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The risk of developing postoperative seizures decreases with the passage of time after surgery. In the majority of cases it has fallen to less than 10% by six months but in some specific groups this risk is not reached until much later. Patients who had abscesses were however the only group with a continuing risk after five years. Late epilepsy occurred in… (More)
Overall, supratentorial neurosurgical procedures are associated with a 17% risk of developing postoperative seizures. The incidence varies, but treatment of an arteriovenous malformation, an intracerebral haematoma, a middle cerebral artery aneurysm, an abscess, and meningiomas carry the highest risk. The role of prophylactic anticonvulsant therapy is… (More)
Conversational discourse samples were obtained from four aphasic and four neurologically normal Hispanic bilinguals in monolingual English, monolingual Spanish, and bilingual contexts to identify codeswitching patterns. Analysis of the samples based on the Matrix Language Frame (MLF) Model (Myers-Scotton, 1993a) revealed consistent matching of the language… (More)
S urgical audit is not a new phenomenon. As early as 1750 BC, King Hammurabi of Baby-lon issued decrees for the punishment of negligent physicians, particularly surgeons. In such a decree discovered at Susa in Iran and inscribed on a 2-m-high black diorite stone, Hammurabi states that: If a doctor inflicts a serious wound with his operation knife on a free… (More)
Introduction This handbook has been developed with the intention of improving clinical audit at a local level and is designed for use in acute trusts, primary care trusts (PCTs), ambulance trusts and mental health trusts. There are many different models for clinical audit which work well at a local level and the handbook documents the range of models which… (More)
Bleeding from oesophageal varices, oesophageal ulcers or oesophagitis is occasionally massive and difficult to control. Octreotide, a synthetic analogue of somatostin lowers portal pressure and collateral blood flow including that through varices, increases lower oesophageal sphincter pressure, and inhibits the gastric secretion of acid as well as pepsin.… (More)
Overall, the risk of developing postoperative epilepsy following the insertion of an internal ventricular drainage system is 24%. Infection of the system was noted to be associated with a higher risk. The question of prophylactic anticonvulsant therapy is discussed.