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"name": "Comment diagnostiquer une condition nécessitant une craniotomie ?",
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"text": "Des examens d'imagerie comme l'IRM ou le scanner sont utilisés pour évaluer les lésions cérébrales."
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"@type": "Question",
"name": "Quels symptômes indiquent une craniotomie ?",
"position": 2,
"acceptedAnswer": {
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"text": "Des symptômes comme des maux de tête sévères, des convulsions ou des troubles neurologiques peuvent indiquer la nécessité d'une craniotomie."
}
},
{
"@type": "Question",
"name": "Quels tests sont effectués avant une craniotomie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests neurologiques, des analyses sanguines et des examens d'imagerie sont réalisés pour évaluer l'état du patient."
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{
"@type": "Question",
"name": "Quand une craniotomie est-elle envisagée ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est envisagée en cas de tumeurs cérébrales, d'hémorragies ou d'infections nécessitant un accès direct au cerveau."
}
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"@type": "Question",
"name": "Quel rôle joue l'électroencéphalogramme (EEG) ?",
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"acceptedAnswer": {
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"text": "L'EEG peut aider à détecter des anomalies électriques dans le cerveau avant une craniotomie."
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"@type": "Question",
"name": "Quels sont les symptômes d'une pression intracrânienne élevée ?",
"position": 6,
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"text": "Les symptômes incluent des maux de tête, des nausées, des vomissements et des troubles de la vision."
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{
"@type": "Question",
"name": "Comment reconnaître une hémorragie cérébrale ?",
"position": 7,
"acceptedAnswer": {
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"text": "Les signes incluent des maux de tête soudains, une confusion, des convulsions et une faiblesse d'un côté du corps."
}
},
{
"@type": "Question",
"name": "Quels troubles neurologiques peuvent nécessiter une craniotomie ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des troubles comme les épilepsies réfractaires ou les tumeurs cérébrales peuvent nécessiter cette intervention."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une infection cérébrale ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme de la fièvre, des maux de tête persistants et des troubles de la conscience peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent survenir après une craniotomie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Après une craniotomie, des maux de tête, des nausées et des troubles neurologiques temporaires peuvent survenir."
}
},
{
"@type": "Question",
"name": "Quel est l'objectif principal d'une craniotomie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'objectif est d'accéder au cerveau pour retirer des tumeurs, traiter des hémorragies ou soulager la pression."
}
},
{
"@type": "Question",
"name": "Quelles sont les alternatives à la craniotomie ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les alternatives incluent la radiothérapie, la chimiothérapie ou des traitements endovasculaires selon la condition."
}
},
{
"@type": "Question",
"name": "Comment se déroule une craniotomie ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "La procédure implique une incision du cuir chevelu, puis l'ouverture du crâne pour accéder au cerveau."
}
},
{
"@type": "Question",
"name": "Quels soins postopératoires sont nécessaires après une craniotomie ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les soins incluent la surveillance neurologique, la gestion de la douleur et la prévention des infections."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont souvent prescrits après une craniotomie ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques, des antibiotiques et parfois des anticonvulsivants sont prescrits pour la récupération."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une craniotomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des infections, des saignements, des convulsions et des lésions cérébrales."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections après une craniotomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antibiotiques prophylactiques et des soins de plaies appropriés aident à prévenir les infections."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une infection postopératoire ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme une fièvre persistante, des rougeurs ou un écoulement au site chirurgical peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences d'une hémorragie après une craniotomie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une hémorragie peut entraîner une pression accrue sur le cerveau, nécessitant une intervention d'urgence."
}
},
{
"@type": "Question",
"name": "Quels sont les risques de lésions cérébrales après une craniotomie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les lésions cérébrales peuvent survenir en raison de l'intervention elle-même ou de complications postopératoires."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de complications ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs comme l'âge avancé, les maladies préexistantes et le tabagisme augmentent les risques."
}
},
{
"@type": "Question",
"name": "Comment les antécédents médicaux influencent-ils le risque ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de troubles neurologiques ou de maladies cardiovasculaires peuvent augmenter le risque de complications."
}
},
{
"@type": "Question",
"name": "Le diabète est-il un facteur de risque pour la craniotomie ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le diabète peut augmenter le risque d'infections et de complications postopératoires."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'obésité dans les risques de craniotomie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité peut compliquer l'anesthésie et augmenter le risque d'infections et de problèmes respiratoires."
}
},
{
"@type": "Question",
"name": "Les anticoagulants augmentent-ils les risques ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les anticoagulants peuvent augmenter le risque de saignements pendant et après la chirurgie."
}
}
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Although one of the major presentations of vestibular migraine is dizziness with/without unsteady gait, it is still classified as one of the migraine categories. However, in contrast to ordinary migra...
The objective of this current network meta-analysis (NMA) was to compare the efficacy and acceptability of individual treatment strategies in patients with vestibular migraine....
The PubMed, Embase, ScienceDirect, ProQuest, Web of Science, ClinicalKey, Cochrane Central, and ClinicalTrials.gov databases were systematically searched for randomized controlled trials (RCTs), with ...
Seven randomized controlled trials (N = 828, mean age 37.6 years, 78.4% female) and seven active regimens were included. We determined that only valproic acid (standardized mean difference [SMD] -1.61...
The current study provides evidence that only valproic acid, propranolol, and venlafaxine might be associated with beneficial efficacy in vestibular migraine treatment....
CRD42023388343....
Pediatric migraine substantially impacts quality of life and academic performance among children and adolescents. Understanding the efficacy and safety of pharmacological interventions for migraine pr...
To conduct a comprehensive network meta-analysis to evaluate the efficacy and safety associated with pharmacological treatments for pediatric migraine prophylaxis among pediatric patients with a migra...
