39 results match your criteria: "Clairval Private Hospital[Affiliation]"

Cryoablation for treatment of peripheral lung metastases from colorectal cancer: a bicenter retrospective study.

Eur Radiol

November 2024

Interventional Radiology Department, Institut Paoli Calmettes, Aix Marseille University, 232 Boulevard Sainte Marguerite, 13009, Marseille, France.

Objectives: To evaluate the oncological efficacy and complications of cryoablation (CA) in treating lung metastases from colorectal cancer (CRC) at the lung periphery.

Materials And Methods: The inclusion criteria for this bicenter retrospective study included patients with histologically confirmed CRC, with radiologically confirmed lung metastases at the periphery of the lung (distance of less than or equal to 2 cm from the costal, diaphragmatic, or cervical pleura) treated with CA between January 2017 and June 2022. Patients with intra-parenchymal metastases or metastases close to the mediastinal pleura and patients without follow-up were excluded.

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Objective: To assess the overall survival (OS) of internal cerebrospinal fluid shunt (ICSFS) in the adult population.

Methods: MEDLINE database was searched from 2000 to 2023 to identify studies reporting on ICSFS OS. Only articles reporting on adult ICSFS OS by a Kaplan-Meier (KM) OS curve were included.

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Study Design: Retrospective literature review analysis OBJECTIVE: Analyze the risk factors, characteristics, outcome, and follow up of surgical management of disc herniation in children ≤15 years old (y.o) through a review of the literature.

Background: Disc herniation is a rare disease in the pediatric population.

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Introduction: Technical advances and the increasing role of interdisciplinary decision-making may warrant formal definitions of expertise in surgical neuro-oncology.

Research Question: The EANS Neuro-oncology Section felt that a survey detailing the European neurosurgical perspective on the concept of expertise in surgical neuro-oncology might be helpful.

Material And Methods: The EANS Neuro-oncology Section panel developed an online survey asking questions regarding criteria for expertise in neuro-oncological surgery and sent it to all individual EANS members.

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Article Synopsis
  • * A study involving 20 female patients showed visual symptoms like proptosis and decreased visual acuity were common; with intracranial hypertension occurring in some cases, reinforcing the need for careful diagnosis.
  • * Surgical treatment with complete resection is crucial for reducing recurrence rates and improving visibility, with long-term follow-up necessary due to the slow growth and potential for recurrence of bSOMs.
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Study Design: A retrospective single-center study between January 2019 and January 2023.

Objective: The role and contribution of drainage in the anterior approach to the cervical spine (cervicotomy) is much debated, motivated primarily by the prevention of retropharyngeal hematoma, so are there still any benefits to drainage?

Background: The anterior approach to the cervical spine is a widespread and common procedure performed in almost all spine surgery departments for the replacement of cervical intervertebral discs and medullar or radicular decompression. The primary endpoint was the occurrence of symptomatic postoperative cervical hematoma.

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Super acute subdural hematoma following drain removal for chronic subdural haematoma.

Neurochirurgie

January 2024

Department of Neurosurgery, Clairval Private Hospital, 317 Bd du Redon, 13 009 Marseille, France; Institut de Neurophysiopathologie - CNRS UMR 7051, Aix-Marseille Université, Marseille, France.

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Article Synopsis
  • The RESECT study aimed to evaluate the effectiveness of 5-aminolevulinic acid (5-ALA) fluorescence-guided surgery (FGS) compared to conventional white-light microsurgery for glioblastoma resection in a randomized trial across 21 French neurosurgical centers.
  • The study involved 171 patients, with those receiving 5-ALA showing a significantly higher rate of gross-total resection (GTR) at 79.1% compared to 47.8% in the placebo group.
  • Despite differences in surgical success, both groups reported similar postoperative performance scores, indicating that while 5-ALA improved resection rates, it did not significantly affect overall recovery in terms of the Karnof
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Article Synopsis
  • Multiple myeloma (MM) is often misdiagnosed as spinal metastasis (SpM), but they differ significantly in diagnosis timing, survival rates, and treatment responses.
  • A study compared 361 MM patients to 660 SpM patients, revealing MM patients typically showed spine lesions much earlier and had a median overall survival much longer than those with SpM.
  • The findings suggest that MM should be classified as a primary bone tumor due to its distinct characteristics and patterns of spread compared to systemic metastases like SpM.
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Background And Objectives: Spinal cord metastasis arising from an intracranial glioblastoma is a rare and late event during the natural course of the disease. These pathological entities remain poorly characterized. This study aimed to identify and investigate the timeline, clinical and imaging findings, and prognostic factors of spinal cord metastasis from a glioblastoma.

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Purpose: Although prognostic factors of spinal multiple myeloma (MM) seem to differ from those of other spine metastases (SpM), the data in the literature remains scarce.

Methods: A prospective population of 361 patients treated for spine MM lesions between January 2014 and 2017.

Results: OS for our series was 59.

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Study Design: This study used a French prospective national multi-center database of patients with spine metastasis (SpM).

Objective: The main challenge was to clarify if SpM patients presenting poor ECOG-PS could benefit from a surgical intervention.

