Elevated intracranial pressureHemorrhageLesionsAneurysmComplicationsUnderwentReduction of intracranial pressureNeurosurgeryAccompanying intracranial hypertensionIntraoperativeManagement of intracranialOutcomesTraditional craniotomyPressureSurgeryTumorsAVMsLesionAneurysmsResectionPostoperativeEndoscopicAcutePreoperativeHypertensionIncidenceMethodsBurr holeMinimally invasiveCervical spineDecompressive craniectomyClinicalOutcomePrognosisAwakeIdiopathicArteriovenous malformationNeurologicalTumorSymptomsPlacementAneurysmalMeningitisTraumaProcedureNeurosurgical proceduresSkull baseTreatmentPediatric2017SevereEvacuationCardiopulmonaryNonsurgicalTransfusionsIncision
Elevated intracranial pressure1
- Acetazolamide can be a useful adjunct in the treatment of patients with spontaneous CSF rhinorrhea associated with elevated intracranial pressure. (medscape.com)
Hemorrhage14
- The most common causes of subarachnoid hemorrhage are head trauma and rupture of an intracranial aneurysm . (medscape.com)
- At most institutions in the United States, conventional angiography remains the standard for evaluating patients with subarachnoid hemorrhage. (medscape.com)
- The American Heart Association (AHA) guidelines for evaluation and diagnosis of subarachnoid hemorrhage emphasize the need to maintain a high level of suspicion for SAH in patients with an acute severe headache and recommend evaluation with head CT scanning followed by lumbar puncture (LP) if the CT scan is negative. (medscape.com)
- Rupture of a saccular intracranial aneurysm causes approximately 80% of cases of nontraumatic subarachnoid hemorrhage. (medscape.com)
- Ten of the aneurysms presented with an acute intracranial hemorrhage, and 2 were incidental imaging findings. (ajnr.org)
- Subarachnoid hemorrhage comprises half of spontaneous atraumatic intracranial hemorrhages (usually as the result of aneurysmal or arteriovenous malformation [AVM] leakage or rupture), with the other half consisting of bleeding that occurs within the brain parenchyma. (medscape.com)
- Symptoms of bleeding within the brain ( intracranial hemorrhage ) include loss of consciousness, sudden and severe headache, nausea, vomiting, incontinence , and blurred vision. (bionity.com)
- While the cause of AVMs remains unknown, the main risk is intracranial hemorrhage . (bionity.com)
- The falling down of the intracranial pressure tears up the potential epidural space and switches on the evil circle of epidural hemorrhage. (biomedcentral.com)
- 30 kg/m 2 , preoperative imaging demonstrating additional cranial base cortical defects (that is, contralateral tegmen or anterior cranial base) and/or an empty sella turcica, and any history of an event that leads to inflammation of the arachnoid granulations and impairment of CSF absorption (that is, meningitis, intracranial hemorrhage, significant closed head injury, and so forth). (medscape.com)
- PCC is the recommended reversal agent for warfarin-induced INR elevation in the setting of intracranial hemorrhage. (your-doctor.net)
- Though intracranial hemorrhage carries significant morbidity and mortality, a timely decision of emergency splenectomy followed by craniotomy can result in an excellent clinical outcome. (thieme-connect.com)
- 6 Brenner B, Guilburd JN, Tatarsky I, Doron Y, Goldsher D. Spontaneous intracranial hemorrhage in immune thrombocytopenic purpura. (thieme-connect.com)
- Intracranial hemorrhage associated with idiopathic thrombocytopenic purpura: report of seven patients and a meta-analysis. (thieme-connect.com)
Lesions17
- CONCLUSION: The supraorbital eyebrow approach is feasible and safe in pediatric neurosurgical cases as a minimally invasive and cosmetic favorable technique and should be considered for intraorbital as well as ipsilateral intracranial lesions adjacent to the skull base. (bvsalud.org)
- OBJECTIVE: The indication for performing biopsies in patients with diffuse lesions in the brain stem is controversial. (bvsalud.org)
- 5 Cortical mapping can also be useful during resection of certain intracranial vascular lesions near critical areas or supplying important territories. (wfsahq.org)
- 10 Endovascular technique enables treating these lesions without craniotomy and the risks related to surgical manipulation. (ajnr.org)
- 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)
- This second Gamma Knife unit was designed to produce spherical lesions to treat brain tumors and intracranial arteriovenous malformations (AVMs). (wikipedia.org)
- In contrast to what is commonly believed, applying awake surgery in this type of lesions does not involve increased intra-operative risks, but rather it seems to determine a greater improvement in the outcome of patients from the thirtieth postoperative day. (researchsquare.com)
