Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
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Clinical Trial
Early decompressive craniectomy may be effective in the treatment of refractory intracranial hypertension after traumatic brain injury.
We compared the effect of early decompressive craniectomy (<24 h) vs non-operative treatment on the outcome of children with refractory intracranial hypertension after severe traumatic brain injury. ⋯ In children who suffered severe head injury with refractory intracranial hypertension without intracranial haematoma, early decompressive craniectomy employed in the first few hours after injury before the onset of irreversible ischaemic changes may be an effective method to treat the secondary deterioration that commonly leads to death or severe neurological deficit.
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Multicenter Study Clinical Trial
Cooperative study by the Italian neuroendoscopy group on the treatment of 61 colloid cysts.
Microsurgical resection, stereotactic aspiration and VP shunt have for years been the choice options for the treatment of colloid cysts of the third ventricle. Recently, endoscopic approaches have aroused increasing interest and gained acceptance. Although safer, this minimally invasive approach is considered less efficacious than microsurgery. Relatively long-term results are now available and some conclusions might be inferred on the usefulness of this procedure. ⋯ The endoscopic approach to the treatment of colloid cysts is safe, effective and well accepted by patients. Although asymptomatic, recurrences (11.4%) cast a persisting shadow on the long-term results, and, therefore, the controversy with the traditional microsurgical treatment remains open.
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Predicting length of stay in the intensive care unit (ICU) in children with Guillain-Barre syndrome may help decision-making at admission. ⋯ Using Cox proportional hazard analysis we found that lack of electrical excitability was the best predictor.