World Neurosurg
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Mild craniocerebral trauma (CCT) can lead to various neurological and functional impairments, including dysphagia. Dysphagia refers to difficulties with swallowing, which can significantly impact a person's ability to eat, drink, and maintain proper nutrition. ⋯ Swallowing-feeding management combined with transcranial electrical stimulation is effective in CCT patients with dysphagia.
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A profound knowledge of the anatomy and surgical management of the superior petrosal vein is vital during neurosurgical procedures in the posterior fossa. The debate on preserving the superior petrosal vein or whether it can be duly obliterated is still ongoing. ⋯ Not only were the heterogenous methods but also the respective authors' conclusions analyzed. In light of the collected evidence, we come to the conclusion that occluding the superior petrosal vein poses an ineligible risk to patient safety and should be considered obsolete.
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Patient-reported outcome measures (PROMs) are utilized to assess surgical success but are limited by data collection, response bias, and subjectivity. The large volume of digital healthcare data offers a new method to utilize healthcare utilization as a longitudinal, individualized, and objective proxy for health needs among surgical patients. This study aimed to design and evaluate a novel resource utilization in spine healthcare (RUSH) clustering method that complements PROMs in evaluating post-operative patient outcomes. ⋯ RUSH clustering provides a novel, data-driven approach to measure surgical success, complementing traditional PROMs, and leveraging big data to monitor and respond to surgical outcomes.
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Aneurysmal subarachnoid hemorrhage (aSAH) has an incidence of 6-7 per 100,000 person-years. Despite advancements in treatment, 26% of patients die, and 19% remain dependent post-hemorrhage. Long-term neuropsychological sequelae affect about half of the survivors, significantly impacting their quality of life. This study aims to assess aSAH characteristics and identify predictive factors of clinical outcomes in young patients. ⋯ Young aSAH patients exhibit distinct characteristics and prognostic factors compared to older patients. Despite higher post-operative complications, young patients generally have better outcomes, emphasizing the need for age-specific management strategies in aSAH.
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Percutaneous vertebroplasty uses the traditional method of bone cement filler to inject bone cement, which is easy to solidify, we have found a new method to delay the solidification of bone cement: low temperature ice saline bone cement, which compares the advantages of the new method and the traditional method of injecting bone cement. ⋯ Low temperature ice saline water bone cement has significant advantages in multiple vertebral fractures, relatively large amount of bone cement injected into each vertebral body and long operation time, which is more suitable for beginners.