- Intracranial granulomatous space occupying lesions are reported in the books and so are mostly due to an infection sparsely, retained operative or foreign items, or granulomatous disorders. (bioentryplus.com)
- As these lesions aren't discovered in a particular intracranial fossa mainly, the delivering symptoms vary significantly as the irritation and mass lesion could cause regional and distant discomfort resulting in focal and/or global neurological deficits with regards to the area. (bioentryplus.com)
- The patients with regional EDH, of emergency, with significant pre-operative accompanying diseases, or who were operated on for lesions other than intracranial tumors were excluded. (biomedcentral.com)
- In this study, we report our surgical outcomes related to using keyhole techniques to resect giant intracranial lesions and discuss some cases. (biomedcentral.com)
- Lesions within the primary motor cortex (M1) and the corticospinal tract (CST) represent a significant surgical challenge with a delicate functional trade-off that should be integrated in the overall patient-centered treatment plan. (nexstim.com)
- Patients with lesions within the M1 and CST with preoperative cortical and subcortical mapping (navigated transcranial magnetic stimulation [nTMS] and tractography), intraoperative mapping, and intraoperative provisional histologic information (smear with and without 5-aminolevulinic acid [5-ALA]) were included. (nexstim.com)
- The nTMS documented M1 invasion in all cases, and in eight patients, the lesions were embedded within the CST. (nexstim.com)
- 20% of patients underwent near-total resection of the lesions. (nexstim.com)
- The independently acquired anatomical (anatomical MRI) and functional (nTMS and tractography) tests in patients with CST lesions provide a useful guide for resection. (nexstim.com)
Aneurysm6
- A nonenhanced computed tomography scan of the brain that demonstrates an extensive SAH filling the basilar cisterns in a patient with a ruptured intracranial aneurysm. (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)
- 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)
- 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)
- 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)
- Despite availability of sophisticated surgical procedures, endovascular techniques and new trends in neuro-intensive care, treatment outcomes in patients with subarachnoid bleeding from a ruptured aneurysm are still very unsatisfactory. (csnn.eu)
Complications9
- Surgical techniques, results, and complications: Microsurgical techniques -- traditional craniotomy. (edu.au)
- What percentage of patients in the systematic review experienced intraoperative complications? (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)
- Epidural intracranial hematoma is one of the most common complications of surgeries for intracranial tumors. (biomedcentral.com)
- The traditional management of hematoma evacuation through craniotomy is time-consuming and may aggravate intracranial pressure imbalance, which causes further complications. (biomedcentral.com)
- At the time of discharge, 8 patients had complications related to impaired cranial nerve function. (biomedcentral.com)
- Patients are at high risk of aspiration and other respiratory complications like pneumonia and acute respiratory distress syndrome (ARDS) 4 ). (e-jnic.org)
- Respiratory system complications in TBI patients may be related to direct thoracic injuries such as pneumothorax, haemothorax, flail chest lung contusion. (e-jnic.org)
- Cerebral vasospasms are among the most severe complications, identified in 40-70% of patients after subarachnoid bleeding. (csnn.eu)
Underwent12
- METHODS: In a retrospective analysis, we identified all surgical cases between January 2013 and April 2022 who underwent the supraorbital craniotomy via an eyebrow incision. (bvsalud.org)
- 3 Improved patient satisfaction and postoperative pain were also observed in patients who underwent AC. (wfsahq.org)
- what is the range of the clinical observation period for pediatric moyamoya patients who underwent omental transplantation? (neurosurgery.directory)
- Methods: A retrospective chart review was performed of all patients with Moyamoya disease who underwent laparoscopic omental cerebral transposition between 2011 and 2021. (neurosurgery.directory)
- Results: Twenty-one patients underwent the procedure during the study period. (neurosurgery.directory)
- The patient had negative cerebrospinal, blood, and pus culture growth and subsequently underwent burr-hole drainage of the frontal and temporal abscesses with a 6-week course of intravenous antibiotic therapy with an uneventful postoperative course. (surgicalneurologyint.com)
