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Epilepsy surgery in the first six months of life: A systematic review and meta-analysis.
Seizure
March 2022
Department of Pediatric Neurology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, Berlin 13353, Germany; Center for Chronically Sick Children, Augustenburger Platz 1, Berlin, Germany; Charité - Universitätsmedizin Berlin, Institute of Cell- and Neurobiology, Charitéplatz 1, Berlin 10117, Germany. Electronic address:
Introduction: Nearly one-third of all infants with epilepsy develop drug-resistant epilepsy. Although epilepsy surgery is a well-established therapy across all age groups, there might be a reluctance to operate on infants in the first six months of life due to unique surgical and anesthesiologic difficulties.
Methods: We performed a meta-analysis and systematic review to assess the outcome and complication rate of epilepsy surgery in infants operated on ≤ six months of life.
Diagnostic and management challenges of intraventricular neurocysticercosis presenting in the third trimester of pregnancy: A case report.
Obstet Med
March 2021
Department of Obstetrics and Gynaecology, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India.
Article Synopsis
- Diagnosing neurocysticercosis during pregnancy is complex due to overlapping symptoms with other neurological issues and limited neuroimaging access in endemic regions.
- Effective management relies on the specific symptoms presented, particularly if there's increased intracranial pressure, requiring timely intervention based on gestational age and maternal health.
- The report highlights a case of a pregnant woman with intraventricular neurocysticercosis, detailing the challenges in medical and surgical management during the third trimester.
The "Brain Stethoscope": A Non-Invasive Method for Detecting Elevated Intracranial Pressure.
Cureus
March 2021
Mechanical and Aerospace Engineering, University of Central Florida, Orlando, USA.
Introduction Minimally invasive intracranial pressure (ICP) screening has long been desired by neurosurgeons. A novel approach deriving ICP from tympanic membrane (TM) pulsation may offer the solution. The ICP waveform appears to be transmitted to the TM by the cochlear aqueduct.
View Article and Find Full Text PDFThe Aalborg Bolt-Connected Drain (ABCD) study: a prospective comparison of tunnelled and bolt-connected external ventricular drains.
Acta Neurochir (Wien)
January 2019
Department of Neurosurgery, Institute of Clinical Medicine, Aalborg University Hospital, Hobrovej 18-22, 9100, Aalborg, Denmark.
Background: Acutely increased intracranial pressure (ICP) is frequently managed by external ventricular drainage (EVD). This procedure is life-saving but marred by a high incidence of complications. It has recently been indicated that bolt-connected external ventricular drainage (BC-EVD) compared to the standard technique of tunnelled EVD (T-EVD) may result in less complications.
View Article and Find Full Text PDFVentriculoatrial Shunts in Adults, Incidence of Infection, and Significant Risk Factors: A Single-Center Experience.
World Neurosurg
October 2016
Neurosurgical Department, Paracelsus Medical University, Salzburg, Austria.
Background: In recent years, the number of ventriculoatrial (VA) shunt insertions has decreased worldwide, the major cause being the risk of shunt infection. VA shunts remain as an alternative option to ventriculoperitoneal shunts. We describe our 10-year experience with VA shunts by analyzing the incidence of shunt infections and predisposing cofactors.
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