Interventional device closure has emerged as a less invasive alternative to surgery in the management of paravalvular leakage. However, this procedure involves various problems such as a high probability of residual leakage or hemolysis. Here, we report a case of residual paravalvular leakage despite two attempts at interventional closure in a patient with a history of four previous mitral valv...

M. Farhoud, A. L. Wentland, O. Wieben, J. L. Klaers, W. F. Block, Y. Jung, A. Roldan, and V. M. Haughton Dept. of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, Dept. of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, Dept. of Electrical Engineering, University of Wisconsin School of...

The traditional hypothesis of cerebrospinal fluid (CSF) hydrodynamics presumes that CSF is primarily produced in the choroid plexus (CP), then flows from the ventricles into the subarachnoid spaces, and mainly reabsorbed in the arachnoid granulations. This hypothesis is necessary to reconsider in view of recent research and clinical observations. This literature review presents numerous evidenc...

Early anastomotic leakage (AL), usually defined as leakage within 30 post-operative days, represents a severe entity. However, mounting evidence has indicated that majorities of leakage occur within one week after surgery, making late AL rarity. Here we analyzed 101 consecutive colorectal AL, all of which occurred within 30 post-operative days, during Jan 2013 and Dec 2015 in cancer hospital of...

OBJECTIVES/HYPOTHESIS Mounting evidence indicates the majority of spontaneous cerebrospinal fluid (CSF) leaks are associated with intracranial hypertension. The objectives of the current study were to assess outcomes regarding spontaneous CSF leaks focusing on premorbid factors, surgical technique, and management of intracranial pressure. STUDY DESIGN Prospective cohort. METHODS Prospective...

BACKGROUND The potentially severe complications resulting from cerebrospinal fluid (CSF) leak makes iatrogenic injury a medicolegal area of concern for otolaryngologists and neurosurgeons. The objectives of this analysis were to study legal outcomes as well as medical and nonmedical elements affecting malpractice litigation. METHODS Public court records available in the Westlaw legal database...

Cerebrospinal fluid (CSF) leakage of the temporal bone region is defined as abnormal communications between the subarachnoidal space and the air-containing spaces of the temporal bone. CSF leak remains one of the most frequent complications after VS surgery. Radiotherapy is considered a predisposing factor for development of temporal bone CSF leak because it may impair dural repair mechanisms, ...

This study was focused on serum and cerebrospinal fluid (CSF) biochemical changes in experimental Listeria monocytogenes infection in rabbits.Total of 20 New Zealand White rabbits were used. 14 New Zealand White rabbits were inoculated with Listeria monocytogenes 1/2a (L.m. 1/2a) by intracerebral way and 6 rabbits served as controls. Ten hours after the inoculation of the bacteria the rabbits d...

OBJECTIVE Programmable shunt valve systems have improved the management of patients with hydrocephalus. However, associated problems such as over-drainage and slit-like ventricles, even in patients with anti-siphon devices installed, still remain unresolved. METHODS We conceived a novel tandem shunt valve system to overcome the problems with existing shunt valve systems. Experiments were perf...

OBJECTIVES/HYPOTHESIS The development of expanded endoscopic endonasal approaches (EEAs) has allowed resection of cranial-base lesions beyond the sella. One major criticism is an increased risk of postoperative cerebrospinal fluid (CSF) leakage because of the larger skull base defect. We evaluated our experience with vascularized pedicled nasoseptal flap (PNSF) reconstruction and compared the p...