DOCSLIB.ORG

Proceedings of the Society Ofbritish Neurological Surgeons Complete Ablation of the Adenoma and the Pituitary the TRANSCALLOSAL APPROACH to INTERIOR Was Required

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Proceedings of the Society Ofbritish Neurological Surgeons Complete Ablation of the Adenoma and the Pituitary the TRANSCALLOSAL APPROACH to INTERIOR Was Required J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.31.1.85 on 1 February 1968. Downloaded from J. Neurol. Neurosurg. Psychiat., 1968, 31, 85-90 Proceedings of the Society of British Neurological Surgeons The 76th meeting of the Society of British Neurological Surgeons was held in New York on 10-14 October 1967 as a joint meeting with the Neurosurgical Society of America. THE TRANSPORT OF SUGARS BY THE CHOROID PLEXUS a positive d.c. shift. These changes were suppressed when pentobarbital was used but present with N20 and KEASLEY WELCH and KEITH SADLER (Denver) said that ether. The caudal segment was refractory to strychnine they had studied the transport of D-glucose, D-galactose, tetanus for 5-10 min, and, presumably, all elements L-arabinose, and fructose by comparing the concentra- participated in this change, which was probably associa- tion of sugar in new choroidal cerebrospinal fluid, ted with the d.c. shift. sampled by the method of de Rougemont et al., with concentration in plasma under a variety of circum- MUSCLE SPLITTING APPROACHES TO THE stances. CERVICO-DORSAL SPINE For galactose, arabinose, and fructose the transport was clearly co-operative, little sugar entering new fluid WILLIAM E. HUNT (Columbus, Ohio) said that the ;trong at low plasma levels, but when these were raised a transverse pull of trapezius and rhomboid muscles guest. Protected by copyright. disproportionate increase occurred. For glucose the causes severe post-operative pain and occasional wound mechanism seemed slightly co-operative in that at low dehiscence following midline incisions in the cervico- concentrations there was a proportionate increase with dorsal region. increase in plasma concentration. A transverse incision with under-cutting of the median The flows of individual sugars and the interactions raphe for bilateral high dorsal laminectomy, and an between the flow of one and that of another could not be oblique incision for unilateral approach to the lower accounted for on the basis of ordinary theory of carrier cervical facets was described. Particular attention to the mediated transport. They had attempted to deal with the precise conformation of the spines and laminae made behaviour on the basis of a model by Cangeux et al. reliable identification of the level possible. which accounted for co-operative effects on the basis of These approaches had been in regular use for over 10 the highly-ordered lattice structure of the membrane. years without wound complications. THE SEPARATION OF CRANIOPAGUS TWINS A POSTERO-LATERAL APPROACH TO CERVICAL OSTEOPHYTIC DISC LESIONS E. A. O'CONNELL described his experience JOHN (London) a with the separation of three pairs of twins, each with a A. A. JEFFERSON (Sheffield) described postero-lateral complete parietal craniopagus. He stressed three points. approach to cervical disc lesions. The posterior cervical of the scalp incision to afford direct muscles were divided transversely at the level of the lesion Firstly, placement could be combined with a laminectomy. access to the line of contact between the brains. Secondly, and this approach of the venous return of at least one Almost horizontal access to the front of the theca preservation brain, http://jnnp.bmj.com/ effective coverage of the large area exposed was obtained by extending the bone removal laterally and, thirdly, the medial of the articular facet. Two by dura, scalp, and a rigid replacement for the bone. to include portion of investigation, especially by angio- adjacent lesions had frequently been excised; on one The importance three discs had been operated upon. was stressed. In each pair of twins there had been occasion adjacent graphy, Five of the patients had pain as their main symptom, one survivor. The operative procedure in one pair was and illustrated. the remainder showed evidence of 'myelopathy'. Of 27 described operated patients, none were worse, four were unchanged, 13 were improved, while 10 were classified as good or AN EXPERIMENTAL STUfDY OF THE ELECTRICAL very good. Six previously incapacitated males had ACTIVITY OF THE SPINAL CORD returned to work. on September 25, 2021 by DONALD L. ERICKSON, WILLIAM E. BRADLEY, SHELLEY N. TREATMENT OF ACROMEGALY CHOU, and LYLE A. FRENCH (Minneapolis, Minn.) said that electrical activity of the spinal cord had been studied by PHILIP HARRIS, W. M. HUNTER, and JUDITH STEEL (Edin- surface recordings of a.c. and d.c. potential changes. burgh) described