当前位置： SCI文献检索 > CLINICAL NEUROLOGY AND NEUROSURGERY期刊下所有文献 > Surgical outcomes in traumatic brain injuries with bilateral mass occupying lesions. Analysis of prognostic factors.

Surgical outcomes in traumatic brain injuries with bilateral mass occupying lesions. Analysis of prognostic factors.

Abstract：

INTRODUCTION:Traumatic brain injury is a silent epidemic with major impacts on national productivity as it affects the economically productive age group. Bilateral injuries are usually severe with no clearly defined predictors of outcome as per current available literature. METHODS:We retrospectively assessed 102 consecutive cases of post traumatic intracranial mass lesions operated bilaterally, either simultaneously or sequentially, between January 2011 and April 2019. The primary and secondary end points of the study were to assess mortality and GCS at discharge respectively. RESULTS:The cohort included 102 patients. 91(89.2 %) were males, mean age was 40(±13.6) years. Median GCS at presentation was 9 with 47(46.07 %) having moderate head injury. EDH with contusion was seen in 38(37.3 %), SDH with contusion in 24(23.5 %) and 4 patients (3.9 %) had EDH, SDH and contusion. On univariate analysis, female gender(p = 0.001), poor GCS at presentation(p < 0.001), higher Rotterdam grade on initial CT scan(p < 0.001), need for blood transfusions(p = 0.026) and intraoperative hypotension(p = 0.007) were associated with significantly higher mortality. On multivariate analysis female gender(p = 0.034), poor GCS(p = 0.026) and worse Rotterdam score(p = 0.038) were associated with mortality. Among the subgroup of survivors, GCS at presentation(p < 0.001), Rotterdam grading(p = 0.003), time to surgery after trauma(p = 0.032), duration of hospital stay(<0.001), intraoperative brain bulge(p=.003) and craniotomy instead of craniectomy(p = 0.001) were associated with clinical outcome at discharge. CONCLUSION:Traumatic brain injuries with bilateral mass lesions requiring surgery have been rarely reported. In this study we have elucidated management strategies and have further studied the factors influencing mortality and clinical outcome. Careful considerations are required in decision making in such cases. Larger multicentric studies would throw more light on outcomes of this rare variety of traumatic brain injury.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Yeole U,Krishnakumar M,Gopalakrishna KN,Sekar A,Sadashiva N,Shukla D

doi

10.1016/j.clineuro.2020.106017

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

106017

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(20)30360-7

journal_volume

196

pub_type

杂志文章

相关文献

CLINICAL NEUROLOGY AND NEUROSURGERY文献大全
  • Sellar abnormalities in female first-degree relatives.

    abstract：:Non-pituitary lesions account for a minority of sellar region abnormalities. We report the unusual occurrence of non-pituitary sellar/suprasellar lesions in a mother and her two daughters. Each of these cases was diagnosed and managed differently, illustrating the relative importance of radiographic imaging, tumor mar...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.09.021

    authors： Gabeau-Lacet D,Grant E,Stemmer-Rachamimov A,Yock T,Tarbell NJ

    更新日期：2008-02-01 00:00:00

  • SPECT in the diagnosis of Alzheimer's disease and multi-infarct-dementia.

    abstract：:SPECT with Tc-99m HM-PAO as a radiopharmaceutical was performed in 17 patients meeting research criteria for Alzheimer's disease (AD), in 10 patients with a clinical diagnosis of multi-infarct-dementia (MID) and in 12 healthy volunteers. Regional tracer uptake was measured in frontal, parietal, and temporoparietal reg...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(91)90007-c

    authors： Weinstein HC,Haan J,van Royen EO,Derix MM,Lanser JB,van der Zant F,Dunnewold RJ,van Kroonenburgh MJ,Pauwels EK,van der Velde EA

    更新日期：1991-01-01 00:00:00

  • Short latency afferent inhibition associated with cortical compression and memory impairment in patients with chronic subdural hematoma.

