Occult hydrocephalus in children with cerebral palsy.

Abstract:

OBJECTIVE:Many children with cerebral palsy have chronic ventriculomegaly as a consequence of perinatal intraventricular hemorrhage or periventricular leukomalacia, without symptoms of hydrocephalus. Children with cerebral palsy who are treated with intrathecal baclofen have a higher rate of cerebrospinal fluid (CSF) leaks along the baclofen catheter than do adults treated with intrathecal baclofen. We postulated that the cause of the increased frequency of CSF leaks was increased CSF pressure, that is, occult hydrocephalus. METHODS:Lumbar punctures were performed in 24 children with cerebral palsy and asymptomatic ventriculomegaly. Their median age was 4.7 years. Mild or moderate ventriculomegaly was present in 23 children and severe ventriculomegaly was present in 1 child. RESULTS:Opening pressures were abnormally high in 23 (96%) of 24 children and ranged from 22 to 41 cm H2O (mean, 27.3 cm H2O). Opening pressures did not correlate with the extent of ventriculomegaly. CONCLUSION:Children with cerebral palsy and ventriculomegaly seem to have a high incidence of increased CSF pressure, and thus, of occult hydrocephalus. The increased pressure is probably a significant cause of the increased frequency of CSF leaks for these children during intrathecal baclofen therapy. The long-term risks of untreated increased CSF pressures in this patient population are not known but are cause for concern. Treatment with CSF shunts offers the potential of improved development, which was reported anecdotally in some children who were treated with ventriculoperitoneal shunts after their pressure was found to be increased. Prospective multicenter studies of this problem are needed.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Albright AL,Ferson S,Carlos S

doi

10.1227/01.neu.0000144779.32401.a2

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

93-6; discussion 96-7

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

56

pub_type

杂志文章
  • Brain oxygen tension in severe head injury.

    abstract:OBJECTIVE:Ensuring adequate cerebral oxygenation and perfusion is of fundamental importance in the treatment of patients with acute cerebral disorders. Online continuous monitoring of brain oxygenation is possible with a parenchymal microelectrode that measures local brain oxygen tension. The ultimate question is wheth...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00018

    authors: van den Brink WA,van Santbrink H,Steyerberg EW,Avezaat CJ,Suazo JA,Hogesteeger C,Jansen WJ,Kloos LM,Vermeulen J,Maas AI

    更新日期:2000-04-01 00:00:00

  • Perioperative fever and outcome in surgical patients with aneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVE:We examined the incidence of perioperative fever and its relationship to outcome among patients enrolled in the Intraoperative Hypothermia for Aneurysm Surgery Trial. METHODS:One thousand patients with initial World Federation of Neurological Surgeons grades of I to III undergoing clipping of intracranial an...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1227/01.NEU.0000341903.11527.2F

    authors: Todd MM,Hindman BJ,Clarke WR,Torner JC,Weeks JB,Bayman EO,Shi Q,Spofford CM,IHAST Investigators.

    更新日期:2009-05-01 00:00:00

  • Paraganglioma of the orbit with extension to the middle cranial fossa: case report.

    abstract::Intraorbital paragangliomas are rare. A case of intraorbital paraganglioma with extension to the middle cranial fossa is reported. Progressive throbbing, hemicranial headaches, unilateral proptosis, and visual failure are the presenting symptoms. The computed tomographic and operative findings suggested a meningioma. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198905000-00019

    authors: Venkataramana NK,Kolluri VR,Kumar DV,Rao TV,Das BS

    更新日期:1989-05-01 00:00:00

  • Fate of clots in patients with subarachnoid hemorrhage after different surgical treatment modality: a comparison between surgical clipping and Guglielmi detachable coil embolization.

    abstract:BACKGROUND:Subarachnoid clot is important in the development of delayed vasospasm after subarachnoid hemorrhage (SAH). OBJECTIVE:To compare the clearance of subarachnoid clot and the incidence of symptomatic vasospasm in surgical clipping and embolization with Guglielmi detachable coils for aneurysmal SAH. METHODS:Th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318208f1ba

    authors: Shirao S,Yoneda H,Ishihara H,Harada K,Ueda K,Sano Y,Kudomi S,Hayashi Y,Shigeeda T,Nakano K,Nomura S,Fujii M,Kato S,Suzuki M

    更新日期:2011-04-01 00:00:00

  • Recovery of vision after transcranial decompression of pituitary apoplexy characterized by third ventricular hemorrhage.

