P Mitchell

..Third, in all other cases treatment with surgical clipping or coil embolisation should be advised. And finally, if surgical treatment is not feasible then medical hypotensive treatment may be a viable alternative...

..CONCLUSIONS: The study quantifies the degree of inter- and intraobserver agreement regarding evaluation of CT scans in patients with ICH when conducted in accordance with a set protocol...

..In this review we examine the prevailing mechanistic model and observational data; we assess how these are applied and the priorities they indicate for future research...

..It is concluded that to prevent these mistakes emphasis should be placed on ensuring that the preoperative site check is completed more than on ensuring that unambiguous side information is available in the notes and imaging...

..Primary outcome is death or severe disability defined using a prognosis based 8 point Glasgow Outcome Scale. Secondary outcomes include: Mortality, Rankin, Barthel, EuroQol, and Survival. TRIAL REGISTRATION: ISRCTN: ISRCTN22153967...

..In the ISAT, coil embolization appears to be safer than clip ligation at 1 year, and clip occlusion has better long-term efficacy at preventing rebleeding. This leaves open the question of which is better in the longer term...

..An important exception is ICHs arising from intracranial aneurysms where there is good evidence to support evacuation of the haematoma as well as repair of the aneurysm...

..We investigate the possible mechanisms of rupture to offer an explanation for this...

..Considerable concern exists about misinterpretation of such data. The issue is well illustrated by this study...

..Numerous cuts intersecting in a lattice pattern allow the dura to expand in a gradual and controlled manner minimising the chances of cortical laceration or venous kinking on the craniectomy edge...

..Crossovers formed a worse prognostic group compared to non-crossovers. Surgery did not affect trial results, which were analyzed by intention-to-treat...

..We describe the concept of decompressive craniectomy in traumatic brain injury and the rationale and protocol of the RESCUEicp study...

..Although there is a wide range of such lesions available treatments come down to three modalities. These are surgical excision, stereotactic radiosurgery and endovascular embolisation...

..To calculate the expected number of life-years saved by surgical treatment of unruptured intracranial aneurysms at ages over 20 years...

..The ISUIA post hoc hypothesis fails when tested on these data and the ISUIA data should be re-analysed with posterior communicating artery aneurysms grouped with the anterior circulation where they more traditionally belong...

..These results are based on the findings of the ISUIA and are dependent on their accuracy...

..We report our experience with the minimally invasive supraorbital approach to aneurysms of the ipsilateral anterior cerebral circulation...

..971 bar). This difference was significant with p < 0.001. Bursting pressure was found to decline at 2% per year of age. This figure was different from 0 with p = 0.003...

..To measure the sensitivity and specificity of five MRI sequences to subarachnoid haemorrhage...

..25(0.76 - 6.64) ml/h in this study. Further studies using more frequent data collection would allow for more accurate definition of the rate of relaxation...

..The instrument was used in six cases. A lateral accuracy of 10-15 mm was achieved and a depth accuracy of 5-10 mm...

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..A rare case of proximal migration of LP shunt into the quadrigeminal cistern is also reported...