Abstract：
BACKGROUND:An awake throughout (AT) approach for awake craniotomy is mostly under utilized. The purpose of this study was to review the efficacy of the technique at our tertiary care center. The primary objective was to identify the incidence of perioperative complications. The secondary objective was to review the patients' satisfaction, satisfaction of surgical team, length of stay (LOS) in special care unit (SCU), and overall LOS in the hospital. METHODS:The study was a retrospective review of patients data. All patients were treated with the AT technique. This included preoperative assessment, psychologic preparation, and institution of scalp block. The incidence of perioperative complications, including satisfaction of surgical team was noted. The patients' satisfaction and the LOS in SCU and in the hospital was also recorded. RESULTS:In total, the data from 55 patients were reviewed. Their mean age was 41 years, and 63% were reported to have seizures at presentation. The AT approach was successful in 100% of cases. The incidence of intraoperative seizures was 7.4%, of vomiting was 5.4%, and of conversion to general anesthesia was 0%. The surgical team was able to perform gross total resection in 53% of patients and rated a satisfaction score of 8 out of 10. Postoperative seizures occurred in 5.4% of patients and vomiting in 3.6%. The mean LOS in SCU was 1.2 days, and the overall hospital LOS was 4 days. The patients remained fully satisfied, as evidenced by a mean satisfaction score of 8.6. CONCLUSION:An AT approach might be very useful in resource-limited setups because of the low incidence of complications, the use of resources, and significant surgeon and patient satisfaction.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Shafiq F,Parkash J,Enam A,Khan MF,Baig Tdoi
10.1016/j.wneu.2019.03.127subject
Has Abstractpub_date
2019-06-01 00:00:00pages
e1489-e1493eissn
1878-8750issn
1878-8769pii
S1878-8750(19)30805-8journal_volume
126pub_type
杂志文章abstract：OBJECTIVE:Large or giant thrombosed intracranial aneurysms (LGTIAs) are highly associated with poor prognosis and remain a challenging disease to treat by either surgery or endovascular treatment (EVT). EVT is considered more difficult for complicated aneurysm like LGTIAs. To understand long-term clinical and angiograp...
journal_title：World neurosurgery
pub_type： 杂志文章
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abstract：BACKGROUND:The balloon occlusion test (BOT) is a well-accepted technique for the treatment of large or complex aneurysms. However, this procedure may not be feasible for small arteries such as the posterior inferior cerebellar artery (PICA). We report our experience with endovascular treatment of a fusiform PICA aneury...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2010.05.002
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:Patients with brain tumors, particularly gliomas, commonly present with seizures. Higher incidence of seizure has been reported in low-grade gliomas and tumors located within the temporal and insular area. The association between IDH1 and IDH2 mutations with preoperative seizures in glioma and the magnitude ...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
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更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:Previous studies have implicated traumatic brain injury (TBI) as a risk factor for Parkinson disease (PD). However, the incidence risk of new-onset TBI among patients with PD is not well established. This study investigated the contribution of PD to new-onset TBI associations. METHODS:The study selected 607...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.02.027
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abstract：BACKGROUND:The magnetic resonance imaging (MRI) sequence used to assess optic canal invasion by tuberculum sella meningiomas (TSMs) is not standardized; both constructive interference steady state (CISS) and postcontrast T1 volume-interpolated breath-hold examination (VIBE) sequences are frequently used. The aim of thi...
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abstract：BACKGROUND:The clinical decision whether and when to resume antithrombotics in patients with chronic subdural hematomas (CSDH) postoperatively is limited by a lack of quality evidence exploring this topic. Our study aims to assess the available evidence of patient complication outcomes, specifically hemorrhagic and thr...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.wneu.2017.10.091
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:In vascular reconstructive surgery, intraoperative confirmation of patency is performed by angiography, Doppler, or indocyanine videoangiography, but it is sometimes insufficient. OBJECTIVE:Using the FLOW 800 system (Carl Zeiss, Oberkochen, Germany), we confirmed patency in a quantitative relative evaluatio...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.11.072
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:Reducing complications from unruptured aneurysms (UAs) treatment is important. We clarify the criteria for achieving safe and complete treatment for UAs ≤10 mm by clipping or coil embolization. METHODS:This study included 59 newly treated UAs in the past 2 years. We prospectively decided on criteria to recom...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.04.005
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:A possible risk factor for premature facet joint degeneration or adjacent segment degeneration after surgical treatment of spine fractures is facet joint violation (FV) during insertion of pedicle screws. The aim of this study was to determine risk factors for FV in the thoracic and lumbar spine after minimal...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.01.138
更新日期：2018-04-01 00:00:00
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2013-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.09.214
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVES:To assess the outcomes in aggressively treated patients with aneurysmal intracerebral hematoma (ICH) and signs of brain herniation, and to investigate possible predictive factors. METHODS:This retrospective study included 43 patients with aneurysmal ICH who presented to the Emergency Department with brain h...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.03.011
更新日期：2018-06-01 00:00:00
abstract：:Julius Caesar (100-44 BC) was one of the most charismatic political figures in history. Best remembered for his military achievements, he was also a writer, historian, and statesman. Through his constitutional reforms, he played an important role in the events that led to the end of the Roman Republic and the birth of...
journal_title：World neurosurgery
pub_type： 传,历史文章,杂志文章
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更新日期：2015-12-01 00:00:00
abstract：OBJECTIVES:Gross total resection for glioblastoma (GBM) has been associated with better prognosis. However, it is not always feasible, and the threshold for the extent of resection required for better prognosis has been controversial. Therefore, we compared the survival and clinical outcomes of patients with GBM who ha...
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pub_type： 杂志文章
doi：10.1016/j.wneu.2018.09.237
更新日期：2019-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2017.07.045
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Artery stenting is an effective therapy for carotid artery stenosis to prevent ischemic stroke. We aimed to identify and analyze the 100 top-cited reports on carotid artery stenting (CAS) to review the achievements and developments in this field. METHODS:The Web of Knowledge database was searched from its i...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Recurrent trigeminal neuralgia after successful microvascular decompression is not rare. CASE DESCRIPTION:A 72-year-old woman who presented with typical right trigeminal neuralgia had been successfully treated by microvascular decompression with transposition of the superior cerebellar artery. However, she ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.08.200
更新日期：2019-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2017-07-01 00:00:00
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pub_type： 杂志文章,meta分析
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更新日期：2018-08-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2017-07-01 00:00:00
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更新日期：2018-03-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2019-12-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-03-01 00:00:00
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doi：10.1016/j.wneu.2018.07.080
更新日期：2018-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2016-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.07.095
更新日期：2017-11-01 00:00:00
abstract：:The authors discuss the implications of the COVID-19 pandemic on the use of telehealth in the United States. ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2020-08-01 00:00:00
