Biomedical subjects

Gábor Madarassy

Publications and source records attributed to Gábor Madarassy.

3 recordsLinked to original sources

PubMed2003

Split laminotomy in pediatric neurosurgery.

TECHNIQUE: A novel technique of multilevel opening of the spinal canal is introduced into pediatric neurosurgery. Split laminotomy helps to preserve the spinal column integrity in cases of posterior exposure of the spinal canal. The spinal processes are cut in the midline and the laminae are separated and retracted while the lesion in the spinal canal is explored. At closure the lamina are simply sutured. RESULTS AND DISCUSSION: Excellent postoperative results were obtained in patients from different age groups. Pediatric peculiarities of the new method are discussed.

Child↗

PubMed2003

Frontolateral keyhole craniotomy through a superciliary skin incision in children.

INTRODUCTION: In our experience, frontolateral keyhole craniotomy in children is a safe approach for an experienced neurosurgeon to use in the treatment of the tumors or arachnoid cysts of the anterior fossa and sellar regions. TECHNICAL NOTE: The authors describe the frontolateral keyhole craniotomy, which is a modification of the generally used pterional approach. The operations were carried out through an approximately 2.5 x 3-cm frontolateral miniaturized craniotomy after a skin incision just above the eyebrow. We adopted this technique in pediatric neurosurgery.

Adolescent↗

PubMed2003

Analysis of CSF shunting procedure requirement in children with posterior fossa tumors.

OBJECT: The authors analyze the factors that predispose to persistent hydrocephalus in children with posterior fossa tumors and compare their results and treatment policy with those described in the literature, particularly with regard to the higher postoperative shunt insertion rates, which have led some authors to the routine use of preoperative third ventriculostomy. METHODS: The clinical records of 180 children treated for posterior fossa tumors in the Department of Pediatric Neurosurgery of the National Institute of Neurosurgery, Budapest, Hungary, between 1990 and 2000 were retrospectively reviewed. CONCLUSIONS: The low postoperative shunt insertion rate in our series (15.5%) led us to believe that the routine use of preoperative third ventriculostomy is not entirely justified. Factors such as patient's age and tumor type, which showed a statistically significant association with the postoperative shunt requirement in our study, should be considered when the decision regarding treatment is made.

Cerebrospinal Fluid Shunts↗