By Stephen J. Haines, Beverly C. Walters

Evidence-Based Neurosurgery: An Introduction will train the practitioner to hire evidence-based techniques to universal difficulties in neurosurgery. The booklet starts off with a evaluate of the strategies and methods interested in the perform of evidence-based drugs, together with the fundamentals of serious research utilizing methodologically rigorous evidence-synthesis recommendations. the second one a part of the textual content offers worthy examples of using this severe research for universal scientific occasions, resembling stent placement, handling an infection, metastases, craniocerebral trauma, cervical backbone trauma, and extra.

This publication covers all levels of scientific perform, from sufferer evaluate, to prognosis, to diagnosis, and therapy, aiding you deal with such questions as:

  • How do you reliably be certain the features of
    the person patient's situation?
  • What is the most likely process the illness?
  • How do you establish what interventions tend to
    have a good effect?
  • Does the intervention paintings below convinced special
    circumstances?

Evidence-Based Neurosurgery is an
invitation to use the rigorous tools of evidence-based medication to enhance your perform of neurosurgery.

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36). 55 for AA. The authors conclude that experience in grading glial tumors is an important factor in reliably establishing the diagnosis, and that it can be accomplished in a high percentage of cases. Additional observation suggested agreement on the diagnosis of the malignant tumors (GBM and AA) is less variable than in the entire spectrum of glial neoplasms included in this study. Roessler et al5 retrospectively reviewed 4172 intraoperative cytologic smears from intracranial procedures (3541 open procedures and 631 stereotactic biopsies with a wide variety of diagnoses) and compared preliminary versus final pathological diagnosis.

J Clin Pathol 1972;25:718–720 17. Bayston R. Serological surveillance of children with CSF shunting devices. Dev Med Child Neurol Suppl 1975;17(35):104–110 18. Behrman RE, Meyers BR, Mendelson MH, Sacks HS, Hirschman SZ. Central nervous system infections in the elderly. Arch Intern Med 1989;149:1596–1599 19. Ghosh S, Chandy MJ, Abraham J. Brain abscess and congenital heart disease. J Indian Med Assoc 1990;88:312–314 20. Nunez DA. Presentation of rhinosinugenic intracranial abscesses. Rhinology 1991;99:99–103 21.

Table 2–5 Treated Prognosis of Shunt Infection Reference # Patients Inception Cohort Referral Pattern Perrin and McLaurin, 196739; Immediate replacement 6 No No White et al, 196942; EVD 33 No No Visconti, 197941; Delayed replacement 2 No No Whang et al, 197443; EVD 6 No No Mori and Raimondi, 197512; EVD 6 Yes No Archer et al, 197828; Antibiotics alone 1 No No Scarff et al, 197844; EVD 52 Yes No Gombert et al, 198129; Antibiotics alone 1 No No Bayston and Milner, 198130; Antibiotics alone 44 No No Mates et al, 198231; Antibiotics alone 8 No No Abbreviations: EVD, external ventricular drain.

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