Short-segment stabilization in thoracolumbar burst fractures with additional screws at the level of the fracture results in an improved kyphosis correction, sagittal index, and compression ratio of the anterior vertebral height. However, long-term follow-up is needed to determine the clinical significance of these findings.
ABSTRACTis one of the common effective treatment modalities used in the surgical management of communicating hydrocephalus, pseudotumor cerebri, CSF fistula and normal pressure hydrocephalus (NPH)(13).Its relative ease to perform and shorter surgery time, lack of risk for intracranial complications, including intracerebral hemorrhages, seizures or shunt dysfunction, lower risk of shunt infections and lethal complications all make LPS a favorable surgical treatment modality as compared to VPS surgery. Ventricular catheter placement may be challenging in patients with small ventricles, even though the current use of navigation has provided convenience in placing a shunt catheter and higher success rates. Therefore, its simplicity █ INTRODuCTION N ormal pressure hydrocephalus (NPH) is a syndrome first defined in 1965 by Hakim and Adams. This syndrome is a significant neurological condition that occurs predominantly in elderly people and its clinical presentation consists of a triad of major symptoms, including gait disturbance, dementia and urinary incontinence (12).Surgical treatment of NPH typically includes the diversion of cerebro-spinal fluid (CSF) into the peritoneum, pleura or atrium. While ventriculoperitoneal shunt (VPS) surgery has historically been widely performed, today, minimally invasive surgical procedures such as lumboperitoneal shunt (LPS) have become the surgical treatment of choice (2). The LPS surgery
RESulTS:At the 3 rd month after LP shunt surgery, headache was resolved in almost all patients. At the end of first year, while statistically significant improvements were noted in the Modified Rankin Scale Scores and Mini-Mental State Examination Scores, gait disturbance, urinary incontinence and cognitive functions were improved by 86%, 72% and 65% of the patients, respectively. CONCluSION: LP shunt surgery is associated with a lower rate of complication in comparison to ventriculoperitoneal shunt surgery and is an effective procedure in the treatment of NPH.
We present the first genetic linkage analysis result in a pure intracranial arachnoid cyst family in literature. Further investigation of this linkage area can reveal a causative gene causing the intracranial arachnoid cyst phenotype and can illuminate the pathogenesis of this disease.
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