Review indications patients craniotomy. Medical search. Frequent questions

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)
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)
Sections 2-5 concentrate on different craniotomies (for vascular, oncologic, epilepsy, functional and trauma neurosurgery as well as radiosurgery), spinal surgery, endovascular neurosurgery and special procedures. (acnr.co.uk)
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)
We gather the information of in-patients with intracranial tumors in the neurosurgery department of our hospital since Oct. 2011. (biomedcentral.com)

Section 1 reviews core anaesthetic principles: sections 2-5 concentrate on different neurosurgical procedures and sequentially describe neuroanatomy, technical steps of the procedures, peri-operative considerations, anaesthetic choices, post-operative complications and post-operative management for each procedure. (acnr.co.uk)
To avoid these complications, the supracerebellar-transtentorial (SCTT) approach to this region has been used as an effective alternative treatment in adult patients. (thejns.org)
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)
At least one of these complications was present in 17.7% of patients. (heraldopenaccess.us)
It is important for otolaryngologists as well as neurosurgeons to be aware of neurotologic complications in order to adequately counsel patients preoperatively and identify them postoperatively. (heraldopenaccess.us)
3 Immediate diagnosis and treatment of these complications is essential to maximize patient survival. (bmj.com)
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)
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)
The traditional management of hematoma evacuation through craniotomy is time-consuming and may aggravate intracranial pressure imbalance, which causes further complications. (biomedcentral.com)
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)
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)

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)
How Does a Neurosurgeon perform a Craniotomy? (longhornbrainandspine.com)

Awake craniotomy is a neurosurgical technique and type of craniotomy that allows a surgeon to remove a brain tumor while the patient is awake to avoid brain damage. (wikipedia.org)
The type of craniotomy depends on various factors, such as the location and size of the operation. (longhornbrainandspine.com)
Neurosurgeons perform this type of craniotomy during the epileptic surgery by awaking the patient to access their response. (longhornbrainandspine.com)

The patient is then positioned in a neurosurgical head restraint that holds the head completely still and given general anesthesia. (wikipedia.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)
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)
However, some patients who cannot tolerate the procedure while awake can have the electrode and lead placed under general anesthesia. (parkinsonsdaily.com)

Before an awake craniotomy begins for tumor or epilepsy surgery, the patient is given anxiolytic medications. (wikipedia.org)
The craniotomy begins with a surgeon removing an area of the skull over the tumor and cutting into the meninges, the membranes that protect the brain. (wikipedia.org)
If an area is stimulated and the patient moves or loses some ability, like speech, the surgeon knows that the area is vital and cannot be removed or cut through to access a tumor. (wikipedia.org)
All patients presented with a seizure disorder related to a tumor in a PMT region involving the parahippocampal and fusiform gyri of the left (n = 3) or right (n = 2) temporal lobe. (thejns.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)
Risk factors for ICA rupture included two patients with carotid dehiscence, one with sphenoid septal attachment to the ICA, two with revision surgery, one with prior radiation to the tumor, one with bromocriptine treatment and two with acromegaly. (bmj.com)
either a lateral rhinotomy method or a midfacial degloving method can be used for en bloc tumor removal. (medscape.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)

A particular use for awake craniotomy is mapping the cortex to avoid causing language or movement deficits with the surgery. (wikipedia.org)
Awake craniotomy can be used in a variety of brain tumors, including glioblastomas, gliomas, and brain metastases. (wikipedia.org)
Awake craniotomy has increased the scope of tumors that are considered resectable (treatable by surgery) and in general, reduces recovery time. (wikipedia.org)
Awake craniotomy is also associated with reduced iatrogenic brain damage after surgery. (wikipedia.org)
whereas in an MAC surgery the patient is awake the entire time. (wikipedia.org)
There are patients for whom an awake craniotomy is not appropriate. (wikipedia.org)
Those with anxiety disorders, claustrophobia, schizophrenia, or low pain tolerance are poor candidates for an awake surgery because any treatment of a psychological crisis would harm the procedure and could harm the patient. (wikipedia.org)
Awake craniotomy for supratentorial gliomas: why, when and how? (wikipedia.org)
Patients were stratified into two groups: patients submitted to Asleep Surgery and patients submitted to Awake surgery. (researchsquare.com)
Awake craniotomy was performed in 19,35% of the AVMs treated in our centre. (researchsquare.com)
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)
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)
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)
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)
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)
Most patients will be awake for lead and electrode placement. (parkinsonsdaily.com)

