Nobuo Kutsuna

Complication-attributable admission episodes after shunt surgery for idiopathic normal pressure hydrocephalus in Japan: a scenario-based micro-costing analysis of hospital margins under DPC/PDPS and fee-for-service

Shunt-related complications after surgery for idiopathic normal pressure hydrocephalus (iNPH) generate repeat admissions, procedures, and bed use, but their provider-side financial consequences depend on the reimbursement rule. Evidence on hospital accounting margins under Japan’...

Decision-making for emergency craniotomy in traumatic intracranial hemorrhage with severe thrombocytopenia and coagulopathy in a patient with suspected acute leukemia: A case-based review

Background: Emergency craniotomy for traumatic intracranial hemorrhage is time-dependent, yet surgery may be futile when profound thrombocytopenia and coagulopathy prevent hemostasis and severe brain swelling is already present. Case Description: A young adult man with traumatic...