Articles related to Surgery, Neurologic

Discover how an ER-to-OR pathway can effectively reduce inpatient admissions and lower treatment costs, particularly during times of healthcare system stress, in this detailed study analysis.

The evolving use of dopamine D2-receptor antagonists, marked by safety concerns and an FDA black box warning on droperidol, has seen a resurgence with the FDA-approved amisulpride, highlighting the need for further research to explore its comparison with other antiemetics and its role in multimodal PONV management.

Explore how thought control has been utilized in groundbreaking technology to enable a paralyzed man to walk naturally again, unveiling a new frontier in neuroscience and potentially revolutionizing paralysis treatment.

Navigate the complex world of diagnosing Chiari malformation in this insightful review of a clinical case. To understand Chiari malformation, let’s explore a clinical case. A mid-30s patient with a migraine history came to the ED with a sudden posterior headache. Accompanied by transient total body numbness, loss of coordination, and an inability to swallow with drooling, these symptoms started abruptly after violent sneezing. Although neurological symptoms faded after 20 seconds, the headache persisted. Regarding vital signs and physical examination, everything was normal. The patient had a head CT ordered. Interpreting the clinical picture and CT images with care is crucial in these cases. Even though a sudden onset headache could signify a ruptured berry aneurysm, no blood was detected on the CT cuts, minimizing that concern. Remember, an LP is seldom recommended if the CT is performed within 6 hours and hemoglobin exceeds 10 g/dL. However, the clinical presentation in this case, characterized by headache and drooling, didn’t match a typical migraine. Be mindful that many patients might loosely use the term “migraine” for any severe headache. The CT cut revealed a brainstem compressed by the cerebellum, indicative of a Chiari malformation type 1. Chiari malformation, characterized by an […]

Disability and quality of life results were comparable between decompressive craniectomy and craniotomy in individuals with traumatic acute subdural hematoma. More people in the craniotomy group underwent additional surgery, although the craniectomy group experienced more wound issues.

AI has exploded onto the scene in society, business, science, and medicine. At the same time, there are now decades of data from brain surgeries for DRE to train the programs. This confluence suggests that applications for precision epilepsy surgery may be here soon.