World Neurosurg
-
Geniculate neuralgia is an uncommon pain syndrome that can be severe and disabling and is difficult to diagnose. ⋯ The patient indicated complete relief of his preoperative pain after surgery. He has remained pain-free with intact hearing and balance.
-
The purpose of this study was to evaluate the efficacy and safety of gamma knife radiosurgery (GKRS) for the treatment of symptomatic brainstem intra-axial cavernous malformations (CMs) associated with high surgical morbidity. ⋯ GKRS seems to be relatively effective and safe for reducing the rebleeding rate of brainstem intra-axial CMs that have high surgical risk. Careful selection of a low marginal dose and an optimal radiosurgical technique are helpful to achieve good outcomes.
-
Vascular injury is rarely reported but can be a life-threatening complication after lumbar disc surgery. ⋯ This case reminds us of this rare but possible complication, and emphasizes the importance of early diagnosis and urgent intervention.
-
With the development of edema and the possible enlargement of the hemorrhagic contusion, patients with a bifrontal contusion may deteriorate rapidly or even die as the result of central brain herniation. Therefore, close monitoring and in time treatment may be important to these patients. ⋯ ICP is one of the most important intensive types of monitoring for patients with moderate-to-severe bifrontal contusions and may be beneficial in creating a better prognosis. Intensive care and proper management are necessary to reduce stays in ICU, hospitalization, and mannitol osmolar therapy, and to improve GOS.