Age, sex, presenting symptoms, location of lesion, surgical approach, new postoperative deficits, Glasgow Outcome Scale score, recurrences, and resolution of baseline symptoms were recorded.
RESULTS: Thirty-nine patients experienced hemorrhage before surgery. Lesion locations included the pons (n = 22), midbrain (n = 4), midbrain and thalamus (n = 4), ponto-mesencephalic junction (n = 3), medulla (n = 3), pontomedullary junction (n = 3), and cervicomedullary junction (n = 1). Mean
lesion size was 2.3 cm. Mean length of hospital stay was 10.7 days. The average clinical follow-up was 31.9 months in 36 patients with follow-up after discharge. At last follow-up, 5 patients had experienced symptoms and/or imaging consistent with rehemorrhage, either from a residual that enlarged or true recurrence (5.25% annual rebleed risk per patient after surgery); 2 required reoperation
for selleck chemicals llc further resection of cavernoma. Mean Glasgow Outcome Scale score was 4.2 on admission, 4.05 at discharge, and 4.5 at latest follow-up. Preoperative symptoms and deficits improved in 16 patients (40%). New neurological deficits developed in 19 patients (48%) and resolved in 9, leaving 10 patients (25%) with new permanent deficit.
CONCLUSION: Compared with adults, pediatric patients with BCSMs tend to have larger lesions and higher SB203580 datasheet rates of recurrence (regrowth of residual lesion). Given the greater life expectancy of children, surgical treatment seems warranted in those with surgically accessible only lesions that have bled. Outcomes were similar to those in our adult series of patients with BSCMs.”
“Food webs can be regarded as energy transporting networks in which the weight of each edge denotes the energy flux between two species. By investigating
21 empirical weighted food webs as energy flow networks, we found several ubiquitous scaling behaviors. Two random variables A(i) and C(i) defined for each vertex i, representing the total flux (also called vertex intensity) and total indirect effect or energy store of i, were found to follow power law distributions with the exponents alpha approximate to 1.32 and beta approximate to 1.33, respectively. Another scaling behavior is the power law relationship, C(i) similar to A(i)(eta), where eta approximate to 1.02. This is known as the allometric scaling power law relationship because A(i) can be treated as metabolism and C(i) as the body mass of the sub-network rooted from the vertex i, according to the algorithm presented in this paper. Finally, a simple relationship among these power law exponents, eta = (alpha-1)/(beta-1), was mathematically derived and tested by the empirical food webs. Crown Copyright (C) 2010 Published by Elsevier Ltd. All rights reserved.”
“BACKGROUND: Although favorable clinical outcomes have been reported for instrumented lumbar interbody fusion (LIF), adjacent segment degeneration (ASD) has been reported as a long-term complication after LIF.