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)
Salvage decompressive craniectomy will be performed for craniotomy patients once there is evidence of imaging deterioration and post-operative malignant intracranial hypertension. (biomedcentral.com)
The available type of operation is either craniotomy or decompressive craniectomy (DC). (biomedcentral.com)
A total of 256 patients who underwent decompressive craniectomy for isolated traumatic ASDH between April 2013 and December 2020 were included. (biomedcentral.com)
However, the topic is controversial because, despite positive trials, there remains significant skepticism about decompressive craniectomy for the MCI patient population. (medscape.com)
Our first question was: Does decompressive craniectomy for patients with MCI improve the likelihood of attaining functional outcomes with a consensus that the quality of life is worth living? (medscape.com)
Significantly more patients are either independent, or nearly independent, with the ability to ambulate 1 year after undergoing decompressive craniectomy. (medscape.com)
The second question was: Does decompressive craniectomy for patients with MCI increase the likelihood of survival with a quality of life that is not worth living? (medscape.com)
What are the indications for decompressive craniectomy? (medscape.com)
With the caveat that the expected outcomes after decompressive craniectomy are in line with the treatment goals of the patient and family, the indications for decompressive craniectomy are typically major middle cerebral artery stroke with subsequent cerebral edema, leading to decreased level of consciousness and the expectation of further progression of edema and neurologic deterioration. (medscape.com)
I have multiple patients who have returned to work full-time and are completely independent after decompressive craniectomy. (medscape.com)

It seeks to both synthesize and review our current scientific understanding of postcraniotomy pain and its part in neurosurgical ERAS protocols. (surgicalneurologyint.com)
It aims to facilitate mutual understanding of the various specialists' contribution to patient care in the settings of neurocritical care and the neurosurgical operating theatre. (acnr.co.uk)
The patient was transferred to our institution for neurosurgical evaluation. (bioentryplus.com)
With endoscopic repair of CSF leaks, the more extensive neurosurgical external approaches via craniotomy can be avoided. (medscape.com)
CSF leakage remains a devastating complication of neurosurgical procedures and represents a significant patient burden with high associated cost. (b3cnewswire.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)
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)

The project involves a multidisciplinary team, starts with process mapping, a review of the evidence supporting each care item and ends with consensus for a consistent clinical approach. (surgicalneurologyint.com)
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)
Resources may be in many forms, including problem-based-learning discussions (PBLDs), neuroanesthesia quizzes, expert podcasts, interactive clinical cases and topic specific peer-reviewed articles. (snacc.org)
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)
This review article is based on a selective literature search and on our own clinical experience. (aerzteblatt.de)
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)
In addition to treating patients, Dr. Heifets also directs both clinical research and basic neuroscience. (stanford.edu)
Microdialysis is used for a variety of clinical indications, including tissue monitoring in myocutaneous flap surgery, transplant surgery and bowel anastamoses. (cambridge.org)
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)
This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. (bvsalud.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)
We also review cases of Salmonella brain abscess in patients with cerebral tumors. (biomedcentral.com)
This chapter reviews the principles of cerebral microdialysis and identifies its role in detecting derangements of cerebral metabolism after brain injury. (cambridge.org)

Craniotomy is a relatively common surgical procedure with a high incidence of postoperative pain. (surgicalneurologyint.com)
Strategies to ameliorate craniotomy pain demand interventions during all phases of patient care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
The objective of this systematic review and meta-analysis was to investigate the duration and effect of ropivacaine alone vs. ropivacaine in combination with dexmedetomidine for postoperative analgesia. (bvsalud.org)
INTRODUCTION: Postoperative nausea and vomiting is a common complication for patients after anesthesia and surgery, which may result in increased parasympathetic activity, such as diaphoresis, pallor, or bradycardia. (bvsalud.org)
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. (ahrq.gov)
Two patients required lumbar drainage, and no revision repair was necessary to treat postoperative CSF rhinorrhea in the Tachosil group. (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)
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)

We reviewed 198 consecutive patients who underwent 219 EETS for pituitary adenoma between February 2007 and July 2018. (neurosurgery.directory)
METHODS: Nine patients with midline epidural hematoma including two pediatric patients underwent surgery between 2013 and 2018. (tjtes.org)

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)
In three patients, covered stent placement achieved hemostasis at the site of injury within the ICA. (bmj.com)
One patient developed delayed bleeding 6 h after covered stent placement and underwent successful endovascular occlusion of the ICA but died 6 days after the injury. (bmj.com)
The fourth patient had an intraoperative ICA stroke requiring suction thrombectomy, thrombolysis, stent placement and evacuation of an epidural hematoma. (bmj.com)

This study evaluates whether ketamine, given as part of an anesthetic, improves depression symptoms in depressed patients undergoing non-cardiac surgery. (stanford.edu)

