scholarly journals Results of surgical treatment of patient with supratentorial cavenroma and epilepsy

2008 ◽  
Vol 55 (2) ◽  
pp. 137-140 ◽  
Author(s):  
V.T. Jovanovic ◽  
G.M. Tasic ◽  
B.M. Djurovic ◽  
I.M. Nikolic ◽  
D.V. Radulovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Good Outcome ◽  
Symptomatic Epilepsy ◽  
Surgical Extirpation

In past, cavernoma was frequently cause of symptomatic epilepsy without pathological substrate. We present the group of the patient (32) whose illness were presented by epilepsy, and who were treated in Institute for Neurosurgery from 1998 to 2003. There is the good correlation between presentation of epilepsy and largeness of the cavernoma (Phi 0.683). In 22 patients the epilepsy was controlled by medicaments, and in other the seizures were uncontrolled. Cavernoma initially presented with seizures had no inclination for massive intralesional or parenhimal bleeding. After surgical extirpation of lesion, there was good outcome during the following period of 3 years.

Outpatient surgical treatment of cervical radiculopathy

1997 ◽  
Vol 87 (1) ◽  
pp. 41-43 ◽  
Author(s):  
Christopher R. Tomaras ◽  
J. Bob Blacklock ◽  
Warren D. Parker ◽  
Richard L. Harper
Keyword(s):  
Surgical Treatment ◽  
Cervical Radiculopathy ◽  
Preoperative Imaging ◽  
Anesthetic Techniques ◽  
Workers Compensation ◽  
General Anesthetic ◽  
Content Type ◽  
Good Outcome ◽  
Compensation Claims

✓ A series of 200 patients who underwent outpatient surgical treatment for cervical radiculopathy is presented. The patients were selected on the basis of their willingness to undergo surgery in the outpatient setting and the absence of serious underlying medical conditions. All operations were performed using general anesthetic techniques with limited posterior dissections. A laminoforaminotomy was performed at each affected level, which had been determined by preoperative imaging and clinical examination. After being observed for several hours, the patients were discharged if they met specific criteria. No patient required subsequent hospital admission in the immediate postoperative period. Follow-up review in 183 patients ranged from 3 to 43 months, with a mean of 19 months. In cases in which Workers' Compensation claims were not involved, 92.8% of patients reported an excellent or good outcome and returned to work or comparable duties at a mean of 2.9 weeks. In cases in which Workers' Compensation claims were involved, 77.8% of patients reported excellent or good outcome and returned to work at a mean of 7.6 weeks postoperatively. Two patients whose cases involved Workers' Compensation claims did not return to work. There were seven patients (3.8%) who had a poor outcome. Two of these patients underwent a second posterior procedure and reported a good outcome at the time of follow-up review. The results of this study show that outpatient surgical treatment of cervical radiculopathy can be safely provided in selected patients with outcomes similar to the inpatient surgical management of these individuals.

Perioperative Lumbar Injection of Ringer's Lactate Solution in Chronic Subdural Hematomas: A Series of 100 Cases

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 537-544 ◽  
Author(s):  
F. Grisoli ◽  
N. Graziani ◽  
J. C. Peragut ◽  
F. Vincentelli ◽  
A. P. Fabrizi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intrathecal Injection ◽  
Good Outcome ◽  
Subdural Hematomas ◽  
Ringer’S Lactate ◽  
Grade 3 ◽  
Lactate Solution

Abstract A series of 100 patients underwent surgical treatment for chronic subdural hematomas between 1979 and 1987. The procedure consisted of craniectomy with a 30-mm trephine, irrigation and drainage of the hematoma, laceration of the outer and inner membranes, and lumbar intrathecal injection of Ringer's lactate solution for immediate cerebral reexpansion (average injection, 130 ml). This technique gave the following results: 2% mortality, 2% moderate morbidity, and 96% recovery. The recovery of the patients was rapid, and good outcome was achieved in Grade 3 and Grade 4 cases (Markwalder's classification).

scholarly journals Rupture gastrique sur traumatisme fermé de l’abdomen: à propos de 2 cas et revue de la littérature

