Stereotactic radiosurgery for tentorial dural arteriovenous fistulae draining into the vein of Galen: report of two cases.

Abstract:

OBJECTIVE AND IMPORTANCE:Treatment of tentorial dural arteriovenous fistulae (DAVFs) primarily draining into the vein of Galen remains a therapeutic challenge. We present two cases of ruptured galenic DAVFs that were successfully treated with gamma knife radiosurgery. CLINICAL PRESENTATION:Patient 1, a 66-year-old woman, experienced a sudden onset of headache and loss of consciousness. Neuroimaging studies revealed intraventricular hemorrhage and a DAVF with aneurysmal dilation of the vein of Galen. The DAVF was supplied by tentorial branches of the right meningohypophyseal artery and bilateral supracerebellar arteries, which drained directly into the vein of Galen. Patient 2, a 64-year-old woman, experienced subarachnoid hemorrhage. Cerebral angiography revealed a galenic DAVF at the falcotentorial junction, which was supplied by bilateral supracerebellar arteries. This patient had an aneurysm at the origin of the left supracerebellar artery. INTERVENTION:Both patients were treated with gamma knife radiosurgery. In each case, the fistula was exclusively targeted and a dose of more than 20 Gy was delivered. Complete obliteration of the fistula was confirmed 27 and 29 months after radiosurgery for Patients 1 and 2, respectively, whereas the normal venous structures of the galenic system were preserved. CONCLUSION:Gamma knife radiosurgery is an effective treatment modality for DAVFs primarily draining into the vein of Galen. Irradiation doses of more than 20 Gy, strictly limited to the fistulae, seem to be sufficient for successful obliteration of these high-risk vascular lesions, with minimal invasiveness.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Shin M,Kurita H,Tago M,Kirino T

doi

10.1097/00006123-200003000-00039

keywords:

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

730-3; discussion 733-4

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

46

pub_type

杂志文章
  • Effects of cytokines on cultured microvascular endothelial cells derived from gerbil brain.

    abstract::Microvascular endothelial cells were isolated from gerbil brain and cultured. These cells retained an endothelial-specific marker, FVIII-related antigen. Alkaline phosphatase activity was also present in early passage. Two weeks after plating, these cells were attached to the culture dishes and had become like cobbles...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198909000-00009

    authors: Yoshida S,Minakawa T,Takai N,Tanaka R

    更新日期:1989-09-01 00:00:00

  • Giant cell granuloma of the orbit with intracranial extension.

    abstract::An 8-year-old boy presented with acute proptosis of the right eye. Examination revealed 8 mm of exophthalmos, limitation of upward gaze, optic disc swelling, and normal visual acuity, but an inferonasal quadrantic visual field defect. Orbital ultrasound and computed tomographic scanning demonstrated a superotemporal t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Sebag J,Chapman P,Truman J,Riemersma RR

    更新日期:1985-01-01 00:00:00

  • Primary Leptomeningeal Gliomatosis in Children and Adults: A Morphological and Molecular Comparative Study With Literature Review.

    abstract:BACKGROUND:Primary leptomeningeal gliomatosis (PLG) is a poorly recognized tumor of the central nervous system. OBJECTIVE:To describe the histopathological, immunohistochemical, and molecular features of PLG. METHODS:Results of our multicentric retrospective study of 6 PLG cases (3 pediatric and 3 adult) were compare...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0000000000001028

    authors: Tauziede-Espariat A,Maues de Paula A,Pages M,Laquerriere A,Caietta E,Delpont B,Viennet G,Medeiros de Bustos E,Moulin T,Barnerias C,Vauleon E,Grill J,Chiforeanu D,Vasiljevic A,Varlet P

    更新日期:2016-03-01 00:00:00

  • Cost Utility Analysis of the Cervical Artificial Disc vs Fusion for the Treatment of 2-Level Symptomatic Degenerative Disc Disease: 5-Year Follow-up.

    abstract:BACKGROUND:The cervical total disc replacement (cTDR) was developed to treat cervical degenerative disc disease while preserving motion. OBJECTIVE:Cost-effectiveness of this intervention was established by looking at 2-year follow-up, and this update reevaluates our analysis over 5 years. METHODS:Data were derived fr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000001208

    authors: Ament JD,Yang Z,Nunley P,Stone MB,Lee D,Kim KD

    更新日期:2016-07-01 00:00:00

  • Concepts and hypotheses: inflammatory hypothesis in the pathogenesis of cerebral cavernous malformations.

