Abstract:
OBJECTIVE:We report on 32 neonates treated with ventriculosubgaleal (VSG) shunts to determine VSG shunt survival and associated complications. METHODS:Between 1993 and 1997, 37 VSG shunts were placed in 32 neonates when the cerebrospinal fluid (CSF) or the abdomen was considered unsuitable for ventriculoperitoneal shunt placement. In each child, a ventricular catheter was attached to 3 cm of a closed-end peritoneal tube via a right-angle connector, which drained into a surgically created subgaleal pocket. RESULTS:The causes of hydrocephalus were as follows: intraventricular hemorrhage (IVH) in 20 neonates, meningitis/ventriculitis in 6, IVH and infection in 2, and other causes in 4. The mean postconception age at the time of VSG shunt insertion was 37.2 weeks (33.1 wk in the IVH group), and the mean weight was 2227 g (1724 g in the IVH group). The average preoperative head circumference was 33.6 cm. The average survival of these 37 VSG shunts (five children had two VSG shunts) was 35.1 days. The complications were as follows: one CSF leakage occurred when sutures were removed; one catheter fell into the ventricle and required removal, and one child died immediately after VSG shunt revision. There were no VSG shunt infections. All surviving children followed for a minimum of 4 months after insertion of a VSG shunt (n = 24) have required a ventriculoperitoneal shunt. Mean follow-up from the time of first VSG shunt insertion was 21.6 months. Four children died as a result of causes unrelated to the VSG shunt. CONCLUSION:VSG shunts offer a simple, effective, and relatively safe means of temporizing hydrocephalus, and they avoid the need for external drainage or frequent CSF aspiration in these medically unstable infants until the CSF characteristics and abdomen are acceptable for ventriculoperitoneal shunting.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Fulmer BB,Grabb PA,Oakes WJ,Mapstone TBdoi
10.1097/00006123-200007000-00018keywords:
subject
Has Abstractpub_date
2000-07-01 00:00:00pages
80-3; discussion 83-4issue
1eissn
0148-396Xissn
1524-4040journal_volume
47pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:The benefits of radiation therapy are generally denied to infants with malignant brain tumors because of the risk of devastating cognitive decline. Efforts to limit this morbidity with radiosurgical techniques have not been feasible for infants because of the dual requirements of rigid head fixation and high ...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.neu.0000137332.03970.57
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Hypertrophic neuropathy of the cauda equina (HNCE) is a rare form of peripheral neuropathy. The diagnosis is complicated by an insidious clinical presentation and complex radiographic images. We present a case of HNCE caused by chronic inflammatory demyelinating polyneuropathy with symptomatic ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000103492.19663.ef
更新日期:2004-02-01 00:00:00
abstract::A 23-year-old pregnant woman presented with sudden diplopia, ataxia, hemiparesis, and headache secondary to a brain stem hemorrhage. Magnetic resonance imaging (MRI) revealed a hematoma associated with a probable cavernous hemangioma of the rostral brain stem. In this report, we discuss the MRI findings leading to the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198810000-00015
更新日期:1988-10-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Neurofibromas are benign neural sheath tumors arising from intraneural supporting cells. Such tumors are characteristic of neurofibromatosis Type I (von Recklinghausen disease) but also occur sporadically. Vascular involvement by neurofibromata is rare, but has been described in the past in the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000210293.67328.A7
更新日期:2006-05-01 00:00:00
abstract::The history of spinal surgery is an important part of the spine-related sciences. The development of treatment strategies for spine-related disorders is acquired from the Western literature. In this article, an Eastern physician, Ibn Sina, who is known as Avicenna in the West, and his treatise, Al-Qanun fi al-Tibb (th...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.neu.0000064811.30933.7f
更新日期:2003-06-01 00:00:00
abstract::Three cases of osteomyelitis of the skull base with associated problems in diagnosis and therapy are discussed. Patients with atypical skull base osteomyelitis are difficult to diagnose as they have no ear abnormalities, but they often develop multiple cranial nerve deficits mimicking symptoms of a posterior fossa mas...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199203000-00021
更新日期:1992-03-01 00:00:00
abstract::The cases of a father and his son who were diagnosed with pathologically confirmed colloid cysts of the third ventricle are presented. The familial occurrence of this tumor is rare and suggests that genetic factors may play a role in its formation. Consistent with the concept that the cyst originates as a developmenta...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199602000-00033
更新日期:1996-02-01 00:00:00
abstract::Energy production, substrate oxidation, serum protein levels, and weight change were studied in 16 non-steroid treated patients with severe head injury. Patients were evaluated during an average of 31.3 days from hospital admission to discharge. The mean measured energy expenditure (MEE) was 1.40 +/- 0.5 times predict...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198511000-00010
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Cerebral ischemia is the most worrisome perioperative complication of carotid endarterectomy (CEA). The stroke rate occurring with CEA is estimated to range from 2.3 to 6.3%. Numerous treatment options are available to the neurosurgeon in this scenario, although no "gold standard" exists. CLIN...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000134466.55733.3e
更新日期:2004-09-01 00:00:00
abstract::Today, physicians in general and neurosurgeons in particular practice in an era of fundamental change in Medicine from a profession to an industry. This change has produced erosion in the very personal physician-patient relationship. "The Morning Visit" is a poem written by Oliver Wendell Holmes, Sr., M.D., a 19th cen...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.NEU.0000351280.04013.65
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:Cerebrospinal fluid diversion from the cisterna magna has been described previously but has largely been abandoned because of high complication rates and anatomic constraints. Situations still remain in which this may be the best or only alternative. We describe the use of interventional magnetic resonance im...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000312716.08933.C5
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Arteriovenous malformations in the cranial nerves are very rare, and only one case has been reported in the literature. To our knowledge, this is the first case report of an arteriovenous malformation in the auditory nerve. CLINICAL PRESENTATION:A 30-year-old woman presented with a subarachnoi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000159720.61145.6e
