Neurosurgery
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The cerebrum is the crown jewel of creation and evolution. It is a remarkably delicate, intricate, and beautiful structure. ⋯ In numerous illustrations, stepwise dissections are used to clarify the relationship between structures in different layers. Important clinical and surgical concepts are intermixed with the description of the cerebrum and its arteries, veins, and ventricles.
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To identify the frequency of and impact on outcome of generalized convulsive status epilepticus (GCSE) among patients with nontraumatic subarachnoid hemorrhage (SAH). ⋯ GCSE rarely complicates SAH; however, it is associated with increased patient mortality, length of hospital stay, and cost. GCSE occurs more frequently in young patients, those with a history of renal disease, and patients who do not undergo a craniotomy.
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Clinical Trial
Cranial nerve preservation and outcomes after stereotactic radiosurgery for jugular foramen schwannomas.
Jugular foramen region schwannomas are rare intracranial tumors that usually present with multiple lower cranial nerve deficits. For some patients, complete surgical resection is possible but may be associated with significant morbidity. Stereotactic radiosurgery is a minimally invasive alternative or adjunct to microsurgery for such tumors. We reviewed our clinical and imaging outcomes after patients underwent gamma knife radiosurgery for management of jugular foramen schwannomas. ⋯ Stereotactic radiosurgery proved to be a safe and effective management for newly diagnosed or residual jugular foramen schwannomas. Long-term tumor control rates and stability or improvement in cranial nerve function was confirmed.