Epileptic Syndrome and Cranioplasty: Implication of Reconstructions in the Electroencephalogram.

Background: In the presence of a skull deformity after large decompressive craniectomy (DC), neurologic deterioration manifesting as epileptic syndrome (ES) may occur independently of the primary disease or spontaneous improvement may be unduly impaired, and these unfavorable outcomes have sometimes been reversed by cranioplasty. The objective of this study was to analyze the influence of cranioplasty on the presence of ES in patients who underwent DC.

Methods: A prospective study was performed from October 2016 to October 2017 involving patients who underwent DC and subsequent cranioplasty.

Ruptured aneurysm in the posterior communicating segment of carotid artery presenting with contralateral oculomotor nerve palsy.

Background: Brain aneurysms are mostly discovered during the investigation of subarachnoid hemorrhage (SAH). Some patients present neurological signs that may suggest the aneurysm's topography, and the oculomotor nerve palsy (ONP) of the same side of the aneurysm is the most common sign. Only one case report of contralateral palsy was previously described in the medical literature.

Reliability of Tokuhashi Score to Predict Prognosis: Comparison of 117 Patients.

Background: Spinal metastatic disease compromises the quality of life and prognosis of the patients. Prognosis is an important factor for the decision-making process and needs to be precise in order to adjust the intensity of therapy. The Tokuhashi score is a universal instrument to determine the prognosis.

Epidemiology and Management of Spinal Trauma in Children and Adolescents <18 Years Old.

Objective: This retrospective study reports the epidemiology, clinical aspects, and management of spinal trauma in children and adolescents.

Methods: Multicenter study of 215 cases of spinal trauma in individuals <18 years of age. All patients were submitted to preoperative and postoperative radiologic and clinical evaluation.

Investigation of nephrolithiasis in the West of Paraná.

Introduction: Nephrolithiasis is com>mon and has a high rate of recurrence.

Objectives: To assess the prevalence of the main metabolic and anatomical changes and the chemical analysis of stone found in patients with nephrolithiasis in the West region of Paraná.

Methods: Retrospective study with 681 adult patients with nephrolithiasis.