Abstract：
BACKGROUND:Postoperative diabetes insipidus (DI) is a significant cause of morbidity in craniopharyngiomas (CP) and its effective management improves outcome. OBJECTIVE:The objective was to determine the efficacy of a treatment protocol in the management of early postoperative DI in CP. MATERIALS AND METHODS:The quality of postoperative DI control in a prospective cohort of 26 patients treated utilizing a strict protocol (Group 1) was compared with a retrospective cohort of 34 patients (Group 2) managed without a protocol. A 6-h urine output more than 4 ml/kg/h or serum sodium (Na+) more than 145 mEq/L was diagnosed as DI. The quality of DI control was assessed by determining the incidence of serum Na+ values above 150 mEq/L or below 130 mEq/L and the incidence of wide (>10 mEq/L) intra-day fluctuations of serum Na+ levels. RESULTS:The occurrence of high and low serum Na+ levels was significantly lower in Group 1(P = 0.032). The incidence of serum Na+ exceeding 150 mEq/L on postoperative days 2 and 3 was significantly higher in Group 2 as compared with those in Group 1 (25% vs. 7.6%, P = 0.0008). Hyponatremia was more frequent in Group 2 and tended to occur on postoperative days 6, 7, and 8 (14.2% vs. 3.2%; P = 0.004). The same patients who had hypernatremia in the early part of the week later developed hyponatremia. Although the incidence of wide intra-day fluctuations (>10 mEq/L) was higher in Group 2, it did not reach statistical significance. CONCLUSION:A strict protocol based management results in better control of postoperative DI in CP.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Pratheesh R,Swallow DM,Joseph M,Natesan D,Rajaratnam S,Jacob KS,Chacko AGdoi
10.4103/0028-3886.166533subject
Has Abstractpub_date
2015-09-01 00:00:00pages
712-7issue
5eissn
0028-3886issn
1998-4022pii
ni_2015_63_5_712_166533journal_volume
63pub_type
杂志文章相关文献
NEUROLOGY INDIA文献大全abstract：OBJECT:To evaluate the outcome of patients undergoing a decompressive craniectomy (DC) in traumatic brain injury (TBI) and the factors predicting outcome. MATERIALS AND METHODS:A total of 1,236 patients with TBI operated with a DC from January 2008 to December 2013 at a tertiary care hospital were included in the stud...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.156277
更新日期：2015-03-01 00:00:00
abstract：:Positron emission tomography (PET) is the study of human physiology by electronic detection of positron-emitting radiopharmaceuticals. It is one of the noninvasive technologies that can measure the metabolic and functional activity of living tissue. Positron emission tomography finds its clinical applications in broad...
journal_title：Neurology India
pub_type： 杂志文章,评审
doi：10.4103/0028-3886.16395
更新日期：2005-06-01 00:00:00
abstract：Objective:The natural history of glucose intolerance (GI) in patients with acromegaly undergoing surgical treatment has not been fully understood. This study was aimed to unravel the prevalence and predictors of recovery from GI in these patients in a prospective multivariate model. Materials and Methods:Patients with...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.263242
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Tuberculosis is endemic in developing countries. However, calvarial tuberculosis is rare, even in areas where tuberculosis is endemic. In the literature, only few case series of calvarial tuberculosis have been reported. AIM:To report a case series of 11 patients with calvarial tuberculosis, and discuss the...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.57814
更新日期：2009-09-01 00:00:00
abstract：:In the October of 1996, Lance Armstrong, celebrated cyclist and one of the greatest athletes the world has ever seen, at the age of 24, was diagnosed with metastatic testicular cancer with disease having already spread to his abdomen, lungs and brain. Lance underwent four cycles of chemotherapy, actually the pretty st...
