British journal of neurosurgery
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Review Meta Analysis Comparative Study
Comparison of therapeutic effects between selective amygdalohippocampectomy and anterior temporal lobectomy for the treatment of temporal lobe epilepsy: a meta-analysis.
Temporal lobe epilepsy (TLE) is a recurrent chronic nervous system disease. The conventional treatment is medicine. So far, anterior temporal lobectomy (ATL) and selective amygdalohippocampectomy (SAH) are becoming the two main approaches. ⋯ It is advised that clinically, physicians should choose the appropriate approach according to operation indications to improve the results of postoperative recovery.
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Review Meta Analysis
A meta-analysis to determine the effect of preinjury antiplatelet agents on mortality in patients with blunt head trauma.
Anticoagulation abnormalities have been recognized for several decades as potential risk factors for increasing the risk of traumatic intracranial haemorrhage in patients with blunt head trauma. The potential increased risk of death as a consequence has not been fully evaluated. The aim of the study was to perform a meta-analysis in order to evaluate based upon the current level of evidence whether the use of pre-injury aspirin or clopidogrel increases the risk of mortality in patients with blunt head trauma. ⋯ In summary, this meta-analysis showed a slight increased risk of death in patients with blunt head trauma who were taking pre-injury antiplatelet agents although the results did not reach statistical significance. In view of the small number of low level studies from which this meta-analysis is based, further work is required in this area.
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Review Meta Analysis
Intracranial aneurysm size responsible for spontaneous subarachnoid haemorrhage.
It has been theorised that the relationship between smaller body size and smaller ruptured intracranial aneurysms in Asians indirectly supports the treatment of small, unruptured intracranial aneurysms. There has also been uncertainty regarding whether the progress that has been made in neuroimaging allows for better detection of smaller ruptured intracranial saccular aneurysms. Therefore, we conducted this systemic review of ruptured intracranial saccular aneurysm sizes according to region and time. ⋯ The present findings suggest that ruptured intracranial aneurysms are smaller in Asians and should be confirmed in future prospective international multi-centre registries to assess ethnicity. Whether these findings support treating smaller unruptured intracranial aneurysms in Asians should be investigated.
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Review Case Reports Meta Analysis
Contribution of case reports to glioblastoma research: systematic review and analysis of pattern of citation.
Research activity related to different aspects of diagnosis, epidemiology and treatment of glioblastoma has increased during recent years. Authors of scientific publications are able to choose between different formats including case reports. Little is known about their influence on advancement of the field or scientific merits. Do glioblastoma case reports attract attention or do they go largely unrecognized? ⋯ Compared to other formats, the proportion of case reports was limited and few of them were highly cited. It cannot be excluded that case reports without citation provide interesting information to some readers. However, their educational value is difficult to quantify.
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Review Meta Analysis
A meta-analysis to determine the effect of anticoagulation on mortality in patients with blunt head trauma.
Patients on warfarin are increasingly common in an ageing population. Previously published case series and cohort studies have resulted in conflicting conclusions with regard to the risk of fatal intracranial haemorrhage. The aim of this study was to undertake a meta-analysis in order to compare the mortality rate of anticoagulated head injured patients against the mortality rate of head injured patients not on coumarin anticoagulation. ⋯ The results of this meta-analysis has shown that the cohort of patients who are anticoagulated and suffer blunt head trauma appear to have an increased risk of death compared to a similar cohort of head injured patients who are not anticoagulated.