Acta neurochirurgica
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Acta neurochirurgica · May 2019
Multicenter StudyTraumatic brachial plexus injury: a study of 510 surgical cases from multicenter services in Guangxi, China.
Traumatic brachial plexus injuries are severe lesions, and the incidence of these injuries has been increasing in recent years. ⋯ Brachial plexus injury is still a challenging trauma for surgeons, and traffic accidents are the dominant cause. Timely and effective surgery is important for functional limb recovery.
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Acta neurochirurgica · May 2019
Functional and patient-reported outcome versus in-hospital costs after traumatic acute subdural hematoma (t-ASDH): a neurosurgical paradox?
The decision whether to operate or not in patients with a traumatic acute subdural hematoma (t-ASDH) can, in many cases, be a neurosurgical dilemma. There is a general conception that operating on severe cases leads to the survival of severely disabled patients and is associated with relatively high medical costs. There is however little information on the quality of life of patients after operation for t-ASDH, let alone on the cost-effectiveness. ⋯ Although this study confirms that outcome is often "unfavorable" after t-ASDH, it also shows that "favorable" outcome can be achieved, even in the most severely injured patients. In-hospital treatment costs were substantial and mainly related to TBI severity, with admission and surgery as main cost drivers. These results serve as a basis for necessary future research focusing on the value-based cost-effectiveness of surgical treatment of patients with a t-ASDH.
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Acta neurochirurgica · May 2019
Case ReportsHow I do it: supra-tentorial unilateral decompressive craniectomy.
Decompressive craniectomy is a surgical way to treat intracranial hypertension, by removing a large flap of skull bone. ⋯ Six months later, he is in rehabilitation with "only" a left hemiplegia and a very good relational life. His modified Rankin score is 3. Decompressive craniectomy saved this patient's life, that is why we think this surgical technique must be explained and mastered.