2019 ◽  
Vol 6 (2) ◽  
pp. 132-135
Author(s):  
Diémé Eugène Gaudens Prosper Amaye ◽  
◽  
Samba Tiapato Faye ◽  
Magatte Faye ◽  
Ibrahima Sall ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Forearm Fracture ◽  
The Other ◽  
Morbidity And Mortality ◽  
Facial Injury ◽  
Abdominal Injuries ◽  
Revue De La Littérature ◽  
Good Outcome ◽  
Gastric Rupture ◽  
Abdominal Lesions

Gastric ruptures in blunt abdominal traumatism is extremely rare accounting for 0.02 to 1.7 % of cases of blunt abdominal injuries. They are frequently associated with other intra- and or extra-abdominal lesions, which generally influence morbidity and mortality. We report two cases of gastric rupture, one with splenic and maxillo-facial injury, the other with forearm fracture, with good outcome after surgical treatment.

scholarly journals Management of symptomatic epilepsy after surgery due to drug resistance

2021 ◽  
Vol 17 (3) ◽  
pp. 18-24
Author(s):  
A.Ye. Dubenko ◽  
M.V. Naboka
Keyword(s):  
Drug Resistance ◽  
Surgical Treatment ◽  
Drug Treatment ◽  
Clinical Situation ◽  
Evidence Base ◽  
Symptomatic Epilepsy ◽  
Drug Resistant Epilepsy ◽  
One Year ◽  
Ilae Classification

The issue of managing patients who were operated due to drug resistance has not been accomplished not only in Ukraine, but throughout the world. But these patients exist, their number is growing, and the neurologists who observe them need a direct understanding of this process. Nowadays, there is no enough evidence base to substantiate rational recommendations regarding the post-surgical drug treatment. Despite the fact that the International League Against Epilepsy (ILAE) classification and the classification previously proposed by J. Engel Jr have many headings that indicate the improvement of patients and possible improvement in their quality of life, the treatment that has achieved seizure control can be considered successful only in patients who meet qualification point 1 according to the ILAE classification or IA according to the Engel classification, and only those who meet these criteria for at least one year. This understanding is very important when choosing further therapeutic management. Taking into account the fact that after surgical treatment the drug resistance should be overcome, further drug treatment should be carried out in the same way as in patients without drug resistant epilepsy. The issue of managing people with epilepsy who received surgical treatment due to drug resistance requires further studies, especially in the context of an increase in the number of such patients. The authors indicate that all the questions and aspects that were presented in the work are controversial and can be adjusted depending on the clinical situation.

scholarly journals Surgical treatment of symptomatic epilepsy in patients with brain cavernomas

2013 ◽  
Vol 0 (3) ◽  
pp. 25-29
Author(s):  
Vitaliy Tsymbaliuk ◽  
Orest Tsimeyko ◽  
Leonid Yakovenko ◽  
Mykhaylo Kostiuk ◽  
Kostyantyn Kostiuk
Keyword(s):  
Surgical Treatment ◽  
Symptomatic Epilepsy

scholarly journals Outcome of Surgical or Endovascular Treatment of Giant Intracranial Aneurysms, with Emphasis on Age, Aneurysm Location, and Unruptured Aneuryms - A Systematic Review and Meta-Analysis

2016 ◽  
Vol 41 (3-4) ◽  
pp. 187-198 ◽  
Author(s):  
Julius Dengler ◽  
Nicolai Maldaner ◽  
Sven Gläsker ◽  
Matthias Endres ◽  
Martin Wagner ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Surgical Treatment ◽  
Endovascular Treatment ◽  
Intracranial Aneurysms ◽  
Meta Analysis ◽  
Separate Analysis ◽  
Patient Age ◽  
Good Outcome ◽  
Giant Intracranial Aneurysms ◽  
Patient Âgé

