Transient cardiac standstill induced by adenosine in the management of intraoperative aneurysmal rupture: technical case report.

Abstract:

OBJECTIVE AND IMPORTANCE:Intraoperative aneurysmal rupture represents a potentially catastrophic event. We describe the use of an intravenous adenosine bolus to induce transient cardiac asystole to control a severe intraoperative aneurysmal rupture. This treatment resulted in a brief period of severe hypotension, which enabled successful clipping of the aneurysm. CLINICAL PRESENTATION:A 55-year-old man was referred to our institution 7 days after experiencing a mild subarachnoid hemorrhage from a fusiform, multilobulated aneurysm of the anterior communicating artery. The patient was found to have multiple additional fusiform aneurysms as well as a large parietal arteriovenous malformation. INTERVENTION:A craniotomy was performed to clip the aneurysm, but surgical dissection was complicated by premature rebleeding that could not be controlled satisfactorily with tamponade or temporary arterial occlusion. Infusion of adenosine resulted in the rapid onset of profound hypotension, allowing for safe completion of the dissection and clipping of the aneurysm with a good outcome. There were no complications identified in relation to the use of adenosine. CONCLUSION:In the setting of severe intraoperative aneurysmal rupture, intravenous adenosine represents a potential means of achieving a near-immediate profound decrease in the blood pressure that may allow for safe completion of the dissection and aneurysm clipping.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Nussbaum ES,Sebring LA,Ostanny I,Nelson WB

doi

10.1097/00006123-200007000-00053

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

240-3

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

47

pub_type

杂志文章
  • Intraoperative indocyanine green videoangiography for spinal vascular lesions: case report.

    abstract:BACKGROUND AND IMPORTANCE:In surgery of spinal vascular lesions such as spinal arteriovenous fistula or vascular tumors, assessment of feeding arteries and draining veins is important. Intraoperative digital subtraction angiography is useful but is invasive and sometimes technically demanding. Near-infrared indocyanine...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318207b6b5

    authors: Murakami T,Koyanagi I,Kaneko T,Iihoshi S,Houkin K

    更新日期:2011-03-01 00:00:00

  • Comparison of clinical result between microsurgical and direct visual intracranial aneurysm surgery.

    abstract::A retrospective study of 119 operative procedures for intracranial aneurysm was performed to compare the clinical result with microsurgical technique vs. that with standard instruments and without magnification; the operative technique was the major variable. The study demonstrated more normal patients, less intraoper...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198204000-00001

    authors: Leibrock LG,Epstein MH,Long D

    更新日期:1982-04-01 00:00:00

  • Physiological evaluation of the effect of fascicular ligation on neuromas in the rat.

    abstract::Microfascicular double ligation and interligature heat sealing has been clinically successful in relieving neuroma pain. In rats, we found that this technique had no effect on the abnormal activities (such as mechanosensitivity and spontaneous activity) of single myelinated axons from neuromas or on their conduction v...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198406000-00003

    authors: Tamas LB,Howe JF

    更新日期:1984-06-01 00:00:00

  • Correlation of cerebrospinal fluid flow dynamics and headache in Chiari I malformation.

    abstract:OBJECTIVE:The management of patients with a Chiari I malformation who present with headaches alone remains unclear. We studied the cerebrospinal fluid (CSF) flow dynamics of Chiari I malformation patients presenting with headaches alone so as to identify headache types that are associated with CSF flow obstruction vers...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000156203.20659.14

    authors: McGirt MJ,Nimjee SM,Floyd J,Bulsara KR,George TM

    更新日期:2005-04-01 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

  • Dorsal brain stem lipomas: case report.

    abstract::Intracranial lipomas are uncommon and rarely symptomatic lesions accounting for 0.06 to 0.46% of intracranial lesions. The management of symptomatic dorsal brain stem lipomas was once limited to cerebrospinal fluid diversion, but with recent advances in microsurgery, they now may be directly treated. We report three p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199605000-00035

    authors: Baeesa SS,Higgins MJ,Ventureyra EC

    更新日期:1996-05-01 00:00:00

  • Regeneration of the rat carotid artery after clipping injury. Part II. A pharmacological study.

    abstract::This study investigated the natural course of functional recovery of the vascular endothelium and smooth muscle after clipping injury of the rat carotid artery. Vascular injury was induced by clipping the right carotid arteries of Wistar rats. The contractile response to KCl, serotonin (5-hydroxytryptamine), and norep...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Tsukahara T,Yonekawa Y,Yamamoto M,Kaku Y,Ogata N,Taniguchi T

