Abstract：
:This study was carried out to evaluate the early results and the prognostic factors affecting the outcome during the in-hospital stay of 110 patients with civilian gunshot wounds to the head admitted at the Hospital of Restauração, Recife, Brazil. Penetrating injury (66%) was the most prevalent type of wound encountered in the present series. Twelve of the 110 (10.9%) patients presented a unilateral dilated pupil at the admission. Motor impairment was present in 24/110 (21.8%) patients. Intracerebral hematoma was present in 36/110 (32.7%) and there were 15/110 (13%) patients with cerebrospinal fluid fistula. Eleven of 110 patients developed meningitis and in 9/110 intracranial abscesses occurred. Nine of 110 patients developed deep venous thrombosis, 11/110 had urinary infection, and coagulopathy was detected in 8/110. Following the surgical procedure, 27/110 (24.5%) patients died during their hospital stay. When the two groups, survivors and non-survivors, were compared, there were significant statistical differences and the univariate analysis identified five preoperative predictors of a poor outcome following surgery: age over 40 years (odds ratios (OR) 5.4, 95% CI 1.73-16.82); presence of unilateral pupil dilatation (OR 5.5, 95% CI 1.641-18.13); low (≤8) Glasgow coma score on admission (OR 6.50, 95% CI 2.27-18.60), presence of intracranial hematoma (OR 3.0, 95% CI 1.21-7.34), and respiratory infection (OR 4.8, 95% CI 1.75-13.47). Thus, (a) age of the patient (juvenile/young age), (b) high preoperative Glasgow coma score, (c) lack of pupil abnormalities, and (d) absence of intracerebral hematoma are predictors of a good prognosis.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Ambrosi PB,Valença MM,Azevedo-Filho Hdoi
10.1007/s10143-012-0377-2subject
Has Abstractpub_date
2012-07-01 00:00:00pages
429-35; discussion 435-6issue
3eissn
0344-5607issn
1437-2320journal_volume
35pub_type
杂志文章abstract：:Craniotomy surgical site infections are an inherent risk and dreaded complication for the elective brain tumor patient. Sequelae can include delays in resumption in adjuvant treatments for multiple surgeries if staged cranioplasty is pursued. Here, the authors review their experience in operative debridement of surgic...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-018-0955-z
更新日期：2018-10-01 00:00:00
abstract：:Cerebral vasospasm is delayed narrowing of the large arteries of the circle of Willis occurring 4 to 14 days after aneurysmal subarachnoid hemorrhage (SAH). It is but one cause of delayed deterioration after SAH but, in general, is the most important potentially treatable cause of morbidity and mortality after SAH. De...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-005-0013-5
更新日期：2006-07-01 00:00:00
abstract：:Cerebral cysticercosis is the result of infestation of the brain with the larval stage of the intestinal tape worm Taenia Solium. The disease, endemic in some parts of the world, especially Mexico, South America, India, Eastern Europe, is still encountered practically all over the world. There appear to be distinct ge...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF01742763
更新日期：1983-01-01 00:00:00
abstract：:Endoscopy in cerebellopontine angle surgery is an increasingly used technique. Despite of its advantages, the shortcomings arising from the complex anatomy of the posterior fossa are still preventing its widespread use. To overcome these drawbacks, the goal of this study was to define the anatomy of different endoscop...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-016-0800-1
更新日期：2017-07-01 00:00:00
abstract：:A neuroendoscopic biopsy is a minimally invasive and useful procedure for the diagnosis and initial management of tumor-associated hydrocephalus. We describe the nationwide investigation of the current status of neuroendoscopic biopsy for intra- and paraventricular tumors in children, as well as the treatment of tumor...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-015-0629-z
更新日期：2015-10-01 00:00:00
abstract：:The optimal management of cranioplasty infections remains a matter of debate. Most authors have suggested that the infected bone/implant removal is mandatory, combined with prolonged antibiotic therapy before reconstruction. However, failures can occur, even with 12-18-month intervals between the surgeries. Longer wai...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01341-z
更新日期：2020-06-26 00:00:00
abstract：:Chemotherapy of malignant glioma has been discussed in relation to recent advances in experimental and clinical studies. It is now obvious that chemotherapy is of increasing importance in the multidisciplinary treatment of malignant gliomas. Survival time of patients was prolonged by intensive and prolonged chemothera...
