Mayo Clinic proceedings
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Mayo Clinic proceedings · Jul 2001
Editorial Comment ReviewBrain tumor resection in the awake patient.
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Mayo Clinic proceedings · Jul 2001
Comparative StudyLymph node-positive prostate cancer: evaluation of the results of the combination of androgen deprivation therapy and radiation therapy.
To evaluate the outcome of patients with pathologic stage IV prostate cancer treated with androgen ablation plus external-beam radiation therapy. ⋯ This observational case series of patients treated with the combination of external-beam radiation therapy and permanent androgen ablation for pathologic stage IV prostate cancer suggests that the addition of androgen deprivation therapy to radiation therapy may improve disease outcome. In the absence of randomized trial results, these observations may be beneficial in clinical decision making.
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Mayo Clinic proceedings · Jul 2001
Awake craniotomy for aggressive resection of primary gliomas located in eloquent brain.
To determine with intraoperative neurologic and language examinations the maximal tumor resection achievable with acceptable postoperative neurologic dysfunction in patients undergoing awake stereotactic glial tumor resection in eloquent regions of the brain. ⋯ Combining frameless computer-guided stereotaxis with cortical stimulation and repetitive neurologic and language assessments facilitates tumor resection in functioning brain regions. Resecting tumor until the onset of neurologic deficits allows for a good functional recovery. Imaging software can objectively and accurately measure preoperative and postoperative tumor volumes.
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Mayo Clinic proceedings · Jul 2001
Symptom-triggered therapy for alcohol withdrawal syndrome in medical inpatients.
To assess the efficacy of symptom-triggered therapy vs usual care for alcohol withdrawal syndrome (AWS) in medical inpatients. ⋯ Symptom-triggered therapy is effective treatment for AWS in medical inpatients. In this retrospective study, it did not result in shorter duration of treatment but was associated with a decreased occurrence of delirium tremens, the most severe and life-threatening complication of AWS. This result was most apparent in patients with no history of delirium tremens.