- One week after her initial referral, she was taken to the operative theater and underwent a suboccipital craniotomy. (bioentryplus.com)
- Five patients underwent postoperative ventriculoperitoneal shunting. (medscape.com)
- Patients underwent a full neurologic examination by the attending neurosurgeon immediately after surgery and at follow-up in clinic within 3 months of surgery. (biomedcentral.com)
- Patients who underwent surgery for a motor-eloquent supratentorial glioma or metastasis guided by preoperative nTMS were retrospectively reviewed. (nexstim.com)
- A total of 256 patients who underwent decompressive craniectomy for isolated traumatic ASDH between April 2013 and December 2020 were included. (biomedcentral.com)
- This retrospective study was performed on 256 patients who underwent surgery after being diagnosed with isolated traumatic ASDH at our neurosurgical department between April 2013 and December 2020. (biomedcentral.com)
Reduction of intracranial pressure1
- The reduction of intracranial pressure and treatment of cerebral edema by reducing brain mass. (nih.gov)
Neurosurgery8
- 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)
- We describe the indication, surgical technique, and clinical course using this surgical approach in a cohort of patients from a single pediatric neurosurgery unit. (bvsalud.org)
- Endovascular therapy for the treatment of intracranial aneurysms was pioneered in the mid-1970s by Serbinenko at the Moscow Institute of Neurosurgery. (medscape.com)
- The applicability of fMRI in pediatric neurosurgery is limited because it needs patient cooperation and some form of sedation, especially in children under 6 years ( 7 ). (frontiersin.org)
- We gather the information of in-patients with intracranial tumors in the neurosurgery department of our hospital since Oct. 2011. (biomedcentral.com)
- While keyhole neurosurgery is increasingly utilized in the operating room, there are few reports regarding the use of keyhole techniques to resect giant intracranial tumors. (biomedcentral.com)
- When the relevant intracranial vessels can be effectively protected during surgery, the principles of keyhole neurosurgery can be adapted for the treatment of intracranial tumors also. (biomedcentral.com)
- We performed a retrospective review of all patients undergoing keyhole neurosurgery for resection of a large intracranial lesion by the senior authors (QL and MS) between February 2012 and September 2017 at our home institutions. (biomedcentral.com)
Accompanying intracranial hypertension1
- The surgical treatment of temporal bone defects, as well as the recognition and treatment of accompanying intracranial hypertension, provides the greatest success rate in preventing recurrence. (medscape.com)
Intraoperative11
- Strategies to ameliorate craniotomy pain demand interventions during all phases of patient care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
- In cases where the surgical target is small, intraoperative MRI can be used to confirm the biopsy site's accuracy to the planned target prior to waking the patient, should further biopsy be required. (frontiersin.org)
- 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)
- In only one patient was no surgical resection possible after both preoperative and intraoperative mapping. (nexstim.com)
- The purpose of this retrospective study was to investigate the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas (ASDH). (biomedcentral.com)
- The incidence of intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH was 21.88% (56/256). (biomedcentral.com)
- This study identified the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (biomedcentral.com)
- An increased risk of intraoperative acute diffuse brain swelling occurs in patients with bilaterally dilated pupils, subarachnoid haemorrhage and a shorter time from injury to surgery. (biomedcentral.com)
- These findings should help neurosurgeons obtain information before surgery about intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (biomedcentral.com)
- This information is urgently needed in clinical work to estimate the incidence of intraoperative acute diffuse brain swelling based on preoperative clinical and imaging data, and this information can help neurosurgeons accurately determine the surgical risk and to provide reasonable suggestions to patients' families. (biomedcentral.com)
- In this study, we aimed to explore the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (biomedcentral.com)
Management of intracranial2
- Controversies in the management of intracranial arachnoid cysts 8. (edu.au)