journal_title：Neurology India
pub_type： 杂志文章,评审
doi：10.4103/0028-3886.48794
更新日期：2009-01-01 00:00:00
abstract：:A histopathologically proven case of cerebral toxoplasmosis in a young HIV positive patient has been presented. The clinical problems in management are highlighted. ...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:Dermatomal somatosensory evoked potentials (DSSEP) from C5-T1 dermatomes were recorded in 20 normal healthy adult volunteers as controls and 61 patients with neck pain. The patients were divided into three groups. Group I : symptomatic patients withclinical signs of C5-T1 radiculopathy and radiological evidence of cer...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:A 37 year old male presented with left hemiplegia, left below knee amputation, right partial foot amputation and claudication pain. The limitations in the rehabilitation management in such a high-risk patient are multiplied. The appreciable benefits from supervised rehabilitation and judicious goal setting can help in...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：:Approximately 50 million people live with epilepsy worldwide. The aim of this review is to present an overview of the current evidence and management recommendations for evaluation and treatment of patients with epilepsy. Systematic literature reviews were undertaken. A review of contemporary published evidence-based ...
journal_title：Neurology India
pub_type： 杂志文章,评审
doi：10.4103/neuroindia.NI_1027_16
更新日期：2017-01-01 00:00:00
abstract：:The issue of stroke in young in India has long been of interest to neurologists in the country. The age group for stroke in young has been variable between different studies but perhaps should be restricted to 15-49 years as this age group tends to have a unique set of causes and risk factors. There is no evidence ind...
journal_title：Neurology India
pub_type： 杂志文章,评审
doi：10.4103/0028-3886.65531
更新日期：2010-05-01 00:00:00
abstract：:The Kluver-Bucy syndrome (KBS) is a neurobehavioral syndrome and can be seen in association with a variety of neurological disorders. Case records of 6 patients with KBS seen during a period of 5 years in a university hospital were reviewed. During the study period 6 patients with KBS, aged between 4 and 14 years, wer...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：:Ehlers-Danlos Syndrome (EDS) is a group of heritable connective tissue disorders characterised by hyperelasticity of the skin and hypermobile joints. In addition to those features it is often associated with many systemic complications. Though many neurological complications have been described, an association of spin...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：:Aneurysmal bone cyst in temporal region is rare. It is a benign condition and may extend intracranially. Total surgical removal is recommended, whenever possible in one stage or in multiple stages. Prognosis is excellent and total removal will effect a cure. An unusual case of aneurysmal bone cyst of temporal region i...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：:The most common genetic neuromuscular disease of childhood, Duchenne and Becker muscular dystrophy (DMD/BMD) is caused by deletion, duplication or point mutation of the dystrophin gene located at Xp 21.2. In the present study DNA from seventy unrelated patients clinically diagnosed as having DMD/BMD referred from diff...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.27164
更新日期：2006-09-01 00:00:00
abstract：BACKGROUND:Endoscopic third Ventriculostomy (ETV) is one of the surgical options for obstructive hydrocephalus. There are varying opinions about results of ETV in infants. We are therefore presenting the results of ETV in 54 infants. MATERIALS AND METHODS:A prospective study of 54 infants undergoing ETV in our institu...
journal_title：Neurology India
pub_type： 临床试验,杂志文章
doi：
更新日期：2006-06-01 00:00:00
abstract：Background:Anatomy of the temporal region is complex with controversy over the relationship of fascial planes with the upper division of the facial nerve. Objective:This study aimed to identify the safe surgical landmarks to preserve the frontotemporal branch of the facial nerve during surgery and define the safest ap...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.304113
更新日期：2020-11-01 00:00:00
abstract：:The exact diagnosis of demyelinating diseases is an enigma even in the best neurological centres. In the present study, the potential role of differential CSF proteins has been critically evaluated in differentiating multiple sclerosis (MS) and acute disseminated encephalomyelitis (ADEM). Cellulose acetate electrophor...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2002-03-01 00:00:00
abstract：:Forty adult patients (age> 14 years) of generalised convulsive status epilepticus were studied prospectively. All the patients were subjected to detailed history, neurological examination and baseline investigations including haemogram and metabolicprofile. CT scan was carried out in 26 patients. All the patients were...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:Enterogenous cyst is extremely rare in the supratentorial compartment. Two adult patients with histologically variefied supratentorial entrogenous cyst are described. Light microscopy and immunohistochemistry examination revealed the endodermal origin of the cyst. Enterogenous cyst should be considered in the differen...
