6 results match your criteria: "Chiba-Kashiwa Tanaka Hospital[Affiliation]"

Disconnection of proximal or distal catheter is seen more frequently in the complication of the lumboperitoneal (LP) shunt. A connective tissue sheath that forms around the peritoneal catheter of silicone shunt tubing is a normal biological response to foreign material. The literature did not establish whether the disconnected LP shunt can allow passage of cerebrospinal fluid (CSF) through the disconnected portion.

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Article Synopsis
  • Initial complications of enteral nutrition (EN) include vomiting, aspiration pneumonia, and diarrhea, prompting the exploration of a viscosity-regulating pectin solution to mitigate these issues.
  • A study involving 34 patients from 7 medical institutions compared the effects of this novel pectin solution (VREF group) with conventional EN methods (control group) over two weeks, monitoring various clinical symptoms and stool characteristics.
  • Results showed a favorable trend in clinical symptoms and a reduction in infusion duration for the VREF group, indicating that this new method can be safely and effectively integrated into EN management, similar to traditional approaches.
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State-of-Art Surgical Treatment of Dissecting Anterior Circulation Intracranial Aneurysms.

J Neurol Surg A Cent Eur Neurosurg

January 2017

Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan.

Intracranial dissecting aneurysms (IDAs) are an important cause of subarachnoid hemorrhage, stroke, or compression of intracranial structures. Since the availability of endovascular treatment and the advantage of intraprocedural anticoagulation, an endovascular strategy has become the mainstay of their therapy. But in some cases selective aneurysm obliteration by the endovascular approach is impossible or associated with an unacceptable risk of morbidity.

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Article Synopsis
  • Vertebrobasilar (VB) intracranial dissecting aneurysms (IDAs) are challenging to manage surgically, particularly when they are dissecting, giant, or have a large neck, making endovascular treatment risky or impossible.
  • Optimal treatment for these aneurysms typically involves surgical excision, but this can only be done safely with vessel wall occlusion, which may not be suitable for all patients.
  • The literature on surgical strategies for VB IDAs is inconsistent and often limited in scope, prompting the need for individualized treatment decisions and highlighting the complexities involved.
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A lack of published surgical experience and higher symptomatic recurrence than previously recognized prompted the authors to present their experience with the surgical treatment of unruptured intracranial dissecting aneurysms (UIDAs). Hospital records, neuroimaging studies, operative reports, and follow-up records were retrospectively reviewed. All patients underwent surgical exploration of the lesion with proximal clipping of the parent artery through a far-lateral suboccipital craniotomy with or without partial condylar resection.

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Mild traumatic brain injury (mTBI) is a common complication of minor head injury and a serious problem in the Iraq war returnees. Effective treatment is not yet available. We have treated 23 patients with chronic post-traumatic headache by epidural saline and oxygen injection (ESOI) with efficacy of 96 %.

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