PubMed, Embase, and SCOPUS were searched for publications up to September 2023. Search terms and indexing were chosen to encompass relevant studies, focusing on randomized clinical trials in pediatric...
Inclusion criteria targeted randomized clinical trials involving pediatric patients with migraine. Studies were selected based on their examination of oral pharmacological interventions. The search yi...
Data extraction adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines. Five investigators independently extracted study data into a spreadsheet in duplicat...
The primary outcome was migraine frequency (number of attacks per month). Secondary outcomes included a 50% or greater responder rate, headache duration, headache intensity, and disability (assessed b...
The analysis incorporated 45 trials with 3771 participants. Compared with placebo, pregabalin (ratio of means [RoM], 0.38; 95% CI, 0.18-0.79) and topiramate with vitamin D3 (RoM, 0.44; 95% CI, 0.30-0....
In this network meta-analysis of randomized clinical trials, topiramate and pregabalin were associated with reduction in headache frequency and intensity. Although there were also other drugs that sho...
Laser hair removal is an increasingly prevalent trend of cosmetic procedures. The purpose of this study was to assess the effectiveness of hair reduction among several types of laser interventions....
The selected studies searched in PubMed and EMBASE were assessed for quality of evidence, and extracted data on absolute hair count and hair reduction rate. Qualitative data were synthesized using sta...
A total of 13 randomized controlled trials (RCTs) (...
Eliminating unwanted hair with lasers or intense pulsed light is safe and effective; however, which type of intervention is more beneficial in the long-term process should be studied with a longer fol...
Rotator cuff tear is a common shoulder injury that often leads to serious limitations in daily life. Herein, a network Meta-analysis using frequency theory was performed to evaluate the clinical outco...
PubMed, EMbase, The Cochrane Library, and Web of Science were searched for randomized controlled trials and cohort studies comparing rotator cuff repair techniques published from inception to May 2022...
A total of 51 articles were finally included, including 27 randomized controlled trials and 24 cohort studies. Results from the network Meta-analysis showed that: (1) In terms of the American Shoulder...
Based on the results of network Meta-analysis and surface under the cumulative ranking, platelet-rich plasma therapy, bone marrow stimulation, and double-row repair have good overall rehabilitation ef...
We performed a systematic review and network meta-analysis (NMA) to obtain comparative effectiveness estimates and rankings of non-surgical interventions used to treat infantile spasms....
All randomized controlled trials (RCTs) including children 2 months to 3 years of age with infantile spasms (with hypsarrhythmia or hypsarrhythmia variants on electroencephalography) receiving appropr...
Twenty-two RCTs comparing first-line treatments for infantile spasms were reviewed; of these, 17 were included in the NMA. Both frequentist and Bayesian network rankings for electroclinical remission ...
Treatments including ACTH and high dose prednisolone are more effective in achieving electroclinical and clinical remissions for infantile spasms....
Adrenocorticotropic hormone and high dose prednisolone are more effective than other medications for infantile spasms. Symptomatic etiology decreases the likelihood of remission even after adjusting f...
Barrett's esophagus (BE) is a precancerous condition that has the potential to develop into esophageal cancer (EC). Currently, there is a wide range of management options available for individuals at ...
Data extracted from eligible randomized controlled trials were utilized in a Bayesian network meta-analysis to examine the relative effectiveness of BE's treatment regimens and determine their ranking...
We identified twenty-three RCT studies with a total of 1675 participants, and ten different interventions. Regarding complete ablation of non-dysplastic BE, the comparative effectiveness ranking indic...
Endoscopic surveillance alone or PPI/H2RA alone may not be sufficient for managing BE, even in cases of non-dysplastic BE. However, APC has shown excellent efficacy in treating non-dysplastic BE. For ...
The aim of this systematic review and network meta-analysis (NMA) of randomized controlled trials was to evaluate the effectiveness of treatments for pain relief of burning mouth syndrome (BMS). Five ...
Diabetic kidney disease (DKD) is a health burden of rising importance. Slowing progression to end stage kidney disease is the main goal of drug treatment. The aim of this analysis is to compare drug t...
We searched Medline, CENTRAL and clinicaltrials.gov for randomized, controlled studies including adults with DKD treated with the following drugs of interest: single angiotensin-converting-enzyme-inhi...
Of initial 3489 publications, 38 clinical trials were found eligible, in total including 42346 patients. Concerning the primary endpoints overall mortality and end stage kidney disease, SGLT2i on top ...
As the only drug class, SGLT2i showed in our analysis beneficial effects on top of ACEi/ARB treatment regarding mortality and end stage kidney disease and by that reconfirmed its position as treatment...
Despite the introduction of various pharmaceutical therapies for treating obesity, selecting the optimal treatment remains challenging for both patients and physicians. Therefore, in this network meta...
International databases, including PubMed, Web of Science, Scopus, Cochrane Library, and Embase, were searched for studies published from database inception to April 2023. The consistency assumption w...
Of 9519 retrieved references, 96 randomized controlled trials, including 68 with both men and women, 23 with women only, and 5 with men only, met the eligibility criteria for this study. There were 4 ...
According to the results of this NMA, semaglutide seems to be an effective treatment option for both men and women, whereas beloranib appears to be particularly effective for women with obesity and ov...
Network meta-analysis (NMA) allows estimating and ranking the effects of several interventions for a clinical condition. Component network meta-analysis (CNMA) is an extension of NMA which considers t...
We evaluate a forward model selection strategy for component network meta-analysis to relax the additivity assumption that can be used in connected or disconnected networks. In addition, we describe a...
CNMA models provide good performance for connected networks and can be an alternative to standard NMA if additivity holds. For disconnected networks, we recommend to use additive CNMA only if strong c...
CNMA methods are feasible for connected networks but questionable for disconnected networks....