Three-dimensional computed tomographic cranial base measurements for improvement of surgical approaches to the petrous carotid artery and apex regions.

Abstract:

OBJECTIVE:The bony and vascular anatomic features in the region of the petrous apex can vary significantly. These variations affect the operative view obtained via extended subtemporal or anterior transpetrosal approaches to cranial base lesions for individual patients. The goal of this study was to evaluate three-dimensional computed tomography as a means of obtaining detailed preoperative anatomic information regarding bony and vascular landmarks and spatial relationships in the region of the petrous carotid artery and petrous apex. METHODS:We radiographically studied 15 patients (30 sides), using 0.8- to 1-mm-thick, reconstructed, computed tomographic images. Special attention was given to the course of the petrous carotid artery. RESULTS:The petrous carotid artery was located lateral to the trigeminal impression. The size of the petrous apex medial to the horizontal petrous carotid artery was observed to be variable. The width of bone from the trigeminal impression to the wall of the internal auditory canal averaged 9.6 mm (range, 5.2-16.1 mm). A variable amount of bone overlying the internal auditory canal (4.5 mm) was also present. Multiple other relationships among key landmarks were quantified. CONCLUSION:There is significant variability in the anatomic features of the petrous apex among patients. For each patient, detailed preoperative information regarding the amount of bone to be removed during a cranial base procedure can be obtained using three-dimensional computed tomography. This information may be critical for determination of the amount of extra exposure that can be achieved via an anterior petrosectomy for each patient.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Villavicencio AT,Leveque JC,Bulsara KR,Friedman AH,Gray L

doi

10.1097/00006123-200108000-00016

keywords:

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

342-52; discussion 352-3

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

49

pub_type

杂志文章
  • Past, Present, and Future of Neurosurgery in Uganda.

    abstract::Neurosurgery in Uganda was virtually non-existent up until late 1960s. This changed when Dr. Jovan Kiryabwire spearheaded development of a neurosurgical unit at Mulago Hospital in Kampala. His work ethic and vision set the stage for rapid expansion of neurosurgical care in Uganda.At the beginning of the 2000s, Uganda ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyw159

    authors: Haglund MM,Warf B,Fuller A,Freischlag K,Muhumuza M,Ssenyonjo H,Mukasa J,Mugamba J,Kiryabwire J

    更新日期:2017-04-01 00:00:00

  • Cerebellar astrocytomas in elderly patients with very long preoperative histories: report of three cases.

    abstract::Three patients, ages 69, 67, and 74 years, respectively, underwent surgical removal of cystic cerebellar astrocytomas. All three had past histories pointing to the existence of a cerebellar lesion for many decades prior to surgery: Patient 1 had had nystagmus on lateral gaze on the side of the tumor since early childh...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198908000-00016

    authors: Kepes JJ,Whittaker CK,Watson K,Morantz RA,Millett R,Clough CA,Oxley DK

    更新日期:1989-08-01 00:00:00

  • Middle cerebral artery aneurysm due to Nocardia asteroides: case report of aneurysm excision and extracranial-intracranial bypass.

    abstract::Nocardia asteroides is an uncommon human pathogen typically encountered in immunocompromised patients. Primary central nervous system (CNS) nocardiosis is rare and usually manifests as cerebritis or abscesses. The case of a young woman who presented with CNS Nocardia abscesses complicated by an infective middle cerebr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Hadley MN,Spetzler RF,Martin NA,Johnson PC

    更新日期:1988-05-01 00:00:00

  • 116 years (1889-2005) of neurosurgical practice and education at Gulhane Military Medical Academy.

    abstract::Modern medical education in the Ottoman Empire began with the founding of the School of Medicine and Surgery in 1827. This was a military school established to provide military physicians for the army. The first neurosurgical interventions at this school were initiated by Cemil Pasha in 1889. This school has gradually...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/01.NEU.0000197488.65065.C3

    authors: Timurkaynak E,Izci Y,Acar F

    更新日期:2006-03-01 00:00:00

  • Primary pituitary carcinoma: a clinical pathological study.

