World Neurosurg
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Review Meta Analysis Comparative Study
Structural Allograft versus Polyetheretherketone (PEEK) Implants in patients undergoing Spinal Fusion Surgery: A Systematic Review and Meta-analysis.
Interbody spacers have been successfully used in spinal fusion procedures with the aim to restore disc height, provide stability, and promote bone fusion. The authors evaluated the efficacy of structural body allograft versus polyetheretherketone (PEEK) implants in patients undergoing spinal fusion surgery. ⋯ Our results corroborate that structural allografts are highly effective in promoting bony fusion compared with PEEK implants in patients undergoing spinal fusion surgery.
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Review Meta Analysis Comparative Study
Subperiosteal versus Subdural Drain after Burr-hole Drainage for Chronic Subdural Hematomas: A Systematic Review and Meta-analysis.
The use of drains has been considered to be superior to no drains after burr hole drainage of chronic subdural hematomas (CSDHs). Therefore, routine placement of a subdural drain (SDD) is supported by most neurosurgeons. However, whether the drain location after CSDH burr hole evacuation influences patient outcomes is unclear. Therefore, we compared the efficacy and safety of subperiosteal drains (SPDs) with those of SDDs for patients with CSDHs. ⋯ The results from the present meta-analysis suggest that the use of an SPD is safer and might be more effective than an SDD in the treatment of CSDH. However, more large randomized controlled trials are needed to investigate the use of SPDs in the management of CSDH.
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Review Meta Analysis
Exploration of efficacy and safety of interventions for intraventricular hemorrhage: A network meta-analysis.
To explore whether endoscopy surgery (ES) and extraventricular drainage (EVD) combined with intraventricular fibrinolytic (IVF) are superior to EVD alone in patients with intraventricular hemorrhage (IVH) and to determine which procedure is more suitable in such patients. ⋯ Our analysis showed that ES is more suitable for patients with IVH. ES not only improved the survival and prognosis but also had the lowest risk of ventriculoperitoneal shunt and intracranial rebleeding or infection.
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Review Case Reports
Ventriculo-atrial shunt catheter tip migration causing tricuspid regurgitation. A case report and literature review.
Given recent positive safety evidence, ventriculoatrial (VA) shunt placement may increase in popularity once more. We describe a rare case of Tricuspid regurgitation due to VA shunt catheter tip traversing the valve. ⋯ This report reiterates the importance of ensuring the tip is carefully placed within the atrium, under fluoroscopic guidance. Although rare, the described complication is difficult to manage once it has occurred.
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Case Reports
Patient with Epilepsy Caused by the Spontaneous Rupture of an Intracerebral Dermoid Cyst: A Case Report.
This is a rare case of a patient presenting with epileptic seizures and headaches who was diagnosed with spontaneous intracerebral dermoid cyst rupture via radiographic imagery, and rupture was confirmed via a pathology report. ⋯ We discuss the clinical and radiologic features, as well as the treatment of this patient.