Explanipedia

Active Exchange of CSF for Rapid Removal of Blood in Hemorrhagic Stroke: Multicenter Experience in 40 Patients Open

Behnam Rezai Jahromi, Amir Reza Bahadori, Albin Röblom, Silja Soini, Ammad A. Baig , et al. · 2025

Accelerated blood removal from the CSF system via active EVD is safe and feasible. Active irrigation reduced adverse events. Blood clearance is strongly linked to irrigation rate. Prospective trials are needed to identify the patient popul…

Inferior long-term outcomes after surgery for lumbar disc herniation in patients with prior lumbar spine surgery Open

M. Roiha, Johan Marjamaa, Jari Siironen, Anniina Koski · 2024

Background Previous lumbar spine surgery is a frequent exclusion criterion for studies evaluating lumbar surgery outcomes. In real-life clinical settings, this patient population is important, as a notable proportion of patients evaluated …

Active exchange of CSF for rapid removal of blood in hemorrhagic stroke: Multicenter experience in 40 patients Open

Behnam Rezai Jahromi, Silja Soini, Jennifer Wilson Peltz, Ammad A. Baig, Vikram Bhinder , et al. · 2024

Long-Term Functional Outcome and Quality of Life in Long-Term Traumatic Brain Injury Survivors Open

Wivi Taalas, Rahul Raj, Juha Öhman, Jari Siironen · 2023

Early functional outcome assessments of traumatic brain injury (TBI) survivors may underestimate the long-term consequences of TBI. We assessed long-term temporal changes in functional outcome and quality of life in intensive care unit-man…

Favorable long-term health-related quality of life after surgery for lumbar disc herniation in young adult patients Open

M. Roiha, Johan Marjamaa, Jari Siironen, Seppo Koskinen, Anniina Koski · 2023

Active CSF exchange and removal of blood after aneurysmatic SAH reduces shunt dependency Open

Behnam Rezai Jahromi, Nicholas Brandmeir, Felix Göhre, Mika Niemelä, Päivi Tanskanen , et al. · 2023

Favorable long-term outcome in young adults undergoing surgery for lumbar disc herniation Open

M. Roiha, Johan Marjamaa, Jari Siironen, Anniina Koski · 2022

Purpose The purpose of the study was to evaluate the long-term outcome after surgery for lumbar disc herniation in a young adult population. Methods A total of 526 consecutive patients between 18 and 40 years of age who underwent surgery f…

Active removal of cerebral haemorrhage via CSF exchange Open

Behnam Rezai Jahromi, Nicholas Brandmeir, F. Göhre, Päivi Tanskanen, Jussi Numminen , et al. · 2022

Trends in Mortality after Intensive Care of Patients with Aneurysmal Subarachnoid Hemorrhage in Finland in 2003–2019: A Finnish Intensive Care Consortium study Open

Jyri J. Virta, Markus B. Skrifvars, Matti Reinikainen, Stepani Bendel, Ruut Laitio , et al. · 2021

Background Previous studies suggest that case mortality of aneurysmal subarachnoid hemorrhage (aSAH) has decreased during the last decades, but most studies have been unable to assess case severities among individual patients. We aimed to …

Spontaneous angiogram-negative subarachnoid hemorrhage: a retrospective single center cohort study Open

Alexander Achrén, Rahul Raj, Jari Siironen, Aki Laakso, Johan Marjamaa · 2021

Active Cerebrospinal Fluid Exchange System for Treatment of Pyogenic Ventriculitis Open

Behnam Rezai Jahromi, Päivi Tanskanen, Anniina Koski, Christoph Schwartz, Päivi Koroknay-Pál , et al. · 2021

BACKGROUND Despite recent advances in antibiotic treatment, pyogenic ventricular brain infections are still associated with adverse clinical outcome in 80% of affected patients and mortality rates approaching 60%. The limitation of antibio…

Risk of dementia after hospitalization due to traumatic brain injury: a longitudinal, population-based study Open

Rahul Raj, Jaakko Kaprio, Pekka Jousilahti, Miikka Korja, Jari Siironen · 2021

Objective Traumatic brain injury (TBI) is considered a potential modifiable dementia risk factor. We aimed to determine whether TBI actually increases the risk of dementia when adjusting for other relevant dementia risk factors. Methods Na…

Young adults undergoing ACDF surgery exhibit decreased health-related quality of life in the long term in comparison to the general population Open

Tuomas Hirvonen, Johan Marjamaa, Jari Siironen, Seppo Koskinen, Mika Niemelä , et al. · 2021

In reply: Concomitant cranio-spinal trauma: additional risk from a cerebrovascular injury Open

Juho Vehviläinen, Tuomas Brinck, Matias Lindfors, Jussi Numminen, Jari Siironen , et al. · 2020

Mortality of older patients with dementia after surgery for chronic subdural hematoma: a nationwide study Open

Pihla Tommiska, Miikka Korja, Jari Siironen, Jaakko Kaprio, Rahul Raj · 2020

Background dementia is associated with an excess risk of death but mortality after chronic subdural hematoma (CSDH) evacuation in older people with dementia is unknown. We assessed the association between dementia and 1-year case-fatality …