    abstract::A 60-year-old woman presented with a history of headache and rapidly progressive complete bilateral ophthalmoplegia. Her endocrine function was normal. Radiographic studies revealed signs of diffuse destruction of the sella turcica by a tumor without suprasellar extension. Biopsies of the lesion within the sphenoid si...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Nudleman KL,Choi B,Kusske JA

    更新日期:1985-01-01 00:00:00

  • Microtrauma in the lumbar spine: a cause of low back pain.

    abstract::Excessive mechanical stress on the intervertebral disc may be one of the causes of low back pain. Most studies testing this thesis, however, have been based on quantification of the mechanical response of functional units at failure. Typically, radiography is used to demonstrate trauma to the vertebral body at the fai...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198808000-00006

    authors: Yoganandan N,Maiman DJ,Pintar F,Ray G,Myklebust JB,Sances A Jr,Larson SJ

    更新日期:1988-08-01 00:00:00

  • Diagnostic value of computed tomography in recurrent pain after discectomy.

    abstract::Intravenously enhanced computed tomography (CT) was used in patients in whom the differential diagnosis between recurrent herniated disc and postoperative scar was considered. Enhanced CT images demonstrated postoperative herniated discs more accurately than clinical criteria, myelography, or plain or postmetrizamide ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198702000-00018

    authors: Schell GR,Modesti LM,Cacayorin ED

    更新日期:1987-02-01 00:00:00

  • Cranial surgery in ancient Peru.

    abstract::Trephination is the oldest known surgical technique. Peru has been recognized as a major source of ancient trephined skulls, many of which date back 2300 years. This presentation reviews from a neurosurgical perspective many of the archaeological studies performed on these skulls. Comparative osteology has shown that ...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/00006123-198810000-00001

    authors: Rifkinson-Mann S

    更新日期:1988-10-01 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

  • New jet irrigation bipolar system.

    abstract::Irrigation bipolar systems are particularly useful for the washout of hematomas in subarachnoid hemorrhage during the acute stage of surgery and for preventing adherence of tissue to the bipolar tips during coagulation. These systems have become essential tools, and numerous improvements have been made to them. First,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199606000-00044

    authors: Sano H,Kato Y,Zhou J,Watanabe S,Okuma I,Hayakawa M,Kanno T

    更新日期:1996-06-01 00:00:00

  • Novel, compact, intraoperative magnetic resonance imaging-guided system for conventional neurosurgical operating rooms.

    abstract:OBJECTIVE:Preliminary clinical experience with a novel, compact, intraoperative magnetic resonance imaging (MRI)-guided system that can be used in an ordinary operating room is presented. DESCRIPTION OF INSTRUMENTATION:The system features an MRI scanner integrated with an optical and MRI tracking system. Scanning and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200104000-00021

    authors: Hadani M,Spiegelman R,Feldman Z,Berkenstadt H,Ram Z

    更新日期:2001-04-01 00:00:00

  • Extent of surgical resection is independently associated with survival in patients with hemispheric infiltrating low-grade gliomas.

    abstract:OBJECTIVE:It remains unknown whether the extent of surgical resection affects survival or disease progression in patients with supratentorial low-grade gliomas. METHODS:We conducted a retrospective cohort study (n = 170) between 1996 and 2007 at a single institution to determine whether increasing extent of surgical r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000325729.41085.73

    authors: McGirt MJ,Chaichana KL,Attenello FJ,Weingart JD,Than K,Burger PC,Olivi A,Brem H,Quinoñes-Hinojosa A

    更新日期:2008-10-01 00:00:00

  • Hemangiomatous anomaly of bone in Crouzon's syndrome: case report.

    abstract::A striking and diffuse hemangiomatous architecture was identified by microscopic examination of bone specimens obtained at cranial synostectomy and from the craniofacial area of a young boy with Kleeblättschadel deformity and Crouzon's syndrome. A retrospective review of the histopathological appearance of bone specim...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198503000-00019

    authors: Alpers CE,Edwards MS

    更新日期:1985-03-01 00:00:00

  • Respiratory problems associated with head trauma.

    abstract::Respiratory problems occur commonly in association with severe head injury. Seven easily measured parameters for the diagnosis of respiratory insufficiency are outlined. Certain central and peripheral causes of insufficient ventilation are analyzed, including head trauma and drug overdose as central sources and aspira...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-197711000-00016

    authors: Frost EA

    更新日期:1977-11-01 00:00:00

  • Usefulness of cordotomy in patients with cancer who experience bilateral pain: implications of increased pain and new pain.

