Journal of Neuro and Spine最新文献

An Overview of Hydrocephalus and Shunts Used in The Clinical Management of Hydrocephalus 脑积水及分流术在脑积水临床治疗中的应用综述

Journal of Neuro and Spine Pub Date : 2023-09-15 DOI: 10.33140/jns.01.03.04

{"title":"An Overview of Hydrocephalus and Shunts Used in The Clinical Management of Hydrocephalus","authors":"","doi":"10.33140/jns.01.03.04","DOIUrl":"https://doi.org/10.33140/jns.01.03.04","url":null,"abstract":"Hydrocephalus is a complex neurological condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, leading to increased intracranial pressure. The clinical management of hydrocephalus often involves the surgical placement of a shunt system to divert CSF and restore normal fluid dynamics. This article provides a comprehensive overview of hydrocephalus, its etiology, clinical presentation, and various types of shunts used in its management. The outline of this report encompasses the principles of shunt surgery, indications for shunt placement and primary types of shunts used in the clinical management of hydrocephalus, including ventriculoperitoneal (VP), ventriculoatrial (VA), ventriculopleural (VPL), lumboperitoneal (LP) and ventriculo-subgaleal (VS) shunts. Additionally, some non-conventional shunts such as ventriculo-osseous, ventriculo renal, ventriculo gall bladder, intraventricular (Aqueductal stents) and long-tunnelled external ventricular drains are also discussed. The distinct features of each shunt type, its associated advantages, limitations and complications are also outlined together with a comparison between pressure vs flow regulated valves. An understanding of the different shunt types and their specific characteristics is essential for clinicians to make informed decisions in tailoring treatment to individual patients. This review offers a comprehensive understanding of shunt characteristics which we believe will empower clinicians to make informed decisions tailored to individual patients, ensuring effective CSF diversion and long-term management of hydrocephalus.","PeriodicalId":490409,"journal":{"name":"Journal of Neuro and Spine","volume":"209 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135486588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Upper Cervical Cord Infarction: A Cohort of 13 Cases and Review of the Literature 自发性上颈髓梗死:13例队列分析及文献复习

Journal of Neuro and Spine Pub Date : 2023-09-12 DOI: 10.33140/jns.01.03.03

{"title":"Spontaneous Upper Cervical Cord Infarction: A Cohort of 13 Cases and Review of the Literature","authors":"","doi":"10.33140/jns.01.03.03","DOIUrl":"https://doi.org/10.33140/jns.01.03.03","url":null,"abstract":"The purpose of this study was to evaluate the risk factors, etiologies, clinical features, and functional outcomes of 13 consecutive patients who were admitted to our institution with a spontaneous upper cervical cord infarction (SUCI), a rare and devastating condition. A literature review of variables relevant to our case series was conducted. Methods: We revised all spinal cord stroke cases admitted between 2005 and 2020 to the Department of Neurology of the University Hospital Center “Mohammed V Military Teaching Hospital” of Rabat (Morocco). Data on the patient’s demography, clinical features, and functional outcomes of the upper cervical cord infarction patients were analyzed in Jamovi software for descriptive analysis. Results: Abdominal aortic aneurysm repair n=5(38.5%) and aortic dissection secondary to giant cell arteritis n=5(38.5%) were the possible etiology found. Nadir’s deficits were ASIA grade A in 4(30.8%) patients, grade B in 2(15.4%), C in 4(30.8%) and D in 3(23.1%). The Modified Rankin Scale at admission was mRS3 in 2 patients 15.4%, mRS4 in 7(53.8%), and mRS5 in 4(30.8%). At different stages of follow-up, three patients, 23.1% had died. In the other 10 patients, the residual deficits were ASIA grade B in (1/10) patients, D in (3/10), and E in (6/10). The recovery and degree of continued disability over time were mRS1 in (6/10) patients, and mRS2 in (4/10). Conclusion: The overall better outcome observed in this study can be related to the fact that more than half of the patients in our cohort had nadir ASIA C/D with mRS 3-4.","PeriodicalId":490409,"journal":{"name":"Journal of Neuro and Spine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135887356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multiple Sclerosis Presenting as Intracranial Hypertension in the Setting of COVID-19 Infection COVID-19感染背景下多发性硬化症表现为颅内高压

Journal of Neuro and Spine Pub Date : 2023-09-01 DOI: 10.33140/jns.01.03.02

引用次数: 0

The Study of Fibrotic Scar at the Long Term Spinal Cord Lesion Rats 长期脊髓损伤大鼠纤维化瘢痕的研究

Journal of Neuro and Spine Pub Date : 2023-04-21 DOI: 10.33140/jns.01.02.03

引用次数: 0

Assessment and Associated Factors of Suicidal Behaviour Among Cancer Patients Visiting the Oncology Outpatient Unit in Mekelle Oncologic Clinics, Tigray, Ethiopia: A cross−Sectional Study 埃塞俄比亚提格雷Mekelle肿瘤诊所肿瘤门诊患者自杀行为评估及相关因素:一项横断面研究

Journal of Neuro and Spine Pub Date : 2023-01-31 DOI: 10.33140/jns.01.01.02

{"title":"Assessment and Associated Factors of Suicidal Behaviour Among Cancer Patients Visiting the Oncology Outpatient Unit in Mekelle Oncologic Clinics, Tigray, Ethiopia: A cross−Sectional Study","authors":"","doi":"10.33140/jns.01.01.02","DOIUrl":"https://doi.org/10.33140/jns.01.01.02","url":null,"abstract":"Background: Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells. According to estimates from the International Agency for Research on Cancer, there will be 17.0 million new cancer cases in 2018 worldwide. Depression, age, sex, divorced, and hopelessness are of most factors can patient with cancer result in suicidal behaviour. The purpose of this study is to identify and associated factors of suicidal behaviour among cancer patients in Mekelle, Ethiopia. Methods: the cross-sectional study design was conducted with a total of 345 study subjects in Mekelle, Ethiopia. Suicidal behaviour was assessed by the Suicidal Behavior Questionnaire-Revised (SBQ-R) scale tool. Bivariate and multiple logistic regression analyses were performed to determine between the explanatory and outcome variables. Results: the magnitude of suicidal behaviour was 20%. Previously suicidal attempt [AOR = 31.466, 95% CI (14.552, 68.042), P < 0.0001] was associated factor whereas no comorbid physical illness [AOR =.0.363, 95% (0. 164, 0.806)] and current treatment regimen (surgery, radiotherapy and palliative care) were significantly protective factors for suicidal behavior. Conclusion: no comorbid physical illness, suicide attempt and current treatment regimen were significant factors of suicidal behaviour. Oncologic professionals should assess patient suicidal risk assessment routinely and every professional focuses on management besides the medication.","PeriodicalId":490409,"journal":{"name":"Journal of Neuro and Spine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135440100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0