Surgical approaches to hypothalamic hamartomas.

Abstract:

OBJECT:Hypothalamic hamartomas (HHs) are devastating lesions causing refractory epilepsy, rage attacks, social ineptitude, and precocious puberty. Microsurgical and/or endoscopic resection offers an excellent risk/benefit profile for cure or improvement of epilepsy. METHODS:The authors reviewed a prospective database maintained during the first 7 years of the Barrow Hypothalamic Hamartoma program. They describe and illustrate their surgical methods, and they review data from several previous publications regarding surgical outcome. RESULTS:To date, the authors have performed surgery in 165 patients for symptomatic HHs. Patients underwent an endoscopic, transcallosal, or skull base approach, or multiple approaches. Twenty-six patients (15.8%) required more than 1 treatment for their HH. CONCLUSIONS:Microsurgical and endoscopic resection of symptomatic HHs are technically demanding but can be performed safely with excellent results and an acceptable risk profile. Meticulous attention to the subtleties of surgical management helps optimize outcomes.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Wait SD,Abla AA,Killory BD,Nakaji P,Rekate HL

doi

10.3171/2010.11.FOCUS10250

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

E2

issue

2

issn

1092-0684

journal_volume

30

pub_type

杂志文章
  • Pediatric sports-related traumatic brain injury in United States trauma centers.

    abstract::OBJECTIVE Traumatic brain injury (TBI) in children is a significant public health concern estimated to result in over 500,000 emergency department (ED) visits and more than 60,000 hospitalizations in the United States annually. Sports activities are one important mechanism leading to pediatric TBI. In this study, the ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.1.FOCUS15612

    authors: Yue JK,Winkler EA,Burke JF,Chan AK,Dhall SS,Berger MS,Manley GT,Tarapore PE

    更新日期:2016-04-01 00:00:00

  • Acute subdural hematoma in patients on oral anticoagulant therapy: management and outcome.

    abstract::OBJECTIVE Isolated acute subdural hematoma (aSDH) is increasing in older populations and so is the use of oral anticoagulant therapy (OAT). The dramatic increase of OAT-with direct oral anticoagulants (DOACs) as well as with conventional anticoagulants-is leading to changes in the care of patients who present with aSD...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.8.FOCUS17421

    authors: Won SY,Dubinski D,Bruder M,Cattani A,Seifert V,Konczalla J

    更新日期:2017-11-01 00:00:00

  • Microsurgical treatment of a tentorial galenic dural arteriovenous fistula.

    abstract::Tentorial dural arteriovenous fistulae (TDAVFs) are complex lesions with the arteriovenous fistula located between the leaves of the tentorium cerebelli. While a large portion of dural arteriovenous fistulae are treated endovascularly, TDAVF may require additional microsurgical treatment given their high risk of hemor...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.1.FocusVid.15420

    authors: Choudhri O,Steinberg GK

    更新日期:2016-01-01 00:00:00

  • A new trend in operative technique for intracerebral hemorrhage: a comparative study of stereotactic endoscopic removal and stereotactic catheter drainage.

    abstract::The development of less invasive methods to evacuate intracerebral hematomas (ICHs) has improved outcome in patients with traumatic brain injury. Eighteen patients with ICHs underwent surgery via one of two methods: stereotactic endoscopic removal (SER) or stereotactic catheter drainage (SCD). The outcome results were...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1996.1.4.2

    authors: Kim MH,Song JH,Kim SH,Park DB,Shin KM

    更新日期:1996-10-15 00:00:00

  • Intraoperative neurophysiological monitoring in spine surgery: indications, efficacy, and role of the preoperative checklist.

    abstract::Spine surgery carries an inherent risk of damage to critical neural structures. Intraoperative neurophysiological monitoring (IONM) is frequently used to improve the safety of spine surgery by providing real-time assessment of neural structures at risk. Evidence-based guidelines for safe and efficacious use of IONM ar...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/2012.9.FOCUS12235

    authors: Lall RR,Lall RR,Hauptman JS,Munoz C,Cybulski GR,Koski T,Ganju A,Fessler RG,Smith ZA

    更新日期:2012-11-01 00:00:00

  • History of spine surgery in the ancient and medieval worlds.

    abstract::There is a paucity of surviving texts from ancient and medieval times that can shed light on the early development of spine surgery. Nevertheless, the author reviews many of the available books and fragments and discusses early developments in the field of spine surgery from the point of view of physicians' personalit...

