Prasanth Romiyo
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View article: The impact of preoperative nutritional status on 30-day outcomes after elective lumbar laminectomy for lumbar stenosis: a population-based cohort analysis
The impact of preoperative nutritional status on 30-day outcomes after elective lumbar laminectomy for lumbar stenosis: a population-based cohort analysis Open
Preoperative hypoalbuminemia is associated with higher rates of 30-day readmission, non-home discharge, and postoperative complications, as well as longer LOS after elective open lumbar laminectomy. These data indicate the importance of pr…
View article: Staged transarterial and transvenous embolization of a high-grade ruptured tentorial dural arteriovenous fistula
Staged transarterial and transvenous embolization of a high-grade ruptured tentorial dural arteriovenous fistula Open
Tentorial dural arteriovenous fistulas (TDAVFs) are rare but high-risk lesions due to frequent deep venous drainage. A 77-year-old woman presented with a ruptured, high-grade (Borden III, Cognard IV, Zipfel 3S) TDAVF at the pontomesencepha…
View article: The impacts of the COVID-19 pandemic on IDH-wildtype glioblastoma survival: A Surveillance, Epidemiology, and End Results Analysis
The impacts of the COVID-19 pandemic on IDH-wildtype glioblastoma survival: A Surveillance, Epidemiology, and End Results Analysis Open
Background The COVID-19 pandemic caused unprecedented strains on healthcare. With resources appropriately diverted toward managing the pandemic, less prevalent pathology was uniquely susceptible to the negative impacts of resource constrai…
View article: Nutritional status is associated with inferior clinical outcomes: A National Surgical Quality Improvement Project analysis of surgically treated spinal vascular lesions
Nutritional status is associated with inferior clinical outcomes: A National Surgical Quality Improvement Project analysis of surgically treated spinal vascular lesions Open
Background: Spinal arteriovenous shunts (sAVSs) consist of direct arterial-venous connections without intervening capillaries. Although rare, if left untreated, permanent neurological injury can occur. The present study aims to assess preo…
View article: Vertebral artery dissection with cerebellar stroke after use of a percussive massage device: illustrative case
Vertebral artery dissection with cerebellar stroke after use of a percussive massage device: illustrative case Open
BACKGROUND Vertebral artery dissection is a rare condition often due to blunt cerebrovascular injury (BCVI). Electric massage devices have rarely been documented as an etiology of BCVI; however, their use has become widespread. The authors…
View article: Glymphatic Flow after Thrombectomy is Associated with Futile Recanalization in Large Vessel Occlusion Stroke
Glymphatic Flow after Thrombectomy is Associated with Futile Recanalization in Large Vessel Occlusion Stroke Open
Background Stroke is a leading cause of global death and disability, with mechanical thrombectomy remaining the optimal treatment approach for large vessel occlusion (LVO) ischemic stroke. Despite endovascular recanalization, nearly half o…
View article: Delayed myelopathy after remote C1–2 sublaminar wire fixation: illustrative case
Delayed myelopathy after remote C1–2 sublaminar wire fixation: illustrative case Open
BACKGROUND Atlantoaxial sublaminar wiring complications, both early and delayed, have been documented. However, delayed neurological compromise 27 years after successful fusion is a rare but possible occurrence. OBSERVATIONS A 76-year-old …
View article: Abstract 1122‐000022: Delays in Care for Patients with Acute Stroke During Hospitalization for Other Reasons
Abstract 1122‐000022: Delays in Care for Patients with Acute Stroke During Hospitalization for Other Reasons Open
Introduction : In‐hospital stroke (IHS) is defined as stroke that occurs during hospitalization for non‐stroke conditions. We aimed to understand the timing of symptom recognition for patients who experienced IHS and its impact on the care…
View article: Utility of Transesophageal Echocardiography in the Identification and Treatment of Occult Mechanisms of Cerebral Infarction
