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Mehdi Mahmoodkhani,Mohammad Sharafi,Arman Sourani,Donya Sheibani Tehrani 대한신경손상학회 2022 Korean Journal of Neurotrauma Vol.18 No.2
Objective: This study aimed to evaluate the efficacy and safety of half-saline (HS) serum as an irrigation solution in chronic subdural hematoma (CSDH) surgery using the burr hole craniostomy (BHC) technique. Methods: This randomized clinical trial was conducted in university hospital referral centers from 2020 to 2021. Sixty-three patients with CSDH eligible for BHC were primarily enrolled. Two patients were excluded because of concurrent stroke. Sixty-one patients were randomly allocated into case (HS=30) and control (normal-saline [NS]=31) groups. HS was used to irrigate the hematoma in the case group and NS was used in the control group. The patients were followed-up. Clinical variables including demographic and medical findings, postoperative computed tomography findings, postoperative complications, hospitalization period, recurrence rate, and functional status measured by the Barthel type B index were recorded. Results: Forty-six of 61 patients were male (75.4%), and the patients’ mean age was 65.4±16.9 years, with equal distribution between the 2 groups. Postoperative effusion and postoperative hospital stay duration were significantly lower in the HS group than in the NS group (p=0.002 and 0.033, respectively). The postoperative recurrence within 3 months in both groups was approximately equal (6.6%). In terms of functional outcomes and postoperative complications, HS showed similar results to those of NS. Conclusion: HS as an irrigation fluid in BHC effectively reduced postoperative effusion and hospital stay duration without considerable complications.
Basilar Skull Fractures and Their Complications in Patients With Traumatic Brain Injury
Mehdi Shafiei,Bahram Aminmansour,Mehdi Mahmoodkhani,Mohammadamin Seyedmoalemi,Donya Sheibani Tehrani 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.1
Since traumatic brain injury is more common in young people, who are the main workforce and builders of society, it is important to consider the effects caused by brain injury on them. In this study, we investigated the clinical manifestations, complications, and prognosis of patients with basilar skull fractures.
Majid Rezvani,Jamalodin Asadi,Arman Sourani,Mina Foroughi,Donya Sheibani Tehrani 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.1
To investigate the efficacy and safety of two different techniques for spinal ligamentotaxis. Spine ligamentotaxis reduces the number of retropulsed bone fragments in the fractured vertebrae. Two different ligamentotaxis techniques require clinical evaluation.
Arman Sourani,Majid Rezvani,Jamalodin Asadi,Mina Foroughi,Donya Sheibani Tehrani 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.4
Dr. Lee questioned multiple topics that needs to be addressed for better clearance. As provided the commentary they asked about the pedicle status of our cases. To equal the severity indices in both groups, before group allocation, we did not include obvious and dislocated bilateral pedicular fractures to prevent selection biases. However, it is worth mentioning pedicular fracture has no prognostic role in Thoracolumbar Injury Classification and Severity Score (TLICS)/Arbeitsgemeinschaft für Osteosynthesefragen (AO) classifications.
Patients With Hemangioblastoma: Mood Disorders and Sleep Quality
( Ali Riazi ),( Yaser Emaeillou ),( Nima Najafi ),( Mohammad Hoseinimanesh ),( Mohammad Ibrahim Ashkaran ),( Donya Sheibani Tehrani ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2024 Brain Tumor Research and Treatment Vol.12 No.2
Background Sleep has confirmed physical, psychological, and behavioral benefits, and disruptions can result in disturbances in these states. Moreover, it can be linked bidirectionally with susceptibility to and the subsequent status of brain tumors. The current study examined mood disorders and sleep quality before and after surgery for hemangioblastoma brain tumors. Methods Thirty-two patients diagnosed with hemangioblastoma brain tumors between 2017 and 2023 underwent surgical treatment. The Karnofsky Performance Status and ECOG performance status scales, the Brunel Mood Scale, the Morningness-Eveningness Questionnaire, and the Mini-Sleep Questionnaire were employed to assess the patients. Results The findings indicate that after surgery, sleep quality and mood disorders, including tension, vigor, and depression, did not exhibit significant differences in these patients (p>0.05). However, tension, vigor, depression, and sleep quality did have a significant impact on their functional status post-surgery (p<0.05). Conclusion Depression is the significant mood factor in patients with brain tumors that impact their functional status. In this context, it is recommended that psychological therapies be considered for them, alongside conducting more comprehensive and in-depth studies on psychological disorders in patients with brain tumors.