    journal_title:Neurosurgical focus

    pub_type: 传,历史文章,杂志文章

    doi:10.3171/foc.2004.16.1.3

    authors: Goodrich JT

    更新日期:2004-01-15 00:00:00

  • A minimally invasive catheter-based ultrasound technology for therapeutic interventions in brain: initial preclinical studies.

    abstract::OBJECTIVE Minimally invasive procedures may allow surgeons to avoid conventional open surgical procedures for certain neurological disorders. This paper describes the iterative process for development of a catheter-based ultrasound thermal therapy applicator. METHODS Using an ultrasound applicator with an array of lon...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.11.FOCUS17631

    authors: Ghoshal G,Gee L,Heffter T,Williams E,Bromfield C,Rund L,Ehrhardt JM,Diederich CJ,Fischer GS,Pilitsis JG,Burdette EC

    更新日期:2018-02-01 00:00:00

  • Length of hospital stay after craniotomy for tumor: a National Surgical Quality Improvement Program analysis.

    abstract::OBJECT Although the length of hospital stay is often used as a measure of quality of care, data evaluating the predictors of extended hospital stay after craniotomy for tumor are limited. The goals of this study were to use multivariate regression to examine which preoperative characteristics and postoperative complic...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.10.FOCUS15386

    authors: Dasenbrock HH,Liu KX,Devine CA,Chavakula V,Smith TR,Gormley WB,Dunn IF

    更新日期:2015-12-01 00:00:00

  • Partial labyrinthectomy presigmoid transpetrosal resection of petroclival meningioma.

    abstract::A petroclival meningioma represents a challenging tumor to resect in the cerebellopontine angle and ventral to the brain stem. Multiple cranial nerves and blood vessels may be intimately involved with the tumor. A partial labyrinthectomy presigmoid transpetrosal approach can facilitate resection while preserving heari...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V1.FOCUS13425

    authors: Rodgers SD,McMenomey SO,Sen C

    更新日期:2014-01-01 00:00:00

  • Image-guided resection of aggressive sacral tumors.

    abstract::OBJECTIVE The aim of this study was to identify and discuss operative nuances utilizing image guidance in the surgical management of aggressive sacral tumors. METHODS The authors report on their single-institution, multi-surgeon, retrospective case series involving patients with pathology-proven aggressive sacral tumo...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2016.6.FOCUS16125

    authors: Drazin D,Bhamb N,Al-Khouja LT,Kappel AD,Kim TT,Johnson JP,Brien E

    更新日期:2017-01-01 00:00:00

  • Endovascular management of cerebral vasospasm.

    abstract::Cerebral vasospasm remains a feared complication from subarachnoid hemorrhage. Vasospasm typically occurs from three to fourteen days post-aneurysm rupture, with peak risk on Day 7. Up to 50% of patients with angiographic vasospasm will subsequently develop delayed cerebral ischemia; 15-20% of this subset will develop...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V2.FOCUS14172

    authors: Kelman C,Reavey-Cantwell J

    更新日期:2014-07-01 00:00:00

  • Management of intracranial aneurysms associated with arteriovenous malformations.

    abstract::Intracranial or brain arteriovenous malformations (BAVMs) are some of the most interesting and challenging lesions treated by the cerebrovascular neurosurgeon. It is generally believed that the combination of BAVMs and intracranial aneurysms (IAs) is associated with higher hemorrhage rates at presentation and higher r...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.6.FOCUS14165

    authors: Flores BC,Klinger DR,Rickert KL,Barnett SL,Welch BG,White JA,Batjer HH,Samson DS

    更新日期:2014-09-01 00:00:00

  • Delayed central nervous system superficial siderosis following brachial plexus avulsion injury. Report of three cases.

    abstract::Chronic subarachnoid hemorrhage may cause deposition of hemosiderin on the leptomeninges and subpial layers of the neuraxis, leading to superficial siderosis (SS). The symptoms and signs of SS are progressive and fatal. Exploration of potential sites responsible for intrathecal bleeding and subsequent hemosiderin depo...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2004.16.5.11

    authors: Cohen-Gadol AA,Krauss WE,Spinner RJ

    更新日期:2004-05-15 00:00:00

  • Results of halter cervical traction for the treatment of cervical radiculopathy: retrospective review of 81 patients.

    abstract:OBJECT:The percentage of patients responding to conservative treatment for cervical radiculopathy secondary to nerve root compression is not well quantified. To clarify this question, the authors retrospectively reviewed the records obtained over a 4-year period in patients with cervical radiculopathy to determine thei...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2002.12.2.4

    authors: Olivero WC,Dulebohn SC

    更新日期:2002-02-15 00:00:00

  • Incidence and management of subdural hematoma/hygroma with variable- and fixed-pressure differential valves: a randomized, controlled study of programmable compared with conventional valves.

