Neonatal ventriculosubgaleal shunts.

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

Neurosurgery

journal_title

Neurosurgery

authors

Fulmer BB,Grabb PA,Oakes WJ,Mapstone TB

doi

10.1097/00006123-200007000-00018

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

80-3; discussion 83-4

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

47

pub_type

杂志文章
  • Feasibility of radiosurgery for malignant brain tumors in infants by use of image-guided robotic radiosurgery: preliminary report.

    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

    authors: Giller CA,Berger BD,Gilio JP,Delp JL,Gall KP,Weprin B,Bowers D

    更新日期:2004-10-01 00:00:00

  • Hypertrophic neuropathy of the cauda equina: case report.

    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

    authors: Kretzer RM,Burger PC,Tamargo RJ

    更新日期:2004-02-01 00:00:00

  • Surgical excision of a cavernous hemangioma of the rostral brain stem: case report.

    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

    authors: Ondra SL,Doty JR,Mahla ME,George ED

    更新日期:1988-10-01 00:00:00

  • Superficial femoral vein invasion by a benign neurofibroma in a non-neurofibromatosis patient: case report.

    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

    authors: Châtillon CE,Guiot MC,Corriveau MM,Jacques L

    更新日期:2006-05-01 00:00:00

  • Functional anatomy of the spine by Avicenna in his eleventh century treatise Al-Qanun fi al-Tibb (The Canons of Medicine).

    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

    authors: Naderi S,Acar F,Mertol T,Arda MN

    更新日期:2003-06-01 00:00:00

  • Osteomyelitis of the skull base.

    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

    authors: Malone DG,O'Boynick PL,Ziegler DK,Batnitzky S,Hubble JP,Holladay FP

    更新日期:1992-03-01 00:00:00

  • Familial colloid cyst of the third ventricle: case report and review of associated conditions.

    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

    authors: Akins PT,Roberts R,Coxe WS,Kaufman BA

    更新日期:1996-02-01 00:00:00

  • Metabolic and nutritional sequelae in the non-steroid treated head injury patient.

    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

    authors: Young B,Ott L,Norton J,Tibbs P,Rapp R,McClain C,Dempsey R

    更新日期:1985-11-01 00:00:00

  • Intravenously administered abciximab in the management of early cerebral ischemia after carotid endarterectomy: case report.

    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

    authors: Barkhoudarian G,Ali MJ,Deveikis J,Thompson BG

    更新日期:2004-09-01 00:00:00

  • The morning visit by Oliver Wendell Holmes, Sr., M.D.

    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

    authors: Ciric IS

    更新日期:2009-10-01 00:00:00

  • Percutaneous placement of an external drain of the cisterna magna using interventional magnetic resonance imaging in a patient with a persistent cerebrospinal fluid fistula: technical case report.

    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

    authors: Walker JB,Harkey HL,Buciuc R

    更新日期:2008-08-01 00:00:00

  • Ruptured arteriovenous malformation in the auditory nerve: technical case report.

    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

    authors: Oya S,Matsui T,Asai A

    更新日期:2005-06-01 00:00:00

  • Spontaneous intraparenchymal hemorrhage in full-term neonates.

    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

    authors: Sandberg DI,Lamberti-Pasculli M,Drake JM,Humphreys RP,Rutka JT

    更新日期:2001-05-01 00:00:00

  • Anterolateral C1-C2 transarticular fixation for atlantoaxial arthrodesis: landmarks, working area, and angles of approach.

    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

    authors: Cavalcanti DD,Agrawal A,Garcia-Gonzalez U,Crawford NR,Tavares PL,Theodore N,Sonntag VK,Preul MC

    更新日期:2010-09-01 00:00:00

  • Prediction of obliteration after gamma knife surgery for cerebral arteriovenous malformations.

    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

    authors: Karlsson B,Lindquist C,Steiner L

    更新日期:1997-03-01 00:00:00

  • A new, more accurate classification of middle cerebral artery aneurysms: computed tomography angiographic study of 1,009 consecutive cases with 1,309 middle cerebral artery aneurysms.

    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

    authors: Elsharkawy A,Lehečka M,Niemelä M,Billon-Grand R,Lehto H,Kivisaari R,Hernesniemi J

    更新日期:2013-07-01 00:00:00

  • Delayed parent artery narrowing occurring months after aneurysm surgery: a complication after aneurysm surgery--technical case report.

    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

    authors: Kurita H,Shiokawa Y,Segawa H,Kirino T

    更新日期:1995-06-01 00:00:00

  • The juxtaposition of a capillary telangiectasia, cavernous malformation, and developmental venous anomaly in the brainstem of a single patient: case report.

    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

    authors: Clatterbuck RE,Elmací I,Rigamonti D

    更新日期:2001-11-01 00:00:00

  • Dural reconstruction with fascia, titanium mesh, and bone screws: technical note.

    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

    authors: Sekhar LN,Sarma S,Morita A

    更新日期:2001-09-01 00:00:00

  • History of simulation in medicine: from Resusci Annie to the Ann Myers Medical Center.

    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

    authors: Singh H,Kalani M,Acosta-Torres S,El Ahmadieh TY,Loya J,Ganju A

    更新日期:2013-10-01 00:00:00

  • Delayed surgical resection reduces intraoperative blood loss for embolized meningiomas.

    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

    authors: Chun JY,McDermott MW,Lamborn KR,Wilson CB,Higashida R,Berger MS

    更新日期:2002-06-01 00:00:00

  • Prognostic implications of p53 overexpression in supratentorial astrocytic tumors.

    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

    authors: Chozick BS,Pezzullo JC,Epstein MH,Finch PW

    更新日期:1994-11-01 00:00:00

  • Mechanisms of whole blood-induced cerebral arterial contraction.

    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:

    authors: Schumacher MA,Alksne JF

    更新日期:1981-09-01 00:00:00

  • Carotid arteriotomy closure using a vascular clip system.

    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

    authors: Findlay JM,Megyesi JF

    更新日期:1998-03-01 00:00:00

  • Radiosurgical treatment of cavernous sinus meningiomas: experience with 122 treated patients.

    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

    authors: Nicolato A,Foroni R,Alessandrini F,Bricolo A,Gerosa M

    更新日期:2002-11-01 00:00:00

  • Hematoporphyrin derivative photocytotoxicity of human glioblastoma in cell culture.

    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

    authors: Wharen RE Jr,So S,Anderson RE,Laws ER Jr

    更新日期:1986-10-01 00:00:00

  • Chronic Lyme disease with an expansive granulomatous lesion in the cerebellopontine angle.

    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

    authors: Mokry M,Flaschka G,Kleinert G,Kleinert R,Fazekas F,Kopp W

    更新日期:1990-09-01 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

  • Hemangioblastoma of the radial nerve: case report.

    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

    authors: Brodkey JA,Buchignani JA,O'Brien TF

    更新日期:1995-01-01 00:00:00

  • Predictors of neurosurgical career choice among residents and residency applicants.

    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

    authors: Lawton MT,Narvid J,Quiñones-Hinojosa A

    更新日期:2007-05-01 00:00:00