    abstract::The authors present a case of pituitary apoplexy characterized by massive third ventricular hemorrhage. This rare complication, which caused total blindness in the patient, a 67-year-old man, was treated with transcranial decompression of the pituitary tumor and removal of a blood clot from the third ventricle. After ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199301000-00018

    authors: Taşdemiroğlu E,Zuccarello M,Tew JM Jr

    更新日期:1993-01-01 00:00:00

  • Comparison of laser and radiofrequency dorsal root entry zone lesions in cats.

    abstract::Dorsal root entry zone lesions are effective in the control of intractable pain in several types of spinal cord injuries. Traditionally, these lesions have been made with the radiofrequency technique. This is effective, but has the drawback of being laborious, and there is a significant incidence of permanent weakness...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198503000-00008

    authors: Levy WJ,Gallo C,Watts C

    更新日期:1985-03-01 00:00:00

  • Recurrent spontaneous spinal cerebrospinal fluid leak associated with "nude nerve root" syndrome: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Spontaneous spinal cerebrospinal fluid (CSF) leaks have been noted occasionally at multiple sites in the same patient, but recurrent spontaneous spinal CSF leaks have not been documented. We describe a patient with a recurrent CSF leak who was found at surgery to have an absence of the entire n...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000089483.30857.11

    authors: Schievink WI,Jacques L

    更新日期:2003-11-01 00:00:00

  • Corpus callosal changes associated with hydrocephalus: a report of two cases.

    abstract:OBJECTIVE AND IMPORTANCE:Focal or diffuse corpus callosal changes can occur in patients with active hydrocephalus who undergo shunting procedures. The neural compression caused by active hydrocephalus and the conditions that follow ventricular shunting may contribute to the development of these changes. CLINICAL PRESE...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199708000-00037

    authors: Suh DY,Gaskill-Shipley M,Nemann MW,Tureen RG,Warnick RE

    更新日期:1997-08-01 00:00:00

  • Boron neutron capture therapy of brain tumors: an emerging therapeutic modality.

    abstract::Boron neutron capture therapy (BNCT) is based on the nuclear reaction that occurs when boron-10, a stable isotope, is irradiated with low-energy thermal neutrons to yield alpha particles and recoiling lithium-7 nuclei. For BNCT to be successful, a large number of 10B atoms must be localized on or preferably within neo...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199903000-00001

    authors: Barth RF,Soloway AH,Goodman JH,Gahbauer RA,Gupta N,Blue TE,Yang W,Tjarks W

    更新日期:1999-03-01 00:00:00

  • Potent mimicry of fibronectin-induced intracellular signaling in glioma cells by the homodimeric snake venom disintegrin contortrostatin.

    abstract:OBJECTIVE:The snake venom disintegrin contortrostatin (CN) is able to inhibit tumor progression and angiogenesis in vivo and therefore is of considerable interest as a potential antitumor drug. CN specifically binds to certain integrins on the tumor cell and angiogenic endothelial cell surface and inhibits their intera...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000163426.25227.56

    authors: Schmitmeier S,Markland FS,Schönthal AH,Chen TC

    更新日期:2005-07-01 00:00:00

  • Pediatric pituitary tumors.

    abstract::This retrospective review of pediatric patients with pituitary tumors causing onset of symptoms by 17 years of age was done to define their pathological distribution, clinical presentation, treatment, and prognosis. Eighteen patients were evaluated and treated from 1979 to 1989. Five had Cushing's disease and 13 had p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199110000-00004

    authors: Haddad SF,VanGilder JC,Menezes AH

    更新日期:1991-10-01 00:00:00

  • Percutaneous radiofrequency upper thoracic sympathectomy.

    abstract::Between June 1979 and May 1994, I performed 148 unilateral or bilateral sympathectomies on 247 limbs in 110 patients using a percutaneous radiofrequency technique, usually on an outpatient surgery basis. Patient ages ranged from 10 to 81 years, with 45 male and 65 female patients. Four patients had unsuccessfully unde...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Wilkinson HA

    更新日期:1996-04-01 00:00:00

  • Contemporary Analysis of Minimal Clinically Important Difference in the Neurosurgical Literature.

    abstract:BACKGROUND:Minimal clinically important difference (MCID) is determined when a patient or physician defines the minimal change that outweighs the costs and untoward effects of a treatment. These measurements are "anchored" to validated quality-of-life instruments or physician-rated, disease-activity indices. To capture...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa490

    authors: Zervos TM,Asmaro K,Air EL

    更新日期:2020-12-28 00:00:00

  • Choroidal epithelial cyst of the prepontine region: case report and ultrastructural study.

