Publications by authors named "Hanna E Schenck"

Background: A dural arteriovenous fistula (dAVF) involving the vertebral artery (VA) is a rare vascular pathology that can result from damage to the VA, most frequently following cervical spine trauma. In most traumatic cases, the dAVF develops and manifests shortly after trauma.

Observations: A patient was admitted after a fall from the stairs causing neck pain.

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Neurotrauma surveillance data on burden and severity of disease serves as a tool to define legislations, guide high-yield risk-specific prevention, and evaluate and monitor management strategies for adequate resource allocation. In this scoping review, Barthélemy and colleagues demonstrate the gap in neurotrauma surveillance in low- and middle-income countries (LMICs) and suggest strategies for governance in neurotrauma surveillance. We underline state accountability as well as the need for the close integration of academic and tertiary care clinical practitioners and policy-makers in addressing the public health crisis caused by neurotrauma.

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Article Synopsis
  • Quality health care in low and middle-income countries is limited by financing, particularly affecting patients with severe traumatic brain injury (sTBI).
  • A study in Dar-es-Salaam, Tanzania, analyzed the impact of patients' ability to pay on their critical care management, separating patients into those who could afford care and those who couldn't.
  • Results indicated that while those who could pay had access to CT scans significantly more often, mechanical ventilation rates were similar across both groups, highlighting the financial disparities in access to optimal care.
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Introduction: There are two treatment modalities for aneurysmal subarachnoid hemorrhage: endovascular treatment (EVT) and neurosurgical clipping. Results of economic evaluations are needed to gain insight into the relationship between clinical effectiveness and costs of these treatment modalities. This important information can inform both clinical decision-making processes and policymakers in facilitating Value-Based Healthcare.

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