Clinical neurology and neurosurgery
-
Clin Neurol Neurosurg · Feb 2018
Effects of chlorpromazine on sleep quality, clinical and emotional measures among patients with schizophrenia.
The present study was aimed to examine the effects of chlorpromazine on sleep quality, clinical and emotional measures in people suffering from schizophrenia. ⋯ Our results demonstrate that chlorpromazine could improve the insomnia and psychopathology symptoms of patients with schizophrenia.
-
Clin Neurol Neurosurg · Feb 2018
Treatment strategy for sacroiliac joint-related pain at or around the posterior superior iliac spine.
Pain at or around the posterior superior iliac spine (PSIS) is characteristic of sacroiliac joint (SIJ) -related pain. This pain can be treated by either a peri- or intra-articular injection into the joint, with the former being much easier to perform. We investigated whether peri- or intra-articular injections were more frequently effective in patients with SIJ-related pain, and aimed to create an efficient treatment strategy for SIJ-related pain at or around the PSIS. ⋯ To treat sacroiliac joint-related pain at or around the posterior superior iliac spine, a peri-articular injection should be performed first, and only if it is not effective should an intra-articular injection be administered. Using this strategy, we expect that most patients with sacroiliac joint-related pain will be efficiently diagnosed and treated.
-
Clin Neurol Neurosurg · Feb 2018
Supratentorial extraventricular ependymomas: A retrospective study focused on long-term outcomes and prognostic factors.
Supratentorial extraventricular ependymomas are relatively rare. Long-term outcomes and prognostic factor for this rare tumor have not been well established. The purpose of this study was to demonstrateprogression-freesurvival(PFS),overallsurvival(OS), and prognostic factors of such tumor. ⋯ Most supratentorial extraventricular ependymomas are WHO grade III tumors. STRandWHO Grade III pathology predicted worse PFS and OS. Gross-total resection remains the optimal treatment for patients with supratentorial extraventricular ependymoma. Reoperation should be considered first in cases of recurrence. The role of postoperative radiotherapy as an adjuvant treatment for supratentorial extraventricular ependymoma needs further investigation.
-
Clin Neurol Neurosurg · Feb 2018
Rupture during coiling of intracranial aneurysms: Predictors and clinical outcome.
The intraprocedural aneurysm rupture (IPR) is one of the most feared adverse effect associated with the coil embolization therapy. The aim of the study was to identify predisposing factors for IPR, as well as to define patient groups with worse clinical outcome following IPR. ⋯ Posterior communicating artery aneurysm location is an independent predictor for IPR. IPR is associated with a significant clinical deterioration in a subgroup of patients with previously unruptured aneurysms, but not in patients with ruptured aneurysms.
-
Clin Neurol Neurosurg · Feb 2018
Risk of seizures before and after neurosurgical treatment of intracranial meningiomas.
To identify variables associated with the development of pre- and postoperative seizures in patients who underwent surgical resection of intracranial meningiomas, in a patient cohort not routinely treated prophylactically with antiepileptic drugs (AED). ⋯ Seizures after supratentorial meningioma surgery is common also in patients with no seizures preoperatively and mainly occurs within the first three postoperative months. AED are effective in controlling seizures.