the tests for human growth hormone Immediately following transection by local cooling there using a radio-immune assay. They said that external was slowing and hypersynchrony of a.c. activity and irradiation of the pituitary was inadequate and that 85 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.31.1.85 on 1 February 1968. Downloaded from 86 Proceedings of the Society ofBritish Neurological Surgeons complete ablation of the adenoma and the pituitary THE TRANSCALLOSAL APPROACH TO INTERIOR was required. If the adenoma was confined to the sella BRAIN TUMOURS it could be ablated by stereotaxic cryogenic techniques. If there were evidence of extra-sellar extension then total GEORGE EHNI (Houston, Texas) described his experiences excision of gland and adenoma by craniotomy was with 12 patients having tumours in the region of the third necessary. Post-operative radiotherapy and operative ventricle in whom he had used a transcallosal approach. risks were discussed. The technique of this exposure was described in detail and illustrative case histories given. He stressed the need GROWTH HORMONE ASSAYS AND HISTOLOGY IN for both angiography and ventriculography for proper PITUITARY LESIONS localization to plan the approach. The cases had included gliomas, epidermoids, colloid ROBERT S. KNIGHTON (Detroit, Mich.) reported a study cysts, and a haematoma. In two malignant gliomas of eight patients with acromegaly and one pituitary giant recurrences had been also removed through the same in whom growth hormone assays had been correlated approach. There were four deaths in the series and one with the histological features of their tumours. Light survivor had had a temporary hemiplegia. microscopy showed predominance of eosinophils in three, hyperplasia in one, amphophils in one and equal numbers in the others. Electron microscopy showed all SOME NEW NEUROSURGICAL INSTRUMENTS cells to contain secretory granules which differed in their quantity and distribution, being most dense in the PHILIP HARRIS (Edinburgh) described a new cordotomy eosinophils, which also had prominent Golgi apparatus knife and instruments for anterior operations on the and alpha-cytomembranes. There was no correlation cervical spine and cord including trans-oral atlanto- between growth hormone levels and quantity of secretory axial fusion. Other items described included a grinder, granules and they presumed that there must be some with a variety of burrs, plastic foam neck supports, a additional mechanism governing release of hormone cranio-spinal support for spinal injuries, and scalp-skullguest. Protected by copyright. into the blood stream. radio-opaque markers for stereotaxic operations. STEREOTACTIC TREATMENT OF INTRASELLAR PrIUITARY TUMOURS AND ACROMEGALY AREA 24 REVISTED: A 15-YEAR FOLLOW-UP OF 100 CONSECUrIVE CASES OF ANTERIOR CINGULATE LOWS W. CONWAY and WILLIAM F. COLLINS (Richmond, ISOLATION CARRIED OUT FOR THE TREATMENT OF Virg., and New Haven, Conn.) reported the results CHRONIC PSYCHOSES of eight cases of acromegaly with intrasellar tumour treated by stereotactic destruction of the tumour with KENNETH E. LIVINGSTON and BRUCE N. KVERNLAND follow-up to two to 18 months. Five cases were treated (Minneapolis, Minn.) said that between 1949 and 1953 with yttrium-90 and 3 by cryosurgery. Growth hormone, 102 consecutive patients from a chronic mental hospital adrenal, thyroid, gonad, and posterior pituitary function population were subjected to a restricted frontal lobotomy was assessed before and after operation. They concluded designed to isolate the anterior cingulate gyrus. A study that the treatment of intrasellar growth hormone pro- of this group of patients over a 14-18 yr follow-up period ducing tumours with yttrium was effective in decreasing provided the basis of their report. circulating hormone levels and reversing acromegalic Since clinical lobotomy fell from grace in the early symptoms and signs while preserving other pituitary 1950's, experimental studies in a number of fields had functions. Cryosurgical destruction was effective in provided a substantial body of information which may decreasing growth hormone levels but less effective provide some insight into questions raised by lobotomy in preserving normal pituitary function. in its more empirical forms. Some of these possible correlations were discussed. http://jnnp.bmj.com/ THE TRANSCLIVAL APPROACH TO THE ANTERIOR SURFACE OF THE BRAIN-STEM TREATMENT OF MYELOPATHY ASSOCIATED WITH SPONDYLOSIS JOHN E. ADAMS, ROLAND K. PERKINS, and RONALD J. CERVICAL STONEY (San Francisco) said that the transcervical retropharyngeal transclival approach was a feasible DOUGLAS PHILLIPS (Bristol) said that initial treatment one for lesions anterior to the brain-stem from foramen could be immobilization to prevent further trauma. A Minerva collar with headband was well- magnum to midbrain level. They had used it in 10 modified plaster on September 25, 2021 by patients: five chordomas, one meningioma, one chondro- tolerated for three months, thereafter a short collar sarcoma, two basilar impressions,
