1.Acceleration transition from‘undergraduate' to‘postgraduate' for eight-year-program medical students
Ying DIN ; Ziqiang LUO ; Gelei XIAO ; Shaojie YUE
Chinese Journal of Medical Education Research 2012;11(9):905-908
Eight-year-program medical students would be officially into 'postgraduate' stage when they complete the study task of 'undergraduate'.Eight-year-program medical students should do the following four aspects to promote the transition from 'undergraduate' to ' postgraduate'.First,changing the study manner from inactive to active and fostering independent learning ability; second,strengthening the communication skills with different people; third,cultivating clinical thinking and taking advantages of various basic knowledge; fourth,emphasizing the training of scientific research thinking ability.
2.Experience of treatment for accumulation of extra-axil cerebrospinal fluid after skull surgery.
Jie ZHAO ; Jingping LIU ; Zhiping ZHANG ; Jian LI ; Gelei XIAO ; Xinbin LIAO ; Chen JIN
Journal of Central South University(Medical Sciences) 2015;40(4):446-452
OBJECTIVE:
To explore the treatment and pathophysiology of extra-axil cerebrospinal fluid accumulation aft er skull surgery.
METHODS:
The treatment of 46 cases of pineal regional tumor was retrospectively studied.
RESULTS:
The CT showed that all patients had postoperative extra-axil cerebrospinal fluid accumulation in 6 hours after operation. 5 cases displayed symptomatic accumulation of extra-axil cerebrospinal fluid. 1 died 30 days aft er discharge, 4 performed S-P shunt and 3 of them switched to V-P shunt after S-P shunt failed.
CONCLUSION
Much more attention should be paid to postoperative accumulation of extra-axil cerebrospinal fluid. Both V-P and S-P are the effective strategies of therapy.
Cerebrospinal Fluid Shunts
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Humans
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Pinealoma
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cerebrospinal fluid
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surgery
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Postoperative Period
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Retrospective Studies
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Skull
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surgery
3.Advances in research on the pathogenesis of hydrocephalus.
Chaohong ZHAN ; Xiangyang ZHANG ; Gelei XIAO
Journal of Central South University(Medical Sciences) 2019;44(10):1188-1195
Hydrocephalus is a common neurological disease with complex etiology. It is characterized by the accumulation and continuous growth of cerebrospinal fluid in the ventricular system and subarachnoid space. Hydrocephalus can be caused by congenital genetic factors, brain trauma and cerebral hemorrhage. Through the efforts of many researchers, the pathogenesis of hydrocephalus is being completed, but it has not been fully explained. The imbalance of cerebrospinal fluid production and absorption into the sinus, and disorder of the cerebrospinal fluid circulation pathway or the osmotic pressure maintenance in the ventricle can lead to increased cerebrospinal fluid and ventricular dilatation.
Cerebral Hemorrhage
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Cerebral Ventricles
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Cerebrospinal Fluid
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Humans
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Hydrocephalus
4.Intracranial Rosai-Dorfman disease in a child: A case report and literature review.
Wenyang LI ; Xiang ZHAO ; Gelei XIAO ; Jie ZHAO ; Jingping LIU
Journal of Central South University(Medical Sciences) 2019;44(5):600-604
Intracranial Rosai-Dorfman disease (RDD) is a rare clinical histiocytosis proliferative disease. A 12-year-old boy with dizziness and headache for 1 month was admitted into Pediatric Neurosurgery of Xiangya Hospital, Central South University. The patient underwent total tumor resection and postoperative application of hormones and chemotherapy. During follow-up of 8 months, patient's condition was stable and no tumor recurrence was observed. For patient with a trend of tumor progression, stereotactic biopsy can help to confirm the diagnosis and determine the surgical strategy such as disposal of bone flaps. The treatment is mainly based on surgical intervention, supplemented by radiotherapy, chemotherapy and hormone therapy. Without affecting the nerve function, the surgeon should try to completely resect the tumor.
Biopsy
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Child
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Histiocytosis, Sinus
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Humans
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Male
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Neurosurgical Procedures
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Postoperative Period
5.Clinical characters, treatment and prognosis in 26 children with optic pathway gliomas.
Jie ZHAO ; Wenyang LI ; Gelei XIAO ; Xiang ZHAO ; Zhiping ZHANG ; Jingping LIU
Journal of Central South University(Medical Sciences) 2019;44(8):916-923
To explore the clinical characters, treatment and prognosis for pediatric optic pathway gliomas (OPGs).
Methods: A total of 26 patients with OPGs, who were diagnosed and treated at Neurosurgery of Xiangya Hospital of Central South University between June 2010 and November 2017, were retrospectively reviewed, and their average age was 5.5 years old. The influential factors for patients' progression-free survival (PFS) and overall survival (OS) were analyzed.
Results: All patients were classified into Type II and Type III based on Dodge classification and received surgery treatment. Vision was improved after surgery in 20 patients. Twenty-four patients (92.3%) were continually followed up, and 14 patients (58.3%) received post-radiation treatment. Twenty-one patients were still alive and 15 patients' symptoms were not progressed. The PFS and OS in patients received radiation therapy were better than those without radiation therapy (PFS: P<0.01; OS: P<0.05). The postoperative visual prognosis might be related to the choice of surgical approach.
Conclusion: Treatment of children with OPGs should include surgery and postoperative radiotherapy. The eyesight protection in surgery is as important as tumor resection.
Child, Preschool
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Disease-Free Survival
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Glioma
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Humans
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Neurosurgical Procedures
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Prognosis
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Retrospective Studies
6.Treatment of cryptococcal meningitis by use of shunting and review in literature.
Jie ZHAO ; Jingping LIU ; Zhiping ZHANG ; Jian LI ; Gelei XIAO ; Xinbin LIAO ; Chen JIN ; Ying LIU
Journal of Central South University(Medical Sciences) 2016;41(5):541-547
OBJECTIVE:
To evaluate the time and effect of shunt operation on cryptococcal meningitis.
METHODS:
A total 7 patients received shunt operation for the therapy of cryptococcal meningitis patients and the data was retrospectively analyzed.
RESULTS:
Intracranial hypertension-caused symptoms were resolved immediately. There was no complication, no infection dissemination and no recrudescence of cryptococcal meningitis.
CONCLUSION
Shunt operation is effective for intracranial hypertension caused by cryptococcal meningitis. It does not affect the antifungal treatment.
Antifungal Agents
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therapeutic use
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Drainage
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Humans
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Intracranial Hypertension
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surgery
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Meningitis, Cryptococcal
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drug therapy
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surgery
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Recurrence
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Retrospective Studies