Pain management should begin in the perioperative period with risk assessment, patient education, and premedication. (surgicalneurologyint.com)
Due to the many aspects of perioperative care covered in this review, a formal literature search was not done. (surgicalneurologyint.com)
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)
We recommend perioperative audiometry in all patients undergoing MVD. (heraldopenaccess.us)
We aimed to determine predictors of perioperative morbidity and mortality after noncardiac surgery for patients with precapillary PH. (researchsquare.com)
Likewise, whether specific patient and disease characteristics predict perioperative outcomes for these patients is not well known. (researchsquare.com)

MATERIAL AND METHODS The study enrolled 211 patients who underwent thoracoscopic lung cancer resection at a tertiary hospital between July 2021 and July 2022. (bvsalud.org)
Methods A retrospective review was conducted of patients with an ICA injury related to trans-sphenoidal surgery from 2000 to 2012. (bmj.com)

There was no significant difference in complication rates based on surgical indication. (heraldopenaccess.us)
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)
The method proved to be effective with little complication, and the patients recovered soon. (biomedcentral.com)
Each of the patients undertook craniotomy and developed non-regional EDH as an intra-operative complication. (biomedcentral.com)

It is also impossible to identify the denominator (total patient-years of the device used) so that the exact incidence of the events cannot be calculated. (bmj.com)
The incidence of bacterial meningitis or viral meningitis after craniotomy operation ranges from 0.8 to 1.5% (Jiménez-Martínez et al. (longhornbrainandspine.com)
1,2) Incidence rates vary depending on age, indication, location of surgery and underlying pathology, but in total CSF leakage occurs in 4-32% of surgical cases. (b3cnewswire.com)
Rising incidence of mucormycosis in patients with COVID-19: another challenge for India amidst the second wave? (ajtmh.org)
The incidence of intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH was 21.88% (56/256). (biomedcentral.com)

Indications for MVD were trigeminal neuralgia (n=162), hemifacial spasm (n=23), glossopharyngeal neuralgia (n=13), vagal palsy (n=1), and tinnitus (n=1). (heraldopenaccess.us)
Patient selection is absolutely crucial, as with surgery for trigeminal neuralgia. (neurosurgicalatlas.com)
Patients with trigeminal neuralgia and an accompanying neurological deficit require urgent imaging studies (ideally MRI ) to rule out a mass or vascular abnormalities. (amboss.com)

Microvascular Decompression (MVD) offers effective, long-term symptom relief for patients with pathologies related to neurovascular conflicts of cranial nerves in the posterior fossa. (heraldopenaccess.us)

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)
The PH and surgical databases were reviewed from 2010 to 2017. (researchsquare.com)

Acetazolamide can be a useful adjunct in the treatment of patients with spontaneous CSF rhinorrhea associated with elevated intracranial pressure. (medscape.com)
Patients show evidence of elevated intracranial pressure and have "paw marking" of the skull due to the gyri of the brain indenting and thinning the calvaria, with, in severe cases, erosion. (medscape.com)

During the procedure, the surgeon, anesthesiologist, and other surgical personnel speak to the patient, and there is a technician constantly assessing the patient's ability to name objects, for example, or report any abnormal sensations. (wikipedia.org)
However, due to indefinite indication, the decision to perform this procedure heavily relies on personal experiences. (biomedcentral.com)
How Should a Patient Prepare For a Craniotomy Procedure? (longhornbrainandspine.com)
If the patient does not tolerate a balloon test occlusion, then a surgical bypass or reconstructive endovascular procedure should be performed. (bmj.com)