- A stepwise management of intracranial pressure will be provided according to the Brain Trauma Foundation guidelines. (biomedcentral.com)
Outcomes8
- 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)
- Pain after craniotomy is a common occurrence[ 96 ] and associated with poor outcomes. (surgicalneurologyint.com)
- herein we describe outcomes from a 10-year experience of laparoscopic harvesting of pedicled omental flap for cerebral revascularization in Moyamoya patients. (neurosurgery.directory)
- Our findings contribute to enhanced survival outcomes for patients with medulloblastoma. (neurosurgery.directory)
- 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)
- With meticulous design and reasonable selection, resection of giant intracranial tumors utilizing minimally invasive keyhole approaches can be done safely with satisfactory surgical outcomes. (biomedcentral.com)
- Individualised ventilation strategies are essential for good patient outcomes 5 , 6 ). (e-jnic.org)
- Thrombocytopenia in critically ill patients receiving thromboprophylaxis: frequency, risk factors, and outcomes. (thieme-connect.com)
Traditional craniotomy1
- Compared to the traditional craniotomy, the new method of epidural hemoatoma management using vaccum epidural drainage system proved to be as effective in hematoma clearance, and was less-invasive and easier to perform, with less complication, shorter hospitalization, less economic burden, and better prognosis. (biomedcentral.com)
Pressure12
- Pseudotumor cerebri (also known as idiopathic intracranial hypertension) is a syndrome of increased intracranial pressure without a discernable cause. (aetna.com)
- Intracranial pressure monitoring is not economically feasible in Ethiopia but we are developing research protocols to look at optic nerve sheath diameter by serial ultrasound in the near future. (ethiopianeurosurgery.com)
- medications or procedures may be employed to relieve intracranial pressure. (bionity.com)
- The non-regional epidural hematoma is related to severe fluctuation of the intracranial pressure during the operation. (biomedcentral.com)
- The EDH formation is mainly ascribed to the rapid fall of the intracranial pressure, which may be related to a series of conditions, like the size of the tumor, the extent of excision, and the fluctuation of blood pressure, etc. (biomedcentral.com)
- Clinical manifestations from raised intracranial pressure by enlarging hematoma. (neurocare.ai)
- After lowering the intracranial pressure via release of cerebrospinal fluid, the tumor was gradually exposed and removed in sections. (biomedcentral.com)
- The primary role of intensive care management is preventing and treating intracranial hypertension, which causes derangement in cerebral perfusion pressure (CPP), thereby preventing secondary brain injury. (e-jnic.org)
- Head elevation of 30° would improve cerebral perfusion pressure (CPP) by reducing intracranial pressure (ICP). (e-jnic.org)
- Laryngoscopy and tracheal intubation cause sympathetic stimulation, leading to tachycardiac, hypertension, and increased intracranial pressure. (e-jnic.org)
- Invasive monitoring of cerebral metabolism and intracranial pressure is to be applied in patients with impaired consciousness in order to detect a threatening cerebral ischemia as early as possible. (csnn.eu)
- Surgery is often needed in patients with more severe injury to place monitors to track and treat intracranial pressure elevation, decompress the brain if intracranial pressure is increased, or remove intracranial hematomas. (msdmanuals.com)
Surgery18
- 100 ] Preoperative interventions aim at optimizing the patient for surgery, including patient education, risk assessment, and medication. (surgicalneurologyint.com)
- This tutorial discusses the rationale for using AC for brain surgery, perioperative management of the patients, theatre preparation, the different anaesthetic techniques, and the adverse events during AC. (wfsahq.org)
- Information leaflets and videos help relieve patient anxiety surrounding the procedure and give them an idea about what to expect on the day of surgery. (wfsahq.org)
- The neurophysiologist and speech/language therapist usually meet the patient before the surgery to provide training on the tasks they have to perform intraoperatively. (wfsahq.org)
- To resolve the controversy over the effectiveness of optic nerve decompression for NAION, the National Eye Institute sponsored the Ischemic Optic Neuropathy Decompression Trial, a multicenter, randomized controlled clinical trial of optic nerve decompression surgery for patients with NAION. (aetna.com)
