Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Jul 2014
ReviewA review of modifying factors affecting usage of diagnostic rating scales in concussion management.
Sport-related concussion has gained increasing recognition as a result of recent legislation, public health initiatives and media coverage. Moreover, there have been substantial paradigm shifts in the management of concussion. This article will discuss the variables that affect the use of diagnostic rating scales such as ImPACT and SCAT in the current management of concussed individuals. Specifically, patient-specific modifying factors affecting test interpretation, including age, gender, fitness level, psychiatric conditions, learning disorders and other components of medical history will be addressed, as well as methodological concerns with baseline testing.
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Clin Neurol Neurosurg · Jul 2014
Comparative Study Observational StudyVentriculocisternostomy versus ventriculoperitoneal shunt in the treatment of hydrocephalus: a retrospective, long-term observational study.
The goal of this study was the retrospective analysis of long-term data on endoscopic ventriculocisternostomy versus ventriculoperitoneal shunt placement in the treatment of hydrocephalus. ⋯ The risk of operative revision and/or complications is significantly lower in the endoscopic ventriculocisternostomy group compared to the ventriculoperitoneal shunt group. Given the appropriate indication, endoscopic ventriculocisternostomy is thus the treatment of choice.
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Clin Neurol Neurosurg · Jul 2014
Can DTI fiber tracking of the optic radiations predict visual deficit after surgery?
Sparing optic radiations can be of paramount importance during epilepsy surgery of the temporal lobe. The anatomical heterogeneity of the Meyer's loop of the optic radiations could be assessed by means of diffusion tensor tractography. We used temporal lobe surgery as a lesion model to validate this method. ⋯ Optic radiation tractography by DTI could be a useful method to assess an individual patient's risk of postoperative visual deficit.