scholarly journals Intracranial Surgery and Postoperative Management of Patients with Ruptured Aneurysm in Acute and Subacute Stage

1979 ◽  
Vol 19 (2) ◽  
pp. 173-179 ◽  
Author(s):  
JINICHI SATO ◽  
OSAMU SATO ◽  
HIROSHI KAMITANI ◽  
ITARU KANAZAWA ◽  
TAKASHI KOKUNAI
2014 ◽  
Vol 24 (7) ◽  
pp. 724-733 ◽  
Author(s):  
Joanne E. Shay ◽  
Deepa Kattail ◽  
Athir Morad ◽  
Myron Yaster

Nosotchu ◽  
1991 ◽  
Vol 13 (5) ◽  
pp. 367-372
Author(s):  
Shinri Oda ◽  
Masami Shimoda ◽  
Osamu Sato ◽  
Ryuichi Tsugane

1988 ◽  
Vol 69 (4) ◽  
pp. 540-544 ◽  
Author(s):  
Shlomi Constantini ◽  
Shamay Cotev ◽  
Z. Harry Rappaport ◽  
Shlomo Pomeranz ◽  
Mordechai N. Shalit

✓ A retrospective study of 514 consecutive patients whose intracranial pressure (ICP) was monitored after elective supratentorial or infratentorial surgery is reported. Of the 412 patients operated on in the supratentorial region, 76 (18.4%) had a postoperative sustained ICP elevation exceeding 20 torr. Abnormally high ICP occurred after 13 (12.7%) of the 102 infratentorial operations. Risk factors for postoperative ICP elevation were: resection of glioblastoma in 27.2% of cases, repeat surgery in 42.9% of cases, and protracted surgery (> 6 hours) in 41.7% of cases. Of the 89 patients with elevated ICP, 47 (52.8%) had an associated clinical deterioration. In 19 of these, the rise in ICP occurred before this deterioration was noticed, leading as a rule to quick diagnostic and management response. In eight patients clinical deterioration was noticed before the rise in ICP, and in 20 it happened simultaneously. The higher the level of ICP elevation, the greater were the chances of associated deterioration. The most common findings on computerized tomography scanning in 35 of the 89 patients with elevated ICP were brain edema (19 cases) and bleeding in the tumor bed (15 cases). Mannitol, thiopental, additional hyperventilation, and reintubation (in patients who were previously extubated) were used to reduce ICP, in addition to surgical decompression whenever indicated. Thirteen patients with raised ICP and clinical deterioration underwent reoperation. The postoperative infection rate was 1.2% (six cases). In only one patient could infection be attributed to ICP monitoring. It was concluded that ICP monitoring is advantageous in the immediate postoperative management after elective intracranial surgery and is almost risk-free. It should therefore be used liberally, especially when risk factors for ICP elevation can be identified prior to the end of surgery.


1995 ◽  
Vol 23 (4) ◽  
pp. 291-296
Author(s):  
Koichi UETSUHARA ◽  
Tetsuzo TOMOSUGI ◽  
Shigeya TANAKA ◽  
Koichi MOROKI ◽  
Masahiko YAMADA ◽  
...  

1996 ◽  
Vol 16 (4) ◽  
pp. 218-223
Author(s):  
R. Rohrich ◽  
P. B. Fodor ◽  
J. J. Petry ◽  
P. Vash

VASA ◽  
2009 ◽  
Vol 38 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Yuan ◽  
Tager

Penetrating atherosclerotic ulcer of the aorta is uncommon, and usually develops in the descending thoracic aorta. Rarely this condition involves the branch vessels of the aorta. We report a case of ruptured aneurysm of the innominate artery resulting from penetrating atherosclerotic ulcer. Open surgery was the treatment of choice for the ruptured aneurysm, while conservative treatment was recommended for the associated penetrating atherosclerotic ulcers of the descending aorta.


1991 ◽  
Vol 4 (04) ◽  
pp. 112-115 ◽  
Author(s):  
Julia Blackmore ◽  
Lesley Phillips

SummaryA Kirschner-Ehmer device was used to stabilize caudal lumbar fractures/luxations in three dogs weighing 12 kg or less. A through and through Kirschner-Ehmer device maintained alignment during the healing process using the appropriate sized rods and clamps. Postoperative management included strict cage confinement and oral broad spectrum systemic antibiotics for up to two weeks after removal of the Kirschner-Ehmer device. In all three cases, the fractures/luxations were healed within six to eight weeks. The Kirschner-Ehmer device could then be removed with sedation or general anaesthesia.


Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
John Lee ◽  
Evan Ransom ◽  
James Palmer ◽  
John Lee ◽  
Alexander Chiu

2015 ◽  
Vol 18 (5) ◽  
pp. 184 ◽  
Author(s):  
Makoto Mori ◽  
Soh Hosoba ◽  
Stephanie Yoshimura ◽  
Omar Lattouf

<p>Mural endocarditis is an inflammation and disruption of the nonvalvular endocardial surface of the cardiac chambers. We present a rare case of mural endocarditis on the intraventricular (IV) septum on both the left and right ventricular side with intact valvular annulus. This case highlights the complexity of the operative and postoperative management in an unprecedented case of biventricular mural endocarditis.</p>


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