Journal of neurosciences in rural practice
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J Neurosci Rural Pract · Apr 2015
Retrospective analysis of perioperative factors on outcome of patients undergoing surgery for Moyamoya disease.
The short term outcome of patients undergoing surgery for Moyamoya disease can be affected by various perioperative factors. However, due to lesser prevalence of this disease in our country, data relating the effect of perioperative factors on the overall neurological outcomes of these patients is lacking. ⋯ Maintaining the intraoperative EtCO2 between 31-35 mmHg may be associated with short hospital stay when compared to those who have intraoperative EtCO2 either less than 31 mmHg or more than 35 mmHg.
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J Neurosci Rural Pract · Apr 2015
Acute dizziness in rural practice: Proposal of a diagnostic procedure.
Acute dizziness is a frequent index symptom in the emergency department as well as in the rural practice office. Most acute dizziness, however, is not dangerous, but some types are highly dangerous. Clinical routine acute dizziness can be separated into frequent benign syndromes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniθre's disease or vestibular migraine, and what is here referred to as the "white shark" of dizziness, i.e. a stroke in the posterior circulation or more rarely a tumor in the posterior fossa. A practical concept is presented to clarify most frequent acute dizziness syndromes using clinical and low budget methods.