Turk Neurosurg
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We set out to investigate the optimal timing for shunt placement in patients with hydrocephalus after decompressive craniectomy (DC). ⋯ Cranioplasty and ventriculostomy followed by a second stage placement of a ventriculoperitoneal shunt are associated with fewer complications in the treatment of hydrocephalus after DC.
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Computed tomography perfusion (CTP) has recently been used to identify regions of potential ischemia due to cerebral vasospasm, and CTP parameters are able to quantitatively evaluate brain parenchymal perfusion. We performed a meta-analysis as an update of a previous paper published in 2010 and aimed at evaluating the diagnostic accuracy of CTP and CTP parameters for vasospasm after aneurysm rupture. ⋯ CT perfusion has a great diagnostic value to detect cerebral vasospasm compared with DSA in patients with aneurysmal subarachnoid hemorrhage (aSAH). As CTP parameters, CBF and MTT quantitatively evaluate brain parenchymal perfusion.
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Randomized Controlled Trial Comparative Study
Chronic subdural hematoma: a comparison of recurrence rates following burr-hole craniostomy with and without drains.
To compare the rates of recurrence of chronic subdural hematoma following surgical evacuation by one of two methods, namely, using frontal and parietal burr holes without a drain or a single parietal burr hole with the addition of a subdural drain. ⋯ The use of a single burr hole with drain appears to be a safe and effective procedure for the treatment of chronic subdural hematoma.
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Previous studies have not identified a preferred surgical technique to treat posttraumatic syringomyelia. Both syringopleural shunting and arachnoidolysis are used in neurosurgery practice for the surgical treatment of posttraumatic syringomyelia. In this study, we present a new technique designed to achieve a better outcome following surgery. ⋯ This is a report of minimal-access insertion combining syringopleural with subarachnoid-subarachnoid bypass shunt insertion. This minimally invasive technique seems to be an effective and safe method.
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Case Reports
Ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle: a case report and surgical approach.
Cubital tunnel syndrome is the second most common peripheral nerve compression syndrome. It is the most common peripheral neuropathy of the ulnar nerve. ⋯ The epitrochleoanconeus muscle, which is an aberrant muscle of this region, is a rare cause of cubital tunnel syndrome. A case with ulnar nerve compression at the elbow caused by an uncommon etiological factor, hypertrophic epitrochleoanconeus muscle, and its surgical management is reported.