Publications by authors named "Bradley Wilhelmy"

Article Synopsis
  • Laser interstitial thermal therapy (LITT) is a treatment option for recurrent high-grade glioma (HGG) that shows promise in improving functional outcomes for patients, although its specific impacts had not been thoroughly analyzed before this study.
  • * A review of 47 patients revealed that 59% had stable or improved functional scores after LITT, with tumor volume being the only significant predictor of decreased functional outcomes post-surgery.
  • * The findings suggest that most patients experience positive results after LITT, and understanding tumor volume may assist in better patient selection and treatment strategies.*
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Background And Aims: After peripheral nerve stretch injury, most degenerating axons are thought to become disconnected at the time of injury, referred to as primary axotomy. The possibility of secondary axotomy-a delayed and potentially reversible form of disconnection-has not been evaluated. Here, we investigated secondary axotomy in a rat model of sciatic nerve stretch injury.

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In human stroke, brain swelling is an important predictor of neurological outcome and mortality, yet treatments to reduce or prevent brain swelling are extremely limited, due in part to an inadequate understanding of mechanisms. In preclinical studies on cerebroprotection in animal models of stroke, historically, the focus has been on reducing infarct size, and in most studies, a reduction in infarct size has been associated with a corresponding reduction in brain swelling. Unfortunately, such findings on brain swelling have little translational value for treating brain swelling in patients with stroke.

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In previous studies, the incidence of traumatic intracranial aneurysms (TICAs) after civilian gunshot wound to the head (cGSWH) was ∼3%. Given the use of delayed vessel imaging, we hypothesize that a significant fraction of TICAs is missed on initial non-contrasted scans. This study was designed to characterize acute TICAs using admission computed tomographic angiography (aCTA) in cGSWH.

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Objective: External ventricular drain (EVD) placement is a common neurosurgical procedure that can be performed at bedside. A frequent complication following EVD placement is catheter-associated hemorrhage (CAH). The hemorrhage itself is rarely clinically significant but may be complicated in patients taking anticoagulant or antiplatelet (AC/AP) medications.

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Background And Objectives: Intracranial meningiomas are a diverse group of tumors, which vary by grade, genetic composition, location, and vasculature. Expanding the understanding of the supply of skull base (SBMs) and non-skull base meningiomas (NSBMs) will serve to further inform resection strategies. We sought to delineate the vascular supply of a series of intracranial meningiomas by tumor location.

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Spinal cord injury (SCI) is a devastating neurological condition with no effective treatment. Hypothermia induced by physical means (cold fluid) is established as an effective therapy in animal models of SCI, but its clinical translation to humans is hampered by several constraints. Hypothermia induced pharmacologically may be noninferior or superior to physically induced hypothermia for rapid, convenient systemic temperature reduction, but it has not been investigated previously in animal models of SCI.

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The unique properties imparted by planar, rigid aromatic rings in synthetic polymers make these macromolecules useful in a range of applications, including disposable packaging, aerospace materials, flexible electronics, separation membranes, and engineering thermoplastics. The thermal and chemical stability of aromatic polymers, however, makes it difficult to alter their bulk and/or surface properties and results in challenges during recycling. In response, we report a platform approach for the C-H functionalization of aromatic polymers by taking advantage of their innate reactivity with electrophilic radical intermediates.

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