World Neurosurg
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To investigate the association between Modic changes (MCs) and endplate sclerosis; and to investigate the effect of MCs and endplate sclerosis on cage subsidence in oblique lumbar interbody fusion (OLIF) stand-alone. ⋯ MCs associated with endplate sclerosis can prevent cage subsidence in OLIF stand-alone.
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Pituitary adenomas are mostly benign in character and are managed via a transsphenoidal approach in most cases. Crooke's cell adenoma (CCA) is a particular variant accounting for less than 1% of the pituitary adenomas. They have a distinctive histopathologic pattern and behavior. ⋯ CCA is recognized by its local aggressiveness and high recurrence rates. They tend to be locally invasive; however, posterior fossa invasion has not been reported to date. We aim to contribute to the arsenal of differential diagnosis of similar pituitary tumor cases.
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This thesis uses the traditional Chinese medicine theory as its background. This article analyzes in detail the visual teaching system for acupuncture on the human body to solve the problems of insufficient teaching resources and waste of corpses used in teaching. The dissertation is based on the mobile platform development technology of the Android operating system. ⋯ This system presents acupuncture knowledge with mobile learning method. It can be displayed systematically on the selected human acupoint anatomy teaching model for 14 common clinical conditions. This article provides an intuitive and dynamic teaching method by presenting a system should realize modern digital teaching and application of traditional acupuncture theory.
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Case Reports
Cranial Vault Reconstruction and Evacuation of Hemorrhage Following a Bifrontal Gunshot Wound to the Brain.
Civilian gunshot wounds to the brain are associated with high overall mortality; however, outcomes can vary significantly depending on bullet trajectory. This report details the outcome of a patient who sustained a bifrontal gunshot wound with multiple associated calvarial and frontal sinus fractures. Although surgery for penetrating brain injury is most frequently employed for relief of mass effect and decompression of vital structures, this case report describes a more comprehensive technique involving duroplasty, obliteration of the frontal sinus, and cranial vault reconstruction with the aim of decreasing the rate of cerebrospinal fluid leak, infection, reoperation, and readmission.