minimally-invasive-endoscopic-intracerebral-hemorrhage-evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Intracerebral hemorrhage (ICH) is a subtype of stroke with high mortality and poor functional outcomes, largely because there are no evidence-based ...

Icahn School of Medicine at Mount Sinai

Are Neurosurgery Residents Burned Out?

While significant research has been performed regarding the use of thrombolytic agents and thrombectomy in the setting of acute stroke, other factors, such as nutritional status of stroke patients, is a less explored topic. The topic of nutrition is critical to the discussion of stroke, as up to half of stroke survivors may be considered malnourished at discharge. Dysphagia, old age, restricted upper limb movement, visuospatial impairment, and depression are all important risk factors for malnutrition in this cohort. The purpose of this review is to analyze current literature discussing neuroprotective diets, nutritional, vitamin, and mineral supplementation, dysphagia, and post-stroke coaching in stroke patients.

Nutrition, Energy Expenditure, Dysphagia, and Self-Efficacy in Stroke Rehabilitation: A Review of the Literature.

Minimally invasive intracerebral hemorrhage (ICH) evacuation has gained popularity with success in early-phase clinical trials. This procedure, however, is performed in very different ways around the world.

A Compendium of Modern Minimally Invasive Intracerebral Hemorrhage Evacuation Techniques.

Preclinical studies suggest that clot removal may mitigate primary and secondary brain injury following intracerebral hemorrhage (ICH). Although the MISTIE trial did not demonstrate an overall outcome benefit, it did demonstrate outcome benefit from effective reduction of clot burden. Minimally invasive endoscopic ICH evacuation may provide an alternative option for clot evacuation.

Long-term functional outcome following minimally invasive endoscopic intracerebral hemorrhage evacuation.

Multiple surgical techniques to perform minimally invasive intracerebral hemorrhage (ICH) evacuation are currently under investigation. The use of an adjunctive aspiration device permits controlled suction through an endoscope, minimizing collateral damage from the access tract. As with increased experience with any new procedure, performance of endoscopic minimally invasive ICH evacuation requires development of a unique set of operative tenets and techniques.

Advanced Techniques for Endoscopic Intracerebral Hemorrhage Evacuation: A Technical Report With Case Examples.

Diffusion-weighted magnetic resonance imaging (DWI) detects early infarction in acute stroke. With the substantial progress in stroke therapies, the frequency of posttreatment DWI reversibility in modern stroke cohorts is currently unknown. The purpose of this study was to perform a systematic literature review examining the relationship between characteristics of patients with ischemic stroke and DWI reversibility following treatment with lytic therapy.

Diffusion MRI Reversibility in Ischemic Stroke Following Thrombolysis: A Meta-Analysis.

Intracerebral hemorrhage (ICH) is the most devastating form of stroke, with thalamic hemorrhages carrying the worst outcomes. Minimally invasive (MIS) endoscopic ICH evacuation is a promising new therapy for the condition. However, it remains unclear whether therapy success is location dependent. Here we present long-term functional outcomes after MIS evacuation of spontaneous thalamic hemorrhages.

Functional Outcome After Minimally Invasive Endoscopic Evacuation of Thalamic Intracerebral Hemorrhage.

Variable density spiral (VDS) pulse sequences with motion compensated compressed sensing (MCCS) reconstruction allow for whole-heart quantitative assessment of myocardial perfusion but are not clinically validated.

Article	Year
Are Neurosurgery Residents Burned Out? World neurosurgery\| PubMed ID: 29936211	2018
Nutrition, Energy Expenditure, Dysphagia, and Self-Efficacy in Stroke Rehabilitation: A Review of the Literature. Brain sciences\| PubMed ID: 30544517	2018
A Compendium of Modern Minimally Invasive Intracerebral Hemorrhage Evacuation Techniques. Operative neurosurgery (Hagerstown, Md.)\| PubMed ID: 31625580	2020
Long-term functional outcome following minimally invasive endoscopic intracerebral hemorrhage evacuation. Journal of neurointerventional surgery\| PubMed ID: 31915207	2020
Advanced Techniques for Endoscopic Intracerebral Hemorrhage Evacuation: A Technical Report With Case Examples. Operative neurosurgery (Hagerstown, Md.)\| PubMed ID: 32322895	2020
Diffusion MRI Reversibility in Ischemic Stroke Following Thrombolysis: A Meta-Analysis. Journal of neuroimaging : official journal of the American Society of Neuroimaging\| PubMed ID: 32436311	2020
Functional Outcome After Minimally Invasive Endoscopic Evacuation of Thalamic Intracerebral Hemorrhage. World neurosurgery\| PubMed ID: 33548529	2021
Diagnostic Accuracy of Spiral Whole-Heart Quantitative Adenosine Stress Cardiovascular Magnetic Resonance With Motion Compensated L1-SPIRIT. Journal of magnetic resonance imaging : JMRI\| PubMed ID: 33822426	2021

Jonathan Pan

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