    abstract:OBJECTIVE:Cerebral cavernous malformations (CCMs) affect more than one million Americans, predisposing them to a lifetime risk of hemorrhagic stroke and epilepsy. A potential role of the immune response in this disease has not been postulated previously but is compelling given the unique antigenic milieu of CCM lesions...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000298897.38979.07

    authors: Shenkar R,Shi C,Check IJ,Lipton HL,Awad IA

    更新日期:2007-10-01 00:00:00

  • Staged removal of acoustic tumors: techniques and lessons learned from a series of 83 patients.

    abstract::The removal of large acoustic tumors is associated with increased mortality and cranial nerve injury. One method for treating these difficult lesions is staged resection. Between 1972 and 1992, more than 600 acoustic tumors were resected at our institution. Of these, 83 were removed in stages. This represents the larg...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199511000-00010

    authors: Comey CH,Jannetta PJ,Sheptak PE,Joh HD,Burkhart LE

    更新日期:1995-11-01 00:00:00

  • Hemangiomatous anomaly of bone in Crouzon's syndrome: case report.

    abstract::A striking and diffuse hemangiomatous architecture was identified by microscopic examination of bone specimens obtained at cranial synostectomy and from the craniofacial area of a young boy with Kleeblättschadel deformity and Crouzon's syndrome. A retrospective review of the histopathological appearance of bone specim...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198503000-00019

    authors: Alpers CE,Edwards MS

    更新日期:1985-03-01 00:00:00

  • Association of surgically acquired motor and language deficits on overall survival after resection of glioblastoma multiforme.

    abstract:OBJECTIVE:Balancing the benefits of extensive tumor resection with the consequence of potential postoperative deficits remains a challenge in malignant astrocytoma surgery. Although studies have suggested that increasing extent of resection may benefit survival, the effect of new postoperative deficits on survival rema...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000349763.42238.E9

    authors: McGirt MJ,Mukherjee D,Chaichana KL,Than KD,Weingart JD,Quinones-Hinojosa A

    更新日期:2009-09-01 00:00:00

  • Single intracisternal bolus of recombinant tissue plasminogen activator in patients with aneurysmal subarachnoid hemorrhage: preliminary assessment of efficacy and safety in an open clinical study.

    abstract::Intracisternal thrombolysis with recombinant tissue plasminogen activator (rtPA) was performed in 20 patients with aneurysmal subarachnoid hemorrhage. All patients had blood accumulations in the basal cisterns according to Fisher's Grade III, thus being at a high risk for the development of posthemorrhagic delayed isc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199206000-00010

    authors: Stolke D,Seifert V

    更新日期:1992-06-01 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

  • Functional recovery after traumatic transtentorial herniation.

    abstract::To elucidate the factors associated with functional recovery after traumatic transtentorial herniation, we reviewed the records of 153 consecutive patients admitted with clinical signs of transtentorial herniation (altered level of consciousness, anisocoria or pupillary unresponsiveness, and abnormal motor findings). ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199108000-00010

    authors: Andrews BT,Pitts LH

    更新日期:1991-08-01 00:00:00

  • Tumor necrosis factor alpha expression and protein levels after fluid percussion injury in rats: the effect of injury severity and brain temperature.

    abstract:OBJECTIVE:Tumor necrosis factor alpha (TNFalpha) is elevated in some models of traumatic brain injury (TBI). However, it is unclear how TNFalpha messenger ribonucleic acid (mRNA) expression and protein levels are affected by injury severity and posttraumatic temperature modification. This study determined the regional ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000130036.52521.2c

    authors: Vitarbo EA,Chatzipanteli K,Kinoshita K,Truettner JS,Alonso OF,Dietrich WD

    更新日期:2004-08-01 00:00:00

  • Evoked potential correlates of recovery from aphasia after focal left hemisphere injury in adults.

    abstract::An evoked potentials (EPs) paradigm that has been effective in demonstrating asymmetries in hemispheric activation during cognitive tasks was used to assess cerebral reorganization for language in recovered aphasics. Cortical click EPs were recorded bilaterally in normal volunteers, recovered aphasics who had sustaine...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198404000-00004

    authors: Papanicolaou AC,Levin HS,Eisenberg HM

    更新日期:1984-04-01 00:00:00

  • Endovascular Management vs Intravenous Thrombolysis for Acute Stroke Secondary to Carotid Artery Dissection: Local Experience and Systematic Review.

    abstract:BACKGROUND:Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD). OBJECTIVE:To report our interventional experience in AIS from CAD and to compare it with conservative treatment of CAD with intravenous thrombolysis (IVT) via systematic review. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1227/NEU.0000000000001072

    authors: Haussen DC,Jadhav A,Jovin T,Grossberg JA,Grigoryan M,Nahab F,Obideen M,Lima A,Aghaebrahim A,Gulati D,Nogueira RG

