نتایج جستجو برای: pseudomeningocele
تعداد نتایج: 188 فیلتر نتایج به سال:
OBJECTIVE The optimal surgical treatment for symptomatic temporal arachnoid cysts is controversial. Therapeutic options include cyst shunting, endoscopic fenestration, and craniotomy for fenestration. We reviewed the results for patients who were treated primarily with craniotomy and fenestration at our institution, to provide a baseline for comparisons of the efficacies of other treatment moda...
sented with progressive gait unsteadiness and hearing loss since the age of 54. Clinical examination showed ataxia and dysarthria together with bilateral profound sensorineural hearing impairment. MRI revealed extensive cerebellar atrophy (predominant in the superior vermis) on T1-weighted images (Fig. A), together with a hypointense rim along cerebral convexities, sylvian and interhemispheric ...
OBJECT The FDA approval of bevacizumab for recurrent glioblastoma has resulted in its increased use in this patient population. Phase II trials reported 4%-6% impaired wound healing for bevacizumab initiated postoperatively. The effect of preoperative bevacizumab on subsequent craniotomy healing has not been addressed. METHODS The authors retrospectively reviewed the cases of patients who und...
OBJECTIVE Incisional cerebrospinal fluid (CSF) leakage after cranial surgery is a significant cause of morbidity due to poor wound healing and infection, meningitis, and pseudomeningocele formation. Many common dural closure techniques, such as sutures, autologous grafts, gelatin or collagen sponges, and fibrin glues, are used to achieve watertight closure, although none are US Food and Drug Ad...
BACKGROUND Various materials have been proposed to obliterate dead spaces and to reconstruct dural defects during a neurosurgical approach. This study describes our technique of using the abdominal autologous fat graft and evaluates the complications and characteristics related to the use of this tissue during cranial procedures. METHODS Autologous fat grafts were used in 296 patients with ba...
Objective: Complications from craniotomy in brain tumor patients lead to worse clinical outcomes either from infection, reoperation, or delays in adjuvant therapies. We tested the hypothesis that DuraMatrixOnlay TM Collagen Dura Substitute Membrane potentially could reduce operative complications, and we report the unique characteristics of this onlay product in comparison to primary dural clos...
OBJECT Cerebrospinal fluid shunt ventricular catheters inserted into the frontal horn or trigone are associated with prolonged shunt survival. Developing surgical techniques for accurate catheter insertion could, therefore, be beneficial to patients. This study was conducted to determine if the rate of accurate catheter location with intraoperative ultrasound guidance could exceed 80%. METHOD...
The incidence of neonatal brachial plexus palsy is about 1 in 1000 live births with up to 20% having some sequelae but only 8% requiring surgery. Surgical complications can occur and therefore the indications for and the timing of surgery is of paramount importance. The indications are determined by clinical examinations and investigations. It is necessary to rule out differential diagnoses but...
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