Clipping of a vertebral artery aneurysm behind the hypoglossal nerve under the monitoring of lower cranial nerves.

Abstract:

:Under an operative view, an aneurysm of the vertebral artery is located behind the lower cranial nerves. To prevent neurological deficits we employed electrophysiological monitoring while clipping an aneurysm of the vertebral artery. A 64-year-old woman had suffered a sudden severe headache in the morning. Computed tomography (CT) revealed a subarachnoid hemorrhage (SAH) and CT angiography revealed an aneurysm at a branching point of the left vertebral artery. The condylar fossa approach was taken while recording electromyography (EMG) of the lower cranial nerves. The aneurysm was located just behind the hypoglossal nerve and could not be clipped without strong traction of the hypoglossal nerve. Therefore, the hypoglossal nerve was divided to separate the lower two bundles of the hypoglossal nerve from the other bundles, and the clip was applied to the aneurysm between the nerve bundles without any change of the tongue EMG. The patient went home 10 days after operation with no neurological deficit. In conclusion, we report a case of a ruptured aneurysm of a vertebral artery, which was clipped while monitoring the lower cranial nerves. Tongue EMG monitoring enabled us to clip the aneurysm without nerve injury and revealed that the hypoglossal nerve near the hypoglossal canal can be divided into several bands without neurological deficit.

journal_name

Clin Neurol Neurosurg

authors

Ishikawa M,Kusaka G,Takashima K,Kamochi H,Shinoda S

doi

10.1016/j.clineuro.2010.02.002

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

450-3

issue

5

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(10)00034-X

journal_volume

112

pub_type

杂志文章
  • Meige's syndrome: A cranial dystonia treated with bilateral pallidal deep brain stimulation.

    abstract:BACKGROUND:Meige's syndrome is a rare form of segmental dystonia characterized by blepharospasm and oromandibular dystonia. Medical treatment including botulinum toxin injections usually present disappointing results. The experience on Deep Brain Stimulation (DBS) in the treatment of Meige's syndrome and other segmenta...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.12.005

    authors: Markaki E,Kefalopoulou Z,Georgiopoulos M,Paschali A,Constantoyannis C

    更新日期:2010-05-01 00:00:00

  • Primary Brachial Plexus Tumors: Clinical Experiences of 143 Cases.

    abstract:OBJECTIVE:Primary brachial plexus tumors are extremely rare and the treatment is challengeable. Our aim is to share the experiences in the treatment of primary brachial plexus tumors. METHODS:A retrospective analysis of 143 patients with primary brachial plexus tumors was made in our department from January 2001 to De...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.07.009

    authors: Jia X,Yang J,Chen L,Yu C,Kondo T

    更新日期:2016-09-01 00:00:00

  • Cluster headache patients are not affected by restless legs syndrome: an observational study.

    abstract:OBJECTIVE:To investigate the presence of Restless Legs Syndrome (RLS) in Cluster Headache (CH) patients compared to headache-free controls. DESIGN AND SETTING:Cross-sectional case-control study of CH patients presenting at tertiary headache centers over the period January-December 2008. PATIENTS AND PARTICIPANTS:Fift...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2010.12.006

    authors: Florindo D,Daniela C,Giulio C,Vittorio P,Gabriella M,Vincenzo T,Eliana M,Gerardo C,Gennaro B

    更新日期:2011-05-01 00:00:00

  • Predictive value of median-SSEP in early phase of stroke: a comparison in supratentorial infarction and hemorrhage.

    abstract:OBJECTIVE:To compare the prognostic value of median somatosensory evoked potentials (M-SSEP) changes in the early phase of supratentorial infarction and hemorrhage. MATERIAL AND METHODS:This study includes 130 patients (mean age 62+/-11.4 years, 43 women, large middle cerebral artery territory infarction in 36 patient...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2004.12.008

    authors: Tzvetanov P,Rousseff RT

    更新日期:2005-10-01 00:00:00

  • Disability from pain directly correlated with depression in Parkinson's disease.

    abstract:OBJECTIVE:Parkinson's disease (PD) is a progressively debilitating disorder resulting in reduced quality of life (QoL). Along with the motor symptoms of PD, non-motor symptoms of PD such as pain, restless leg syndrome (RLS) depression also occur. These exacerbate the worsening QoL and must be promptly diagnosed and tre...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2017.05.022

    authors: Rana AQ,Qureshi ARM,Rahman N,Mohammed A,Sarfraz Z,Rana R

    更新日期:2017-09-01 00:00:00

  • Probably anti-Tr associated paraneoplastic cerebellar degeneration as initial presentation of a squamous cell carcinoma of the lung.

