J Korean Neurosurg S
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J Korean Neurosurg S · Jan 2014
Significance of intracranial pressure monitoring after early decompressive craniectomy in patients with severe traumatic brain injury.
Early decompressive craniectomy (DC) has been used as the first stage treatment to prevent secondary injuries in cases of severe traumatic brain injury (TBI). Postoperative management is the major factor that influences outcome. The aim of this study is to investigate the effect of postoperative management, using intracranial pressure (ICP) monitoring and including consecutive DC on the other side, on the two-week mortality in severe TBI patients treated with early DC. ⋯ ICP monitoring in conjunction with postoperative treatment, after early DC, is associated with a significantly reduced risk of death.
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J Korean Neurosurg S · Jan 2014
Case ReportsTreatment for giant fusiform aneurysm located in the cavernous segment of the internal carotid artery using the pipeline embolization device.
The pipeline embolization device (PED) is a new endovascular device for treatment of complex, fusiform and wide-neck intracranial aneurysms. The main mechanism of this stent is to divert the flow in the parent artery with reduction of inflow in the aneurysm leading to thrombosis. We treated a 40-year-old woman who had left facial pain and orbit discomfort. ⋯ The procedure and post-procedural course were uneventful. After 3 months, angiography showed complete obliteration of the aneurysm with good patency of the branching vessels originating from the deployed segment. The patient's symptoms improved completely without complications.