Abstract：
:This retrospective study included eight consecutive cases with C2 vertebral body neoplastic lesions. The anterior retropharyngeal approach was used to remove the lesions and decompress the spinal cord. Spinal stabilization with occipitocervical plating in a second-stage operation makes the treatment more tolerable for patients. The object of this study was to determine the effectiveness of a two-stage operation strategy for these lesions. Eight patients were operated on via anterior retropharyngeal approach and then stabilized with occipitocervical plates posteriorly in a second sitting. All neck pain and all dysphagia problems resolved. Partial neurologic improvement was achieved in three out of four patients. No postoperative infection was seen. The retropharyngeal approach to the upper cervical spine and anterior foramen magnum lesions is an effective alternative to transoral surgery because of low complication rates. Neoplastic lesions in the upper cervical spine can safely and effectively be operated with this technique. The general medical status of patients with malignancies does not permit too long, time-consuming operations. Stabilization of the spine in a separate operation increases patient tolerability without any morbidity.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Colak A,Kutlay M,Kibici K,Demircan MN,Akin ONdoi
10.1007/s10143-003-0319-0keywords:
subject
Has Abstractpub_date
2004-07-01 00:00:00pages
189-93issue
3eissn
0344-5607issn
1437-2320journal_volume
27pub_type
杂志文章abstract：:Between 1987 and 1991 we performed a unilateral or bilateral frontoorbital advancement to correct trigono- or plagiocephaly in 10 children: Three-dimensional CT provides an exact basis for operation planning. Titanium miniplates allow an already primarily rather stable osteosynthesis. The best time for this interventi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00345936
更新日期：1992-01-01 00:00:00
abstract：:Endovascular management of cerebral aneurysms resulting in third nerve palsies has been proposed as an alternative to microsurgical clip ligation. Third nerve function recovery following endovascular treatment in a large patient population has not been evaluated. A literature search of MEDLINE, PubMed, and Cochrane da...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-007-0089-1
更新日期：2007-10-01 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：:The objective of this study was to ascertain if stereotactic neurosurgical biopsy (SNB) optimizes the therapy of undefined CNS masses. The design was of retrospective treatment and outcome analysis and the setting was a large general hospital. We studied a total of 141 patients with undefined, space-occupying CNS lesi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s101430050043
更新日期：1999-10-01 00:00:00
abstract：:A patients with a giant fusiform aneurysm of the left inferior trunkus of the middle cerebral artery (MCA) is presented. The size of the aneurysm was 5 cm at its largest diameter. Retrograde flow was well developed. After the application of temporary clips the aneurysm was excised and microsurgical reconstructions wer...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF02389331
更新日期：1998-01-01 00:00:00
abstract：:In view of the high incidence of late instability during conservative treatment of cervical spine fractures, operative stabilization should be performed as soon as possible. Besides immediate decompression of the spinal cord, rapid mobilisation of the patient without external fixation is possible. We report on the res...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00304331
更新日期：1993-01-01 00:00:00
abstract：:The optimal management of cranioplasty infections remains a matter of debate. Most authors have suggested that the infected bone/implant removal is mandatory, combined with prolonged antibiotic therapy before reconstruction. However, failures can occur, even with 12-18-month intervals between the surgeries. Longer wai...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01341-z
更新日期：2020-06-26 00:00:00
abstract：:The author reports a case of a histologically proven cavernous hemangioma of the cavernous sinus and middle fossa, which was treated by radiotherapy. This very rare lesion represents a formidable challenge to the neurosurgeon and its excision has been associated with a considerable mortality rate. The significant redu...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00314842
更新日期：1996-01-01 00:00:00
abstract：:Spinal instability neoplastic score (SINS) classification evaluates spinal stability by adding together six radiographic and clinical components. The objective of this study was to verify the association between SINS and Tokuhashi scoring system (TSS) score. Fifty-eight patients with vertebral metastases were admitted...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-016-0706-y
更新日期：2016-07-01 00:00:00
abstract：:Von Hippel-Lindau disease (VHL) is a hereditary cancer syndrome caused by germline mutations of the VHL tumor suppressor gene. Major progress has been made in the last decade in both clinical and fundamental aspects of VHL. The VHL gene product, pVHL, has major and multiple functions: pVHL regulates not only first ang...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s101430050024
更新日期：2000-03-01 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：: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：:Traumatic bifrontal contusions (TBC) form a recognised clinical entity among patients with traumatic brain injury (TBI). This study aims to systematically review current literature on demographics, management, and predictors of outcomes of patients with TBC. A multi-database literature search (PubMed, Cochrane, OVID M...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-019-01098-0
更新日期：2020-06-01 00:00:00
abstract：:Surgery for intraventricular tumors remains a controversial and evolving field, with endoscopic resection becoming more popular. We present a series of nine consecutive cases of purely endoscopic resection of intraventricular tumors with the aid of an ultrasonic aspirator specific for neuroendoscopy. Nine patients (fi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-018-1011-8
更新日期：2019-12-01 00:00:00
abstract：:Topographic brain mapping of EEG and evoked potentials permits the display of spontaneous and event-related activity of the brain. This new method is superior to conventional polygraphy because of the topographic approach which delineates structural and functional brain lesions. Data from 16 to 20 scalp electrodes wer...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01781950
更新日期：1987-01-01 00:00:00
abstract：:Hemangiopericytomas represent rare intracranial tumors that have a tendency to recur locally and have the unique characteristic of giving extracranial metastases. Our current communication reviews a series of patients diagnosed with hemangiopericytoma who were treated in our facility. Eleven patients with a mean age o...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-005-0001-9
更新日期：2006-04-01 00:00:00
abstract：:Teflon is utilized in neurosurgery as well as in plastic, vascular and heart surgery. Although the effect of Teflon on different types of cells and tissues has been previously studied, we are not aware of any study in which the effect of Teflon was tested on cells of the central nervous system. We have therefore exami...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00346368
更新日期：1990-01-01 00:00:00
abstract：:It was suggested that D, L-Methadone might improve the clinical course of glioma patients. Owing to massive press coverage, patients demand the prescription of D, L-Methadone, but regarding its adjunctive use in glioma therapy there is no standard medication plan. Furthermore, it is not known which side effects the ad...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01250-1
更新日期：2020-02-14 00:00:00
abstract：:Intracranial aneurysms usually occur at arterial bifurcations. However, in middle cerebral artery (MCA) aneurysms, we often find that the aneurysmal neck does not necessarily exist just on the arterial bifurcation. In this study, we have evaluated the relation among aneurysmal neck, parent artery, and daughter arterie...
