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Split-Thickness Decompression in the Management of Intracranial Pressure

Wong AK, Wong RH

Surgical management of elevated intracranial pressures due to stroke or traumatic brain injury has classically been through decompressive craniectomy (DC). There is significant morbidity associated with DC including subdural hygromas,...
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Remote cerebellar hemorrhage following surgical clipping of an unruptured cerebral aneurysm of the middle cerebral artery

Lee IH, Choi J

An infrequent complication, remote cerebellar hemorrhage (RCH) may occur after supratentorial craniotomy at a reported incidence of 0.08-0.6%. Although RCH is mostly self limiting, early diagnosis and treatment are necessary...
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Awake craniotomy using a high-flow nasal cannula with oxygen reserve index monitoring - A report of two cases -

Gook J, Kwon JH, Kim K, Choi JW, Chung IS, Lee J

Background: Awake craniotomy is a well-tolerated procedure for the resection of brain tumors residing within or close to the eloquent cortical areas. Monitored anesthesia care (MAC) is a dominant anesthetic...
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Modified Orbitozygomatic Approach for Resecting a Parasellar Tumor in a Single Institution

Kim JG, Lee DH, Kim YI, Kim IS, Sung JH, Yang SH

Background Modified orbitozygomatic craniotomy is characterized by simplicity and wide exposure. The purpose of the present study was to describe a modified orbitozygomatic approach without resecting the zygomatic arch for...
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Anesthetic considerations for awake craniotomy

Kim SH, Choi SH

Awake craniotomy is a gold standard of care for resection of brain tumors located within or close to the eloquent areas. Both asleep-awake-asleep technique and monitored anesthesia care have been...
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Minipterional craniotomy for surgical clipping of anterior circulation aneurysms: compatibility between the feasibility, safety and efficiency

Park JS, Kwon MY, Lee CY

Objective: The aim of this study was to assess the feasibility, safety and efficiency of minipterional craniotomy (MPT) for surgical clipping of anterior circulation aneurysms. Methods: A retrospective study was conducted...
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Factors Affecting the Time Taken to Determine Brain Death in Patients with Impending Brain Death

Kim YS, Kim DH, Yang TW, Kim M, Lee J, Cho W, Kwon OY

Background and Purpose: The increased demand for donor organs has made it crucial to keep the organs of patients with impending brain death (PWIBDs) suitable for transplantation during the process...
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Neonatal Acute Epidural Hematoma: A Case Report and Literature Review

Iranmehr A, Rashidbeygi M, Namvar M, Khadivi A, Hoseynzadeh E, Payinmahalli A

We present a rare case of an acute epidural hematoma (EDH) in a neonate. The EDH was caused by a fall during natural vaginal delivery. The clinical findings were normal...
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Supraorbital Keyhole Approach for Intracranial Aneurysms : Transitioning from Concerns to Confidence

Park J

For surgical minimalism to reduce iatrogenic traumatization, a supraorbital keyhole approach has already been successfully applied to treat many unruptured anterior circulation aneurysms. However, using this minimal approach also raises...
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Change of the Self-care Agency and Quality of Life after Craniotomy among Patients with Brain tumor according to time

Lee SY, Jung SN, Jung SM, Cho HJ, Kim HK

PURPOSE: The purpose of this study was to identify the self-care agency and quality of life (QOL) among patients with brain tumors after craniotomy. METHODS: A sample of 96 patients was...
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Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage

Park ES, Moon SK, Eom KS

PURPOSE: Recent developments in minimally invasive techniques have the potential to reduce surgical morbidity, promote patient recovery, accelerate surgical procedures, and thus improve cost-effectiveness in case management. In this study,...
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A Meta-analysis for Evaluating Efficacy of Neuroendoscopic Surgery versus Craniotomy for Supratentorial Hypertensive Intracerebral Hemorrhage

Nam TM, Kim YZ

OBJECTIVE: Hypertensive intracerebral hemorrhage is a potentially life-threatening neurological deficit with the highest morbidity and mortality. In recent years, neuroendoscopy has been used to treat intracerebral hemorrhages (ICHs). However, the...
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How to Treat Chronic Subdural Hematoma? Past and Now

Lee KS

Treatment of chronic subdural hematoma (CSDH) is relatively straightforward, however, there is still some debate regarding the best strategy for treatment. The most practical recommendations of up to date were...
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Cranioplasty Results after the Use of a Polyester Urethane Dural Substitute (Neuro-Patch®) as an Adhesion Prevention Material in Traumatic Decompressive Craniectomy

Jeong TS, Kim WK, Jang MJ

PURPOSE: This study was conducted to investigate the usefulness of a polyester urethane dural substitute (Neuro-Patch®, B. Braun, Boulogne, France) as an anti-adhesion agent in subsequent cranioplasty by analyzing the...
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Racial Differences in Hospital Stays among Patients Undergoing Craniotomy for Tumour Resection at a Single Academic Hospital

Sheppard J, Lagman C, Romiyo P, Nguyen T, Azzam D, Alkhalid Y, Duong C, Yang I

BACKGROUND: Racial differences in American patients undergoing brain tumour surgery remain poorly characterized within urban medical centres. Our objective was to assess racial differences in operative brain tumour patients at...
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Burr Hole Drainage versus Small Craniotomy of Chronic Subdural Hematomas

Shim YW, Lee WH, Lee KS, Kim ST, Paeng SH, Pyo SY

OBJECTIVE: Chronic subdural hematoma drainage is one of the most common procedures performed in neurosurgical practice. Not only burr hole drainage but also small craniotomy (diameter 3–5 cm) is frequently...
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Temporal augmentation with calvarial onlay graft during pterional craniotomy for prevention of temporal hollowing

Kim JH, Lee R, Shin CH, Kim HK, Han YS

BACKGROUND: Atrophy of muscle and fat often contributes to temporal hollowing after pterional craniotomy. However, the main cause is from the bony defect. Several methods to prevent temporal hollowing have...
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Modified Orbitozygomatic Approach without Orbital Roof Removal for Middle Fossa Lesions

López-Elizalde R, Robledo-Moreno E, O´Shea-Cuevas G, Matute-Villaseñor E, Campero A, Godínez-Rubí M

OBJECTIVE: The purpose of the present study was to describe an OrBitoZygomatic (OBZ) surgical variant that implies the drilling of the orbital roof and lateral wall of the orbit without...
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Predictable Values of Decompressive Craniectomy in Patients with Acute Subdural Hematoma: Comparison between Decompressive Craniectomy after Craniotomy Group and Craniotomy Only Group

Kim H, Suh SJ, Kang HJ, Lee MS, Lee YS, Lee JH, Kang DG

OBJECTIVE: Patients with traumatic acute subdural hematoma (ASDH) often require surgical treatment. Among patients who primarily underwent craniotomy for the removal of hematoma, some consequently developed aggressive intracranial hypertension and...
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Accidental intracerebral injection and seizure during scalp nerve blocks for awake craniotomy in a previously craniotomized patient: a case report

Lee WK, Kim H, Bae MI, Choi SH, Min KT

A 34-year-old man who previously underwent a craniotomy due to oligodendroglioma was admitted with a diagnosis of recurrent brain tumor. An awake craniotomy was planned. Approximately 15 minutes after completing...
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