Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Mar 2014
Predictors of rapid spontaneous resolution of acute subdural hematoma.
Acute subdural hematoma (ASDH) usually requires emergency surgical decompression, but rare cases exhibit rapid spontaneous resolution. The aim of this retrospective study was to identify factors predictive of spontaneous ASDH resolution. ⋯ Our analysis suggested that use of antiplatelet agents before head injury and a low-density band between the hematoma and inner skull bone on CT images (indicative of cerebrospinal fluid infusion into the subdural space) increase the probability of rapid spontaneous resolution.
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Clin Neurol Neurosurg · Feb 2014
Case ReportsEmbolization of dural arteriovenous fistula of the anterior cranial fossa through the middle meningeal artery with Onyx.
Dural arteriovenous fistula (DAVF) of the anterior cranial fossa is usually treated by surgical disconnection or endovascular embolization via the ophthalmic artery. The middle meningeal artery is a rarely used approach. This study investigated the safety and efficacy of embolization of DAVF of the anterior cranial fossa with Onyx through the middle meningeal artery. ⋯ Embolization of DAVF of the anterior cranial fossa via the middle meningeal artery with Onyx is safe, effective, and a good choice for management of DAVF. More cases are needed to verify these findings.
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Clin Neurol Neurosurg · Feb 2014
Review Meta AnalysisUnilateral versus bilateral pedicle screw fixation in lumbar interbody fusion: a meta-analysis of complication and fusion rate.
Unilateral or bilateral pedicle screw (PS) fixation in lumbar interbody fusion remains controversial. The aim of this study was to evaluate the complication and fusion rate for both surgical techniques based on published studies. Pubmed, Cochrane Library and Embase Databases were searched to identify studies reporting complication rate or fusion rate of unilateral and bilateral PS fixation in lumbar interbody fusion. ⋯ However, the fusion cage migration rate was significant higher (RR 2.41, 95% CI: 1.06-5.46, P=0.04) in unilateral group than bilateral group. In conclusion, the available evidence indicated that both unilateral PS fixation and bilateral PS fixation could get satisfactory fusion rate and complication rate. But unilateral PS fixation had more fusion cage migration than bilateral PS fixation in patients who undergo lumbar interbody fusion.
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Clin Neurol Neurosurg · Feb 2014
Case ReportsCervical spondylodiscitis--a clinical analysis of surgically treated patients and review of the literature.
The aim of this study was to analyze our clinical and neurological results of surgically treated patients suffering from cervical spondylodiscitis with focusing particularly on the surgical methods used and to review the literature. ⋯ In conclusion, cervical spondylodiscitis could effectively be treated in the presented patient cohort by surgical decompression, debridement and PMMA or bone graft implants followed by long term antibiotic therapy. The presented surgical reconstruction technique with PMMA might be a feasible alternative to the use of bone graft or cages. The promising clinical results warrant future prospective studies to further investigate this technique.
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Clin Neurol Neurosurg · Feb 2014
Trigeminal neuralgia pain relief after gamma knife stereotactic radiosurgery.
To report outcomes of patients with medical and/or surgical refractory trigeminal neuralgia (TN) treated with gamma knife stereotactic radiosurgery (GK SRS). ⋯ GK SRS provides acceptable pain relief with limited morbidity in patients with medical and/or surgical refractory TN.