journal_title：Neurosurgical review
pub_type： 临床试验,杂志文章,评审
doi：10.1007/BF01743285
更新日期：1984-01-01 00:00:00
abstract：:A retrospective study was conducted on 67 patients undergoing posterior cervical foraminotomy (PCF) for unilateral intraforaminal soft and hard disc disease. Neurologic impairment, employment, and severity of associated signs were assessed preoperatively and at a 3.1-year average follow-up (range, 1.5-7 years). Diminu...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/pl00011957
更新日期：2000-12-01 00:00:00
abstract：:It was suggested that D, L-Methadone might improve the clinical course of glioma patients. Owing to massive press coverage, patients demand the prescription of D, L-Methadone, but regarding its adjunctive use in glioma therapy there is no standard medication plan. Furthermore, it is not known which side effects the ad...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01250-1
更新日期：2020-02-14 00:00:00
abstract：:In 112 comatose patients somatosensory, visual and auditory evoked potentials were registered within 36 hours after the onset of coma or admission. Main causes of coma were head injury, and intracerebral and subarachnoid haemorrhage. The initial bilateral loss of any evoked potential was associated with a mortality of...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF00383655
更新日期：1990-01-01 00:00:00
abstract：:Injury to the internal carotid artery (ICA) is a life-threatening complication of endoscopic endonasal approaches. The objective of this study is to illustrate the detail anatomy of the parapharyngeal segment of the ICA (PPICA) to safe endoscopic endonasal surgery. The anatomical dissection was performed in 10 cadaver...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-019-01176-3
更新日期：2020-10-01 00:00:00
abstract：:An embryological association between moyamoya disease (MMD) and cardiac manifestations has been proposed. Data up to this point remains anecdotal, and the prevalence of cardiac manifestations in a western MMD population is uncertain. The objective of this study was to determine the prevalence of cardiac manifestations...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01327-x
更新日期：2020-06-07 00:00:00
abstract：:CSF hydrocele as a complication of migration or extrusion of the peritoneal end of the V-P shunt has rarely been reported. Here the case of a 6 month old infant, born at 28 weeks gestational age, is reported. The baby was noted to have scrotal swelling, exacerbated by crying, two months after insertion of ventriculope...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00313040
更新日期：1991-01-01 00:00:00
abstract：:The orbitotomy has a central importance in craniofacial surgery. It is indicated for premature craniosynostoses, malformations and tumor surgery. The aim of the treatment is to correct functional disturbances and aesthetic impairments. Anatomical structures must be respected. Functional and anatomical aspects of the o...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01787121
更新日期：1989-01-01 00:00:00
abstract：:A new technique for interbody lumbar spondylodesis using a new cancellous metal, plug-shaped construct was performed in 35 cases with spondylolisthesis or lumbar instability. All of these patients have had severe low-back pain for years, some with radicular symptoms and had been treated unsuccessfully for years. In a ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00638889
更新日期：1990-01-01 00:00:00
abstract：:Our aim was to determine the effects of vitamin E and L-carnitine supplementation, individually or in combination, on radiation-induced brain and retinal damages in a rat model. Group 1 received no treatment (control arm). Group 2 received a total dose of 15 Gy external radiotherapy (RT) to whole brain by Cobalt-60 te...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-007-0118-0
更新日期：2008-04-01 00:00:00
abstract：:Glial tumors are the most common tumors of the nervous system, affecting individuals at any age. Since understanding of the molecular pathologies underlying human gliomas is still very poor, the treatment and therefore prognosis of this malignancy could not yet be improved. In order to determine whether different glio...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-003-0279-4
更新日期：2004-01-01 00:00:00
abstract：:Experimental brain tumours were produced in cats by stereotactic implantation of 4 million suspended cells of a rat glioma clone into the internal capsule. Three weeks after implantation a spherical tumour developed with a diameter of up to 10 mm which was surrounded by vasogenic white matter oedema. In untreated anim...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01743708
