Abstract:
OBJECTIVE AND IMPORTANCE:Vascular malformations in the optic pathway are rare. Only one case of pathologically confirmed arteriovenous malformation (AVM) of the optic nerve has been reported previously. We document the case of a patient with an optic nerve AVM who presented with optic apoplexy that was diagnosed with the use of magnetic resonance imaging. CLINICAL PRESENTATION:A 15-year-old girl developed left visual disturbance of sudden onset while playing badminton. A magnetic resonance imaging scan disclosed left optic nerve swelling and intraoptical hemorrhage, although an angiogram did not reveal abnormal vessels. INTERVENTION:The patient underwent total removal of the hematoma and tangles of the abnormal vessels in the left optic nerve, which was diagnosed pathologically as an AVM. The patient recovered visual acuity, but the left visual field defect remained unchanged. CONCLUSION:Along with cavernous malformations and optic gliomas, AVMs can be a rare cause of optic nerve apoplexy. T2-weighted magnetic resonance imaging is useful in rendering the diagnosis of an optic nerve AVM, observed as a mass lesion consisting of serpiginous, tangled, low-intensity bands. Early surgical treatment is recommended to obtain a rapid recovery.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Muragaki Y,Ujiie H,Ohno M,Kubo O,Hori Tdoi
10.1097/00006123-200210000-00041keywords:
subject
Has Abstractpub_date
2002-10-01 00:00:00pages
1075-8; discussion 1078issue
4eissn
0148-396Xissn
1524-4040journal_volume
51pub_type
杂志文章,评审相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Rathke cleft cysts (RCCs), benign remnants of the Rathke pouch typically arising in the sella, sometimes have suprasellar extension. Purely suprasellar RCCs are rarely reported. OBJECTIVE:To compare the presentations, surgical outcomes, and pathology of purely suprasellar RCCs and sellar-based RCCs. METHOD...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318228bcea
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Instrumentation of the spine depends on choosing the correct insertion angles to implant screws. Although modern image guidance facilitates precise instrumentation of the spine, the equipment is costly and availability is limited. Although most surgeons use lateral fluoroscopy to guide instrumentation in the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000023
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:Recent studies of age-related effects on cognition and performance have raised concerns about the appropriate timing and regulatory surveillance of retirement for surgeons. Little is known about the practice patterns and retirement plans of aging neurosurgeons. Analyses of informed opinions on possible regula...
journal_title:Neurosurgery
pub_type: 共识发展会议,杂志文章
doi:10.1227/01.NEU.0000349932.37540.02
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:Animal model systems have shown that head trauma can induce cell death in regions of the brain away from the site of the impact via a process of apoptosis. We sought to determine whether there was evidence of cellular apoptosis in clinically collected materials from human head trauma patients, as well as to a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200004000-00034
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To examine the incidence and possible determinants of impaired vascular reserve in arteriovenous malformation (AVM)-affected brain, before and after surgery. METHODS:In a prospective study of 30 patients, the regional cerebrovascular reserve capacity (rCRC) and the vasodilated regional cerebral blood flow (r...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200104000-00001
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Pharmacological prophylaxis for venous thromboembolism (VTE) in the neurosurgical population is still a matter of debate, as the risk-to-benefit ratio is not well defined. OBJECTIVE:To further evaluate the risk-to-benefit ratio of VTE prophylaxis (VTEP) for all neurosurgical procedures. METHODS:A prospecti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy035
更新日期:2019-02-01 00:00:00
abstract:Background and importance:Lesions in the corticospinal tract above the decussation at the medullary pyramids almost universally produce contralateral deficits. Rare cases of supratentorial lesions causing ipsilateral motor deficits have been reported previously, but only ever found secondary to stroke or congenital pyr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw074
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:The diagnosis of isolated central nervous system angiitis often requires both cerebral angiography and biopsy for diagnosis. CLINICAL PRESENTATION:We present a case of gliomatosis cerebri with demonstrated angiographic changes suggestive of a central nervous system vasculitis. INTERVENTION:A 47-year-old wom...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000216258.35308.AA
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Identification of rupture sites in patients with multiple intracranial aneurysms is largely based on aneurysm size, location, and shape. Finding circumferential enhancement along the aneurysm wall (CEAW) on magnetic resonance (MR) vessel wall imaging was recently shown to be indicative of ruptured aneurysm. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx267
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:During the past decade, management of posterior circulation aneurysms has shifted away from microsurgery. Currently, microsurgical clipping is considered a primary, competitive alternative to endovascular coiling, or more commonly, a secondary alternative when endovascular therapy is unfavorable. We present a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000333295.59738.de
更新日期:2008-06-01 00:00:00
abstract::A patient with a planum sphenoidale meningioma mimicking a classic case of pituitary apoplexy is presented. A review of the apoplectiform onset of meningiomas is included. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:As a consequence of the increased use of endovascular coiling of intracranial aneurysms, a growing number of case reports on complications are being reported. This article presents a case with a previously undescribed complication of coil treatment: a reactive, noninfectious process after coil...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318210c7c0
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To evaluate surgical access to the craniocervical junction using 3 endoscopic approaches: endonasal, transoral, and transcervical. METHODS:Nine cadaveric specimens were used. Image guidance was used in 1 specimen for each approach; fluoroscopy was used in every case. The Vitrea imaging station (Vital Images ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000345641.97181.ED
