Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Oct 2016
Familial occurrence of headache disorders: A population-based study in mainland China.
Headache disorders are highly prevalent worldwide, and familial occurrence and heredity are contributory factors attracting the interest of epidemiological researchers. Our purpose, in a large sample drawn nationwide from the Chinese general population, was to evaluate the frequency of similar headache in first-degree relatives (FDRs) of those with different headache types. ⋯ Headache was highly prevalent in China and common among FDRs of those with any type of headache (headache on ≥15 days/month>migraine>TTH). Against the background of the general-population prevalence of each disorder, familial occurrence was a very highly influential factor in headache on ≥15 days/month. There are important implications in this for public health and education.
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Successful use of high-dose fluorescein-sodium (20mg/kg) with a standard light microscope for resection of high-grade gliomas, meningiomas, hemangioblastoma and metastases was reported. The principle of brain tumor staining by fluorescein-sodium (Fl-Na) consists in the accumulation of fluorescein in brain tumors with impaired blood-brain barrier. The aim of our study was to investigate for the first time the usefulness of high-dose fluorescein in patients operated on for benign neuroepithelial brain tumors (grade I WHO tumors) with contrast enhancement on magnetic resonance imaging. ⋯ High doses intravenous Fl-Na seems to be a useful intraoperative technique for delineation of benign neuroepithelial brain tumors with contrast enhancement. Further larger studies may reveal the real value of high doses Fl-Na as intraoperative method for increasing the extent of resection in these particular indications.
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Clin Neurol Neurosurg · Oct 2016
Effective treatment via early cranioplasty for intractable contralateral subdural effusion after standard decompressive craniectomy in patients with severe traumatic brain injury.
This study aimed to introduce an effective treatment for intractable contralateral subdural effusion after standard decompressive craniectomy in patients with severe traumatic brain injury (TBI) and to analyze the underlying mechanism. ⋯ Early cranioplasty is an effective, economical, and less painful treatment for intractable contralateral subdural effusion after standard decompressive craniectomy.
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Clin Neurol Neurosurg · Oct 2016
Influence of the T1-slope on sagittal alignment of the subaxial cervical spine after posterior atlantoaxial fusion in os odontoideum.
To analyze the effect of T1-slope (T1S) on sagittal alignment of the subaxial cervical spine after posterior C1-C2 fusion. ⋯ T1S was a useful parameter to evaluate postoperative alignment of the subaxial cervical spine after posterior C1-C2 fusion. To avoid postoperative misalignment of the subaxial cervical spine, C1-C2 should be fixed in less lordosis, especially in patients with high preoperative T1S.