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313 results on '"Chumas P"'

36. Hydrocephalus--what's new? (Leading article)

Author

Chumas, P, Tyagi, A, and Livingston, J

Subjects
Care and treatment, Physiological aspects, Cerebrospinal fluid shunts -- Physiological aspects, Cerebrospinal fluid -- Physiological aspects, Hydrocephalus -- Care and treatment
Abstract

'Not a lot' may be the general impression, but then it is easy to forget that, until the advent of shunts (almost 50 years ago), hydrocephalus was usually fatal. It [...]

Published
2001

42. Neuropsychological outcomes following paediatric temporal lobe surgery for epilepsies: Evidence from a systematic review

Author

Flint, AE, Waterman, M, Bowmer, G, Vadlamani, G, Chumas, P, and Morrall, MCHJ

Abstract

Objective: The systematic review aimed to assess the neuropsychological outcomes of temporal lobe resections for epilepsy in children. Additional objectives included determining whether earlier age at surgery leads to better neuropsychological outcomes; the relationships between and predictors of these outcomes. Methods: Using advanced search terms, a systematic review of electronic databases was conducted, comprising MEDLINE, Embase, PsycINFO, Global Health, Web of Science and CINAHL. Included studies reported on outcome following neurosurgical treatment for epilepsy. Specifically, studies were included if they reported neuropsychological outcomes and were concerned only with temporal lobe resection. Results: 73 studies met inclusion criteria. For reported neuropsychological outcomes, the majority of participants remained stable after surgery; some declined and some improved. There was some evidence for increased material-specific memory deficits after temporal lobe surgery based on resection side, and more positive cognitive outcome for those with lower pre-surgical ability level. Significance: Retrieved evidence highlights the need for improvements to quality of methodology and reporting. Appropriately designed prospective multicentre trials should be conducted with adequate follow-up for long-term outcomes to be measured. Core outcome measures should be agreed between centres. This would permit higher quality evidence so that clinicians, young people and their families may make better informed decisions about whether or not to proceed with surgery and likely post-operative profile.

Published
2017

43. Minor complications in craniofacial surgery are more common than previously thought

Author

Shastin, D, Peacock, S, Goodden, J, Russell, J, Liddington, M, and Chumas, P

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Introduction: Tabulation of complications is a common way of evaluating craniosynostosis practice. Due to the lack of standartisation in the literature, objective comparison is often difficult. The authors propose a new classification that builds on prospective data collection and is designed to systematically[for full text, please go to the a.m. URL], 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS)

Published
2017
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46. Integrated fundal assessment pathway for patients with suspected shunt malfunction via digital retinal images.

Author

Akhunbay-Fudge, C., Evans, F., Long, V., Chumas, P., Corns, R., and Sheikh, A.

Subjects
DIGITAL images, RETINAL imaging, DIGITAL photography, DIGITAL cameras, TIME measurements
Abstract

Introduction: Papilloedema is an important clinical sign in the assessment of neurosurgical patients presenting with suspected shunt malfunction. Methods: We describe our 18-month experience using a newly acquired nonmydriatic digital retinal camera to acquire fundal photographs for this purpose. Results: It was used to take digital photographs in 67 patients presenting with suspected shunt malfunction and 54% of these images were discussed with the on-call ophthalmology team for advice. Of these 81% had instant input provided by ophthalmology and the remainder were sent to the ophthalmology department for formal assessment. Of all shunt related regional referrals in the same time period, we found that only 13% of the referred patients were discussed with the on-call ophthalmology team. The rest had decisions made by the on-call neurosurgical team. Conclusions: We believe this new integrated pathway is clinically and cost-effective and recommend it as a useful tool in other neurosurgical units. [ABSTRACT FROM AUTHOR]

Published
2020
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49. Evidence-based management of adult patients with diffuse glioma

Author

Duffau, H, Mandonnet, E, Pallud, J, Krieg, S, Robles, SG, Hamer, PD, Schucht, P, Zetterling, M, Santarius, T, Colle, H, Ryan, M, Smits, A, von Campe, G, Bello, L, Forster, MT, Sarubbo, S, Spena, G, Baron, MH, Yordanova, Y, Darlix, A, Viegas, C, Almairac, F, Martino, J, Goodden, J, Chumas, P, Freyschlag, C, Robe, P, Wager, M, Polivka, M, Giakoumettis, D, Robert, E, Guillevin, R, Grivas, A, Fontaine, D, van Geemen, K, Lubrano, V, Rutten, GJ, Barone, F, Rofes, A, Rech, F, Rigau, V, Wagemakers, M, Papagno, C, Aerts, A, Visch - Brink, Evy, Tate, M, Garg, N, Klein, M, Satoer, D, De Witte, E, Van Brussel, L, Reyes, A, van Ierschot, F, Veenstra, W, Snijders, T, Taillandier, L, Blonski, M, and Neurology

Published
2017

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