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2.1
Neurosurgical Procedure
Nervous System Operations

Presentation

A surrogate model for the daily use is present to underline the clinical needs.We have therefore developed, for the first time, a surrogate model that helps in daily practice to recognize and prevent TCR episodes. [ncbi.nlm.nih.gov]

At POD 11, she presented to the emergency department for headache associated with fever. [virologyj.biomedcentral.com]

Entire Body System

  • Epilepsy

    Park, MD, PhD, has already used the ROSA to help implant electrodes for epilepsy. [mhealth.org]

    Laser Surgery for Epilepsy Rady Children’s is among a select group of children’s hospitals offering cutting-edge laser surgery for epilepsy, made possible with Visualase laser ablation technology. [rchsd.org]

    Neurosurgery department has neurosurgeons that treat a full range of neurological disorders in the areas of: Cerebrovascular - aneurysms and arteriovenous malformations (AVMs), and stroke Neuro-oncology (brain tumors) Spinal neurosurgery Functional and epilepsy [barnesjewish.org]

    We have robust programs in cerebrovascular care (including a large endovascular program run exclusively by our neurosurgery faculty), spinal surgery, brain tumor surgery, movement disorders and epilepsy, pain, and pediatric neurosurgery. [unmc.edu]

    Relapse of herpes simplex virus encephalitis after surgical treatment for temporal lobe epilepsy: Rare complication of epilepsy surgery. J Neurol. 2013;260:318–20. [virologyj.biomedcentral.com]

  • Movement Disorder

    We have robust programs in cerebrovascular care (including a large endovascular program run exclusively by our neurosurgery faculty), spinal surgery, brain tumor surgery, movement disorders and epilepsy, pain, and pediatric neurosurgery. [unmc.edu]

    Brain Trauma Management and Surgery Brain Tumor Surgery Biopsy Craniotomy Endoscopic/minimally invasive Frameless stereotaxy Radiosurgery Craniovertebral Junction Surgery Epilepsy Surgery Hydrocephalus Surgery Movement Disorders Surgery Deep brain stimulation [nsinc.org]

    Apply the latest techniques and knowledge in deep brain stimulation for epilepsy, movement disorders, dystonia, and psychiatric disorders; surgical management of blast injuries; invasive electrophysiology in functional neurosurgery; and interventional [books.google.com]

    disorders Endovascular therapies – including aneurysm coiling, stenting for treatment of stenotic vascular disorders, and other treatments for spinal and intracranial vascular disorders Pediatric cranial and spinal surgeries for congenital abnormalities [nebraskamed.com]

  • Hypothermia

    Block, Sector 12, Chandigarh, 160012, (India); E-mail: [email protected] ABSTRACT Alteration of cardiac electrical activity is usually due to primary cardiac pathology, but can also be secondary to non-cardiac causes, e.g. electrolyte disturbances, hypothermia [apicareonline.com]

    The intraoperative complications encountered include cardiac arrhythmia, respiratory complications, cardiac arrest, hypothermia, air embolus and technical difficulties. In all but three children the problems were minor and easily remedied. [karger.com]

     Prevention of hypothermia and hypotension during surgery.  Ample cushioning of head & periodic rotation of head to redistribute the weight. 20. COMPLICATIONS 2. [slideshare.net]

    Thus, exposure to a cold environment can result in significant hypothermia and its attendant consequences. Active heating using forced hot air warmers or fluid warmers is essential to maintain normothermia in this environment. [touchneurology.com]

    Shivering due to hypothermia occurs in 40% of the post-operative population and is associated with a 200-400% increase in systemic oxygen consumption. Control of post-operative neurosurgical pain is important target that is often missed. [clinicaladvisor.com]

  • Fatigue

    “Kids with spastic CP spend significantly more energy coordinating their movement, which results in pain, fatigue, and postural problems,” says Richard Anderson, MD, associate professor of neurological surgery at CUMC. [columbiamedicinemagazine.org]

  • Asymptomatic

    Computed tomography (CT) revealed a massive intracranial hematoma in the damaged parenchyma, although the patient was asymptomatic. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Nausea

    Signs can include headache, nausea and vomiting, anisocoria, and loss of spontaneous venous pulsations on funduscopy. [clinicaladvisor.com]