journal_title：Neurosurgical review
pub_type： 临床试验,杂志文章
doi：10.1007/s10143-005-0379-4
更新日期：2005-07-01 00:00:00
abstract：:Concordance between the Unruptured Intracranial Aneurysm Treatment Score (UIATS), Earlier Subarachnoid Hemorrhage, Location, Age, Population, Size, Shape (ELAPSS) score, and Population, Hypertension, Age, Size, Earlier Subarachnoid Hemorrhage, Site (PHASES) score with real-world management decisions in unruptured intr...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01356-6
更新日期：2020-07-22 00:00:00
abstract：:As a result of their presumed benign natural history, cerebral capillary telangiectasias (CCTs) are infrequently addressed in the neurosurgical literature. We performed a comprehensive review of CCTs via the PubMed database to synthesize overall epidemiological, radiographic, natural history, and treatment results. Ac...
journal_title：Neurosurgical review
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10143-012-0435-9
更新日期：2013-04-01 00:00:00
abstract：:The introduction of computed tomography (CT) and magnetic resonance (MR) imaging has resulted in the detection of increasing numbers of asymptomatic intraventricular tumors. Establishing the correct preoperative diagnosis is important to prevent unnecessary surgical intervention. Our study includes nine cases of benig...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-004-0353-6
更新日期：2005-04-01 00:00:00
abstract：:Hyponatremia following acute or chronic central nervous system injury which is due to excessive Na+ loss in the urine without an increase in the body fluid, has been described as Cerebral Salt Wasting Syndrome (CSWS). This syndrome is often confused with dilutional hyponatremia secondary to inappropriate ADH secretion...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF00512052
更新日期：1996-01-01 00:00:00
abstract：:Twenty patients with severe head injury were analysed as to whether they developed a humoral immunodeficiency syndrome. In spite of the fact that 75% developed pyogenic complications all patients showed a polyclonal humoral activation of their immune system with an increase in IgG, IgA, IgM and the complement factors....
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01790685
更新日期：1989-01-01 00:00:00
abstract：:Functional activity, metabolism and blood flow are locally heterogeneous in the brain, but tightly coupled. This adjustment occurs in two different ways: 1. Short-term, dynamic coupling mediated by local vasoactive factors that ensure second-to-second regulation. 2. Long-term, static coupling apparently mediated by ca...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF00310651
更新日期：1991-01-01 00:00:00
abstract：:This study was carried out to evaluate the early results and the prognostic factors affecting the outcome during the in-hospital stay of 110 patients with civilian gunshot wounds to the head admitted at the Hospital of Restauração, Recife, Brazil. Penetrating injury (66%) was the most prevalent type of wound encounter...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-012-0377-2
更新日期：2012-07-01 00:00:00
abstract：:Although abundant in nature, fungi are infrequently pathogenic in humans. CNS fungal infections in non-immunocompromised individuals are uncommon. We discuss here the case of an otherwise healthy black woman with an isolated mass of the cerebellopontine angle identified as Blastomyces dermatitidis, successfully treate...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s101430050053
更新日期：1999-10-01 00:00:00
abstract：:Postoperative epidural haematoma distant to a site of craniotomy is a rare but possibly hazardous complication. We report a 31-year-old female who presented with a history of chronic hydrocephalus due to fourth-ventricular plexus papilloma. Following resection of the posterior fossa tumour with intraoperative placemen...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-003-0315-4
更新日期：2004-04-01 00:00:00
abstract：:It is well known that radiation can induce meningiomas. These tumors usually arise in patients with a history of low-dose radiation to the scalp for treatment of tinea capitis or high-dose radiation for a previous brain tumor. Radiation-associated meningiomas (RAMs) morphologically resemble their spontaneously arising...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-004-0366-1
更新日期：2005-04-01 00:00:00
abstract：:Structural and functional neuroimaging studies are essential in the evaluation of individuals with partial epilepsy syndromes. Magnetic resonance imaging (MRI) is important to delineate structural abnormalities underlying seizure disorders, commonly including hippocampal sclerosis or cortical dysplasias. Identificatio...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-003-0293-6
更新日期：2003-10-01 00:00:00
