BACKGROUND Microvascular decompression has been widely used as the first choice in treating trigeminal neuralgia, but in a few patients, facial pain cannot be effectively controlled by microvascular decompression. We sought to clarify the important factors for good operative outcomes. METHODS We reviewed 62 patients with trigeminal neuralgia treated by microvascular decompression during the p...

Surgical procedures for the treatment of ulnar nerve compression at the elbow are well described. Studies have reported clinical outcomes after decompression of the nerve without transposition and decompression with transposition. Numerous preoperative, intraoperative, and postoperative factors contribute to failure of the surgical procedures. Although the techniques available for revision deco...

OBJECTIVE To determine whether divers with histories of neurological decompression illness are electroencephalographically distinguishable from non-divers. METHODS The electroencephalograms (EEGs) from 68 divers with histories of neurological decompression illness and 45 non-diver controls were examined independently by two clinical neurophysiologists. RESULTS The diver and non-diver groups...

Treatment of proptosis in the stable phase of Graves’ orbitopathy differs significantly from that in the acute inflammatory phase. The treatment paradigm employed at the Harkness Eye Institute, reserves surgical decompression in the acute phase for those cases of optic neuropathy that fail to respond to orbital radiotherapy or when radiotherapy is contraindicated. Owing to the 90% success rate ...

BACKGROUND Chronic nerve compression neuropathies result in decreased blood flow at the site of compression. Surgical decompression of the nerve often has variable postoperative results. The current study examines whether the timing of surgical intervention is an important variable in reversing the compression-induced ischemia and associated changes in biochemical markers. METHODS An establis...

subchondral insufficiency fracture of the femoral head (siffh) is characterized by acute onset hip pain without overt trauma. it appears as a low intensity band with bone marrow edema on t1-weighted mri. the most common course of treatment is protected weight bearing for a period of several weeks. total hip arthroplasty (tha) has been commonly used if the patient does not respond to the initial...

AIM To investigate the effect of gradient decompression on the occurrence of intraoperative hypotension and prognosis in traumatic brain injury. MATERIAL AND METHODS A retrospective analysis was performed in 186 hospitalized patients from January, 2008 to January, 2012 in the Affiliated Hospital of Jiangsu University. Demographic data, the abnormality of pupils, and Glasgow Coma Scale (GCS) b...

AIM Many approaches for optic nerve decompression have their own advantages and disadvantages. The aim of this study was to perform endoscopic decompression of optic nerve through the supraorbital keyhole and evaluate its feasibility. MATERIAL AND METHODS Ten adult cadaveric heads were studied using 4-mm, 0- and 30-degree rigid endoscopes to perform the optic nerve decompression through the s...