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Cranial Nerve 10

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101. Presentation and short-term evaluation of an all-in-one patient-specific implant for cranial reconstruction: A randomized controlled trial. (Abstract)

Presentation and short-term evaluation of an all-in-one patient-specific implant for cranial reconstruction: A randomized controlled trial. Cranial reconstruction after bone graft harvesting remains a challenge. A patient-specific implant (PSI) to guide harvesting and reconstruction was evaluated and compared with the use of a free-hand procedure with calcium phosphate cement (C). Patients were randomized to either the PSI or C group. The outcome was measured clinically and radiographically (...) as the primary endpoint. Secondary endpoints were ease of application, patient and surgeon satisfaction, and the complication rate. Twenty patients were randomized to the PSI (n=10) and C (n=10) groups. Two PSI patients were switched to the cement group due to a poor fit of the PSI. There was a non-significant trend towards more successful outcomes in the PSI group. Two PSI patients presented palpable screws, and one cement patient had a palpable dimple. Cone beam computed tomography showed a significantly

2020 International Journal of Oral and Maxillofacial Surgery

102. Evaluation of positional cranial deformities: the non-expert perspective. (Abstract)

Evaluation of positional cranial deformities: the non-expert perspective. The relevance of positional cranial deformity remains a controversial topic. While many specialists support therapeutic intervention with a helmet for severe cases, some are convinced that fears are exaggerated and helmets are unnecessary. In this study, 395 unaffected laypeople were interviewed for their opinion. Standardized photographs of 10 children with different degrees of positional deformity were presented (...) in a randomized order. Values from the literature served as the normal reference (cranial index: 85%; cranial vault asymmetry index: 3.5%). Deformity was regarded as obviously abnormal when at least 50% of the respondents perceived the head as conspicuous. The cut-off value for a therapeutic recommendation was set at 25%. All heads above the reference values were perceived as significantly abnormal by most laypeople, independent of the severity of the deformity. Laypeople saw a need to treat all abnormal

2020 International Journal of Oral and Maxillofacial Surgery

103. A preoperative risk classifier that predicts tumor progression in patients with cranial base chondrosarcomas. (Abstract)

and encasement of 3-4 major arteries (> 25% of the vessel wall surrounded by tumor). Using these two variables of age and multiple arterial vessel encasement, the authors generated a risk stratification model using a simple point system to predict PFS in patients with cranial base chondrosarcomas. Based on these two factors known preoperatively, this model could stratify patients into high-risk (10% of patients), intermediate-risk (68% of patients), and low-risk (22% of patients) subgroups corresponding (...) A preoperative risk classifier that predicts tumor progression in patients with cranial base chondrosarcomas. The authors conducted a study to identify clinical features of cranial base chondrosarcomas that will predict tumor progression after resection.The authors performed a retrospective study at a tertiary referral cranial base center. Patients who underwent resection of cranial base chondrosarcomas between January 2004 and December 2018 were followed longitudinally. The main outcome

2020 Journal of Neurosurgery

104. The role of biomarkers in ruling out cerebral lesions in mild cranial trauma

The role of biomarkers in ruling out cerebral lesions in mild cranial trauma The role of biomarkers in ruling out cerebral lesions in mild cranial trauma The role of biomarkers in ruling out cerebral lesions in mild cranial trauma San Miguel L, Benahmed N, Devos C, Fairon N, Roberfroid D Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation San (...) Miguel L, Benahmed N, Devos C, Fairon N, Roberfroid D. The role of biomarkers in ruling out cerebral lesions in mild cranial trauma. Brussels: Belgian Health Care Knowledge Centre (KCE). KCE Reports. 2016 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Biomarkers; Cerebral Hemorrhage, Traumatic; Humans Language Published English Country of organisation Belgium English summary An English language summary is available. Address for correspondence Belgian Health Care Knowledge

2016 Health Technology Assessment (HTA) Database.

105. The role of biomarkers in ruling out cerebral lesions in mild cranial trauma

will all have an important weight on the overall economic value of the protein S100B and should be carefully considered if wanting to ensure some savings will be realised with the introduction of the protein in clinical practice. KCE Report 261Cs Biomarkers in Mild Cranial Trauma 10 Appropriate patient targeting and use of biomarker tests has proved to be a challenge in other fields. This was for example the case of troponin, a biomarker used to evaluate patients suspected of suffering from acute (...) : • Further research on the effectiveness of S100B testing at ruling out ICI in children is required. Setting up an effectiveness study to assess how the protein is used in real life in Belgium would be of value. KCE Report 261Cs Biomarkers in Mild Cranial Trauma 12 REFERENCES 1. Peeters W, van den Brande R, Polinder S, Brazinova A, Steyerberg EW, Lingsma HF, et al. Epidemiology of traumatic brain injury in Europe. Acta Neurochir (Wien). 2015;157(10):1683-96. 2. Albers CE, von Allmen M, Evangelopoulos DS

