Presentation
Four cases of intracerebral hemorrhage remote from the site of the initial neurosurgical procedure are presented. Two of the four patients had preoperative hypertension. [ncbi.nlm.nih.gov]
At POD 11, she presented to the emergency department for headache associated with fever. [virologyj.biomedcentral.com]
We present a case of a young male undergoing craniotomy and excision of intracranial epidermoid presenting with an intraoperative event consisting of multiple episodes of junctional rhythm. [apicareonline.com]
Workup
Elective outpatient (ambulatory) surgical procedures were subsequently excluded because outpatient procedures had a preoperative workup that did not incorporate the inpatient checklist. [aansneurosurgeon.org]
QT, RR, ST Intervals
- Prolonged QT Interval
[…] abnormality noted with neurological diseases was nonspecific ST-T changes followed by prolonged QT interval and bundle branch block. [apicareonline.com]
Treatment
Ventriculoperitoneal shunting as a primary neurosurgical treatment in posthemorrhagic hydrocephalus would decrease surgical morbidity with good functional outcome. [ncbi.nlm.nih.gov]
Traditional treatment involves open brain surgery and the application of a pre sprung Titanium clip to occlude the inflow region of the aneurysm. With coiling however, the entire treatment is performed through a remote site. [northshoreprivate.com.au]
Treatment and outcome Early treatment is of prime importance in HSVE and represents a major clinical challenge for two reasons. [virologyj.biomedcentral.com]
Discussion Neurosurgery is an effective option in the treatment of intractable spasticity. [nature.com]
Prognosis
Tanaka et al concluded that the incidence of idiopathic normal-pressure hydrocephalus was 1.4% in their study of an elderly Japanese population. [2] Prognosis In general, outcome is good. [emedicine.medscape.com]
Prognosis In general, post-operative patients will require only 12-24 hours of ICU-level monitoring and can then be discharged to the general floor. [clinicaladvisor.com]
Etiology
Etiology The etiology of hydrocephalus in congenital cases is unknown. Very few cases ( [1] trauma, intracranial hemorrhage, and infection. Epidemiology The overall incidence of hydrocephalus is unknown. [emedicine.medscape.com]
[…] nervous system pathology, esophageal disorders, hypothermia, drugs, poisoning, electrical injury, anesthesia, surgery etc. 3-5 It is of grave importance to recognize that the changes in ECG are because of intracranial pathology rather than a cardiac etiology [apicareonline.com]
There were two cases of elevated partial thromboplastin time, one case of thrombocytopenia of unknown etiology occurring in 2012 and one case of anemia in 2013 accounting for the hematologic causes of cancellation. [aansneurosurgeon.org]
Table 2 Clinical Characteristics of HSVE after Neurosurgery Age (mean; range) 32.1; 2-78 Previous HSVE history 8/26 (30.1 %) Time-to-symptoms in days (mean; range) 7.7; 1-21 HSV-2 etiology 4/26 (15.4 %) Time to treatment in days (mean; range) 5.8; 0-16 [virologyj.biomedcentral.com]
Epidemiology
The control group match was conducted on the basis of epidemiological and potential prognostic factors, such as age, gender, DC surface area and Glasgow Coma Score (GCS). [ncbi.nlm.nih.gov]
Epidemiology The overall incidence of hydrocephalus is unknown. When cases of spina bifida are included, congenital hydrocephalus occurs in 2-5 births per 1000. The incidence of acquired types of hydrocephalus is unknown. [emedicine.medscape.com]
Surgical site infections: epidemiology, microbiology and prevention. J Hosp Infect. 2008;70(suppl 2):3-10. 17. Rao SB, Vasquez G, Harrop J, et al. Risk factors for surgical site infections following spinal fusion procedures: a case-control study. [nursingcenter.com]
Pathophysiology N/A Epidemiology It is estimated that up to half of all post-operative patients will experience a complication in their post-operative course. 10% of these complications are serious and incur significant morbidity and mortality. [clinicaladvisor.com]
Pathophysiology
Today, the focus of hydrocephalus research is on pathophysiology, shunting (eg, new shunt materials and programmable valve design), and minimally invasive techniques of treatment. [emedicine.medscape.com]
The postoperative viral pathophysiology remains a subject of debate. The rate of adverse outcome is high and early antiviral treatment seems to be a strong predictor of clinical outcome. [virologyj.biomedcentral.com]
The use of a precision operating microscope, specialized micro-instruments, advanced technology Titanium aneurysm clips, and a better understanding of the pathophysiology of aneurysm development and rupture risks, have combined to steadily improve outcomes [northshoreprivate.com.au]
Spasticity: pathophysiology, evaluation and management. Pract Neurol 2012; 12 : 289–298. 5. Sindou MP, Mertens P. Neurosurgery for spasticity. Stereotact Funct Neurosurg 2000; 74 : 217–221. 6. [nature.com]
Pathophysiology N/A Epidemiology It is estimated that up to half of all post-operative patients will experience a complication in their post-operative course. 10% of these complications are serious and incur significant morbidity and mortality. [clinicaladvisor.com]
Prevention
Preventable cases included cancellations that could have been discovered and prevented prior to surgery with the use of the preoperative checklist. [aansneurosurgeon.org]
Axillary roll is placed well away from axilla to prevent compression of axillary artery and brachial plexus. 26. [slideshare.net]
Given the significant patient risk and legal ramifications of surgical fires, education regarding operating room fires and the potential for prevention and treatment is requisite. [ncbi.nlm.nih.gov]
Similar issues have recently been discussed with respect to trials on breast cancer prevention. [jme.bmj.com]
To develop a risk assessment tool based on variables identified in the literature and results from this study that may contribute to prevention of an SSI. [nursingcenter.com]