    abstract：OBJECTIVE:To evaluate the cortical excitability in patients with mild cortical compression. METHODS:The present study used short interval intracortical inhibition (SICI), intracortical facilitation (ICF), and short latency afferent inhibition (SAI) to evaluate motor cortex excitability in 16 chronic subdural hematoma ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2012.02.037

    authors： Kawasaki Y,Fujiki M,Ooba H,Sugita K,Hikawa T,Abe T,Ishii K,Kobayashi H

    更新日期：2012-09-01 00:00:00

  • Clinical and pharmacokinetic evaluation of controlled-release levodopa/carbidopa (CR-4) in parkinsonian patients with severe motor fluctuations: a six month follow-up study.

    abstract：:The results of a six month open-label study comparing the efficacy of controlled-release levodopa-carbidopa (Sinemet CR-4 200 mg/50 mg) with standard levodopa/carbidopa (250 mg/25 mg) in 17 patients with idiopathic Parkinson's disease and severe response fluctuations, are reported. Major clinical benefits included; im...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(89)90005-x

    authors： Deleu D,Jacques M,Michotte Y,Ebinger G

    更新日期：1989-01-01 00:00:00

  • Relationship between the history of cerebrovascular disease and mortality in COVID-19 patients: A systematic review and meta-analysis.

    abstract：BACKGROUND AND OBJECTIVES:Past history of stroke has been associated with an increased risk of a new ischemic stroke. Several studies have indicated increased prevalence of strokes among coronavirus patients. However, the role of past history of stroke in COVID19 patients is still unclear. The purpose of this systemati...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.clineuro.2020.106183

    authors： Florez-Perdomo WA,Serrato-Vargas SA,Bosque-Varela P,Moscote-Salazar LR,Joaquim AF,Agrawal A,Soto-Angel ÁR,Tovar-Montenegro LT

    更新日期：2020-10-01 00:00:00

  • Chronic opioid use is associated with increased postoperative urinary retention, length of stay and non-routine discharge following lumbar fusion surgery.

    abstract：BACKGROUND:The incidence of chronic opioid use (COU) is increasing with health related complications impacting both patients and healthcare services. OBJECTIVE:The aim of this study was to identify the impact of COU on postoperative urinary retention (PUR) in patients following lumbar fusion surgery as well as its imp...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106161

    authors： Doherty RJ,Wahood W,Yolcu YU,Zreik J,Goyal A,Gazelka HM,Habermann EB,Sebastian A,Bydon M

    更新日期：2020-10-01 00:00:00

  • Olfactory dysfunction in behavioral variant frontotemporal dementia.

    abstract：OBJECTIVE:Several neurodegenerative disorders show olfactory dysfunction. In patients with frontotemporal dementia (FTD), olfactory impairment is probably due to the involvement of the temporal and orbitofrontal lobes. We hypothesized that due to the disrupted areas in FTD, there would be an impairment in smell identif...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2016.01.003

    authors： Orasji SS,Mulder JL,de Bruijn SF,Wirtz PW

    更新日期：2016-02-01 00:00:00

  • Microsurgical efficacy and safety of a right-hemispheric approach for unruptured anterior communicating artery aneurysms.

    abstract：OBJECTIVE:We investigated the effectiveness of a right hemispheric surgical approach in treating unruptured anterior communicating artery aneurysms. METHODS:Between January 2005 and June 2012, 305 patients with anterior communicating artery (Acom) aneurysms were treated using the pterional approach. Among them, 113 wh...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2015.06.009

    authors： Kim SY,Jeon HJ,Ihm EH,Park KY,Lee JW,Huh SK

    更新日期：2015-10-01 00:00:00

  • Thalamic deep brain stimulation for posttraumatic action tremor.

    abstract：:We report a case of thalamic deep brain stimulation (DBS) for treatment of posttraumatic tremor. An 18-year-old right-handed man developed a disabling and medically refractory action tremor in the right upper extremity 9 months after sustaining diffuse axonal injury in a motor vehicle collision. DBS of the left ventra...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2003.12.004

    authors： Umemura A,Samadani U,Jaggi JL,Hurtig HI,Baltuch GH

    更新日期：2004-09-01 00:00:00

  • Pitfalls, fallacies and false positive rates.