    Severe headaches Nausea Tremors Seizures Numbness or tingling in extremities Paralysis Hallucinations Fainting III. [unitedregional.org]

  • Vomiting

    Signs can include headache, nausea and vomiting, anisocoria, and loss of spontaneous venous pulsations on funduscopy. [clinicaladvisor.com]

Neurologic

  • Seizure

    Seizure prophylaxis with anti-epileptic drugs is frequently prescribed as AEDs may prevent early post-operative seizures. [clinicaladvisor.com]

    […] disintegrates and aspirates brain tumors Cerebrovascular surgery Cortical mapping, which shows the neurosurgeon where essential functions are located in the brain, so the surgeon will avoid cutting through these areas; identifies the area of the brain causing seizures [barnesjewish.org]

    Epilepsy Center Many people who continue to have seizures despite ongoing medical therapy can benefit from epilepsy surgery to remove the area of focus of the seizures. [columbiadoctors.org]

    Epilepsy Surgery : The first line of treatment for most types of seizures is medicine. [nervous-system-diseases.com]

    […] neurosurgeons offer the following procedures: Minimally invasive spine surgery (XLIF, TLIF, DLIF, AXIALIF) Stereotactic radiosurgery Stereotactic tumor surgery Implantation of dorsal column stimulator for pain control Implantation of vagal nerve stimulator for seizure [franciscanhealth.org]

  • Intracranial Hemorrhage

    Here, we present a case of newly diagnosed acquired hemophilia A (AHA) that manifested as a massive intracranial hemorrhage without unexplained bleeding history or abnormal hemostatic results. [ncbi.nlm.nih.gov]

    Intracranial hemorrhage may manifest with focal signs and alteration in level of consciousness if a herniation syndrome or intracranial hypertension develops. Seizures may also occur as a result of intracranial hemorrhage. [clinicaladvisor.com]

    hemorrhage Spinal discherniations and degenerative disorders Hydrocephalus Arnold Chiari malformation Spondylolisthesis Scoliosis Cervical/Lumbar Disc Herniation Neurosurgical procedures at Franciscan Health The experienced staff at Franciscan Health [franciscanhealth.org]

    Very few cases ( [1] trauma, intracranial hemorrhage, and infection. Epidemiology The overall incidence of hydrocephalus is unknown. When cases of spina bifida are included, congenital hydrocephalus occurs in 2-5 births per 1000. [emedicine.medscape.com]

    […] hypertension (increased spinal fluid pressure in the brain) intracranial hemorrhage (bleeding inside the skull) Moyamoya disease (blockage of the internal carotid arteries) neurofibromatosis types I and II (nerve tissue tumors) pituitary and pineal gland [nemours.org]

  • Meningism

    This emphasizes that benign aseptic meningitis is not the sole manifestation of HSV-2 CNS infection. [virologyj.biomedcentral.com]

    Lumbar Puncture (Spinal Tap) : The gold standard test for diagnosing meningitis, a lumbar puncture may be used in the diagnosis of a number of different diseases of the nervous system. [nervous-system-diseases.com]

    […] function or activity of the central nervous system (e.g. brain, hypophysis, and spinal cord), the peripheral nervous system (e.g. cranial, spinal, and peripheral nerves), the autonomic nervous system, the supporting structures of these systems (e.g. meninges [siumed.edu]

    Electrocardiographic changes in subarachnoid hemorrhage, meningitis and intracranial space-occupying lesions. Brain Heart J 1964; 26:785-793. [apicareonline.com]

    When air is trapped in the bilateral frontal lobes with air trapped along the falx meninges, the appearance on head CT is called the Mount Fuji radiologic sign. [clinicaladvisor.com]

  • Encephalopathy

    […] urine/plasma osmolality ratio The case is of 68 years male patient with history of ventilation dependent respiratory failure, septic shock secondary to aspiration pneumonia, severe protein-calorie malnutrition, multiple pressure ulcers, toxic metabolic encephalopathy [heighpubs.org]

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

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]

Epilepsy Surgery : The first line of treatment for most types of seizures is medicine. [nervous-system-diseases.com]

Ventriculoperitoneal shunting as a primary neurosurgical treatment in posthemorrhagic hydrocephalus would decrease surgical morbidity with good functional outcome. [ncbi.nlm.nih.gov]

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]

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