic health record data to study the profile of in-hospital morbidity and examine associations between various intraoperative events and postoperative stay. (bmj.com)
  • Methods and outcome definition Complications were defined using a modified Electronic Postoperative Morbidity Score. (bmj.com)
  • Conclusions There is a high postoperative morbidity burden in this cohort, which was associated with postoperative stay. (bmj.com)
  • We aimed to determine predictors of perioperative morbidity and mortality after noncardiac surgery for patients with precapillary PH. (researchsquare.com)
  • Patients with pulmonary hypertension (PH) are at increased risk for perioperative morbidity and mortality [1-3], and PH is an independent risk factor for complications after noncardiac surgery [4]. (researchsquare.com)
  • A substantial morbidity can occur after cardiopulmonary operations in patients with PH [1, 2, 7-10]. (researchsquare.com)
  • Our primary aim was to evaluate morbidity and mortality in a contemporary cohort of adult patients with PH undergoing noncardiac surgery and to explore the association between clinical and diagnostic parameters and morbidity and mortality. (researchsquare.com)
  • 2021. Management of morbidity and mortality in a New Zealand white rabbit model of steroidinduced osteonecrosis of the femoral head. (awionline.org)
  • Patients with this cancer type face significant morbidity and mortality, with over 13,000 deaths per year in the United States. (cancernetwork.com)
  • Across the country india for last one month of very many incidence of mucormycosis against patients with covid -19 , especially who received dexamethasone with co morbidity diabetes mellitus and associated with high mortality and morbidities. (bmj.com)
  • In most patients, improvement of vision can be achieved with minimal postoperative complications and morbidity. (docslib.org)
  • To limit 1-3,6,19 morbidity and mortality rates, knowledge of the ana- 90% have optic atrophy. (docslib.org)
Complications14
  • The pulmonary complications play an important role in death and disability in patients with general anesthesia[1-3]. (researchsquare.com)
  • There was no postoperative CSF rhinorrhea or complications related to the use of the VCS. (neurosurgery.directory)
  • The secondary endpoints include quality of life measured by EQ-5D, mortality, complications, intracranial pressure and cerebral perfusion pressure control and incidence of salvage craniectomy in craniotomy patients at each investigation time point. (biomedcentral.com)
  • Interventions aimed at reducing complications among African-American brain tumor patients may help reduce post-operative disparities and improve the cost-effectiveness of brain tumor surgery. (cns.org)
  • The medical records of these patients were retrospectively analyzed for patient characteristics, clinical results, offending vessels, and complications if any. (e-jyms.org)
  • On multivariable analysis, postoperative complications (0.61 (0.55 to 0.68)), anticoagulation (0.45 (0.37 to 0.54)) and cognitive impairment (0.71 (0.58 to 0.87)) were associated with time to discharge. (bmj.com)
  • The patient died 21 days after admission due to clinical complications and brain swelling. (thejns.org)
  • Results: Of 196 patients with PH undergoing noncardiac operations, 53 (27%) experienced 1 or more complications, including 5 deaths (3%) within 30 days. (researchsquare.com)
  • Conclusions: Patients with PH undergoing noncardiac surgery with general anesthesia have a high frequency of perioperative complications. (researchsquare.com)
  • However, general anaesthesia can provide improved patient comfort, guaranteed patient immobility (and improved image acquisition), facilitation of manipulation of patient physiology and ability to manage complications swiftly. (wfsahq.org)
  • Aortic insufficiency caused by paravalvular leakage (PVL) is one of the most feared complications following transcatheter aortic valve replacement (TAVI) in patients. (awionline.org)
  • 2021. Minimizing complications in a porcine survival craniotomy model. (awionline.org)
  • The surgical approaches and complications of craniotomies in pigs have not been published before. (awionline.org)
  • Findings showed the benefits of regional anesthesia over general anesthesia (smaller percentage of myocardial infarction, a significant reduction in the risk of death, decreased by 2 times the risk of perioperative stroke, decreased pulmonary complications, shorter hospital period and smaller cost per patient). (neuronsk.ru)
Intraoperative9
  • Strategies to ameliorate craniotomy pain demand interventions during all phases of patient care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
  • ERAS protocols divide the key components of perioperative care according to phase of care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
  • Between March 2018 and November 2022, 41 patients who experienced intraoperative high - flow CSF leakage following endoscopic endonasal surgery at two independent tertiary institution s were enrolled. (neurosurgery.directory)
  • Recognition of the extent of pneumatization of the temporal bones and appropriate preparation for intraoperative repair can minimize the risk of a postoperative cerebrospinal fluid (CSF) leak. (neurosurgicalatlas.com)
  • Patients were excluded from the study if, 1) there was evidence of neurological symptoms unrelated to brain abscess, 2) there was evidence showing the patient had not undergone a drainage procedure or intraoperative pus sampling, or 3) the patient was lost to follow-up during the study period. (biomedcentral.com)
  • We found no evidence of an association between intraoperative events and postoperative stay. (bmj.com)
