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https://read.qxmd.com/read/30771770/outcomes-of-decompressive-surgery-for-cavernous-sinus-meningiomas-long-term-follow-up-in-50-patients
#1
Yair M Gozal, Gmaan Alzhrani, Hussam Abou-Al-Shaar, Mohammed A Azab, Michael T Walsh, William T Couldwell
OBJECTIVECavernous sinus meningiomas are complex tumors that offer a perpetual challenge to skull base surgeons. The senior author has employed a management strategy for these lesions aimed at maximizing tumor control while minimizing neurological morbidity. This approach emphasizes combining "safe" tumor resection and direct decompression of the roof and lateral wall of the cavernous sinus as well as the optic nerve. Here, the authors review their experience with the application of this technique for the management of cavernous sinus meningiomas over the past 15 years...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771365/nitroglycerin-as-a-comparative-experimental-model-of-migraine-pain-from-animal-to-human-and-back
#2
REVIEW
Chiara Demartini, Rosaria Greco, Anna Maria Zanaboni, Grazia Sances, Roberto De Icco, David Borsook, Cristina Tassorelli
Migraine is a disease for which there is still no defined pathophysiological etiology and few translational models. The organic nitrate nitroglycerin has been in use as an experimental model of migraine in both human and animal studies for several years. The drug produces a number of effects within the head, that includes blood vessels, nerves and brain areas that may produce a response similar to a migraine attack in predisposed subjects. A better understanding of the nature of these changes and how well they parallel a true migraine attack would allow for a translational model to better understand some of the mechanisms involved in the generation of a migraine attack...
February 13, 2019: Progress in Neurobiology
https://read.qxmd.com/read/30771118/risk-factors-and-control-of-seizures-in-778-chinese-patients-undergoing-initial-resection-of-supratentorial-meningiomas
#3
Xiangrong Li, Chengjun Wang, Zhiqin Lin, Meng Zhao, Xiaohui Ren, Xiaohui Zhang, Zhongli Jiang
This retrospective study explored the risk factors for the occurrence of seizures in the pre- and postoperative period in patients undergoing supratentorial meningiomas surgery to investigate those who are likely to benefit from prophylactic antiepileptic drugs (AEDs). We reviewed the medical records of 778 supratentorial meningiomas patients who were operated at our institution between 2011 and 2012. A total of 100 (12.9%) patients experienced preoperative seizures; 41 patients (5.3%) experienced postoperative in-hospital seizures, and 91 (13...
February 15, 2019: Neurosurgical Review
https://read.qxmd.com/read/30770395/characterization-and-treatment-of-congenital-thrombotic-thrombocytopenic-purpura
#4
Ferras Alwan, Chiara Vendramin, Ri Liesner, Amanda Clark, William Lester, Tina Dutt, William Thomas, Richard Gooding, Tina Biss, H G Watson, Nichola Cooper, Rachel Rayment, Tanya Cranfield, Joost J van Veen, Quentin A Hill, Sarah Davis, Jayashree Motwani, Neha Bhatnagar, Nicole Priddee, Marianna David, Maeve P Crowley, Jayanthi Alamelu, Hamish Lyall, John-Paul Westwood, Mari Thomas, Marie Scully
Congenital Thrombotic Thrombocytopenic Purpura (cTTP) is an ultra rare thrombomicroangiopathy caused by an inherited deficiency of ADAMTS13. There is limited data on the genotype-phenotype correlation and no consensus on treatment. We reviewed the largest cohort of cTTP cases, diagnosed in the UK, over the past 15 years. 73 cases of cTTP were diagnosed, confirmed by genetic analysis. 93% were alive at the time of review. 36% had homozygous mutations and 64% compound heterozygous mutations. Two presentation peaks were seen, childhood (median diagnosis age 3...