    abstract::Paraneoplastic cerebellar degeneration (PCD) is the most frequent paraneoplastic syndrome affecting the brain. Until now, anti-Tr associated PCD was only seen in patients with Hodgkin's disease. We report a male patient who presented with a progressive ataxia, affecting predominantly the lower limbs and a cerebellar d...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2005.01.008

    authors: Bruylant K,Crols R,Humbel RL,Appel B,De Deyn PP

    更新日期:2006-06-01 00:00:00

  • Clinical and pharmacokinetic evaluation of controlled-release levodopa/carbidopa (CR-4) in parkinsonian patients with severe motor fluctuations: a six month follow-up study.

    abstract::The results of a six month open-label study comparing the efficacy of controlled-release levodopa-carbidopa (Sinemet CR-4 200 mg/50 mg) with standard levodopa/carbidopa (250 mg/25 mg) in 17 patients with idiopathic Parkinson's disease and severe response fluctuations, are reported. Major clinical benefits included; im...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(89)90005-x

    authors: Deleu D,Jacques M,Michotte Y,Ebinger G

    更新日期:1989-01-01 00:00:00

  • Brain abscess--an unusual complication of cavernous sinus thrombosis. A case report.

    abstract::An unusual case of multilocular brain abscess is reported in a 14-year-old girl, following cavernous sinus thrombosis. In absence of any other source of infection the cavernous sinus thrombosis is presumed as the cause of brain abscess. Possible pathogenesis is discussed. ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(88)90029-7

    authors: Mahapatra AK

    更新日期:1988-01-01 00:00:00

  • Combined approaches to the skull base for intracranial extension of tumors via perineural spread can improve patient outcomes.

    abstract::Many neoplasms of the head and neck extend centripetally, gaining access to the central nervous system via nerves through the skull base foramina. Often patients with perineural spread have been excluded from aggressive interventions given the overall poor prognosis and technical difficulty when addressing the perineu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.08.029

    authors: Palejwala SK,Barry JY,Rodriguez CN,Parikh CA,Goldstein SA,Lemole GM Jr

    更新日期:2016-11-01 00:00:00

  • The impact of deep brain stimulation on health related quality of life and disease-specific disability in Meige Syndrome (MS).

    abstract::Meige Syndrome (MS) is a disabling movement disorder which impairs daily routines such as eating and speaking and, when not responsive to best medical treatment, deep brain stimulation (DBS) of the globus pallidus interna (GPi) has been considered. Previous evidence has shown a significant improvement in motor dysfunc...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2018.05.012

    authors: Aires A,Gomes T,Linhares P,Cunha F,Rosas MJ,Vaz R

    更新日期:2018-08-01 00:00:00

  • Cerebral microbleeds predict first-ever symptomatic cerebrovascular events.

    abstract:OBJECTIVE:Cerebral microbleeds (CMB) on gradient-echo T2*-weighted magnetic resonance image (MRI) are frequently seen in patients with cerebral diseases. In this observational study we assessed whether CMB are a predictive factor for first-ever cerebrovascular events. PATIENTS AND METHODS:This study consisted of 698 s...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.08.011

    authors: Nishikawa T,Ueba T,Kajiwara M,Fujisawa I,Miyamatsu N,Yamashita K

    更新日期:2009-12-01 00:00:00

  • Management of giant presacral schwannoma. Clinical series and literature review.

    abstract:PURPOSE:Presacral schwannomas are rare tumors. Due to their benign nature and slow growth, these tumors are often giant and become difficult to treat. Their removal is a surgical challenge with different strategies reported in the literature. This study presents the consecutives cases of presacral schwannomas operated ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106409

    authors: Leclerc A,Lebreton G,Huet A,Alves A,Emery E

    更新日期:2021-01-01 00:00:00

  • Tardive gait.

    abstract::Tardive dyskinesia (TD) is a hyperkinetic movement disorder induced by dopamine receptor blocking drugs (DRBDs). TD typically presents with stereotypy or dystonia, but may also cause akathisia, myoclonus, or tremor. However, no detailed reports of gait abnormalities have been documented. We report three patients expos...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2007.09.013

    authors: Kuo SH,Jankovic J

    更新日期:2008-02-01 00:00:00

  • Persistent posterior fossa ependymomas. Two case reports with unusual long survival.

