scholarly journals The efficacy of cystoperitoneal shunting for the surgical management of intracranial arachnoid cysts in the elderly: A systematic review of the literature

2021 ◽  
Vol 12 ◽  
pp. 624
Author(s):  
Joseph Merola ◽  
Susruta Manivannan ◽  
Setthasorn Ooi ◽  
Wen Li Chia ◽  
Milan Makwana ◽  
...  
Keyword(s):  
Systematic Review ◽  
Complication Rate ◽  
The Elderly ◽  
Chronic Subdural Haematoma ◽  
Arachnoid Cysts ◽  
Surgical Approaches ◽  
Review Of The Literature ◽  
Cystoperitoneal Shunting ◽  
Elderly Cohort ◽  
Neurosurgical Intervention

Background: Intracranial arachnoid cysts (AC) are benign, cerebrospinal fluid filled spaces within the arachnoid layer of the meninges. Neurosurgical intervention in children and young adults has been extensively studied, but the optimal strategy in the elderly remains unclear. Therefore, we performed a single center retrospective study combined with a systematic review of the literature to compare cystoperitoneal (CP) shunting with other surgical approaches in the elderly cohort. Methods: Retrospective neurosurgical database search between January 2005 and December 2018, and systematic review of the literature using PRISMA guidelines were performed. Inclusion criteria: Age 60 years or older, radiological diagnosis of intracranial AC, neurosurgical intervention, and neuroradiological (NOG score)/clinical outcome (COG score). Data from both sources were pooled and statistically analyzed. Results: Our literature search yielded 12 studies (34 patients), which were pooled with our institutional data (13 patients). CP shunts (7 patients; 15%), cyst fenestration (28 patients; 60%) and cyst marsupialisation/resection (10 patients; 21%) were the commonest approaches. Average duration of follow-up was 23.6, 26.9, and 9.5 months for each approach, respectively. There was no statistically significant association between choice of surgical intervention and NOG score (P = 0.417), COG score (P = 0.601), or complication rate (P = 0.955). However, CP shunting had the lowest complication rate, with only one patient developing chronic subdural haematoma. Conclusion: CP shunting is a safe and effective surgical treatment strategy for ACs in the elderly. It has similar clinical and radiological outcomes but superior risk profile when compared with other approaches. We advocate CP shunting as first line neurosurgical intervention for the management of intracranial ACs in the elderly.

scholarly journals Tools for evaluation of restriction on auditory participation: systematic review of the literature

CoDAS ◽  
2015 ◽  
Vol 27 (4) ◽  
pp. 400-406 ◽  
Author(s):  
Valquíria Conceição Souza ◽  
Stela Maris Aguiar Lemos
Keyword(s):  
Systematic Review ◽  
Hearing Aids ◽  
Observational Studies ◽  
Web Of Science ◽  
The Elderly ◽  
Review Of The Literature ◽  
Aural Rehabilitation ◽  
Isi Web Of Science ◽  
Hearing Handicap ◽  
Bibliographic Collection

PURPOSE: To systematically review studies that used questionnaires for the evaluation of restriction on auditory participation in adults and the elderly.RESEARCH STRATEGY: Studies from the last five years were selected through a bibliographic collection of data in national and international journals in the following electronic databases: ISI Web of Science and Virtual Health Library - BIREME, which includes the LILACS and MEDLINE databases.SELECTION CRITERIA: Studies available fully; published in Portuguese, English, or Spanish; whose participants were adults and/or the elderly and that used questionnaires for the evaluation of restriction on auditory participation.DATA ANALYSIS: Initially, the studies were selected based on the reading of titles and abstracts. Then, the articles were fully and the information was included in the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.RESULTS: Three-hundred seventy studies were found in the researched databases; 14 of these studies were excluded because they were found in more than one database. The titles and abstracts of 356 articles were analyzed; 40 of them were selected for full reading, of which 26 articles were finally selected. In the present review, nine instruments were found for the evaluation of restriction on auditory participation.CONCLUSION: The most used questionnaires for the assessment of the restriction on auditory participation were the Hearing Handicap Inventory for the Elderly (HHIE), Hearing Handicap Inventory for Adults (HHIA), and Hearing Handicap Inventory for the Elderly - Screening (HHIE-S). The use of restriction on auditory participation questionnaires can assist in validating decisions in audiology practices and be useful in the fitting of hearing aids and results of aural rehabilitation.

