World Neurosurg
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China is a densely populated country faced with more than 1 million cases of traumatic brain injury annually. Since the late 1930s, there has been a great improvement in the field of neurosurgery in the treatment of neurotrauma. ⋯ We present a historical vignette of the development of neurotrauma in China over almost 80 years. It is valuable to have this documentation of the growth of neurosurgery in China by authors who are familiar with the subject matter.
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Prognostic factors of favorable and unfavorable clinical outcome after aneurysmal subarachnoid hemorrhage (SAH) are still not completely known. We retrospectively analyzed the aneurysm location as a factor for patients' outcome after aneurysmal SAH. ⋯ Despite the usual prognostic factors (good admission status, younger age, absence of CVS) for a favorable outcome after SAH, the aneurysm location (carotid bifurcation artery) itself seems to be a prognostic factor. Also, aneurysms of the carotid bifurcation artery showed less occurrence of an early hydrocephalus, which is an indicator for the presence of an early brain injury. According to these results, we question if experimental animal models (especially the endovascular model using the perforation of the carotid bifurcation artery) have to be re-evaluated.
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Case Reports
Gliosarcoma in Cerebellopontine Angle with Rapid Tumor Growth and Intratumoral Hemorrhage: Case Report.
Gliosarcoma is a relatively rare and bimorphous brain tumor, predominantly located in the brain lobe. Here, we report a rare case of gliosarcoma presenting radiologically in the cerebellopontine angle (CPA) region. ⋯ Although rare, gliosarcoma should be considered in the differential diagnosis of CPA tumors, especially if it is associated with rapid tumor growth or intratumoral hemorrhage.