  • Patients also like to know regarding latest and advanced treatment options for brain tumor surgery like intraoperative neuromonitoring, awake craniotomy, ultrasonic aspirator, microsurgery, endoscopic surgery for brain tumors. (hyderabadneurosurgeon.co.in)
  • The intraoperative period was uneventful and the patient was shifted in the conscious state, oriented and with stable vitals, which mirrored in the postoperative period. (pediatricneurosciences.com)
  • Intraoperative and postoperative blood reinfusion in the context of its advantages and disadvantages were discussed in details, hardware reinfusion at FNC was analyzed. (neuronsk.ru)
Surgical18
  • The COVID-19 pandemic forced a reconsideration of surgical patient management in the setting of scarce resources and risk of viral transmission. (plos.org)
  • Craniotomy is a relatively common surgical procedure with a high incidence of postoperative pain. (surgicalneurologyint.com)
  • Craniotomy is the most widely used surgical treatment for STBI. (biomedcentral.com)
  • I remember a story of Dr Paul Bucy, a famous pioneer neurosurgeon and founder of Surgical Neurology, the print predecessor of SNI , who did a hemispherectomy in 1948 on a patient with a GBM to remove all the tumor he could find. (surgicalneurologyint.com)
  • Their management often requires surgical intervention, and the prognosis is usually good when the intervention is performed before the patient becomes comatose. (medlink.com)
  • These patients may be more likely to benefit from medical and surgical intervention when instituted in a timely fashion (ie, before further neurological deterioration). (medscape.com)
  • Patients underwent surgical treatment with the modified fovea-sparing technique and 20% SF6 gas tamponade of two-week duration and were instructed to maintain a face-down position for a week after surgery. (dntb.gov.ua)
  • Mortality due to brain abscess was not directly related to surgery nor surgical technique. (biomedcentral.com)
  • For relatively short and simple cases performed on low-risk surgical patients, the only monitoring required may be noninvasive BP monitoring, heart rate (HR) monitoring, and end-tidal carbon dioxide (EtCO 2 ) monitoring. (medscape.com)
  • Evaluation of five randomized, controlled trials involving patients with CSF leakage found that when those treated with antibiotic prophylaxis were compared with controls, no significant difference existed with regard to the frequency of meningitis, all-cause mortality, meningitis-related mortality, and the need for surgical correction. (medscape.com)
  • 10 Endovascular technique enables treating these lesions without craniotomy and the risks related to surgical manipulation. (ajnr.org)
  • Directionally encoded color track density imaging in brain tumor patients: A potential application to neuro-oncology surgical planning. (dana-farber.org)
  • Meningiomas of the tuberculum sellae arise from the REVIEW OF SURGICAL TREATMENT limbus sphenoidale, chiasmatic sulcus, and tuberculum.14,22 They comprise approximately 3 to 10% of all intracrani- Clinical Presentation and Demographic Features al meningiomas.19,22 Correct diagnosis and management require an appreciation of the unique clinical, neuroim- Visual deterioration is the most common problem in aging, and surgery-related features that distinguish these patients harboring tuberculum sellae meningiomas. (docslib.org)
  • Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. (ahrq.gov)
  • Association of surgical resident wellness with medical errors and patient outcomes. (ahrq.gov)
  • Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial. (ahrq.gov)
  • Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. (ahrq.gov)
  • The worldwide overall incidence of hospital adverse events approximates 10%, 5 with the OR being the most common site for incidents in the hospital setting, and errors occurring in up to 14.6% of surgical patients. (thejns.org)
Clinical12
  • In order to minimize shunt placements, we used very rigid clinical selection criteria and followed them in all patients who had myelomeningocele and enlarged ventricles. (pediatricneurosciences.com)
  • Efficacy of Nanocurcumin as an Add-On Treatment for Patients Hospitalized with COVID-19: A Double-Blind, Randomized Clinical Trial. (medscape.com)
  • The purpose of this study was to assess the etiology and clinical characteristics of peripheral PICA aneurysms and to evaluate the angiographic and clinical results of the patients who underwent endovascular treatment for a peripheral PICA aneurysm in a single center. (ajnr.org)
  • The clinical outcome was good in 7 patients, whereas 3 patients, all poor clinical grade, died (1 for unrelated reasons). (ajnr.org)
  • When evaluating a patient with subarachnoid hemorrhage, what are the clinical findings associated with a poor outcome? (snacc.org)
  • This will potentially be of benefit in opening up appropriate clinical trial opportunities for this subset of patients in the future. (cancernetwork.com)
  • This guideline uses a step-by-step approach guiding the process of imaging, classification of mandibular defects and volume assessment of three-dimensional (3D) models, after which a legitimized quantitative accuracy evaluation method can be performed between the postoperative clinical situation and the preoperative virtual plan. (puppyreading.com)
  • For hospitalization, most of these patients are not fully evaluated, so pupillary examination remains an important tool for clinical assessment. (weddings234.com)
  • All such patients admitted between January 1995 and September 1996 at the Department of Clinical Neurosurgery, University of Bonn were included in the study. (weddings234.com)
  • While advancements in neurosurgical ICUs (NICU) have improved outcomes of care globally, ICU mortality remains a major clinical issue in developing nations. (bvsalud.org)
