Epilepsy in Cortical Dysplasia: Factors Affecting Surgical Outcome

2004 ◽  
Vol 82 (1) ◽  
pp. 26-30 ◽  
Author(s):  
K.N. Fountas ◽  
D.W. King ◽  
K.J. Meador ◽  
G.P. Lee ◽  
J.R. Smith
Keyword(s):  
Surgical Outcome ◽  
Cortical Dysplasia ◽  
Factors Affecting

scholarly journals Factors affecting surgical outcome of intermittent exotropia

2018 ◽  
Vol 8 (1) ◽  
pp. 24 ◽  
Author(s):  
Meng-Ling Yang ◽  
Chee-Ming Lee ◽  
Ming-Hui Sun ◽  
Ling-Yuh Kao ◽  
Ken-Kuo Lin
Keyword(s):  
Surgical Outcome ◽  
Intermittent Exotropia ◽  
Factors Affecting

scholarly journals Prognostic factors affecting the surgical outcome of anterolateral benign tumors in the foramen magnum region

2016 ◽  
Vol 33 ◽  
pp. 172-176
Author(s):  
Chuanyuan Tao ◽  
Xiaowei Liu ◽  
Yuekang Zhang ◽  
Fan Liu ◽  
Chao You
Keyword(s):  
Prognostic Factors ◽  
Surgical Outcome ◽  
Foramen Magnum ◽  
Benign Tumors ◽  
Factors Affecting

scholarly journals Factors affecting surgical outcome of myringoplasty

1970 ◽  
Vol 17 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Md Zakaria Sarker ◽  
Mesbauddin Ahmed ◽  
Khabiruddin Patwary ◽  
Rabiul Islam ◽  
Abul Hasnat Joarder
Keyword(s):  
Middle Ear ◽  
Surgical Outcome ◽  
Tympanic Membrane Perforation ◽  
Hearing Improvement ◽  
Factors Affecting ◽  
Hearing Gain ◽  
Graft Take ◽  
Significant Difference ◽  
Large Perforation ◽  
Small Perforation

Introduction: This prospective study was carried out to evaluate the factors that affect the graft take rate as well as hearing improvement after myringoplasty. Method: In this study 60 patients were divided into several groups based on 4 factors like size of perforation (small, medium and large), site of perforation (anterior central, posterior central and central malleolar), Condition of the middle ear (dry & wet) and surgical approach (post auricular and transcanal). Surgical outcome of myringoplasty was measured on the basis of graft take rate and post operative hearing improvement. Results: Size of the perforation affects the graft take rate and post operative hearing gain. Post operative closure of air-bone gap was 10.45 dB, 19.21 dB and 18.86 dB in small, medium and large perforation respectively. Hearing gain was greater after closure of large perforation than the smaller one. Graft take rate was 100%, 82% and 72.73% in small, medium and large perforation respectively. Graft take rate was greater in small perforation than other. Site of perforation also affects surgical outcome after myringoplasty. Graft take rate in anterior central, posterior central and central malleolar perforation was 66.67%, 82.25% and 83.79% respectively. Graft take rate was higher in central malleolar perforation than anterior central perforation. Post operative air-bone gap closure after myringoplasty was 15.31 dB, 12.38 dB and 20.89 dB in anterior central, posterior central and central malleolar perforation respectively. Post operative improvement of hearing was greater in central malleolar perforation. Condition of middle ear at the time of operation also affects the surgical outcome. Graft take rate was 89.36% in dry perforation and 53.85% in wet perforation. Graft take rate was greater in dry perforation. Closure of air-bone gap was 18.23 dB and 7.8 dB in dry and wet perforation respectively. Hearing improvement was greater in dry perforation. No significant difference was found in post-aural and transcanal approach. Conclusion: From this study we concluded that site and size of tympanic membrane perforation and condition of middle ear effects surgical outcome after myringoplasty. Key words: Myringoplasty; hearing improvement; graft take rate. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8846 BJO 2011; 17(2): 82-87

Malnutrition Essentials for Neurologists and Neurosurgeons: A Review of the Literature

