World Neurosurg
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The aim of this study is to provide credible and comparable evidence on the efficacy and safety of pure microvascular decompression (MVD) for primary trigeminal neuralgia (TN), and also to find out the possible prognostic factors of excellent long-term outcome after the surgery. ⋯ This is a perspective cohort study of pure MVD, which confirms the long-term effectiveness and safety of the surgery for primary TN. Patients with typical symptoms, positive magnetic resonance findings, or obvious vessel compressions might have better long-term prognosis.
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Randomized Controlled Trial Comparative Study
Early versus delayed endoscopic surgery for carpal tunnel syndrome: prospective randomized study.
To compare the effects of early versus delayed endoscopic surgery in patients with moderately severe carpal tunnel syndrome (CTS). ⋯ On the basis of this study, early endoscopic surgery is proposed in patients with moderately severe CTS.
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Comparative Study Controlled Clinical Trial
Acute normovolemic hemodilution is safe in neurosurgery.
To determine the safety of acute normovolemic hemodilution (ANH) for patients undergoing neurosurgical procedures. ⋯ ANH is a safe procedure for patients undergoing neurosurgical procedures. Further studies are necessary to confirm the improvement in brain oxygen extraction and the clinical impact. Nonetheless, patients undergoing aneurysm clipping with good clinical grades seem to profit from ANH.
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Case Reports
Traumatic (type II) odontoid fracture with transverse atlantal ligament injury: a controversial event.
Traumatic (Type II) odontoid fractures are very common injuries. Nevertheless, their connection with transverse atlantal ligament injury is controversial and poorly defined. The aim of this study is to report a single case of traumatic (type II) odontoid fracture with transverse atlantal ligament injury and to critically analyze the role of ligaments and membranes together with neuroradiological tools in the management of craniovertebral junction-traumatized patients. ⋯ Traumatic (type II) odontoid fracture with transverse atlantal ligament avulsion can be considered an unusual event. It is our opinion that the routine use of MRI for all patients with type II odontoid fracture could be unjustified in clinical practice. Strict clinical surveillance of all patients managed conservatively and the use of MRI in selected cases could be a reasonable management option.
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Case Reports
Multimodal treatment of hemorrhagic pituitary metastasis as first manifestation of renal cell carcinoma.
Metastatic tumors involving the pituitary gland are very rare, with only few cases reported so far in the literature. ⋯ This is the first report describing multimodality treatment of a patient with pituitary metastasis of unknown origin requiring presurgical embolization before successful tumor removal.