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  1. Article ; Online: Traumatic arteriovenous fistula from internal maxillary artery following trigeminal balloon compression.

    Ottewell, Luke A D / Paranathala, Menaka P / Robson, Craig H / Jenkins, Alistair J

    British journal of neurosurgery

    2023  , Page(s) 1–4

    Abstract: We describe the development of a direct traumatic arteriovenous fistula arising from the internal maxillary artery after an uneventful percutaneous trigeminal balloon compression for trigeminal neuralgia, and its management through embolization and ... ...

    Abstract We describe the development of a direct traumatic arteriovenous fistula arising from the internal maxillary artery after an uneventful percutaneous trigeminal balloon compression for trigeminal neuralgia, and its management through embolization and radiosurgery.
    Language English
    Publishing date 2023-05-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 639029-8
    ISSN 1360-046X ; 0268-8697
    ISSN (online) 1360-046X
    ISSN 0268-8697
    DOI 10.1080/02688697.2023.2207651
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Early mobilisation does not increase the complication rate from unintended lumbar durotomy.

    Robson, Craig H / Paranathala, Menaka P / Dobson, Gareth / Ly, Fabrice / Brown, Daniel P / O'Reilly, Gerry

    British journal of neurosurgery

    2018  Volume 32, Issue 6, Page(s) 592–594

    Abstract: Background: Unintended durotomy is a well-recognised complication of lumbar spine surgery. Reported complications include headaches, intracranial haematomata, pseudomeningocoele and infection. Methods of intraoperative repair vary and although post- ... ...

    Abstract Background: Unintended durotomy is a well-recognised complication of lumbar spine surgery. Reported complications include headaches, intracranial haematomata, pseudomeningocoele and infection. Methods of intraoperative repair vary and although post-operative flat bed rest is advocated by some, there is no consensus on duration. We reviewed a series of unintended durotomies that occurred in our institution and reviewed them to compare management strategies and outcome.
    Methods: A retrospective analysis was conducted of adult patients who experienced an unintended durotomy during surgery for lumbar degenerative disease in our neurosurgical unit over a 15-month period. Post-operative complications were followed up for a minimum of 3 months.
    Results: 1125 patients underwent elective or emergency decompressive lumbar spine surgery. 45 (4%) dural tears were identified; all were repaired intra-operatively with suturing, Tisseal thrombin glue or both. Absence of leakage was confirmed on Valsalva manoeuvre for all cases, before wound closure. 28 patients were mobilised within 24 hrs of surgery, 16 patients between 24-48 hours and 1 patient after 48 hours. Seven patients (16%) with a dural tear experienced a complication. There was no statistically significant relationship between time to post-operative mobilisation and complication rate (p = .76). There was a significantly longer inpatient stay when patients were on bed rest for longer (2 tailed test significant at the 2% level).
    Conclusion: Duration of post-operative bed rest was not related to complication rate but led to delays in discharge. We did not find evidence that early mobilisation lead to increased likelihood of complications.
    Language English
    Publishing date 2018-10-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 639029-8
    ISSN 1360-046X ; 0268-8697
    ISSN (online) 1360-046X
    ISSN 0268-8697
    DOI 10.1080/02688697.2018.1508641
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Idiopathic normal pressure hydrocephalus: an important differential diagnosis.

    Paranathala, Menaka P / Sitsapesan, Holly / Green, Alexander L / Cadoux-Hudson, Tom A D / Pereira, Erlick A C

    British journal of hospital medicine (London, England : 2005)

    2013  Volume 74, Issue 10, Page(s) 564–570

    Abstract: Idiopathic normal pressure hydrocephalus, an uncommon but important differential diagnosis for ataxia, cognitive impairment and urinary incontinence, is surgically treatable, unlike many of its differential diagnoses. This article discusses its ... ...

    Abstract Idiopathic normal pressure hydrocephalus, an uncommon but important differential diagnosis for ataxia, cognitive impairment and urinary incontinence, is surgically treatable, unlike many of its differential diagnoses. This article discusses its assessment, investigation and therapeutic interventions.
    MeSH term(s) Ataxia/diagnosis ; Ataxia/etiology ; Cognition Disorders/diagnosis ; Cognition Disorders/etiology ; Diagnosis, Differential ; Humans ; Hydrocephalus, Normal Pressure/complications ; Hydrocephalus, Normal Pressure/diagnosis ; Hydrocephalus, Normal Pressure/therapy ; Medical History Taking ; Neurologic Examination ; Referral and Consultation ; Urinary Incontinence/diagnosis ; Urinary Incontinence/etiology
    Language English
    Publishing date 2013-10
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2013.74.10.564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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