Obstructive Hydrocephalus in Adult Patients: The Louisiana State University Health Sciences Center—Shreveport Experience with Ventriculoperitoneal Shunts

2011 ◽  
Vol 76 (1-2) ◽  
pp. 176-182 ◽  
Author(s):  
G. Kesava Reddy ◽  
Runhua Shi ◽  
Bharat Guthikonda
Keyword(s):  
Obstructive Hydrocephalus ◽  
Health Sciences ◽  
Adult Patients ◽  
State University ◽  
Ventriculoperitoneal Shunts ◽  
Louisiana State University

scholarly journals Louisiana State University Health Sciences Center in Shreveport

2004 ◽  
Vol 79 (Supplement) ◽  
pp. S81-S86
Author(s):  
Larry E. Slay ◽  
Peggy W. Murphy ◽  
Andrew L. Chesson ◽  
Randy Richter ◽  
Jane Eggerstedt
Keyword(s):  
Health Sciences ◽  
State University ◽  
Louisiana State University

scholarly journals Resultados del tratamiento del nervio radial e influencia de factores pronósticos

2017 ◽  
Vol 45 (02) ◽  
pp. 104-114
Author(s):  
Gregorio Villén ◽  
Sami Alcober ◽  
Rafael Malfey
Keyword(s):  
Health Sciences ◽  
State University ◽  
Factores Pronósticos ◽  
Louisiana State University

Objetivo Analizar la respuesta de las lesiones del nervio radial y de sus ramas al tratamiento y la influencia de factores asociados dependientes del tipo de daño y de paciente. Material y Método Sesenta y seis pacientes con lesiones del nervio radial o de sus ramas terminales fueron sometidos a tratamiento conservador, reconstrucción nerviosa, exoneurólis, recolocación nerviosa, cobertura con colgajo graso o transferencia tenomuscular. Hubo 39 hombres y 27 mujeres con una edad media de 45 años. Valoramos la situación motora antes y después del tratamiento con la escala del Louisiana State University Health Sciences Centre (G0 a G5). En las lesiones de la rama superficial del nervio radial fueron recogidas las alteraciones sensitivas y el dolor. La edad, el momento de la cirugía, el tipo de lesión, su nivel y tratamiento, el tiempo de seguimiento y el momento aproximado de la recuperación nerviosa, fueron analizados y relacionados con los resultados. Resultados Hubo 37 lesiones del nervio radial entre la axila y el codo, 12 del nervio interóseo posterior y 17 de la rama sensitiva superficial. En 10 pacientes observamos recuperación espontánea. En el 82,3% de los casos de reconstrucción del nervio radial el resultado fue bueno o excelente, siendo desfavorable en el 17,7%. Todos los pacientes con reconstrucción del nervio interóseo posterior tuvieron resultado excelente. Las lesiones nerviosas en continuidad tuvieron un 20% más de resultados G4 y G5 que las neurotmesis. Entre los pacientes con lesión de la rama sensitiva superficial, seis quedaron asintomáticos y 11 sintomáticos después del tratamiento. Los pacientes de mayor edad, los grandes defectos nerviosos injertados en las zonas más proximas de la extremidad superior, o con mayor tiempo transcurrido entre la lesión y la reparación evolucionaron peor. Conclusión El nervio radial es un nervio agradecido al tratamiento.

Tumors of the brachial plexus

2007 ◽  
Vol 22 (6) ◽  
pp. 1-6 ◽  
Author(s):  
Sunit Das ◽  
Aruna Ganju ◽  
Robert L. Tiel ◽  
David G. Kline
Keyword(s):  
Brachial Plexus ◽  
Surgical Approach ◽  
Health Sciences ◽  
State University ◽  
Louisiana State University ◽  
Clinical Challenge ◽  
Complex Anatomy

✓Tumors of the brachial plexus are relatively rare and present a clinical challenge for the neurosurgeon. The management of these tumors therefore requires not only an understanding of the complex anatomy of the brachial plexus but also an appreciation of the appropriate surgical approach to the various tumors that may be encountered. Over a 30-year period (1969–1999), 226 patients with brachial plexus tumors were evaluated and surgically treated by the senior authors (R.L.T., D.G.K.). In the present paper they review the most common benign and malignant brachial plexus tumors and discuss management and surgical principles established through their experience at the Louisiana State University Health Sciences Center.

A series of 397 peripheral neural sheath tumors: 30-year experience at Louisiana State University Health Sciences Center

2005 ◽  
Vol 102 (2) ◽  
pp. 246-255 ◽  
Author(s):  
Daniel H. Kim ◽  
Judith A. Murovic ◽  
Robert L. Tiel ◽  
Gregory Moes ◽  
David G. Kline
Keyword(s):  
Brachial Plexus ◽  
Surgical Techniques ◽  
Neurofibromatosis Type ◽  
Health Sciences ◽  
High Morbidity ◽  
State University ◽  
Content Type ◽  
Louisiana State University ◽  
Neural Sheath ◽  
Fine Print

Object. This is a retrospective review of 397 benign and malignant peripheral neural sheath tumors (PNSTs) that were surgically treated between 1969 and 1999 at the Louisiana State University Health Sciences Center (LSUHSC). The surgical techniques and adjunctive treatments are presented, the tumors are classified with respect to type and prevalence at each neuroanatomical location, and the management of malignant PNSTs is reviewed. Methods. There were 361 benign PNSTs (91%). One hundred forty-one benign lesions were brachial plexus tumors: 54 schwannomas (38%) and 87 neurofibromas (62%), of which 55 (63%) were solitary neurofibromas and 32 (37%) were neurofibromatosis Type 1 (NF1)—associated neurofibromas. Among the brachial plexus lesions supraclavicular tumors predominated with 37 (69%) of 54 schwannomas; 34 (62%) of 55 solitary neurofibromas; and 19 (59%) of 32 NF1-associated neurofibromas. One hundred ten upper-extremity benign PNSTs consisted of 32 schwannomas (29%) and 78 neurofibromas (71%), of which 45 (58%) were sporadic neurofibromas and 33 (42%) were NF1-associated neurofibromas. Twenty-five benign PNSTs were removed from the pelvic plexus. Lower-extremity PNSTs included 32 schwannomas (38%) and 53 neurofibromas (62%), of which 31 were solitary neurofibromas and 22 were NF1-associated neurofibromas. There were 36 malignant PNSTs: 28 neurogenic sarcomas and eight other sarcomas (fibro-, spindle cell, synovial, and perineurial sarcomas). Conclusions. The majority of tumors were benign PNSTs from the brachial plexus region. Most of the benign PNSTs in all locations were neurofibromas, with sporadic neurofibromas predominating. Similar numbers of schwannomas were found in the upper and lower extremities, whereas neurofibromas were more prevalent in the upper extremities. Despite aggressive limb-ablation or limb-sparing surgery plus adjunctive therapy, malignant PNSTs continue to be associated with high morbidity and mortality rates.

scholarly journals Louisiana State University Health Sciences Center School of Medicine at New Orleans

2010 ◽  
Vol 85 ◽  
pp. S245-S249
Author(s):  
Richard DiCarlo ◽  
Robin English ◽  
Lauren Wilson ◽  
Charles Hilton ◽  
Steve Nelson
Keyword(s):  
New Orleans ◽  
Health Sciences ◽  
State University ◽  
Louisiana State University ◽  
School Of Medicine
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