BACKGROUND AND PURPOSE We reviewed our 7-year experience in neuroendoscopic management of severe intraventricular hemorrhage (IVH) to evaluate its safety, efficiency, and efficacy. METHODS Thirteen patients with spontaneous primary or secondary tetraventricular IVH underwent neuroendoscopy. In all procedures, we used a flexible instrument. CT scans obtained before and after surgery were compa...

PURPOSE To examine the prognostic discrimination and prediction of initial intracranial pressure (ICP) in patients with traumatic brain injury (TBI) undergoing decompressive craniectomy (DC). RESULTS The relationship between the initial ICP value and prognosis was quantified, and higher values indicated worse patient outcomes. Univariate analysis showed that the initial ICP value was signific...

OBJECTIVE Spontaneous intracerebral hemorrhage (ICH) in young adults is rare. The purpose of this study was to investigate causes, sites and other factors affecting the prognosis of ICH in young adults aged ≤ 40 years. METHODS We reviewed 39 consecutive patients diagnosed with spontaneous ICH between January 2001 and June 2012. Patients with primary subarachnoid hemorrhage, previously diagnos...

BACKGROUND AND PURPOSE Early survival of patients with intracerebral hemorrhage in general is known to be most strongly dependent on the Glasgow Coma Scale score on admission. The aim of this study was to examine the factors determining functional outcome and in-hospital mortality of patients admitted with an intracerebral hemorrhage related to oral anticoagulant (OAC) use. METHODS Correlatio...

BACKGROUND Organophosphorus (OP) pesticide poisoning kills around 200,000 people each year, principally due to self-poisoning in the Asia-Pacific region. AIM We wished to assess whether patients at high risk of death could be identified accurately using clinical parameters soon after hospital admission. DESIGN We evaluated the usefulness of the International Program on Chemical Safety Poiso...

OBJECTIVE Despite early diagnosis of traumatic epidural hematomas (EDHs) in children, mortality remained quite high in recent series. The aims of this analysis were to review the cause and outcome of pediatric EDH nowadays and to discuss outcome-related variables in a large consecutive series of surgically treated EDH in children. METHODS This is a retrospective case series of 39 patients (27...

introduction: rapid acute physiology score (raps) and rapid emergency medicine score (rems) are two physiologic models for measuring injury severity in emergency settings. the present study was designed to compare the two models in outcome prediction of trauma patients presenting to emergency department (ed). methods: in this prospective cross-sectional study, the two models of raps and rems we...

INTRODUCTION The Full Outline of Unresponsiveness (FOUR) score was developed to compensate for the limitations of Glasgow coma score (GCS) in recent years. This study aimed to assess the predictive value of GCS and FOUR score on the outcome of multiple trauma patients admitted to the emergency department. PATIENTS AND METHODS The present prospective cross-sectional study was conducted on mult...

Neuron-specific enolase (NSE) is a glycolytic enzyme present almost exclusively in neurons and neuroendocrine cells. NSE levels in cerebrospinal fluid (CSF) are assumed to be useful to estimate neuronal injury and clinical outcome of patients with serious clinical manifestations such as those observed in stroke, head injury, anoxic encephalopathy, encephalitis, brain metastasis, and status epil...

Materials and methods The purpose of this study was to compare data obtained from a statewide data set for elderly patients (> 65 years) that presented with severe traumatic brain injury with data from nonelderly patients < 65 years) with similar injuries. MATERIAL-METHODS During the last 6 years(2003,2004,2005,2006,2007,2008) 200 (130 men-65%and 70 women-35%-) patients were examined. 110 of th...