Publications by authors named "John A Emelifeonwu"
Article Synopsis
- A study was conducted to assess the state of mentorship in Neurosurgical training across the UK, involving a questionnaire sent to all UK and Ireland neurosurgical trainees, yielding a 42% response rate.
- While the majority of trainees valued mentorship, with an average of 2.91 mentors, 16% reported having none, and many felt uncomfortable discussing personal wellbeing with their mentors.
- The ideal mentor traits identified include being personally chosen, working in the same hospital, and having formal mentorship training, highlighting a need for more supportive mentorship focusing on personal development alongside clinical skills.
Traumatic brain injury (TBI) is the most common cause of death and disability in young adults in industrialised countries. Post-TBI hypopituitarism (PTHP) is thought to occur in one-third of patients, however the natural history and predictive factors are not fully understood and as such guidelines for surveillance vary. The aim of this study was to assess the variations in current surveillance practices across the Neurosurgery Centres within the United Kingdom.
View Article and Find Full Text PDFObjectives: To compare the proportional representation of healthcare workers in receipt of New Year honours (NYHs) with workers in other industries and to determine whether the NYH system has gender or geographical biases.
Design: Observational study of the UK honours system with a comparative analysis of proportional representation of the UK workforce and subgroup analyses of gender and geographical representations.
Participants: Recipients of NYHs from 2009 to 2018.
The frontal longitudinal system as revealed through the fiber microdissection technique: structural evidence underpinning the direct connectivity of the prefrontal-premotor circuitry.
J Neurosurg
November 2020
Article Synopsis
- This study aimed to explore the anatomy, structure, and connections of a specific fiber group in the frontal area known as the frontal longitudinal system (FLS), which may be an extension of the superior longitudinal fasciculus (SLF).
- Researchers analyzed 15 adult brain specimens using a precise dissection method to identify the FLS's location and characteristics.
- The findings revealed that the FLS is predominantly a fiber pathway beneath the middle frontal gyrus, with various configurations and specific terminations in key brain areas, highlighting its role in connecting frontal regions differently than the SLF.
The objective of this study is to systematically review clinical studies that have reported on the prevalence of chronic post-traumatic brain injury anterior pituitary dysfunction (PTPD) 12 months or more following traumatic brain injury (TBI). We searched Medline, Embase, and PubMed up to April 2017 and consulted bibliographies of narrative reviews. We included cohort, case-control, and cross-sectional studies enrolling at least five adults with primary TBI in whom at least one anterior pituitary axis was assessed at least 12 months following TBI.
View Article and Find Full Text PDFAcute cerebellar ataxia is the most common cause of acute ataxia in children and it usually runs a self-limiting and ultimately benign clinical course. A small proportion of children have evidence of inflammatory swelling in the cerebellum. Many of these children suffer more severe and potentially life-threatening forms of cerebellar ataxia and may need more intensive treatments including urgent neurosurgical treatments.
View Article and Find Full Text PDFThere is good evidence that pupil reactivity is useful for prognostication in acute head injuries. Despite this, most pupil assessments are subjective and are performed by physicians who may not be experts. They can therefore be unreliable.
View Article and Find Full Text PDFThe authors report a case of a child with hypothalamic-origin pilocytic astrocytoma and hydrocephalus, which was refractory to treatment with a ventriculoperitoneal shunt due to high CSF protein content. With parental education, the child's hydrocephalus was managed long-term in the community with a long-tunnelled external ventricular drain, which was maintained by his parents. To the authors' knowledge this is the first report of this management option as a long-term measure.
View Article and Find Full Text PDFPurpose: The purpose of the retrospective case series of eight consecutive patients is to call our attention to the optimal timing of decompressive craniectomy (DC) in children.
Method: We report the outcomes of eight children under the age of 12 with severe head injuries. DC was performed at different intracranial pressure (ICP; 20 and 25 mmHg) levels.