2016 Belgian Health Care Knowledge Centre

106. Nasal cause of sixth cranial nerve palsy Full Text available with Trip Pro

Nasal cause of sixth cranial nerve palsy 25893063 2015 04 20 2018 11 13 1985-207X 8 3 2013 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia Malays Fam Physician Nasal cause of sixth cranial nerve palsy. 54 Mohamad I I Department of otorhinolaryngology-Head & Neck Surgery, School of Medical sciences, Universiti sains Malaysia Health Campus. eng Journal Article 2013 12 31 Malaysia Malays Fam Physician 101466855 1985-2274 2015 4 21 6 0 2013 1 1 0 0

2013 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia

107. Mapping genetic variants for cranial vault shape in humans. Full Text available with Trip Pro

[MCW], maximum cranial length [MCL], and cephalic index [CI]) in a sample of 4419 healthy individuals of European ancestry. All measures were adjusted by sex, age, and body size, then tested for association with genetic variants spanning the genome. GWAS results for the two cohorts were combined via meta-analysis. Significant associations were observed at two loci: 15p11.2 (lead SNP rs2924767, p = 2.107 × 10-8) for MCW and 17q11.2 (lead SNP rs72841279, p = 5.29 × 10-9) for MCL. Additionally, 32 (...) Mapping genetic variants for cranial vault shape in humans. The shape of the cranial vault, a region comprising interlocking flat bones surrounding the cerebral cortex, varies considerably in humans. Strongly influenced by brain size and shape, cranial vault morphology has both clinical and evolutionary relevance. However, little is known about the genetic basis of normal vault shape in humans. We performed a genome-wide association study (GWAS) on three vault measures (maximum cranial width

2018 PLoS ONE

108. Comparison of probabilistic and deterministic fiber tracking of cranial nerves. Full Text available with Trip Pro

toward significance in probabilistic tracking (p = 0.06). In the clinical cases, the probabilistic method visualized 7 of 10 attempted CNs accurately, compared with 3 correct depictions with deterministic tracking. CONCLUSIONS High angular resolution DTI scans are preferable for the DTI-based depiction of the cranial nerves. Probabilistic tracking with a gradual PICo threshold increase is more effective for this task than the previously described deterministic tracking with a gradual FA threshold (...) Comparison of probabilistic and deterministic fiber tracking of cranial nerves. OBJECTIVE The depiction of cranial nerves (CNs) using diffusion tensor imaging (DTI) is of great interest in skull base tumor surgery and DTI used with deterministic tracking methods has been reported previously. However, there are still no good methods usable for the elimination of noise from the resulting depictions. The authors have hypothesized that probabilistic tracking could lead to more accurate results

2016 Journal of Neurosurgery

109. Carotid artery and lower cranial nerve exposure with increasing surgical complexity to the parapharyngeal space. Full Text available with Trip Pro

Carotid artery and lower cranial nerve exposure with increasing surgical complexity to the parapharyngeal space. To investigate the extent of carotid artery exposure attained, including the identification of the external carotid branches and lower cranial nerves in five sequential external approaches to the parapharyngeal space, and to provide an anatomical algorithm.Anatomical study.Six latex-injected adult cadaver heads were dissected in five consecutive approaches: transcervical approach (...) with submandibular gland removal, posterior extension of the transcervical approach, transcervical approach with parotidectomy, parotidectomy with lateral mandibulotomy, and parotidectomy with mandibulectomy. The degree of carotid artery exposure attained, external carotid branches, and lower cranial nerves visualized was documented.The transcervical approach exposed 1.5 cm (Standard Deviation (SD) 0.5) of internal carotid artery (ICA) and 1.25 cm (SD 0.25) of external carotid artery (ECA). The superior thyroid

2016 Laryngoscope

110. Resolution of intractable retching following mobilization of a dolichoectatic vertebral artery: case report of a unique brainstem-cranial nerve compression syndrome. Full Text available with Trip Pro

Resolution of intractable retching following mobilization of a dolichoectatic vertebral artery: case report of a unique brainstem-cranial nerve compression syndrome. The authors present the case of a 53-year-old man who was referred with disabling retching provoked by left arm abduction. At the time of his initial evaluation, a cervical MRI study was available for review and revealed an anatomical variation of the ipsilateral juxtamedullary vertebrobasilar junction. After brain imaging revealed (...) contact of the medulla by a dolichoectatic vertebral artery at the dorsal root entry zone of the glossopharyngeal and vagus nerves, the patient was successfully treated by microvascular decompression of the brainstem and cranial nerves. This case demonstrates how a dolichoectatic vertebral artery-a common anatomical variation that typically has no clinical consequence-should be considered in cases of cranial nerve dysfunction.

