Abstract:
BACKGROUND:The Centers for Disease Control and Prevention have called for studies detailing the prevalence and burden of mild traumatic brain injury (mTBI) in the outpatient clinical setting. OBJECTIVE:The aim of this study was to describe the prevalence of outpatient visits for minor head injury and compare the number of outpatient visits for minor head injury with the number of emergency department (ED) visits. METHODS:This was a cross-sectional study of outpatient visits for minor head injuries from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS). We examined outpatient visits for minor head injury between 2005 and 2009 and compared them with visits in the ED for the same diagnoses using simple survey-weighted descriptive statistics. RESULTS:In the 5-year study period, there were 4 146 777 outpatient visits for minor head injury and 6 077 147 ED visits for minor head injury. In the outpatient setting, 14% of office-based visits and 21% of hospital-based visits referred patients for advanced imaging, whereas 63% of minor head injury patients in the ED underwent imaging. A return visit was arranged for 54% of minor head injury patients in office-based practices and 29% of patients in hospital-based clinics, while 67% of minor head injury patients were given instructions to follow-up after an ED visit. CONCLUSION:More than 800 000 outpatient visits for minor head injury occur each year. The diagnostics and management associated with these visits differ from those seen in the ED setting.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Mannix R,O'Brien MJ,Meehan WP 3rddoi
10.1227/01.neu.0000429846.14579.41subject
Has Abstractpub_date
2013-07-01 00:00:00pages
129-34; discussion 134issue
1eissn
0148-396Xissn
1524-4040journal_volume
73pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract::Despite significant improvements, current therapies have yet to cure infiltrative gliomas. Glioma progression is strongly dependent on the development of a new vascular network that occurs primarily by angiogenesis. Hypoxia and genetic anomalies within a glioma trigger the angiogenic switch, thus upregulating angiogen...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000311060.65002.4E
更新日期:2008-01-01 00:00:00
abstract::The parameters of hematoporphyrin-derivative (HpD) photocytotoxicity of human glioma cells in cell culture were studied to determine the optimum wavelength and power density of light, to investigate the influence of tissue oxygenation, and to evaluate the role of singlet oxygen and free radicals in producing cell deat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00002
更新日期:1986-10-01 00:00:00
abstract::Flow diversion is a safe and effective treatment for many types of brain aneurysms. Even so, there remain some aneurysms that persist despite initial treatment. In studies with the longest follow-up (5 yr), at least 5% of aneurysms persist with this treatment modality. As the cumulative experience and clinical indicat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz305
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Carotid endarterectomy (CEA) is an effective means of stroke prevention among appropriately selected patients; however, neuropsychometric testing has revealed subtle cognitive injuries in the early postoperative period. The purpose of this study was to establish whether serum levels of two biochemical markers...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200111000-00010
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:Internal carotid artery (ICA) injury during sellar dural opening is a potentially catastrophic complication of transsphenoidal surgery. We describe two ICA injuries that occurred early in our endonasal transsphenoidal experience. We then describe our subsequent protocol to prevent this complication in which w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255408.84269.A8
更新日期:2007-04-01 00:00:00
abstract::A 1-month-old infant with a Dandy-Walker malformation underwent the placement of a ventriculoperitoneal shunt to treat progressive hydrocephalus. On the initial computed tomographic scan, a subependymal cystic lesion larger than 1 cm in diameter was noted in the head of the right caudate nucleus, which enlarged to 3 c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199504000-00030
更新日期:1995-04-01 00:00:00
abstract::An extremely rare case of a basioccipital meningocele causing obstruction of the upper airway in a neonate is described. A transoral approach was used to remove the meningocele and repair the dural fistula. Bilateral posterior lateral pharyngeal releasing incisions were made to allow mucosal and muscle coverage over t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198909000-00027
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVE:This study aimed to examine early effects of ex vivo-expanded bone marrow-derived endothelial progenitor cells (EPCs) on focal cerebral ischemia-reperfusion injury. METHODS:EPCs were obtained from mononuclear cells of autologous bone marrow of a rat. After culture on fibronectin-coated dishes for 10 to 14 da...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000229058.08706.88
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:We describe an easy and useful method for treating hemifacial spasm related to the vertebral artery. METHODS:The technique entails the manufacture of a dural belt harvested from the cerebellar convexity dura and a dural bridge made at the petrous dura combined with the use of an aneurysm clip. The dural belt...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199912000-00048
更新日期:1999-12-01 00:00:00
abstract::Thirty-four cases of cerebellar abscess, diagnosed by computed tomographic (CT) scanning, were managed according to a standard protocol during a 4-year period. Triple high dosage intravenous antibiotics were used, open catheter drainage of the abscess was instituted, and external ventricular drainage was added if obvi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198710000-00018
更新日期:1987-10-01 00:00:00
abstract::A newly designed cottonoid is fixed to the tip of the suction device by the negative pressure. It is especially useful during microsurgical procedures in areas crowded with neurovascular elements. The advantage of pressure-mounted cottonoids lies in the protection provided to the brain and neurovascular elements durin...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198212000-00010
更新日期:1982-12-01 00:00:00
abstract:BACKGROUND:Tuberculum sellae meningiomas frequently extend into the optic canals. OBJECTIVE:To emphasize the high frequency of optic canal (OC) involvement in tuberculum sellae meningiomas; the importance of opening the OC and of removing tumor within the canal; and the effect of this maneuver on visual outcome, recur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383153.75695.24
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To describe a new endoscope shaft developed for suction-aspiration during endoscopic transsphenoidal pituitary surgery. METHODS:A custom-made shaft for a Wolf endoscope (Richard Wolf GmbH, Knittlingen, Germany) was developed with a height of 10 mm and a width of 5 mm, allowing an additional working channel f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163681.28487.2f
