Neurobehavioral outcomes in patients with myelomeningocele.

Abstract:

:This paper describes some of the more common patterns in neurobehavioral deficits and their underlying neuroanatomical basis in myelomeningocele (MMC). Patients with MMC can face a lifetime of specific organ system dysfunction, chief among them spinal cord malformations, orthopedic issues, hydrocephalus, and urological disabilities. In addition, patients can experience specific patterns of neurobehavioral difficulties due to the changes in neuroanatomy associated with the open spinal defect. Although there is variability in these patterns, some trends have been described among MMC patients. It is thought that early recognition of these potential neurobehavioral deficits by treating neurosurgeons and other members of the treatment team could lead to earlier intervention and positively impact the overall outcome for patients. Neurodevelopmental and neurobehavioral follow-up assessments are recommended to help guide planning for relevant treatments or accommodations.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Foss S,Flanders TM,Heuer GG,Schreiber JE

doi

10.3171/2019.7.FOCUS19445

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

E6

issue

4

issn

1092-0684

pii

2019.7.FOCUS19445

journal_volume

47

pub_type

杂志文章
  • Jugular foramen tumors: diagnosis and treatment.

    abstract:OBJECT:Jugular foramen tumors are rare skull base lesions that present diagnostic and complex management problems. The purpose of this study was to evaluate a series of patients with jugular foramen tumors who were surgically treated in the past 16 years, and to analyze the surgical technique, complications, and outcom...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2004.17.2.5

    authors: Ramina R,Maniglia JJ,Fernandes YB,Paschoal JR,Pfeilsticker LN,Neto MC,Borges G

    更新日期:2004-08-15 00:00:00

  • The strokes that killed Churchill, Roosevelt, and Stalin.

    abstract::From February 4 to 11, 1945, President Franklin D. Roosevelt of the United States, Soviet Union Premier Joseph Stalin, and British Prime Minister Winston Churchill met near Yalta in Crimea to discuss how post-World War II (WWII) Europe should be organized. Within 2 decades of this conference, all 3 men had died. Presi...

    journal_title:Neurosurgical focus

    pub_type: 传,历史文章,杂志文章

    doi:10.3171/2016.4.FOCUS1575

    authors: Ali R,Connolly ID,Li A,Choudhri OA,Pendharkar AV,Steinberg GK

    更新日期:2016-07-01 00:00:00

  • Perioperative results following lumbar discectomy: comparison of minimally invasive discectomy and standard microdiscectomy.

    abstract:OBJECT:Minimally invasive lumbar discectomy is a refinement of the standard open microsurgical discectomy technique. Proponents of the minimally invasive technique suggest that it improves patient outcome, shortens hospital stay, and decreases hospital costs. Despite these claims there is little support in the literatu...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC/2008/25/8/E20

    authors: German JW,Adamo MA,Hoppenot RG,Blossom JH,Nagle HA

    更新日期:2008-01-01 00:00:00

  • Peripheral nervous system injury after high-dose single-fraction image-guided stereotactic radiosurgery for spine tumors.

    abstract::OBJECTIVE The object of this study was to determine the percentage of high-dose (1800-2600 cGy) single-fraction stereotactic radiosurgery (SF-SRS) treatments to the spine that result in peripheral nervous system (PNS) injury. METHODS All patients treated with SF-SRS for primary or metastatic spine tumors between Janua...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.11.FOCUS16348

    authors: Stubblefield MD,Ibanez K,Riedel ER,Barzilai O,Laufer I,Lis E,Yamada Y,Bilsky MH

    更新日期:2017-03-01 00:00:00

  • The genetic basis of intradural spinal tumors and its impact on clinical treatment.

    abstract::Genetic alterations in the cells of intradural spinal tumors can have a significant impact on the treatment options, counseling, and prognosis for patients. Although surgery is the primary therapy for most intradural tumors, radiochemothera-peutic modalities and targeted interventions play an ever-evolving role in tre...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2015.5.FOCUS15143

    authors: Karsy M,Guan J,Sivakumar W,Neil JA,Schmidt MH,Mahan MA

    更新日期:2015-08-01 00:00:00

  • Arachnoid cysts: case series and review of the literature.

