Endoscopic treatment of traumatic basal encephaloceles: a report of 8 cases

2008 ◽  
Vol 108 (4) ◽  
pp. 729-735 ◽  
Author(s):  
Ta-Jen Lee ◽  
Po-Hung Chang ◽  
Chi-Che Huang ◽  
Chi-Cheng Chuang
Keyword(s):  
Skull Base ◽  
Endoscopic Surgery ◽  
Endoscopic Treatment ◽  
Head Injuries ◽  
Congenital Diseases ◽  
Csf Leakage ◽  
Long Term Follow Up ◽  
Skull Base Defects

Object Basal encephaloceles are rare entities that can present as congenital diseases; however, traumatic lesions due to head injuries or iatrogenic causes have been described in the literature. In this study the authors aimed to define placement techniques for free grafts in repairing traumatic basal encephaloceles and to describe the long-term effectiveness of endoscopic treatment. Methods Between September 1997 and December 2006, 8 patients with traumatic encephaloceles underwent endoscopic surgery. A free graft following an underlay (2 cribriform plate and 4 ethmoid fovea defects) or obliteration (2 sphenoid defects) procedure was used as the repair material. Results All traumatic basal encephaloceles with the associated skull base defects and cerebrospinal fluid (CSF) leakage were successfully treated via the endoscopic approach. There were no major complications or recurrence of meningitis or leakage of CSF encountered after an average follow-up of 77 months. Conclusions Long-term follow-up results demonstrated that endoscopic surgery was suitable for the treatment of traumatic basal encephaloceles. The underlay procedure is more appropriate than the overlay procedure in repairing large defects of the anterior skull base. Meticulous manipulations of the endoscope following precise autograft placement are mandatory for the successful repair of traumatic basal encephaloceles.

scholarly journals Anterior Skull Base Defects Reconstructed Using Three-Layer Method: 78 Consecutive Cases with Long-Term Follow-Up

2016 ◽  
Vol 77 (06) ◽  
pp. 499-502 ◽  
Author(s):  
Murat Geyik ◽  
Ibrahim Erkutlu ◽  
Mehmet Alptekin ◽  
Inan Gezgin ◽  
Ayse Mizrak ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Layer Method ◽  
Long Term Follow Up ◽  
Skull Base Defects

scholarly journals VESCICO-URETERAL REFLUX: ENDOSCOPIC TREATMENT, MANAGEMENT AND LONG-TERM FOLLOW-UP

2012 ◽  
Vol 2 (1) ◽  
pp. 44
Author(s):  
A.L Bulotta ◽  
G. Di Maggio ◽  
A. Garzi ◽  
R. Angotti ◽  
E. Cerchia ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Treatment Management ◽  
Long Term Follow Up

Su1707 Endoscopic Treatment of Chronic Pancreatitis in Children: Long Term Follow up

2014 ◽  
Vol 79 (5) ◽  
pp. AB375
Author(s):  
Matteo Napoleone ◽  
Ivo Boskoski ◽  
Pietro Familiari ◽  
Andrea Tringali ◽  
Massimiliano Mutignani ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Endoscopic Treatment ◽  
Long Term Follow Up

OC.17.2 ENDOSCOPIC TREATMENT OF CHRONIC PANCREATITIS IN CHILDREN: LONG TERM FOLLOW UP

2014 ◽  
Vol 46 ◽  
pp. S37
Author(s):  
M. Napoleone ◽  
I. Boskoski ◽  
P. Familiari ◽  
A. Tringali ◽  
V. Perri ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Endoscopic Treatment ◽  
Long Term Follow Up

scholarly journals Risk factors for preoperative and postoperative late seizure in supratentorial meningiomas

2019 ◽  
pp. 316-321
Author(s):  
Rahsan Kemerdere ◽  
Mehmet Yigit Akgun ◽  
Orkhan Alizada ◽  
Sureyya Toklu ◽  
Burak Tahmazoglu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Skull Base ◽  
Surgical Complications ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Binary Logistic Regression Analysis ◽  
Seizure Outcome ◽  
Long Term Follow Up

Introduction. Seizure following meningioma surgery is common and management may be challenging. Identifying risk factors may help physicians to initiate optimal medical management. The aim of this study is to report seizure outcome and risk factors for perioperative seizure. Materials and Methods. Sixty-three adult patients who underwent supratentorial meningioma resection were included, and perioperative data and long-term follow-up were provided in this retrospective study. Binary logistic regression analysis was used to identify the risk factors for perioperative seizure and postoperative late seizure. Results. The results showed that 20 (37.1 %) patients had preoperative seizure and 10 (50 %) patients were seizure free at the long-term follow-up. Absence of headache was associated with preoperative seizure (p=0.002) while presence of early seizure was significant predictor for postoperative late seizure (p=0.03). Although not significant, occurrence of surgical complications (p=0.08) and non-skull base location (p=0.06) tended toward being a significant risk factor for postoperative late seizure. Conclusion. Presence of early seizures, surgical complications and locations out of skull base may direct postoperative anti-epileptic treatment to decrease seizure incidence which, indeed, increases quality of life for patients with meningioma.

scholarly journals TIPS vs. endoscopic treatment for prevention of recurrent variceal bleeding: a long-term follow-up of 126 patients

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Spela Korsic ◽  
Borut Stabuc ◽  
Pavel Skok ◽  
Peter Popovic
Keyword(s):  
Variceal Bleeding ◽  
Endoscopic Treatment ◽  
Observation Time ◽  
Recurrent Bleeding ◽  
Gastroesophageal Varices ◽  
Cumulative Survival ◽  
Long Term Follow Up ◽  
Life Threatening

Abstract Background Recurrent bleeding from gastroesophageal varices is the most common life-threatening complication of portal hypertension. According to guidelines, transjugular intrahepatic portosystemic shunt (TIPS) should not be used as a first-line treatment and should be limited to those bleedings which are refractory to pharmacologic and endoscopic treatment (ET). To our knowledge, long-term studies evaluating the role of elective TIPS in comparison to ET in patients with recurrent variceal bleeding episodes are rare. Patients and methods This study was designed as a retrospective single-institution analysis of 70 patients treated with TIPS and 56 with ET. Patients were followed-up from inclusion in the study until death, liver transplantation, the last follow-up observation or until the end of our study. Results Recurrent variceal bleeding was significantly more frequent in ET group compared to patients TIPS group (66.1% vs. 21.4%, p < 0.001; χ2-test). The incidence of death secondary to recurrent bleeding was higher in the ET group (28.6% vs. 10%). Cumulative survival after 1 year, 2 years and 5 years in TIPS group compared to ET group was 85% vs. 83%, 73% vs. 67% and 41% vs. 35%, respectively. The main cause of death in patients with cumulative survival more than 2 years was liver failure. Median observation time was 47 months (range; 2–194 months) in the TIPS group and 40 months (range; 1–168 months) in the ET group. Conclusions In present study TIPS was more effective in the prevention of recurrent variceal bleeding and had lower mortality due to recurrent variceal bleeding compared to ET.

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