    更新日期:1993-01-01 00:00:00

  • Expression of integrins in cerebral arteriovenous and cavernous malformations.

    abstract:OBJECTIVE:To assess and compare levels and patterns of expression for integrins alphavbeta1, alphavbeta3, and alphavbeta5 in arteriovenous malformations (AVMs) and cavernous malformations (CCMs) of the brain. MATERIALS AND METHODS:Specimens from 10 AVM and 10 CCM lesions were selected from 112 patients with AVMs and 9...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000192174.55131.09

    authors: Seker A,Yildirim O,Kurtkaya O,Sav A,Günel M,Pamir MN,Kiliç T

    更新日期:2006-01-01 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

  • Patients with moderate head injury: a prospective multicenter study of 315 patients.

    abstract:OBJECTIVE:To analyze the risk factors of worst outcome associated with moderate head injury. METHODS:Data on patients with moderate head injury were collected prospectively in 11 Italian neurosurgical units over a period of 18 months. Patients older than 18 years with blunt head injury and at least one Glasgow Coma Sc...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000340796.18738.F7

    authors: Compagnone C,d'Avella D,Servadei F,Angileri FF,Brambilla G,Conti C,Cristofori L,Delfini R,Denaro L,Ducati A,Gaini SM,Stefini R,Tomei G,Tagliaferri F,Trincia G,Tomasello F

    更新日期:2009-04-01 00:00:00

  • Traumatic paraplegia in children without contiguous spinal fracture or dislocation.

    abstract::Traumatic paraplegia in children is uncommon and, in almost half of these injuries, no contiguous fracture or dislocation of the spine is found. This report presents eight such cases, three in detail. Most of the children were injured in motor vehicle accidents and sustained thoracic level injuries with a permanent lo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198304000-00012

    authors: Walsh JW,Stevens DB,Young AB

    更新日期:1983-04-01 00:00:00

  • A novel single twist-drill access device for multimodal intracranial monitoring: a 5-year single-institution experience.

    abstract:BACKGROUND:Multimodal intracranial monitoring in the neurosurgical patient requires insertion of probes through multiple craniostomies. OBJECTIVE:To report our 5-year experience with a novel device allowing multimodal monitoring though a single twist-drill hole. METHODS:All devices (Hummingbird Synergy, Innerspace) w...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000451

    authors: Chohan MO,Akbik OS,Ramos-Canseco J,Ramirez PM,Murray-Krezan C,Berlin T,Olin K,Taylor CL,Yonas H

    更新日期:2014-09-01 00:00:00

  • The treatment of intracranial malignant gliomas using orally administered tamoxifen therapy: preliminary results in a series of "failed" patients.

    abstract::In vitro studies have shown that the nonsteroidal antiestrogen tamoxifen can suppress deoxyribonucleic acid synthesis and cell proliferation in cultured human gliomas. This growth suppression is independent of its antiestrogenic properties. Tamoxifen may act through the inhibition of the enzyme protein kinase C, which...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199206000-00014

    authors: Vertosick FT Jr,Selker RG,Pollack IF,Arena V

    更新日期:1992-06-01 00:00:00

  • Spinal solitary fibrous tumors: a series of four patients: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Intraspinal solitary fibrous tumors, which are rare mesenchymal tumors, have previously been reported as case reports. We review our experience and, to our knowledge, the first small institutional series with respect to clinical presentation, diagnosis, surgical management, pathohistological an...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000163420.33635.9f

    authors: Jallo GI,Roonprapunt C,Kothbauer K,Freed D,Allen J,Epstein F

    更新日期:2005-07-01 00:00:00

  • Is aqueductal stroke volume, measured with cine phase-contrast magnetic resonance imaging scans useful in predicting outcome of shunt surgery in suspected normal pressure hydrocephalus?

    abstract:OBJECTIVE:To evaluate clinical usefulness of cerebrospinal fluid stroke volume (SV) assessed in the cerebral aqueduct, via cine phase-contrast magnetic resonance imaging, for predicting outcome after shunt surgery in suspected normal pressure hydrocephalus. METHODS:Thirty-eight patients with suspected normal pressure ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249208.04344.A3

    authors: Kahlon B,Annertz M,Ståhlberg F,Rehncrona S

    更新日期:2007-01-01 00:00:00

  • Thoracolumbar Injury Classification and Severity Score in Children: A Validity Study.

