Stereotactic radiosurgery for trigeminal schwannomas.

Abstract:

OBJECTIVE:Schwannomas that arise from the trigeminal nerve are rare and are usually managed by surgical resection. The role of radiosurgery in the care of patients with these basal tumors remains to be defined. METHODS:We reviewed the clinical presentation, management, and outcomes for 16 trigeminal schwannoma patients who underwent gamma knife stereotactic radiosurgery. Fifteen of the 16 patients presented with trigeminal sensory dysfunction. Nine patients had tumors in the region of the ganglion, six in the region of the trigeminal nerve root, and one in the region of the mandibular branch. Six patients had undergone one or more previous resections before radiosurgery. Ten underwent radiosurgery as the first procedure. The mean tumor volume was 5.3 cc (range, 1-17.8 cc). The mean tumor margin dose was 15.3 Gy (range, 12-20 Gy). RESULTS:During the average imaging follow-up of 44 months (range, 8-116 mo), the tumor control rate was 100% (regression in nine patients and no further tumor growth in seven patients). Five patients had improvement of clinical symptoms, and 11 remained unchanged. No new cranial nerve deficit developed in any patient. CONCLUSION:As a minimally invasive alternative to microsurgery, gamma knife radiosurgery proved to be an alternative primary or adjuvant strategy that controlled tumor growth, did not cause new deficits, and often improved presenting symptoms.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Huang CF,Kondziolka D,Flickinger JC,Lunsford LD

doi

10.1097/00006123-199907000-00002

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

11-6; discussion 16

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

45

pub_type

杂志文章
  • Delayed ischemic deterioration in patients with early aneurysm operation and intravenous nimodipine.

    abstract::A consecutive series of 100 individuals with aneurysmal subarachnoid hemorrhage were subjected to early aneurysm operation followed by subsequent intravenous administration of the calcium antagonist nimodipine during the critical period for symptomatic vasospasm. A total of 85 patients were in Hunt and Hess neurologic...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198602000-00005

    authors: Säveland H,Ljunggren B,Brandt L,Messeter K

    更新日期:1986-02-01 00:00:00

  • Preservation of neuronal function during prolonged focal cerebral ischemia by ventriculocisternal perfusion with oxygenated fluorocarbon emulsion.

    abstract::The left middle cerebral artery and both carotid arteries of 17 cats were occluded to evaluate the effects of oxygenated fluorocarbon emulsion on brain ischemia. Carotid and middle cerebral arteries were occluded concurrently for 2 hours, followed by occlusion of the middle cerebral artery only for another 24 hours. S...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198603000-00003

    authors: Bose B,Osterholm JL,Payne JB,Chambers K

    更新日期:1986-03-01 00:00:00

  • Microsurgical treatment of pediatric intracranial aneurysms: long-term angiographic and clinical outcomes.

    abstract:BACKGROUND:Pediatric aneurysms are rare and complex to treat. Long-term angiographic and clinical data after microsurgical or endovascular therapies are lacking. OBJECTIVE:To study the clinical and radiographic outcomes in aneurysms in pediatric patients treated with microsurgery. METHODS:Between 1989 and 2005, 48 pa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000371727.71991.64

    authors: Kakarla UK,Beres EJ,Ponce FA,Chang SW,Deshmukh VR,Bambakidis NC,Zabramski JM,Spetzler RF

    更新日期:2010-08-01 00:00:00

  • Anatomic dissection and classic three-dimensional documentation: a unit of education for neurosurgical anatomy revisited.

    abstract:OBJECTIVE AND IMPORTANCE:Despite development of computer-assisted neurosurgical navigation, learning by dissecting anatomic specimens is still important. CLINICAL PRESENTATION:We describe the processes from preparation of specimens for cranial dissection to documentation of three-dimensional (3-D) stereoscopic picture...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000210247.37628.43

    authors: Shimizu S,Tanaka R,Rhoton AL Jr,Fukushima Y,Osawa S,Kawashima M,Oka H,Fujii K

    更新日期:2006-05-01 00:00:00

  • Magnetic resonance imaging in cases of spinal dural arteriovenous malformation.

    abstract::Two patients with spinal dural arteriovenous malformations associated with intramedullary changes confirmed by the T2-weighted magnetic resonance imaging (MRI) scans are reported. The characteristics of the MRI findings for these 2 patients were as follows. 1) In the T2-weighted spin-echo image, intramedullary changes...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198906000-00023

    authors: Isu T,Iwasaki Y,Akino M,Koyanagi I,Abe H

    更新日期:1989-06-01 00:00:00

  • The role of intraoperative ultrasound imaging in the surgical removal of intramedullary cavernous angiomas.

