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Postoperative care of major neurosurgical procedures is aimed at the prevention, detection and treatment of secondary brain injury. This consists of a series of pathological events (i.e. brain edema and intracranial hypertension, cerebral hypoxia/ischemia, brain energy dysfunction, non-convulsive seizures) that occur early after the initial insult and(More)
UNLABELLED Switzerland, the country with the highest health expenditure per capita, is lacking data on trauma care and system planning. Recently, 12 trauma centres were designated to be reassessed through a future national trauma registry by 2015. Lausanne University Hospital launched the first Swiss trauma registry in 2008, which contains the largest(More)
OBJECTIVE To report our experience with the Extended endoscopic endonasal approach (EEEA) for clival and paraclival tumors. DESIGN Retrospective analysis of a consecutive series of patients. RESULTS Eleven patients were considered: 3 chordomas, 3 meningiomas, 3 metastatic lesions, one chondroma and one chondrosarcoma. Gross total resection (GTR) was(More)
Dear Editor: Spinal cord infarction after posterior fossa surgery is a very rare complication described by several authors but with few cases reported to date [1]. The majority of spinal cord infarction is reported after posterior fossa surgery in the sitting position and only two cases (cervical cord) are described due to surgeries in the prone position(More)
Intramedullary tumors constitute approximately 5% of spinal tumors and about 80% are of neuroglial origin. We reviewed our series of adult patients with spinal neuroglial intramedullary tumors operated on between 1984 and 2011 at the neurosurgical department of Bicêtre hospital. The histopathological records for 196 patients were retrospectively analyzed.(More)
Management of neurocritical care patients is focused on the prevention and treatment of secondary brain injury, i.e. the number of pathophysiological intracerebral (edema, ischemia, energy dysfunction, seizures) and systemic (hyperthermia, disorders of glucose homeostasis) events that occur following the initial insult (stroke, hemorrhage, head trauma,(More)
Based on the 2007 WHO classification, the proportion of atypical meningiomas has steeply increased. Complete resection is usually considered curative, however, the recurrence rate remains high. The treatment of more aggressive meningiomas remains problematic. We performed a literature review via the PubMed database with specific attention to radiological,(More)
BACKGROUND The current surgical treatment of choice for refractory intracranial hypertension following traumatic brain injury (TBI) is decompressive craniectomy. Despite efficacy in control of intracranial pressure, its contribution towards an improved outcome is debatable. CASE DESCRIPTION We present here a case of refractory intracranial hypertension(More)
Squamous cell and basocellular carcinoma of the face have an excellent prognosis. Nevertherless, a small proportion therefore of these cancers differs by a much more aggressive behavior, caracterised by a tendency to infiltrate the deep facial soft tissues and facial bones. The invasion of the craniofacial skeleton and the intracranial structures follows(More)
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