- in fact, significantly more patients in the surgery group had progressive loss of vision than patients who received only careful follow-up. (aetna.com)
- The investigators concluded that optic nerve decompression surgery is not an effective treatment for NAION, and in fact, may increase the risk of progressive visual loss in NAION patients. (aetna.com)
- 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)
- 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)
- The goals of the basic rotation are to provide junior anesthesiology residents with focused exposure to the perioperative management of patients undergoing neurological surgery and to teach them the basic principles of neurophysiology pertinent to this care. (snacc.org)
- 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)
- Patients were stratified into two groups: patients submitted to Asleep Surgery and patients submitted to Awake surgery. (researchsquare.com)
- Interestingly, however, improvement in performance status was more rapid and effective during follow-up in patients treated with awake surgery compared with asleep surgery. (researchsquare.com)
- Awake craniotomy for AVM surgery is not a common practice, and this procedure requires an expert team of anaesthetists, neurosurgeons and neuropsychologists who routinely perform awake cranial procedures. (researchsquare.com)
- A large craniotomy, surgery through an opening created in the skull, may be used to remove the thick blood clot and to reach bleeding sites. (hyderabadneurosurgeon.co.in)
- 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)
- Concerning previous surgery, 29 patients (30.2%) have had a myomectomy, 28 patients (29.1%) curettage,16 patients (16.6%) laparoscopy, eight (8.3%) hysteroscopy and one (1%) caesarean section. (bvsalud.org)
Tumors6
- • Brain tumors that treated through Orbitozygomatic Craniotomy includes 1. (slideshare.net)
- Seven patients of intracranial tumors were selected. (biomedcentral.com)
- However, there is a paucity of literature describing the use of keyhole techniques to resect giant intracranial tumors. (biomedcentral.com)
- An exception to this rule was made for patients with tumors close to the brain surface. (biomedcentral.com)
- Navigated Transcranial Magnetic Stimulation Motor Mapping Usefulness in the Surgical Management of Patients Affected by Brain Tumors in Eloquent Areas: A Systematic Review and Meta-Analysis. (nexstim.com)
- We also review cases of Salmonella brain abscess in patients with cerebral tumors. (biomedcentral.com)
AVMs4
- Artero-venous malformations (AVMs) located in eloquent area are associated with significant risk of neurological deterioration, especially in patients presenting with unruptured AVMs and minimal or no neurological deficits. (researchsquare.com)
- A total of 31 patients suffering from intracranial AVMs have been operated on in our Department. (researchsquare.com)
- Awake craniotomy was performed in 19,35% of the AVMs treated in our centre. (researchsquare.com)
- These patients are typically managed conservatively or treated radio-surgically, [10] so, the surgical treatment of AVMs located in an eloquent area represents a therapeutic challenge [10, 23]. (researchsquare.com)
Lesion1
- After discussion with the patient and her family, she elected to undergo open biopsy with or without further resection Wortmannin of the lesion. (bioentryplus.com)
Aneurysms5
- Twelve consecutive patients with 12 peripheral PICA aneurysms (10 ruptured) included in an internal data base were retrospectively reviewed. (ajnr.org)
- Posterior inferior cerebellar artery (PICA) aneurysms account for approximately 0.5% to 3.0% of all intracranial aneurysms, 1 , 2 and most are located right at the origin or in the first anteromedullary segment of the vessel. (ajnr.org)
- Ancient Greek, Egyptian, and Arabic literature all have references to intracranial aneurysms, but the first successful treatment was reported in the early 19th century. (medscape.com)
- Most aneurysms occur at bifurcations of the intracranial arteries, and the location with the most branch points is the circle of Willis. (medscape.com)
- Szikora I, Marosfoi M, Salomváry B, Berentei Z, Gubucz I. Resolution of mass effect and compression symptoms following endoluminal flow diversion for the treatment of intracranial aneurysms. (medtronic.com)
Resection7
- Awake craniotomy is commonly indicated for resection of tumours near or within the eloquent areas of the brain to maximize tumour resection while preserving the vital neurological functions. (wfsahq.org)
- Tumor Resection Rate: Patients with standard-risk medulloblastoma typically have a high rate of tumor resection. (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)