Background: Spine metastases (SpM) are debilitating lesions commonly found in the evolution of cancer.

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Natural Course and Prognosis of Primary Spinal Glioblastoma: A Nationwide Study.

Neurology

April 2023

From the Department of Neurosurgery (A.A., A.-R.C., I.Z.), CHRU de Tours; Department of Neurosurgery (L.-M.T., P.M.), Clairval Private Hospital, Ramsay Generale de Sante, Marseille; Department of Neurosurgery (B.M., M.K.), CHU Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris; Department of Neurosurgery (C.J.), HIA St Anne, Toulon; Department of Neurosurgery (T.P.), Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Bron; Department of Neurosurgery A (V.J.), CHU Pellegrin, Bordeaux; Department of Neurosurgery (L.B.), Hôpital Saint Eloi-Gui de Chauliac, Montpellier; Department of Neurosurgery (F.B.), CHU d'Angers; Department of Neurosurgery (X.C.), CHU de St-Etienne, St Etienne; Department of Neurosurgery (L.C.), CHU Amiens-Picardie; Department of Neurosurgery (E.E.), CHU de Caen; Department of Neuropathology (D.F.-B.), La Timone, AP-HM, Marseille; Department of Pathology (G.G.), CHU Nancy, Nancy; Aix Marseille Univ (T.G.), INSERM, APHM, MMG, UMR1251, Marmara Institute, La Timone Hospital, Neurosurgery Departement, Marseille; Department of Pathology (A.J., E.U.-C.), Cancer University Institute of Toulouse Oncopole, CHU Toulouse; Department of Neurosurgery (S.K.), le Kremlin-Bicêtre, AP-HP, Kremlin-Bicêtre; Department of Neurosurgery (A.L.), CHU Grenoble-Alpes; Department of Neurosurgery (V.L.), CHU Rangueil, Toulouse; Department of Neuropathology (K.M.), Pitié-Salpêtrière, AP-HP, Paris; Department of Neuropathology (V. Rigau), CHU Gui de Chauliac, Montpellier; Department of Neurosurgery (V. Roualdes), CHU Laennec, Nantes; Department of Pathology (A.R.), CHU d'Angers; Department of Neurosurgery (R.S.), CHU de la Cavale Blanche, Brest; Department of Neurosurgery (J.V.), Pasteur Hospital, HCC, Colmar; and Department of Neurosurgery (J.P.), GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.

Article Synopsis
  • - PsGBM is a rare and aggressive spinal tumor that often leads to significant neurological decline and is typically difficult to remove surgically, complicating the prognosis assessment.
  • - A study involving 33 patients found that the median overall survival was 13.1 months, with factors such as performance status and tumor location impacting survival rates significantly.
  • - Key predictors for better overall survival include a good ECOG performance status, while a poor KPS score and cervical tumor location correlate with shorter survival.
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Objective: The role of surgery in the treatment of malignant gliomas in the elderly is not settled. The authors conducted a randomized trial that compared tumor resection with biopsy only-both followed by standard therapy-in such patients.

Methods: Patients ≥ 70 years of age with a Karnofsky Performance Scale (KPS) score ≥ 50 and presenting with a radiological suspicion of operable glioblastoma (GBM) were randomly assigned between tumor resection and biopsy groups.

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The trigeminal system is considered a prominent actor in brain nociceptive innervation. The trigeminovascular system is mainly composed of pseudounipolar neurons located within the trigeminal ganglion, whose dendrites originate in cerebral blood vessels. Anatomical studies demonstrating anatomical continuity between perivascular fibers and the trigeminal system are lacking.

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Common carotid artery medialization and fracture dislocation of the cervical spine.

Surg Radiol Anat

August 2022

Department of Orthopaedic Surgery, Spine unit, Rouen University Hospital, 1, rue de Germont, 76031, Rouen Cedex, France.

Article Synopsis
  • - A case study described the management of a 68-year-old woman with acute neck pain and incomplete tetraplegia due to a cervical dislocation after a fall.
  • - Preoperative imaging revealed a medialized left common carotid artery, necessitating careful surgical planning to avoid vascular complications during treatment.
  • - Successful surgery led to full neurological recovery and proper fusion of the cervical spine within six months, highlighting the importance of considering anatomical variations in emergency spine surgery.
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Initial Experience of Digital Air Leak Quantification in Interventional Radiology.

Cardiovasc Intervent Radiol

November 2022

Interventional Radiology Department, Institut Paoli Calmettes, Aix Marseille University, 232 boulevard Sainte Marguerite, 13009, Marseille, France.

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Ganglioglioma revealed by spontaneous intracerebral hematoma: A cohort study.

Neurochirurgie

October 2022

Department of neurosurgery, CHU Caen, 14000 Caen, France; Medical School, Université Caen Normandie, 14000 Caen, France; UNICAEN, Inserm, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain Caen-Normandie, Cyceron, Normandie université, 14000 Caen, France.

Background: Gangliogliomas are rare tumors of the central nervous system. Intracerebral hemorrhage (ICH) is a frequent pathological event, rarely related to intracranial tumor. Here we report a cohort of 14 gangliogliomas, 3 of which were revealed by ICH.

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