  • However, it is important to acknowledge that our current understanding of prognosis is based on treatment approaches guided by clinical risk factors such as postoperative residual tumor volume and the presence of metastatic disease. (neurosurgery.directory)
  • This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. (bvsalud.org)
Neurosurgery5
  • The goal of this review is to create an alembic for the design of a standardized pain management protocol for craniotomy in the context of the development of an ERAS protocol for neurosurgery. (surgicalneurologyint.com)
  • However, approximately 50% of patients with head injuries who require emergency neurosurgery present with head injuries that are classified as moderate or mild ( Glasgow Coma Scale scores 9-13 and 14-15, respectively). (medscape.com)
  • Sixty patients with a total of 82 brain abscesses verified by postoperative pathology were treated surgically between January 2001 and December 2011 at the department of Neurosurgery in Shanghai Changzheng Hospital. (biomedcentral.com)
  • Is It Possible To Reverse Dilate 37 5 Weeks - Aims to identify different trigeminal events (infarction, brain surgery), timing of interventions and treatment outcomes of patients with fixed and dilated pupils (FDP) in a prospective neurosurgery series. (weddings234.com)
  • Method: Case records of neurosurgery patients who died in the ICU of UNIOSUN Teaching Hospital, Osogbo, South-Western, Nigeria from June 2012 to May 2022 were reviewed. (bvsalud.org)
Cerebral12
  • [ 3 ] Although cerebral angiography could be used to localize SDHs in the early-to-middle 20th century, the development of computed tomography (CT) in the late 1970s represented another leap in patient care. (medscape.com)
  • Objective: To investigate the effects of protective lung ventilation on regional cerebral oxygen saturation during dura opening, that is from Ta (after dura opening) to Tb (before dura closing), in patients undergoing intracranial tumor surgery. (researchsquare.com)
  • Discussion: This study aims to determine whether protective lung ventilation during dura opening can improve regional cerebral oxygen saturation and the state of pulmonary ventilation in patients undergoing intracranial tumor surgery, and to investigate whether this strategy does not affect the degree of brain tissue swelling and the reoperation rate after operation. (researchsquare.com)
  • Other diagnostic tools include a patient history, a neurologic assessment, skull X-rays, a brain scan, and cerebral angiography. (online-family-doctor.com)
  • Similar results were found for analyses considering the dichotomized 6-month mRS score (favorable score 0-2), as well as for the secondary outcomes of discharge mRS score (either ordinal or dichotomized), mortality, and delayed cerebral ischemia. (thejns.org)
  • Mortality and delayed cerebral ischemia rates were also similar compared with placebo. (thejns.org)
  • All of the patients underwent a 4-vessel cerebral angiography, disclosing a peripheral PICA aneurysm (in one case the primary DSA was negative). (ajnr.org)
  • There are interactions between other organ systems (for example the heart and lungs) that may complicate the care of a ruptured cerebral aneurysm patient and need consideration. (snacc.org)
  • Delayed cerebral ischemia can manifest after a successful operation for securing the aneurysm and patients at risk require monitoring for this complication in the post-operative period. (snacc.org)
  • Treatment that is delivered rapidly, younger adults, patients with a GCS score of 6 or 7, patients with reactive pupils, and patients with no multiple cerebral contusions or unmanageable pressure on the brain are most likely to have favorable outcomes. (hyderabadneurosurgeon.co.in)
  • It is also known that the mortality rate in encephalitis with cerebral edema or transtentorial brain herniation. (koreamed.org)
  • BACKGROUND AND PURPOSE: The use of decompressive hemicraniectomy (DHC) for the treatment of malignant cerebral edema can decrease mortality rates. (koreamed.org)
Neurosurgical patients5
  • If our results are positive, this study will show that protective lung ventilation during dura opening can be used effectively and safely in neurosurgical patients undergoing craniotomy for tumor resection. (researchsquare.com)
  • The report ' Performance analysis of hardware-based blood reinfusion of neurosurgical patients' Marina S. Garder in collaboration with A. Novikova and O. Zasedateleva, doctors of anesthesiology and reanimation division of Federal Neurosurgical Center Novosibirsk considered various techniques of return of blood. (neuronsk.ru)
  • Dr. Golby's research involves the application of brain mapping techniques to neurosurgical patients as well as neuroscientific investigations into the brain basis of neurologic functions. (dana-farber.org)
  • Neurosurgical patients are the most critical ICU admissions. (bvsalud.org)
  • This study evaluates ICU mortalities of neurosurgical patients in a general ICU setting at the UNIOSUN Teaching Hospital, Osogbo, Nigeria. (bvsalud.org)
Incidence of postoperative1
  • The HXA group achieved a significantly lower incidence of postoperative CSF leakage than the control group (0% vs. 26.3%, p = 0.016). (neurosurgery.directory)
Awake5
  • Marsh tells of the procedure "awake craniotomy", which he pioneered and popularised. (medicalindependent.ie)
  • For an "awake craniotomy" only the scalp needs to be anaesthetised and the rest of the operation, including incising the brain, is painless. (medicalindependent.ie)
  • 4:149) analyzing the patients' deficits after awake craniotomies in patients with different tumors in the premotor, motor, and sensory areas. (surgicalneurologyint.com)