    abstract:BACKGROUND:The Thoracolumbar Injury Classification and Severity Score (TLICS) has been shown to be a valid tool for assessing the need for surgical intervention in adult patients. There is limited insight into its usefulness in children. OBJECTIVE:To assess the validity of the TLICS system in pediatric patients. METH...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy408

    authors: Dawkins RL,Miller JH,Menacho ST,Ramadan OI,Lysek MC,Kuhn EN,Tubbs RS,Walker ML,Walters BC,Agee BS,Rozzelle CJ

    更新日期:2019-06-01 00:00:00

  • Double-barrel bypass for cerebral ischemia: technique, rationale, and preliminary experience with 10 consecutive cases.

    abstract:BACKGROUND:In selected patients, extracranial-intracranial bypass remains an important treatment for the prevention of stroke. Traditionally, superficial temporal artery-middle cerebral artery (STA-MCA) bypass uses 1 STA branch. We have adopted a "double-barrel" technique in which both branches are joined with MCA reci...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318285b587

    authors: Duckworth EA,Rao VY,Patel AJ

    更新日期:2013-09-01 00:00:00

  • Anatomy of the superior ophthalmic vein approach for direct endovascular access to vascular lesions of the orbit and cavernous sinus.

    abstract:OBJECTIVE:The superior ophthalmic vein (SOV) provides an alternative venous access for the treatment of carotid-cavernous fistulae. Its direct surgical exposure and cannulation can be difficult. This study was performed to identify anatomic landmarks to facilitate localization and exposure of the SOV. METHODS:The vasc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000340781.34122.A2

    authors: Reis CV,Gonzalez FL,Zabramski JM,Hassan A,Deshmukh P,Albuquerque FC,Preul MC

    更新日期:2009-05-01 00:00:00

  • In vitro study of biomechanical behavior of anterior and transforaminal lumbar interbody instrumentation techniques.

    abstract:OBJECTIVE:To study the biomechanical behavior of lumbar interbody instrumentation techniques using titanium cages as either transforaminal lumbar interbody fusion (TLIF) or anterior lumbar interbody fusion (ALIF), with and without posterior pedicle fixation. METHODS:Six fresh-frozen lumbar spines (L1-L5) were loaded w...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000245609.01732.E4

    authors: Niemeyer TK,Koriller M,Claes L,Kettler A,Werner K,Wilke HJ

    更新日期:2006-12-01 00:00:00

  • The Impact of Intracranial Tumor Proximity to White Matter Tracts on Morbidity and Mortality: A Retrospective Diffusion Tensor Imaging Study.

    abstract:Background:Using diffusion tensor imaging (DTI) in neurosurgical planning allows identification of white matter tracts and has been associated with a reduction in postoperative functional deficits. Objective:This study explores the relationship between the lesion-to-tract distance (LTD) and postoperative morbidity and...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyw040

    authors: Meyer EJ,Gaggl W,Gilloon B,Swan B,Greenstein M,Voss J,Hussain N,Holdsworth RL,Nair VA,Meyerand ME,Kuo JS,Baskaya MK,Field AS,Prabhakaran V

    更新日期:2017-02-01 00:00:00

  • Repeated endovascular coil occlusion in 350 of 2759 intracranial aneurysms: safety and effectiveness aspects.

    abstract:OBJECTIVE:Evaluation of the safety and effectiveness of endovascular retreatment of intracranial aneurysms with detachable coils. METHODS:Retrospective analysis of clinical outcome as well as angiographic studies both before and after coil retreatment. The indication for retreatment was based on either inadequate occl...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333815.79777.3b

    authors: Henkes H,Fischer S,Liebig T,Weber W,Reinartz J,Miloslavski E,Kühne D

    更新日期:2008-06-01 00:00:00

  • Effect of neuroprotective N-methyl-D-aspartate antagonists on increased intracranial pressure: studies in the rat acute subdural hematoma model.

    abstract::Glutamate antagonists are the most powerful neuroprotective drugs in laboratory studies of focal cerebral ischemia. Because the majority of clinical conditions in which focal brain ischemia occurs are associated with high intracranial pressure (ICP), we have used the rat acute subdural hematoma model to evaluate the e...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199407000-00016

    authors: Kuroda Y,Fujisawa H,Strebel S,Graham DI,Bullock R

    更新日期:1994-07-01 00:00:00

  • Mild hypothermia as a protective therapy during intracranial aneurysm surgery: a randomized prospective pilot trial.