Load more

Recommended publications
  • Core Neurosurgery
    BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL NEUROLOGICAL SURGERY CLINICAL PRIVILEGES NAME: ________________________________ Initial appointment Reappointment All new applicants must meet the following requirements as approved by the governing body. To be eligible to apply for core privileges in neurological surgery, the initial applicant must meet the following criteria: Successful completion of ACGME or American Osteopathic Association accredited residency in neurological surgery. Required previous experience: Applicants for initial appointment must be able to demonstrate the performance of at least 50 neurological surgical procedures, reflective of the scope of privileges requested, during the last 12 months or demonstrate successful completion of residency or fellowship within the past 12 months. Reappointment requirements: To be eligible to renew core privileges in Neurological Surgery, the applicant must meet the following maintenance of privilege criteria: Current demonstrated competence and an adequate volume of neurological surgery procedures with acceptable results, reflective of the scope of privileges requested, for the past 24 months based on results of ongoing professional practice evaluation and outcomes. Evidence of current ability to perform privileges requested is required of all applicants for renewal of privileges NEUROLOGICAL SURGERY CORE PRIVILEGES Requested: Admit, evaluate, diagnose, consult and provide nonoperative and pre-, intran, and postoperative care to patients of all ages presenting with injuries
    [Show full text]
  • Neurosurgery
    KALEIDA HEALTH Name ____________________________________ Date _____________ DELINEATION OF PRIVILEGES - NEUROSURGERY All members of the Department of Neurosurgery at Kaleida Health must have the following credentials: 1. Successful completion of an ACGME accredited Residency, Royal College of Physicians and Surgeons of Canada, or an ACGME equivalent Neurosurgery Residency Program. 2. Members of the clinical service of Neurosurgery must, within five (5) years of appointment to staff, achieve board certification in Neurosurgery. *Maintenance of board certification is mandatory for all providers who have achieved this status* Level 1 (core) privileges are those able to be performed after successful completion of an accredited Neurosurgery Residency program. The removal or restriction of these privileges would require further investigation as to the individual’s overall ability to practice, but there is no need to delineate these privileges individually. PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will return applications that ignore this directive. LEVEL I (CORE) PRIVILEGES Basic Procedures including: Admission and Follow-Up Repair cranial or dural defect or lesion History and Physical for diagnosis and treatment plan* Seizure Chest tube placement Sterotactic framed localization of lesion Debride wound Sterotactic frameless localization Endotracheal intubation Transsphenoidal surgery of pituitary lesion Excision of foreign body Trauma Insertion of percutaneous arterial
    [Show full text]
  • ICD~10~PCS Complete Code Set Procedural Coding System Sample
    ICD~10~PCS Complete Code Set Procedural Coding System Sample Table.of.Contents Preface....................................................................................00 Mouth and Throat ............................................................................. 00 Introducton...........................................................................00 Gastrointestinal System .................................................................. 00 Hepatobiliary System and Pancreas ........................................... 00 What is ICD-10-PCS? ........................................................................ 00 Endocrine System ............................................................................. 00 ICD-10-PCS Code Structure ........................................................... 00 Skin and Breast .................................................................................. 00 ICD-10-PCS Design ........................................................................... 00 Subcutaneous Tissue and Fascia ................................................. 00 ICD-10-PCS Additional Characteristics ...................................... 00 Muscles ................................................................................................. 00 ICD-10-PCS Applications ................................................................ 00 Tendons ................................................................................................ 00 Understandng.Root.Operatons..........................................00
