World Neurosurg
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Few studies have reported the impact of telescoping flow diverters in intracranial aneurysm treatment. Our study compared aneurysms treated using telescoping flow diverters to those treated with a single flow diverter and identified predictors of telescoping. ⋯ Aneurysms with fusiform morphology and those that underwent flow diversion using PED had higher odds for telescoping. Significantly higher rates of angiographic occlusion with the use of telescoping FD adds to the literature on its efficacy in treating aneurysms of varying morphology.
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This study aimed to investigate the predictive factors associated with the reactivation of herpes simplex virus (HSV) in patients with trigeminal neuralgia (TN) after surgery, and to determine whether there is a correlation between reactivation and surgical efficacy. ⋯ HSV reactivation was observed in a considerable proportion of patients with TN. Long operative times (≥25 min), the use of IN as a surgical technique, a history of HSV infection, and previous trigeminal nerve-damaging surgery were identified as risk factors. Further research is needed to optimize surgical procedures and develop targeted management protocols to reduce the risk of HSV reactivation.
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Retrospective cohort study. ⋯ One-stage debridement, reconstruction, and instrumentation via the anterior approach is an effective surgical strategy for CPS. In addition to surgery, targeted and prolonged antibiotic therapy is of crucial importance.
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Graft failure is a common complication of cranioplasty.Revision cranioplasty is required to overcome this complication. However, no previous studies have reported outcomes in revision cranioplasty with three-dimensional (3D) custom-made titanium implants. We described our experience with 3D titanium implants in patients with revision cranioplasty. ⋯ Initial cranioplasty with PMMA provides a longer time period than the AG before the revision. However, both of them have similar outcomes based on length of hospital stay and cranial defect area. Custom-made 3D titanium implant is a good option for revision cranioplasty to prevent implant failure and reduce patients' cosmetic concerns.
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This observational, population-based study used hospital admission and mortality data and included all SAH- and UIA-related public hospitalisations and deaths occurring from 2011-2019· Data were obtained from the Ministry of Health's National Hospitalisation and Mortality Information Systems· Population data were obtained from the Brazilian Institute of Geography and Statistics· Simple linear regression models with normal responses were adjusted to explain the temporal evolution of variables· Joinpoint regression models were adjusted to detect moments of significant change in variable behaviour· Graduated choropleth maps were generated using georeferencing and geospatial analyses· ⋯ In Brazil, the SAH hospitalisation trend is stable, while there is a worrisome increasing SAH-related mortality trend· A better scenario was observed for an UIA, with an increase in hospitalisations and decrease in mortality·.