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Incidence of surgical site infection (SSI) among patients receiving craniotomy for tumor resection with a prior ventriculoperitoneal shunt is often higher than in non-shunted cases. (cns.org)
The present study aimed to compare the influence of the size of the craniotomy on the functional outcome in patients undergoing surgical treatment for ASDH. (minervamedica.it)
The clinically useful infusion rates are 0.025-0.1 (µg/kg)/min for sedation (rates adjusted to age of patient, severity of their illness and invasiveness of surgical procedure). (wikipedia.org)
The COVID-19 pandemic forced a reconsideration of surgical patient management in the setting of scarce resources and risk of viral transmission. (plos.org)
It has been postulated that replacing the bone flap, performing a craniotomy, would reinforce the surgical closure and decrease rates of CSF leak. (edu.lb)

We evaluated the infection rates of cefazolin and vancomycin for craniotomy for tumor patients with and without shunts. (cns.org)
An IRB-approved multi-armed, retrospective analysis of data pertinent to craniotomy for tumor, shunt, and prophylactic antibiotics was employed to evaluate infection rate in 210 patients during a nine-year period. (cns.org)
3. To elucidate the efficacy of prophylactic antibiotics for craniotomy for tumor in consideration of prior shunt. (cns.org)
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)
Data collection included demographics, preoperative American Society of Anesthesiologists (ASA) status, tumor pathology, and tumor resection and remission rates. (plos.org)

There were no differences pre-pandemic versus pandemic in ASA scores, resection/remission rates, readmissions or reoperations. (plos.org)
All patients had received at a minimum Stupp protocol which is chemoradiation after initial resection. (surgicalneurologyint.com)

Radiosurgery for trigeminal neuralgia was initially reserved for patients who were not good candidates for a microvascular decompression. (surgicalneurologyint.com)
Given that radiosurgery is not as durable as a microvascular decompression for pain relief, there are an increasing number of patients who present with recurrent pain. (surgicalneurologyint.com)

Administering the proper antibiotic is necessary for the prevention of SSI for patients with and without shunts. (cns.org)
This research will help clinicians choose the appropriate prophylactic antibiotic for children undergoing craniotomies, with or without the presence of a preexisting shunt. (cns.org)
2019) . According to the Journal of Neurosurgery, risk factors for a craniotomy include early age, long duration of operation, use of steroids, antibiotic prophylaxis, etc. (longhornbrainandspine.com)

CONCLUSIONS: A small craniotomy was not inferior to larger craniotomies in determining functional outcomes in the treatment of ASDH in the elderly. (minervamedica.it)
Secondary outcomes included the rate of postoperative pseudomeningocele formation, CSF leak and pseudomeningocele formation, CSF diversion, revision surgery, and infection. (edu.lb)

Neurosurgeons perform a craniotomy as a life-saving surgery for patients with brain lesions, tumors, hydrocephalus , blood clots (hematoma), foreign body removals such as bullets, or traumatic brain damage (TBI). (longhornbrainandspine.com)

METHODS: We selected patients ≥70 years old admitted to 5 Italian tertiary referral neurosurgical for the treatment of a post-traumatic ASDH between January 1st 2016 and December 31st 2019. (minervamedica.it)
Methods: Three databases were searched for English studies comparing the primary outcome, rate of CSF leak, after adult posterior fossa craniotomies versus craniectomies. (edu.lb)

performed a retrospective study on 119 patients who were previously treated with the gamma knife for trigeminal neuralgia. (surgicalneurologyint.com)

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)
The incidence of bacterial meningitis or viral meningitis after craniotomy operation ranges from 0.8 to 1.5% (Jiménez-Martínez et al. (longhornbrainandspine.com)

The three groups did not differ for functional outcome and postoperative midline shift, but the length of surgery and the rate of >50% of ASDH evacuation were lower in the small craniotomy group. (minervamedica.it)
Conclusion: Based on evidence with high risk of bias, rates of postoperative CSF leak and pseudomeningocele formation favored posterior fossa craniotomies over craniectomies. (edu.lb)
In the USA, insured patients reported a postoperative death rate of 1.3 percent and 2.6 percent in uninsured patients after surgery for brain tumors (Gouello et al. (longhornbrainandspine.com)

Patients were treated with a median target dose for 70 Gy (dose ranging between 50 and 90 Gy). (surgicalneurologyint.com)

What is the efficacy of repeat radiosurgery on patients with recurrent trigeminal neuralgia? (surgicalneurologyint.com)

Clinically useful infusion rates in general anesthesia vary but are usually 0.1-1 (µg/kg)/min. (wikipedia.org)
In combination with propofol, remifentanil is used for anesthesia of patients undergoing electroconvulsive therapy. (wikipedia.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 patient will lie on the operation table and the anesthesiologists will administer general anesthesia to help them fall asleep throughout the operation. (longhornbrainandspine.com)

This systematic review and meta-analysis compared the rate of CSF leak after posterior fossa craniotomies versus craniectomies. (edu.lb)

Fort Worth Neurosurgeon names a craniotomy based on the involvement of bone during operation such as occipital craniotomy, parietal craniotomy, frontal craniotomy, temporal craniotomy, etc. (longhornbrainandspine.com)

