Pediatric neurosurgery
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Pediatric neurosurgery · Jan 2013
ReviewPediatric neurosurgery patients need more than a neurological surgeon: a clinical experience.
The Division of Pediatric Neurosurgery of the University of Florida College of Medicine Jacksonville initiated and developed a multidisciplinary comprehensive team for the management of patients with a neurosurgical condition other than spina bifida. This report relates the rationale and stages of development of a multidisciplinary team to facilitate the health care and special needs of these children.
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Pediatric neurosurgery · Jan 2013
Complications of intrathecal baclofen pumps in children: experience from a tertiary care center.
Intrathecal baclofen (ITB) therapy is useful in treating spasticity and dystonia but it has many complications, more so in children. The main aim of the study was to look at the complications of ITB pumps in children with the goal of future prevention. ⋯ There is a need for better infection control as well as better pump, catheter and surgical technology to lower the complications of ITB pumps in children.
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Pediatric neurosurgery · Jan 2013
Factors influencing blood loss and postoperative morbidity in children undergoing craniosynostosis surgery: a retrospective study.
Craniosynostosis is a condition resulting from the premature fusion of cranial sutures. Corrective surgery is often associated with a large amount of blood loss, with transfusion of red blood cells (RBC) and fresh frozen plasma (FFP). The aims of this study were to determine the variables associated with increased blood loss and postoperative complications. ⋯ Severe blood loss occurred in all children who underwent craniosynostotic corrections. Furthermore, the duration of surgery, patient weight and certain surgical procedures correlated with greater blood loss. Careful hemodynamic monitoring and evaluation of a patient's hematocrit value and volume status together may be helpful in maintaining the balance between insufficient and excessive blood product transfusion.
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Pediatric neurosurgery · Jan 2013
Large-scale referencing of the telemetric neurovent-P-tel intracranial pressure sensor in a porcine model.
The Neurovent-P-tel sensor is a promising device for telemetric intracranial pressure (ICP) measurements in cases of complex hydrocephalus. Data on its accuracy within a broad ICP range are missing. We applied a porcine model for large-scale manipulation of the ICP values. ⋯ The mean difference between both measurement techniques was 0.4 mm Hg. The limits of agreement, where 95% of differences between both methods are expected, were from -2.4 to 3.1 mm Hg. The telemetric Neurovent-P-tel sensor system provides good accuracy within a broad range exceeding normal ICP values and might be useful in clinical practice.
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Pediatric neurosurgery · Jan 2013
Review Case ReportsSplit spinal cord malformation: report of 5 cases in a single Chinese center and review of the literature.
Split spinal cord malformation (SSCM) is rare in scoliosis. This study evaluated the safety and effectiveness of one-stage surgical treatment of congenital scoliosis (CS) in patients with SSCM in a single Chinese center. ⋯ One-stage surgical treatment of CS with SSCM could be safe and effective, but we need further multicenter studies with larger samples. Intraspinal intervention of bone spur was recommended in SSCM type I before deformity correction, while in SSCM type II it was needless.