journal_title：Neurology India
pub_type： 杂志文章,评审
doi：10.4103/0028-3886.72200
更新日期：2010-09-01 00:00:00
abstract：:Until now, only one gestational tumefactive demyelinating lesion (TDL) has been described. Here we report two TDL cases occurring during and after the pregnancy. A 26-year-old 6-week pregnant woman developed a 3-cm left frontotemporoparietal subcortical TDL with inhomogeneous partial enhancement. Brain biopsy revealed...
journal_title：Neurology India
pub_type：
doi：10.4103/0028-3886.273654
更新日期：2019-11-01 00:00:00
abstract：:There had been considerable debate regarding the surgical outcome of neuro-orthopaedic syndromes (NOS) and neurological syndromes in cases of split cord malformation (SCM). On retrospective analysis of 19 cases of SCM, thirteen were grouped under (Pang) type I and 6 in type II. Their age ranged from 1 month to 9 years...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2001-06-01 00:00:00
abstract：BACKGROUND:Malignant middle cerebral artery (MCA) infarction is associated with high mortality and morbidity. Decompressive hemicraniectomy (DH) reduces mortality significantly but evidence for long-term functional benefit is sparse and contradictory. MATERIALS AND METHODS:A total of 60 patients with malignant MCA inf...
journal_title：Neurology India
pub_type： 临床试验,杂志文章
doi：10.4103/0028-3886.128273
更新日期：2014-01-01 00:00:00
abstract：:A 72-year-old male was admitted with subarachnoid hemorrhage associated with a ruptured cerebral aneurysm. The aneurysm was treated with clipping soon after radiological examination. Eight weeks after the treatment, the patient suffered from secondary hydrocephalus resulting from blockage of the subarachnoid space due...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.39315
更新日期：2008-01-01 00:00:00
abstract：Background:Fluid management during intracranial surgery is an important concern. The type of fluid used can have biochemical and metabolic effects during intraoperative management. However, it is yet to be known whether biochemical and metabolic effects have an influence on the clinical outcome of a patient. Objective...
journal_title：Neurology India
pub_type： 杂志文章,随机对照试验
doi：10.4103/0028-3886.258047
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:A cerebral aneurysm with incomplete treatment may re-grow and cause new bleeding. This meta-analysis calculates the sensitivity and specificity of computed tomographic angiography (CTA) in the detection of the residual or recurrent cerebral aneurysms after clipping, in comparison with digital subtraction ang...
journal_title：Neurology India
pub_type： 杂志文章,meta分析
doi：10.4103/0028-3886.107942
更新日期：2013-01-01 00:00:00
abstract：:Head injuries account for significant proportion of neurosurgical admissions and bed occupancy. Patients with head injuries also consume significant proportions of neurosurgical resources. A prospective 6-month study has been carried out to evaluate the expenditure incurred on head injury patients in a modern neurosur...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.24714
更新日期：2006-03-01 00:00:00
abstract：:Two cases of haemorrhage during cranial computed tomography (CT) occurring during the enhancement phase of CT examination immediately after the administration of intravenous contrast medium are reported. In both cases, the preceding unenhanced scansshowed evidence of haemorrhage. The risk of aneurysmal rupture as a re...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：Introduction:Genetic factors may play a role in the susceptibility of intracerebral hemorrhage (ICH). The present case-control study hypothesized that genetic polymorphisms in tumor necrosis factor- α (TNF-α) gene may affect the risk of ICH. Materials and Methods:In this study, we investigated the association of four ...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.279665
更新日期：2020-01-01 00:00:00
abstract：PURPOSE:To summarize our experience in treating patients with spinal angiolipomas. MATERIALS AND METHODS:We conducted a retrospective review of the case records of patients with spinal angiolipoma who underwent surgery between March 1992 and March 2013. RESULTS:Of the 12 patients seen during the study period, 10 pati...
journal_title：Neurology India
pub_type： 杂志文章
doi：10.4103/0028-3886.141232
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION:The endovascular modality of treatment is the preferred treatment modality for DAVF. In some circumstances, successful obliteration may not be possible by endovascular means, and such cases may require a direct surgical treatment. The authors report on their experience with the use of cranial base approach...
journal_title：Neurology India
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