Background: Designing treatment strategies for unruptured giant intracranial aneurysms (GIA) is difficult as evidence of large clinical trials is lacking. We examined the outcome following surgical or endovascular GIA treatment focusing on patient age, GIA location and unruptured GIA. Methods: Medline and Embase were searched for studies reporting on GIA treatment outcome published after January 2000. We calculated the proportion of good outcome (PGO) for all included GIA and for unruptured GIA by meta-analysis using a random effects model. Results: We included 54 studies containing 64 study populations with 1,269 GIA at a median follow-up time (FU-T) of 26.4 months (95% CI 10.8-42.0). PGO was 80.9% (77.4-84.4) in the analysis of all GIA compared to 81.2% (75.3-86.1) in the separate analysis of unruptured GIA. For each year added to patient age, PGO decreased by 0.8%, both for all GIA and unruptured GIA. For all GIA, surgical treatment resulted in a PGO of 80.3% (95% CI 76.0-84.6) compared to 84.2% (78.5-89.8, p = 0.27) after endovascular treatment. In unruptured GIA, PGO was 79.7% (95% CI 71.5-87.8) after surgical treatment and 84.9% (79.1-90.7, p = 0.54) after endovascular treatment. PGO was lower in high quality studies and in studies presenting aggregate instead of individual patient data. In unruptured GIA, the OR for good treatment outcome was 5.2 (95% CI 2.0-13.0) at the internal carotid artery compared to 0.1 (0.1-0.3, p < 0.1) in the posterior circulation. Patient sex, FU-T and prevalence of ruptured GIA were not associated with PGO. Conclusions: We found that the chances of good outcome after surgical or endovascular GIA treatment mainly depend on patient age and aneurysm location rather than on the type of treatment conducted. Our analysis may inform future research on GIA.

Surgical Treatment of Giant Intracranial Arteriovenous Malformations

Neurosurgery ◽  
2010 ◽  
Vol 67 (5) ◽  
pp. 1359-1370 ◽  
Author(s):  
Jizong Zhao ◽  
Tao Yu ◽  
Shuo Wang ◽  
Yuanli Zhao ◽  
Wu Yang Yang
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Malformations ◽  
Normal Function ◽  
Neurological Deficits ◽  
Grading System ◽  
Recurrence Rates ◽  
Presenting Symptoms ◽  
Good Outcome ◽  
Cranial Nerve Dysfunction ◽  
Cerebral Avms

Abstract BACKGROUND: The treatment of giant arteriovenous malformations (AVMs) remains a challenge in the neurosurgical field. Microsurgery is one of the most effective ways for eliminating giant cerebral AVMs. OBJECTIVE: To review surgical outcomes in treating the disease, and form conclusions regarding the indications for and outcomes of surgical treatment in giant intracranial AVMs. METHODS: We studied 40 consecutive cases of giant AVMs treated in Beijing Tiantan Hospital between 2000 and 2008. The radiologic and clinical features were analyzed. The Spetzler-Martin grading system was used to classify the patients. All patients were surgically treated, and the final outcomes of the patients were gathered for analysis. RESULTS: The major presenting symptoms were seizures, headaches, hemorrhage, and neurological deficits. The mean AVM diameter was 6.3 cm. According to the Spetzler-Martin grading system, 5 patients had grade III lesions, 21 had grade IV lesions, and 14 had grade V lesions. Out of the total 40 patients, 31 (77.5%) demonstrated excellent or good outcome. Complications included hemiparalysis, aphasia, hemianopia, cranial nerve dysfunction, and seizures. After follow-up, 27 of 30 (90%) surviving patients presented normal function or minimal symptoms. CONCLUSION: Presurgical evaluation of every candidate and treatment choice is the determining factor in therapy for giant AVMs. For giant cerebral AVMs located superficially or not involving critical components, a good outcome can be expected through surgical resection. The obliteration and recurrence rates were satisfying, and the complication rate was acceptable.

Foregut Cysts Presenting as Neck Masses

1985 ◽  
Vol 94 (5) ◽  
pp. 433-436 ◽  
Author(s):  
Seymour R. Cohen ◽  
Jerome W. Thompson ◽  
L. Patrick Brennan
Keyword(s):  
Differential Diagnosis ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
Airway Obstruction ◽  
The Other ◽  
Congenital Defects ◽  
Airway Compromise ◽  
Neck Masses ◽  
Severe Airway Obstruction ◽  
Surgical Extirpation

This paper is a retrospective study of three patients with foregut cysts in the neck who were admitted for diagnosis and treatment. Foregut cysts are uncommon congenital defects of the developing airway and gut. They may occur from the mouth to the anus, and are rare in the neck. Two of the children presented with neck masses, the other with severe airway obstruction and subglottic and upper tracheal stenosis requiring a tracheotomy. The patients are presented in detail, and the histopathology and differential diagnosis are discussed. Surgical treatment is necessary to prevent airway compromise. Surgical extirpation of the cyst should be uncomplicated and curative.