CONCLUSION: Because of the rarity of the lesion and small number of patients, definitive conclusions may be misleading but we think that, in experienced hands, midline epidural hematomas can safely be operated on and, preservation of midline bone strip pro-vides easier bleeding control. (tjtes.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)
100 ] Preoperative interventions aim at optimizing the patient for surgery, including patient education, risk assessment, and medication. (surgicalneurologyint.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)
A structured evidence review (Dickersin and Manheimer, 2002) concluded that "[r]esults from the Ischemic Optic Neuropathy Decompression Trial indicate that optic nerve decompression surgery for nonarteritic ischemic optic neuropathy is not effective. (aetna.com)
A Cochrane review (Dickersin et al, 2012) concluded that results from the single trial indicate no evidence of a beneficial effect of optic nerve decompression surgery for NAION. (aetna.com)
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. (ahrq.gov)
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery. (ahrq.gov)
Indication for surgery can arise even following hospital admission. (tjtes.org)
For example, one large series (n=1883 patients) of absorbable plate and screw fixations in pediatric craniofacial surgery confirmed that none of the devices required surgical removal. (bmj.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)
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)
Senior et al reported that symptoms improved in 66 of 72 (91.6%) patients following endoscopic sinus surgery, with a mean follow-up time of 7.8 years. (medscape.com)
Typically, endoscopic sinus surgery is reserved for patients with documented rhinosinusitis, based on a thorough history and a complete physical examination, including CT scans if appropriate, and in whom appropriate medical treatment has failed. (medscape.com)
Aukema et al found that although 12 weeks of treatment with fluticasone propionate nasal drops reduced the need for sinus surgery in patients with nasal polyposis and chronic rhinosinusitis, 14 of 27 patients still required surgery. (medscape.com)
BACKGROUND: Using the Cyberonics registry, Amar and colleagues reported poorer efficacy of vagus nerve stimulation (VNS) in patients who failed intracranial epilepsy surgery (IES). (caspasepathway.com)
Unlike prior reports, patients with callosotomy did not respond better than those who had resective surgery. (caspasepathway.com)
Among the patients who were operated on by our team, the mean interval from diagnosis to surgery was 8.2 years, and more than half of them learned of the possibility of surgical treatment only through a personal search for information on the condition. (aerzteblatt.de)
We have provided an indication of the cost of a private coronory angiogram based on the prices published by several of the major providers of private surgery. (iphoneart.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)

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)

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)
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)

One week after her initial referral, she was taken to the operative theater and underwent a suboccipital craniotomy. (bioentryplus.com)
Pre-operative and post-operative patient status, radiological features, and surgical technique were analyzed. (tjtes.org)
Another ten patients who received craniotomy for intra-operative non-regional epidural hematoma evacuation were selected as comparison. (biomedcentral.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)

All traumatic brain injury (TBI) patients must receive daily ICU care similar to other non-TBI patients in intensive care. (e-jnic.org)
Acute subdural haematoma (ASDH) is a common and serious injury in traumatic brain injury (TBI) patients. (biomedcentral.com)

The authors' experience in a cohort of pediatric patients demonstrates that complete resection of the lesions in this location is feasible and is safe when involving an approach that involves using a park-bench lateral positioning. (thejns.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)

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)

Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. (ahrq.gov)
A systematic review according to PRISMA guidelines was performed to identify studies comparing primary dural closure with and without additional sealants. (neurosurgery.directory)
The systematic review identified 661 and included 8 studies in the qualitative synthesis. (neurosurgery.directory)

The authors report the feasibility, safety, and efficacy of this approach, using a modified lateral park-bench position in a small cohort of pediatric patients. (thejns.org)
Induction of anesthesia with DIPRIVAN is frequently associated with apnea in both adults and pediatric patients. (guidelinecentral.com)

If inappropriate questions are asked of the EEG, diagnostic errors will occur, and there will be poor yield of information that could be useful in the management of patients with seizure disorders. (bmj.com)
A substantial morbidity can occur after cardiopulmonary operations in patients with PH [1, 2, 7-10]. (researchsquare.com)
It is more likely to occur if the patient does not use clopidogrel. (iphoneart.com)
Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. (bmj.com)

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)

Temporal sampling is also limited, and the relatively short duration of routine interictal EEG recording is one reason why patients with epilepsy may not show interictal epileptiform discharge (IED) in the first EEG study. (bmj.com)

Hematoma evacuation through craniotomy is the traditional management. (biomedcentral.com)

They were operated through separated craniotomies around the midline and midline bone strip was used for dural tenting and as support for natural closure of bone flaps. (tjtes.org)
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)

Pain after craniotomy is a common occurrence[ 96 ] and associated with poor outcomes. (surgicalneurologyint.com)
MVD has also been shown to be effective for less common indications such as tinnitus and vagal palsy [7]. (heraldopenaccess.us)

Biopsy may be performed with an open technique (through craniotomy), through a small burr hole, or endoscopically. (frontiersin.org)

The airway protective reflexes are blunted in TBI patients due to decreased level of consciousness. (e-jnic.org)

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)
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)
Secondly, an abnormal EEG demonstrating IED does not in itself indicate that an individual has a seizure disorder, as IED are seen in a small percentage of normal subjects who never develop epilepsy, and IED may also be found in patients with neurological disorders which are not complicated by epilepsy. (bmj.com)
Though he was initially conscious, his neurological condition progressively deteriorated, so the decision was taken for an emergency craniotomy. (thieme-connect.com)