- Awake patients allow for more precise brain mapping and superior clinical neurologic monitoring, which facilitates resection by defining the safe margins without an increased risk. (researchsquare.com)
- All of the patients received tumor resection and intra-operative non-regional epidural hematoma was confirmed through intra-operative ultrasound or CT scan. (biomedcentral.com)
- Once tumor resection was compete, the bone flap was replaced and fixed without any intracranial drainage. (biomedcentral.com)
- Preoperative Navigated Transcranial Magnetic Stimulation Improves Gross Total Resection Rates in Patients with Motor-Eloquent High-Grade Gliomas: A Matched Cohort Study. (nexstim.com)
Postoperative4
- Craniotomy is a relatively common surgical procedure with a high incidence of postoperative pain. (surgicalneurologyint.com)
- Pre- and postoperative quality of life in arachnoid cyst patients 17. (edu.au)
- Postoperative seizures are very common in these patients. (hyderabadneurosurgeon.co.in)
- In addition, 2 patients developed hydrocephalus requiring ventriculo-peritoneal shunt placement, and 4 patients developed a postoperative CSF leak requiring surgical intervention. (biomedcentral.com)
Endoscopic1
- 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)
Acute5
- The American College of Radiology (ACR) recommends cervicocerebral arteriography or CT angiography of the head with IV contrast for patients with findings of acute SAH on initial CT scan. (medscape.com)
- The indication for digital subtraction angiography (DSA) in these latter 2 cases was assessment of cervicocerebral vessels after intravenous thrombolysis of an acute stroke in one case and headaches of uncertain etiology in the other case (initially examined at 1.5T by MR imaging and MR angiography). (ajnr.org)
- At the time of admission to the hospital, patients with acute SDHs have low scores on the Glasgow Coma Scale (GCS). (hyderabadneurosurgeon.co.in)
- Acute subdural haematoma (ASDH) is a common and serious injury in traumatic brain injury (TBI) patients. (biomedcentral.com)
- Results 53 (10%) patients suffered myocardial injury, while 24 (4.5%) suffered acute renal injury. (bmj.com)
Preoperative2
- The preoperative assessment is the ideal time to establish a good rapport with the patient, to explain the procedure in detail, and to answer patient questions. (wfsahq.org)
- Most of the patients (60%) had a preoperative motor deficit. (nexstim.com)
Hypertension5
- Decompressive craniectomy, which involves expansion of fixed cranial cavity, is used to treat intra-operative brain swelling and post-operative malignant intracranial hypertension. (biomedcentral.com)
- Salvage decompressive craniectomy will be performed for craniotomy patients once there is evidence of imaging deterioration and post-operative malignant intracranial hypertension. (biomedcentral.com)
- Secondary intracranial hypertension with cerebrovenous sinus thrombosis. (aetna.com)
- Intracranial hypertension may be a contributing factor to this disorder and must be fully evaluated and treated when present. (medscape.com)
- Given that intracranial hypertension has been implicated as a significant factor in temporal encephalocele formation, [ 7 , 10-12 , 15 ] we hoped to clarify this correlation by reviewing a series of tegmen defects repaired surgically and the associated ICP measurements in these patients. (medscape.com)
Incidence1
- Rising incidence of mucormycosis in patients with COVID-19: another challenge for India amidst the second wave? (ajtmh.org)
Methods1
- Methods The authors conducted a retrospective review of 23 patients undergoing a combined mastoidectomy and middle cranial fossa craniotomy for the treatment of a tegmen defect. (medscape.com)
Burr hole2
- Biopsy may be performed with an open technique (through craniotomy), through a small burr hole, or endoscopically. (frontiersin.org)
- 1 , 10 , 23 , 35 ] However, with new surgical advancements, more surgeons are opting for a surgical excision with a craniotomy or surgical aspiration with a burr-hole technique. (surgicalneurologyint.com)
Minimally invasive1
- OBJECT: Supraorbital craniotomy via an eyebrow incision provides minimally invasive cosmetically favorable access to both orbital and intracranial pathologies. (bvsalud.org)
Cervical spine2
- 15 with indications for a CT head scan, scanning should include the cervical spine. (ethiopianeurosurgery.com)
- Neck mobility - This will not be a useful assessment in the setting of trauma given that most patients will be in cervical spine immobilization. (emdocs.net)
Decompressive craniectomy1
- The available type of operation is either craniotomy or decompressive craniectomy (DC). (biomedcentral.com)