    [Show full text]
  • Neurosurgery
    March 10, 2017 St Elizabeth Healthcare 9:02 am Privileges for: Neurosurgery Request ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMAS ST. ELIZABETH - GRANT CO. (Surgical & other invasive procedures requiring general anesthetic are not offered) MEC Approval: August 27, 2009; Rev. November 15, 2012, February 27, 2014 Board Approval: September 14, 2009; Rev. January 7, 2013, May 5, 2014 DEPARTMENT APPROVAL ________Approved ________Disapproved ___________________________________________ ________________ Department/Section Chair Signature Date MINIMUM REQUIREMENTS Degree required: MD or DO Successful completion of an ACGME or AOA accredited residency in neurosurgery. Note: For Practitoners (excluding AHPs) who apply for membership after March 2, 2009 be and remain (with a lapse of no longer than one year) board certified in their principal practice specialty, or become and remain (with a lapse of no longer than one year) board certified within six years of completion of their post-graduate medical training. Only those boards recognized by the American Board of Medical Specialties or the American Osteopathic Association are acceptable. This board certification requirement does not apply to applicants who on March 2, 2009 were members in good standing on the medical staff of the St. Luke Hospitals or St. Elizabeth Medical Center. PRIVILEGES REQUESTED Pursuant to Bylaws Section 6.1.4, practitioners may exercise the privileges requested and awarded below only at facilities where St. Elizabeth Healthcare offers those services. I. Core Privileges: Core privileges in neurosurgery include the care, treatment or services listed immediately below. I specifically acknowledge that board certification alone does not necessarily qualify me to perform all core privileges or assure competence in all clinical areas.
    [Show full text]
  • BMJ Open Is Committed to Open Peer Review. As Part of This Commitment We Make the Peer Review History of Every Article We Publish Publicly Available
    BMJ Open: first published as 10.1136/bmjopen-2020-044493 on 19 January 2021. Downloaded from BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] http://bmjopen.bmj.com/ on September 24, 2021 by guest. Protected copyright. BMJ Open BMJ Open: first published as 10.1136/bmjopen-2020-044493 on 19 January 2021. Downloaded from Persistent opioid use and opioid-related harm after hospital admissions for surgery and trauma in New Zealand: A Population-based Cohort Study ForJournal: peerBMJ Open review only Manuscript ID bmjopen-2020-044493 Article Type: Protocol Date Submitted by the 04-Sep-2020 Author: Complete List of Authors:
    [Show full text]
  • Cervical Cordotomy in Terminal Cancer
    Published online: 2020-11-26 THIEME Review Article | Artigo de Revisão 71 Cervical Cordotomy in Terminal Cancer: Pain Relieving in Oncological Treatment Cordotomia cervical em câncer terminal: Alívio da dor em tratamento oncológico Maria Clara Cardoso Seba1 Henrique Nicola Santo Antonio Bernardo1 Natally Marques Santiago Sarturi2 Thania Gonzalez Rossi2 Newton Maciel de Oliveira3 Paulo Henrique Pires de Aguiar1,2,4 1 Faculdade de Medicina do ABC, Santo André, SP, Brazil Address for correspondence Maria Clara Cardoso Seba, BA, Rua José 2 Divison of Neurosurgery, Hospital Santa Paula, São Paulo, SP, Brazil Abdo Marão, 3418, Votuporanga, São Paulo, 15501-031, Brazil 3 Department of Histology, Pontifícia Universidade Católica de (e-mail: [email protected]). São Paulo, Sorocaba, SP, Brazil 4 Pontifícia Universidade Católica de São Paulo, Sorocaba, Brazil Arq Bras Neurocir 2021;40(1):71–77. Abstract Cordotomy consists in the discontinuation of the lateral spinothalamic tract (LST) in the anterolateral quadrant of the spinal cord, which aims to reduce the transference of Keywords nociceptive information in the dorsal horn of the gray matter of the spinal cord to the ► cordotomy somatosensory cortex. The main indication is for patients with terminal cancer that ► intractable pain have a low life expectancy. It improves the quality of life by relieving pain. The results ► neoplasms are promising and the pain relief rate varies between 69 and 100%. Generally speaking, ► spinothalamic tracts the complications are mostly temporary and not remarkable. Resumo A cordotomia consiste na descontinuação do trato espinotalâmico lateral (LST, na sigla em inglês) no quadrante anterolateral da medula espinhal, que visa reduzir a trans- Palavras-chave ferência de informações nociceptivas no corno dorsal da substância cinzenta da medula ► cordotomia espinhal para o córtex somatossensorial.