Induction chemotherapy for organ preservation versus surgery for advanced oral cavity squamous cell carcinoma (OCSCC).

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e16014-e16014
Author(s):  
Steven Bennett Chinn ◽  
Mathew E Spector ◽  
Emily Light ◽  
Tasha Lotus Lin ◽  
Theodoros Nicholas Teknos ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Smoking Status ◽  
Multivariable Analysis ◽  
Concurrent Chemotherapy ◽  
Experimental Comparison ◽  
Quasi Experimental ◽  
Chemotherapy Protocol ◽  
Post Infusion ◽  
Pre Treatment ◽  
Surgical Extirpation

e16014 Background: The objective of the study is to evaluate the outcomes of an induction selection (IS) concurrent chemotherapy protocol versus primary surgical extirpation in advanced OCSCC. Methods: Retrospective quasi-experimental comparison of patients treated by IS versus surgery. The cohorts were matched based on pretreatment characteristics and compared in an intent-to-treat model.19 patients were accrued with resectable stage III/IV OCSCC without bone involvement between 2000-2002 into a phase II IS trial using 1 cycle of IS to select patients for definitive chemoradiation (CRT). Tumor response was evaluated 3-weeks post-infusion. Patients with >50% response underwent concurrent CRT (70Gy; 35 fractions with concurrent cisplatin 100mg/m2 or carboplatin (AUC 6) every 3-weeks for 3 cycles). Those with <50% underwent surgical treatment and radiation therapy. A comparison cohort of patients with primary surgical extirpation was selected from an OCSCC database from 1998-2009. The surgical cohort of 53 patients was identified based on comparable pretreatment variables to the IS cohort. There was no difference in age, gender, pre-treatment AJCC stage, T-class, N-class, smoking status, alcohol status, or subsite between the two cohorts. Results: Kaplan-Meier estimates demonstrated overall survival (OS) at 5-years was 32% in the IS group and 64% in the surgical cohort. Disease-specific survival (DSS) at 5-years was 46% in the IS group and 76% in the surgical cohort. Local-regional control (LRC) at 5-years was 26% in the IS cohort and 72% in the surgical cohort. Multivariable analysis demonstrated significantly better OS, DSS and LRC (p=0.03, p=0.001 and p=0.0002 respectively) in the surgical cohort compared to the IS cohort. Conclusions: Primary surgical treatment showed significantly better OS, DSS and LRC compared to IS in this quasi-experimental designed comparison. These findings support surgery as the principal treatment for OCSCC.

scholarly journals Value of extent of hippocampal resection in the surgical treatment of temporal lobe epilepsy

2004 ◽  
Vol 62 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Leonardo Bonilha ◽  
Eliane Kobayashi ◽  
João Paulo V. Mattos ◽  
Donizete C. Honorato ◽  
Li M. Li ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Hippocampal Sclerosis ◽  
Hippocampal Atrophy ◽  
Incomplete Resection ◽  
Clinical Variables ◽  
Good Outcome ◽  
Eeg Abnormalities ◽  
Interictal Eeg

OBJECTIVE: Unilateral hippocampal atrophy is indicator of good surgical prognosis in patients with temporal lobe epilepsy (TLE). Some patients however do not become seizure free after surgery. We assessed if the extent of hippocampal and amygdala resection is associated with outcome. METHODS: Thirty patients with TLE with unilateral or clearly asymmetric hippocampal atrophy who underwent surgical treatment were evaluated concerning preoperative clinical variables and interictal EEG abnormalities. Amygdala and hippocampal resection was evaluated by post-operative MRI. We compared seizure free versus non-seizure free patients, and patients with good outcome (Engel's classes I and II) versus patients with poor outcome. RESULTS: There was significant association between the extent of hippocampal resection and the outcome. Pre-operative variables and interictal EEG abnormalities did not show relationship with outcome as documented in previous studies. CONCLUSION: The extent of hippocampal resection is associated with outcome. Incomplete resection of atrophic hippocampus may explain most surgical failures in patients with TLE due to unilateral hippocampal sclerosis.

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