Abstract:
:A retrospective study was conducted on 67 patients undergoing posterior cervical foraminotomy (PCF) for unilateral intraforaminal soft and hard disc disease. Neurologic impairment, employment, and severity of associated signs were assessed preoperatively and at a 3.1-year average follow-up (range, 1.5-7 years). Diminution or complete disappearance of radicular symptoms was observed in 62 cases (93%), 3 months to 3 years after surgery. Minimal neurologic deficits persisted in 5 cases (7%). Neck pain improved in 62 cases, remained unchanged in three, and progressed in two cases with severe preoperative deficits. Fifty-three patients (79%) returned to their previous occupation; only seven (10%) retired prematurely on the basis of disc disease alone. Based on Prolo's functional economic outcome rating scale, 60 patients (90%) showed excellent economic outcome. Posterior cervical foraminotomy is an efficient means of decompressing lateral spinal roots compromised by soft disk herniations or osteophytic spurs, without the risk of an anterior approach with or without fusion. Careful patient selection and microsurgical technique are essential in obtaining consistent, excellent results. Additionally, the recent trend toward minimally invasive techniques and key-hole operations in neurosurgery and other specialisations favours the posterior approach.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Witzmann A,Hejazi N,Krasznai Ldoi
10.1007/pl00011957keywords:
subject
Has Abstractpub_date
2000-12-01 00:00:00pages
213-7issue
4eissn
0344-5607issn
1437-2320journal_volume
23pub_type
杂志文章abstract::Intraoperative monitoring systems that utilize various evoked potentials for the detection and/or preservation of cranial nerves have become increasingly common due to recent technical and commercial developments, particularly during skull base surgeries. We established a novel system for the intraoperative monitoring...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-1028-z
更新日期:2020-02-01 00:00:00
abstract::The basic principles of NMRI are explained. Examples are given of the current medical uses of imaging with protons and other nuclei as well. Further developments towards spectroscopic imaging are discussed. ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01892908
更新日期:1984-01-01 00:00:00
abstract::Stroke therapy has been revolutionized in the past two decades with the widespread implementation of chemical thrombolysis for acute stroke. However, chemical thrombolysis continues to be limited in its efficacy secondary to relatively short time windows and a high associated risk of hemorrhage. In an attempt to minim...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-010-0294-1
更新日期:2011-01-01 00:00:00
abstract::We present 78 patients with spinal cord injuries. Operation is not indicated in cord contusion, extended bleeding into the spinal canal or severe fracture dislocation. However, it would seem advisable to operate on patients with vertebral fractures, particularly at the lower thoracic and lumbar levels, if intraspinal ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01790702
更新日期:1989-01-01 00:00:00
abstract::In 63 specimens, 74 aneurysms, and five other lesions, postmortem microsurgical and endoscopic inspection (PMI) was done. This work not only allowed for safe pathoanatomic findings, but moreover showed characteristics of a training method developed according to a model with clear standards. PMI gives training in: 1. U...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s101430100155
更新日期:2002-03-01 00:00:00
abstract::Stereotactic biopsies represent a routine neurosurgical procedure for the diagnosis of intracranial lymphomas and selected diffusely infiltrating gliomas. Acquisition of tissue samples that do not allow correct tumor typing and grading is, however, not uncommon. Five-aminolevulinic acid (5-ALA) has been shown to accum...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-012-0374-5
更新日期:2012-07-01 00:00:00
abstract::In the last decade, operative decompression of cord and cauda, internal fixation with rods, bony fusion and early ambulation, have become more popular in the management of thoracolumbar injuries with neurological deficit. Computer-tomography, CT myelography and peroperative ultrasonography provided direct evidence, th...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743066
更新日期:1986-01-01 00:00:00
abstract::Arteriovenous malformation (AVM) may change the cerebral hemodynamics. The purpose of this study was to detect the effects of ionizing radiation (IR) on tissues surrounding AVM in a rat caroticojugular fistula model. Forty rats were divided into four groups. Eight weeks after caroticojugular fistulas and chronic hypop...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-003-0316-3
更新日期:2004-04-01 00:00:00
abstract::Twenty-six patients with oculomotor nerve palsy due to cerebral aneurysms were examined. There were six males and twenty females with a mean age of 55 years. 25 of the 26 aneurysms were located at the junction of the internal carotid and the posterior communicating artery and one was at the junction of the basilar art...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01741485
更新日期:1989-01-01 00:00:00
abstract::A hypothalamic hamartoma associated with true precocious puberty in a 7-month-old girl is hereby reported. Hormonal studies disclosed elevated serum levels of luteinizing hormone (LH) and follicle stimulating hormone, both of which responded well to LH-releasing hormone stimulation. Following a subtotal removal of the...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00258250
更新日期:1993-01-01 00:00:00
abstract::Ethmoidal dural arteriovenous fistulae are rare vascular malformations associated with a high risk of bleeding. We present a multicenter contemporary series of patients treated with microsurgical and endovascular techniques. Sixteen consecutive patients were evaluated and/or treated between 2008 and 2015 at four cente...
