Acta neurochirurgica. Supplement
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Acta Neurochir. Suppl. · Jan 2008
Intracranial pressure variability and long-term outcome following traumatic brain injury.
Research suggests that intracranial pressure (ICP) dynamics beyond just absolute ICP level provide information reflecting intracranial adaptive capacity. Specifically, evidence indicates that physiologic variability provides information about system functioning that may reflect dimensions of adaptive capacity. The purpose of this study was to examine the association between ICP variability in patients following moderate to severe traumatic brain injury (TBI) and outcome at hospital discharge and 6 months post-injury. ⋯ ICP variability may reflect the degree of intactness of intracranial adaptive ability.
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Acta Neurochir. Suppl. · Jan 2008
Cerebral blood flow thresholds predicting new hypoattenuation areas due to macrovascular ischemia during the acute phase of severe and complicated aneurysmal subarachnoid hemorrhage. A preliminary study.
Focal ischemia may affect patients with aneurysmal subarachnoid hemorrhage (SAH), and the potential evolution of cerebral infarction may greatly influence the patients' outcome. The aim of the study was to assess the values of regional cortical cerebral blood flow (rCBF) thresholds predictive for ischemia during the acute phase of SAH. ⋯ The results suggest that there is no absolute rCBF threshold ofischemia in severe and complicated SAH patients and that the rCBF values are only moderately predictive at levels lower than previously described.
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The authors report stereotactically created lesioning by radiofrequency or Cyberknife radiosurgery for patients with mental illness. ⋯ Authors suggest that stereotactic psychosurgery by RF and CKRS could be a safe and effective means of treating some medically intractable mental illnesses.
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Acta Neurochir. Suppl. · Jan 2008
Clinical TrialIntracranial pressure and cerebral oxygenation changes after decompressive craniectomy in children with severe traumatic brain injury.
There has been a resurgence of interest in decompressive craniectomy for traumatic brain injury (TBI), but the impact of craniectomy on intracranial pressure (ICP) and cerebral oxygenation has not been well described for diffuse injury in children. ⋯ In selected pediatric patients with TBI, craniectomy for diffuse brain swelling can significantly improve ICP and cerebral oxygenation control. The use of the procedure in appropriate settings does not appear to increase the proportion of disabled survivors.
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Acta Neurochir. Suppl. · Jan 2008
The QOLIBRI--towards a quality of life tool after traumatic brain injury: current developments in Asia.
There is no disease-specific health-related quality of life (HRQoL) tool devoted to traumatic brain injury (TBI). ⋯ TBI patients may now be assessed, beyond more "objective" measures including handicap and recovery, with a new measure of assessing the TBI patient's own opinion on his/her HRQoL, applicable across different populations and cultures. Validations in China Mainland, Hong-Kong, Taiwan, Japan, Egypt, Poland, Norway, Indonesia, and Malaya are on the way.