    abstract::A case of choroidal epithelial cyst of the prepontine region is reported. The cyst wall was studied using light and electron microscopy. Electron microscopy revealed that the lining of the cyst consisted of a single layer of epithelial cells resting on a basement membrane. The epithelial cells contained numerous club-...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198801010-00021

    authors: Fukushima T,Hirakawa T,Tanaka A,Tomonaga M

    更新日期:1988-01-01 00:00:00

  • Dural reconstruction with fascia, titanium mesh, and bone screws: technical note.

    abstract:OBJECTIVE:After the resection of cranial base tumors, there may not be enough free dural margin left for reconstruction after involved bone and dura have been removed. In such a situation, dural reconstruction becomes a problem. We propose a new technique of dural closure in such cases. METHODS:A fascial graft is prep...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200109000-00043

    authors: Sekhar LN,Sarma S,Morita A

    更新日期:2001-09-01 00:00:00

  • Higher cortical disorders: an unusual presentation of an arteriovenous malformation.

    abstract::The authors present a patient with a large arteriovenous malformation in the temperoparietooccipital region of the dominant hemisphere that caused seizures, a homonymous hemianopia, and broad neuropsychological disturbances probably caused by a cerebral steal syndrome. There was no history of hemorrhage. Surgical rese...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198712000-00009

    authors: von Overbeeke JJ,Bosma NJ,Verdonck AF,von Huffelen AC

    更新日期:1987-12-01 00:00:00

  • The prospective natural history of cerebral venous malformations.

    abstract:OBJECTIVE:A 10-year prospective clinical and magnetic resonance imaging study was undertaken to determine the natural history of venous malformations. We assessed the hemorrhage rate and morbidity associated with venous malformations of the brain. PATIENTS AND METHODS:From 1986 to 1996, 80 patients with venous malform...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199808000-00001

    authors: McLaughlin MR,Kondziolka D,Flickinger JC,Lunsford S,Lunsford LD

    更新日期:1998-08-01 00:00:00

  • Extracerebral cavernous angiomas of the middle fossa.

    abstract::Three cases of extracerebral cavernous angiomas of the cavernous sinus in the middle fossa are reported. These are rare lesions that primarily affect women and are usually associated with acute or subacute onset of visual symptoms: diplopia, exophthalmos, and decreased visual acuity. The growth of the lesion often ero...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199008000-00024

    authors: Rigamonti D,Pappas CT,Spetzler RF,Johnson PC

    更新日期:1990-08-01 00:00:00

  • Recanalization of a symptomatic extracranial internal carotid artery near occlusion with proximal and distal protection: technical case report.

    abstract:OBJECTIVE:To describe a novel approach to recanalizing symptomatic extracranial internal carotid artery near occlusion using proximal and distal emboli protection devices. METHODS:Patients presenting with symptomatic extracranial internal carotid artery near occlusion who underwent endovascular recanalization between ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000279742.38178.f6

    authors: Edgell RC,Yavagal DR,Agner C,Adamo M,Boulos AS

    更新日期:2007-07-01 00:00:00

  • Multimodal reperfusion therapy in patients with acute basilar artery occlusion.

    abstract:OBJECTIVE:Multimodal reperfusion therapy (MMRT) has been advocated for the treatment of acute basilar artery occlusion (ABAO). We aimed to identify prognostic factors in patients with ABAO who underwent MMRT. METHODS:Clinical and radiological data from consecutive ABAO patients were analyzed. All patients underwent MM...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000350862.35963.49

    authors: Raphaeli G,Eichel R,Ben-Hur T,Leker RR,Cohen JE

    更新日期:2009-09-01 00:00:00

  • Peculiarities of intracranial arachnoid cysts: location, sidedness, and sex distribution in 126 consecutive patients.

    abstract:OBJECTIVE:To study the distribution of intracranial arachnoid cysts in a large and nonbiased patient population. METHODS:One hundred twenty-six patients with 132 arachnoid cysts were studied. Patients were consecutively referred to our department during a 10-year period from a well-defined geographical area with a sta...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199910000-00008

    authors: Wester K

    更新日期:1999-10-01 00:00:00

  • Normal and abnormal calcium homeostasis in neurons: a basis for the pathophysiology of traumatic and ischemic central nervous system injury.

    abstract::Clinical recovery after central nervous system (CNS) trauma or ischemia may be limited by a neural injury process that is triggered and perpetuated at the cellular level, rather than by a lesion amenable to surgical repair. It is widely thought that one such process, a fundamental pathological mechanism initiated by C...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199606000-00028

    authors: Tymianski M,Tator CH

    更新日期:1996-06-01 00:00:00

  • Iatrogenic sciatic nerve injuries at buttock and thigh levels: the Louisiana State University experience review.