    [Show full text]
  • Report: Rs04328‐R1328 North Carolina Department of Health and Human Services Physician Fee Schedule As Of: 07/24/2018
    REPORT: RS04328‐R1328 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PHYSICIAN FEE SCHEDULE AS OF: 07/24/2018 Physician Fee Schedule Provider Specialty 001 Effective Date: 1/1/2018 The inclusion of a rate on this table does not guarantee that a service is covered. Please refer to the Medicaid Billing Guide and the Medicaid and Health Choice Clinical Policies on the DMA Web Site. Providers should always bill their usual and customary charges. Please use the monthly NC Medicaid Bulletins for additions, changes and deletion to this schedule. Medicaid Maximum Allowable NON-FACILITY PROCEDURE CODE MODIFIER PROCEDURE DESCRIPTION FACILITY RATE RATE EFFECTIVE DATE 01967 NEURAXIAL LABOR ANALGESIA/ANESTHESIA FOR $ 209.63 $ 209.63 01996 DAILY HOSPITAL MANAGEMENT OF EPIDURAL OR $ 38.93 $ 38.93 10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING $ 52.36 $ 100.48 10022 FINE NEEDLE ASPIRATION; WITH IMAGING GUI $ 51.97 $ 103.17 10030 GUIDE CATHET FLUID DRAINAGE $ 126.07 $ 615.23 10035 PERQ DEV SOFT TISS 1ST IMAG $ 74.46 $ 437.80 10036 PERQ DEV SOFT TISS ADD IMAG $ 37.49 $ 379.35 10040 ACNE SURGERY $ 63.53 $ 72.20 10060 DRAINAGE OF ABSCESS $ 67.39 $ 77.74 10061 DRAINAGE OF ABSCESS $ 120.14 $ 133.85 10080 DRAINAGE OF PILONIDAL CYST $ 68.87 $ 114.75 10081 DRAINAGE OF PILONIDAL CYST $ 120.71 $ 181.14 10120 FOREIGN BODY REMOVAL, SKIN $ 66.08 $ 94.90 10121 FOREIGN BODY REMOVAL, SKIN $ 135.29 $ 185.09 Printed 7/26/2018 Page 1 of 330 REPORT: RS04328‐R1328 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PHYSICIAN FEE SCHEDULE AS OF: 07/24/2018 10140
    [Show full text]
  • Introduction
    CLINICAL NEUROSURGERY SUPPLEMENT TO NEUROSURGERY CLINICAL NEUROSURGERY VOLUME 57 VOLUME 57 CLINICAL NEUROSURGERY i Copyright Ó2010 THE CONGRESS OF NEUROLOGICAL SURGEONS All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilized by any information storage or retrieval system without written permission from the copyright holder. Accurate indications, adverse reactions, and dosage schedules or drugs are provided in this book, but it is possible that they may have changed. The reader is urged to review the package information data of the manufacturer of the medications mentioned. Printed in the United States of America (ISSN: 0069-4827) ii CLINICAL NEUROSURGERY Volume 57 Proceedings OF THE CONGRESS OF NEUROLOGICAL SURGEONS New Orleans, Louisiana 2009 iii Preface The 59th Annual Meeting of the Congress of Neurological Surgeons was held in New Orleans, Louisiana, from October 24-29, 2009. Volume 57 of Clinical Neurosurgery represents the official compilation of the invited scientific manuscripts from the plenary sessions, The Presidential Address by Dr David Adelson, and biographic and bibliographic information of the Honored Guest, Dr James T. Rutka. Dr Nathan Selden, Annual Meeting Chairman, and Drs Ali Rezai and Russell Lonser, Scientific Program Chair and Vice Chair respectively, organized a superb meeting which was very well attended with more than 2800 medical attendees. The theme of this year’s Annual Meeting, A Culture of Excellence, exemplified how neurosurgeons define, pursue, and measure excellence in their everyday practice and specialty. Dr David Adelson delivered his inspirational Presidential Address entitled, ‘‘Neurosurgery: A Culture of Excellence,’’ and talked about the concept of ‘‘excellence.’’ This meeting was also a joint meeting with our neurosurgical colleagues from the Neurological Society of India (NSI) and the American Association of South Asian Neurosurgeons (AASAN).
