Publications by authors named "R Armonda"

Objective: Since February 2022, the number of casualties in the Russian-Ukrainian war have dramatically increased, with a high incidence of penetrating traumatic brain injuries (pTBIs). To date, there has been limited evaluation of pTBI of the anterior skull base involving the paranasal sinuses. The objective of this study was to highlight the authors' experience with this injury pattern and identify specific factors associated with favorable short-term (1-month) outcome and survival.

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Article Synopsis
  • Trauma, particularly traumatic brain injury (TBI), is a significant cause of maternal mortality during pregnancy, yet there is a lack of guidelines for managing these cases.
  • An international survey with 122 physicians from 110 centers revealed that many do not have specific protocols for TBI in pregnant patients and highlighted a preference for using MRI and varying practices regarding transfusions and treatment methods.
  • The findings indicate substantial inconsistency in how severe TBI is managed in pregnant individuals, suggesting a need for more research and education to standardize care.
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Article Synopsis
  • Dural carotid-cavernous fistulas (dCCFs) are abnormal connections between arteries and veins in the cavernous sinus, typically treated using endovascular methods; this study reviews clinical characteristics and treatment outcomes based on these methods.
  • A systematic review analyzed 52 studies involving 736 patients and compared four main endovascular techniques: transarterial, transfemoral-transvenous, transorbital, and direct transfacial access, revealing varied occlusion rates and complications.
  • The findings indicate that while transvenous techniques generally have better occlusion rates and fewer complications, there are effective alternatives based on patient-specific factors and treatment availability, highlighting advancements in endovascular options for dCCFs.
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