    abstract：:True and false positive rates of auditory and visual evoked potentials, as well as multi-modal evoked potentials, were assessed in groups of 30 multiple sclerosis patients and 19 healthy age-matched subjects. Sensitivity (true positive rate) generally proved to be high confirming published reports. False positive rate...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(92)90058-b

    authors： van Dijk JG

    更新日期：1992-01-01 00:00:00

  • The assessment of prognostic factors in surgical treatment of low-grade gliomas: a prospective study.

    abstract：OBJECTIVE:A prospective volumetric analysis of extent of resection (EOR) was carried out to assess surgical outcomes in adults diagnosed with hemispheric low grade gliomas (LGGs). MATERIALS AND METHODS:68 consecutive patients diagnosed with LGGs were enrolled in the study. Pre- and post-operative tumor volumes and EOR...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2012.02.054

    authors： Majchrzak K,Kaspera W,Bobek-Billewicz B,Hebda A,Stasik-Pres G,Majchrzak H,Ładziński P

    更新日期：2012-10-01 00:00:00

  • Difference of the hippocampal and white matter microalterations in MCI patients according to the severity of subcortical vascular changes: neuropsychological correlates of diffusion tensor imaging.

    abstract：OBJECTIVES:Most imaging studies of mild cognitive impairment (MCI) have focused on gray matter alterations, although many MCI patients demonstrate subcortical vascular changes. We investigated the changes of the hippocampal area and various white matter areas in MCI patients with using diffusion tensor imaging (DTI), a...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2008.02.021

    authors： Shim YS,Yoon B,Shon YM,Ahn KJ,Yang DW

    更新日期：2008-06-01 00:00:00

  • Manifestations of Neuro-Behcet's disease. Report of two cases and review of the literature.

    abstract：:Behcet's disease (BD) is a rare condition, more commonly seen in Turkey, the Middle East, the Mediterranean, and the Far Eastern countries. It is a multifaced disease involving the central nervous system (CNS), skin, joints, intestines and blood vessels. CNS involvement occurs in 10-25% of the patients with BD. We rep...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2004.07.002

    authors： Ho CL,Deruytter MJ

    更新日期：2005-06-01 00:00:00

  • Management of giant presacral schwannoma. Clinical series and literature review.

    abstract：PURPOSE:Presacral schwannomas are rare tumors. Due to their benign nature and slow growth, these tumors are often giant and become difficult to treat. Their removal is a surgical challenge with different strategies reported in the literature. This study presents the consecutives cases of presacral schwannomas operated ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106409

    authors： Leclerc A,Lebreton G,Huet A,Alves A,Emery E

    更新日期：2021-01-01 00:00:00

  • Migraine-related vertigo: towards a distinctive entity.

    abstract：:Both migraine and vertigo are common complaints. Although they may coincide by chance, there is growing evidence for a clinical entity of recurrent vestibular symptoms related to migraine. This syndrome implies a possible causal relationship although the pathophysiology of migraine-related vertigo has not been fully e...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2004.07.003

    authors： Crevits L,Bosman T

    更新日期：2005-02-01 00:00:00

  • Drugs for Acute Attack of Pediatric Migraine: A Network Meta-analysis of Randomized Controlled Trials.

    abstract：:Migraine in pediatric is a common neurological disease, and its prevalence is varying widely. The medication for the acute attack of pediatric migraine is various. we take advantage of network meta-analysis to address the efficacy and rank of these medications. Database including Pubmed and Cochrane Library were queri...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2020.105853

    authors： Wang G,Tan T,Liu Y,Hong P

    更新日期：2020-08-01 00:00:00

  • Molecular and clinical prognostic factors for favorable outcome following surgical resection of adult intramedullary spinal cord astrocytomas.