更新日期:2009-12-01 00:00:00
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
更新日期:2002-11-01 00:00:00
abstract::Although thrombocytopenia occurs in approximately 10% of medical patients who receive heparin, this complication has not been described in neurosurgical patients. We report the clinical course of two patients who in the immediate postoperative period developed heparin-associated thrombocytopenia that resulted in signi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198607000-00010
更新日期:1986-07-01 00:00:00
abstract::THE IDEAL GRAFT material to promote spinal fusion should possess osteoconductive, osteoinductive, and osteogenic properties. Although autogenous bone graft has all three qualities and is the standard for comparison, research has focused on finding alternatives that have similar efficacy but not the morbidities associa...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000324990.04818.13
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Resection of cerebellopontine angle (CPA) meningiomas may result in significant neurological morbidity. Radiosurgery offers a minimally invasive alternative to surgery. OBJECTIVE:To evaluate, in a multicenter cohort study, the outcomes of patients harboring CPA meningiomas who underwent Gamma Knife radiosur...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000000480
更新日期:2014-10-01 00:00:00
abstract::The purpose of the investigation was to evaluate the effects of d-propranolol upon temporary cerebral ischemia followed by a period of reperfusion, that is, a situation analogous to major cerebral artery embolization. Twenty adult cats, lightly anesthesized with nitrous oxide, underwent 4 hours of right middle cerebra...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198501000-00005
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:This study uses proton magnetic resonance spectroscopy to investigate whether or not idiopathic normal pressure hydrocephalus is associated with neuronal dysfunction or ischemia in the brain. We evaluate whether or not proton magnetic resonance spectroscopy is useful for predicting improvement after long-term...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.NEU.0000311070.25992.05
更新日期:2008-01-01 00:00:00
abstract::A case of congenital lumbar stenosis producing lower extremity spasticity and bladder dysfunction in a young child is presented. Myelography demonstrated a marked stenosis of the spinal canal at L-2, L-3, and decompressive laminectomy resulted in a marked improvement in symptoms. A discussion of lumbar stenosis in gen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198207010-00013
更新日期:1982-07-01 00:00:00
abstract:OBJECTIVE:Inflammatory cascades play a significant role in progressive neurological injury after transient cerebral ischemia. It has been demonstrated that heparin, a potent anticoagulant, also possesses anti-inflammatory properties that diminish postreperfusion damage after stroke. However, the potential for heparin t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000306109.55174.e6
更新日期:2007-12-01 00:00:00
abstract::A stab wound to the right flank of a 24-year-old man produced immediate paralysis of both legs but spared sensation. Recovery was slow but sufficient to allow walking with a cane. Radicular artery interruption, in combination with systemic hypotension, is presumed to have caused selective watershed infarction of the s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199308000-00014
更新日期:1993-08-01 00:00:00
abstract::Safety and efficacy of the thrombolytic agent urokinase (URO) in the elimination of subarachnoid clot and prevention of chronic vasospasm was compared with tissue-type plasminogen activator (rt-PA) in a blind, randomized placebo-controlled trial. Twenty monkeys were randomly assigned to one of five groups of four. Eac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199310000-00020
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:Intrawound vancomycin powder has been studied extensively in spinal fusion surgeries and been found to reduce rates of surgical site infections (SSIs) significantly. Despite its success in spinal surgeries, topical vancomycin has not been extensively studied with respect to cranial neurosurgery. OBJECTIVE:T...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw127
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Obesity is a risk factor for cardiovascular disease and associated with a poor outcome, especially for intensive care patients. However, recent studies have described favorable outcomes of obese patients after stroke, a phenomenon called the "obesity paradox." OBJECTIVE:To assess the impact of the body mass...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000430322.17000.82
更新日期:2013-08-01 00:00:00
abstract::In an attempt to eliminate the many negative aspects of conventional extensive laminectomy, we originated in 1981 and have developed a new surgical technique called "suspension laminotomy." A basic principle of this operation is preservation and repair of the soft and bony tissue of the spine with osseous enlargement ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198712000-00033
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:Neonatal germinal matrix hemorrhage/intraventricular hemorrhage is common and often results in hydrocephalus. The pathogenesis of posthemorrhagic hydrocephalus is not fully understood. OBJECTIVE:To explore the potential role of hemoglobin and iron released after hemorrhage. METHODS:Artificial cerebrospinal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000524
更新日期:2014-12-01 00:00:00
abstract::The authors report a rare case of traumatic false aneurysm of the middle meningeal artery associated with a delayed contralateral extradural hematoma. The extradural hematoma was evacuated, and the pseudoaneurysm was removed to avoid delayed rupture. The literature on traumatic aneurysms is reviewed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198602000-00016
更新日期:1986-02-01 00:00:00
abstract:BACKGROUND:Urinary disorders account for 10% of deaths in patients with complete spinal cord injury. Sacral anterior root stimulation (SARS) may be a valuable therapeutic option to restore complete and voluntary micturition (CVM), but questions on its cost-effectiveness remain. OBJECTIVE:To evaluate the cost-effective...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1227/NEU.0000000000000033
更新日期:2013-10-01 00:00:00
abstract::Progressive kyphotic deformity of the cervical spine may be a late sequela of congenital cervical anomalies, degenerative disc disease, neoplasm, cervical trauma, and surgical procedures. Of these, postsurgical kyphosis is the most common and can occur after ventral and dorsal surgeries of the cervical spine. The purp...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144496.36844.7b
更新日期:2005-01-01 00:00:00