    abstract::Five intramedullary cavernous angiomas were surgically removed after being localized by intraoperative ultrasound imaging. Two patients were men, and three were women; in three patients, the symptoms had an acute onset, whereas in the other two, it was gradual. The vascular malformation was localized in the dorsal tra...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199403000-00020

    authors: Lunardi P,Acqui M,Ferrante L,Fortuna A

    更新日期:1994-03-01 00:00:00

  • Cervical spine reoperation rates and hospital resource utilization after initial surgery for degenerative cervical spine disease in 12,338 patients in Washington State.

    abstract:OBJECTIVE:Patients undergoing surgery for degenerative cervical spine disease may require future surgery for disease progression. We investigated factors related to the rate of additional cervical spine surgery, the associated length of stay, and hospital charges. METHODS:The was a longitudinal retrospective cohort st...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000360347.10596.BD

    authors: King JT Jr,Abbed KM,Gould GC,Benzel EC,Ghogawala Z

    更新日期:2009-12-01 00:00:00

  • Combined pretemporal and endovascular approach to the cavernous sinus for the treatment of carotid-cavernous dural fistulae: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:The endovascular treatment of carotid-cavernous dural fistulae is becoming the prominent treatment modality for these lesions. The intractability of these lesions and their tendency to recur, especially after previous endovascular treatment sessions, exhausts the available routes and tends to p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00113

    authors: Krisht AF,Burson T

    更新日期:1999-02-01 00:00:00

  • The sphenoparietal sinus.

    abstract:OBJECTIVE:There is minimal detailed information regarding the sphenoparietal venous sinus found in the extant medical literature. Furthermore, there is controversy in the literature regarding drainage of the Sylvian vein into this sinus. The sphenoparietal sinus can potentially be encountered with cranial base approach...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249241.35731.C6

    authors: Tubbs RS,Salter EG,Wellons JC 3rd,Blount JP,Oakes WJ

    更新日期:2007-02-01 00:00:00

  • Solitaire Flow Restoration thrombectomy for acute ischemic stroke: retrospective multicenter analysis of early postmarket experience after FDA approval.

    abstract:BACKGROUND:The promising results of the Solitaire Flow Restoration (FR) With the Intention for Thrombectomy (SWIFT) trial recently led to Food and Drug Administration (FDA) approval of the Solitaire FR stent retriever device for recanalization of cerebral vessels in patients with acute ischemic stroke. OBJECTIVE:To re...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000429859.96652.57

    authors: Mokin M,Dumont TM,Veznedaroglu E,Binning MJ,Liebman KM,Fessler RD 2nd,To CY,Turner RD 4th,Turk AS,Chaudry MI,Arthur AS,Fox BD,Hanel RA,Tawk RG,Kan P,Gaughen JR Jr,Lanzino G,Lopes DK,Chen M,Moftakhar R,Billingsley

    更新日期:2013-07-01 00:00:00

  • Contribution of magnetic resonance spectroscopic imaging and L-[1-11C]tyrosine positron emission tomography to localization of cerebral gliomas for biopsy.

    abstract::Proton magnetic resonance spectroscopic imaging (1H-MRSI) and positron emission tomography with the tracer L-[1-11C]tyrosine (11C-TYR) were used to localize gliomas for biopsy or resection. This is especially helpful in cases of low-grade gliomas, if these lesions are not visualized by contrast-enhanced computed tomog...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199406000-00007

    authors: Go KG,Keuter EJ,Kamman RL,Pruim J,Metzemaekers JD,Staal MJ,Paans AM,Vaalburg W

    更新日期:1994-06-01 00:00:00

  • The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy.

    abstract:OBJECTIVE:To determine the effects of a postoperative early isolated lumbar extension muscle-strengthening program on pain, disability, return to work, and power of back muscle after operation for herniated lumbar disc. METHODS:Seventy-five patients were randomized into an exercise group (20 men, 15 women) and a contr...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/neurosurgery/57.4.764

    authors: Choi G,Raiturker PP,Kim MJ,Chung DJ,Chae YS,Lee SH

    更新日期:2005-10-01 00:00:00

  • Temporary vessel occlusion and barbiturate protection in cerebral aneurysm surgery.