2016 Journal of Neurosurgery

111. Perpetuation of errors in illustrations of cranial nerve anatomy. Full Text available with Trip Pro

Perpetuation of errors in illustrations of cranial nerve anatomy. For more than 230 years, anatomical illustrations have faithfully reproduced the German medical student Thomas Soemmerring's cranial nerve (CN) arrangement. Virtually all contemporary atlases show the abducens, facial, and vestibulocochlear nerves (CNs VI-VIII) all emerging from the pontomedullary groove, as originally depicted by Soemmerring in 1778. Direct observation at microsurgery of the cerebellopontine angle reveals

2016 Journal of Neurosurgery

112. Cranial nerve injury is associated with dual antiplatelet therapy use and cervical hematoma after carotid endarterectomy. Full Text available with Trip Pro

Cranial nerve injury is associated with dual antiplatelet therapy use and cervical hematoma after carotid endarterectomy. To determine predictors of cranial nerve injury (CNI) after carotid endarterectomy (CEA).Consecutive CEAs performed over a 5-year period were enrolled in this study. Outcomes analyzed included 30-day major adverse event rate (composite of stroke, death, and myocardial infarction), death, stroke, disabling stroke, myocardial infarction, cervical hematoma and CNI rate (...) ). CNI rate at discharge was 2.3% (n = 29). Two patients (9%) had more than one cranial nerve affected. The marginal mandibular branch of the facial nerve was most frequently involved (n = 16; 52%), followed by the hypoglossal (n = 9; 29%), the vagus (n = 4; 13%), and the spinal accessory nerve (n = 2; 6%). Horner's syndrome, consistent with an injury to the cervical sympathetic chain, occurred in 13 patients (1%) who had a true cranial nerve affected as well. The vast majority (94%) of these CNIs

2016 Journal of Vascular Surgery

113. Idiopathic recurrent facial palsy: Facial nerve decompression via middle cranial fossa approach. (Abstract)

Idiopathic recurrent facial palsy: Facial nerve decompression via middle cranial fossa approach. To introduce our experience of preventing further episodes of idiopathic recurrent facial palsy by facial nerve decompression via middle cranial fossa approach.Twelve cases (surgery group) who had idiopathic recurrent facial palsy underwent facial nerve decompression via middle cranial fossa approach, and 6 cases (control group) who declined surgery accepted conservative treatment. Further episodes (...) decompression via middle cranial fossa approach was able to prevent further episodes of idiopathic recurrent facial palsy, and surgical decompression seemed to achieve better outcomes of facial nerve than conservative treatment.Copyright © 2016. Published by Elsevier Inc.

2016 American Journal of Otolaryngology

114. Sumatriptan improves postoperative quality of recovery and reduces postcraniotomy headache after cranial nerve decompression. Full Text available with Trip Pro

Sumatriptan improves postoperative quality of recovery and reduces postcraniotomy headache after cranial nerve decompression. Microvascular decompression (MVD) is a surgical treatment for cranial nerve disorders via a small craniotomy. The postoperative pain of this procedure can be classified as surgical site somatic pain and postcraniotomy headache similar in nature to a migraine, including its association with photophobia, nausea, and vomiting. This headache can be difficult to treat and can

2016 British Journal of Anaesthesia Controlled trial quality: predicted high

115. Lyme Disease Presenting with Multiple Cranial Nerve Deficits: Report of a Case Full Text available with Trip Pro

Lyme Disease Presenting with Multiple Cranial Nerve Deficits: Report of a Case Lyme disease is a tick-transmitted multisystem inflammatory disease caused by the spirochete Borrelia burgdorferi. With more than 25,000 CDC reported cases annually, it has become the most common vector-borne disease in the United States. We report a case of 38-year-old man with Lyme disease presenting with simultaneous palsy of 3rd, 5th, 7th, 9th, and 10th cranial nerves.