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Animal studies suggest that ischemic preconditioning prolongs coagulation times. OBJECTIVE:Because coagulation changes could hinder the translation of preconditioning into clinical settings where hemorrhage may be an issue, such as ischemic or hemorrhagic stroke, we evaluated the effects of remote ischemic ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000098
更新日期:2013-11-01 00:00:00
abstract::A case of spontaneous intracranial hemorrhage associated with a meningioma is presented. Intracranial hemorrhage has been reported to be associated with meningioma in 45 cases. A comprehensive review of the subject is presented. The importance of the diagnosis of associated hemorrhage and subsequent surgical intervent...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198408000-00014
更新日期:1984-08-01 00:00:00
abstract:OBJECTIVE:Spontaneous intraparenchymal hemorrhage is extremely rare in full-term newborns. Reports to date have been limited to descriptions of individual cases, small groups within larger studies of intracranial hemorrhage, and one series of four patients. Structural lesions are rarely identified, and the majority of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200105000-00015
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:The incidence of reoperation for ventriculoperitoneal shunts (VPS) in adults, although lower than in pediatric patients, is not insignificant. We hypothesize that adult VPS placed for hemorrhage-related hydrocephalus have a lower incidence of reoperation than those placed for other types of hydrocephalus. ME...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000335072.32105.38
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:The blood-brain barrier (BBB) is often perceived as a passive membrane. However, evidence has demonstrated that the BBB plays an active role in normal homeostasis and in certain disease processes. METHODS:Approximately 300 peer-reviewed publications that discussed normal or abnormal BBB function were reviewe...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000097715.11966.8e
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Improved training in the socioeconomic aspects of medicine is a priority of the Accreditation Council for Graduate Medical Education and the American Board of Neurological Surgeons. There is evidence that young neurosurgeons feel ill equipped in these areas and that additional education would improve patient...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001126
更新日期:2016-09-01 00:00:00
abstract::Nine pineal area lesions were operated upon by the infratentorial-supracerebellar approach. There was one operative death and one death due to disseminated germinoma recurrence 2 1/2 years postoperatively. The remaining seven patients have shown no sign of recurrence and are neurologically normal. The surgical method ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197707000-00008
更新日期:1977-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the safety and any potential effect of cyclosporine A (CycA) in preventing cerebral vasospasm. METHODS:Nine patients with Fisher Grade 3 subarachnoid hemorrhages were studied. After a loading dose of 7.5 mg/kg of CycA was administered every 12 hours for two doses, enteral treatment with CycA was ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199702000-00010
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Autosomal dominant polycystic kidney disease (ADPKD) is a risk factor for formation of intracranial aneurysms (IAs), though the ideal screening and treatment strategies in this population are unclear. OBJECTIVE:To report outcomes of observation, open surgical, or endovascular management of ruptured and unru...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy336
更新日期:2019-06-01 00:00:00
abstract::The authors present a patient with a large arteriovenous malformation in the temperoparietooccipital region of the dominant hemisphere that caused seizures, a homonymous hemianopia, and broad neuropsychological disturbances probably caused by a cerebral steal syndrome. There was no history of hemorrhage. Surgical rese...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198712000-00009
更新日期:1987-12-01 00:00:00
abstract::Endovascular treatment for acute ischemic stroke has changed remarkably over the past decade. Beginning with IA thrombolytic administration, endovascular strategies have evolved to include aspiration, self-expanding intracranial stents, and now retrievable stents. With the recent publication of 5 randomized, controlle...
journal_title:Neurosurgery
pub_type: 社论
doi:10.1227/NEU.0000000000000828
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:To describe the surgical approaches, the radiographic and clinical outcomes, and the long-term follow-up of patients harboring thalamic pilocytic astrocytomas after radical resection by means of a stereotactic volumetric technique. METHODS:Seventy-two patients with thalamic pilocytic astrocytomas underwent s...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000279725.13521.a3
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Lumbar spine degenerative pathologies are prevalent in the United States. The health benefit of spine surgery in the elderly has been questioned. OBJECTIVE:To compare effectiveness, morbidity, and quality of care associated with surgical management of degenerative lumbar spinal disorders in elderly vs nonel...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000952
更新日期:2015-10-01 00:00:00
abstract::Comprehensive anatomic and clinical analyses of 39 patients with injuries involving the transverse atlantal ligament or its osseous insertions were performed to assess the morphology of the injured ligaments and the patients' capacity to heal. Injuries of the upper cervical spine were screened with plain radiographs, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199601000-00012
更新日期:1996-01-01 00:00:00
abstract::A rare case of primary spinal intramedullary malignant melanoma at the T6 level in a 31-year-old man is presented. The tumor was partially removed, and neuroaxis irradiation up to 50 Gy was then administered. Subsequently, systemic interferon beta (specific activity, 2.0 X 10(8) IU/mg protein) therapy (total dose, 2.2...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198907000-00023
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:Artificial neural networks (ANNs) excel at analyzing challenging data sets and can be exceptional tools for decision support in clinical environments. The present study pilots the use of ANNs for determining prognosis in neuro-oncology patients. OBJECTIVE:To determine whether ANNs perform better at predicti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31828ea04b
更新日期:2013-06-01 00:00:00
abstract::There is increasing interest in staged corpus callosotomy for intractable generalized epilepsy. At the first procedure, a portion (usually the anterior two-thirds) of the corpus callosum is sectioned. If seizures persist, completion of callosotomy or alternative treatment approaches can be considered. It is obviously ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199001000-00014
更新日期:1990-01-01 00:00:00