    abstract::Shunt systems with differential pressure valves are prone to the complications of overdrainage. A programmable valve permits adjustment of the opening pressure of the valve. In this paper the authors report the incidence of subdural fluid collections in a randomized trial of programmable compared with conventional val...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1999.7.4.2

    authors: Carmel PW,Albright AL,Adelson PD,Canady A,Black P,Boydston W,Kneirim D,Kaufman B,Walker M,Luciano M,Pollack IF,Manwaring K,Heilbrun MP,Abbott IR,Rekate H

    更新日期:1999-10-15 00:00:00

  • Strategies to maximize resection of complex, or high surgical risk, low-grade gliomas.

    abstract:OBJECT:Early and aggressive resection of low-grade gliomas (LGGs) leads to increased overall patient survival, decreased malignant progression, and better seizure control. This case series describes the authors' approach to achieving optimal neurological and surgical outcomes in patients referred by outside neurosurgeo...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2012.12.FOCUS12338

    authors: Wilden JA,Voorhies J,Mosier KM,O'Neill DP,Cohen-Gadol AA

    更新日期:2013-02-01 00:00:00

  • Morbidity and mortality in elderly patients undergoing evacuation of acute traumatic subdural hematoma.

    abstract:OBJECTIVE:Acute traumatic subdural hematoma (atSDH) can be a life-threatening neurosurgical emergency that necessitates immediate evacuation. The elderly population can be particularly vulnerable to tearing bridging veins. The aim of this study was to evaluate inpatient morbidity and mortality, as well as predictors of...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2020.7.FOCUS20439

    authors: Kerezoudis P,Goyal A,Puffer RC,Parney IF,Meyer FB,Bydon M

    更新日期:2020-10-01 00:00:00

  • Neurosurgical applications of viscoelastic hemostatic assays.

    abstract::Patients taking antithrombotic agents are very common in neurosurgical practice. The perioperative management of these patients can be extremely challenging especially as newer agents, with poorly defined laboratory monitoring and reversal strategies, become more prevalent. This is especially true with emergent cases ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2017.8.FOCUS17447

    authors: Kvint S,Schuster J,Kumar MA

    更新日期:2017-11-01 00:00:00

  • Herpes simplex reactivation following neurosurgery: case report and review of the literature.

    abstract::Herpes simplex encephalitis is a common viral encephalitis associated with significant morbidity and mortality if not diagnosed and treated early. Neurosurgery may be an impetus for viral reactivation, either from direct nerve manipulation or high-dose steroids often administered during cases. The authors present the ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2019.5.FOCUS19281

    authors: McLaughlin DC,Achey RL,Geertman R,Grossman J

    更新日期:2019-08-01 00:00:00

  • Motion-related vascular abnormalities at the craniocervical junction: illustrative case series and literature review.

    abstract::The craniocervical junction (CCJ) functions within a complicated regional anatomy necessary to protect and support vital neurovascular structures. In select instances, vascular pathology can be attributed to this complicated interplay of motion and structure found within this narrow space. The authors report 3 cases o...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2015.1.FOCUS14826

    authors: Ravindra VM,Neil JA,Mazur MD,Park MS,Couldwell WT,Taussky P

    更新日期:2015-04-01 00:00:00

  • 5-ALA-induced fluorescence as a marker for diagnostic tissue in stereotactic biopsies of intracranial lymphomas: experience in 41 patients.

    abstract::OBJECTIVE Stereotactic needle biopsies are usually performed for histopathological confirmation of intracranial lymphomas to guide adequate treatment. During biopsy, intraoperative histopathology is an effective tool to avoid acquisition of nondiagnostic samples. In the last years, 5-aminolevulinic acid (5-ALA)-induce...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2018.3.FOCUS1859

    authors: Kiesel B,Millesi M,Woehrer A,Furtner J,Bavand A,Roetzer T,Mischkulnig M,Wolfsberger S,Preusser M,Knosp E,Widhalm G

    更新日期:2018-06-01 00:00:00

  • Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines.

    abstract:OBJECT:Positional plagiocephaly (PP) has been on the rise in recent years. In this review, the authors' aim was to assess the effectiveness of current recommendations to parents on this exceedingly common problem through a comprehensive literature search. Additionally, the current treatment options and the most recent ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/2013.8.FOCUS13261

    authors: Shweikeh F,Nuño M,Danielpour M,Krieger MD,Drazin D

    更新日期:2013-10-01 00:00:00

  • Carotid endarterectomy: current indications for surgery.

