Abstract:
:We report a case of isolated intramedullary sarcoidosis. The patient developed progressive signs that indicated a spinal tumor, which were investigated with contrast-enhanced magnetic resonance imaging scans. Magnetic resonance imaging clearly revealed an intramedullary lesion, but the diagnosis of sarcoidosis was made on the pathological analysis of the surgical specimen. Magnetic resonance imaging with contrast enhancement is reported in a histologically proven case of intramedullary sarcoidosis. Only 12 other cases of isolated intramedullary sarcoidosis have been reported. We review and discuss these cases according to their clinical presentation, the segmental location of the granulomas in the spinal cord, preoperative and operative diagnoses, and signs for systemic sarcoidosis. In none of the cases was the diagnosis of intramedullary sarcoidosis made before surgery. We think that surgical therapy for intramedullary lesions is the best way to diagnose rare instances of benign lesions like sarcoidosis and to treat them in an appropriate manner.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Levivier M,Brotchi J,Balériaux D,Pirotte B,Flament-Durand Jdoi
10.1097/00006123-199108000-00020subject
Has Abstractpub_date
1991-08-01 00:00:00pages
271-6issue
2eissn
0148-396Xissn
1524-4040journal_volume
29pub_type
杂志文章,评审相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Although transarterial regional hypothermia is an attractive alternative to general hypothermia, its efficacy and underlying mechanisms remain unclear. OBJECTIVE:To confirm transarterial regional hypothermia therapeutic effects on ischemia/reperfusion (I/R) injury and to elucidate the mechanisms responsible...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001088
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:The source of fluid and the mechanism of cyst enlargement in syringomyelia are unknown. It has been demonstrated that cerebrospinal fluid (CSF) normally flows from the subarachnoid space through perivascular spaces and into the spinal cord central canal. The aim of this study was to investigate whether this f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199905000-00068
更新日期:1999-05-01 00:00:00
abstract::We recorded the intraoperative somatosensory evoked potentials directly from the upper cervical cord and medulla in a patient with an intrinsic tumor at the region of the cervicomedullary junction. The killed end potential, a large positive potential, was obtained at the caudal end of the tumor. This type of potential...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199006000-00020
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVE:The posterior orbit contains a number of important and vulnerable structures, including the optic nerve, the ophthalmic artery and vein, and the ocular muscles and their motor nerves, which makes surgical access to the lesion in this region quite difficult. Transfrontal, transfrontal-ethmoidal, and transmaxil...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000220027.49155.80
更新日期:2006-07-01 00:00:00
abstract::We previously described an experimental model for the production of invasive and noninvasive astrocytic series tumors and a semiquantitative assessment of their invasiveness. The tumors are produced by intracerebral inoculation of simian virus 40-transformed cells from four different brain regions. Cells of cerebral c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198709000-00015
更新日期:1987-09-01 00:00:00
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
更新日期:1989-05-01 00:00:00
abstract::The natural history of intracranial arteriovenous malformations (AVMs) was studied in 131 patients. The 83 patients managed nonsurgically and the 48 patients treated surgically were followed for an average of 8 years. Hemorrhage occurred in 61.8% of all patients. A second hemorrhage occurred in 67.4% of the survivors ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198411000-00003
更新日期:1984-11-01 00:00:00
abstract::Hydrocephalus without ventriculomegaly and pseudotumor cerebri may present special problems in its treatment. Lumboperitoneal shunting, although frequently effective, is not successful in all cases. A lumbar subarachnoid to venous shunt is described as an alternative to lumboperitoneal shunting. A case illustrating it...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198307000-00015
更新日期:1983-07-01 00:00:00
abstract::This investigation tested the hypothesis that the degree of impairment to memory function caused by an anterior temporal lobectomy (ATL) is inversely related to the pathological status of the resected hippocampus. Specifically, the greatest risk to postoperative memory function should be to patients with no or minimal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199210000-00006
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:Tentorial dural arteriovenous malformations (DAVMs) are uncommon lesions associated with an aggressive natural history. Controversy exists regarding their optimal treatment. We present a single-institution series of tentorial DAVMs treated during a 12-year period, address the current controversies, and presen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000053221.22954.85
更新日期:2003-04-01 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:We present our microsurgical lateral orbital approach for intraorbital lesions, with special emphasis on the microanatomy of the orbit. METHODS:Among 26 patients, such lesions included tumors of the lacrimal glands, cavernous angioma, meningioma, neuroma, and other tumors. These intraorbital lesions were rem...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199612000-00018
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Intraspinal solitary fibrous tumors, which are rare mesenchymal tumors, have previously been reported as case reports. We review our experience and, to our knowledge, the first small institutional series with respect to clinical presentation, diagnosis, surgical management, pathohistological an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163420.33635.9f
更新日期:2005-07-01 00:00:00