    abstract:OBJECTIVE:To provide an overview of iatrogenic sciatic nerve injuries at the buttock and thigh levels, and to analyze results of the treatment provided at Louisiana State University Health Sciences Center-New Orleans. METHODS:The data from 196 patients were reviewed retrospectively. All patients had iatrogenic sciatic...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000346265.17661.1E

    authors: Yeremeyeva E,Kline DG,Kim DH

    更新日期:2009-10-01 00:00:00

  • Magnetic resonance imaging and intraoperative neurosonography in syringomyelia.

    abstract::Treatment of syringomyelia remains a difficult and controversial problem. However, the recent advent of magnetic resonance imaging (MRI) and intraoperative ultrasound allows a more precise approach to the diagnosis and management of this disorder. Experience with 27 cases of syringomyelia has shown that MRI is superio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198704000-00016

    authors: Wilberger JE Jr,Maroon JC,Prostko ER,Baghai P,Beckman I,Deeb Z

    更新日期:1987-04-01 00:00:00

  • Mucoceles of the paranasal sinuses with intracranial and intraorbital extension: report of 28 cases.

    abstract::Twenty-eight patients received surgical treatment for a paranasal sinus mucocele with intracranial and/or intraorbital extension. The lesions were classified by site and extension: anterior without intracranial extension (Type 1), 7 patients; anterior with intracranial extension (Type 2), 11 patients; posterior midlin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199306000-00003

    authors: Delfini R,Missori P,Iannetti G,Ciappetta P,Cantore G

    更新日期:1993-06-01 00:00:00

  • The incidence of adjacent segment disease requiring surgery after anterior cervical diskectomy and fusion: estimation using an 11-year comprehensive nationwide database in Taiwan.

    abstract:BACKGROUND:The incidence of symptomatic adjacent segment disease (ASD) after anterior cervical diskectomy and fusion (ACDF) was reported as 2.9%/y in a previous cohort of 374 patients. Few other data corroborate the incidence and natural history of ASD. OBJECTIVE:To calculate the incidence of ASD after ACDF that requi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318232d4f2

    authors: Wu JC,Liu L,Wen-Cheng H,Chen YC,Ko CC,Wu CL,Chen TJ,Cheng H,Su TP

    更新日期:2012-03-01 00:00:00

  • Characteristics of incidental pineal cysts on magnetic resonance imaging.

    abstract::Three patients with different neurological complaints were studied by magnetic resonance imaging. Coincidentally, all studies showed cystic changes within the pineal bodies. These cysts appeared hypointense on T1-weighted, spin-echo pulse sequences and hyperintense on T2-weighted images. Spin-density sequences display...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198910000-00020

    authors: Sandhu JS,McLaughlin JR,Gomez CR

    更新日期:1989-10-01 00:00:00

  • Ruptured arteriovenous malformation in the auditory nerve: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:Arteriovenous malformations in the cranial nerves are very rare, and only one case has been reported in the literature. To our knowledge, this is the first case report of an arteriovenous malformation in the auditory nerve. CLINICAL PRESENTATION:A 30-year-old woman presented with a subarachnoi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000159720.61145.6e

    authors: Oya S,Matsui T,Asai A

    更新日期:2005-06-01 00:00:00

  • Plate fixation of odontoid fractures without C1-C2 arthrodesis: practice of a novel surgical technique for stabilization of odontoid fractures, including the opportunity to extend the fixation to C3.

    abstract:OBJECTIVE:Surgical treatment of odontoid fractures that do not allow interfragmentary fracture compression involves either posterior atlantoaxial arthrodesis or additional anterior stabilization using a plate construct. The purpose of this study was to determine the clinical and radiographic outcome after anterior plat...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1227/01.NEU.0000339117.60613.8C

    authors: Platzer P,Thalhammer G,Krumboeck A,Schuster R,Kutscha-Lissberg F,Zehetgruber I,Braunsteiner T,Vécsei V

    更新日期:2009-04-01 00:00:00

  • Diagnostic intracranial pressure monitoring and surgical management in idiopathic normal pressure hydrocephalus: a 6-year review of 214 patients.

    abstract:OBJECTIVE:To review our experience of managing idiopathic normal pressure hydrocephalus (iNPH) during the 6-year period from 2002 to 2007, when intracranial pressure (ICP) monitoring was part of the diagnostic workup. METHODS:The review includes all iNPH patients undergoing diagnostic ICP monitoring during the years 2...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000363408.69856.B8

    authors: Eide PK,Sorteberg W

    更新日期:2010-01-01 00:00:00