Meningitis after elective intracranial surgery: a systematic review and meta-analysis of prevalence.

Meningitis is a potential complication of elective intracranial surgery (EIS). The prevalence of meningitis after EIS varies greatly in the literature. The objective of this study was to estimate the overall pooled prevalence of meningitis following EIS.

Surgical resection versus biopsy in the treatment of primary central nervous system lymphoma: a systematic review and meta-analysis.

Purpose: Despite the improvement in treatment and prognosis of primary central nervous system lymphoma (PCNSL) over the last decades, the 5-year survival rate is approximately 30%; thus, new therapeutic approaches are needed to improve patient survival. The study's aim was to evaluate the role of surgical resection of PCNSL.

Methods: Primary outcomes were the overall survival (OS) and progression-free survival (PFS) of patients with PCNSL who underwent surgical resection versus biopsy alone.

Deterioration After Mild Traumatic Brain Injury: A Single-Center Experience With Cost Analysis.

Most traumatic brain injuries (TBIs) are mild (GCS score of 13-15). Patients with mild TBI (mTBI) are generally in good condition. In some cases, a neurological deterioration (manifested by a drop of ≥1 point in GCS score) can occur and neurosurgical intervention (NI) may be needed.

Impact of surgical resection of butterfly glioblastoma on survival: a meta-analysis based on comparative studies.

Butterfly glioblastoma (bGBM) is a rare brain tumor that invades both hemispheres by crossing the corpus callosum. bGBM is associated with a dismal prognosis with a median survival time of a few months. Surgical resection is a rare treatment option due to the unfavorable location and assumed poor risk-to-benefit ratio.

Unruptured Intracranial Aneurysms: Surgery Still Safe as a Treatment Option.

Background: Despite a number of studies on the treatment of unruptured intracranial aneurysms (UIA), the optimal method still remains unclear.

Objectives: The aim of the study was to demonstrate that UIA clipping is a safe procedure and can be a good alternative for patients not qualified for endovascular procedures and who have refused conservative management.

Material And Methods: Results were gathered from a sample of 104 patients with UIA treated in our facility over a 9-year period starting January 2005.

Aneurismal subarachnoid hemorrhage: who remains for surgical treatment in the post-ISAT era?

Introduction: Although there have been a number of studies on changes and trends in the management of aneurismal subarachnoid hemorrhage (aSAH) since publication of the International Subarachnoid Aneurysm Trial (ISAT), no data exist on what category of patients still remains for surgical treatment. Our goal was to investigate the changes that occurred in the characteristics of a population of aSAH patients treated surgically in the post-ISAT period in a single neurosurgical center, with limited availability of endovascular service.

Material And Methods: The study included 402 aSAH patients treated surgically in our unit between January 2004 and December 2011.

Recovery and quality of life in patients with ruptured cerebral aneurysms.

Purpose: Subarachnoid hemorrhage (SAH) secondary to ruptured cerebral aneurysm is a common and frequently devastating condition with a high mortality and morbidity among survivors. The purpose of this study was to conduct a long-term follow-up of SAH patients, assess the changes in functional outcomes, describe quality of life (QOL), and determine its predictors 3.6 years after the hemorrhage.

Surgical management in patients with aneurysmal subarachnoid hemorrhage. The outcomes in the paradigm shift period.

Background: The treatment of cerebral aneurysms has undergone significant evolution since the 1990s when the endovascular methods were introduced. After the results of ISAT were published in 2002, a change in practice occurred which resulted in more ruptured aneurysms treated endovascularly rather than by surgical clipping. This change in practice was referred to as a paradigm shift.

Assessment of cerebral blood flow during infusion test in the diagnosis of normal pressure hydrocephalus.

Background: Many studies indicate that the increase in intracranial pressure (ICP) leads to cerebral blood flow velocity (CBFV) changes. This relationship was accurately determined in patients with traumatic brain injury,

Objectives: The aim of this study was to determine how the changes in intracranial pressure induced during an infusion test influence cerebral blood flow.

Material And Methods: 40 patients with enlarged ventricular systems (Evan's ratio > 30%) who underwent a diagnostic lumbar infusion test (LIT) were included.