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]
- Asymptomatic
Computed tomography (CT) revealed a massive intracranial hematoma in the damaged parenchyma, although the patient was asymptomatic. [ncbi.nlm.nih.gov]
- Rigor
SHOULD DOCTORS SUBJECT SUCH ANTIBIOTIC REGIMENS TO RIGOROUS SCIENTIFIC METHODOLOGY BEFORE USING THEM ON PATIENTS? Prospective, randomised clinical trials provide the strongest form of evidence on which to base clinical decisions. [jme.bmj.com]
Respiratoric
- Aspiration
Neurosurgery procedures available for the following conditions: Aneurysms Arteriovenous malformation (AVM) Brain tumors Carotid artery blockage/stenosis Cavitron, an ultrasonic surgical aspirator that disintegrates and aspirates brain tumors Cerebrovascular [barnesjewish.org]
Brain shift is mainly caused by gravity, aggressive intraoperative dehydration, and cerebrospinal fluid aspiration. Brain shift produces stretching and transient occlusion of the corticodural bridging veins draining into the peripheral dural sinus. [ncbi.nlm.nih.gov]
Peripheral nerve injury – Ulnar neuropathy is most common. 4. ↑ risk of aspiration of gastric contents. 21. [slideshare.net]
Increase plasma osmolality (>300 mosm/L) with decreased urine osmolality and a 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 [heighpubs.org]
It has at its access the latest equipment including stereotactic navigation, ultrasound aspiration, and Zeiss microscope along with dedicated theatre personnel who on average would operate on 6 brain tumours every week. [northshoreprivate.com.au]
Musculoskeletal
- Muscle Spasticity
These nerve rootlets normally prevent muscles from overreacting to signals to contract, but the fibers are damaged in cerebral palsy, leading to muscle stiffness and spasticity. [columbiamedicinemagazine.org]
Mean MAS score was calculated from MAS score of all examined muscle groups, such as hip flexors, knee flexors and so on. In each patient, the number of examined muscle groups varied from 6 to 14 depending upon extent of operated cord segments. [nature.com]
Neurologic
- Neuralgia
[…] the The multiplicity of procedures with varying neurosurgeon may provide an important degrees of risks and benefits sometimes re contribution to the relief of intractable pain: quires a sequential approach, but always an trigeminal and other facial neuralgias [books.google.com]
[…] 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 neurosurgery General neurosurgery Trigeminal neuralgia [barnesjewish.org]
Cervical, lumbar herniated discs Cervical, thoracic, lumbar spinal tumors Chiari malformations Cubital tunnel syndrome Degenerative spine disease Hydrocephalus, normal pressure hydrocephalus Pituitary lesions Spinal AVMs Tethered cord Trauma Trigeminal neuralgia [eehealth.org]
[…] vascular decompression Trigeminal neuralgia-microsurgical vascular decompression Vagus stimulator implantation Ventriculoscopy [klinikummedicallink.com]
/vertebroplasty Minimally Invasive surgery Motion preservation Spinal cord stimulation Stabilization (instrumentation and fusion) Trauma/fracture surgery Tumor resection/spinal reconstruction Stereotactic Surgery Stereotactic Radiosurgery Trigeminal Neuralgia [nsinc.org]
- Trigeminal Neuralgia
Neuralgia We’ve also performed the world's first magnetic surgery, known as the Magnetic Surgery System (MSS), a safer way of manipulating surgical tools within the brain. [barnesjewish.org]
[…] brain and spine surgery Microvascular decompression and Cyberknife for trigeminal neuralgia Minimally invasive microdiscectomy, lumbar laminectomies, instrumented lumbar fusions Peripheral nerve surgery Carpal tunnel release, ulnar nerve release/transposition [eehealth.org]
neuralgia-endoscopic vascular decompression Trigeminal neuralgia-microsurgical vascular decompression Vagus stimulator implantation Ventriculoscopy [klinikummedicallink.com]
Neuralgia Surgery Microvascular decomrpession [nsinc.org]
neuralgia Our highly specialized neurosurgery facilities and equipment allow for the treatment of severe, emergent conditions. [mhs.net]
- Tremor
For tremor surgeries like thalamotomy and thalamic deep brain stimulation, the effect of electrical stimulation on the patient’s tremor is usually dramatic and provides adequate confirmation of the target. [neurosurgery.wustl.edu]
[…] surgery Spine Surgery Stereotactic neurosurgery, which is computer-assisted guidance that allows the placement of biopsy tools or electrodes deep in the brain Surgical implantation of deep brain stimulators to treat Parkinson Disease and certain types of tremors [barnesjewish.org]
[…] rhizotomies for treatment of spasticity Craniotomy – for benign and malignant tumors, aneurysm and other vascular abnormalities, vestibular nerve section, microvascular decompression, and treatment of epilepsy Deep brain stimulators for Parkinson’s, tremors [nebraskamed.com]
[…] vascular disorders Shunt placement and third ventriculostomy for treatment of congenital and acquired hydrocephalus Peripheral nerve surgery for entrapment syndromes and tumor Vagal nerve stimulators for epilepsy Deep brain stimulators for Parkinsons, tremor [unmc.edu]
In DBS surgery, a small, battery-operated device is implanted in the brain to deliver targeted doses of electricity to areas of the brain that control movement, blocking the abnormal signals that can cause symptoms like tremor, stiffness, and rigidity [columbiadoctors.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]
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]