Acta neurochirurgica
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Acta neurochirurgica · Jun 2009
Case ReportsTransorbital penetrating head injury by a toilet brush handle.
Transorbital penetrating brain injuries are rare lesions without defined therapy standards. ⋯ Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.
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Acta neurochirurgica · Jun 2009
Case ReportsPenetrating ballistic-like frontal brain injury caused by a metallic rod.
Penetrating non-missile intracranial injuries caused by metallic foreign bodies are very rare among the civilian population. We present a unique instance of a severe, high-energy, penetrating orbitocranial injury caused by a solid metallic rod that corresponded to the spray valve lever handle of a kitchen sink pre-rinse spray tap, which was fractured and projected at high speed for an unknown reason. ⋯ After careful radiological evaluation of the shape and position of the foreign object, a combined right frontal craniotomy and supraorbital osteotomy was performed in order to achieve safe removal of the metal bar. Successful surgical treatment of an orbitocranial injury caused by a similar object has not previously been reported.
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Acta neurochirurgica · Jun 2009
Staged bilateral deep brain stimulation of the subthalamic nucleus for the treatment of Parkinson's disease.
Several investigators have described the efficacy and safety of unilateral deep brain stimulation (DBS) of the subthalamic nucleus (STN) for the treatment of Parkinson's disease (PD). Some patients who underwent unilateral STN DBS required additional surgery on the contralateral side because the unilateral treatment was insufficient. The goal of this study was to assess the efficacy and safety of staged bilateral STN DBS compared to the simultaneous bilateral procedure. ⋯ Both the staged bilateral STN DBS and the simultaneous bilateral procedure are effective and safe treatment options, but the staged bilateral procedure may be regarded as the preferred choice for the treatment of some patients.
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Acta neurochirurgica · Jun 2009
The supraorbital approach--a minimally invasive approach to the superior orbit.
We present a minimally invasive approach to the superior orbit via an eyebrow incision with a small osteotomy, minimal orbital rim resection and small frontal craniotomy. ⋯ This approach presents a combination of an extra-and transcranial approach, which is indicated in all orbital lesions superior to the optic nerve. The clinical and cosmetic results are excellent.
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Acta neurochirurgica · Jun 2009
Prognostic clinical and radiological parameters for immediate facial nerve function following vestibular schwannoma surgery.
The paper aims to define the parameters available before surgery which could predict immediate facial nerve function after excision of a vestibular schwannoma (VS). ⋯ Our data suggests that the analysis of the radiological and neurological patient data prior to surgery could give reliable clues regarding the immediate post-operative facial nerve function.