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Dura fenestration is non-inferior and with lower complication incidence compared to augmented duraplasty in decompressive craniectomy.
J Clin Neurosci
January 2025
Department of Neurosurgery, Shaare Zedek Medical Center, Jerusalem, Israel.
Decompressive craniectomy is a procedure for managing elevated intracranial pressure (ICP). However, it carries a high morbidity and mortality toll. While there is relative consensus regarding the bony part of the decompression, the role of dura opening and the optimal technique to perform it are under debate.
View Article and Find Full Text PDFRisk of major vascular events in patients without traditional risk factors after transient ischemic attack or minor ischemic stroke: An international prospective cohort.
Eur Stroke J
November 2024
Department of Neurology and Stroke Center, Bichat Hospital, Paris, France.
Article Synopsis
- - The study analyzed 3847 patients who suffered from a transient ischemic attack or minor ischemic stroke, focusing on those without traditional risk factors (like hypertension and diabetes) to compare their outcomes with those who did have risk factors.
- - After one year, the risk of major cardiovascular events (MACE) was similar between the two groups, but after five years, those without traditional risk factors had a significantly lower risk of MACE (7.9% vs 13.9%).
- - In patients without traditional risk factors, arterial stenosis was identified as a critical predictor for MACE, indicating that while their long-term risk was lower, they were not entirely without risk.
Intracranial pressure monitoring and treatment practices in severe traumatic brain injury between low-and middle-income countries and high-income countries: Data or dogma?
Surg Neurol Int
October 2024
Department of Neurosurgery, General Hospital, OstalbKlinikum Aalen, Aalen, Germany.
Background: Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide. Intracranial pressure (ICP) monitoring forms the cornerstone of most severe TBI (sTBI) management guidelines, yet treatment practices vary between high income countries (HIC) and low/middle-income countries (LMICs). We sought to find the reasons for variation in ICP monitoring and treatment practices between neurosurgeons in low- and high-income countries.
View Article and Find Full Text PDFBeyond the Sinus: Unmasking Pott's Puffy Tumor Through Imaging.
Cureus
November 2024
Otorhinolaryngology, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Pott's puffy tumor (PPT) is a rare yet severe complication of frontal sinusitis, characterized by localized forehead swelling resulting from osteomyelitis and subperiosteal abscess formation. This case report discusses a 15-year-old male patient who initially presented with upper respiratory tract symptoms. These progressed to seizures, leading to the identification of extensive sinusitis and significant intra-cranial complications.
View Article and Find Full Text PDFEvaluating the Risk of Traumatic Brain Injury in Adults Following a Fall With Concomitant Use of Anti-Coagulation: A Retrospective Cohort Study.
Cureus
October 2024
Internal Medicine, Portsmouth Hospitals University National Health Service (NHS) Trust, Portsmouth, GBR.
Introduction Falls and fractures are major health challenges for older adults in England. Despite the advantages of anticoagulants, their use in the elderly is often restricted due to concerns about fall-related injuries. However, there is a lack of clear data on the risk of discontinuing anticoagulation therapy solely due to fall risk.
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