Turk Neurosurg
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Randomized Controlled Trial
Choice for the removal of bloody cerebrospinal fluid in postcoiling aneurysmal subarachnoid hemorrhage: external ventricular drainage or lumbar drainage?
External ventricular drainage (EVD) and lumbar drainage (LD) are the most widely used procedures for continued bloody cerebrospinal fluid drainage. Each has his own advantages and disadvantages. Here, we compared complications and clinical outcomes in patients with World Federation of Neurosurgical Societies (WFNS) grade III aneurysmal subarachnoid hemorrhage (aSAH) who underwent coil placement followed by EVD or LD. ⋯ In order to improve the clinical outcomes of patients with aSAH, we suggest that LD is better than EVD for patients with WFNS grade III aSAH who underwent coil placement.
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Randomized Controlled Trial
Chronic subdural hematomas: single or double burr hole-results of a randomized study.
To analyze the analysis of recurrence rates of single versus double burr holes in patients with subacute and chronic subdural hematomas. ⋯ Most of the subdural hematomas can be dealt by single burr-hole drainage.
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Schwannomas are common, truly encapsulated and benign peripheral nerve sheath tumors. Their occurrence in extracranial locations is rare. Schwannomas most commonly occur in adults between 20 and 50 years of age. ⋯ No neurological deficit was noted postoperatively. The result of the histopathological examination was reported as schwannoma. We report a case of large sciatic schwannoma with chronic sciatica.
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Lymphoplasmacyte-rich meningioma (LPM) is one of the rarest variants of meningioma and those LPMs that arise in the intraventricular space are even rarer. LPMs are classified as grade I (benign) tumors with a low proliferative rate and diagnosis is made through the histological identification of high numbers of inflammatory cells (lymphocytes and plasma cells) in the resected tumor tissue. ⋯ Histological analysis revealed large numbers of inflammatory cells, confirming the diagnosis of LPM, but also indicated that the lesion was positive for the proliferation marker Ki-67. Follow-up magnetic resonance imaging 3 months after surgery revealed no residual tumor or recurrence.
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Sacral fractures are generally seen together with pelvic ring fractures. They can also develop in isolated form rarely. Instability is observed in these fractures in rates reaching 30%. ⋯ Serious spinopelvic instability can be talked of in sacral fractures accompanied by pelvic fractures, particularly when the anterior and posterior integrity of the pelvic ring is interrupted together. An aggressive stabilization and fixation must be performed without delay.