    abstract::Two patients are described who survived respectively 33 and 21 years after partial surgical excision of a posterior fossa ependymoma and who at the time of autopsy were proven to harbor persistent tumour tissue in the same location. ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(75)80048-5

    authors: Slooff JL

    更新日期:1975-01-01 00:00:00

  • Facioscapulohumeral muscular dystrophy: the impact of genetic research.

    abstract::Recent developments in genetic research have led to the localization and identification of the causative gene defect in a large number of neurological diseases. This paper describes some of the basic principles of molecular genetics and the strategies that have been followed in the search for the gene for facioscapulo...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/0303-8467(93)90086-v

    authors: Brouwer OF,Wijmenga C,Frants RR,Padberg GW

    更新日期:1993-03-01 00:00:00

  • Risk factors for preoperative seizures in pediatric patients with intracranial aneurysms.

    abstract:OBJECTIVE:Seizures are common complications following intracranial aneurysms and present a greater risk to pediatric patients than adults. Though the risk factors of seizures in adults with intracranial aneurysms have been well documented, the risk factors in pediatric patients remain unknown. The aim of this study was...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105616

    authors: Chen R,Zan X,Xiao A,Guo R,Xing L,Ma L,You C,Liu Y

    更新日期:2020-02-01 00:00:00

  • Patient acceptance of awake craniotomy.

    abstract:OBJECTIVES:The aim of this study was to objectively assess the patients' acceptance for awake craniotomy in a group of neurosurgical patients, who underwent this procedure for removal of lesions in or close to eloquent brain areas. PATIENTS AND METHODS:Patients acceptance for awake craniotomy under local anesthesia an...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.06.010

    authors: Wrede KH,Stieglitz LH,Fiferna A,Karst M,Gerganov VM,Samii M,von Gösseln HH,Lüdemann WO

    更新日期:2011-12-01 00:00:00

  • Differentiating pseudo-occlusion from true occlusion of proximal internal carotid artery in acute ischemic stroke on CT angiography.

    abstract:OBJECTIVE:A lack of visualization of the proximal internal carotid artery (ICA) on computed tomography angiography (CTA) in acute ischemic stroke may be caused by an atherosclerotic occlusion or a pseudo-occlusion by a massive thrombus in the ICA. Pseudo-occlusion of the proximal ICA is caused by stagnant flow from a d...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105495

    authors: Kim H,Kwak HS,Chung GH,Hwang SB

    更新日期:2019-10-01 00:00:00

  • Direct measurement of patient's entrance skin dose during neurointerventional procedure to avoid further radiation-induced skin injuries.

    abstract::Although several cases of radiation-induced skin injury (RSI) have been reported in association with neurointerventional procedures such as endovascular embolization for cerebral aneurysm, cerebral arteriovenous malformation, and dural arteriovenous fistula, in most cases the absorbed doses are not measured directly; ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2010.03.019

    authors: Hayakawa M,Moritake T,Kataoka F,Takigawa T,Koguchi Y,Miyamoto Y,Akahane K,Matsumaru Y

    更新日期:2010-07-01 00:00:00

  • Peripheral facial nerve paralysis in children: the value of routine diagnostic work-up studies.

    abstract::Acute facial nerve paralysis is a relatively common pediatric disorder. Idiopathic facial nerve palsy (Bell's palsy) has to be distinguished from other etiologies. Retrospective review of the results of routine diagnostic work-up studies of our patients, failed to reveal any clinically significant abnormalities and di...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(88)90007-8

    authors: Eshel G,Lahat E,Azizi E

    更新日期:1988-01-01 00:00:00

  • Depression with anosognosia following a left subcortical stroke.

    abstract::Controversy exists about whether depression following stroke represents a biologically mediated change or a psychological reaction to the deficits. We present a patient with an acute isolated personality change and depression following a lacunar infarct of the left internal capsule, who was unaware of his affective ch...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(02)00113-0

    authors: Biran I,Chatterjee A

    更新日期:2003-04-01 00:00:00

  • Spatial contrast sensitivity in clinical neurology.

    abstract::We studied contrast sensitivity function in normal subjects and in three illustrative cases with various neurological disorders. This was done by measuring contrast sensitivity over a range of spatial frequencies for vertical sinewave grating stimuli. It is demonstrated that contrast sensitivity function can give info...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(88)80006-4

    authors: Bulens C,Meerwaldt JD,van der Wildt GJ,Keemink CJ

    更新日期:1988-01-01 00:00:00

  • Prevalence of radiological and clinical cerebrovascular disease in idiopathic Parkinson's disease.

