BACKGROUND Previous studies have documented short-term functional outcomes for patients sustaining penetrating brain injuries (PBIs). However, little is known regarding the long-term functional outcome in this patient population. Therefore, we sought to describe the long-term functional outcomes of combat casualties sustaining PBI. METHODS Prospective data were collected from 2,443 patients a...

PURPOSE To describe the effects of a rehabilitation program in a neurological inpatient unit in terms of independence for activities of daily living and return to work. METHOD Retrospective study with 148 adults with stroke, traumatic brain injury (TBI), spinal cord injury, and Guillain-Barré syndrome admitted as rehabilitation inpatients within a 1-year period for hospitalization at the Inst...

OBJECTIVE The purpose of this study was to describe the clinical characteristics, treatment outcomes, and prognostic factors in patients with brain abscesses treated in a single institute during a recent 10-year period. METHODS Fifty-one patients with brain abscesses who underwent navigation-assisted abscess aspiration with antibiotic treatment were included in this study. Variable parameters...

BACKGROUND Early tracheostomy (ET) has been shown to be effective in reducing complications associated with prolong mechanical ventilation. The study was carried out to evaluate the role of ET in reducing the duration of mechanical ventilation, duration of intensive care unit (ICU) stay, ICU-related morbidities, and its overall effect on outcome, in patients with isolated severe traumatic brain...

BACKGROUND There are no therapies shown to improve outcome after severe traumatic brain injury (TBI) in humans, a leading cause of morbidity and mortality. We sought to verify brain exposure of the systemically administered antioxidant N-acetylcysteine (NAC) and the synergistic adjuvant probenecid, and identify adverse effects of this drug combination after severe TBI in children. METHODS IRB...

Objective To evaluate the effectiveness and efficacy of delayed burr hole surgery in relation to the reduction of postoperative subdural hematoma (SDH) volume in patients with acute SDH. Methods We retrospectively analyzed patients with acute SDH who received delayed burr hole surgery at our institute. Age, sex, Glasgow coma scale, maximal SDH thickness, volume of SDH, midline shifts, hounsfi...

Decompressive Craniectomy (DC) is a treatment option for severe brain injury (SBI). This method is applied when the growth of intracranial pressure (ICP) can no longer be controlled with conservative methods. DC belongs to class III "Guidelines"--"option" which has not clear clinical certainty. They do not correspond to "Standards" (class I) in treatment protocol for SBI, which is common in mos...

The significance of brain temperature was investigated in patients with severe head injuries. In thirty patients in a state of coma due to severe head injury (Glasgow coma scale of less than 8), brain temperature (Tb), rectal temperature (Tr), and intracranial pressure (ICP) were measured. In 21 out of these patients, cerebral blood flow (CBF) was measured by means of transcranial Doppler effec...

Objective Hemorrhagic stroke (HS) and hypertensive retinopathy are known end organ damage of the brain eye respectively, with HS having deleterious consequence to patients. This study is correlate between in disease. Methods A control group patients only, an investigated Fundoscopic examination determine grade was performed then divided into low or high severity retinopathy. Clinical radiologic...

OBJECTIVE This study aimed to assess the clinicoradiological features and treatment outcomes of intracranial dissecting aneurysms (IDAs) in childhood. METHODS We conducted a retrospective study of pediatric patients who were treated for spontaneous IDAs in our institute between January 2010 and December 2015. The clinical presentation, aneurysm characteristics, treatment modality, and outcome...