  • however, awake craniotomy is safe, feasible, and well tolerated in children, and it is a viable option if the child is cooperative and concomitant anxiety is managed preoperatively. (pediatricneurosciences.com)
  • Hence, awake craniotomy may offer an alternative approach over general anesthesia in pediatric age group patients with traumatic brain injury associated with underlying heart defects if the conditions permits us to do so. (pediatricneurosciences.com)
Open craniotomy5
  • To determine the demographics, management, and the variables that affect the outcome in subjects with brain abscesses treated at a single centre over an 11-year period, we retrospectively analysed data in 60 patients with brain abscesses surgically treated with stereotactically guided aspiration or open craniotomy excision in Shanghai Changzheng Hospital between January 2001 and December 2011. (biomedcentral.com)
  • Two primary treatments are used to manage brain abscesses: stereotactically guided aspiration and open craniotomy excision. (biomedcentral.com)
  • Stereotactically guided aspiration is the therapy of choice over open craniotomy excision because it is less invasive, thus reducing the likelihood of neurological sequelae. (biomedcentral.com)
  • How does one decide between open craniotomy for aneurysm surgery and endovascular therapy? (snacc.org)
  • A CT angiogram was completed and the neurosurgeon, who does both endovascular coiling as well as open clipping favors open craniotomy for this patient given the geometry of the aneurysm (wide neck) as well as proximity to nearby vessels. (snacc.org)
Large craniotomy2
Cohort1
  • We investigated racial disparities among an otherwise homogenous cohort of post-operative Medicaid patients with meningioma or malignant/benign/metastatic brain tumors. (cns.org)
Preoperative3
  • 100 ] Preoperative interventions aim at optimizing the patient for surgery, including patient education, risk assessment, and medication. (surgicalneurologyint.com)
  • All patients underwent preoperative magnetic resonance (MR) imaging using three-dimensional Fourier transformation constructive interference in steady state (3DFT-CISS). (e-jyms.org)
  • By superimposing the postoperative 3D model to the preoperative virtually planned 3D model, which is fixed to the XYZ axis, the deviation between pre- and postoperative virtually planned dental implant positions can be calculated. (puppyreading.com)
Tumor17
  • Herein we assess the impact of implementing a protocol of more rigorous patient education, recovery room assessment for non-ICU admission, earlier mobilization and post-discharge communication for patients undergoing brain tumor surgery. (plos.org)
  • All patients undergoing craniotomy or endoscopic endonasal removal of a brain, skull base or pituitary tumor were included during two non-overlapping periods: March 2019-January 2020 (pre-pandemic epoch) versus March 2020-January 2021 (pandemic epoch with streamlined care protocol implemented). (plos.org)
  • Fifty-four patients undergoing intracranial tumor surgery will be randomly allocated to the control group (C group) or the protective lung ventilation group (P group). (researchsquare.com)
  • Operative mortality may reach 10% because of large tumor size. (online-family-doctor.com)
  • While similar trends were noted across tumor types, meningioma patients showed the widest racial disparities. (cns.org)
  • This study documents the deep health care disparities evident within an otherwise homogenous subset of operative brain tumor patients. (cns.org)
  • Furthermore, this study focuses the clinican and policymaker upon complication avoidance as the single greatest predictor of outcome disparities among neurosurgical brain tumor patients with primary or metastatic disease. (cns.org)
  • Describe the specific disparities seen in short- and long-term outcomes among brain tumor patients undergoing craniotomy for primary versus metastatic disease as well as between different racial subsets. (cns.org)
  • 2. Identify complication avoidance as the greatest predictor of short- and long-term outcomes among post-operative brain tumor patients of varying race and tumor subtypes. (cns.org)
  • When the tumor recurred on the opposite remaining hemisphere in the hemiplegic patient, Dr. Bucy wrote that the patient returned to curse him. (surgicalneurologyint.com)
  • The Prognostic Value and Potential Mechanism of Tumor-Nutrition-Inflammation Index and Genes in Patients with Advanced Lung Cancer. (medscape.com)
  • Many patients have a lot of doubts and queries regarding brain tumors, symptoms of brain tumors, diagnosis of brain tumor, surgery for brain tumor, treatment options for brain tumors. (hyderabadneurosurgeon.co.in)
  • Tuberculum sellae meningiomas are a classic tumor of the anterior fossa that present in patients with gradual visu- al deterioration secondary to optic apparatus compression. (docslib.org)
  • Tumor Resection Rate: Patients with standard-risk medulloblastoma typically have a high rate of tumor resection. (neurosurgery.directory)
  • Metastasis: Standard-risk patients usually do not have evidence of metastasis, which means that the cancer cells have not spread from the primary tumor site in the cerebellum to other parts of the central nervous system (CNS) or outside the CNS. (neurosurgery.directory)
  • Patients with standard-risk medulloblastoma may have a more favorable prognosis because of the higher likelihood of complete tumor removal and the absence of metastasis. (neurosurgery.directory)
  • In contrast, high-risk patients may face a more challenging treatment course and potentially a poorer prognosis due to the presence of metastasis and the difficulty in achieving complete tumor resection. (neurosurgery.directory)
Complication3