    更新日期:2016-05-01 00:00:00

  • Extent of surgical resection is independently associated with survival in patients with hemispheric infiltrating low-grade gliomas.

    abstract:OBJECTIVE:It remains unknown whether the extent of surgical resection affects survival or disease progression in patients with supratentorial low-grade gliomas. METHODS:We conducted a retrospective cohort study (n = 170) between 1996 and 2007 at a single institution to determine whether increasing extent of surgical r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000325729.41085.73

    authors: McGirt MJ,Chaichana KL,Attenello FJ,Weingart JD,Than K,Burger PC,Olivi A,Brem H,Quinoñes-Hinojosa A

    更新日期:2008-10-01 00:00:00

  • Sarcoidosis presenting as an isolated intramedullary tumor.

    abstract::We report a case of isolated intramedullary sarcoidosis. The patient developed progressive signs that indicated a spinal tumor, which were investigated with contrast-enhanced magnetic resonance imaging scans. Magnetic resonance imaging clearly revealed an intramedullary lesion, but the diagnosis of sarcoidosis was mad...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199108000-00020

    authors: Levivier M,Brotchi J,Balériaux D,Pirotte B,Flament-Durand J

    更新日期:1991-08-01 00:00:00

  • Determination of the minimum improvement in pain, disability, and health state associated with cost-effectiveness: introduction of the concept of minimum cost-effective difference.

    abstract:BACKGROUND:Minimum clinical important difference (MCID) has been adopted as the smallest improvement in patient-reported outcome needed to achieve a level of improvement thought to be meaningful to patients. OBJECTIVE:To use a common MCID calculation method with a cost-utility threshold anchor to introduce the concept...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000462079.96571.dc

    authors: Parker SL,McGirt MJ

    更新日期:2015-03-01 00:00:00

  • Primary hydatid cyst of sacral spinal canal: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Primary hydatid cysts of the spinal canal are very rare. The patient in the present case presented with lower cauda equina compression caused by a primary solitary hydatid cyst of the sacral spinal canal, which is a remote possibility. To the best of our knowledge, such a case has not been repo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199702000-00040

    authors: Pandey M,Chaudhari MP

    更新日期:1997-02-01 00:00:00

  • Preoperative embolization of intracranial meningiomas.

    abstract::The operative and histopathological findings in 31 cases of intracranial meningioma after preoperative embolization with Gelfoam and/or lyophilized dura mater are reported. Removal of the tumor after embolization was facilitated in those meningiomas fed exclusively or mainly by branches of the external carotid artery ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198309000-00008

    authors: Richter HP,Schachenmayr W

    更新日期:1983-09-01 00:00:00

  • Spontaneous intracranial hypotension mimicking aneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVE:An excruciating headache of instantaneous onset is known as a thunderclap headache. A subarachnoid hemorrhage is the prototypical cause, but other serious disorders may also present with a thunderclap headache, including cerebral venous sinus thrombosis, carotid artery dissection, and pituitary apoplexy. We r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200103000-00009

    authors: Schievink WI,Wijdicks EF,Meyer FB,Sonntag VK

    更新日期:2001-03-01 00:00:00

  • Comparison of three methods of targeting the subthalamic nucleus for chronic stimulation in Parkinson's disease.

    abstract:OBJECTIVE:The success of subthalamic nucleus (STN) surgery for Parkinson's disease depends on accuracy in target determination. The objective of this study was to determine which of the following techniques was most accurate and precise in identifying the location for stimulation in STN deep brain stimulation surgery t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000316289.75736.55

    authors: Andrade-Souza YM,Schwalb JM,Hamani C,Eltahawy H,Hoque T,Saint-Cyr J,Lozano AM

    更新日期:2008-02-01 00:00:00

  • The impact of provider volume on mortality after intracranial tumor resection.

    abstract:OBJECTIVE:Policies of regionalization and selective referral for a number of "high-risk" surgical procedures are being explored and implemented as a result of significant variation in postoperative mortality between high- and low-volume providers. The effect of provider volume on outcomes after intracranial tumor resec...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200301000-00005

    authors: Cowan JA Jr,Dimick JB,Leveque JC,Thompson BG,Upchurch GR Jr,Hoff JT

    更新日期:2003-01-01 00:00:00

  • Mutations in apoptosis-related gene, PDCD10, cause cerebral cavernous malformation 3.