    abstract:OBJECT:Arachnoid cysts are commonly encountered fluid collections in the central nervous system. Recent advances in neuroimaging have translated into an increased detection of these cysts; that is, diagnoses can be made more frequently at earlier stages. Significant advances have also been made in the surgical manageme...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2007.22.2.7

    authors: Pradilla G,Jallo G

    更新日期:2007-02-15 00:00:00

  • A machine learning approach to predict early outcomes after pituitary adenoma surgery.

    abstract::OBJECTIVEPituitary adenomas occur in a heterogeneous patient population with diverse perioperative risk factors, endocrinopathies, and other tumor-related comorbidities. This heterogeneity makes predicting postoperative outcomes challenging when using traditional scoring systems. Modern machine learning algorithms can...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2018.8.FOCUS18268

    authors: Hollon TC,Parikh A,Pandian B,Tarpeh J,Orringer DA,Barkan AL,McKean EL,Sullivan SE

    更新日期:2018-11-01 00:00:00

  • Resection of large recurrent third ventricular epidermoid tumors through the posterior interhemispheric transcallosal approach.

    abstract::Epidermoid cysts or tumors comprise 1% of intracranial tumors with a predilection for the cerebellopontine angle or parasellar cisterns. These tumors are derived from an ectopic ectodermal implant seeded between fusing ectodermal surfaces. This results in a benign proliferation of stratified squamous epithelium along ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.1.FocusVid.15466

    authors: Hendricks BK,Cohen-Gadol AA

    更新日期:2016-01-01 00:00:00

  • Treatment of the subarachnoid-pleural fistula. Case report.

    abstract::Subarachnoid-pleural fistula is a rare type of cerebrospinal fluid (CSF) fistula, and there are only several cases reported in the literature. The authors describe a 65-year-old male patient in whom a diagnosis of T7-8 disc herniation had been made. He underwent surgery via a right lateral extracavitary approach. Post...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2000.9.1.9

    authors: Ozgen S,Boran BO,Elmaci I,Ture U,Pamir MN

    更新日期:2000-07-15 00:00:00

  • Treatment of patients with a pituitary adenoma: one clinician's experience.

    abstract::The diagnosis and treatment of a patient with a pituitary adenoma or another type of pituitary lesion requires a team approach involving the neurosurgeon, endocrinologist, primary care physician, and, in some patients, an ophthalmologist and radiation therapist. The diagnosis of excessive pituitary hormone secretion a...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2004.16.4.2

    authors: Vance ML

    更新日期:2004-04-15 00:00:00

  • Comprehensive approach to Chiari malformation in pediatric patients.

    abstract::Chiari malformation is a developmental disorder that is often associated with other abnormalities of the cerebrospinal axis. Despite widespread recognition of this association, there is relatively little information on the treatment of these coexisting disorders in the setting of cerebellar tonsillar ectopia. In an ef...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1999.6.6.5

    authors: Greenlee J,Garell PC,Stence N,Menezes AH

    更新日期:1999-06-15 00:00:00

  • Deep brain stimulation for the treatment of drug-refractory epilepsy in a patient with a hypothalamic hamartoma. Case report.

    abstract::Hypothalamic hamartomas (HHs) are developmental malformations associated with a range of neurological problems, including intractable seizures. There is increasing evidence of the epileptogenicity of the hamartoma and of the inhomogeneous distribution of the epileptic abnormalities within the malformation. The managem...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.11.FOCUS10241

    authors: Marras CE,Rizzi M,Villani F,Messina G,Deleo F,Cordella R,Franzini A

    更新日期:2011-02-01 00:00:00

  • The natural history of unruptured intracranial aneurysms.

    abstract::Since the publication of preliminary results from the International Study of Unruptured Intracranial Aneurysms in 1998 there has been a great deal of debate concerning the natural history of these lesions and their attendant risk of aneurysmal subarachnoid hemorrhage. Therefore, the authors reviewed a selected number ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2004.17.5.3

    authors: Mocco J,Komotar RJ,Lavine SD,Meyers PM,Connolly ES,Solomon RA

    更新日期:2004-11-15 00:00:00

  • Radiosurgery for nonfunctioning pituitary adenoma.