  • Application of APMC after endoscopic septoplasty in patients presenting with NSD-associated OD, a history of COVID-19 contributed to the normalization of olfactory bulb volume, reduction in postoperative complication rate, and restoration of the sense of smell and quality of life. (dntb.gov.ua)
  • On postoperative day 3 (D3), 280 (58% of remaining) inpatients suffered at least 1 complication. (bmj.com)
  • One lethal procedural complication occurred, and transient ischemic symptoms appeared in 2 patients. (ajnr.org)
Acute8
  • Acute bacterial meningitis remains a major cause of mortality and long-term neurological disability. (pediatricneurosciences.com)
  • The most common presenting symptom of a patient with VS is gradual hearing loss, but occasionally hearing loss may be acute. (neurosurgicalatlas.com)
  • In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. (medscape.com)
  • Acute subdural hematoma is the most common type of traumatic intracranial hematoma, occurring in 24% of patients who present comatose. (medscape.com)
  • Results 53 (10%) patients suffered myocardial injury, while 24 (4.5%) suffered acute renal injury. (bmj.com)
  • At the time of admission to the hospital, patients with acute SDHs have low scores on the Glasgow Coma Scale (GCS). (hyderabadneurosurgeon.co.in)
  • An acute SDH usually results in a mortality rate between 50 percent and 90 percent. (hyderabadneurosurgeon.co.in)
  • The adult-gerontology acute care NP teaches the patient that the first point of contact for health care needs is the: The NP is asked to provide evidence to the hospital administration about the safety of NP placing central lines. (browsegrades.net)
Perioperative5
  • Pain management should begin in the perioperative period with risk assessment, patient education, and premedication. (surgicalneurologyint.com)
  • Among patients undergoing intradural EES judged to be at high risk for CSF leak as defined by the study's inclusion criteria, perioperative lumbar drainage used in the context of vascularized nasoseptal flap closure significantly reduced the rate of postoperative CSF leaks. (neurosurgery.directory)
  • Clinicians must be able to identify appropriate situations for invasive hemodynamic monitoring in the care of high-risk perioperative patients while remaining fully cognizant of the risks associated with such monitoring. (medscape.com)
  • Likewise, whether specific patient and disease characteristics predict perioperative outcomes for these patients is not well known. (researchsquare.com)
  • Right ventricular myocardial performance index predicts perioperative mortality or circulatory failure in high-risk valvular surgery. (umontreal.ca)
Lesions5
  • In the present study, we designed a prospective, randomized, controlled trial to clarify the effect of decompressive craniectomy in severe traumatic brain injury patients with mass lesions. (biomedcentral.com)
  • In this trial, 336 patients with traumatic mass lesions will be randomly allocated to a therapeutic decompressive craniectomy group or a prophylactic decompressive craniectomy group. (biomedcentral.com)
  • Many of these patients harbor intracranial mass lesions. (medscape.com)
  • The Relationship between the Serum NLRP1 Level and Coronary Lesions in Patients with Coronary Artery Disease. (medscape.com)
  • This series consisted of 99 patients (51 female, 48 male) with a mean age of 48.5 years (range 0.2-887 years) presenting with or developing unilateral or bilateral FDP due to tumoral lesions. (weddings234.com)
Outcome6
  • Several series have shown an increase in favorable outcome in younger patients. (medscape.com)
  • These factors, as well as the neurologic and medical condition of the patient, determine the course of treatment and may also influence the outcome. (medscape.com)
  • [ 1 ] The severity of the diffuse parenchymal injury shows a strong inverse correlation with the outcome of the patient. (medscape.com)
  • The outcome of one patient was poor due to the abscess in the basal ganglia region. (biomedcentral.com)
  • What is the time frame that leads to the best patient outcome for securing intracranial aneurysms? (snacc.org)
  • Good outcome, as measured by Glasgow Outcome Score (GOS) was achieved in 29 patients. (ruralneuropractice.com)
Neurological3
  • While anaesthetists are involved in managing anaesthetised patients for neurological imaging from early in their career, many of these cases can present challenges for even the most experienced consultants. (wfsahq.org)
  • Ascension Michigan has 3,672 beds and 300 specialists treating neurological patients in its department. (beckershospitalreview.com)
  • It also has a pediatric team on staff specializing in neurological conditions for patients of all ages. (beckershospitalreview.com)
Surgery15
  • More rigorous patient education, recovery room assessment for non-ICU admission, earlier mobilization and post-discharge communication, layered upon a foundation of minimally invasive surgery, TIVA anesthesia and early post-operative imaging are possible contributors to these favorable trends. (plos.org)
  • Development of standardized pain management and enhanced recovery after surgery (ERAS) protocols are necessary and crucial to optimize outcomes and patient satisfaction and reduce health care costs. (surgicalneurologyint.com)
  • Technique s to prevent postoperative cerebrospinal fluid fistula remain controversial in transsphenoidal surgery . (neurosurgery.directory)
  • Primary closure of the fistula using the VCS was an effective strategy to prevent postoperative CSF leakage in transsphenoidal surgery. (neurosurgery.directory)
  • A total of 88 patients underwent for TN underwent surgery at our hospital. (e-jyms.org)
  • Given that fact, should we offer a patient a deficit for their short life or QOL with surgery? (surgicalneurologyint.com)
