Surg Neurol
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Myelopathy in Klippel-Trenaunay-Weber syndrome is uncommon but has been reported secondary to spinal vascular malformations. ⋯ This association has not been reported previously but is consistent with the segmental vascular abnormalities observed in Klippel-Trenaunay-Weber syndrome.
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Neuron-specific enolase (NSE) and myelin basic protein (MBP) in the peripheral venous blood (PVB) have been reported to be sensitive markers for judging the prognosis of patients with head injury. However, to our knowledge, the levels of NSE and MBP in the internal jugular venous blood (IJVB) have never been studied. ⋯ The assay of serum NSE and MBP levels provides a reliable laboratory indicator of the degree of brain damage and allows early prediction of the prognosis in patients with acute head injury.
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Intracerebral hematoma from ruptured aneurysms is one of the unfavorable factors for outcome in patients with subarachnoid hemorrhage. In this study, the clinical characteristics of intracerebral hematoma in patients with ruptured aneurysms were examined. ⋯ There was a close correlation between the site of hematoma and that of the ruptured aneurysm. Poor outcome in patients with intracerebral hematoma seems to be related to severity of clinical grade on admission.
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Case Reports Clinical Trial
Halifax clamps: efficacy and complications in posterior cervical stabilization.
Trauma, neoplasia, rheumatoid arthritis, Down's syndrome, and inflammatory conditions are well-known causes of spinal instability. The Halifax clamp is a method of posterior cervical stabilization that is attached to the adjoining laminae and tightened until no movement between involved vertebrae is possible. Our experience with cases that have utilized Halifax interlaminar clamps, their results and complications are presented. ⋯ Halifax interlaminar clamps are a safe and effective method for posterior stabilization of various causes of cervical spinal instability.
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Percutaneous radiofrequency cordotomy remains a useful modality for managing selected patients with unremitting pain due to malignancy. Although the lateral C1-C2 method is widely used, certain clinical situations may call for a low anterior cervical approach via the disc space. The anterior method can be technically exacting due to the need for precision in the angle of approach at the point of disc space entry. Here we describe how CT-imaging can be used to simplify target localization during percutaneous anterior cervical cordotomy.