DIAGNOSIS AND OPERATIVE REPAIR STRATEGY OF AN UNDERLYING TEGMEN DEFECT PRESENTING WITH SPONTANEOUS OTOGENIC PNEUMOCEPHALUS AFTER VALSALVA MANEUVER

Diagnosis and operative repair strategy of an underlying tegmen defect presenting with spontaneous otogenic pneumocephalus after Valsalva maneuver

Background: The tegmen tympani and mastoideum are insidious locations of bony dehiscence.Large defects may result in encephalocele, cerebrospinal fluid leak, recurrent meningitis, and intracranial abscess.A rare complication is spontaneous otogenic pneumocephalus (SOP).Herein, we describe the clinical course and operative Toner Originals repair str

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Digging down or scratching the surface: how patients use metaphors to describe their experiences of psychotherapy

Abstract Background In the present study, we wanted to explore which metaphors patients suffering from major depressive disorder (MDD) use to explain their experience of being in therapy and their improvement from depression.Methods Patients with MDD (N = 22) received either psychodynamic therapy (PDT) or cognitive behavioral therapy (CBT).They wer

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The effect of opioid-sparing anesthesia regimen on short-term cognitive function after thoracoscopic surgery: a prospective cohort study

Abstract Background As type of surgery and opioids are suggested risk factors for the development of cognitive decline after surgery, we evaluated the effect of an opioid-sparing anesthesia regimen involving preoperative erector spinae block and continuous infusion of flurbiprofen on the incidence of cognitive decline after video-assisted thoracosc

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