Abstract:
OBJECTIVES:To assess changes in neurological function after cranioplasty. METHODS:Functional and neurocognitive assessments including activities of daily living assessment, functional independence measure (FIM) and the Cognitive assessment report (COGNISTAT) were conducted on all patients within 72 h before and 7 days after cranioplasty. A change in the total FIM score of 2 points was taken to be clinically significant. RESULTS:Assessments were performed on 25 patients. The functional status was unchanged in eighteen patients (72%), four patients (16%) demonstrated a significant improvement and three patients (12%) deteriorated significantly. Those with deterioration after cranioplasty had some forms of complications including pneumocephalus or seizure. After excluding the three patients who had immediate medical or surgical complications after surgery, there was a mild overall improvement in the mean FIM score (2.1, 95% confidence interval 0.1-4.3, p = 0.049), mainly due to an improvement in their motor function. CONCLUSIONS:A small but significant number of patients appear to improve clinically following cranioplasty. The so-called syndrome of the trephined may be more common than had been previously appreciated.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Honeybul S,Janzen C,Kruger K,Ho KMdoi
10.3109/02688697.2013.817532subject
Has Abstractpub_date
2013-10-01 00:00:00pages
636-41issue
5eissn
0268-8697issn
1360-046Xjournal_volume
27pub_type
杂志文章abstract::Deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN) has recently been shown to effectively ameliorate medically intractable axial symptoms of Parkinson's disease (PD). The effects of DBS are not limited to the targeted structure, but will affect the distributed anatomical networks to which the target st...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688690802448251
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Percutaneous balloon compression (PBC) has been widely used in the treatment of trigeminal neuralgia. However, this technique has a steep learning curve and significant complications were reported that were related to foramen ovale puncturing. The aim of this study was to evaluate the clinical results of a s...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688697.2015.1019418
更新日期:2015-01-01 00:00:00
abstract::The anterior visual pathway (AVP) can be at risk during gamma knife surgery (GKS). There is no standardised published methodology for protecting the AVP. This paper suggests such an approach in relation to the treatment of meningiomas. There were 67 patients with a mean age of 48.8 years and a minimum follow-up of 25 ...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688690903536611
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journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688697.2018.1476674
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:The determination of language lateralisation is important for patients with medically intractable epilepsy or a brain tumour near the language areas to avoid the risk of post-surgical language deficits. The aim of this study was to evaluate the clinical usefulness of near-infrared spectroscopy (NIRS) to ident...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688697.2010.505986
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:The optic nerve is an unusual site of schwannoma as it lacks Schwannoma cells on it. We report a primary optic sheath schwannoma and to review the literature. CASE REPORT:A 29-year old female presented with progressive painless non-pulsatile proptosis. Ocular examination revealed only axial proptosis. Imagi...
journal_title:British journal of neurosurgery
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doi:10.1080/02688697.2020.1869181
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
pub_type: 杂志文章
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journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688699109002887
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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doi:10.1080/02688690601127460
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doi:10.3109/02688697.2014.1003032
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journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688690701630108
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journal_title:British journal of neurosurgery
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pub_type: 杂志文章,meta分析
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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pub_type: 传,历史文章,杂志文章
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journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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