Occurrence and prognostic effect of cervical spine injuries and cervical artery injuries with concomitant severe head injury Open

Juho Vehviläinen, Tuomas Brinck, Matias Lindfors, Jussi Numminen, Jari Siironen , et al. · 2020

Background Blunt cerebrovascular injuries (BCVIs) and cervical spinal injuries (CSIs) are not uncommon injuries in patients with severe head injury and may affect patient recovery. We aimed to assess the independent relationship between BC…

Microsurgical removal of a misplaced intraspinal venous stent in a patient with inferior vena cava atresia Open

Christoph Schwartz, Ahmad Hafez, Kimmo Lönnrot, Behnam Rezai Jahromi, Kimmo Lappalainen , et al. · 2020

Inferior vena cava atresia (IVCA) is a rare vascular condition that may be treated by venous stenting. The authors report on the microsurgical removal of an intraspinally misplaced stent causing nerve root compression and neurological defi…

Prognostic performance of computerized tomography scoring systems in civilian penetrating traumatic brain injury: an observational study Open

Matias Lindfors, Caroline Lindblad, David Nelson, Bo‐Michael Bellander, Jari Siironen , et al. · 2019

Comparison of high versus low frequency cerebral physiology for cerebrovascular reactivity assessment in traumatic brain injury: a multi-center pilot study Open

Eric Peter Thelin, Rahul Raj, Bo‐Michael Bellander, David Nelson, Anna Piippo-Karjalainen , et al. · 2019

Temporal changes in outcome following intensive care unit treatment after traumatic brain injury: a 17-year experience in a large academic neurosurgical centre Open

Matias Lindfors, Juho Vehviläinen, Jari Siironen, Riku Kivisaari, Markus B. Skrifvars , et al. · 2018

A pilot study of hyperoxemia on neurological injury, inflammation and oxidative stress Open

Maarit Lång, Markus B. Skrifvars, Jari Siironen, Päivi Tanskanen, Marika Ala-Peijari , et al. · 2018

Background Normobaric hyperoxia is used to alleviate secondary brain ischaemia in patients with traumatic brain injury ( TBI ), but clinical evidence is limited and hyperoxia may cause adverse events. Methods An open label, randomised cont…

Temporal Trends in Healthcare Costs and Outcome Following ICU Admission After Traumatic Brain Injury Open

Rahul Raj, Stepani Bendel, Matti Reinikainen, Sanna Hoppu, Teemu M. Luoto , et al. · 2017

Objective: To assess temporal trends in 1-year healthcare costs and outcome of intensive care for traumatic brain injury in Finland. Design: Retrospective observational cohort study. Setting: Multicenter study including four tertiary ICUs.…

In Reply to the Letter to the Editor “Spontaneous Spinal Extradural Hematoma: A Rare Neurosurgical Emergency” Open

Rahul Raj, Matti Seppälä, Jari Siironen · 2017

Primary decompressive craniectomy is associated with worse neurological outcome in patients with traumatic brain injury requiring acute surgery Open

Rahul Raj, Julius Tapper, MarkusB Skrifvars, Riku Kivisaari, Jari Siironen · 2017

In conclusion, patients requiring primary decompressive craniectomy had a higher risk for poor neurological outcome compared to patients undergoing craniotomy or were conservatively treated. It is plausible that the poor prognosis is relat…

Traumatic brain injury patient volume and mortality in neurosurgical intensive care units: a Finnish nationwide study Open

Rahul Raj, Stepani Bendel, Matti Reinikainen, Sanna Hoppu, Teemu M. Luoto , et al. · 2016

Spontaneous Spinal Epidural Hematoma: A Surgical Case Series of Ten Patients Open

Rahul Raj, Matti Seppälä, Jari Siironen · 2016

Delayed Migration of Fractured K-wire Causing Vertebral Artery Invagination After Anterior Atlantoaxial Fixation: A Case Report Open

Ahmad Hafez, Tarek F. Ibrahim, Rahul Raj, Jussi Antinheimo, Jari Siironen , et al. · 2016

Mortality in Elderly Patients Operated for an Acute Subdural Hematoma: A Surgical Case Series Open

Rahul Raj, Era D. Mikkonen, Riku Kivisaari, Markus B. Skrifvars, Miikka Korja , et al. · 2015

Alcohol and mortality after moderate to severe traumatic brain injury: a meta-analysis of observational studies Open

Rahul Raj, Era D. Mikkonen, Jari Siironen, Juha Hernesniemi, Jaakko Lappalainen , et al. · 2015

OBJECT Experimental studies have shown numerous neuroprotective properties of alcohol (“ethanol”) after TBI, but clinical studies have provided conflicting results. The authors aimed to assess the relationship between positive blood alcoho…

Unconscious trauma patients: outcome differences between southern Finland and Germany—lesson learned from trauma-registry comparisons Open

Tuomas Brinck, Rahul Raj, M.B. Skrifvars, Riku Kivisaari, Jari Siironen , et al. · 2015

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