Clinical Neuroscience

[Postoperative cerebroventricular collapsus]

NÉMETH Cs. Márta1, ZOLTÁN László2

DECEMBER 22, 1952

Clinical Neuroscience - 1952;5(04)

[1. Clinically and pathologically verifically, 8 PCCs were detected in 7 infra-, 1 supra-tentorial tumors. 3 exited due to PCC, 1 later due to tumor. 4 of our patients were alive and had recovered relative to the biological value of the tumor. 2. Due to the severe disease of PCC, we recommend preventive ventricular drainage and, if the type of surgery and the biological shape of the tumor allow, accurate suturing, especially in posterior scala surgeries. 3. In the case of postoperative hyperthermia, sensory disorders, convulsions, sudden onset of otherwise unjustified paresis, we have to think about PCC, which can be easily diagnosed and treated with the help of ventricular drainage, resp. 4. Ventricular drainage is generally an excellent and secure tool for postoperative monitoring of intraventricular pressure conditions, especially from a differential diagnostic point of view. 5. In the case of PCC, rapid and lasting results can only be expected from filling the ventricular system, which is recommended to be adjuvanted with parenteral fluid intake, aided by Trendelenburg position.]

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  1. Budapesti Orvostudományegyetem Elme- és Idegklinika Idegsebészeti Intézet
  2. Budapesti Orvostudományegyetem Elme- ls Idegklinika Idegsebészeti Intézet

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Clinical Neuroscience

[An interesting case of schizophrenic neologism]

MÁRIA Béla

[We describe a rare case of schizophrenic neologism, where the patient produces larger units of speech that he or she has formed. The neologism is a degradation phenomenon and its development is reminiscent of, but qualitatively different from, infantile and dreaming language. Neologistically formed language is called artificial language. We can distinguish between "intelligible" and "non-intelligible" artificial language. In some cases described in the literature, the artificial language has developed on the ground of pathological religiosity. We will attempt to give a pathogenetic explanation of the neologisms observed in these cases. A closer examination of the regularity of the Pavlovian second signalling system will also provide answers to the unresolved questions of schizophrenic speech disorders and hence neologisms.]

Clinical Neuroscience

[Infancy meningioma]

GÁTAI György

[An unusually large, clinically asymptomatic suprasellar meningioma in a three-year-old boy. One of the youngest meningiomas reported to date. Case presentation and lessons learned: importance of early radical surgery, increased ventriculography in childhood.]

Clinical Neuroscience

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Comparison of direct costs of percutaneous full-endoscopic interlaminar lumbar discectomy and microdiscectomy: Results from Turkey

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Clinical Neuroscience

Neurological disorders in liver transplantation

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Clinical Neuroscience

Risk factors related to intracranial infections after transsphenoidal pituitary adenomectomy under endoscope

XU Yifan, HE Yuxin , XU Wu, LU Tianyu, LIANG Weibang, JIN Wei

Background – Up to now, the risk factors related to intracranial infections after transsphenoidal pituitary adenomectomy remain controversial. Purpose – To analyze the risk factors related to intracranial infections after transsphenoidal pituitary adenomectomy under an endoscope, and to provide evidence for preventing and controlling the occurrence and development of infections. A total of 370 patients receiving endoscopic transsphenoidal pituitary adenomectomy in our hospital from January 2014 to October 2017 were selected. The risk factors related to postoperative intracranial infections were analyzed. The hospitalization lengths and expenditures of patients with and without intracranial infections were compared. Of the 370 patients, 18 underwent postoperative intracranial infections, with the infection rate of 4.86%. Intraoperative blood loss >120 mL, cerebrospinal leakage, diabetes, preoperative use of hormones, macroadenoma as well as surgical time >4 h all significantly increased the infection rate (P<0.05). Preoperative use of antibacterial agents prevented intracranial infection. Compared with patients without intracranial infections, the infected ones had significantly prolonged hospitalization length and increased expenditure (P<0.05). Discussion – It is of great clinical significance to analyze the risk factors related to intracranial infection after endoscopic transsphenoidal pituitary adenomectomy, aiming to prevent and to control the onset and progression of infection. Intracranial infections after endoscopic transsphenoidal pituitary adenomectomy were affected by many risk factors, also influencing the prognosis of patients and the economic burden.

Clinical Neuroscience

Long-term follow-up results of concomitant chemoradiotherapy followed by adjuvant temozolomide therapy for glioblastoma multiforme patients. The importance of MRI information in survival: Single-center experience

LUKÁCS Gábor, TÓTH Zoltán, SIPOS Dávid, CSIMA Melinda, HADJIEV Janaki, BAJZIK Gábor, CSELIK Zsolt, SEMJÉN Dávid, REPA Imre, KOVÁCS Árpád

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