February 15, 2019: Blood
https://read.qxmd.com/read/30770286/hormonal-medication-in-medically-assisted-reproduction-a-systematic-review-of-assessments-from-patients
#5
REVIEW
Kay Lankreijer, Thomas M D'Hooghe, Silke Apers, Walter Sermeus, Sjoerd Repping, Eline Af Dancet
Several hormonal fertility medications have comparable effectiveness. A literature review was conducted into patients' assessments regarding seven medication characteristics including 'side effects' and 'ease of use'. Medline, CINAHL and PsycINFO were searched for female fertility patients' written assessments of a hormonal medication. The tools used were appraised and common (i.e. ≥10%) unpleasant consequences were distinguished from rare ones. The 35 eligible studies did not rely on valid and reliable tools and did not provide patient assessments regarding all seven medication characteristics for any of the globally used medications...
January 19, 2019: Reproductive Biomedicine Online
https://read.qxmd.com/read/30769299/ectopic-intranasal-canine-tooth-in-a-child-a-rare-case-report-and-literature-review
#6
Abdulaziz AlMulhim, Ali AlMomen, Abdulrahman AlKhatib
INTRODUCTION: Intranasal teeth are a rare form of ectopic teeth. Their clinical manifestation are truly variable. In children, intranasal teeth are typically associated with cleft lip and alveolus. PRESENTATION OF CASE: Here, we report a case of 11 years -old girl presented with right nasal obstruction and occasional headache without any obvious etiology. 0Computed tomography of the paranasal sinuses (coronal and axial view) revealed displaced right upper maxillary tooth with the crown oriented inferiorly and medially toward and within the lower right anterior nasal cavity...
January 31, 2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30765993/infratentorial-epidural-abscess-secondary-to-furunculosis-case-report-and-a-review-of-the-literature
#7
Ricardo Horacio Menéndez, Santiago German Erice, Emmanuel Alejandro Vázquez, Karina Breitburd
The authors describe a case of infratentorial epidural abscess caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in a patient with a recent history of cutaneous furunculosis. This 29-year-old male presented with an occipital headache associated with fever, vomiting, and neck stiffness. Admission magnetic resonance imaging showed a retrocerebellar epidural abscess. Antimicrobial therapy was started, and the patient underwent craniectomy for evacuation of the abscess. Cultures of the surgical specimen were consistent with CA-MRSA...
January 2019: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/30765408/causes-of-albuminocytological-dissociation-and-the-impact-of-age-adjusted-cerebrospinal-fluid-protein-reference-intervals-a-retrospective-chart-review-of-2627-samples-collected-at-tertiary-care-centre
#8
John Alexander Brooks, Christopher McCudden, Ari Breiner, Pierre R Bourque
OBJECTIVE: We set out to test the discriminative power of an age-adjusted upper reference limit for cerebrospinal fluid total protein (CSF-TP) in identifying clinically relevant causes of albuminocytological dissociation (ACD). METHODS: We reviewed the charts of 2627 patients who underwent a lumbar puncture at a tertiary care centre over a 20-year period. Samples with CSF-TP above 45 mg/dL (0.45 g/L) were included. Samples with white cell count >5×109 /L, red cell count >50×109 /L and glucose <2...
February 13, 2019: BMJ Open
https://read.qxmd.com/read/30765023/the-diagnosis-and-treatment-of-carbon-monoxide-poisoning
#9
Lars Eichhorn, Marcus Thudium, Björn Jüttner
BACKGROUND: The symptoms of carbon monoxide (CO) poisoning are nonspecific, ranging from dizziness and headache to unconsciousness and death. A German national guideline on the diagnosis and treatment of this condition is lacking at present. METHODS: This review is based on a selective literature search in the PubMed and Cochrane databases, as well as on existing guidelines from abroad and expert recommendations on diagnosis and treatment. RESULTS: The initiation of 100% oxygen breathing as early as possible is the most important treatment for carbon monoxide poisoning...