Clinical7
- RESULTS: Clinical data of 37 interventions (cases) in 30 patients (age: 8 ± 6.5 years) were analyzed. (bvsalud.org)
- The MSSs represent predictive tools for the stratification of pLGG patients and should be prospectively validated in clinical trials. (bvsalud.org)
- The clinical outcome was good in 7 patients, whereas 3 patients, all poor clinical grade, died (1 for unrelated reasons). (ajnr.org)
- The management of patients with a head injury should be guided by clinical assessments and protocols based on the Glasgow Coma Scale and Glasgow Coma Scale Score. (ethiopianeurosurgery.com)
- 2. when the patient has clinical features that suggest that specialist neuroscience assessment, monitoring, or management are appropriate, irrespective of the result of any CT scan. (ethiopianeurosurgery.com)
- Exclusion criteria were traumatic arrest, known or suspected pregnancy, prior enrollment in the trial, receipt of epinephrine from an EMS unit not in the trial, or a clinical indication for calcium during the arrest (i.e. hyperkalemia or hypocalcemia). (umaryland.edu)
- This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. (bvsalud.org)
Outcome1
- After a mean follow-up time of 26 ± 25.9 months for oncologic cases the long term outcome was complete remission in 13, stable disease in 14, progressive disease in 1 and death in 2 patients. (bvsalud.org)
Prognosis3
- The focus of debate resides in whether DC would be able to improve the prognosis of patients. (biomedcentral.com)
- 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)
- [6] Also, that said competitive seats at times remain vacant as there are not many takes due to it being highly demanding job, similar or more pay for less hours of work in other specialty, high risk of being sued, high mortality and poor prognosis of patients. (wikipedia.org)
Awake4
- Efficient scalp anaesthesia is the cornerstone for a successful awake craniotomy procedure. (wfsahq.org)
- The use of dexmedetomidine for sedation during awake craniotomy is gaining popularity due to its analgesic and sedative properties with minimal respiratory depression. (wfsahq.org)
- Awake craniotomy (AC) is required for neurosurgical procedures when the patient is needed to be awake and cooperative during certain stage ofthe procedure. (wfsahq.org)
- Considering the reported cases from all other series published in the literature, we obtained a comparison between the asleep group of 25 patients derived from our series and the awake group of 34 patients. (researchsquare.com)
Idiopathic1
- 5 Awerbuch G, Sandyk R. Intracranial haemorrhage in a 26 year-old woman with idiopathic thrombocytopenic purpura. (thieme-connect.com)
Arteriovenous malformation1
- For SAH caused by rupture of an intracranial aneurysmal vessel or arteriovenous malformation, emergency physicians have classically performed a noncontrast CT (NCCT), followed by a lumbar puncture. (medscape.com)
Neurological3
- Diagnosis of brain abscess can be challenging as patients may present with nonspecific symptoms and the classical triad of headache, fever, and focal neurological deficit is not always present. (surgicalneurologyint.com)
- The decision to surgically intervene for brainstem abscesses is dependent on surgeon and patient factors including the presence of multiple collections, midline shift, the aim of source identification in sterile cultures, and the patient's neurological condition. (surgicalneurologyint.com)
- Though he was initially conscious, his neurological condition progressively deteriorated, so the decision was taken for an emergency craniotomy. (thieme-connect.com)
Tumor1
- 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)
Symptoms3
- All other patients had partial or complete resolution of symptoms. (neurosurgery.directory)
- One lethal procedural complication occurred, and transient ischemic symptoms appeared in 2 patients. (ajnr.org)
- Patient was surprised to learn of the Wortmannin cerebellar findings considering her lack of significant symptoms. (bioentryplus.com)
Placement3
- 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)
- 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)
- Additionally, we aimed to determine the rate of and indications for VP shunt placement. (medscape.com)
Aneurysmal2
- Most cases of aneurysmal SAH occur in patients older than 50 years, and 30% of subarachnoid hemorrhages occur during sleep. (medscape.com)
- An estimated 15-30% of patients with aneurysmal SAH die before reaching the hospital, and approximately 25% of patients die within 24 hours, with or without medical attention. (medscape.com)
Meningitis5
- 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)
