background and objective: chronic renal failure (crf) may have many effects on nervous system and manifest as headache, seizure, dialysis disequilibrium syndrome, cerebral hemorrhage, hypertensive encephalopathy, uremic neuropathy, and some neurologic complications of transplantation. in this present study we investigate neurologic disorders in children with crf. methods: in this descriptive, c...

BACKGROUND The true incidence of serious neuraxial complications such as epidural hematoma or abscess after postoperative epidural infusions is still uncertain, in part due to inconsistencies in multicenter data collection. METHODS Prospective data were collected over 16 yr from the authors' Acute Pain Service, which is based in a large tertiary teaching institution with a nonobstetric genera...

Acute gastroenteritis (AGE) is a serious disease and is one of the most important causes of early childhood mortality in developing countries. The neurologic manifestations can be propounded as primary symptoms of AGE. In order to determine the rate, clinical presentations, and outcome of patients with AGE who presented with neurologic manifestations and compare them with patients without ...

OBJECTIVE To determine the association of the American College of Surgeons (ACS) designation with outcomes in patients, specifically those with severe traumatic brain injuries. DESIGN A retrospective review. Logistic regression was performed for mortality, complications, and progression of initial neurologic insult. SETTING Data from the National Trauma Data Bank. PATIENTS A total of 16,0...

Nearly all long-bone fractures are accompanied by some form of fat embolism. The rare complication of clinically significant fat embolism syndrome, however, occurs in only 0.9-2.2% of cases. The clinical triad of fat embolism syndrome consists of respiratory distress, altered mental status, and petechial rash. Cerebral fat embolism causes the neurologic involvement seen in fat embolism syndrome...

POSTOPERATIVE paraplegia resulting from spinal cord ischemia is a devastating complication of thoracic aneurysm (TA) or thoracoabdominal aortic aneurysm (TAAA) surgery. Permanent neurologic deficits are a major cause of morbidity and may shorten long-term survival. Factors that are associated with the development of paraplegia are previous aortic surgery, preoperative renal function, age, aorti...

OBJECTIVE To assess the significance of the Streptococcus anginosus group in intracranial complications of pediatric patients with rhinosinusitis. DESIGN Retrospective cohort study. SETTING Tertiary pediatric hospital. PATIENTS A 20-year review of medical records identified patients with intracranial complications resulting from rhinosinusitis. In the 50 cases identified, S anginosus was ...

OBJECTIVE To discuss the American Academy of Neurology (AAN)'s Top Five Recommendations in the Choosing Wisely campaign promoting high-value neurologic medicine and physician-patient communication. The AAN published its Top Five Recommendations in February 2013 in collaboration with the American Board of Internal Medicine Foundation and Consumer Reports. METHODS A Choosing Wisely Working Grou...

Spinal epidural hematoma (SEH) is a known complication of spinal surgery, but the incidence of post-surgical SEHs that result in neurologic deficits is extremely rare (0.1%). Patients that require multilevel lumbar procedures and/or have a preoperative coagulopathy are at a significantly higher risk of developing an epidural hematoma. The introduction of higher dose of low molecular weight hepa...