    abstract:OBJECTIVE:To conduct a pilot trial of mild intraoperative hypothermia during cerebral aneurysm surgery. METHODS:One hundred fourteen patients undergoing cerebral aneurysm clipping with (n = 52) (World Federation of Neurological Surgeons score < or =III) and without (n = 62) acute aneurysmal subarachnoid hemorrhage (SA...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006123-199901000-00009

    authors: Hindman BJ,Todd MM,Gelb AW,Loftus CM,Craen RA,Schubert A,Mahla ME,Torner JC

    更新日期:1999-01-01 00:00:00

  • Differential effects of tumor necrosis factor-alpha on proliferation, cell surface antigen expression, and cytokine interactions in malignant gliomas.

    abstract::Tumor necrosis factor-alpha (TNF-alpha), a cytokine produced by astrocytes in vivo and in vitro, was tested for its effects on two malignant astrocytoma cell lines (A-172, U-87). Both lines were immunoreactive for glial fibrillary acidic protein, vimentin, Class I antigens, and interleukin-6. The lines differed in the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199301000-00013

    authors: Chen TC,Hinton DR,Apuzzo ML,Hofman FM

    更新日期:1993-01-01 00:00:00

  • Cerebrospinal fluid flow in an animal model of noncommunicating syringomyelia.

    abstract:OBJECTIVE:The source of fluid and the mechanism of cyst enlargement in syringomyelia are unknown. It has been demonstrated that cerebrospinal fluid (CSF) normally flows from the subarachnoid space through perivascular spaces and into the spinal cord central canal. The aim of this study was to investigate whether this f...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199905000-00068

    authors: Stoodley MA,Gutschmidt B,Jones NR

    更新日期:1999-05-01 00:00:00

  • Dissecting aneurysms of the bilateral vertebral arteries with subarachnoid hemorrhage: report of three cases.

    abstract:OBJECTIVE AND IMPORTANCE:Treatment of one side in cases of dissecting aneurysms of the bilateral vertebral arteries (VAs) with subarachnoid hemorrhage may result in dissection or rupture on the contralateral side. CLINICAL PRESENTATION:Three patients presented with dissecting aneurysms of the bilateral VAs with subara...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200206000-00033

    authors: Otawara Y,Ogasawara K,Ogawa A,Kogure T

    更新日期:2002-06-01 00:00:00

  • Evaluating the recovery of cognitive impairment in subarachnoid hemorrhage taking into consideration the practice effects.

    abstract:BACKGROUND:It is not completely clear whether there are differences in the evolution of the neuropsychological outcomes between the 2 intervention procedures (surgery and endovascular coiling) used in subarachnoid aneurysmatic hemorrhage. Some studies have investigated this topic but without completely controlling the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181fa2152

    authors: Santiago-Ramajo S,Katati MJ,Pérez-García M,Arjona-Moron V

    更新日期:2010-12-01 00:00:00

  • Primary pontine hematoma presenting as a cerebellopontine angle mass.

    abstract::A case of hemipontine hematoma from the rupture of a cryptic vascular malformation presenting as a cerebellopontine angle tumor is reported. The clinical features of and surgical approaches to partial pontine hematomas are briefly reviewed. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198607000-00023

    authors: Russell B,Rengachary SS,McGregor D

    更新日期:1986-07-01 00:00:00

  • Cell Therapy for Stroke: A Mechanistic Analysis.

    abstract::Cell therapy has been widely recognized as a promising strategy to enhance recovery in stroke survivors. However, despite an abundance of encouraging preclinical data, successful clinical translation remains elusive. As the field continues to advance, it is important to reexamine prior clinical trials in the context o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa531

    authors: Gu BJ,Kung DK,Chen HI

    更新日期:2020-12-28 00:00:00

  • Moderate head injury: completing the clinical spectrum of brain trauma.

    abstract::We have divided head injury into three categories based on the Glasgow Coma Scale (GCS) (severe, 3-8; moderate, 9-12; and minor, 13-15). In a previous report, we described significant disability after minor head injury. The present report describes 199 patients with moderate head injury, 159 of whom underwent follow-u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198209000-00002

    authors: Rimel RW,Giordani B,Barth JT,Jane JA

    更新日期:1982-09-01 00:00:00