BACKGROUND Brain abscesses are still a very important pathology, with high mortality and morbidity, even with the advancement of imaging technologies and antibiotic treatment. In this study, we analyzed the relationship between clinical, biological and therapeutic features at admission and clinical outcome in patients with brain abscesses. MATERIAL AND METHOD This is a retrospective study ove...

BACKGROUND After traumatic brain injury (TBI), hypotension, hypoxia and hypercapnia have been shown to result in secondary brain injury that can lead to increased mortality and disability. Effective prehospital assessment and treatment by emergency medical service (EMS) is considered essential for favourable outcome. The aim of this study was to evaluate the effect of a physician-staffed helico...

background cerebral state index (csi) is derived from electroencephalogram (eeg) and is used for monitoring the level of consciousness during anesthesia. this study was designed to investigate the accuracy of glasgow coma scale (gcs) and csi as a predictor of in-hospital mortality in patients with trauma brain injury (tbi). objective to compare the predictive value of gcs and csi for predicting...

Although decompressive craniectomy following traumatic brain injury is an option in patients with raised intracranial pressure (ICP) refractory to medical measures, its effect on clinical outcome remains unclear. The aim of this study was to evaluate the outcome of patients undergoing this procedure as part of protocol-driven therapy between 2000-2003. This was an observational study combining ...

INTRODUCTION In clinical trials, ordinal outcome measures are often dichotomized into two categories. In traumatic brain injury (TBI) the 5-point Glasgow outcome scale (GOS) is collapsed into unfavourable versus favourable outcome. Simulation studies have shown that exploiting the ordinal nature of the GOS increases chances of detecting treatment effects. The objective of this study is to quant...

Abstract Background There are several surgical strategies involved in the treatment of patients with tentorial meningioma, and choosing most appropriate one is not straight forward. Our study aims to illustrate our experience management meningiomata at center. Results This included 32 meningiomas, operated upon, assessment extent resection Glasgow outcome score (GOS). The mean age time surgery ...

Objective : The authors present the result of endovascular treatment in cases of residual or recurrent cerebral aneurysms after surgery. Methods : 370 cases harboring 410 aneurysms underwent endovascular coil embolization over the past eight years. We selected 13 cases that underwent coil embolization in the post-surgical condition with residual or recurrent aneurysms. Radiologic and clinical d...

Background: A decompressive craniotomy can relieve critically increased intracranial pressure. Objective: to assess the postoperative clinical outcome and compare it with other series. Methods: (a) patient selection: patients presented to the Neuroemergency unit in Kasr El-Eini Hospitals from January 2006 to December 2007 with traumatic brain injury and fulfilling the following criteria 1) clin...

BACKGROUND Traumatic brain injury (TBI) is one of the important causes of morbidity and mortality throughout the world, especially in young people. In recent years normobaric hyperoxia has become an important and useful step for recovery and improvement of outcome in TBI. OBJECTIVES The purpose of this study was to evaluate the effects of normobaric hyperoxia on clinical neurological outcomes...

OBJECTIVE To assess the effect of intensive insulin therapy (IIT) for preventing postoperative infection in patients with traumatic brain injury (TBI). METHODS In total, 88 patients with TBI were randomly divided into 2 groups, 44 in each group. One group (group ITT) received IIT and the other group (group CIT) received conventional insulin therapy (CIT). This study was conducted between Febr...