2021 ◽  
Author(s):  
Alican Tahta ◽  
Yaşar B. Turgut ◽  
Cem Şahin
Keyword(s):  
Oxidative Stress ◽  
Immune Deficiency ◽  
Surgical Outcome ◽  
Protein Energy Malnutrition ◽  
Public Health Problem ◽  
Review Of The Literature ◽  
Factors Affecting ◽  
Protein Energy ◽  
Oxidative Stress Status ◽  
Essential Knowledge

AbstractMalnutrition still causes deaths in the world today and protein energy malnutrition (PEM) is characterized by increased oxidative stress, immune deficiency, and development of various infections. Even today, however, it is an underrecognized and undertreated entity in neurology and neurosurgery. In this report, we therefore seek to review the available literature regarding various factors affecting surgical outcome of children with malnutrition undergoing some neurosurgical interventions including shunt surgery and traumatic brain injury in intensive care unit, in addition its effects upon oxidative stress status and immunity. Furthermore, we attempt to provide essential knowledge of malnutrition affecting surgical outcome of patients with PEM. Based on available evidence in the published literature, it is concluded that it is a serious public health problem characterized by increased oxidative stress, immune deficiency, and development of various infections.

scholarly journals Factors Affecting the Surgical Outcome in Extradural Hematoma in Punjab Institute of Neurosciences, Lahore, Pakistan

2017 ◽  
Vol 14 (3) ◽  
pp. 13-18 ◽  
Author(s):  
Azam Niaz ◽  
Muhammad Hammad Nasir ◽  
Kiran Niraula ◽  
Sumra Majeed ◽  
Joshan Neupane ◽  
...  
Keyword(s):  
Head Injury ◽  
Surgical Outcome ◽  
Cross Sectional Study ◽  
P Value ◽  
Affecting Factors ◽  
Extradural Hematoma ◽  
Hematoma Volume ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Surgical Evacuation

Head injury is a leading cause of death in young age group. Extra Dural hematoma, a complication of head injury, is often fatal if not treated in time. The surgical outcome of EDH is dependent upon many variables including preoperative GCS, time between injury and surgery, associated intracranial injuries, anisocoria and hematoma volume. In order to reduce the mortality near to nil, it is essential to determine the magnitude of effect of affecting factors on surgical outcome which will also help us in preoperative counseling and prioritizing the operative candidates. This study was conducted determine the factors affecting surgical outcome of traumatic intracranial extradural Hematoma in Punjab Institute of Neurosciences/ Lahore general hospital, Lahore. It was a Cross sectional study conducted for 3 years from 28th May 2012 to 28th May 2015.The study was conducted on the patients admitted through emergency and diagnosed as Extramural hematoma. These patients underwent surgical evacuation of EDH on emergent basis and outcome was measured by Glasgow Outcome Scale (GOS) after 48 hours of surgery. Using GOS, good surgical outcome was observed in 80.9% (157 out of 194) patients. Preoperative GCS, anisocoria, hematoma volume, associated intracranial injuries and time between injury and surgery were the factors affecting the outcome significantly (p value=0.000) while age and sex of the patient had no significant effect. In Conclusion, good surgical outcome is associated with patients with solitary Extra Dural Hematoma of volume less than 60 ml, preoperative GCS more than 8, absence of anisocoria and undergoing surgical evacuation within 6 hours of injury. Nepal Journal of Neuroscience, Volume 14, Number 3, 2017, Page: 13-18

scholarly journals A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

2020 ◽  
Vol 24 (04) ◽  
pp. e438-e443
Author(s):  
P. Naina ◽  
Apar Pokharel ◽  
Kamran Asif Syed ◽  
Mary John ◽  
Ajoy Mathew Varghese ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Otitis Media ◽  
Surgical Outcome ◽  
Pediatric Population ◽  
Chronic Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Factors Affecting ◽  
Assessment Protocol ◽  
Membrane Perforation ◽  
The Status

