Abstract：
:Surgical access to deep intracranial lesions causing the least amount of iatrogenic trauma to the surrounding brain tissue remains a challenging task. In this article, we evaluate the use of a set of sequential tubes that dilate and provide retraction of the overlying brain tissue acting as a surgical corridor for deep-seated brain lesions resection. In addition, we conducted a comprehensive review of the literature of previously described techniques using variable brain tubular retractor systems. We discuss the adaptation of a system designed for spinal use to intracranial pathologies and evaluate the outcomes for the patients involved in the study. Moreover, the advantages and limitations of the described technique were presented. Between August 2005 and 2011, a total of 30 patients with deep brain lesions were operated on using an incremental increase of tubing size for brain retraction guided by a frameless navigation device. Of these, seven cases were intraventricular, and 23 were intraparenchymal. Gross total resection was achieved in 70 % of cases, and the remaining had planned subtotal resections due to involvement of an eloquent area. In conclusion, the technique of serial dilatation of the brain tissue can be used in conjunction with a microscope or endoscope to provide satisfactory access to deep intracranial pathologies. It appears to minimize the associated retraction injury to the surrounding tissue by gradually dilating the white fiber tracts. This operative approach may be considered as an effective and safe alternative for brain tumor resections in selected cases, especially deep-seated lesions.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Almenawer SA,Crevier L,Murty N,Kassam A,Reddy Kdoi
10.1007/s10143-012-0442-xsubject
Has Abstractpub_date
2013-04-01 00:00:00pages
321-9; discussion 329-30issue
2eissn
0344-5607issn
1437-2320journal_volume
36pub_type
杂志文章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：:Chemotherapy of malignant glioma has been discussed in relation to recent advances in experimental and clinical studies. It is now obvious that chemotherapy is of increasing importance in the multidisciplinary treatment of malignant gliomas. Survival time of patients was prolonged by intensive and prolonged chemothera...
journal_title：Neurosurgical review
pub_type： 临床试验,杂志文章,评审
doi：10.1007/BF01743285
更新日期：1984-01-01 00:00:00
abstract：:The use of intraoperative MRI (iMRI) increases extent of resection in transsphenoidal pituitary surgery. Microsurgical and endoscopic techniques have been established as equal and standard surgical methods. The object of the current study was to evaluate the additional value of iMRI for resection of invasive pituitary...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-019-01102-7
更新日期：2019-09-01 00:00:00
abstract：:Esthesioneuroblastoma is an uncommon malignant neoplasm that arises from olfactory mucosa, often with intracranial extension. A case report of the youngest victim in the literature (2-year-old boy) is presented. ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01390528
更新日期：1997-01-01 00:00:00
abstract：:This short paper summarizes the basic concept and the technology of a new computed radiographic system which uses an energy-storage phosphorus panel called "Imaging Plate" as an image sensor. The "Imaging Plate" can be used to obtain radiographs in exactly the same way as the screen-film combination is used in convent...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01744878
更新日期：1985-01-01 00:00:00
abstract：:Although a familial tendency to develop brain tumors in the absence of well-recognized hereditary disorders is an important issue, it has been rarely reported. Studies of the familial occurrence of gliomas have yielded conflicting results. This phenomenon may be imputable to chance or environmental or hereditary facto...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-003-0281-x
更新日期：2003-10-01 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：:The transformation of sensory information to movement patterns in spinal interneuronal systems is far from just being a stereotyped reflex pattern. Information from the different sensory modalities (skin-, muscle, and joint receptors) is integrated at the interneuronal level and transformed into patterns of coordinate...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF00313016
更新日期：1990-01-01 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：:Polyostotic fibrous dysplasia affects many bones of the skeleton and usually on one side only. In monostotic variety only one bone is affected. The condition which usually starts in early childhood is at first active, gradually becomes quiescent and finally with termination of skeletal growth becomes inactive and ceas...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01837749
更新日期：1981-01-01 00:00:00
abstract：:This study aimed to find the factors that may affect the surgical outcomes of congenital tethered cord syndrome (TCS) in adults by evaluating the long-term surgical outcomes of 25 consecutive cases. Medical records of 79 TCS cases which underwent surgery in Bakırköy Research and Training Hospital for Neurology, Neuros...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-017-0842-z
更新日期：2018-01-01 00:00:00
abstract：:Direct electrical stimulation (DES) of the optic radiation (OR) during an awake tumor resection has been repeatedly reported. In all cases, visual function monitoring was performed in patients with open eyes which were looking at a picture. We report a new modification of the standard method, OR stimulation in patient...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-014-0535-9
更新日期：2014-07-01 00:00:00
abstract：:Magnetic resonance angiography (MRA) is increasingly used as a noninvasive means to assess internal carotid artery (ICA) stenosis. When used alone, however, MRA may not be sufficiently accurate in certain settings to determine whether ICA disease meets surgical criteria. Although MRA has been recognized to overestimat...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-004-0354-5
更新日期：2005-04-01 00:00:00