    abstract::The study of carotid artery occlusive disease interventions can be divided clinically into the treatment of asymptomatic and symptomatic diseases. Clinical trials that have studied or are currently studying asymptomatic disease include: the Carotid Artery Stenosis with Asymptomatic Narrowing Operation Versus Aspirin s...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:

    authors: Brennan JJ,Loftus CM

    更新日期:1998-12-15 00:00:00

  • The management of cranial injuries in antiquity and beyond.

    abstract::Cranial injuries were among the earliest neurosurgical problems faced by ancient physicians and surgeons. In this review, the authors trace the development of neurosurgical theory and practice for the treatment of cranial injuries beginning from the earliest ancient evidence available to the collapse of the Greco-Roma...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章,评审

    doi:10.3171/foc.2007.23.1.8

    authors: Kshettry VR,Mindea SA,Batjer HH

    更新日期:2007-01-01 00:00:00

  • Deep brain stimulation for the treatment of drug addiction.

    abstract::Drug addiction represents a significant public health concern that has high rates of relapse despite optimal medical therapy and rehabilitation support. New therapies are needed, and deep brain stimulation (DBS) may be an effective treatment. The past 15 years have seen numerous animal DBS studies for addiction to var...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2018.5.FOCUS18163

    authors: Wang TR,Moosa S,Dallapiazza RF,Elias WJ,Lynch WJ

    更新日期:2018-08-01 00:00:00

  • Transcirculation Pipeline embolization device deployment: a rescue technique.

    abstract::The Pipeline embolization device (PED) has become a very important tool in the treatment of nonruptured cerebral aneurysms. However, a patient's difficult anatomy or vascular stenosis may affect the device delivery. The purpose of this article was to describe an alternate technique for PED deployment when ipsilateral ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.2.FOCUS16485

    authors: Valle-Giler EP,Atallah E,Tjoumakaris S,Rosenwasser RH,Jabbour P

    更新日期:2017-06-01 00:00:00

  • Vulnerability of the L5 nerve root during anterior lumbar interbody fusion at L5-S1: case series and review of the literature.

    abstract:OBJECTIVE:Nerve root injuries associated with anterior lumbar interbody fusion (ALIF) are uncommonly reported in the literature. This case series and review aims to describe the etiology of L5 nerve root injury following ALIF at L5-S1. METHODS:The authors performed a single-center retrospective review of prospectively...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2020.6.FOCUS20315

    authors: Dowlati E,Alexander H,Voyadzis JM

    更新日期:2020-09-01 00:00:00

  • Comparison of minimally invasive transspinous and open approaches for thoracolumbar intradural-extramedullary spinal tumors.

    abstract::OBJECT Spinal tumor resection has historically been performed via open approaches, although minimally invasive approaches have recently been found to be effective in small cohort series. The authors compare surgical characteristics and clinical outcomes of surgery in patients undergoing mini-open and open approaches f...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.5.FOCUS15187

    authors: Raygor KP,Than KD,Chou D,Mummaneni PV

    更新日期:2015-08-01 00:00:00

  • Induction of a therapeutic antitumor immunological response by intratumoral injection of genetically engineered Semliki Forest virus to produce interleukin-12.

    abstract:OBJECT:The authors investigated immunogene therapy for malignant glioma to determine whether its therapeutic efficacy could be improved. METHODS:Four groups of 203-glioma-bearing mice were treated with injections of phosphate-buffered saline, Semliki Forest virus (SFV)-LacZ, retrovirus vector DFG-interleukin (IL)-12, ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2000.9.6.8

    authors: Yamanaka R,Zullo SA,Tanaka R,Ramsey J,Blaese M,Xanthopoulos KG

    更新日期:2000-12-15 00:00:00

  • Computed tomography perfusion-based selection of patients for endovascular recanalization.

    abstract::Intravenous and intraarterial recombinant tissue plasminogen activator remains underutilized in the treatment of acute ischemic stroke, largely due to strict adherence to the concept of the therapeutic time window for administration. Recent efforts to expand the number of patients eligible for thrombolysis have been m...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2011.4.FOCUS10296

    authors: Amenta PS,Ali MS,Dumont AS,Gonzalez LF,Tjoumakaris SI,Hasan D,Rosenwasser RH,Jabbour P

    更新日期:2011-06-01 00:00:00