abstract::Ten patients with giant intradural spinal arteriovenous fistulas (perimedullary Types II and III) were treated with embolization alone (three patients) or in combination with surgery (seven patients). Their ages at the time of treatment ranged from 2 to 40 years, with a mean of 19.5 years. The indications for treatmen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199312000-00003
更新日期:1993-12-01 00:00:00
abstract::Clinical decision analysis is applied to the treatment decisions for four patients with unruptured familial aneurysms. The surgical treatment was uneventful in all patients except one with mild mixed aphasia and facial weakness postoperatively; these deficits disappeared in less than 2 years. In the decision analysis,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198809000-00007
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVE:To determine whether low-grade gliomas contain functional cortical activity more often than high-grade gliomas within radiologically defined abnormal tissue. METHODS:Patients with intra-axial cerebral lesions located in the vicinity of eloquent brain cortex preoperatively underwent magnetic source imaging. A...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200112000-00005
更新日期:2001-12-01 00:00:00
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
更新日期:1993-01-01 00:00:00
abstract::An evoked potentials (EPs) paradigm that has been effective in demonstrating asymmetries in hemispheric activation during cognitive tasks was used to assess cerebral reorganization for language in recovered aphasics. Cortical click EPs were recorded bilaterally in normal volunteers, recovered aphasics who had sustaine...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198404000-00004
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVE:Vascular endothelial growth factor (VEGF)/vascular permeability factor (VPF) is a potent angiogenic growth factor implicated in the tumor angiogenesis/metastasis of a number of human cancers. Activation of receptors for VEGF/VPF is specifically mitogenic to endothelial cells and increases their permeability. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199705000-00027
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:To evaluate diffusion tensor imaging (DTI)-based functional neuronavigation in surgery of cerebral gliomas with pyramidal tract (PT) involvement with respect to both perioperative assessment and follow-up outcome. METHODS:A prospective, randomized controlled study was conducted between 2001 and 2005. A conse...
journal_title:Neurosurgery
pub_type: 杂志文章,随机对照试验
doi:10.1227/01.neu.0000303189.80049.ab
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:The optimal management of unruptured brain arteriovenous malformations (AVMs) is controversial after the ARUBA trial. OBJECTIVE:To confirm or repudiate the ARUBA conclusion that "medical management only is superior to medical management with interventional therapy for unruptured brain arteriovenous malforma...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy391
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:Postcraniotomy subdural empyemas and epidural abscesses are uncommon, potentially lethal, complications of neurosurgery. Patients with these complications may be difficult to manage, and mortality can occur. METHODS:Between 1997 and 2006, the authors treated eight patients with recalcitrant postcraniotomy su...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000249253.63546.19
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Large fusiform aneurysms of the distal anterior cerebral territory are extremely rare and can be particularly challenging to treat. The circumferential pathology of fusiform lesions renders stand-alone clip or coil ablation unsatisfactory, and the deep, narrow corridor augments the difficulty ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3182036012
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:Patients with partial or complete bilateral vertebral artery occlusion often present with signs and symptoms of transient ischemic attacks or infarction. Advances in phase contrast magnetic resonance imaging have led to noninvasive assessment of volumetric blood flow rates and direction that help in the worku...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000339351.65061.D6
更新日期:2009-04-01 00:00:00
abstract::The Standardized Luria-Nebraska Neuropsychological Test Battery was used for pre- and postoperative evaluation of two patients, each of whom had a large posterior parietal arteriovenous malformation (AVM) of the left cerebral hemisphere. In both cases the AVMs, which were fed by the left anterior, middle, and posterio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198009000-00005
更新日期:1980-09-01 00:00:00
abstract::Cerebral vascular tone is modulated, at least in part, by the vascular endothelium. This probably results from a balance between the release of the endothelium-derived relaxing factor(s) and the endothelium-derived constricting factor(s) (e.g., endothelin). The time course of the induction and the decay of these mutua...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199005000-00013
更新日期:1990-05-01 00:00:00
abstract::In this study, we reevaluate the results of radiofrequency rhizotomy and review the effectiveness of other surgical procedures for the treatment of trigeminal neuralgia. Five hundred patients with trigeminal neuralgia underwent radiofrequency rhizotomy at the University of Cincinnati Medical Center, Cincinnati, OH, be...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199605000-00001
更新日期:1996-05-01 00:00:00
abstract::Eleven athymic nude rats had stereotactic intracerebral inoculation of cells from one of three established human glioma cell lines (A172, A1207, and A1235). The implants grew progressively in 9 of 11 instances, which led to spontaneous death of the host in 14 to 37 days. For comparison, two Sprague-Dawley normal albin...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
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
更新日期:2013-07-01 00:00:00
abstract::Local steroid injections for symptomatic relief of carpal tunnel syndrome have become common in the evaluation and treatment of this disorder; yet reports of median nerve injection injury from this practice are rare. We present a case of nerve injury from a steroid injection in a 24-year-old man with carpal tunnel syn...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199003000-00021
更新日期:1990-03-01 00:00:00