THE LION’S MANE SIGN: SURGICAL RESULTS USING THE BILATERAL FRONTO-ORBITO-NASAL APPROACH IN LARGE AND GIANT ANTERIOR SKULL BASE MENINGIOMAS
Extreme vasogenic edema exemplified by finger-like hyperintensities extending into bifrontal white mater and external capsule predicts an increased duration of stay in the ICU after bilateral fronto-orbito-nasal approach for resection of large and giant anterior skull base meningiomas. This measure proved to be a better predictor of complications than edema index.
IMPORTANCE OF VENTRICLE-TO-BRAIN RATIO (VBR) AND VOLUME OF CSF DRAINAGE IN THE TREATMENT OF VERY LOW PRESSURE HYDROCEPHALUS
Sometimes, low-pressure hydrocephalus, a known complication of prolonged hydrocephalus, is treatable with continued low-pressure drainage at subatmostpheric pressures. This article proposes a method for determining when this treatment may be therapeutic versus ineffective.
IMPORTANCE OF FRONTAL HORN RATIO AND OPTIMAL CSF DRAINAGE IN THE TREATMENT OF VERY LOW-PRESSURE HYDROCEPHALUS
Unlike low-pressure hydrocephalus, very low pressure hydrocephalus (VLPH) is a rarely reported clinical entity previously described to be associated with poor outcomes and to be possibly refractory to treatment with continued cerebrospinal fluid (CSF) drainage at subatmospheric pressures. We present four cases of VLPH following resection of suprasellar lesions and hypothesize that untreatable patients can be identified early, thereby avoiding futile prolonged external ventricular drainage in ICU.
More papers to be posted online soon!
CONTINUING EDUCATION COURCES
THE EXCITABLE BRAIN: WHAT EVERY CLINICIAN SHOULD KNOW ABOUT EPILEPSY
This course reviews the various types of seizure disorders and syndromes. Procedures for diagnosing seizures are presented, including neuropsychological evaluation as well as Wada testing, cortical stimulation mapping, and functional neuroimaging. Special emphasis is placed on neurocognitive and neurobehavioral sequelae of complex partial seizures. Also of focus is the role of neuropsychological assessment in epilepsy diagnosis and in pre-/post-surgical evaluation. Further, differential diagnoses including psychogenic non-epileptic seizures are discussed.
This online course is approved for APA CE credit, NBCC CE clock hours and ASWB Clinical CE clock hours. NYSED CEs are NOT approved for this online course.