World Neurosurg
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Perioperative risk assessment and stratification before craniotomy is necessary to identify and optimize modifiable risk factors. Due to the high costs of diagnostic testing and concerns for delaying surgery, some have questioned whether and when surgery delays are warranted and supported by the current body of literature. The objective of this scoping review was to evaluate the available evidence on the prognostic value of preoperative risk assessment before anesthesia for elective craniotomy. ⋯ The risk of delaying craniotomy should ultimately be weighed against the perceived risks associated the patient's comorbid conditions and should be considered on an individualized basis.
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Multicenter Study
CSF SHUNT REINFECTION AND MALFUNCTION IN ECUADORIAN CHILDREN WITH DIFFERENT RESHUNTING CRITERIA AFTER INFECTION. "IS JUST A SHUNT AFTER ANOTHER?
There is no firm evidence regarding cerebrospinal fluid (CSF) shunt reimplantation after infection in the pediatric population. The purpose of this study was to compare different criteria and analyze new shunt failure. ⋯ G2 reimplantation criteria were related to improved pleocytosis, CSF proteins, and blood neutrophils compared with G1. Mechanical and infectious dysfunction of the new shunt was 3 times more prevalent in G1 than in G2, considering the differences between the groups at diagnosis. Increased parameters of infection at diagnosis were associated with future malfunction more than parameters before reimplantation in both groups.
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Stroke is a leading cause of death in the United States, with significant economic and human costs. Early diagnosis and rapid treatment are critical for preventing stroke-related morbidity and mortality. However, accessibility to neurointerventional medical centers remains a challenge for many Americans, highlighting the need for innovative solutions to improve stroke management. ⋯ RCA shows potential as a valuable tool in neuroendovascular interventions. Addressing the technical challenges and conducting further research will be crucial to fully realize the clinical benefits of this innovative technology and improve patient outcomes in stroke management.
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Review Historical Article
The historical evolution of topographical mapping and nomenclature of the lateral cervical and lateral spinal nuclei.
The intricate organization of nuclei within the dorsolateral funiculus of the spinal cord has long been an area of interest in the field of neuroanatomy. Numerous researchers have endeavored to determine the morphology, neurochemistry, connections, and physiology of the lateral cervical nucleus and lateral spinal nucleus throughout history. ⋯ It synthesizes significant research spanning decades, which together shed light on the nuanced topography of these nuclei, starting from Theodor Ziehen's foundational work in 1903, through Molander's precise mappings, to the detailed contemporary mappings by modern scholars. Despite the wealth of research elucidating the mappings of these nuclei, there remains a need for further investigation into their roles and neurochemical characteristics.
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To investigate predictive factors and outcomes in those admitted to post-acute rehabilitation (PAR) versus those that discharged home following multi-level spinal decompression and fusion surgery. ⋯ Female sex and presence of a mood disorder increase the likelihood to PAR discharge following multi-level spinal decompression surgery.