Abstract Introduction The surgical outcome of chronic otitis media (COM) of the mucosal type in the pediatric population with high rates of recurrent tympanic membrane perforation is indeed a concern for the attending surgeon. Objective The present study was done to evaluate the outcome of tympanoplasty in children with chronic otitis media mucosal type. Methods A retrospective analysis of the medical records of all children, aged < 16 years old, who underwent tympanoplasty for COM of the mucosal type was performed. These patients were addressed by a three-point assessment, for predicting outcome of tympanoplasty, which included the age of the patient, addressing the nasal/pharyngeal issues, and the status of the COM (discharging or dry). Surgical success was assessed in terms of graft uptake and improvement of hearing. Factors affecting the surgical outcome were also analyzed. Results A total of 90 children underwent type 1 tympanoplasty; 7 were lost to follow-up and 10 had incomplete audiometric results. In the 73 tympanoplasties analyzed, graft uptake was seen in 91.7% of the patients. Children with longer duration of ear discharge (> 8 years) had greater hearing loss. Children aged > 8 years old showed statistically significant higher chance of graft uptake (p = 0.021). Five of the six children who had graft rejection had bilateral disease. Conclusion A three-point assessment in the management of pediatric COM of the mucosal type offers good outcomes with post-tympanoplasty graft uptake rates > 90%.

Factors affecting surgical outcome in the elderly at Auckland Hospital

2002 ◽  
Vol 72 (8) ◽  
pp. 537-541 ◽  
Author(s):  
Falah El-Haddawi ◽  
Fikri M. Abu-Zidan ◽  
Wayne Jones
Keyword(s):  
Surgical Outcome ◽  
The Elderly ◽  
Factors Affecting ◽  
Auckland Hospital

scholarly journals Examination of Prognostic Factors Affecting Long-Term Survival of Patients with Stage 3/4 Gallbladder Cancer without Distant Metastasis

Cancers ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2073
Author(s):  
Ryota Higuchi ◽  
Takehisa Yazawa ◽  
Shuichirou Uemura ◽  
Yutaro Matsunaga ◽  
Takehiro Ota ◽  
...  
Keyword(s):  
Overall Survival ◽  
Prognostic Factors ◽  
Gallbladder Cancer ◽  
Distant Metastasis ◽  
Surgical Outcome ◽  
Hepatoduodenal Ligament ◽  
Entire Area ◽  
Factors Affecting ◽  
Left Margin

In advanced gallbladder cancer (GBC) radical resection, if multiple prognostic factors are present, the outcome may be poor; however, the details remain unclear. To investigate the poor prognostic factors affecting long-term surgical outcome, we examined 157 cases of resected stage 3/4 GBC without distant metastasis between 1985 and 2017. Poor prognostic factors for overall survival and treatment outcomes of a number of predictable preoperative poor prognostic factors were evaluated. The surgical mortality was 4.5%. In multivariate analysis, blood loss, poor histology, liver invasion, and ≥4 regional lymph node metastases (LNMs) were independent prognostic factors for poor surgical outcomes; invasion of the left margin or the entire area of the hepatoduodenal ligament and a Clavien–Dindo classification ≥3 were marginal factors. The analysis identified outcomes of patients with factors that could be predicted preoperatively, such as liver invasion ≥5 mm, invasion of the left margin or the entire area of the hepatoduodenal ligament, and ≥4 regional LNMs. Thus, the five-year overall survival was 54% for zero factors, 34% for one factor, and 4% for two factors (p < 0.05). A poor surgical outcome was likely when two or more factors were predicted preoperatively; therefore, new treatment strategies are required for such patients.

scholarly journals Type II focal cortical dysplasia: Electroclinical phenotype and surgical outcome related to imaging

Epilepsia ◽  
2012 ◽  
Vol 53 (2) ◽  
pp. 349-358 ◽  
Author(s):  
Francine Chassoux ◽  
Elisabeth Landré ◽  
Charles Mellerio ◽  
Baris Turak ◽  
Michael W. Mann ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Focal Cortical Dysplasia ◽  
Cortical Dysplasia ◽  
Type Ii
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