journal_title:Neurosurgical review
pub_type: 杂志文章,多中心研究,评审
doi:10.1007/s10143-016-0764-1
更新日期:2018-04-01 00:00:00
abstract::A unique case of suprasellar dermoid cyst and familial hypercholesterolemia in a child is reported. Such an association, which strengthens the congenital hypothesis of dermoid cysts, could be a manifestation of a complex dyslipidemic inherited syndrome, at least in children. Surgical removal of the dermoid cyst which ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00416478
更新日期:1995-01-01 00:00:00
abstract::We collected data to provide evidence that orbital cavernous malformations (CMs) are histopathologically, neuroradiologically, and clinically different from cerebral CMs and may represent a distinct entity. In this study, the main clinical, histopathological and radiological characteristics of 19 patients (11 females ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-006-0055-3
更新日期:2007-01-01 00:00:00
abstract::Histological, immunocytochemical, and biological features of 38 giant cell gliomas were investigated. The invasion of these tumors and its giant cells by histiocytes, lymphocytes, plasma cells, and especially by eosinophilic granulocytes is viewed as an immune response, which may explain a favorable clinical course. F...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01782050
更新日期:1987-01-01 00:00:00
abstract::The purpose of this study was to study the acute phase effects of adenosine triphosphate (ATP)-MgCl2 on experimental spinal cord clip compression injury. Spinal cord clip compression injury was performed on 36 albino Wistar rats. The rats were divided into five groups. T4-T8 total laminectomy was performed on all rats...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-002-0233-x
更新日期:2003-01-01 00:00:00
abstract::Unruptured intracranial aneurysms represent a decisional challenge. Treatment risks have to be balanced against an unknown probability of rupture. A better understanding of the physiopathology is the basis for a better prediction of the natural history of an individual patient. Knowledge about the possible determining...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-013-0501-y
更新日期:2014-01-01 00:00:00
abstract::Gamma knife radiosurgery (GKRS) has emerged as a possible treatment option for metastasis brain tumor (MBTs) originated from breast cancer. However, the intermediate or long-term outcome of GKRS on MBTs originated from breast carcinoma is not well defined. The outcome of GKRS on MBTs derived from breast carcinoma was ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0624-4
更新日期:2015-07-01 00:00:00
abstract::The aim of this study was to perform a morphometric analysis of untreated adult skulls displaying syndromic and nonsyndromic craniosynostosis. We analyzed, in detail, 42 adult craniosynostoses (18 scaphocephaly, 11 anterior plagiocephaly, 2 trigonocephaly, 9 oxycephaly, and 2 brachycephaly) from archeological (three s...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-007-0100-x
更新日期:2008-04-01 00:00:00
abstract::Superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis is a safe and effective treatment for moyamoya disease, although recent evidence suggests its substantial risk for symptomatic cerebral hyperperfusion. The diagnostic value of single-photon emission computed tomography (SPECT) for postoperative h...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-008-0147-3
更新日期:2008-10-01 00:00:00
abstract::Although several studies have suggested that aneurysmal wall inflammation and laminar thrombus are associated with the rupture of saccular aneurysms, the mechanisms leading to the rupture remain obscure. We performed full exposure of aneurysms before clip application and attempted to keep the fibrin cap on the rupture...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0628-0
更新日期:2015-07-01 00:00:00
