Publications by authors named "Xu Enxi"

Objective: Our aim was to develop a nomogram that integrates clinical and radiological data obtained from computed tomography (CT) scans, enabling the prediction of chronic hydrocephalus in patients with aneurysmal subarachnoid hemorrhage (aSAH).

Method: A total of 318 patients diagnosed with subarachnoid hemorrhage (SAH) and admitted to the Department of Neurosurgery at the Affiliated People's Hospital of Jiangsu University between January 2020 and December 2022 were enrolled in our study. We collected clinical characteristics from the hospital's medical record system.

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Background: Intracranial hemorrhage is extremely rare during the initial stages of glioma. Here, we report a case of glioma with unclassified pathology and intracranial bleeding.

Case Summary: After the second surgery for intracerebral hemorrhage, the patient experienced weakness in the left arm and leg, but could walk unassisted.

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Objective: To study the endoscope anatomy of the petroclival and ventrolateral brainstem regions via the intradural subtemporal keyhole Kawase approach and discuss the feasibility and indications of this approach to the regions.

Materials And Methods: Craniotomy procedures performed via the intradural subtemporal keyhole Kawase approach were simulated on 16 sides of 8 adult cadaveric heads fixed by formalin, and the related anatomical structures were observed through the 0-degree endoscope or alternatively 30-degree one. Measurements of the shortest distances from the highest point of arcuate eminence to the 4 anatomic marks and the lengths of the Kawase rhombus were recorded, and the 2 kinds of milled ranges of petrous apex were compared.

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Objective: The efficiency of naloxone for the management of secondary brain injury after severe traumatic brain injury (sTBI) remains undefined. The aim of this study is to evaluate the current evidence regarding the clinical efficiency and safety of naloxone as a treatment for sTBI in mainland China.

Methodology/principal Findings: A systematic search of the China Biology Medicine disc (CBM), China Science and Technology Journal Database (VIP), China National Knowledge Internet (CNKI), and Wan Fang Database was performed to identify randomized controlled trials (RCTs) of naloxone treatment for patients with sTBI in mainland China.

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Article Synopsis
  • - Primary spinal melanoma is a rare and complex tumor mainly found in the thoracic spine, often misdiagnosed due to its nonspecific clinical features.
  • - A case report highlights a spinal melanoma that presented with the dural tail sign, confusing it with spinal meningioma; initial MRI results were inconclusive.
  • - After complete surgical resection, the patient showed improved motor function and no tumor recurrence in follow-up scans, underscoring the need for accurate diagnoses by neurosurgeons.
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The current study presents a case of a 43-year-old female with giant bilateral calvarial hyperostosis across the superior sagittal sinus, secondary to brain meningioma. The patient presented with a huge mass in the bilateral calvarial region, and diagnoses of huge skull hyperplasia and meningioma were strongly suggested by computed tomography and magnetic resonance imaging examination. In addition, digital subtraction angiography demonstrated that the left middle meningeal artery and branches of the left superficial temporal artery were the major sources of blood supply to the tumor, with the little involvement of the right middle meningeal artery and branches of the right superficial temporal artery.

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Primary carcinoma of the frontal sinus is quite rare, with an incidence of 0.3-1.0% of all paranasal sinus carcinomas.

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Nonmissile penetrating brain injuries are exceedingly uncommon among civilian population and are most often associated with inflicted injury. They show specific characteristics different from that of missile wounds. In this article, we describe a rare case of a 22-month-old child who experienced accidental penetrating head trauma caused by a crossbow.

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Article Synopsis
  • Neuroendoscopy (NE) for treating intraventricular hemorrhage (IVH) from spontaneous supratentorial hemorrhage is debated; this study aims to compare NE with external ventricular drainage (EVD) and intraventricular fibrinolysis (IVF).
  • A systematic review of studies published between 1970 and 2013 found 11 trials involving 680 patients, with meta-analysis revealing significant benefits of NE combined with EVD over EVD plus IVF in terms of decreased mortality, improved hematoma evacuation, and better functional outcomes.
  • The study concludes that while NE with EVD shows promise as a treatment for IVH over EVD plus IVF, more research is needed to fully determine its effectiveness compared
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