A tailored approach to the management of post-haemorrhagic hydrocephalus.

Purpose: Neuro-endoscopic lavage (NEL) is an increasingly popular intervention for intraventricular haemorrhage (IVH) and post-haemorrhagic hydrocephalus (PHH), with considerable variation in technique dependent on clinician and clinical circumstances. Whilst efforts to standardise the technique are ongoing, this work describes a tertiary centre experience utilising NEL, highlighting potential caveats to standardisation.

Methods: A retrospective review of electronic case notes for patients undergoing temporising surgical intervention for IVH between 2012 and 2021 at our centre was performed.

Intracranial Empyemas in the COVID-19 Era: A New Phenomenon? A Paediatric Case Series and Review of the Literature.

Introduction: We present the largest series of paediatric intracranial empyemas occurring after COVID-19 infection to date, and discuss the potential implications of the pandemic on this neurosurgical pathology.

Methods: Patients admitted to our centre between January 2016 and December 2021 with a confirmed radiological diagnosis of intracranial empyema were retrospectively reviewed, excluding non-otorhinological source cases. Patients were grouped according to onset before or after onset of the COVID-19 pandemic and COVID-19 status.

Multi-modality treatment approach for paediatric AVMs with quality-of-life outcome measures.

Purpose: Despite the potentially devastating and permanently disabling effects of paediatric arteriovenous malformations (pAVMs), there is a paucity of studies reporting long-term quality-of-life (QoL) outcomes in AVM patients. We aim to evaluate the management strategies for paediatric intracranial pAVMs in the UK and long-term QoL outcomes using a validated paediatric quality-of-life outcome measure.

Methods: In this single-centre case-series, we retrospectively reviewed a prospectively maintained database of all paediatric patients (i.

Neurotrauma admissions and COVID-19: a National Centre experience.

Background: To investigate the impact of COVID-19 on trauma admissions to a National Neurosurgical Centre in Ireland.

Methods: Retrospective analysis of a prospectively maintained database of all trauma admissions to the National Neurosurgical Centre at Beaumont Hospital, Dublin, during the period March 1 to May 31, 2019 and 2020. Primary outcome was 30-day mortality rate.

The impact of COVID-19 on trauma referrals to a National Neurosurgical Centre.

Background: To investigate the impact of COVID-19 on trauma referrals to a National Neurosurgical Centre during the first wave of COVID-19 in Ireland.

Methods: Retrospective analysis of a prospectively maintained database of all trauma referrals to the National Neurosurgical Centre at Beaumont Hospital, Dublin, during the period March 1-May 31, 2019 and 2020. Patient characteristics including age, sex, alcohol use, anticoagulant/antiplatelet use and initial Glasgow Coma Scale (GCS) were recorded.

Intra-abdominal drainage for laparoscopic cholecystectomy: A systematic review and meta-analysis.

Aim: To assess the effectiveness of intra-abdominal drainage (IAD) post laparoscopic cholecystectomy (LC).

Methods: Main electronic databases [MEDLINE via Pubmed, EMBASE, Scopus, Web of Knowledge, Cochrane Central Register of Controlled Trials (CENTRAL) and the Cochrane Library, and clinical trial registry (ClinicalTrial.gov)] were searched for randomised controlled trial (RCT) reporting outcomes of IAD.

Adams Andrew McConnell (1884-1972): Pioneer of Irish neurosurgery.

Adams Andrew McConnell (1884-1972) is widely credited as the first neurosurgeon in Ireland. He was largely self-taught but also learned his craft by observing the work of other early neurosurgeons like Harvey Williams Cushing and Walter Dandy in the United States or Sir Geoffrey Jefferson and Sir Hugh Cairns in the Great Britain. He introduced the technique of ventriculography to Europe, having learned it from Dandy.

Foramen magnum decompression for Chiari I malformation: a procedure not to be underestimated.

Objective: Chiari I malformation may be treated with foramen magnum decompression (FMD). We aim to describe the symptoms with which patients initially present, and to determine the number and type of complications occurring after FMD for Chiari I malformation.

Methods: Retrospective review of medical records for patients who had FMD performed for Chiari I malformation between January 2009 and December 2011.

Repair of a large thoracolumbar myelomeningocele with associated lumbar kyphosis.

This report describes a novel method of repair for a large thoracolumbar myelomeningocele with an associated lumbar kyphosis in the neonate. A Caucasian male child was born at term with an antenatal diagnosis of hydrocephalus and spina bifida. Lumbar spine X-ray showed a significant kyphosis at L2-L3 level.