Neurosurgery
-
In some cases of refractory epilepsy, hemispherectomy is the final invasive treatment option. However, predictors of postoperative hemiparesis in these patients have not been widely studied. ⋯ CST, corticospinal tractfMRI, functional magnetic resonance imagingTMS, transcranial magnetic stimulation.
-
Occlusions of the M2 segment of the middle cerebral artery may cause significant clinical effects, especially when occurring in the dominant cerebral hemisphere, yet endovascular treatment of these lesions remains controversial. ⋯ ADAPT, direct aspiration first-pass techniqueECASS, European-Australasian Cooperative Acute Stroke StudyICH, intracranial hemorrhageIMS, Interventional Management of StrokeMERCI, Mechanical Embolus Removal in Cerebral IschemiamRS, modified Rankin ScaleNIHSS, National Institutes of Health Stroke ScalePROACT, Prolyse in Acute Cerebral ThromboembolismTICI, Thrombolysis in Cerebral Infarctiont-PA, tissue-type plasminogen activator.
-
Despite increasing use and potential benefits of transforaminal lumbar interbody fusion (TLIF) compared with posterolateral spinal fusion (PSF), previous studies have not documented improved clinical outcomes with TLIF vs PSF. ⋯ ASA, American Society of AnesthesiologistsEBL, estimated blood lossEQ-5D, EuroQOL-5DHRQOL, health-related quality of lifeMCID, minimal clinically important differenceNQOD, National Neurosurgery Quality and Outcomes DatabaseNRS, numeric rating scaleODI, Oswestry Disability IndexOR, operating roomPSF, posterolateral spinal fusionTLIF, transforaminal lumbar interbody fusion.
-
Aging of the population has modified the epidemiology of traumatic spinal cord injury (SCI) as evidenced by the establishment of a bimodal distribution of injuries with increased frequency of fall-related injuries among the elderly. ⋯ AIS, ASIA (American Spinal Injury Association) Impairment Scale.