Additional episodes have been added to the English, Japanese, Korean and Russian Neurosurgery International Podcasts on iTunes. Each podcast episode is the scientific abstract from a published article translated into a foreign language and read by a native speaker. Use iTunes to download new and existing podcasts in your preferred language.
Objective: To identify specific anatomic features related to PCA aneurysms based on the analyses of pretreatment angiograms.
Methods: We performed a detailed angiographic study of 81 patients with a diagnosis of 93 PCA aneurysms. Fifty-three patients underwent computed tomography angiography, 49 underwent digital subtraction angiography, and 6 underwent magnetic resonance angiography. Between 1980 and 2012, a total of 120 patients with 136 PCA aneurysms and 11 352 patients with 16 444 intracranial aneurysms were treated at our institutions.
Background: During awake craniotomies, patients may either be awake for the entire duration of the surgical intervention (awake-awake-awake craniotomy, AAA) or initially sedated (asleep-awake-asleep craniotomy, SAS).
Objective: To examine whether prior sedation in SAS may restrict brain mapping, we conducted neuropsychological tests in patients by means of a standardized anesthetic regimen comparable to an SAS.
Methods: We prospectively examined patients undergoing surgery either under total intravenous anesthesia (TIVA) or under regional anesthesia with slight sedation (RAS). The tests included the DO40 picture-naming test, the digit span, the Regensburg Word Fluency Test, and the finger-tapping test. Each test was conducted 3 times for every patient in the TIVA and RAS groups, once before surgery and twice within about 35 minutes after the end of sedation. Patients undergoing AAA were examined preoperatively and intraoperatively.
Reliable delivery of optimal care can be challenging for care providers. Health care leaders have integrated various business tools to assist them and their teams in ensuring consistent delivery of safe and top-quality care. The cornerstone to all quality improvement strategies is the detailed understanding of the current state of a process, captured by process mapping. Process mapping empowers caregivers to audit how they are currently delivering care to subsequently strategically plan improvement initiatives. As a community, neurosurgery has clearly shown dedication to enhancing patient safety and delivering quality care. A care redesign strategy named NERVS (Neurosurgery Enhanced Recovery after surgery, Value, and Safety) is currently being developed and piloted within our department. Through this initiative, a multidisciplinary team led by a clinician neurosurgeon has process mapped the way care is currently being delivered throughout the entire episode of care. Neurosurgeons are becoming leaders in quality programs, and their education on the quality improvement strategies and tools is essential.
Additional episodes have been added to the English, Korean and Russian Neurosurgery International Podcasts on iTunes. Each podcast episode is the scientific abstract from a published article translated into a foreign language and read by a native speaker. Use iTunes to download new and existing podcasts in your preferred language.
Background: Idiopathic carpal tunnel syndrome (ICTS) is a common entrapment neuropathy. Some cases of ICTS are linked to mutations in the transthyretin gene, while others are associated with systemic amyloidosis. The majority of ICTS cases are of unknown etiology.
Objective: To study molecular mechanisms of CTS development.
Methods: A total of 71 ICTS patients and 68 controls were included in the study. Fibrinogen level was determined prior to surgery and its deposition in transversal carpal ligament (TCL) was detected by immunohistochemistry, western blot and mass spectrometry. Fibrinogen interaction with other proteins was studied by immunoprecipitation assay.