December 24, 2018: Deutsches Ärzteblatt International
https://read.qxmd.com/read/30764789/comparison-of-cpg-s-for-the-diagnosis-prognosis-and-management-of-non-specific-neck-pain-a-systematic-review
#10
Pulak Parikh, Pasqualina Santaguida, Joy Macdermid, Anita Gross, Arshia Eshtiaghi
BACKGROUND: Neck pain (NP) is a very common musculoskeletal condition with potential for a high burden in disability and length of disorder. Clinical practice guidelines (CPG) give recommendations to clinicians for providing optimal care for patients however best practice recommendations are often contradictory. The purpose for this review was to conduct a SR of CPGs to assess the management recommendations for NP (diagnosis, treatment, prognosis, imaging). METHODS: Standard SR methodology was employed including a grey literature search (including the National Guideline Clearing House)...
February 14, 2019: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/30764752/efficacy-of-psychological-treatment-for-headache-disorder-a-systematic-review-and-meta-analysis
#11
Hye Jeong Lee, Jin Hyeok Lee, Eun Young Cho, Sun Mi Kim, Seoyoung Yoon
BACKGROUND: Headache disorder is not only a common complaint but also a global burden. Pharmacotherapeutic and non-pharmacotherapeutic approaches have been developed for its treatment and prophylaxis. The present study included a systematic review of psychological treatments for primary headache disorder accessible in Korea. METHODS: We included English and Korean articles from EMBASE, MEDLINE, Cochrane library database, SCOPUS, ScienceDirect, Web of Science, CINAHL, PsycArticles and Korean database, KoreaMed and KMBASE which studied primary headache and medication-overuse headache...
February 14, 2019: Journal of Headache and Pain
https://read.qxmd.com/read/30762797/pharmacologic-interventions-for-postoperative-nausea-and-vomiting-after-thyroidectomy-a-protocol-for-systematic-review-and-network-meta-analysis
#12
Ye Jin Cho, Geun Joo Choi, Hyun Kang
BACKGROUND: We aimed to perform a network meta-analysis (NMA) to quantify and rank the efficacy and safety of the pharmacologic interventions for prophylactic use for postoperative nausea and vomiting (PONV) in patients undergoing thyroidectomies. METHODS: A systematic and comprehensive search will be performed using MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar, beginning from their inceptions to February 2019...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30762717/neurobiology-of-photophobia
#13
Rami Burstein, Rodrigo Noseda, Anne B Fulton
BACKGROUND: Photophobia is commonly associated with migraine, meningitis, concussion, and a variety of ocular diseases. Advances in our ability to trace multiple brain pathways through which light information is processed have paved the way to a better understanding of the neurobiology of photophobia and the complexity of the symptoms triggered by light. PURPOSE: The purpose of this review is to summarize recent anatomical and physiological studies on the neurobiology of photophobia with emphasis on migraine...
March 2019: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://read.qxmd.com/read/30762716/headaches-in-idiopathic-intracranial-hypertension
#14
Deborah I Friedman
BACKGROUND: Headache is the most common symptom of idiopathic intracranial hypertension (IIH) and may not resolve with intracranial pressure-lowering treatments. Many patients with IIH have a pre-existing history of migraine. Approximately two-thirds of patients with IIH continue to experience headaches after the other manifestations of the disorder resolve. There are no evidence-based guidelines for treating IIH-related headaches. EVIDENCE ACQUISITION: This review proposes mechanisms by which IIH produces both acute and ongoing headache...
March 2019: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://read.qxmd.com/read/30760196/correction-to-a-prisma-compliant-systematic-review-of-the-endpoints-employed-to-evaluate-symptomatic-treatments-for-primary-headaches
#15
D García-Azorin, N Yamani, L M Messina, I Peeters, M A N Ferilli, D Ovchinnikov, M L Speranza, V Marini, A Negro, S Benemei, M Barloese
Following publication of the original article [1], we have been notified that the name of author five was spelled incorrectly as M. Ferrili, when the correct spelling is MAN Ferilli.