    abstract::In a review of 147 patients with intracranial aneurysms surgically treated by one surgeon (FAD) between 1980 and 1987, 36 selected patients received intraoperative barbiturate protection with sodium thiopental during temporary arterial occlusion. Thiopental doses of 5 to 15 mg/kg were used. Twenty-nine of 36 (81%) had...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198907000-00010

    authors: McDermott MW,Durity FA,Borozny M,Mountain MA

    更新日期:1989-07-01 00:00:00

  • The effects of diffuseness and deep perforating artery supply on outcomes after microsurgical resection of brain arteriovenous malformations.

    abstract:OBJECTIVE:Diffuse arteriovenous malformations (AVM) have non-compact niduses, irregular margins, and intervening brain parenchyma. Deep perforating arteries often contribute to the ragged border of these diffuse AVMs. We hypothesized that diffuseness and deep perforator supply increase the difficulties and risks associ...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000255401.46151.8A

    authors: Du R,Keyoung HM,Dowd CF,Young WL,Lawton MT

    更新日期:2007-04-01 00:00:00

  • Neurogenic tumors of the brachial plexus: report of two cases.

    abstract::Two cases of solitary neurogenic tumors of the brachial plexus unassociated with von Recklinghausen's disease are presented. One patient had a malignant schwannoma. The lesion of the other patient was benign and was diagnosed pathologically as a plexiform neurofibroma. These uncommon neurogenic tumors of the brachial ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197901000-00014

    authors: Richardson RR,Siqueira EB,Oi S,Nunez C

    更新日期:1979-01-01 00:00:00

  • Angioplasty and stenting of basilar artery stenosis: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:Symptomatic basilar artery stenosis has a poor prognosis. Treatment options are limited. Surgical bypasses are technically demanding and of no proven benefit. Percutaneous angioplasty is associated with a significant complication rate, because of intraplaque dissection, restenosis secondary to ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199908000-00047

    authors: Lanzino G,Fessler RD,Miletich RS,Guterman LR,Hopkins LN

    更新日期:1999-08-01 00:00:00

  • Surgical treatment of spinal extradural arteriovenous fistula with parenchymal drainage: report on 5 cases.

    abstract:BACKGROUND AND IMPORTANCE:Spinal extradural arteriovenous fistula (SEDAVF) with parenchymal drainage (type A) is a rare clinical entity that causes venous congestive myelopathy. Treatment includes endovascular and open microsurgical interventions. We reviewed the clinical records of patients treated for a type A SEDAVF...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000189

    authors: Niizuma K,Endo T,Sato K,Takada S,Sugawara T,Mikawa S,Tominaga T

    更新日期:2013-12-01 00:00:00

  • The rete mirabile of the cranial base: a millenary legend.

    abstract::The rete mirabile, a vascular network assumed to give origin to the intracranial segments of the internal carotid arteries, was interpreted by Galen as the key station for the conversion of the "vital spirit" into the "animal spirit." According to this interpretation, the rete was determinant either in sustaining the ...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000216118.31290.65

    authors: Viale G

    更新日期:2006-06-01 00:00:00

  • Ruptured aneurysm at the origin of the accessory middle cerebral artery: case report.

    abstract::The accessory middle cerebral artery is a rare vascular anomaly of the brain. We describe a case of a ruptured aneurysm at the junction of the accessory middle cerebral artery and the horizontal portion of the anterior cerebral artery. The lesion was demonstrated by angiography and confirmed at surgery. No perforating...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199002000-00022

    authors: Kuwabara S,Naitoh H

    更新日期:1990-02-01 00:00:00

  • False aneurysm complicating carotid endarterectomy.

    abstract::We present two cases of false aneurysm after carotid endarterectomy with primary arteriotomy closure. In both cases, infection appeared to be the precipitating cause. Both lesions were repaired with a saphenous vein patch graft, but infection in one patient persisted, and recurrence of a false aneurysm required ligati...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198609000-00014

    authors: Branch CL Jr,Davis CH Jr

    更新日期:1986-09-01 00:00:00

  • Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach: a report on an experience with 17 cases.

    abstract:OBJECTIVE:The advantages of a posterior "conventional" suboccipital approach with a midline incision over lateral, anterolateral, and anterior approaches to anteriorly placed foramen magnum meningiomas are discussed. METHODS:From 1991 to March 2000, 17 patients with foramen magnum meningiomas arising from the anterior...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200107000-00016

    authors: Goel A,Desai K,Muzumdar D

    更新日期:2001-07-01 00:00:00

  • Statin use was not associated with less vasospasm or improved outcome after subarachnoid hemorrhage.