  • Of the five eyes in which the MH had failed to close after primary fovea-sparing surgery, two received a gas fluid exchange gas tamponade with 15% С3F8, and these patients were advised to maintain a face down position for 3 more weeks. (dntb.gov.ua)
  • Surgery for NSD (septoplasty) can be followed by postoperative anosmia. (dntb.gov.ua)
  • The use of prophylactic antibiotics in patients incurring skull base injuries during endoscopic sinus surgery has not been studied in a randomized controlled fashion. (medscape.com)
  • The administration of antibiotics in this setting is reasonable because patients undergoing sinus surgery have underlying inflammatory or infectious pathology. (medscape.com)
  • These efforts are centered on improving surgery for patients with epilepsy and brain tumors, particularly those whose pathology is intimately involved with critical brain regions. (dana-farber.org)
  • Forty-five patients who had undergone the surgery for chronic subdural hematoma were included in this study. (go.jp)
  • The prognosis of patients with FDP after trauma, stroke and elective intracranial surgery is similar. (weddings234.com)
  • Furthermore, the effects of different underlying causes are unclear - for example, stroke or FDP injury occurring after intracranial surgery, selective FDP, indicating bleeding or postoperative encephalopathy. (weddings234.com)
  • Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. (ahrq.gov)
Anesthesia5
  • Almost all these patients are under general anesthesia which is basically inseparable from mechanical ventilation. (researchsquare.com)
  • Craniotomy always needs a long time for general anesthesia and prolonged mechanical ventilation, which leads to a higher risk of postoperative atelectasis and pulmonary infection[4,5]. (researchsquare.com)
  • Under general endotracheal anesthesia, patients were placed in the lateral decubitus position. (e-jyms.org)
  • These patients were cross-referenced with those in the anesthesia electronic database to identify all patients who had undergone noncardiac, nontransplant operations with general anesthesia between February 10, 2010, and December 8, 2017. (researchsquare.com)
  • Describe the considerations to achieve induction of anesthesia for craniotomy as safely as possible. (snacc.org)
Malignant1
  • Salvage decompressive craniectomy will be performed for craniotomy patients once there is evidence of imaging deterioration and post-operative malignant intracranial hypertension. (biomedcentral.com)
Methods4
  • METHODS:CS with an acceleration from 30 to 60% and conventional MRI sequences were performed in 10 different applications in 107 patients, leading to 120 comparisons. (puppyreading.com)
  • Materials and Methods Authors present a retrospective analysis of 36 aneurysms in 35 patients with OSAs operated surgically by first author. (ruralneuropractice.com)
  • METHODS: A retrospective study was conducted on 320 patients. (koreamed.org)
  • Patients and methods. (bvsalud.org)
Findings3
  • We retrospectively reviewed the medical records and radiologic findings of patients with TN who underwent suboccipital craniotomy with MVD or PSR from 1994 to 2013. (e-jyms.org)
  • Emergency Presentations for Dizziness-Radiological Findings, Final Diagnoses, and Mortality. (medscape.com)
  • Our findings contribute to enhanced survival outcomes for patients with medulloblastoma. (neurosurgery.directory)
Tumors2
  • We used the Medicaid component of the MarketScan database (2000-2009) to primarily compare Caucasians and African-Americans undergoing craniotomy for primary or metastatic brain tumors. (cns.org)
  • Former series of long-term survivors are commonly enriched for patients with IDH -mutated tumors. (cancernetwork.com)
Meningiomas1
  • As such, ernous sinus, it can be difficult to differentiate tuberculum pre- and postoperative ophthalmological evaluation for sellae meningiomas from others originating from the pla- both visual acuity and visual fields is mandatory. (docslib.org)
Subdural5
  • One of our patients required a postoperative, permanent CSF diversion procedure while another required a subduroperitoneal shunt for persisting postoperative subdural CSF collection. (pediatricneurosciences.com)
  • Subdural hematoma occurs not only in patients with severe head injury but also in patients with less severe head injuries, particularly those who are elderly or who are receiving anticoagulants. (medscape.com)
  • Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. (bmj.com)
  • The purpose of this study was to clarify the criteria for initial treatment of chronic subdural hematoma (CSDH) by com-paring the backgrounds and post-treatment courses of patients who underwent drainage or middle meningeal artery (MMA) emboliza-tion for CSDH. (go.jp)
  • One patient each had mixed subacute/chronic subdural haematoma and severe cervical spondylotic myelopathy. (bvsalud.org)
Pathology1
  • In cases where hemodynamic perturbations are expected (eg, those involving blood loss or volume shifts) or for high-risk patients who may not tolerate significant derangements in hemodynamics (eg, those with heart failure or intracranial pathology), invasive hemodynamic monitoring may be beneficial. (medscape.com)
Post-operative3
  • He rails rightly about him, the senior neurosurgeon, being refused, by a nursing colleague, to remove an unnecessary nasogastric tube in a post-operative patient of his. (medicalindependent.ie)
  • What are the risks to the patient in the immediate post-operative period? (snacc.org)
  • The patient is in the neurointesive care unit (NICU) on post-operative day 4 extubated and seemingly stable. (snacc.org)
Retrospective2