    [Show full text]
  • An Attempt at Dissolution of the Notion of Self a Thesis
    AN ATTEMPT AT DISSOLUTION OF THE NOTION OF SELF A THESIS SUBMITTED TO THE GRADUATE SCHOOL OF SOCIAL SCIENCES OF MIDDLE EAST TECHNICAL UNIVERSITY BY DARIA SUGORAKOVA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY IN THE DEPARTMENT OF PHILOSOPHY FEBRUARY 2014 Approval of the Graduate School of Social Sciences Prof. Dr. Meliha Altunışık Director I certify that this thesis satisfies all the requirements as a thesis for the degree of Doctor of Philosophy. Prof. Dr. Ahmet İnam Head of Department This is to certify that we have read this thesis and that in our opinion it is fully adequate, in scope and quality, as a thesis for the degree of Doctor of Philosophy. Assoc. Prof. Dr. Erdinç Sayan Supervisor Examining Committee Members Prof. Dr. David Grünberg (METU, Phil) Assoc. Prof. Dr. Erdinç Sayan (METU, Phil) Prof. Dr. Ayhan Sol (METU, Phil) Assoc. Prof. Dr. İskender Taşdelen (Anadolu U., Phil) Assist. Prof. Dr. Hilmi Demir (Bilkent U., Phil) I hereby declare that all information in this document has been obtained and presented in accordance with academic rules and ethical conduct. I also declare that, as required by these rules and conduct, I have fully cited and referenced all material and results that are not original to this work. Name, Last name: Signature: iii ABSTRACT AN ATTEMPT AT DISSOLUTION OF THE NOTION OF SELF Daria Sugorakova Ph.D., Department of Philosophy Supervisor: Assoc. Prof. Dr. Erdinç Sayan February 2014, 139 pages The purpose of this thesis is to provide a plausible approach to the problems of self and personal continuity that arise in various thought experiments and reported extraordinary real-life cases.
    [Show full text]
  • NOMESCO Classification of Surgical Procedures
    NOMESCO Classification of Surgical Procedures NOMESCO Classification of Surgical Procedures 87:2009 Nordic Medico-Statistical Committee (NOMESCO) NOMESCO Classification of Surgical Procedures (NCSP), version 1.14 Organization in charge of NCSP maintenance and updating: Nordic Centre for Classifications in Health Care WHO Collaborating Centre for the Family of International Classifications in the Nordic Countries Norwegian Directorate of Health PO Box 700 St. Olavs plass 0130 Oslo, Norway Phone: +47 24 16 31 50 Fax: +47 24 16 30 16 E-mail: [email protected] Website: www.nordclass.org Centre staff responsible for NCSP maintenance and updating: Arnt Ole Ree, Centre Head Glen Thorsen, Trine Fresvig, Expert Advisers on NCSP Nordic Reference Group for Classification Matters: Denmark: Søren Bang, Ole B. Larsen, Solvejg Bang, Danish National Board of Health Finland: Jorma Komulainen, Matti Mäkelä, National Institute for Health and Welfare Iceland: Lilja Sigrun Jonsdottir, Directorate of Health, Statistics Iceland Norway: Øystein Hebnes, Trine Fresvig, Glen Thorsen, KITH, Norwegian Centre for Informatics in Health and Social Care Sweden: Lars Berg, Gunnar Henriksson, Olafr Steinum, Annika Näslund, National Board of Health and Welfare Nordic Centre: Arnt Ole Ree, Lars Age Johansson, Olafr Steinum, Glen Thorsen, Trine Fresvig © Nordic Medico-Statistical Committee (NOMESCO) 2009 Islands Brygge 67, DK-2300 Copenhagen Ø Phone: +45 72 22 76 25 Fax: +45 32 95 54 70 E-mail: [email protected] Cover by: Sistersbrandts Designstue, Copenhagen Printed by: AN:sats - Tryk & Design a-s, Copenhagen 2008 ISBN 978-87-89702-69-8 PREFACE Preface to NOMESCO Classification of Surgical Procedures Version 1.14 The Nordic Medico-Statistical Committee (NOMESCO) published the first printed edition of the NOMESCO Classification of Surgical Procedures (NCSP) in 1996.
