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Outcome after severe head injury

Relationship to mass lesions, diffuse injury, and ICP course in pediatric and adult patients

Anthony M. Alberico, John D. Ward, Sung C. Choi, Anthony Marmarou, and Harold F. Young

considerably from series to series. To make sound conclusions from a comparison of pediatric and adult patients with severe head injury, one would obviously want to minimize the effect of as many variables as possible. The situation at our institution has afforded a unique opportunity to compare outcome from head injury in pediatric and adult patients. The Medical College of Virginia (MCV) Hospital contains a complete pediatric service within the same facilities. Our formula for management of severe head injury has been consistently applied to all patients regardless of

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Sanjay Yadla, Mitchell G. Maltenfort, John K. Ratliff, and James S. Harrop

nonoperative management are lacking. 13 Outcomes for adult deformity surgery are largely reported in reference to a specific surgical technique or in relation to a particular surgeon or surgical group. Investigators have used varying classifications of clinical outcomes and procedure-related complications, making analysis of the literature difficult. The purpose of this systematic review was to synthesize existing data on the outcomes of surgical intervention for adult spine deformity. Four specific questions regarding outcome were proposed as follows: 1) What is the

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Kyung Sun Song, Ji Hoon Phi, Byung-Kyu Cho, Kyu-Chang Wang, Ji Yeoun Lee, Dong Gyu Kim, Il Han Kim, Hyo Seop Ahn, Sung-Hye Park, and Seung-Ki Kim

prognosis than the adult disease remains under debate. In addition, the prognostic factors that influence the long-term outcome of glioblastoma in children are unclear. In this study, we retrospectively analyzed the long-term outcome of 27 pediatric patients harboring a glioblastoma who were treated in a single institution. The OS rate was calculated, and the clinical factors that affected the outcome were analyzed. Methods Patient Inclusion and Data Collection We searched our operation database for pediatric patients in whom glioblastoma had been newly

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Seung-Ki Kim, Kyu-Chang Wang, Yong-Seung Hwang, Ki Joong Kim, Jong Hee Chae, In-One Kim, and Byung-Kyu Cho

E pilepsy surgery is a viable option for intractable epilepsy, which comprises 10–20% of the cases of pediatric epilepsy. 14 , 18 Experience derived from such surgery shows that children present with different features than adults. Children have a higher proportion of neoplastic and malformation lesions in the epileptogenic substrate and more frequent extratemporal foci of epileptogenesis, and they require surgical treatment of the developing brain. 8 , 11 , 14 , 15 , 19 , 27 Evaluation of surgical outcome and complications is important when selecting

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Michael Westerveld, Kimberlee J. Sass, Gordon J. Chelune, Bruce P. Hermann, William B. Barr, David W. Loring, Esther Strauss, Max R. Trenerry, Kenneth Perrine, and Dennis D. Spencer

favorable outcome in younger patients and have established a pathological similarity between the substrate of temporal lobe seizures in children and adults. However, although anecdotal mention of cognitive and behavioral outcome is noted, no systematic evaluation of cognitive outcome was performed. More recent series have provided increasing evidence of pathological similarity between childhood and adult temporal lobe epilepsy, 12–14 and have demonstrated that temporal lobectomy performed during childhood produces favorable results, with similar or greater frequency

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Marc Platenkamp, Patrick W. Hanlo, Kathelijn Fischer, and Rob H. J. M. Gooskens

T he incidence of hydrocephalus in newborn infants is 1 in 1000. 4 Since an appropriate symptomatic therapy for hydrocephalus has become available (shunts), mortality rates have fallen and morbidity rates have improved. 5 Many of the studies detailing the outcome of children with hydrocephalus are older studies that involved heterogeneous populations. 6 , 9 , 12 , 15 Recent studies contain mostly small sample sizes. 4 , 7 , 10 Consequently, little information is available on the outcome of children recently treated for hydrocephalus. In the past

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Sung C. Choi, Thomas Y. Barnes, Ross Bullock, Teresa A. Germanson, Anthony Marmarou, and Harold F. Young

M any investigators have studied the problem of predicting outcome in severely head-injured patients. The importance of this prediction has been discussed in our previous papers; 5–7 16, 17, 19 however, little attention has been focused on the temporal progress of patients after discharge. In this paper, we examine the temporal profile of severely head-injured patients from discharge to 12 months posttrauma. The Glasgow Outcome Scale (GOS) 9 is used to classify outcome into five categories: good recovery, moderate disability, severe disability, vegetative

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Johannes Leitgeb, Walter Mauritz, Alexandra Brazinova, Ivan Janciak, Marek Majdan, Ingrid Wilbacher, and Martin Rusnak

published. 13 Some authors have developed algorithms to estimate the probability of functional recovery 29 or poor outcome. 22 However, most of the studies on acute SDH came from single centers, were performed more than 10 years ago, and enrolled comparatively few patients. In addition, most previous studies enrolled patients with mild, moderate, and severe TBI. The goal of this study was to identify factors influencing outcomes after severe TBI due to acute SDH using fairly recent data from a large sample of patients enrolled in Austrian trauma centers. Methods

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Karl-Erik Jakobsson, Hans Säveland, Jan Hillman, Göran Edner, Stefan Zygmunt, Lennart Brandt, and Luigi Pellettieri

migraine, sinusitis, tension headache, or cervical spine disorder. 3, 5, 8, 17, 27 An association between admission clinical status and outcome in aneurysmal SAH has been demonstrated; 91% of patients with a Hunt and Hess 13 Grade I made a good recovery after early surgery for a ruptured aneurysm, whereas 58% of patients with a Grade III and only 13% of patients with a Grade IV made a good recovery. 26 If the warning leak is recognized, patients will benefit by undergoing surgery in better neurological condition than would be the case after a major aneurysm rupture

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Subhas Konar, Dhaval Gohil, Dhaval Shukla, Nishanth Sadashiva, Alok Uppar, Dhananjaya I. Bhat, Dwarkanath Srinivas, Arivazhagan Arimappamagan, and Bhagavatula Indira Devi

convexity or in the interhemispheric space. Few case series 2 , 7 , 8 , 10 , 12 , 17 , 19 , 23–25 or case reports 1 , 3 , 6 , 14 , 18 , 22 of SDE have been published in the literature but prognostic factors for outcome have not been analyzed. In the present study we analyzed the prognostic factors for outcome in children with SDE. Methods This is a retrospective study conducted at a high-volume neurosurgical center in a developing country (India). The study duration was from January 2005 to December 2017. The study was conducted within the norms of local institutional