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Impact of initial midline shift in glioblastoma on survival
Neurosurgical Review, 2020The impact of midline shift (MLS) on long-term survival and progression in glioblastoma (GBM) is unknown. The objective of this study was to analyze the influence of mass effect on survival and progression with consideration of the patient demographics, tumor morphology, operative techniques, molecular pathology, and postoperative treatment.
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Exploring the Relationship Between Objective Pupillometry Metrics and Midline Shift
Journal of Neuroscience Nursing, 2021ABSTRACT BACKGROUND: Pupillary examinations provide early subtle signs of worsening intracranial pathology. Objective pupillomtery assessment, although not yet the standard of care, is considered best practice. However, inconsistent findings from objective pupillometry studies have caused a lack of consensus among ...
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Post‐stroke visual midline shift syndrome
Clinical and Experimental Optometry, 2020The state of research on the topic of visual midline shift syndrome following a cerebrovascular accident is unknown. A scoping review was conducted using the search terms of 'visual midline shift' (or equivalent) and 'cerebrovascular accident' (or equivalent). Articles were selected from eight academic and one grey literature database, and went through
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Intracerebral Hematomas, Midline Shift, Hydrocephalus
2020Cerebral ultrasonography has been increasingly used in patients with hemorrhagic stroke to evaluate brain hemodynamics, as well as pathological findings such as the mass effect of intracerebral hematomas. Transcranial color-coded duplex (TCCD) sonography is a noninvasive, bedside tool that aids in the estimation of the hematoma volume and can ...
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Automatic Midline Shift Detection in Traumatic Brain Injury
2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2018Fast and accurate midline shift (MLS) estimation has a significant impact on diagnosis and treatment of patients with Traumatic Brain Injury (TBI). In this paper, we propose an automated method to calculate the amount of shift in the midline structure of TBI patients. The MLS values were annotated by a neuroradiologist.
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Correlation of Objective Pupillometry to Midline Shift in Acute Stroke Patients
Journal of Stroke and Cerebrovascular Diseases, 2019Pupillary dysfunction is recognized as a sign of acute neurological deterioration due to worsening mass effect in patients with hemispheric strokes. Recent neuroimaging studies suggest that horizontal displacement of brain structures may be more important than vertical displacement in explaining these pupillary findings.
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The brain midline is a virtual boundary between the left and right hemispheres, usually straight under normal conditions due to the dynamic constancy of intracranial contents.
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