    abstract:OBJECT:Nonfunctioning pituitary adenomas comprise approximately 30% of all pituitary tumors. The purpose of this retrospective study was to evaluate the efficacy and role of gamma knife surgery (GKS) in the treatment of these lesions. METHODS:The authors conducted a review of cases in which GKS was performed at the Un...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2003.14.5.10

    authors: Sheehan JP,Kondziolka D,Flickinger J,Lunsford LD

    更新日期:2003-05-15 00:00:00

  • Essentials in intraoperative indocyanine green videoangiography assessment for intracranial aneurysm surgery: conclusions from 295 consecutively clipped aneurysms and review of the literature.

    abstract:OBJECT:Indocyanine green (ICG) videoangiography (VA) in cerebral aneurysm surgery allows confirmation of blood flow in parent, branching, and perforating vessels as well as assessment of remnant aneurysm parts after clip application. A retrospective analysis and review of the literature were conducted to determine the ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2013.11.FOCUS13475

    authors: Roessler K,Krawagna M,Dörfler A,Buchfelder M,Ganslandt O

    更新日期:2014-02-01 00:00:00

  • Craniofacial reconstruction with a fast resorbing polymer: a 6- to 12-month clinical follow-up review.

    abstract:OBJECT:Resorbable polymer implants have become a compelling option in the treatment of acquired and congenital craniofacial deformities. In particular, the resorbable polylactide and polyglycolide polymers have demonstrated excellent safety profiles in multiple in vitro, animal, and clinical studies and are currently b...

    journal_title:Neurosurgical focus

    pub_type: 临床试验,杂志文章

    doi:10.3171/foc.2004.16.3.13

    authors: Cohen SR,Holmes RE,Meltzer HS,Levy ML,Beckett MZ

    更新日期:2004-03-15 00:00:00

  • The pathogenetic features of cerebral cavernous malformations: a comprehensive review with therapeutic implications.

    abstract::Cerebral cavernous malformations (CCMs) are common vascular lesions of the CNS that may lead to seizures, focal neurological deficits, and fatal hemorrhagic stroke. Human genetic studies have identified 3 genes associated with CCM, and biochemical and molecular studies in mice have elucidated signaling pathways with i...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2010.6.FOCUS10135

    authors: Krisht KM,Whitehead KJ,Niazi T,Couldwell WT

    更新日期:2010-09-01 00:00:00

  • A comparison of minimally invasive posterior cervical decompression and open anterior cervical decompression and instrumented fusion in the surgical management of degenerative cervical myelopathy.

    abstract::OBJECTIVE Minimally invasive posterior cervical decompression (miPCD) has been described in several case series with promising preliminary results. The object of the current study was to compare the clinical outcomes between patients undergoing miPCD with anterior cervical discectomy and instrumented fusion (ACDFi). M...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.3.FOCUS1650

    authors: Abbas SF,Spurgas MP,Szewczyk BS,Yim B,Ata A,German JW

    更新日期:2016-06-01 00:00:00

  • Moyamoya syndrome associated with cocaine abuse. Case report.

    abstract::The authors report the case of a 30-year-old woman who was a long-term intranasal cocaine abuser and who presented with transient ischemic attacks and multiple cerebral infarctions that were associated with moyamoya syndrome. The authors suggest that, because of its sympathomimetic effects, chronic cocaine use may pro...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:

    authors: Schwartz MS,Scott RM

    更新日期:1998-11-15 00:00:00

  • Postoperative cauda equina syndrome in patients undergoing single-level lumbar microdiscectomy. Report of two cases.

    abstract::Cauda equina syndrome is a well-documented complication of uneventful lumbar microdiscectomy. In the vast majority of cases, no radiological explanation can be obtained. In this paper, the authors report two cases of postoperative cauda equina syndrome in patients undergoing single-level de novo lumbar microdiscectomy...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2005.19.2.12

    authors: Dimopoulos V,Fountas KN,Machinis TG,Feltes C,Chung I,Johnston K,Robinson JS,Grigorian A

    更新日期:2005-08-15 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

  • Introduction: military neurosurgery, past and present.

    abstract::For a physician has the worth of many other warriors, both for the excision of arrows and for the administration of soothing drugs. Homer, Iliad XI.514-515 Ever since armed conflict has been used as a means to settle disputes among men, there have been those who have been tasked to mend the wounds that ravage a soldie...

    journal_title:Neurosurgical focus

    pub_type: 历史文章

    doi:10.3171/2010.3.FOCUSMar2010Intro

    authors: Klimo P Jr,Ragel BT

    更新日期:2010-05-01 00:00:00

  • Effects of convection-enhanced delivery of bevacizumab on survival of glioma-bearing animals.