February 13, 2019: Journal of Headache and Pain
https://read.qxmd.com/read/30758705/review-of-the-management-of-pediatric-post-concussion-syndrome-a-multi-disciplinary-individualized-approach
#16
REVIEW
Mitul Kapadia, Alison Scheid, Eric Fine, Rachel Zoffness
PURPOSE OF REVIEW: Post-concussion syndrome (PCS), when the patient's concussion symptoms last longer than 4-6 weeks, affects 10-30% of concussion patients. PCS presents a significant source of morbidity to patients and a management challenge to providers. In this review, we present the current evidence and best management approaches for pediatric PCS. RECENT FINDINGS: There is limited high-quality evidence in pediatric PCS. There is some evidence supporting pharmaceutical management of post-traumatic headaches, cognitive symptoms, and emotional symptoms...
February 13, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30758229/dolutegravir-rilpivirine-dual-antiretroviral-therapy-for-the-treatment-of-hiv-1-infection
#17
E Kelly Hester, Kevin Astle
OBJECTIVE: To review the efficacy and safety of dolutegravir (DTG) with rilpivirine (RPV) as a dual therapy regimen in the treatment of HIV-1 infection. DATA SOURCES: A literature search was performed using PubMed (1966 to January 2019) and Google Scholar (2014 to January 2019) with the search terms dolutegravir, rilpivirine, dual, and switch. Other resources included review articles and the manufacturer product label. STUDY SELECTION AND DATA EXTRACTION: All relevant English-language articles of studies assessing the efficacy and safety of switch therapy to DTG with RPV and review articles were included...
February 13, 2019: Annals of Pharmacotherapy
https://read.qxmd.com/read/30747288/protean-neurologic-manifestations-of-two-rare-dermatologic-disorders-sweet-disease-and-localized-craniofacial-scleroderma
#18
REVIEW
Asya I Wallach, Cynthia M Magro, Andrew G Franks, Lee Shapiro, Ilya Kister
PURPOSE OF REVIEW: To describe diverse neurologic and neuroradiologic presentations of two rare, immunologically mediated skin conditions: Sweet disease and localized scleroderma (morphea). RECENT FINDINGS: Core syndromes of neuro-Sweet disease (NSD) are steroid responsiveness, recurrent meningitis, and encephalitis. Focal neurologic, neuro-vascular, and neuro-ophthalmologic syndromes have been reported recently in NSD. A variety of steroid-sparing treatments and biologics have been used for relapsing NSD...
February 12, 2019: Current Neurology and Neuroscience Reports
https://read.qxmd.com/read/30746007/multiple-exostoses-syndrome-and-basilar-artery-aneurysm-a-case-report
#19
Avraam Ploumis, Andreas Liampas, Michail Angelidis, Areti Theodorou, Vasilios Xydis, Ioannis Gelalis, Peter Zampakis, Vasilios Panagiotopoulos
Background: Hereditary multiple exostoses (HME) is an inherited genetic condition, characterized by the formation of multiple osteochondromas, developing throughout childhood and into puberty. Vascular complications associated with HME are uncommon. Methods: A case of a patient with HME who was admitted to hospital with subarachnoid hemorrhage (SAH), as a result of acute rupture of a basilar tip aneurysm (BTA), will be presented. Relevant literature on this topic will be systematically reviewed...
November 2018: Journal of Vascular and Interventional Neurology
https://read.qxmd.com/read/30743042/acupuncture-induced-cranial-epidural-abscess-case-report-and-review-of-the-literature
#20
Stefano Maria Priola, Ali Moghaddamjou, Jerry C Ku, Shervin Taslimi, Victor Yang
BACKGROUND: Acupuncture is a common form of alternative medicine that is utilized for pain control, amongst other modalities of treatment. It is a relatively safe procedure but complications, including those of infectious aetiology, may still occur. CASE DESCRIPTION: A 47-year-old, immunosuppressed, female patient presented with fever, altered level of consciousness, dysphasia, and a left occipital subgaleal fluctuant mass following acupuncture for headaches in the same area...
February 8, 2019: World Neurosurgery
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