    abstract:BACKGROUND:Although mirror pain occurs after cordotomy in patients experiencing unilateral pain via a referred pain mechanism, no studies have examined whether this pain mechanism operates in patients who have bilateral pain. OBJECTIVE:To assess the usefulness of cordotomy for bilateral pain from the viewpoint of incr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000593

    authors: Higaki N,Yorozuya T,Nagaro T,Tsubota S,Fujii T,Fukunaga T,Moriyama M,Yoshikawa T

    更新日期:2015-03-01 00:00:00

  • Clinical toxicity of combined modality treatment with nitrosourea derivatives for central nervous system tumors.

    abstract::Two nitrosourea compounds--1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU) and 1-(2-chloroethyl)-3-cyclohexyl-1-nitrosourea (CCNU)--have been used in the treatment of primary and metastatic brain tumors after operation and/or radiotherapy. Hematological and nonhematological toxicity were recorded in 272 patients treated b...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198209000-00012

    authors: Robustelli della Cuna G,Paoletti P,Bernardo G,Knerich R,Butti G,Cuzzoni Q

    更新日期:1982-09-01 00:00:00

  • Percutaneous minidose metrizamide endomyelographic computed tomography in syringomyelia.

    abstract::Two patients presented with syringomyelia, each unusual. After neuroradiographic diagnosis with delayed metrizamide computed tomography (CT) or magnetic resonance imaging (MRI), an interesting diagnostic question arose. A percutaneous minidose metrizamide endomyelographic CT (PMDMECT) study clarified each situation an...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198703000-00013

    authors: Blumenkopf B

    更新日期:1987-03-01 00:00:00

  • On the report of the first successful surgical treatment of brain abscess in the Ottoman Empire by Dr. Cemil Topuzlu in 1891.

    abstract::IN 1891, Dr. Cemil Topuzlu operated on a brain abscess that originated as a complication of a depression fracture of the cranial inner table. The patient presented with Jacksonian seizures on his left side after a sharp trauma resulting in a 15 cm-long scalp laceration and underlying linear cranial fracture in the rig...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000298917.17001.88

    authors: Mut M,Dinç G,Naderi S

    更新日期:2007-10-01 00:00:00

  • New variants of malignant glioneuronal tumors: a clinicopathological study of 40 cases.

    abstract:OBJECTIVE:To demonstrate that malignant glioneuronal tumors comprise a large spectrum of neoplasms, without mature ganglion-like cells, that may histologically resemble any malignant glioma (World Health Organization Grade III or IV) but have a distinct biological behavior. METHODS:This series includes all tumors diag...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000143033.36582.40

    authors: Varlet P,Soni D,Miquel C,Roux FX,Meder JF,Chneiweiss H,Daumas-Duport C

    更新日期:2004-12-01 00:00:00

  • Anterior decompression and stabilization of the spine in malignant disease.

    abstract::Evidence has accumulated that indicates that laminectomy with or without radiotherapy is not necessarily the best mode of treatment for all cases of spinal cord compression of malignant pathogenesis. Success is limited, and there is a high risk of adverse neurological developments, particularly where there is anterior...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198905000-00009

    authors: Moore AJ,Uttley D

    更新日期:1989-05-01 00:00:00

  • Persistent trigeminal artery: an anatomic study.

    abstract:INTRODUCTION:The most frequent embryonic communication between the vertebrobasilar and carotid systems is a persistent trigeminal artery (PTA). It has been observed in 0.1 to 0.2% of cerebral angiograms. We found this variation in an anatomic specimen, and after microscopic dissection, we performed an analysis of the c...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199809000-00082

    authors: Salas E,Ziyal IM,Sekhar LN,Wright DC

    更新日期:1998-09-01 00:00:00

  • Fatal phenytoin-related toxic epidermal necrolysis: case report.