更新日期：1981-01-01 00:00:00
abstract：:Papillary meningioma (PM) is a rare central nervous system tumor. We aimed to analyze the characteristics and outcomes of patients with PM (WHO grade III) and identify risk factors that influence survival using the Surveillance, Epidemiology, and End Results (SEER) database. Clinical characteristics, tumor features, a...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01449-2
更新日期：2021-01-08 00:00:00
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journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-020-01314-2
更新日期：2020-05-13 00:00:00
abstract：:In the last decade, operative decompression of cord and cauda, internal fixation with rods, bony fusion and early ambulation, have become more popular in the management of thoracolumbar injuries with neurological deficit. Computer-tomography, CT myelography and peroperative ultrasonography provided direct evidence, th...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01743066
更新日期：1986-01-01 00:00:00
abstract：:The purpose of this paper is to provide a comprehensive review encompassing the syndromes associated with the lower cranial nerves (LCNs). We will discuss the anatomy of some of these syndromes and the historical contributors after whom they were named. The LCNs can be affected individually or in combination, since th...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-020-01344-w
更新日期：2020-07-08 00:00:00
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journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01780706
更新日期：1984-01-01 00:00:00
abstract：:Intracranial aneurysms usually occur at arterial bifurcations. However, in middle cerebral artery (MCA) aneurysms, we often find that the aneurysmal neck does not necessarily exist just on the arterial bifurcation. In this study, we have evaluated the relation among aneurysmal neck, parent artery, and daughter arterie...
journal_title：Neurosurgical review
pub_type： 临床试验,杂志文章
doi：10.1007/s10143-005-0379-4
更新日期：2005-07-01 00:00:00
abstract：:Patients with aneurysmal subarachnoid hemorrhage (SAH) are frequently complicated by acute cardiac dysfunctions, including cardiac wall motion abnormality (WMA). Massive release of catecholamine into the systemic circulation after aneurysmal rupture is believed to result in WMA, and poor-grade SAH seems to be the most...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-012-0424-z
更新日期：2013-04-01 00:00:00
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journal_title：Neurosurgical review
pub_type： 临床试验,杂志文章
doi：10.1007/s10143-013-0503-9
更新日期：2014-04-01 00:00:00
abstract：:We carried out an experimental investigation of cartilage endplate vascularity of degenerated intervertebral discs produced by exogenous melatonin (MEL) treatment. Adult Swiss albino rats were divided into three groups: control, operated degeneration, and MEL treatment. There were five rats in each group and, using a ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-003-0259-8
更新日期：2003-05-01 00:00:00
abstract：:Traumatic brain injury is a major problem worldwide. Our objective is to synthesize available evidence in the literature concerning the effectiveness of neuroprotective drugs (cerebrolysin, citicoline, and piracetam) on Glasgow outcome score (GOS), cognitive performance, and survival in traumatic brain injury patients...
journal_title：Neurosurgical review
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10143-016-0775-y
更新日期：2018-04-01 00:00:00
abstract：:Microcystic meningioma (MM) is a rare subtype of intracranial meningiomas, with clinical and radiologic features not well characterized in the literature. Based on our experience, we propose a classification system of intracranial MMs. We reviewed the medical records, radiographic studies, and operative notes of a gro...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-018-0982-9
更新日期：2019-06-01 00:00:00
abstract：:Superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis is a safe and effective treatment for moyamoya disease, although recent evidence suggests its substantial risk for symptomatic cerebral hyperperfusion. The diagnostic value of single-photon emission computed tomography (SPECT) for postoperative h...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-008-0147-3
更新日期：2008-10-01 00:00:00