2016 Case Reports in Emergency Medicine

116. A pediatric case of pituitary macroadenoma presenting with pituitary apoplexy and cranial nerve involvement: case report Full Text available with Trip Pro

A pediatric case of pituitary macroadenoma presenting with pituitary apoplexy and cranial nerve involvement: case report Pituitary adenomas usually arise from the anterior lobe of the pituitary gland and are manifested with hormonal disorders or mass effect. Mass effect usually occurs in nonfunctional tumors. Pituitary adenomas may be manifested with visual field defects or rarely in the form of total oculomotor palsy. Visual field defect is most frequently in the form of bitemporal hemianopsia (...) and limited outward gaze in the left eye following trauma and who was found to have pituitary macroadenoma causing compression of the optic chiasma and optic nerve on the left side on cranial and pituitary magnetic resonance imaging.

2016 Turkish Archives of Pediatrics/Türk Pediatri Arşivi

117. Low-Dose Gamma Knife Radiosurgery for Vestibular Schwannomas: Tumor Control and Cranial Nerve Function Preservation After 11 Gy Full Text available with Trip Pro

Low-Dose Gamma Knife Radiosurgery for Vestibular Schwannomas: Tumor Control and Cranial Nerve Function Preservation After 11 Gy This study aims to report tumor control rates and cranial nerve function after low dose (11.0 Gy) Gamma knife radiosurgery (GKRS) in patients with vestibular schwannomas.A retrospective chart review was performed on 30 consecutive patients with vestibular schwannomas treated from March 2004 to August 2010 with GKRS at the Robert H. Lurie Comprehensive Cancer Center (...) . Serviceable hearing, defined as Gardner-Robertson score of I-II, was preserved in 50% of patients. On univariate and multivariate analyses, only higher mean and maximum dose to the cochlea significantly decreased the proportion of patients with serviceable hearing.Vestibular schwannomas can be treated with low doses (11.0 Gy) of GKRS with good tumor control and cranial nerve preservation.

2016 Journal of neurological surgery. Part B, Skull base

118. Insertion of intra-oral electrodes for cranial nerve monitoring using a Crowe–Davis retractor Full Text available with Trip Pro

Insertion of intra-oral electrodes for cranial nerve monitoring using a Crowe–Davis retractor Acoustic neuroma resection is an example of a neurosurgical procedure where the brainstem and multiple cranial nerves are at risk for injury. Electrode placement for monitoring of the glossopharyngeal and hypoglossal nerves during acoustic neuroma resection can be challenging. The purpose of this report is to illustrate the use of a device for intra-oral electrode placement for intraoperative (...) monitoring of the glossopharyngeal and hypoglossal nerves. A 60-year-old male presented for acoustic neuroma resection. Under general anesthesia, a Crowe-Davis retractor was used to open the mouth, providing access to the posterior pharynx. For glossopharyngeal monitoring, two bent subdermal needle electrodes were inserted just lateral to the uvula. Two additional electrodes were inserted on the lateral tongue to monitor the hypoglossal nerve. Cranial nerves monitoring was conducted utilizing both free

2016 Journal of clinical monitoring and computing

119. Fast imaging employing steady-state acquisition (FIESTA) MRI to investigate cerebrospinal fluid (CSF) within dural reflections of posterior fossa cranial nerves Full Text available with Trip Pro

Fast imaging employing steady-state acquisition (FIESTA) MRI to investigate cerebrospinal fluid (CSF) within dural reflections of posterior fossa cranial nerves There is no consensus approach to covering skull base meningeal reflections-and cerebrospinal fluid (CSF) therein-of the posterior fossa cranial nerves (CNs VII-XII) when planning radiotherapy (RT) for medulloblastoma and ependymoma. We sought to determine whether MRI and specifically fast imaging employing steady-state acquisition

2016 The British journal of radiology

120. Reappearance of Cranial Nerve Dysfunction Symptoms Caused by New Artery Compression More than 20 Years after Initially Successful Microvascular Decompression: Report of Two Cases Full Text available with Trip Pro

Reappearance of Cranial Nerve Dysfunction Symptoms Caused by New Artery Compression More than 20 Years after Initially Successful Microvascular Decompression: Report of Two Cases Reappearance of symptoms of cranial nerve dysfunction is not uncommon after successful microvascular decompression (MVD). The purpose of this study was to report two quite unusual cases of recurrent and newly developed hemifacial spasm (HFS) caused by a new conflicting artery more than 20 years after the first (...) successful surgery. In Case 1, the first MVD was performed for HFS caused by the posterior inferior cerebellar artery (PICA) when the patient was 38 years old. After 26 symptom-free years, HFS recurred on the same side of the face due to compression by the newly developed offending AICA. In Case 2, the patient was first operated on for trigeminal neuralgia by transposition of the AICA at 49 years old, but 20 symptom-free years after the first MVD, a new offending PICA compressed the facial nerve

2016 Neurologia medico-chirurgica

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