scholarly journals Survivorship and clinical outcomes of proximal femoral replacement in non-neoplastic primary and revision total hip arthroplasty: a systematic review

2021 ◽  
Vol 22 (S2) ◽  
Author(s):  
Fabio Mancino ◽  
Vincenzo Di Matteo ◽  
Fabrizio Mocini ◽  
Giorgio Cacciola ◽  
Giuseppe Malerba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Bone Loss ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Complication Rate ◽  
Reoperation Rate ◽  
Revision Total Hip Arthroplasty ◽  
Femoral Bone ◽  
Review Of The Literature

Abstract Background Several studies have evaluated the survivorship and clinical outcomes of proximal femoral replacement (PFR) in complex primary and revision total hip arthroplasty with severe proximal femoral bone loss; however, there remains no consensus on the overall performance of this implant. We therefore performed a systematic review of the literature in order to examine survivorship and complication rates of PFR usage. Methods A systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A comprehensive search of PubMed, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews was conducted for English articles using various combinations of keywords. Results In all, 18 articles met the inclusion criteria. A total of 578 PFR were implanted. The all-cause reoperation-free survivorship was 76.6%. The overall complication rate was 27.2%. Dislocation was the most common complication observed and the most frequent reason for reoperation with an incidence of 12.8 and 7.6%, respectively. Infection after PFR had an incidence of 7.6% and a reoperation rate of 6.4%. The reoperation rate for aseptic loosening of the implant was 5.9%. Overall, patients had improved outcomes as documented by postoperative hip scores. Conclusion PFR usage have a relatively high complication rate, however, it remains an efficacious treatment option in elderly patients with osteoporotic bone affected by severe proximal femoral bone loss. Modular designs have shown reduced dislocations rate and higher survivorship free from dislocation. However, PFR should only be used as salvage procedure when no other reconstruction options are available.

scholarly journals The Incidence of Nonunion of the Hallux Interphalangeal Joint Arthrodesis

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0038
Author(s):  
Mark Prissel ◽  
Eric So ◽  
Anson Chu ◽  
Matthew Wilson
Keyword(s):  
Systematic Review ◽  
Complication Rate ◽  
Interphalangeal Joint ◽  
Effective Procedure ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Weighted Mean ◽  
Patient Demographics ◽  
Contributory Factors

Category: Midfoot/Forefoot Introduction/Purpose: Hallux interphalangeal joint (HIPJ) arthrodesis is an effective procedure to treat pain and provide stability, which is often performed for intrinsic pain to the HIPJ. Additionally, this procedure is typically employed in concert with the Jones tenosuspension. Despite that this is an accepted technique, the available literature is scant and questions remain regarding nonunion rates and contributory factors to poor healing. A systematic review of the literature was undertaken to determine the rate of nonunion for HIPJ arthrodesis. Methods: To acquire the highest quality and most relevant studies available, publications were eligible for inclusion only if they involved patients undergoing HIPJ arthrodesis. Studies additionally required mean follow-up of at least six weeks and inclusion of appropriate detail regarding complications, nonunion rates, and patient demographics. Ultimately, 7 studies involving 313 HIPJ arthrodeses met inclusion criteria. Results: A total of 291 patients with a weighted mean age of 48.9 were included. The nonunion rate was 28.3% at a weighted mean follow-up of 8.4 months. The overall complication rate was 33.0%. Conclusion: Considering the increased rate of complications and nonunions for this commonly employed procedure, additional prospective comparative analyses are needed to identify important patient demographics and to determine superior fixation constructs.