    abstract::Toxic epidermal necrolysis is a rare but often fatal hypersensitivity reaction to numerous agents, including most anticonvulsants. The authors present a case of fatal phenytoin-related toxic epidermal necrolysis in a patient who was given prophylactic anticonvulsant therapy after he sustained a moderately severe close...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198912000-00022

    authors: Kelly DF,Hope DG

    更新日期:1989-12-01 00:00:00

  • Pineoblastoma in adults.

    abstract::This is the first report of a series of adults (> 16 years of age) with pineoblastomas who had their entire neuraxis staged at the time of diagnosis. Between 1975 and 1992, seven men and four women with histologically proven pineoblastomas were evaluated at the University of California, San Francisco. The median age a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199509000-00003

    authors: Chang SM,Lillis-Hearne PK,Larson DA,Wara WM,Bollen AW,Prados MD

    更新日期:1995-09-01 00:00:00

  • Cerebral hemorrhage from amyloid angiopathy and coronary thrombolysis.

    abstract::Coronary thrombolysis with streptokinase or tissue plasminogen activator is useful for the treatment of acute myocardial infarction in selected patients. This treatment is associated with local hemorrhagic complications and age-related cerebral hemorrhage. Coronary thrombolysis is contraindicated in patients with tran...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199209000-00025

    authors: Leblanc R,Haddad G,Robitaille Y

    更新日期:1992-09-01 00:00:00

  • A prospective phase II trial of fractionated stereotactic intensity modulated radiotherapy with or without surgery in the treatment of patients with 1 to 3 newly diagnosed symptomatic brain metastases.

    abstract:BACKGROUND:Several studies have demonstrated that omitting the routine use of adjuvant whole-brain radiation therapy for patients with newly diagnosed brain metastases may be a reasonable first-line strategy. Retrospective evidence suggests that fractionated stereotactic radiotherapy (fSRT) may have a lower level of to...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000325

    authors: Ammirati M,Kshettry VR,Lamki T,Wei L,Grecula JC

    更新日期:2014-06-01 00:00:00

  • Spinal epidural teratoma: review of spinal teratoma with consideration on the pathogenesis: case report.

    abstract:BACKGROUND AND IMPORTANCE:Of the 170 cases of teratomas in the spinal canal reported in the English literature, only 13 were spinal epidural teratomas (SETs). We present a case of SET, review the characteristics of SETs in comparison with spinal intradural teratomas (SITs), and investigate the pathogenesis of spinal te...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e3181f846ca

    authors: Park SC,Kim KJ,Wang KC,Choe G,Kim HJ

    更新日期:2010-12-01 00:00:00

  • Management of infected laminectomy wounds.

    abstract::Wound infection after lumbar, thoracic, or cervical laminectomies is a rare but potentially devastating complication. It can range in severity from superficial wound infection to an extensive wound dehiscence. The usual treatment of these wounds consists of intensive local care, debridement, and appropriate antibiotic...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199408000-00019

    authors: Shektman A,Granick MS,Solomon MP,Black P,Nair S

    更新日期:1994-08-01 00:00:00

  • Immunomodulation of glioma cells after gene therapy: induction of major histocompatibility complex class I but not class II antigen in vitro.

    abstract:OBJECTIVE:Acquired immunity has been demonstrated in Fischer rats bearing syngeneic 9L tumors after herpes simplex virus (HSV) thymidine kinase (TK) gene transfection and ganciclovir treatment. The nature of this immunity in rats and its relevance to the HSV TK/ganciclovir protocol for human subjects remain to be deter...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200109000-00028

    authors: Parsa AT,Chi JH,Hurley PT,Jeyapalan SA,Bruce JN

    更新日期:2001-09-01 00:00:00

  • Geographic and Hospital Variation in Cost of Lumbar Laminectomy and Lumbar Fusion for Degenerative Conditions.

    abstract:BACKGROUND:Spinal surgery costs vary significantly across hospitals and regions, but there is insufficient understanding of what drives this variation. OBJECTIVE:To examine the factors underlying the cost variation for lumbar laminectomy/discectomy and lumbar fusions. METHODS:We obtained patient information (age, gen...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx047

    authors: Zygourakis CC,Liu CY,Wakam G,Moriates C,Boscardin C,Ames CP,Mummaneni PV,Ratliff J,Dudley RA,Gonzales R

    更新日期:2017-08-01 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