World Neurosurg
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To evaluate the effects of admission serum C-reactive protein-to-albumin ratio (CAR) in traumatic spinal cord injury (TSCI) severity evaluation and prognosis. ⋯ Serum CAR is a readily available biomarker for assessing the severity of TSCI and predicting prognosis, which is clinically relevant for the functional recovery of patients with TSCI.
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To explore the relevant variables that contribute to deep vein thrombosis (DVT) among spinal cord injury (SCI) patients undergoing inpatient rehabilitation and to build and validate a nomogram model that predicts DVT risk. ⋯ Prothrombin time, D-dimer level, age, and Caprini score are independent related factors for DVT among SCI patients undergoing inpatient rehabilitation. According to the variables mentioned previously, a nomogram model was constructed that can accurately and easily predict DVT risk among SCI patients undergoing inpatient rehabilitation. This facilitates the early identification of high-risk groups and the timely implementation of prevention, treatment, rehabilitation, and nursing strategies by clinical medical staff.
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Subdural drains are used to reduce recurrence after surgical evacuation of chronic subdural hematoma. There is a small risk of parenchymal injury. We hypothesize that using subgaleal drains with low active suction (-50 mm Hg to -100 mm Hg) may be a safer alternative and still maintain efficacy in preventing recurrence. ⋯ The use of subgaleal drains with low active suction led to significantly lower complication rates compared with the use of subdural drains and maintained its efficacy in preventing recurrence.
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Trigeminal neuralgia (TN) has been described as one of the worst pains known to humankind. However, pain severity in TN has been measured using several different scales, resulting in difficulty comparing illness burden and response to TN surgery across studies. We examined the degree of concordance between standardized scales evaluating pain severity in a cohort of patients undergoing surgery for TN. ⋯ TN patients with residual mild-moderate pain after surgery are often discordantly classified by different pain measurement scales. These findings argue for a more standardized method of reporting postoperative pain outcomes in the TN literature.
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This study investigates the prognostic value of the apparent diffusion coefficient (ADC) in magnetic resonance imaging for patients with acute posterior circulation stroke (PCS) undergoing endovascular therapy (EVT). ⋯ High ADC values and unilateral infarction are independent predictive factors for the prognosis of patients with PCS after EVT. Combining these factors provides the highest predictive accuracy, aiding in clinical decision making for PCS treatment.