    abstract::Comorbid cerebrovascular disease (CVD) can occur in idiopathic Parkinson's disease (IPD) but its reported prevalence varies considerably. CVD may alter the clinical presentation, course and prognosis in IPD. We aimed to determine the prevalence of radiological and clinical CVD in a neurology clinic IPD population. We ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.05.014

    authors: Patel M,Coutinho C,Emsley HC

    更新日期:2011-12-01 00:00:00

  • Peripheral vascular disease as remote ischemic preconditioning, for acute stroke.

    abstract:OBJECTIVES:Remote ischemic preconditioning (RIPC) is a powerful endogenous mechanism whereby a brief period of ischemia is capable of protecting remote tissues from subsequent ischemic insult. While this phenomenon has been extensively studied in the heart and brain in animal models, little work has been done to explor...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.07.038

    authors: Connolly M,Bilgin-Freiert A,Ellingson B,Dusick JR,Liebeskind D,Saver J,Gonzalez NR

    更新日期:2013-10-01 00:00:00

  • Management outcome of NPC-related and non-NPC-related brain abscess in Hong Kong.

    abstract:OBJECTIVES:(1) To review the patient profile, management outcome and prognostic factors of brain abscess; (2) To compare the neurological outcome of nasopharyngeal carcinoma (NPC)-related brain abscess with non-NPC related brain abscess. METHOD:Retrospective review of consecutive patients diagnosed (radiologically and...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.11.028

    authors: Tam MH,Wong GK,Ip M,Kam MK,Abrigo JM,Zhu XL,Poon WS

    更新日期:2012-07-01 00:00:00

  • A comparison of transcranial Doppler and magnetic resonance imaging for long term changes in middle cerebral artery stenosis.

    abstract:OBJECTIVES:Intracranial arterial stenosis may progress or regress, of which the diagnosis is important to predict the risk of stroke or to evaluate the response of treatment. Transcranial Doppler (TCD) seems to be useful for this purpose, however, optimal diagnostic criteria have not been validated yet. Our study was d...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.04.021

    authors: Lee CH,Yoo D,Kwon HM,Lee YS

    更新日期:2019-07-01 00:00:00

  • Familial colloid cyst of the third ventricle in non-twin sisters: case report, review of the literature, controversies, and screening strategies.

    abstract::Colloid cyst of the third ventricle is a known primary brain tumor. The familial occurrence of this cyst and associated conditions has been rarely discussed in the literature. To our knowledge only 10 affected families have been previously reported in the literature. We report the 11th family with this potentially lif...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2007.04.017

    authors: Bavil MS,Vahedi P

    更新日期:2007-09-01 00:00:00

  • Practice variation in the conservative and surgical treatment of chronic subdural hematoma.

    abstract:OBJECTIVE:Chronic subdural hematoma (CSDH) is a condition that is frequently seen in the neurological and neurosurgical practice. Surgical treatment is overall preferred; however, conservative treatment is also an option. Both surgical and conservative treatment of CSDH vary across neurosurgeons. The aim of the present...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105899

    authors: Laldjising ERA,Cornelissen FMG,Gadjradj PS

    更新日期:2020-08-01 00:00:00

  • Delay in the diagnosis of multiple sclerosis in Croatia.

    abstract:BACKGROUND:The National Institute for Health and Clinical Excellence (NICE) guidelines for multiple sclerosis (MS) recommend the time from initial presentation to first neurological evaluation to be no longer than 6 weeks, and a further 6 weeks until any necessary investigations are completed. The aim of this study was...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.09.025

    authors: Adamec I,Barun B,Gabelić T,Zadro I,Habek M

    更新日期:2013-12-01 00:00:00

  • Growth hormone and insulin growth factor-I levels in plasma and cerebrospinal fluid of patients with multiple sclerosis.

    abstract::Multiple sclerosis (MS) has several clinically different forms. Whereas the illness progresses slowly in most of the patients, 10% have an aggressively progressive course with fatal outcome without signs of remyelination capability. The process of remyelination depends on numerous interactive factors, including the pr...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2005.11.014

    authors: Poljakovic Z,Zurak N,Brinar V,Korsic M,Basic S,Hajnsek S

    更新日期:2006-03-01 00:00:00