Surgery is the primary treatment of choice for all symptomatic pituitary adenomas except prolactinomas. Common postoperative complications include endocrinopathies, vision impairment and cerebrospinal fluid leak. The present study assessed 153 continuous microscopic surgeries for pituitary adenomas performed by an author of the present study between 2010 to 2014. Patients underwent either trans...

This is a report on the use of transperineal intraoperative ultrasound imaging in a case of Currarino's triad for the first time in the literature.

The transition from state socialism to capitalism or market socialism has been a profound, indeed revolutionary, change in the socio-economic system of countries with about a quarter of the world’s population. The IFIs (International Financial Institutions) have been closely involved in it for more than 20 years. It has also given rise to an extensive academic literature. The purpose of this pa...

OBJECT Indications for intraoperative angiography during aneurysm surgery remain unclear. To define its use, the authors report the results of a prospective study in which this modality was used in all patients undergoing surgery for intracranial aneurysms. METHODS Intraoperative angiography was performed prospectively in the surgical treatment of 517 consecutive aneurysms regardless of the l...

BACKGROUND A new device was developed to perform intraoperative static pedography. The purpose of this study was to validate the introduced method by a comparison with the standard method for dynamic and static pedography. METHODS A device known as Kraftsimulator Intraoperative Pedographie (KIOP) was developed for intraoperative placement of standardized forces to the sole of the foot. Pedogr...

BACKGROUND Patients undergo cardiac preoperative evaluation to identify those at risk of adverse perioperative cardiac events. The Revised Cardiac Risk index is commonly used for this task, although it is unable to accurately risk stratify in all patients. This may be partly a result of intraoperative events which significantly modify preoperative risk. METHODS We conducted a systematic revie...

BACKGROUND AND PURPOSE MR is being used increasingly as an intraoperative imaging technique. The purpose of this study was to test the hypothesis that intraoperative MR imaging increases the extent of tumor resection, thus improving surgical results in patients with high-grade gliomas. METHODS Thirty-eight patients with intracranial high-grade gliomas underwent 41 operations. Using a neuronav...

BACKGROUND The purpose of this study was to determine whether application of a risk stratification system during preoperative assessment of cataract patients and subsequent allocation of patients to surgeons with matching experience may reduce intraoperative complications. METHODS Nine hundred and fifty-three consecutive patients (1109 eyes) undergoing phacoemulsification cataract surgery wer...

Philosophical (p-) zombies are constructs that possess all of the behavioral features and responses of a sentient human being, yet are not conscious. P-zombies are intimately linked to the hard problem of consciousness and have been invoked as arguments against physicalist approaches. But what if we were to invert the characteristics of p-zombies? Such an inverse (i-) zombie would possess all o...

Intraoperative awareness, with or without recall, continues to be a topic of clinical significance and neurobiological interest. In this article, we review evidence pertaining to the incidence, sequelae, and prevention of intraoperative awareness. We also assess which aspects of the complication are well understood (i.e. non-controversial) and which require further research for clarification (i...