Publications by authors named "P P Tsitsopoulos"
Article Synopsis
- Ultra-severe Traumatic Brain Injury (us-TBI) patients, defined by a Glasgow Coma Scale (GCS) of 3-5 post-resuscitation, present uncertainty about the benefits of neurosurgical intervention.
- A review of studies from 1979 to May 2024 shows that mortality rates range from 27-100%, with only 4-30% experiencing favorable outcomes, indicating that while early aggressive neurosurgery can reduce mortality, many survivors face poor functional status.
- The findings suggest that supportive care alone yields dismal results for us-TBI patients; however, when combined with carefully considered surgical intervention, particularly for younger patients with GCS greater than 3 and specific injuries, there may
Background: The vertebral artery groove (VAG), located on the posterior arch of the first cervical (atlas) vertebra plays a pivotal role in guiding the vertebral artery's (VA) third part (V3). Deviations in VAG morphology and morphometry (dimensions) can influence vascular dynamics and pose clinical implications.
Aim: The current study delves into the morphometric variants and explores the less-explored morphometric variable of the VAG thickness, highlighting possible laterality (asymmetry).
Objective: The structure and specifics of neurosurgery residency training vary substantially across programs and countries, potentially leading to differences in clinical reasoning, surgical skills, and professionalism. The Greek neurosurgical training system is unique in numerous respects. This manuscript delineates the current state of neurosurgical residency training in Greece and outlines future directions.
View Article and Find Full Text PDFEarly management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS).
World J Emerg Surg
January 2024
Background: The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies.
Methods: A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established.
Traumatic brain injury (TBI) is a leading cause of disability worldwide. Traumatic axonal injury (TAI) is a subtype of TBI resulting from high-impact forces that cause shearing and/or stretching of the axonal fibers in white matter tracts. It is present in almost half of cases of severe TBI and frequently associated with poor functional outcomes.
View Article and Find Full Text PDF