Pediatric neurosurgery
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Pediatric neurosurgery · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialThe Influence of hair shave on the infection rate in neurosurgery. A prospective study.
To investigate whether not shaving hair in neurosurgical operations carries an increased infection rate. ⋯ This study confirms our clinical experience that no hair shave is a good alternative to the traditional hair shaving approach, allowing patients to enjoy the psychological benefits of undisturbed body image while recovering from major surgery.
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Pediatric neurosurgery · Jul 2001
Comparative StudyAbnormal coagulation during pediatric craniofacial surgery.
This prospective study of children undergoing major craniofacial surgery was undertaken to determine whether abnormal hemostasis occurred and to characterize any coagulopathy found. ⋯ Children transfused with PRBC during craniosynostosis repair can become coagulopathic from coagulation factor depletion when hemorrhage approaches 1.5 times estimated blood volume.
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Pediatric neurosurgery · May 2001
Case ReportsEndoscope-assisted microsurgery for treatment of a suprasellar craniopharyngioma presenting precocious puberty.
Being the most common childhood tumor to involve the hypothalamus and pituitary gland, craniopharyngioma, a histologically benign tumor, is usually related to growth retardation and hypogonadism. The presentation of precocious puberty is very rare for a hypothalamic craniopharyngioma. Here, we report such a case. ⋯ Through a pterional approach, the tumor was removed en bloc with endoscope-assisted microsurgery. After the operation, our patient's symptoms improved, so the hormone therapy was discontinued. This extremely unique association of craniopharyngioma and precocious puberty, the causes and mechanisms involved along with the advantages of endoscope-assisted microsurgery are discussed.
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Pediatric neurosurgery · May 2001
Case ReportsPneumocephalus secondary to a neck stab wound without neurologic injury in a 13-year-old girl.
Pneumocephalus is usually caused by injury that damages the brain meninges and thus allows air to enter the intracranial cavity. Our intention was to establish the importance of considering a stab wound in the neck as a possible cause of traumatic pneumocephalus. The paper presents the case of a 13-year-old girl who was accidentally stabbed in the neck with a kitchen knife by her brother. ⋯ An examination showed cerebrospinal fluid leaking from the neck wound and a CT scan revealed the pneumocephalus. Following surgical treatment, the patient's clinical symptoms regressed. To our knowledge, this case is the first report of the manifestation of pneumocephalus as the result of a neck stab wound in a child; overall, there are only three reported cases of pneumocephalus caused by a neck stab wound.