Diagnosis and prognostic value of restrictive ventilatory disorders in the elderly: A systematic review of the literature

2012 ◽  
Vol 47 (4) ◽  
pp. 281-289 ◽  
Author(s):  
Simone Scarlata ◽  
Luisa Costanzo ◽  
Renato Giua ◽  
Claudio Pedone ◽  
Raffaele Antonelli Incalzi
Keyword(s):  
Systematic Review ◽  
Prognostic Value ◽  
The Elderly ◽  
Review Of The Literature

[P-165]: DHA and cognitive function in the elderly: A systematic review of the literature

2005 ◽  
Vol 1 ◽  
pp. S62-S62 ◽  
Author(s):  
Kay Noel ◽  
James Hoffman ◽  
Lorie Ellis ◽  
Karin Yurko-Mauro ◽  
Catherine Cella ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Function ◽  
The Elderly ◽  
Review Of The Literature

Sociodemographic, socioeconomic, and clinical determinants of survival in patients with cancer: A systematic review of the literature focused on the elderly

2018 ◽  
Vol 9 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Angéline Galvin ◽  
Fleur Delva ◽  
Catherine Helmer ◽  
Muriel Rainfray ◽  
Carine Bellera ◽  
...  
Keyword(s):  
Systematic Review ◽  
The Elderly ◽  
Review Of The Literature ◽  
Patients With Cancer

scholarly journals A systematic review of the literature concerning the relationship between obesity and mortality in the elderly

2011 ◽  
Vol 16 (1) ◽  
pp. 89-98 ◽  
Author(s):  
Lorenzo M. Donini ◽  
C. Savina ◽  
E. Gennaro ◽  
M. R. De Felice ◽  
A. Rosano ◽  
...  
Keyword(s):  
Systematic Review ◽  
The Elderly ◽  
Review Of The Literature ◽  
The Relationship

scholarly journals Skull Base Calcifying Pseudoneoplasms of the Neuraxis: Two Case Reports and a Systematic Review of the Literature

2019 ◽  
Vol 47 (3) ◽  
pp. 389-397 ◽  
Author(s):  
Kaiyun Yang ◽  
Kesava Reddy ◽  
Yosef Ellenbogen ◽  
Bill Hao Wang ◽  
Michel W. Bojanowski ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Nerve Fibers ◽  
Pathological Examination ◽  
Surgical Approaches ◽  
Cranial Neuropathy ◽  
Subtotal Resection ◽  
Gait Ataxia ◽  
Review Of The Literature ◽  
Cranial Neuropathies

ABSTRACT:Background:Calcifying pseudoneoplasm of the neuraxis (CAPNON) is a rare tumefactive lesion. CAPNONs can mimic calcified meningiomas at the skull base.Methods:Here, we report two cases of CAPNON and present a systematic review of the literature on skull base CAPNONs, to compare CAPNONs with calcified meningiomas.Results:Case 1: A 57-year-old man presented with right-sided lower cranial neuropathies and gait ataxia. He underwent a subtotal resection of a right cerebellopontine angle lesion, with significant improvement of his gait ataxia. However, his cranial neuropathies persisted. Pathological examination of the lesion was diagnostic of CAPNON, with the entrapped nerve fibers identified at the periphery of the lesion, correlating with the patient’s cranial neuropathy. Case 2: A 70-year-old man presented with progressive headache, gait difficulty, and cognitive impairment. He underwent a frontotemporal craniotomy for a near-total resection of his right basal frontal CAPNON. He remained neurologically stable 7 years after the initial resection without evidence of disease recurrence. We analyzed 24 reported CAPNONs at the skull base in our systematic review of the literature. Cranial neuropathies were present in 11 (45.8%) patients. Outcomes regarding cranial neuropathies were documented in six patients: two had sacrifice of the nerve function with surgical approaches and four had persistent cranial neuropathies.Conclusion:While CAPNON can radiologically and grossly mimic calcified meningiomas, they are two distinctly different pathologies. CAPNONs located at the skull base are commonly associated with cranial neuropathies, which may be difficult to reverse despite surgical intervention.

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