The Effect of Perioperative Restrictive Fluid Therapy on Postoperative Edema and Ecchymosis in Rhinoplasty
Erden V, Sever E, Dagdelen S, Guler C, Kirgezen T, Toprak N and Yigit O
Article Type: Original Research Article | First Published: December 22, 2015
Postoperative edema and ecchymosis can usually occur after rhinoplasty and can cause disgruntled results which influence the satisfaction of patient and surgeon. Prolonged periorbital ecchymosis and severe edema may cause a delay in healing and affect the result of surgery. Many of agents have been used to reduce the influence of edema and ecchymosis developing around the eyes after rhinoplasty, such as corticosteroids, lidocaine and adrenaline combination, melilotus extract....
Use of Human Fibrinogen Concentrate in Pediatric Cardiac Surgery Patients
Christopher F. Tirotta, Richard G. Lagueruela, Danielle Madril, Jorge Ojito, Chelsea Balli, Evelio Velis, Marilyn Torres, Francisco Alonso, Robert Hannan and Redmond P. Burke
Article Type: Original Research Article | First Published: December 21, 2015
Bleeding after cardiac surgery can cause increased morbidity and mortality. This is a particularly serious problem in pediatric patients, especially neonates and infants, who may receive multiple units of blood products intra- and postoperatively. The aim of this study is to demonstrate that the use of human fibrinogen concentrate (HFC) during cardiopulmonary bypass (CPB) decreased operative blood loss and the need for perioperative blood component therapy in neonatal, infant and other high-risk bleeding patients....
Ruptured Anterior Inferior Cerebellar Artery Aneurysm
Masaru Honda and Takeo Anda
Article Type: Case Report | First Published: January 30, 2016
A 85-year-old woman was accepted to our institute with complaints of a headache and vomiting after vertigo and left ear tinnitus. Computed tomography (CT) revealed subarachnoid hemorrhage. CT angiography identified an aneurysm at meatal loop of the left anterior inferior cerebellar artery (AICA). A surgical trapping of aneurysm was performed via retrosigmoid craniectomy. The aneurysm was covered by thinned acoustic nerve and clot was found on the surface of the aneurysm, which penetrated the nerve. Trapping was successfully performed. Postoperative course was uneventful except for left ear hea...
Lateral Basal Space and Interlaminar Fatty Compartment of the Deep Cervical Fascia in the Posterolateral Craniocervical Junction - An Anatomical Basis for the Surgery in the Lateral Skull Base
Katsuyoshi Shimizu, Akira Wada, Mika Kushamae, Ryo Irie, Yuta Kawauchi, Yu Kato, Kazuki Iizuka, Minako Kubo, Yu Sakamoto, Hiromitsu Ezure, Naruhito Otsuka, Tohru Mizutani
Article Type: Research Article | First Published: January 27, 2016
In the lateral suboccipital area, the restricted space filled with thick muscles, and dangerous structures prevents neurosurgeons to attain safe and successful surgery. Now we have focus on the disposition of fascial layers and potential spaces of the deep cervical fascia in the posterolateral region of the craniocervical junction, which has barely been described before. Investigation with 32 lateral suboccipital surgical cases and 7 cadaveric dissections has revealed the detailed anatomy in this area....
Aggravated Hashimoto Thyroiditis and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Postpartum Period: Case Report
Serhan Yildirim, Ahmet Sukru Kulualp, Rahsan Adviye Inan, Alper Arslan and Ulku Turk Boru
Article Type: Case Report | First Published: January 09, 2016
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an autoimmune disease characterized with multifocal demyelination in peripheral nerves. Hashimoto thyroiditis is autoimmune disease of thyroid gland. We reported a patient having these diseases together in the postpartum period. Twenty-three year-old female patient presented with progressive weakness in lower extremities and walking disability for three months. Symmetric weakness (4/5) in both flexor and extensors of ankle and toes, decreased deep tendon reflexes, decreased vibration and position sence and unresponsive plantar...
Sun Sensitivity and Sunburns as Related to Cutaneous Melanoma among Populations of Spanish Descent: A Meta-Analysis
Leslie K Dennis, Stephanie G Lashway and Marvin E Langston
Article Type: Research Article | First Published: November 16, 2015
Few studies have examined sun sensitivity risk factors for cutaneous melanoma specifically in populations of Spanish descent. Previous searches were conducted in PUBMED for articles on melanoma and sun exposure through 2008. Over 300 articles were reviewed and relevant data was abstracted. These abstract forms were subsequently reviewed for studies in populations of Spanish descent. PUBMED was then examined for more recent studies of melanoma in populations of Spanish descent. Eight appropriate articles were found, which comprised 7 discrete studies....
Interrater and Intrarater Reliability Using Prechtl's Method of Qualitative Assessment of General Movements in Infants
Joanne S. Katz and Agnes Perenyi
Article Type: Original Research Article | First Published: January 15, 2016
Due to the recent advances in obstetrical and neonatal intensive care, an increasing number of preterm infants survive. The surviving infants have high risk for often multiple morbidities, repeated hospitalizations after discharge and adverse neurodevelopmental (ND) outcomes. Several studies suggest improvement in early neurodevelopment in some of the subgroups of preterm infants. Other authors report no improvement or unchanged ND outcomes, especially in very preterm infants....
Pathological Changes of Astrocytes under Seizure
Shanshan Lu, Fushun Wang and Jason H. Huang
Article Type: Review Article | First Published: January 09, 2016
Multiple lines of studies support the view that defective functions of astrocytes contribute to neuronal hyper-excitability in the epileptic brain. Autopsy and surgical resection specimens find that post-traumatic seizures and chronic temporal lobe epilepsy may originate from glial scars. Astrogliosis, a component of glial scar, which involves structural and metabolic changes in astrocytes, is often a prominent feature of temporal epilepsy and most animal models of recurrent seizures. Although glial scar formation has been recognized for over 120 years, fundamental aspects of the cellular mech...
Speech Disorder and Behavioral Involvement in a Thalamic Stroke: A Case Report
Paola Caruso, Moretti R and Manganotti P
Article Type: Case Report | First Published: December 14, 2015
Data from literature on clinical manifestation of thalamic strokes have been published for ages. First in 1906 Dejerine e Roussy has spoken about sensory motor disturbances and have opened the door to new pathologic disorders that may occur after thalamic lesions. From 1925 behavior and speech disorders related with thalamic injury were described. Since then a classification of thalamic syndromes into four groups based on the four main arterial territories was accepted. As we know thalamic stroke account for 11% of vertebra basilar infarct. Inferolateral territory infarctions are the most comm...