- 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)
- Invasion of the sterile intracranial compartment with resulting meningitis is a feared complication, which leads to the commonplace use of antibiotics under these circumstances. (medscape.com)
- Here we report a case of brain abscess caused by Salmonella enterica serovar Enteritidis mimicking post-surgical meningitis in a patient with glioblastoma multiforme. (biomedcentral.com)
- enterica serovar Enteritidis mimicking post-surgical meningitis in a patient with glioblastoma multiforme. (biomedcentral.com)
Trauma4
- Indications Brain injury following trauma is one of commonest indications for craniotomy. (slideshare.net)
- This is particularly true in the setting of the trauma patient, where the ABCs of trauma evaluation begin with establishing the patency of the airway and ensuring adequate oxygenation and ventilation before moving through the remainder of the trauma algorithm. (emdocs.net)
- Some examples of characteristics that may make it difficult to use a BVM are the presence of facial hair, obesity, edentulous patient, advanced age, snoring, and oral-maxillofacial trauma . (emdocs.net)
- Which Trauma Patients Should I Intubate? (emdocs.net)
Procedure3
- A part of skull is temporarily removed to expose the brain and perform an intracranial procedure. (slideshare.net)
- One patient required subsequent direct bypass seven months after the initial procedure owing to the progression of the disease. (neurosurgery.directory)
- However, due to indefinite indication, the decision to perform this procedure heavily relies on personal experiences. (biomedcentral.com)
Neurosurgical procedures1
- With limited ICU beds and the concern of viral transmission between patients and caregivers, many hospitals stopped non-emergent neurosurgical procedures for several weeks or months early in the pandemic then gradually resumed as COVID-dedicated wards were established [ 7 , 8 ]. (plos.org)
Skull base1
- The supraorbital craniotomy established access to the cranial, lateral, and central portions of the orbit (n = 11) and ipsilateral fronto-medial portions of the skull base (n = 26). (bvsalud.org)
Treatment9
- The MEKi MSS predicts treatment response in a small set of pLGG patients treated with trametinib. (bvsalud.org)
- Craniotomy is the most widely used surgical treatment for STBI. (biomedcentral.com)
- Initial results of uncontrolled studies suggested that optic nerve sheath decompression was a promising treatment of progressive visual loss in patients with NAION. (aetna.com)
- In Europe, GDCs have been used as a first-line intervention in lieu of surgical treatment for patients without contraindications to endovascular therapy. (medscape.com)
- In the U.S., surgical removal of the blood vessels involved (craniotomy) is the preferred curative treatment for most types of AVM. (bionity.com)
- Another important treatment option available to patients is medical management. (medtronic.com)
- This molecular-based classification holds promise in guiding the development of optimal treatment strategies for patients with medulloblastoma 1) . (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)
- Neurosurgeons can manage remote intracranial haematomas by contralateral craniotomy but are often struggle to manage diffuse brain swelling due to a lack of an effective treatment method. (biomedcentral.com)
Pediatric2
- Pediatric Intracranial Arachnoid Systs, part 2 19. (edu.au)
- Induction of anesthesia with DIPRIVAN is frequently associated with apnea in both adults and pediatric patients. (guidelinecentral.com)
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)
Severe2
- A 30-year-old male patient, a known case of immune thrombocytopenia, presented with sudden onset severe headache and vomiting. (thieme-connect.com)
- Patients with less severe injuries may have no gross structural damage. (msdmanuals.com)
Evacuation2
- Another ten patients who received craniotomy for intra-operative non-regional epidural hematoma evacuation were selected as comparison. (biomedcentral.com)
- Hematoma evacuation through craniotomy is the traditional management. (biomedcentral.com)
Cardiopulmonary1
- Mannitol solution must be used with caution in patients with significant cardiopulmonary or renal dysfunction. (nih.gov)
Nonsurgical1
- AC has several nonsurgical benefits over craniotomy done under general anaesthesia, especially when patients are selected appropriately. (wfsahq.org)
Transfusions1
- Despite multiple transfusions, his platelet counts were 10,000/µL, so craniotomy was very risky. (thieme-connect.com)
Incision1
- Craniotomy was performed using piezosurgery ultrasonic bone incision. (bvsalud.org)