    [Show full text]
  • Methods Series Report #2016-02
    HCUP Methods Series Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 5600 Fishers Lane Room 07W17B Mail Stop 7W25B Rockville, MD 20857 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: [email protected] or Phone: 1-866-290-HCUP Recommended Citation: Gibson T, Casto A, Young J, Karnell L, Coenen N. Impact of ICD-10- CM/PCS on Research Using Administrative Databases. HCUP Methods Series Report # 2016- 02 ONLINE. July 25, 2016. U.S. Agency for Healthcare Research and Quality. Available: http://www.hcup-us.ahrq.gov/reports/methods/methods.jsp. TABLE OF CONTENTS 1. EXECUTIVE SUMMARY ..................................................................................................... I 2. INTRODUCTION ................................................................................................................ 1 3. DIFFERENCES BETWEEN ICD-9-CM AND ICD-10-CM/PCS CODING SYSTEMS ........... 4 Diagnosis Coding Systems ............................................................................................. 4 Procedure Coding Systems ............................................................................................ 7 Focus Areas in the Medical and Surgical Section: Root Operations and Approaches ....10 4. LESSONS FROM DUALLY CODED DATA ........................................................................14 Differences in the ICD-9-CM and ICD-10-CM/PCS Coding Systems .............................14 Changes in Coding Rules ..............................................................................................15
    [Show full text]
  • Neurosurgical Treatment of Chronic Pain FUMIKAZU TAKEDA M.D
    Postgrad Med J: first published as 10.1136/pgmj.60.710.905 on 1 December 1984. Downloaded from Postgraduate Medical Journal (December 1984) 60, 905-913 Neurosurgical treatment of chronic pain FUMIKAZU TAKEDA M.D. Neurosurgery Clinic, Saitama Cancer Center 818 Komuro, Ina, Saitama 362, Japan Introduction Cordotomy Neurosurgery is not a first-choice treatment for Cordotomy-section of the spinothalamic tract in chronic pain. It is indicated when chronic pain is the anterolateral quadrant of the spinal cord-used insufficiently relieved by analgesics, or when medica- to be carried out through a laminectomy until Mullan tion is effective but causes unacceptable side effects. et al. (1963, 1965) introduced the percutaneous Neurosurgical procedures may be ablative or aug- technique. Cordotomy is the treatment of choice to mentative (stimulating). An ablative procedure inter- relieve somatic non-dysaesthetic pain of organic rupts pain pathways at one of various levels in the origin in C5 dermatome or below. The most common central nervous system (CNS). In contrast, an aug- candidates for cordotomy are cancer patients, though mentative procedure is non-destructive and is gener- cordotomy is also performed for pain of benign ally considered to activate the inhibitory system in origin (Lorenz, 1976). Lipton (1979) states that copyright. the CNS, thereby suppressing pain perception. percutaneous cervical cordotomy (PCC) is not suffi- There is, however, no neurosurgical procedure ciently used, in spite of its superiority over all other which affords permanent pain relief. This stems from types of pain-relieving procedures. There are two the fact that pain is not simply the result of popular varieties of PCC: High (C1-C2) through a stimulation of specific sensory fibres in the peripheral lateral approach and low (C5-C6) through an and central nervous systems.
    [Show full text]