Publications by authors named "N Pacheco-Barrios"

Introduction: Low back pain is common during pregnancy, affecting up to 76% of women. However, symptomatic lumbar disc herniation (LDH) is rare, occurring in about 1 in 10,000 pregnancies, with less than 2% progressing to cauda equina syndrome (CES). The overlap in symptoms between LDH and typical pregnancy-related conditions complicates both diagnosis and management.

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Background: Deep brain stimulation (DBS) is a standard treatment for movement disorders, epilepsy, and others, yet its influence on postprocedural sleep quality remains an under-researched topic.

Study Objectives: We performed a systematic review and meta-analysis of all DBS effects on sleep.

Methods: The use of preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA) was utilized.

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Background: Perioperative bleeding is a challenge in rhinoplasty and septoplasty. Tranexamic acid (TXA) may help reduce this, but its effectiveness is unclear. This systematic review and meta-analysis aimed to evaluate TXA's impact on bleeding in these procedures.

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In the management of traumatic brain injury (TBI), intracranial pressure monitoring (ICPm) is crucial for the timely management of severe cases that show rapid neurological deterioration. External ventricular drains (EVDs) and intraparenchymal pressure monitors (IPMs) are the primary methods used in this setting; however, the debate over their comparative efficacy persists, primarily because of reliance on observational study data. This underscores the need for a meta-analysis to guide clinical decision-making.

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Article Synopsis
  • Chronic subdural hemorrhage (cSDH) is a common neurosurgical condition, and this systematic review aimed to identify risk factors for seizures following its treatment.* -
  • The review analyzed 18 studies with nearly 5000 patients, finding a 10% overall seizure incidence after treatment, with lower risks associated with burr hole surgery compared to craniotomy.* -
  • The findings suggest a need for standardized reporting and more comparative research to better understand seizure risks post-cSDH treatment, particularly regarding the effectiveness of prophylactic antiepileptic medications.*
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