A total of 215 consecutive MVD operations by a single surgeon between March 1996 and May 2016 were reviewed with 192 surgeries on 183 patients meeting inclusion criteria. (heraldopenaccess.us)
For patients with TRE, including patients who failed cranial epilepsy surgeries, VNS should be considered a palliative treatment option. (caspasepathway.com)

BACKGROUND The study aimed to compare the patient-reported outcomes in patients who underwent early vs conventional feeding after thoracoscopic lung cancer resection. (bvsalud.org)
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)

The editorial content is peer reviewed and remains completely independent unless clearly specified. (acnr.co.uk)
it has not been peer reviewed by a journal. (researchsquare.com)

Only 1% to 6% of all patients with hemifacial spasm before age 30 ( 3 ). (aerzteblatt.de)

The head injury patients pose a unique challenge to the treating physicians in the early period of hospitalization and the later duration of follow-up. (e-jnic.org)
Data regarding patients' characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients' registers. (bvsalud.org)

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)
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)
It is a rare condition that typically manifests in patients above the age of 60 years and affects women more often than men. (amboss.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)
Another important treatment option available to patients is medical management. (medtronic.com)
Craniotomy is the most widely used surgical treatment for STBI. (biomedcentral.com)
For these patients, the next step in treatment may be surgical. (heraldopenaccess.us)
This craniotomy involves the use of 3-dimensional imaging techniques such as MRI or CT-scan to detect the treatment location. (longhornbrainandspine.com)
Xenical (orlistat) is a prescription lipase prevention intended for the treatment of excessive weight in patients holding a great deal of excessive weight. (seagullindia.com)
This molecular-based classification holds promise in guiding the development of optimal treatment strategies for patients with medulloblastoma 1) . (neurosurgery.directory)
Further research with long-term monitoring in this area will better delineate the optimal treatment for these patients. (medscape.com)
The lengthy medical history of about 8.2 years in our own patients, in addition to the fact that more than 50% of these patients found out about surgical treatment options owing to their own research initiative, prompted us to write this article. (aerzteblatt.de)
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)

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)

Intracranial hemorrhage associated with idiopathic thrombocytopenic purpura: report of seven patients and a meta-analysis. (thieme-connect.com)

All patients were discharged with Glasgow Outcome Score of 5. (tjtes.org)
N Outcome and Follow-Up Supraglottoplasty relieves signs of airway obstruction in ninety% of patients [url=http://www.hardenfoundation.org/definitions/purchase-online-shallaki-no-rx/] spasms esophagus 60caps shallaki for sale[/url]. (ehd.org)
Therefore, familiarity with endoscopic and external approaches, in conjunction with a precise understanding of the anatomy, ensures optimal patient care and outcome. (medscape.com)
The outcome depends upon the valuation of different outcome strata by the patient and the family. (medscape.com)

However, no specific ventilatory strategies have not been established for TBI patients. (e-jnic.org)
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)
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)
This study identified the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. (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)

RESULTS: Eighteen studies with 1148 patients were included. (bvsalud.org)
Although many patients benefit from the use of these treatments, results may vary. (medtronic.com)
RESULTS: Four patients had deteriorating consciousness levels and two patients had paraparesis. (tjtes.org)
Results: From 2001 to 2011, 595 patients underwent TEVAR, of whom 457 had elective repair. (caspasepathway.com)
Results 53 (10%) patients suffered myocardial injury, while 24 (4.5%) suffered acute renal injury. (bmj.com)
Results: During the study period, 850 patients were registered at the emergency department. (bvsalud.org)

Anatomy14

Diseases28

Analytical, Diagnostic and Therapeutic Techniques and Equipment21

Disciplines and Occupations1

Information Science1

Health Care3

Neurosurgery5

Complications14

Perform a craniotomy2

Type of craniotomy3

General anesthesia4

Tumor11

Awake16

Decompressive craniectomy12

Neurosurgical7

Clinical10

Cerebral3

Postoperative8

20182

Placement5

Anesthetic1

Perioperative6

Methods2

Complication4

Incidence5

Trigeminal3

Microvascular decompression1

20172

Intracranial pressure2

Procedure4

Conclusions1

Surgery24

Contralateral1

Antibiotic2

Operative4

Traumatic brain2

Lesions1

Excision1

Analgesia1

Systematic review3

Pediatric patients2

Occur4

Frontal1

Temporal1

Hematoma1

Midline2

Common2

Burr1

Reflexes1

Neurological4

Surgeries2

Resection2

Peer-reviewed2

Hemifacial spasm1

Duration2

Typically4

Treatment10

Brain abscess1

Idiopathic1

Outcome4

Strategies2

Risk factors4

Results6