    abstract：OBJECTIVE:Intramedullary spinal cord astrocytomas are uncommon but important entities. Aggressive surgical resection is believed to be critical to prevent subsequent neurological deterioration; however, the prognostic significance of numerous patient and molecular variables remains unclear. We sought to investigate the...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2016.03.009

    authors： Xiao R,Abdullah KG,Miller JA,Lubelski D,Steinmetz MP,Shin JH,Krishnaney AA,Mroz TE,Benzel EC

    更新日期：2016-05-01 00:00:00

  • Giant cell ependymoma: a case report.

    abstract：:Ependymomas account for 3-9% of all neuroepithelial tumors. A peculiar variant of ependymoma known as "giant cell ependymoma" ("GCE") is especially rarely reported, it may pose some difficulties for the diagnosing neuropathologist. Here we present a case of a giant cell ependymoma occuring in a 17-year-old patient wit...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.09.018

    authors： Adamek D,Dec M,Sobol G,Urbanowicz B,Jaworski M

    更新日期：2008-02-01 00:00:00

  • Some clinical aspects of late onset parkinsonism.

    abstract：:Thirty-six parkinsonian patients were selected by age of onset of over 70 and a minimum of five years duration of illness. The mean age of onset was 73.5 years and 30 patients were still alive after a mean of 7.2 years. We found that late onset Parkinson's disease has a relatively benign course with more "axial sympto...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(92)90049-9

    authors： Petit H,Vermersch P,Pasquier F

    更新日期：1992-01-01 00:00:00

  • Modification of altered ankle motor control after stroke using focal application of botulinum toxin type A.

    abstract：STUDY DESIGN:Blinded, placebo-controlled, prospective clinical trial. PURPOSE:To examine the effects of botulinum toxin type A (BTX-A) injections into plantar flexor muscles in stroke patients with equinovarus gait. SUBJECTS:15 post-stroke and 10 matched neurologically intact subjects. METHODS:Modified Ashworth Scal...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.clineuro.2012.03.014

    authors： Tang SF,Hong JP,McKay WB,Tang CW,Wu PH,Chu NK

    更新日期：2012-06-01 00:00:00

  • Fluorescence automatic cell sorter and immunohistochemical investigation of CD68-positive cells in meningioma.

    abstract：:Infiltration of brain neoplasms by mononuclear cells including monocytes/macrophages has attracted little attention since they have marked morphological heterogeneity. Twenty-seven meningiomas were studied by anti-CD68 antibody-gated flow cytometry and by immunohistochemical analysis using the anti-CD68 antibodies. Fl...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(99)00052-9

    authors： Asai J,Suzuki R,Fujimoto T,Suzuki T,Nakagawa N,Nagashima G,Miyo T,Hokaku H,Takei A

    更新日期：1999-12-01 00:00:00

  • Adenosine deaminase activity in cerebrospinal fluid and serum for the diagnosis of tuberculous meningitis.

    abstract：OBJECTIVE:To evaluate the usefulness of serum and CSF adenosine deaminase (ADA) activity for the diagnosis of tuberculous meningitis (TBM) from other meningitis. METHODS:We studied CSF and serum ADA activity for 83 cases of TBM, 148 of bacterial meningitis (BM), and 262 of viral or aseptic meningitis. RESULTS:The mea...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2013.05.017

    authors： Cho BH,Kim BC,Yoon GJ,Choi SM,Chang J,Lee SH,Park MS,Shin JH,Kim MK,Cho KH

    更新日期：2013-09-01 00:00:00

  • Positron emission tomographic study of late-onset cryptogenic symptomatic seizures.

    abstract：:Ten patients with epilepsy of unknown origin, starting after the age of 50 years, and without clear evidence of cognitive decline were studied with positron emission tomography, using the steady state technique with 15O. Cerebral blood flow and oxygen metabolism were significantly decreased in all cortical areas. No f...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(95)00046-m

    authors： De Reuck J,Santens P,Decoo D,Crevits L,Van Maele G,Lemahieu I,Strijckmans K,Goethals P

