By Johannes Schramm
This quantity of Advances and Technical criteria in Neurosurgery covers a few very important new advancements in sensible neurosurgery and endovascular treatment. within the Technical criteria part various subject matters are thought of, together with optic pathway gliomas, pineal lesions, cavernous sinus meningiomas and the everlasting challenge of juvenile and repetitive head damage. Endovascular therapy of various lesions is now universal perform and the state-of-the-art in endovascular remedy for acute ischemic stroke is reviewed. An appraisal of the facts on even if there's a position for microsurgical vascular decompression for crucial high blood pressure increases fascinating questions. the quantity is finished through contributions on neurosurgical remedy of cluster complications and occipital nerve stimulation.
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9 vs. 0001), with no significant difference in comorbidities or medical history. 28 h vs. 2 % vs. 1 % vs. 001). 2 %). 8 % vs. 5 % vs. 9 % received glycoprotein IIb/IIIa antagonists. 7 %). 0001). There was no significant difference between the groups in favorable day-90 mRS score (≤2) or day-90 mortality (29–32 % vs. 2 % vs. 8 %). 0004). It should be noted that the MERCI Registry study had several important limitations: nonrandomized cohort, nonmandatory consecutive enrollment, self-reported data, lack of a control group precluding comparisons with standard medical therapy, and lack of a core laboratory review.
Although the primary endpoint was met, this study was criticized for the low rate of 90-day functional independence. Goyal et al.  attempted to explain 48 G. Raphaeli et al. the enigma of the high revascularization rate on the one hand and lower-thanexpected good-outcome rate on the other. Analysis of the pretreatment CT scans revealed that an ASPECTS score of >7 (small infarct) at baseline was associated with a higher likelihood of achieving functional independence after revascularization than a score of ≤7 (50 % vs.
2 % vs. 8 %). 0004). It should be noted that the MERCI Registry study had several important limitations: nonrandomized cohort, nonmandatory consecutive enrollment, self-reported data, lack of a control group precluding comparisons with standard medical therapy, and lack of a core laboratory review. Nevertheless, it offers the largest prospective collection of data on mechanical embolectomy. In addition, using the registry, subsets previously too small for analysis could be analyzed, such as effect of intubation on outcome and time windows of treatment and procedure duration.