  • We performed a retrospective investigation of 23 and 21 patients who underwent drainage and MMA embolization, respec-tive-ly, performed between April 2020 and July 2022 as initial treatment for unilateral CSDH. (go.jp)
  • This is a retrospective descriptive and analytical, multicenter study of patients under 5 years of age treated for a neurosurgical condition from January 2019 to December 2021 in Libreville. (bvsalud.org)
Excision1
Surgically managed1
  • This report is based on our experience with 82 brain abscesses surgically managed in 60 patients over an 11-year period at one single hospital. (biomedcentral.com)
Severe traumatic brain1
Prognosis2
  • The focus of debate resides in whether DC would be able to improve the prognosis of patients. (biomedcentral.com)
  • Constricted and dilated pupils in comatose patients are known to be associated with a poor prognosis, especially in bilateral presence.1-5, unless caused by local injury or drug action, this symptom. (weddings234.com)
Suboccipital3
  • Various treatment modalities have been used to treat TN, including pharmacotherapy, stereotactic radiosurgery, suboccipital craniotomy with microvascular decompression (MVD) or partial sensory rhizotomy (PSR), and percutaneous procedures such as glycerol rhizotomy, balloon microcompression or radiofrequency rhizotomy [ 1 , 2 ]. (e-jyms.org)
  • In this study, we describe our experience with suboccipital craniotomy in patients with TN and present a thorough review of the literature. (e-jyms.org)
  • These patients may benefit from suboccipital craniectomy for decompression. (medlink.com)
Resection1
Traumatic1
  • Two large meta-analyses of patients presenting with nonsurgical traumatic CSF leaks revealed no difference in the rates of ascending meningitis in patients treated with prophylactic antibiotics compared with patients treated with conservative measures alone. (medscape.com)
Outcomes of patients2
  • The authors sought to evaluate glibenclamide's impact on mortality and functional outcomes of patients with aneurysmal SAH (aSAH). (thejns.org)
  • Given the limited socioeconomic and resource aspects, it will be useful to know more about prognostic factors for the outcomes of patients with FDP. (weddings234.com)
Craniectomy1
Underwent3
  • Among them, 77 patients underwent MVD alone, and 11 underwent partial sensory rhizotomy (PSR) with or without MVD. (e-jyms.org)
  • Eighty-eight patients underwent 89 surgeries because one patient underwent reoperation. (e-jyms.org)
  • Ninety-nine consecutive approaches of patients who demonstrated or generated one or two FDPs were divided into three groups according to their respective etiology: 46 patients had a concussion, 41 patients had a stroke, subarachnoid or intracerebral hemorrhage), and 12 patients had underwent previous selection. (weddings234.com)
Pediatric1
20211
  • Il s'agit d'une étude rétrospective descriptive et analytique, multicentrique portant sur des patients de moins de 5ans pris en charge pour une affection neurochirurgicale de Janvier 2019 à Décembre 2021 à Libreville. (bvsalud.org)
20171
  • This work is based on pertinent literature published from 1996, the date of a pivotal pilot study on craniotomy pain,[ 11 ] until 2017, by searching Pubmed, Cochrane Central Register, and Google Scholar using a combination of medical subject headings (MeSH) terms and free-text words to identify manuscripts related to postcraniotomy pain and ERAS protocols. (surgicalneurologyint.com)
Rhinorrhea3
  • A study by Albu et al indicated that in patients with CSF rhinorrhea caused by closed head trauma, leakage time can be significantly shortened by early placement of a lumbar drain. (medscape.com)
  • This has led to the use of prophylactic antibiotics in patients with CSF rhinorrhea. (medscape.com)
  • Acetazolamide can be a useful adjunct in the treatment of patients with spontaneous CSF rhinorrhea associated with elevated intracranial pressure. (medscape.com)
Results4
  • Flying is 99.9 per cent safe and a crash results in about 99 per cent mortality. (medicalindependent.ie)
  • Valid comparisons of postoperative accuracy results in computer-assisted reconstruction of the mandible are difficult due to heterogeneity in imaging modalities, mandibular defect classification, and evaluation methodologies between studies. (puppyreading.com)
  • Results: Mortality rate was 38.9% (84 of 216 admissions). (bvsalud.org)
  • Results: During the study period, 850 patients were registered at the emergency department. (bvsalud.org)
Characteristics2
  • Introduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. (bvsalud.org)
  • Data regarding patients' characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients' registers. (bvsalud.org)
Undergone2
  • The cases were collected from the data base containing all of the patients who had undergone endovascular treatment for their intracranial aneurysm since the start of the endovascular coiling activity in our hospital on December 1993 until March 2008. (ajnr.org)
  • Patients were excluded if PH was attributable to left-sided heart disease or they had undergone cardiac or transplant operations. (researchsquare.com)
Deficits2
  • Karnofsky scores postoperative had more deficits in the 5ALA group than in the controls. (surgicalneurologyint.com)
  • Management ideally consists of gross-total resec- On examination, greater than 95% of patients suffer visu- al acuity and/or field deficits and approximately 75 to tion without injury to neighboring vital structures. (docslib.org)
High9
  • Invasive monitors (eg, arterial lines, central lines, and Swan-Ganz catheters) may provide additional data about various hemodynamic parameters (eg, preload, afterload, end-organ perfusion and cardiac output) that are useful in high-risk patients susceptible to tissue hypoperfusion. (medscape.com)
