Spontaneous brain hemorrhage: what treatment should we recommend?

Spontaneous brain hemorrhage: what treatment should we recommend?

THE INCIDENCE OF BRAIN HEMORRHAGE due to hypertension has declined over the past several years in this country, but the problem of brain hemorrhage remains an important cause of death and disability.' In Japan the death rate from cerebral hemorrhage has also dropped but the problem is still serious and the death rate from hypertensive cerebral hemorrhage per 100,000 population is higher than in...

Spontaneous Intracerebral Hemorrhage: Should We Operate?

Spontaneous intracerebral hemorrhage is the second most common type of stroke and is considered the most lethal subtype of stroke. Mortality reaches approximately 50% within the first 3 months and most survivors are left with severe disability (1–3). Despite major advances in the acute emergency neurological life support of patients with ICH, the optimal surgical management of these patients re...

Should we recommend PEC and when?

Percutaneous endoscopic colostomy (PEC) was first described in 1986, by Jeffrey Ponski [1], who had invented percutaneous endoscopic gastrostomy a few years before that [2]. Performed by 2 operators, PEC consists of placing a tube in the colon during colonoscopy in order to provide antegrade colonic enemas (ACE) in severe constipation or fecal incontinence [3,4]. The PEC tube can also be used a...

Erythema nodosum :what should we consider about it?

Testicular Microlithiasis: What Should You Recommend?

OBJECTIVE Ultrasound surveillance of patients with testicular microlithiasis (TM) has been recommended because of the reported association between TM and testicular cancer (TC). The purpose of this review is to summarize what is known about TM and discuss recent recommendations. CONCLUSION The most recent recommendations do not support the use of routine ultrasound surveillance for patients w...