BACKGROUND: Elderly patients operated for an acute subdural hematoma (ASDH) frequently have a poor outcome, with a high frequency of death, vegetative status, or severe disability (Glasgow Outcome Score, GOS, 1-3). (minervamedica.it)
On the other hand, comparing the rates of pseudomeningocele formation and CSF leak, as a combined outcome, or pseudomeningocele formation only showed a significant difference favoring craniotomies. (edu.lb)

Patients receiving vancomycin had higher incidence of infection. (cns.org)

The drug's effects include a dose-dependent decrease in heart rate and arterial pressure and respiratory rate and tidal volume. (wikipedia.org)

It is given to patients during surgery to relieve pain and as an adjunct to an anaesthetic. (wikipedia.org)
It has been used effectively during craniotomies, spinal surgery, cardiac surgery, and gastric bypass surgery. (wikipedia.org)
This study evaluates whether ketamine, given as part of an anesthetic, improves depression symptoms in depressed patients undergoing non-cardiac surgery. (stanford.edu)
Neurosurgeons perform this type of craniotomy during the epileptic surgery by awaking the patient to access their response. (longhornbrainandspine.com)
Before the surgery, neurosurgeons will explain the risk and benefits of having surgery and take a brief medical history of the patient. (longhornbrainandspine.com)
Patients need to sign the consent form before the surgery. (longhornbrainandspine.com)
Patients need to avoid taking non-steroidal anti-inflammatory medicines (ibuprofen, naproxen, etc.) and blood thinners (Coumadin, aspirin, Plavix, etc.) 7 days before surgery. (longhornbrainandspine.com)

Forty-five patients underwent a small craniotomy, 47 a medium size, and 44 a large craniotomy. (minervamedica.it)
The type of craniotomy depends on various factors, such as the location and size of the operation. (longhornbrainandspine.com)

patients undergoing large craniotomies showed greater midline shift and a higher rate of anisocoria. (minervamedica.it)
Children may require higher infusion rates (up to 1.0 (µg/kg)/min). (wikipedia.org)
However, the rate of facial sensory dysfunction is higher for the second treatment. (surgicalneurologyint.com)
Despite the fact that the rate of facial numbness is higher with a second treatment, the authors also point out that rhizotomies also carry a significant risk for facial sensory changes. (surgicalneurologyint.com)
Do glioblastoma patients who progress through bevacizumab treatment and undergo repeat craniotomy display higher perioperative morbidity as compared to patients not treated with bevacizumab? (surgicalneurologyint.com)

Craniotomies require a professional medical team lead by a neurosurgeon to successfully perform. (longhornbrainandspine.com)

To identify a significant difference in infection rates between vancomycin and cefazolin. (cns.org)

The most common side effects reported by patients receiving this medication are a sense of extreme "dizziness" (often short lived, a common side effect of other fast-acting synthetic phenylpiperidine narcotics such as fentanyl and alfentanil) and intense itching (pruritus), often around the face. (wikipedia.org)

What is the prognosis for glioblastoma patients after Stupp protocol treatment and progression during bevacizumab treatment? (surgicalneurologyint.com)
No patients received bevacizumab in the initial Stupp treatment protocol. (surgicalneurologyint.com)
This craniotomy involves the use of 3-dimensional imaging techniques such as MRI or CT-scan to detect the treatment location. (longhornbrainandspine.com)

Other reasons for performing a craniotomy may include (Horsfall et al. (longhornbrainandspine.com)

A target plasma concentration is entered as ng/ml into the pump, which calculates its infusion rate according to patient factors like age and weight. (wikipedia.org)

RESULTS: We included 136 patients (76 males) with a mean age of 78±6 years. (minervamedica.it)
Results: A total of 1250 patients (635 craniotomies and 615 craniectomies), from nine studies, were included in the final analysis. (edu.lb)

In addition to treating patients, Dr. Heifets also directs both clinical research and basic neuroscience. (stanford.edu)

These side effects are often controlled by either altering the administered dose (decreasing or in some cases, increasing the dose) or by administering other sedatives that allow the patient to tolerate or lose awareness of the side effect. (wikipedia.org)

This paper suggests that we can safely use repeat radiosurgery for patients with recurrent TN. (surgicalneurologyint.com)

Of 295 patients, 163 patients were treated pre-pandemic (58% women, mean age 53.2±16 years) and 132 were treated during the pandemic (52% women, mean age 52.3±17 years). (plos.org)

2. To determine if prior shunting has any impact on infection rates following subsequent craniotomy. (cns.org)

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)

Later, physicians will perform various presurgical tests such as blood tests, electrocardiograms, chest X-rays, etc. to determine the condition of the patient. (longhornbrainandspine.com)

The authors reported that 87% of their patients experienced initial pain relief. (surgicalneurologyint.com)
The authors found that patients who presented with recurrent facial pain in a distribution smaller than their initial presentation had a more favorable prognosis. (surgicalneurologyint.com)

Anatomy14

Diseases28

Analytical, Diagnostic and Therapeutic Techniques and Equipment18

Disciplines and Occupations1

Information Science1

Health Care1

Surgical5

Tumor6

Resection2

Microvascular decompression2

Antibiotic3

Outcomes2

Lesions1

Methods2

Retrospective1

Viral2

Postoperative3

Median1

Efficacy1

Anesthesia4

Versus1

Bone1

Outcome2

Incidence1

Decrease1

Surgery7

Size2

Higher5

Require1

Significant difference1

Common1

Treatment3

Include1

Factors1

Results2

Research1

Dose1

Suggests1

Years1

Impact1

Care1

Determine1

Pain2