Utility of Transesophageal Echocardiography in the Identification and Treatment of Occult Mechanisms of Cerebral Infarction Open
PurposeTo evaluate the diagnostic utility of TEE in identifying cardiac sources of embolism (CSE) in cryptogenic stroke patients and to determine whether the identification of these CSE results in clinically significant management changes.…
View article: GENE-53. IDENTIFICATION OF EPITHELIAL MEMBRANE PROTEIN 2 (EMP2) AS A MOLECULAR MARKER AND THERAPEUTIC TARGET IN MENINGIOMA
GENE-53. IDENTIFICATION OF EPITHELIAL MEMBRANE PROTEIN 2 (EMP2) AS A MOLECULAR MARKER AND THERAPEUTIC TARGET IN MENINGIOMA Open
BACKGROUND Intracranial meningiomas have been associated with a heterogenous set of genetic and molecular alterations. Despite these genetic associations, targeted therapies have been unable to increase survival in recurrent or residual me…
View article: Racial Differences in Hospital Stays among Patients Undergoing Craniotomy for Tumour Resection at a Single Academic Hospital
Racial Differences in Hospital Stays among Patients Undergoing Craniotomy for Tumour Resection at a Single Academic Hospital Open
Racial differences manifested as extended LOS for non-White patients, with comparable rates of hospital mortality and non-routine discharge across races. Prolonged LOS loosely reflected complicated clinical course with greater risk of adve…
View article: The Meningioma Vascularity Index: a volumetric analysis of flow voids to predict intraoperative blood loss in nonembolized meningiomas
The Meningioma Vascularity Index: a volumetric analysis of flow voids to predict intraoperative blood loss in nonembolized meningiomas Open
OBJECTIVE Meningiomas that appear hypervascular on neuroimaging could be amenable to preoperative embolization. However, methods for measuring hypervascularity have not been described, nor has the benefit of preoperative embolization been …
View article: Age and Gender Effects on the Repair of Superior Semicircular Canal Dehiscence through Middle Cranial Fossa Approach
Age and Gender Effects on the Repair of Superior Semicircular Canal Dehiscence through Middle Cranial Fossa Approach Open
Background Superior semicircular canal dehiscence (SSCD) is caused by a fistula in the arcuate eminence, causing vestibular and auditory disturbances. SSCD repair is currently performed through a middle cranial fossa (MCF) approach, showin…
View article: Transmastoid Approach for Repair of Superior Semicircular Canal Dehiscence
Transmastoid Approach for Repair of Superior Semicircular Canal Dehiscence Open
Objective The current operative modality used to treat auditory and vestibular symptoms of superior semicircular canal dehiscence (SSCD) is through a middle cranial fossa (MCF) approach. Literature reports of an alternate transmastoid (TM)…
View article: Middle Cranial Fossa Approach for the Repair of Superior Semicircular Canal Dehiscence Is Associated with Greater Symptom Resolution Compared with Transmastoid Approach
Middle Cranial Fossa Approach for the Repair of Superior Semicircular Canal Dehiscence Is Associated with Greater Symptom Resolution Compared with Transmastoid Approach Open
Background Superior semicircular canal dehiscence (SSCD) is a disorder of the skull base that is gaining increasing recognition among neurosurgeons. Traditionally, the middle cranial fossa (MCF) approach has been used for the surgical repa…
View article: Bone Metabolic Markers in the Clinical Assessment of Patients with Superior Semicircular Canal Dehiscence Treated with Middle Fossa Craniotomy
Bone Metabolic Markers in the Clinical Assessment of Patients with Superior Semicircular Canal Dehiscence Treated with Middle Fossa Craniotomy Open
Importance The role of bone metabolic markers in the clinical assessment of patients with superior semicircular canal dehiscence (SSCD) has not been elucidated.
View article: HOUT-10. RISK FACTORS FOR PLATELET TRANSFUSION IN GLIOBLASTOMA SURGERY
HOUT-10. RISK FACTORS FOR PLATELET TRANSFUSION IN GLIOBLASTOMA SURGERY Open
OBJECTIVE: The role of platelet transfusion in glioblastoma surgery is not well-defined. The objective of this study was to identify risk factors for platelet transfusion in glioblastoma surgery and to compare outcomes of prophylactic vers…