abstract::This study sought to describe and evaluate any relationship between D-dimer values and progressive hemorrhagic injury (PHI) after traumatic brain injury (TBI). In patients with TBI, plasma D-dimer was measured while a computed tomography (CT) scan was conducted as soon as the patient was admitted to the emergency depa...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-010-0251-z
更新日期:2010-07-01 00:00:00
abstract::In 63 cases of clinical definite or suspected MS we compared the results of CSF analysis, VEP, BAEP, CT scanning without and after double dose contrast, in 17 cases also those of MRT. We found that CSF analysis had the highest rate of abnormal findings, followed by MRT. VEP and CT with double dose contrast showed simi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01795695
更新日期:1988-01-01 00:00:00
abstract::A review of a series of 56 patients with a giant intracranial aneurysm showed that 28 presented with signs related to the mass effect and 19 with subarachnoid hemorrhage (SAH). Additional clinical signs observed were seizures, ischemia, and endocrinological disturbances. Fourty-five aneurysms involved the carotid arte...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00383260
更新日期:1991-01-01 00:00:00
abstract::CSF hydrocele as a complication of migration or extrusion of the peritoneal end of the V-P shunt has rarely been reported. Here the case of a 6 month old infant, born at 28 weeks gestational age, is reported. The baby was noted to have scrotal swelling, exacerbated by crying, two months after insertion of ventriculope...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00313040
更新日期:1991-01-01 00:00:00
abstract::The purpose of this study is to compare intervertebral bone fusion and clinical outcomes in L4-5 posterior lumbar interbody fusion (PLIF) using the same posterior instrumentation with four combinations of one of three types of interbody cage with one of two bone grafts, iliac and local or only local. In 67 patients wh...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0610-x
更新日期:2015-07-01 00:00:00
abstract::Surgical approaches for medically refractory mesial temporal lobe epilepsy (MTLE) that previously have been reported include anterior temporal lobectomy (ATL), transcortical selective amygdalohippocampectomy, transsylvian amygdalohippocampectomy, and subtemporal amygdalohippocampectomy. Each approach has its advantage...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0657-8
更新日期:2016-01-01 00:00:00
abstract::Vasospasm is a major contributor to morbidity and mortality in aneurysmal subarachnoid hemorrhage (SAH), with inflammation playing a key role in its pathophysiology. Myeloperoxidase (MPO), an inflammatory marker, was examined as a potential marker of vasospasm in patients with SAH. Daily serum samples from patients wi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-012-0375-4
更新日期:2012-07-01 00:00:00
abstract::Craniopharyngiomas (CPs) are rare, benign tumors derived from Rathke's pouch, known for their high recurrence rates and associated morbidity and mortality. Despite significant investigation on risk factors for recurrence, a lack of consensus persists. Recent research suggests that specific histopathological and molecu...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0978-5
更新日期:2020-02-01 00:00:00
abstract::The use of intraoperative MRI (iMRI) increases extent of resection in transsphenoidal pituitary surgery. Microsurgical and endoscopic techniques have been established as equal and standard surgical methods. The object of the current study was to evaluate the additional value of iMRI for resection of invasive pituitary...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-019-01102-7
更新日期:2019-09-01 00:00:00
abstract::Microvascular decompression represents an effective treatment for hemifacial spasm. The use of lateral spread response (LSR) monitoring remains a useful intraoperative tool to ensure adequate decompression of the facial nerve. The aim of this study was to assess the value of LSRs intraoperative monitoring as a prognos...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0708-9
更新日期:2016-07-01 00:00:00