  • There is evidence to suggest that invasive hemodynamic monitoring and protocol-based intervention for high-risk patients may allow earlier identification of decreased tissue perfusion and earlier intervention with medications and fluids. (medscape.com)
  • Invasive hemodynamic monitoring may be warranted for high-risk patients or for patients undergoing complex, longer procedures with anticipated derangement of hemodynamic function. (medscape.com)
  • Subarachnoid hemorrhages secondary to intracranial aneurysms (IAs) are events of high mortality. (thejns.org)
  • They were unstable with a high risk of rebleeding and a high mortality if not treated without delay. (ajnr.org)
  • It is therefore imperative that anaesthetists have a comprehensive understanding of the indications, techniques and potential pitfalls associated with this area of anaesthesia, in order to provide high quality care and maintain patient safety. (wfsahq.org)
  • Until now, however, no such guidelines existed for the MRI-integrated operating room, which is a high-risk zone requiring standardized protocols to ensure the safety of both the patient and the operating room staff. (thejns.org)
  • Metastasis: High-risk patients typically have evidence of metastasis. (neurosurgery.directory)
  • It's important to note that treatment approaches for these two risk groups may differ, with high-risk patients typically receiving more intensive therapies to address the increased complexity and aggressiveness of their disease. (neurosurgery.directory)
Intracranial aneurysms1
  • Appropriate anaesthetic management of patients having endovascular treatment of intracranial aneurysms includes? (wfsahq.org)
Leakage3
  • In all four patients, CSF leakage was successfully obliterated primarily with two to five clips. (neurosurgery.directory)
  • In the study, patients treated with early lumbar drain placement had a CSF leakage time of 4.83 days, compared with 7.03 days for those treated conservatively with bed rest and head elevation. (medscape.com)
  • Similarly, a literature review by Ratilal et al did not find evidence for the usefulness of antibiotic prophylaxis in patients with basilar skull fractures, with or without indication of CSF leakage. (medscape.com)
Aneurysms1
  • Twelve consecutive patients with 12 peripheral PICA aneurysms (10 ruptured) included in an internal data base were retrospectively reviewed. (ajnr.org)
Rate1
Guideline1
  • A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible. (puppyreading.com)
Care9
  • As the COVID-19 pandemic spread into the U.S. and global healthcare system in February and March of 2020, hospitals rapidly adjusted to care for the influx of infected patients [ 1 - 3 ]. (plos.org)
  • Opioids remain the mainstay for pain relief, but patient-controlled analgesia, NSAIDs, standardization of pain management, bio/behavioral interventions, modification of head dressings as well as patient-centric management are useful opportunities that potentially improve patient care. (surgicalneurologyint.com)
  • A review of craniotomy pain management detailing all the considerations for each phase of care is currently unavailable. (surgicalneurologyint.com)
  • Thorough pre-operative patient assessment and planning is key to providing safe anaesthetic care. (wfsahq.org)
  • Allina's 73 neurologists, 10 neurosurgeons, 15 spine surgeons, 10 neurocritical care specialists, and 13 other specialists work across 1,757 patients beds at three locations in the state. (beckershospitalreview.com)
  • Stroke patients and their families also have access to advanced care at multiple partner facilities. (beckershospitalreview.com)
  • The system also has a telestroke network that allows for timely telemedicine care for at risk patients. (beckershospitalreview.com)
  • In 2000, the Committee on Quality of Health Care in America published their book To Err is Human, leading to increased awareness of patient safety. (thejns.org)
  • An 80 year old male patient with dementia requires long-term care placement. (browsegrades.net)
Mucormycosis1
  • Rising incidence of mucormycosis in patients with COVID-19: another challenge for India amidst the second wave? (ajtmh.org)
Hematoma2
  • A 12-year-old, cooperative male child weighing 25 kgs with a history of chronic EDH in the right parietotemporal region was posted for craniotomy and evacuation of hematoma [Figure 1] . (pediatricneurosciences.com)
  • There was no significant difference in median pre-operative MGS score (1 vs 1) or mean maximum hematoma diameter (18 vs 19 mm) in the 17 patients who showed resolution of CSDH by MMA embolization alone or in the 4 patients who required additional drain-age. (go.jp)
Discharge1
  • Outcomes were mortality and functional status at discharge and 6 months, evaluated using the modified Rankin Scale (mRS). (thejns.org)
Cognitive2
  • The unbalance of brain oxygen supply and consumption may lead to deterioration of brain function, such as postoperative cognitive function[6]. (researchsquare.com)
  • Postoperative cognitive dysfunction (POCD) will lower the quality of life, increase mortality and aggravate the financial and mental burden of patients. (researchsquare.com)
Deterioration1
  • In a large series of patients who developed intracranial hematomas requiring emergent decompression, more than half had lucid intervals and were able to make conversation between the time of their injury and subsequent deterioration. (medscape.com)
Invasive1
  • Making the diagnosis may often involve performing invasive techniques on the patient and may take up to 2 or 3 weeks. (antimicrobe.org)
Endovascular1
  • 6 - 9 , 11 - 21 In the present study, a consecutive series of 12 patients harboring a peripheral PICA aneurysm allocated for endovascular treatment in a single center was retrospectively analyzed. (ajnr.org)