    abstract:OBJECTIVE:To identify the CCM3 gene in a population of 61 families with a positive family history of cerebral cavernous malformations (CCM), 8 of which had suggestive linkage to the CCM3 locus. METHODS:We searched for mutations within the CCM3 interval using a high-throughput screening technique, temperature-gradient ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000180811.56157.e1

    authors: Guclu B,Ozturk AK,Pricola KL,Bilguvar K,Shin D,O'Roak BJ,Gunel M

    更新日期:2005-11-01 00:00:00

  • Effects of remote ischemic preconditioning on the coagulation profile of patients with aneurysmal subarachnoid hemorrhage: a case-control study.

    abstract:BACKGROUND:Animal studies suggest that ischemic preconditioning prolongs coagulation times. OBJECTIVE:Because coagulation changes could hinder the translation of preconditioning into clinical settings where hemorrhage may be an issue, such as ischemic or hemorrhagic stroke, we evaluated the effects of remote ischemic ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000098

    authors: Mayor F,Bilgin-Freiert A,Connolly M,Katsnelson M,Dusick JR,Vespa P,Koch S,Gonzalez NR

    更新日期:2013-11-01 00:00:00

  • Relative prognostic value of best motor response and brain stem reflexes in patients with severe head injury.

    abstract::The object of this study was to determine whether the addition of information on brain stem reflexes improves the prognostic precision of the Glasgow coma scale for patients with severe head trauma. The study is based on 109 patients with a Glasgow coma score of 7 or less during the first 24 hours after injury. The av...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198505000-00002

    authors: Born JD,Albert A,Hans P,Bonnal J

    更新日期:1985-05-01 00:00:00

  • Isolated trigeminal sensory loss secondary to a distal anterior inferior cerebellar artery aneurysm: case report.

    abstract::A previously healthy 25-year-old woman suddenly developed right-sided facial numbness and a headache. The neurological examination was within normal limits with the exception of meningismus and right-sided facial sensory loss. A computed tomographic scan and a magnetic resonance imaging study demonstrated an acute hem...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199102000-00018

    authors: Zager EL

    更新日期:1991-02-01 00:00:00

  • Iliac screw fixation using computer-assisted computer tomographic image guidance: technical note.

    abstract:BACKGROUND:Iliac screw fixation is a powerful tool used by spine surgeons to achieve fusion across the lumbosacral junction for a number of indications, including deformity, tumor, and pseudarthrosis. Complications associated with screw placement are related to blind trajectory selection and excessive soft tissue disse...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318230517a

    authors: Shin JH,Hoh DJ,Kalfas IH

    更新日期:2012-03-01 00:00:00

  • Percutaneous minidose metrizamide endomyelographic computed tomography in syringomyelia.

    abstract::Two patients presented with syringomyelia, each unusual. After neuroradiographic diagnosis with delayed metrizamide computed tomography (CT) or magnetic resonance imaging (MRI), an interesting diagnostic question arose. A percutaneous minidose metrizamide endomyelographic CT (PMDMECT) study clarified each situation an...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198703000-00013

    authors: Blumenkopf B

    更新日期:1987-03-01 00:00:00

  • Traumatic brain injury in Latin America: lifespan analysis randomized control trial protocol*.

    abstract:BACKGROUND:Although in the developed world the intracranial pressure (ICP) monitor is considered the standard of care for patients with severe traumatic brain injury (TBI), its usefulness to direct treatment decisions has never been tested rigorously. OBJECTIVE:The primary focus was to conduct a high-quality, randomiz...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1227/NEU.0b013e31827276b7

    authors: Chesnut RM,Temkin N,Carney N,Dikmen S,Pridgeon J,Barber J,Celix JM,Chaddock K,Cherner M,Hendrix T,Lujan S,Machamer J,Petroni G,Rondina C,Videtta W

    更新日期:2012-12-01 00:00:00

  • Defining the risk of retreatment for aneurysm recurrence or residual after initial treatment by endovascular coiling: a multicenter study.

    abstract:OBJECTIVE:Endovascular treatment of intracranial aneurysms is less invasive than surgical repair but poses a higher risk for aneurysm recurrence, which may necessitate retreatment, thus adding to the long-term risk. Cerebrovascular neurosurgeons from 8 institutions in the United States and Puerto Rico collaborated to a...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000349922.05350.96

    authors: Ringer AJ,Rodriguez-Mercado R,Veznedaroglu E,Levy EI,Hanel RA,Mericle RA,Lopes DK,Lanzino G,Boulos AS

    更新日期:2009-08-01 00:00:00