New grading system to predict resectability of anterior clinoid meningiomas.


:Sixty patients with anterior clinoid meningiomas (mean age 48 years) were surgically treated. There was a slight female predominance. Headache and visual impairment were the commonest clinical symptoms at presentation. The patients were classified on the basis of extent of the visual impairment, size of the tumor, and the tumor relationship with the internal carotid artery. A grading system was designed using the total scores in these classifications on the scale of 2-10. The classifications and the grading system were assessed for planning of the operative strategy, anticipating the extent of resectability, possible difficulties in dissecting the carotid artery and optic nerve during the operation, and prognosis. Total resection was achieved in 42 cases (scores 4-8), subtotal resection in 17 cases (scores 7-10), and only partial resection in one case (score 10). Vision improved in 14 cases. Three patients died following surgery. Mean follow up was 26 months. There was one recurrence. Fifty-four patients are leading independent and active lives.


Goel A,Gupta S,Desai K





Has Abstract


2000-12-01 00:00:00


610-6; discussion 616-7












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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审


    authors: Tosaka M,Sato K,Amanuma M,Higuchi T,Arai M,Aishima K,Shimizu T,Horiguchi K,Sugawara K,Yoshimoto Y

    更新日期:2015-01-01 00:00:00

  • Internal carotid artery obstruction derived from persistent arterial wall dissection associated with old trivial trauma.

    abstract::A 59-year-old man presented with acute onset of visual loss in his right eye. He was treated under a diagnosis of retinal artery thrombosis. Ultrasonography revealed obstruction of the ipsilateral internal carotid artery (ICA). He had no risk factor for stroke and he denied any history of trauma. Follow-up ultrasonogr...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Akiyama Y,Tanaka M,Hayashi J,Fujimoto M,Harada K,Nakahara I,Taniwaki Y

    更新日期:2006-08-01 00:00:00

  • Cerebral blood flow changes during localized hyperthermia.

    abstract::Hyperthermia is becoming a potent therapeutic method for malignant brain tumors, either alone or in combination with radiation therapy. The heat response of organized tissues includes other factors besides the inherent cellular thermosensitivity, that is, tissue pH, PaO2, and nutrient supply, all of which are largely ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Moriyama E

    更新日期:1990-11-01 00:00:00

  • Emerging symptoms of growing skull fracture after secondary trauma in an adult--case report.

    abstract::A 20-year-old female presented with dysphasia and slight hemiparesis following a head trauma, who had a non-treated growing skull fracture which had remained asymptomatic for about 18 years, despite an encephalocele in the left parietal region. Neuroimaging demonstrated secondary brain damage and herniated brain resul...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Onizuka K,Momma F,Ohara S,Ohyama T

    更新日期:1994-12-01 00:00:00

  • Progression of intracranial meningioma during luteinizing hormone-releasing hormone agonist treatment for prostate cancer: case report.

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Anda T,Honda M,Ishihara T,Kamei T

    更新日期:2014-01-01 00:00:00

  • Primary central nervous system mucosa-associated lymphoid tissue lymphoma--case report.

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Kamoshima Y,Sawamura Y,Sugiyama T,Yamaguchi S,Houkin K,Kubota K

    更新日期:2011-01-01 00:00:00

  • Fluorine-18-fluorodeoxyglucose positron emission tomography may predict the outcome in patients with asymptomatic mild stenosis of internal carotid artery--case report.

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Motegi H,Kuroda S,Nakayama N,Hirata K,Shiga T,Tamaki N

    更新日期:2011-01-01 00:00:00

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Nagai T,Kajita Y,Maesawa S,Nakatsubo D,Yoshida K,Kato K,Wakabayashi T

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Akimoto J,Nakajima N,Saida A,Haraoka J,Kudo M

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Takeuchi S,Takasato Y,Masaoka H,Hayakawa T,Otani N,Yoshino Y,Yatsushige H

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  • Management of Spontaneous Intracerebral Hematoma.

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审


    authors: Morioka M,Orito K

    更新日期:2017-11-15 00:00:00

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    authors: Ohta T,Maekawa H,Kasuno K,Tsukamoto T,Muso E,Ishikawa M

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  • Adverse effects of intravenous acetazolamide administration for evaluation of cerebrovascular reactivity using brain perfusion single-photon emission computed tomography in patients with major cerebral artery steno-occlusive diseases.

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  • [Neurosurgical management of dialyzed patients].

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Hirano K,Ishii R,Suzuki Y,Kikuoka M,Hirano H,Ohsawa G,Ohtsuka R,Itoh Y

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


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    更新日期:2010-01-01 00:00:00

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审


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  • Perimesencephalic nonaneurysmal subarachnoid hemorrhage with unilateral third cranial nerve palsy: two case reports.

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Sadamasa N,Sano N,Takeda N,Yoshida K,Narumi O,Chin M,Yamagata S

    更新日期:2012-01-01 00:00:00

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Yoshimoto H,Maeda H,Aoyama H,Kanazawa J,Kitaoka T,Uozumi T

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Serizawa T,Satoh A,Miyata A,Kobayashi S,Odaki M,Nakamura H,Watanabe Y

    更新日期:1992-06-01 00:00:00

  • Surgical Intervention for Instability of the Craniovertebral Junction.

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    pub_type: 杂志文章,评审


    authors: Takayasu M,Aoyama M,Joko M,Takeuchi M

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    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章


    authors: Diraz A,Kobayashi S,Gibo H,Ohsawa M

    更新日期:1993-08-01 00:00:00