Suprasellar Meningiomas - Neurological and Visual Outcome at Long Term Follow-up in a Homogeneous Series of Patients Treated Microsurgically

1998 ◽  
Vol 140 (12) ◽  
pp. 1231-1238 ◽  
Author(s):  
M. J. A. Puchner ◽  
R. C. M. Fischer-Lampsatis ◽  
H.-D. Herrmann ◽  
N. Freckmann
Keyword(s):  
Visual Outcome ◽  
Long Term Follow Up

Long-term follow-up and visual outcome after excision of a traumatic iris cyst by viscoelastic dissection

2011 ◽  
Vol 31 (6) ◽  
pp. 529-531 ◽  
Author(s):  
Huda Al-Ghadeer ◽  
Abdul Elah Al-Towerki ◽  
Ali Al-Rajhi ◽  
Abdulaziz Al-Awad
Keyword(s):  
Visual Outcome ◽  
Long Term Follow Up ◽  
Iris Cyst

Bilateral subfrontal approach for tuberculum sellae meningiomas in long-term postoperative visual outcome

2011 ◽  
Vol 115 (4) ◽  
pp. 802-810 ◽  
Author(s):  
Isao Chokyu ◽  
Takeo Goto ◽  
Kenichi Ishibashi ◽  
Takashi Nagata ◽  
Kenji Ohata
Keyword(s):  
Postoperative Period ◽  
Visual Outcome ◽  
Surgical Approaches ◽  
Short Term ◽  
Csf Leakage ◽  
Long Term Follow Up ◽  
Tuberculum Sellae ◽  
Subfrontal Approach

ObjectVarious surgical approaches, such as uni- and bifrontal, frontolateral, and pterional approaches, have been advocated for tuberculum sellae meningiomas. The authors retrospectively reviewed the effectiveness of a bilateral subfrontal approach for tuberculum sellae meningiomas with special attention to ophthalmological outcomes and complications.MethodsBetween 1993 and 2009, 34 patients underwent surgery for removal of tuberculum sellae meningiomas at Osaka City University. Tumor size ranged from 14 to 45 mm. Thirty-two of 34 patients presented with visual disturbances before the surgery. The visual functions in all patients were assessed using a visual impairment score (VIS) before and after surgery. Postoperative visual examination was performed 2 weeks after surgery. Long-term follow-up examinations were conducted 1 year after surgery.ResultsRadical resection (Simpson Grades I and II) was accomplished in 27 patients, and subtotal or partial resection (Simpson Grades III and IV) was achieved in 7. There was no deterioration in postoperative visual outcome. Twenty-nine (90.6%) of 32 patients showed improved VIS compared with preoperative VIS. The average VIS was 38.1 preoperatively, 23.5 in the short-term postoperative period, and 21.8 in the long-term postoperative period. In the short-term postoperative period, the visual function in 6 patients normalized, and visual problems persisted in the remaining 26. Six (23%) of 26 patients showed further improvement in VIS during the long-term follow-up period, and no patient exhibited a worsened VIS during this time. One patient complained of hyposmia after surgery, but there was no indication of related complications such as CSF leakage or frontal brain contusion.ConclusionsThe bilateral subfrontal approach was previously avoided because of the relatively high rate of complications in earlier surgical series of tuberculum sellae meningiomas. However, after developments in microsurgical techniques in recent years, the bilateral subfrontal approach can now provide satisfactory visual outcomes with minimal postoperative complications. Careful preservation of the blood supply to optic apparatus and early unroofing of the optic canal using a bilateral subfrontal approach led to further improvement in long-term postoperative visual outcome.

scholarly journals Evolution of Lightning Maculopathy: Presentation of Two Clinical Cases and Brief Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Simanta Khadka ◽  
Raghunandan Byanju ◽  
Sangita Pradhan ◽  
Suchan Poon ◽  
Rinkal Suwal
Keyword(s):  
Anterior Segment ◽  
Visual Outcome ◽  
Ocular Injury ◽  
Poor Visual Outcome ◽  
Naturally Occurring ◽  
Long Term Follow Up ◽  
Lightning Injury ◽  
Clinical Cases

Lightning is a naturally occurring atmospheric phenomenon. Though uncommon, it is a potentially devastating and underreported natural calamity. Lightning accounts for the second leading cause of weather-related death in most parts of the world. Among the survivors of lightning injury, more than half of the victims may suffer from some form of ophthalmic injury. The lightning-associated ocular injury varies from a range of anterior segment to posterior segment pathologies. We report on two clinical cases of ocular injuries among the survivors of lightning injury. Anatomical involvement is seen at different levels with presentation as uveitis, pupillary abnormality, maculopathy, and later development of lenticular opacification. Optical coherence tomography (OCT), a noninvasive diagnostic tool, is particularly useful in the evaluation of lighting maculopathy as well as to monitor its progression through the course of time. Visual prognosis depends upon the structures of the eyes affected in the injury. The presence of irreversible retinal damage as well as optic nerve damage often result in poor visual outcome in the absence of significant anterior segment pathology. This report highlights the evolution of maculopathy through the course of time and signifies the importance of long-term follow-up postlightning injury.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

A comparison of two approaches to biofeedback treatment in children with recalcitrant constipation/encopresis. Long term follow up

2001 ◽  
Vol 120 (5) ◽  
pp. A397-A397
Author(s):  
M SAMERAMMAR ◽  
J CROFFIE ◽  
M PFEFFERKORN ◽  
S GUPTA ◽  
M CORKINS ◽  
...  
Keyword(s):  
Long Term Follow Up ◽  
Biofeedback Treatment

Endoscopic sphiecterotomy without cholecystectomy for prevention of recurrence of acute billary pancreatitis: Long-term follow-up of 73 patients

2001 ◽  
Vol 120 (5) ◽  
pp. A204-A204
Author(s):  
B GONZALEZCONDE ◽  
J VAZQUEZIGLESIAS ◽  
L LOPEZROSES ◽  
P ALONSOAGUIRRE ◽  
A LANCHO ◽  
...  
Keyword(s):  
Long Term Follow Up ◽  
Prevention Of Recurrence

Epidemilogical long term follow up in functional dyspepsia: Characteristics of non-responders

2001 ◽  
Vol 120 (5) ◽  
pp. A754-A755 ◽  
Author(s):  
H ALLESCHER ◽  
P ENCK ◽  
G ADLER ◽  
R DIETL ◽  
J HARTUNG ◽  
...  
Keyword(s):  
Functional Dyspepsia ◽  
Long Term Follow Up
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