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:Spontaneous intraparenchymal hemorrhage is extremely rare in full-term newborns. Reports to date have been limited to descriptions of individual cases, small groups within larger studies of intracranial hemorrhage, and one series of four patients. Structural lesions are rarely identified, and the majority of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200105000-00015
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:An alternative route must be used for atlantoaxial arthrodesis to avoid the risks of transoral route or when posterior approaches are contraindicated. OBJECTIVE:To assess relevant quantitative anatomic parameters for C1-C2 anterolateral transarticular fixation and to demonstrate the nuances of an anterolate...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383134.47267.0F
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To define the factors of importance for the obliteration of cerebral arteriovenous malformations (AVMs), thus making a prediction of the probability for obliteration possible. METHODS:In 945 AVMs of a series of 1319 patients treated with the gamma knife during 1970 to 1990, the relationship between patient, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199703000-00001
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:Classification of middle cerebral artery (MCA) aneurysms is sometimes difficult because the identification of the main MCA bifurcation, the key for accurate classification of MCA aneurysms, is inconsistent and somewhat subjective. OBJECTIVE:To use the meeting point of the M1 and M2 trunks as an objective, g...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000429842.61213.d5
更新日期:2013-07-01 00:00:00
abstract::The authors report two patients with a rare complication of parent artery narrowing that occurred 3 and 6 months after aneurysm surgery. In both cases, the stenosed arteries had been wrapped around their entire circumferences with neurosurgical sponge (cotton linter) and coated with plastic adhesive (cyanoacrylate com...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199506000-00029
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Capillary telangiectasias, cavernous malformations, and developmental venous anomalies are all vascular malformations that occur on the capillary-venous side of the cerebral circulation. The associations of capillary telangiectasias with venous malformations, cavernous malformations with venous...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200111000-00044
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:After the resection of cranial base tumors, there may not be enough free dural margin left for reconstruction after involved bone and dura have been removed. In such a situation, dural reconstruction becomes a problem. We propose a new technique of dural closure in such cases. METHODS:A fascial graft is prep...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200109000-00043
更新日期:2001-09-01 00:00:00
abstract::Medical and surgical graduate medical education has historically used a halstedian approach of "see one, do one, teach one." Increased public demand for safety, quality, and accountability in the setting of regulated resident work hours and limited resources is driving the development of innovative educational tools. ...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章,评审
doi:10.1227/NEU.0000000000000093
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:Embolization before surgical resection of tumors has been demonstrated to reduce intraoperative blood loss, but the optimal time that should elapse between embolization and tumor resection has not been established. We evaluated whether immediate surgical resection (< or =24 h) after embolization or delayed su...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200206000-00010
更新日期:2002-06-01 00:00:00
abstract::The wild-type p53 gene is thought to play a critical role in tumor suppression and has been shown to reverse the transformed phenotype of tumor cells in vitro. Mutational inactivation of this aspect of p53 activity occurs frequently in many human neoplasms, including astrocytomas, and is thought to represent a critica...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199411000-00005
更新日期:1994-11-01 00:00:00
abstract::Using rabbit cerebral arteries in an in vitro chamber, we examined the cerebral arterial contraction initiated by clotting whole blood. By using methysergide maleate and a novel thromboxane synthetase inhibitor, 1-carboxyheptylimidazole (1-CHI), we studied the contributions of both serotonin and the prostaglandin meta...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1981-09-01 00:00:00
abstract:PURPOSE:To compare a newly released vascular clip system (Vascular Clip-applier System; Auto Suture Company, Norwalk, CT) designed for sutureless vessel closures and anastomoses with standard suture closure of carotid arteriotomies after carotid endarterectomies. PATIENTS AND METHODS:Sixteen consecutive patients with ...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006123-199803000-00024
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of gamma knife (GK) radiosurgery, in terms of neurological improvement and tumor growth control (TGC), for a large series of patients with cavernous sinus meningiomas. METHODS:Between February 1993 and January 2002, 156 patients with cavernous sinus meningiomas (35 male and 121 femal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200211000-00009
更新日期:2002-11-01 00:00:00
abstract::The parameters of hematoporphyrin-derivative (HpD) photocytotoxicity of human glioma cells in cell culture were studied to determine the optimum wavelength and power density of light, to investigate the influence of tissue oxygenation, and to evaluate the role of singlet oxygen and free radicals in producing cell deat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00002
更新日期:1986-10-01 00:00:00
abstract::Expansive granulomatous lesions in the posterior cranial fossa are rare and have not been reported in conjunction with Lyme disease. We report a patient with verified Borrelia burgdorferi infection who developed a tumor in the cerebellopontine angle. Rapid growth of the tumor led to signs of cerebral compression and t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199009000-00018
更新日期:1990-09-01 00:00:00
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:
更新日期:1985-01-01 00:00:00
abstract::A case of hemangioblastoma of the right radial nerve is presented. Hemangioblastomas are rare vascular neoplasms characteristically associated with the Von Hippel-Lindau syndrome, in which they are found in the retina, the posterior fossa, and, less often, the spinal cord. Thought of as primary central nervous system ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199501000-00028
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:Medical students applying for neurosurgery residency positions almost all aspire to become academic neurosurgeons. However, most graduates of neurosurgery residency programs ultimately follow careers in private practice. We hypothesized that there might be factors in a resident's application, interviews, or p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255445.51989.33
更新日期:2007-05-01 00:00:00