    abstract:OBJECTIVE:The development of delayed ischemia caused by cerebral vasospasm remains a common cause of morbidity and mortality after aneurysmal subarachnoid hemorrhage. Preliminary studies suggest that 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) may decrease the risk of vasospasm, but additional ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000316009.19012.e3

    authors: Kramer AH,Gurka MJ,Nathan B,Dumont AS,Kassell NF,Bleck TP

    更新日期:2008-02-01 00:00:00

  • Relationship between flow cytometric features and clinical behavior of meningiomas.

    abstract::Meningiomas have a wide range of biological potential and clinical behavior. Histological findings are helpful in recognizing the malignant potential of a given tumor, but often fail to correlate with gross features, liability of recurrence, and extent of associated cerebral edema. To find alternate approaches to impr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198812000-00006

    authors: Crone KR,Challa VR,Kute TE,Moody DM,Kelly DL Jr

    更新日期:1988-12-01 00:00:00

  • Accuracy of magnetic resonance imaging-directed frame-based stereotaxis.

    abstract:BACKGROUND:Accurate placement of a probe to the deep regions of the brain is an important part of neurosurgery. In the modern era, magnetic resonance image (MRI)-based target planning with frame-based stereotaxis is the most common technique. OBJECTIVE:To quantify the inaccuracy in MRI-guided frame-based stereotaxis a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182320bd6

    authors: Thani NB,Bala A,Lind CR

    更新日期:2012-03-01 00:00:00

  • iPod touch-assisted instrumentation of the spine: a technical report.

    abstract:BACKGROUND:Instrumentation of the spine depends on choosing the correct insertion angles to implant screws. Although modern image guidance facilitates precise instrumentation of the spine, the equipment is costly and availability is limited. Although most surgeons use lateral fluoroscopy to guide instrumentation in the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000023

    authors: Jost GF,Bisson EF,Schmidt MH

    更新日期:2013-12-01 00:00:00

  • Extracranial-intracranial vein graft bypass for giant intracranial aneurysm surgery for pediatric patients: two technical case reports.

    abstract:OBJECTIVE AND IMPORTANCE:Herein we describe two cases of extracranial-intracranial vein graft bypasses for the treatment of giant intracranial aneurysms in prepubertal pediatric patients. One patient is, we think, the youngest patient reported in the literature to have been successfully treated in such a manner, with a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200203000-00048

    authors: Zhang YJ,Barrow DL,Day AL

    更新日期:2002-03-01 00:00:00

  • Intracranial venous hypertension and the effects of venous outflow obstruction in a rat model of arteriovenous fistula.

    abstract::A model of rat arteriovenous fistula (AVF) was created using a proximal common carotid artery to distal external jugular vein anastomosis. Anatomical dissections revealed that the external jugular vein is the primary vessel draining intracranial venous blood. Physiological measurements were made with the AVF open and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199109000-00002

    authors: Bederson JB,Wiestler OD,Brüstle O,Roth P,Frick R,Yaşargil MG

    更新日期:1991-09-01 00:00:00

  • Rehabilitative neurosurgery.

    abstract::The neurosurgical role in rehabilitation rehabilitation was studied. Over a 5-year period, 850 individuals were referred to a rehabilitation center after initial acute care. Surgery was indicated for 66 patients. There were 28 quadriplegic or paraplegic individuals with intractable spasticity. Percutaneous radiofreque...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198603000-00009

    authors: Herz DA,Gregerson M,Pearl L

    更新日期:1986-03-01 00:00:00

  • Lateral supraorbital approach applied to anterior clinoidal meningiomas: experience with 73 consecutive patients.

    abstract:BACKGROUND:Anterior clinoidal meningiomas (ACMs) are a subgroup of meningiomas accounting for less than 10% of supratentorial meningiomas. OBJECTIVE:To assess the reliability and safeness of the lateral supraorbital approach (LSO) to remove ACMs. METHODS:Between September 1997 and October 2009, a total of 73 ACM pati...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/NEU.0b013e318214a840

    authors: Romani R,Laakso A,Kangasniemi M,Lehecka M,Hernesniemi J

    更新日期:2011-06-01 00:00:00

  • Frontal Sinus Breach During Routine Frontal Craniotomy Significantly Increases Risk of Surgical Site Infection: 10-Year Retrospective Analysis.

    abstract:BACKGROUND:Frontotemporal craniotomies are commonly performed for a variety of neurosurgical pathologies. Infections related to craniotomies cause significant morbidity. We hypothesized that the risk of cranial surgical site infections (SSIs) may be increased in patients whose frontal sinuses are breached during cranio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx046

    authors: Linzey JR,Wilson TJ,Sullivan SE,Thompson BG,Pandey AS

    更新日期:2017-09-01 00:00:00