Acta neurochirurgica. Supplement
-
Studying discovertebral complex anatomy is extremely important for the understanding of the pathophysiology of disc degeneration which leads to vertebral endplates signal changes, also known as Modic changes. The sequelae of disc degeneration are among the leading causes of functional incapacity in both sexes and are one of the most common sources of chronic disability in the working years. Even if the presence of degenerative changes in MRI of the spine is by no means an indicator of symptoms, we are concordant in a positive association between Modic changes and low back pain, above all as a relatively specific but insensitive sign of discogenic low back pain.
-
Acta Neurochir. Suppl. · Jan 2011
Evidenced Based Guidelines for the Management of Good Grade Subarachnoid Haemorrhage Patients in Leeds, UK.
Aneurysmal Subarachnoid Haemorrhage (SAH) is a common neurosurgical condition with high morbidity and mortality, with our trust treating over 120 patients annually. Although there are recommendations for the management of some aspects of subarachnoid haemorrhage, a comprehensive guideline document has not been produced. Our guidelines seek to address all aspects of acute patient care in our neurosurgical unit, using evidence based medicine with a multi-disciplinary team to produce care pathways establishing a standard of care for our patients.
-
Acta Neurochir. Suppl. · Jan 2011
Predictors analysis of symptomatic cerebral vasospasm after subarachnoid hemorrhage.
symptomatic cerebral vasospasm (SCVS) is still lacking in reliable early warning methods and often diagnosed after clinical deterioration of neurological function, making prevention and treatment extremely passive. This study investigates the risk factors relevant to SCVS after subarachnoid hemorrhage (SAH) in order to provide useful information for clinical work. ⋯ SCVS is the final result of multiple factors acting together. Age and modified Fisher grades are independent risk factors to SCVS.
-
This manuscript describes the development and ongoing integration of neuroArm, an image-guided MR-compatible robot. ⋯ NeuroArm successfully united the precision and accuracy of robotics with the executive decision-making capability of the surgeon.
-
Acta Neurochir. Suppl. · Jan 2011
Fever increased in-hospital mortality after subarachnoid hemorrhage.
Fever is a common clinical complication in patients with subarachnoid hemorrhage (SAH), and is usually related to prognosis in early stage of diseases. In our study, we try to help improve the outcome of SAH by assessing possible risk factors for fever and investigating the influence of fever on in-hospital mortality. ⋯ Poor Hunt-Hess grade, presence of IVH and older age are independent predictors of fever in SAH. Fever is closely related to increased in-hospital mortality after SAH.