abstract：:Intracranial pseudoaneurysm formation due to ruptured non-traumatic saccular aneurysm is extremely rare. We experienced two cases of large pseudoaneurysm formation due to rupture of a saccular aneurysm. The neuroradiological ghost-like appearance of the aneurysms led to misdiagnoses as large partially thrombosed aneur...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-004-0336-7
更新日期：2004-10-01 00:00:00
abstract：:Stereotactic biopsies represent a routine neurosurgical procedure for the diagnosis of intracranial lymphomas and selected diffusely infiltrating gliomas. Acquisition of tissue samples that do not allow correct tumor typing and grading is, however, not uncommon. Five-aminolevulinic acid (5-ALA) has been shown to accum...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-012-0374-5
更新日期：2012-07-01 00:00:00
abstract：:Idiopathic normal pressure hydrocephalus is a hydrodynamic disorder whose etiology remains unclear. The diagnosis is mainly clinical and the traditional treatment is cerebrospinal fluid shunt diversion. With the introduction of modern management strategies, endoscopic third ventriculostomy has become a viable alternat...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-015-0685-4
更新日期：2016-10-01 00:00:00
abstract：:The pathophysiology of syringomyelia development is not fully understood. Current prevailing theories suggest that increased pulse pressure in the subarachnoid space forces cerebrospinal fluid (CSF) through the spinal cord into the syrinx. It is generally accepted that the syrinx consists of CSF. The here-proposed int...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-006-0029-5
更新日期：2006-10-01 00:00:00
abstract：:Skull base chordomas represent very interesting neoplasms, due to their rarity, biological behavior, and resistance to treatment. Their management is very challenging. Recently, the use of a natural corridor, through the nose and the sphenoid sinus, improved morbidity and mortality allowing also for excellent removal ...
journal_title：Neurosurgical review
pub_type： 临床试验,杂志文章
doi：10.1007/s10143-013-0503-9
更新日期：2014-04-01 00:00:00
abstract：:The spatial complexity of highly vulnerable structures makes surgical resection of brainstem cavernomas (BSC) a challenging procedure. Diffusion tensor imaging (DTI) allows for the visualization of white matter tracts and enables a better understanding of the anatomical location of corticospinal and sensory tracts bef...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-014-0550-x
更新日期：2014-07-01 00:00:00
abstract：:Tumor consistency is a critical factor that influences operative strategy and patient counseling. Magnetic resonance imaging (MRI) describes the concentration of water within living tissues and as such, is hypothesized to predict aspects of their biomechanical behavior. In meningiomas, MRI signal intensity has been us...
journal_title：Neurosurgical review
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10143-016-0801-0
更新日期：2018-07-01 00:00:00
abstract：:Arteriovenous malformation (AVM) may change the cerebral hemodynamics. The purpose of this study was to detect the effects of ionizing radiation (IR) on tissues surrounding AVM in a rat caroticojugular fistula model. Forty rats were divided into four groups. Eight weeks after caroticojugular fistulas and chronic hypop...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-003-0316-3
更新日期：2004-04-01 00:00:00
abstract：:Overcoming the metabolic restrictions of hypoxia may allow the progression of lower-grade tumors to glioblastoma multiforme. Our findings of up-regulation of HIF-1alpha and its downstream targets VEGF, GLUT-1, and CAIX in higher-grade gliomas support this hypothesis. We compared the gene expression profiles of the U-2...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-007-0070-z
更新日期：2007-07-01 00:00:00
abstract：:The early identification and optimized treatment of wound dehiscence are a complex issue, with implications on the patient's clinical and psychological postoperative recovery and on healthcare system costs. The most widely accepted treatment is surgical debridement (also called "wash out"), performed in theater under ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-018-1022-5
更新日期：2020-02-01 00:00:00
abstract：:This prospective trial was designed to evaluate the incidence of Terson syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-014-0564-4
更新日期：2015-01-01 00:00:00
abstract：:The present study aimed to determine the clinical presentation, the multimodal interdisciplinary treatment strategies and outcome of posterior fossa arterio-venous malformations (AVMs) in our neurovascular centre. Fifty-three patients with a posterior fossa AVM were seen between 1998 and 2012 and analysed retrospectiv...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-014-0551-9
更新日期：2014-10-01 00:00:00
abstract：:The purpose of the present study is to analyze the impact of intraoperative resection control modalities on overall survival (OS) and progression-free survival (PFS) following gross total resection (GTR) of glioblastoma. We analyzed data of 76 glioblastoma patients (30f, mean age 57.4 ± 11.6 years) operated at our ins...
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：: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：:Glial tumors are the most common tumors of the nervous system, affecting individuals at any age. Since understanding of the molecular pathologies underlying human gliomas is still very poor, the treatment and therefore prognosis of this malignancy could not yet be improved. In order to determine whether different glio...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-003-0279-4
更新日期：2004-01-01 00:00:00
abstract：:During surgeries in the upper cerebellopontine angle (CPA), the superior petrosal veins (SPVs) often act as obstacles; and their sectioning sometimes causes serious complications. In this study, we introduced a classification system for the SPVs wherein their tributaries were classified into four groups on the basis o...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-014-0548-4
更新日期：2014-10-01 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