    更新日期：1995-08-01 00:00:00

  • Progressive multifocal leukoencephalopathy developing in advanced pulmonal sarcoidosis.

    abstract：:Coincidence of pulmonal sarcoidosis and progressive multifocal leukoencephalopathy (PML) rarely occurs. So far an entire course has been recorded in only very few cases. We demonstrate the case of a 49-year-old male developing an infratentorial localized PML in the setting of advanced pulmonal sarcoidosis. PML was not...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.05.009

    authors： Völker HU,Kraft K,Arnold E,Steinhoff S,Kolios G,Sommer S

    更新日期：2007-09-01 00:00:00

  • The Multiple Sleep Latency Test: a paradoxical test?

    abstract：:The Multiple Sleep Latency Test (MSLT) has gradually gained acceptance as an objective equivalent of the complaint of sleepiness. The history of this test and questions considering the validity of the MSLT in different situations are discussed. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/0303-8467(92)90040-a

    authors： Lammers GJ,van Dijk JG

    更新日期：1992-01-01 00:00:00

  • Lumbosacral plexus neuropathy: a case report and review of the literature.

    abstract：:Lumbosacral plexus neuropathy (LSPN) is an idiopathic clinical syndrome characterized by the sudden onset of neuropathic pain, followed by weakness and sometimes sensory disturbances in the distribution of the lumbosacral plexus. Prognosis is usually favourable, although complete recovery may take several months to ye...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/s0303-8467(97)00603-3

    authors： van Alfen N,van Engelen BG

    更新日期：1997-05-01 00:00:00

  • Intracranial dissection: incidence and long term endovascular treatment results of a not so rare disease.

    abstract：OBJECTIVE:The objective of this communication was to study the incidence and course of ICD and the long term outcome of this severe disease. The second goal was to analyze the different endovascular treatment modalities according to their long term results. METHODS:It is a retrospective analysis of 14 patients with IC...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2012.03.017

    authors： Bourcier R,Papagiannaki C,Bibi R,Cottier JP,Herbreteau D

    更新日期：2012-11-01 00:00:00

  • Probably anti-Tr associated paraneoplastic cerebellar degeneration as initial presentation of a squamous cell carcinoma of the lung.

    abstract：:Paraneoplastic cerebellar degeneration (PCD) is the most frequent paraneoplastic syndrome affecting the brain. Until now, anti-Tr associated PCD was only seen in patients with Hodgkin's disease. We report a male patient who presented with a progressive ataxia, affecting predominantly the lower limbs and a cerebellar d...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2005.01.008

    authors： Bruylant K,Crols R,Humbel RL,Appel B,De Deyn PP

    更新日期：2006-06-01 00:00:00

  • Comparison of the fenestrated pedicle screw and conventional pedicle screw in minimally percutaneous fixation for the treatment of spondylolisthesis with osteoporotic spine.

    abstract：OBJECTIVES:To assess the feasibility of cement-augmented fenestrated pedicle screw for patients with spondylolisthesis with osteoporotic spine. PATIENTS AND METHODS:From January 2014 to March 2018, a retrospective study of 88 patients with spondylolisthesis and osteoporosis treated with minimally invasive transforamin...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105377

    authors： Wang W,Liu C,Li J,Li H,Wu J,Liu H,Li C,Zhou Y

    更新日期：2019-08-01 00:00:00

  • Cerebral embolism during elective carotid endarterectomy treated with tissue plasminogen activator: utility of intraoperative EEG monitoring.

    abstract：:Electroencephalography (EEG) is routinely used during elective carotid endarterectomy (CEA) for monitoring cerebral perfusion. The period most frequently associated with cerebral hypoperfusion is the one during the clamping of the carotid artery. We present a case whereby acute hypoperfusion, as detected by ipsilatera...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2010.01.009

    authors： Michaelides C,Nguyen TN,Chiappa KH,Kwolek CJ,Simon MV

    更新日期：2010-06-01 00:00:00