Abstract:
:We evaluate the current literature regarding treatment of intracranial atherosclerotic disease, with particular emphasis on emerging medical, surgical, and endovascular trials. A MEDLINE and PubMed search of the literature related to intracranial atherosclerotic disease was performed. Articles which discussed medical, surgical, and endovascular therapies were reviewed. Currently, best medical management of intracranial atherosclerotic stenosis consists of aspirin therapy. Despite this, a significant percentage of patients with high-grade stenoses experience recurrent stroke soon after their initial event. Although previous randomized trials demonstrated no benefit to performing intracranial-extracranial bypass surgery in patients with intracranial atherosclerotic stenosis, current studies seem to suggest a benefit in a particular subset of these patients, specifically those with hemodynamic compromise. Endovascular therapy for intracranial atherosclerotic stenosis is in its infancy but is beginning to show technical promise. Nonetheless, real concerns exist regarding rates of in-stent restenosis, and large-scale follow-up studies must be completed before the true efficacy of endovascular therapies can be evaluated. Symptomatic intracranial atherosclerotic stenosis is associated with considerable morbidity and mortality. However, in a subgroup of patients, specifically those with high-grade stenoses and hemodynamic compromise, the risk of morbidity and mortality is significantly higher. It is this group of patients that would most benefit from more aggressive interventions, as best medical therapy still results in a significant rate of recurrent strokes. The emergence of improved surgical and endovascular techniques will be of particular importance in treating these high-risk patients.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Patel TR,Bulsara KRdoi
10.1007/s10143-008-0172-2subject
Has Abstractpub_date
2009-01-01 00:00:00pages
23-7; discussion 27-8issue
1eissn
0344-5607issn
1437-2320journal_volume
32pub_type
杂志文章,meta分析,评审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::An automated method of measuring cerebral atrophy is introduced. Using this method we studied patients with multiple sclerosis and a control group showing premature cerebral atrophy in multiple sclerosis (P = 1,32 x 10(-8) for male and P = 3,6 x 10(-14) for female). There was only a weak correlation between cerebral a...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01741451
更新日期:1987-01-01 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 authors describe 3 cases of cerebral pleomorphic xanthoastrocytoma, one of which has an unusual neuroradiological appearance, and review the clinical and prognostic features of the 96 cases reported in the literature. Pleomorphic xanthoastrocytoma is a neuroectodermal tumor that affects young patients, in a superf...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF00346603
更新日期:1996-01-01 00:00:00
abstract::MR imaging of the brain has made tremendous progress during the last years. This technique is generally superior to computed tomography (CT) in brain tumors, due to its capability for direct imagining in various planes and its high tissue contrast. Moreover, the detectability and differentiation of extraaxial tumors, ...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF01741480
更新日期:1989-01-01 00:00:00
abstract::Supplemental education is desirable for neurosurgical training, and the use of human cadaver specimen and virtual reality models is routine. An in vivo porcine training model for cranial neurosurgery was introduced in 2005, and our recent experience with this unique model is outlined here. For the first time, porcine ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-014-0572-4
更新日期:2015-01-01 00:00:00
abstract::The authors describe a case of hemifacial spasm associated with Marfan's syndrome. A 24-year-old-woman suffered from left hemifacial spasm for 6 years. She had undergone surgical treatments for bilateral ectopia lentis and kyphoscoliosis in the second decade of life. She also had unusually long and slim limbs with ara...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF02389321
更新日期:1998-01-01 00:00:00
abstract::Growing evidence from recent studies have revealed that long non-coding RNA (lncRNA) might be a useful prognostic biomarker for glioma; we therefore conducted the current meta-analysis to evaluate prognostic and clinicopathological predictive value of lncRNA expression for glioma patients. Eligible studies were identi...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析
doi:10.1007/s10143-018-0965-x
更新日期:2020-02-01 00:00:00
abstract::Excision of a circumscribed spongioblastoma with intrapontine-intramesencephalic extension was performed via the floor of the fourth ventricle in two girls 14 and 5 years of age. The preoperative neurological deficits (severe hemiparesis, cerebellar, and sixth and seventh cranial nerve disturbances) showed slow but co...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743035
更新日期:1983-01-01 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::This aimed to evaluate the effect of surgery for overall survival (OS) and progression-free survival (PFS) in intracranial primary CNS lymphoma (PCNSL) of all patients diagnosed at a single center. A prospective database at Oslo University Hospital of PCNSL was reviewed over a 12-year period (2003-2014). Seventy-nine ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0946-0
更新日期:2018-10-01 00:00:00
abstract::Among 1142 patients with head injuries hospitalized in the Neurosurgery Department of Gazi University Medical School during the period between 1979 and 1992, 583 had initial CT scans. A retrospective analysis of these initial CT images revealed intracranial air on admission in only 21 cases. These were classified as a...
journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章
doi:10.1007/BF01111479
更新日期:1998-01-01 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::Direct delivery of antibiotics to the ventricular system offers an alternative for the management of nosocomial meningitis. However, the available literature frequently results in controversial findings regarding its safety. The present meta-analysis aimed at summarizing the risk of local complications after the admin...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-019-01226-w
更新日期:2019-12-24 00:00:00
abstract::Craniotomy surgical site infections are an inherent risk and dreaded complication for the elective brain tumor patient. Sequelae can include delays in resumption in adjuvant treatments for multiple surgeries if staged cranioplasty is pursued. Here, the authors review their experience in operative debridement of surgic...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0955-z
更新日期:2018-10-01 00:00:00
abstract::We conducted a systematic review of the literature to evaluate the efficacy of various treatment modalities for intracranial aneurysms (IA) in patients with moyamoya disease (MMD) based on anatomical location of IA. A comprehensive review of studies documenting single cases or series of MMD patients with concomitant I...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01307-1
更新日期:2020-05-08 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::Given the median survival of 15 months after diagnosis, novel treatment strategies are needed for glioblastoma. Beta-blockers have been demonstrated to inhibit angiogenesis and tumor cell proliferation in various cancer types. The aim of this study was to systematically review the evidence on the effect of beta-blocke...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-020-01277-4
更新日期:2020-03-14 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::Human malignant gliomas arise from neural progenitor cells and/or dedifferentiated astrocytes. By now, they are genetically so well characterized that several murine glioma models have emerged that faithfully reiterate the typical histological features of the disease. In experimental animals, only one or two elements ...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-003-0267-8
更新日期:2003-07-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-010-0283-4
更新日期:2011-01-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0698-z
更新日期:2016-07-01 00:00:00
abstract::Although endovascular or surgical treatment has been performed for preventing the rupture of saccular cerebral aneurysms (sCA), in some patients, the aneurysms may recur and require retreatment. We aimed to investigate the clinical and radiological outcomes of treating recurrent sCA. We retrospectively evaluated the d...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01259-6
更新日期:2020-02-21 00:00:00
abstract::Post-radiotherapy carotid blowout syndrome (CBS) of the skull base is a rare but often catastrophic complication of head and neck malignancies. The existing literature on the treatment of this condition with flow-diverting devices (FDD) is extremely limited and disappointing. We present a case of impending CBS in a pa...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-017-0875-3
更新日期:2017-10-01 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::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::In order to study the clinical characteristics of intraventricular meningiomas, we analyzed retrospectively 25 patients and reviewed the literature with regard to incidence, clinical manifestation, imaging features, preoperative diagnosis, surgical findings, and histopathological results. Intraventricular meningiomas ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-005-0418-1
更新日期:2006-01-01 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::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