Functional outcome after surgical treatment of spinal meningioma

2020 ◽  
Vol 77 ◽  
pp. 62-66 ◽  
Author(s):  
Christoph Hohenberger ◽  
Christine Gugg ◽  
Nils Ole Schmidt ◽  
Florian Zeman ◽  
Karl-Michael Schebesch
1993 ◽  
Vol 18 (2) ◽  
pp. 219-224 ◽  
Author(s):  
R. NAKAMURA ◽  
E. HORII ◽  
K. WATANABE ◽  
K. TSUNODA ◽  
T. MIURA

50 patients with scaphoid non-union were treated by open reduction, anterior wedge bone grafting and internal fixation using the Herbert screw. Intra-operative image intensiner control enabled us to insert the screw into the scaphoid accurately. An excellent or good functional outcome was less likely when more than 5 years had elapsed since injury, the non-union was in the proximal third, when sclerosis of the proximal fragment was present, and when reduction of carpal and scaphoid deformity was unsatisfactory. These four factors are believed to be the primary determinants affecting the functional results of the surgical treatment of scaphoid non-union, even when bony union is achieved.


2005 ◽  
Vol 73 (2) ◽  
pp. 163-168 ◽  
Author(s):  
T. Gasser ◽  
I. E. Sandalcioglu ◽  
B. El. Hamalawi ◽  
J. A. P. van de. Nes ◽  
D. Stolke ◽  
...  

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582824-s-0036-1582824
Author(s):  
Antonino Raco ◽  
Alessandro Pesce ◽  
Giada Toccaceli ◽  
Maurizio Dominicucci ◽  
Roberto Delfini

2006 ◽  
Vol 77 (4) ◽  
pp. 670-676 ◽  
Author(s):  
Zouboulis E Panagiotis ◽  
Karageorgos Athanasios ◽  
Dimakopoulos Panagiotis ◽  
Tyllianakis Minos ◽  
Matzaroglou Charis ◽  
...  

2008 ◽  
Vol 51 (10) ◽  
pp. 1475-1481 ◽  
Author(s):  
Paul J. van Koperen ◽  
Jan Wind ◽  
Willem A. Bemelman ◽  
Roel Bakx ◽  
Johannes B. Reitsma ◽  
...  

2010 ◽  
Vol 112 (2) ◽  
pp. 455-460 ◽  
Author(s):  
Alejandro A. Rabinstein ◽  
Seung Young Chung ◽  
Leslie A. Rudzinski ◽  
Giuseppe Lanzino

Object The purpose of this study was to evaluate the incidence of seizures or epileptiform abnormalities on electroencephalography (EEG) studies in patients undergoing surgical treatment for acute subdural hematoma (SDH). Methods This was a retrospective study of 134 consecutive patients with acute or acute-on-chronic SDH who underwent surgical treatment at the authors' institution between January 2004 and July 2008. Detailed information was collected regarding baseline clinical data (including preexistent functional impairment); Glasgow Coma Scale (GCS) sum scores before and 24 hours after surgery; presence of clinical seizures; EEG findings; and functional outcome on discharge and up to the 6-month follow-up. All brain CT scans were reviewed to calculate SDH volume and midline shift. The Glasgow Outcome Scale (GOS) score was used for functional assessment, and GOS scores of 1–3 were considered indicative of poor outcome. Univariate and multivariate logistic regression analyses were performed to identify statistical associations. Results Clinical seizures or epileptiform changes on EEG were observed during the acute postoperative period in 33 patients (25%). Preexistent functional impairment and seizures/epileptiform EEG findings after surgery were independently associated with poor functional outcome upon hospital discharge (p < 0.001 for both). Preexistent functional impairment (p < 0.001), lower GCS score before surgery (p = 0.04), and lower GCS score 24 hours after surgery (p = 0.007), but not seizures/epileptiform EEG findings, were independently associated with poor functional recovery at 1- to 6-month follow-up evaluations. Seizures/epileptiform EEG findings had a strong association with lower GCS scores after surgery (p = 0.01), and they were more common in patients who underwent evacuation by craniotomy (p = 0.02). Conclusions Epileptic complications are common after acute SDH evacuation, and should be suspected in patients with an unanticipated depressed level of consciousness after surgery. Seizures worsen early functional outcome, but delayed favorable recovery is possible. Therefore, one should be cautious when discussing prognosis in the early postoperative period of patients with epileptic complications.


Author(s):  
Frederik J.T. van Oosterom ◽  
Anke M. Ettema ◽  
Paul G.H. Mulder ◽  
Steven E.R. Hovius

Sign in / Sign up

Export Citation Format

Share Document