Publications by authors named "Welege Wimalachandra"

Article Synopsis
  • Myelomeningocele (MMC) is a significant congenital defect affecting the central nervous system, often leading to spasticity in children, impacting about 20% of them.
  • The article reviews causes and clinical manifestations of spasticity in MMC patients, highlighting issues like limb spasticity and neurogenic bladder that affect their mobility and quality of life.
  • Effective management of spasticity can involve both medical and surgical treatments, emphasizing the importance of a multidisciplinary approach and early rehabilitation strategies for better outcomes.
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Bladder dysfunction represents a frequent and important clinical problem in stroke patients. The aim of this narrative review was to explore the currently available information regarding the diagnosis and management of bladder dysfunction following stroke. The most common symptoms of bladder dysfunction following stroke are urinary incontinence, urgency, increased frequency, and difficulty voiding.

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Objective: Epilepsy is one of the most common neurological disorders in children. Among very young children, one-third are resistant to medical treatment, and lack of effective treatment may result in adverse outcomes. Although functional hemispherotomy is an established treatment for epilepsy, its outcome in the very young child has not been widely reported.

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Objective: The safety of stereo-electroencephalography (SEEG) has been investigated; however, most studies have not differentiated pediatric and adult populations, which have different anatomy and physiology. The purpose of this study was to assess SEEG safety in the pediatric setting, focusing on surgical complications and the identification of patient and surgical risk factors, if any. The authors also aimed to determine whether robot assistance in SEEG was associated with a change in practice, surgical parameters, and clinical outcomes.

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Purpose: Chyloperitoneum is an extremely rare finding following myelomeningocele (MMC) repair in neonates. We aimed to describe the characteristics of such a case and explore its clinical significance.

Case Report: A male baby born at term with open MMC and hydrocephalus underwent MMC repair surgery with rotational flaps on the first postnatal day.

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Purpose: To compare the efficacy of AspireSR to preceding VNS battery models for battery replacements, and to determine the efficacy of the AspireSR for new implants.

Methods: Data were collected retrospectively from patients with epilepsy who had VNS AspireSR implanted over a three-year period between June 2014 and June 2017 by a single surgeon. Cases were divided into two cohorts, those in whom the VNS was a new insertion, and those in whom the VNS battery was changed from a previous model to AspireSR.

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Mediastinal impalement injuries are uncommon and often fatal. There have been very few reported cases of survival following mediastinal impalement. Patients who present with these injuries always undergo operative intervention regardless of their underlying haemodynamic status or associated injuries.

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