    abstract::OBJECT Bevacizumab (Avastin), an antibody to vascular endothelial growth factor (VEGF), alone or in combination with irinotecan (Camptosar [CPT-11]), is a promising treatment for recurrent glioblastoma. However, the intravenous (IV) administration of bevacizumab produces a number of systemic side effects, and the incr...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.1.FOCUS14743

    authors: Wang W,Sivakumar W,Torres S,Jhaveri N,Vaikari VP,Gong A,Howard A,Golden EB,Louie SG,Schönthal AH,Hofman FM,Chen TC

    更新日期:2015-03-01 00:00:00

  • Clinical utility of arterial spin labeling imaging in disorders of the nervous system.

    abstract::Neuroimaging is an indispensable tool in the workup and management of patients with neurological disorders. Arterial spin labeling (ASL) is an imaging modality that permits the examination of blood flow and perfusion without the need for contrast injection. Noninvasive in nature, ASL provides a feasible alternative to...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2019.9.FOCUS19567

    authors: Soldozy S,Galindo J,Snyder H,Ali Y,Norat P,Yağmurlu K,Sokolowski JD,Sharifi K,Tvrdik P,Park MS,Kalani MYS

    更新日期:2019-12-01 00:00:00

  • A systematic review of randomized trials on the effect of cervical disc arthroplasty on reducing adjacent-level degeneration.

    abstract:OBJECT:Anterior cervical discectomy and fusion had been considered a safe and effective procedure for radiculopathy and myelopathy in the cervical spine, but degeneration in adjacent spinal levels has been a problem in some patients after fusion. Since 2002, cervical disc arthroplasty has been established as an alterna...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/2010.3.FOCUS1032

    authors: Botelho RV,Moraes OJ,Fernandes GA,Buscariolli Ydos S,Bernardo WM

    更新日期:2010-06-01 00:00:00

  • Complications of decompressive craniectomy for traumatic brain injury.

    abstract::Decompressive craniectomy is widely used to treat intracranial hypertension following traumatic brain injury (TBI). Two randomized trials are currently underway to further evaluate the effectiveness of decompressive craniectomy for TBI. Complications of this procedure have major ramifications on the risk-benefit balan...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2009.4.FOCUS0965

    authors: Stiver SI

    更新日期:2009-06-01 00:00:00

  • Paracervical abscesses as life-threatening complications of outpatient pain treatment. Report of three cases.

    abstract::The authors present three cases of iatrogenic paracervical abscesses caused by infiltration therapy of pain medications used in conservative treatment in patients with chronic cervicobrachialgia. All three patients had received this therapy several times before presenting with clinical signs of a local infection. The ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2004.17.6.13

    authors: Schütze M,Piek J

    更新日期:2004-12-15 00:00:00

  • Spontaneous thrombosis of neonatal vein of Galen malformation.

    abstract::Vein of Galen malformations are rare congenital intracranial vascular malformations. Based on reports in the literature, spontaneous thrombosis or regression of these lesions is rare. Patients have variable outcomes from an asymptomatic course to death. The reasons behind spontaneous thrombosis are not entirely unders...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2009.8.FOCUS09162

    authors: Moftakhar P,Danielpour M,Maya M,Alexander MJ

    更新日期:2009-11-01 00:00:00

  • Molecular pathology of adamantinomatous craniopharyngioma: review and opportunities for practice.

    abstract::Since the first identification of CTNNB1 mutations in adamantinomatous craniopharyngioma (ACP), much has been learned about the molecular pathways and processes that are disrupted in ACP pathogenesis. To date this understanding has not translated into tangible patient benefit. The recent development of novel technique...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2016.8.FOCUS16307

    authors: Apps JR,Martinez-Barbera JP

    更新日期:2016-12-01 00:00:00

  • Endoscopic microscopic transpedicular thoracic discectomy. Technical note.

    abstract::In an effort to make thoracic discectomy simple and less invasive while using direct visualization, a 70 degrees -angled lens endoscope has been adopted to visualize the ventral aspect of the spinal cord dura mater during microsurgical thoracic discectomy via a transpedicular approach. The patient is positioned in a 6...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1998.4.2.8

    authors: Jho HD

    更新日期:1998-02-15 00:00:00