Abstract:
:The clinical presentation, radiological features, and results of surgical treatment were analyzed in 17 cases of hydrosyringomyelia associated with a Chiari malformation, in children and adolescents younger than 20 years of age. The initial symptoms were a skeletal abnormality (71%), such as scoliosis (11 patients) or pes cavus (1 patient), pain or numbness (24%), and motor weakness (6%). Frequently seen signs on admission were sensory deficit (100%), scoliosis (85%), muscle weakness (64%), muscle atrophy (35%), and lower cranial nerve palsy (35%). The characteristic neurological findings were unilateral sensory and motor deficits (65%) with decreased or absent deep tendon reflexes on the same side. The localization of the syrinx on the axial section varied according to the level, even in the same patient. In 11 patients with unilateral sensory disturbances or unilateral sensory and motor deficits, the syrinx was located in the region corresponding to the posterolateral portion on the same side as that of sensory disturbance at the cervical or thoracic level. On the other hand, in 6 patients with bilateral sensory and motor deficits, the syrinx was located in the central portion and extended into the posterolateral portion of the more affected side. A syringosubarachnoid shunt was placed in 16 patients, foramen magnum decompression without closure of the obex was performed in 1 patient, ventriculoperitoneal shunt in 1 patient, terminal syringostomy in 1 patient, and foramen magnum decompression with terminal syringostomy in 1 patient. In 15 of 17 patients (88%), the neurological symptoms improved after an average follow-up of 4 years and 1 month. We think that as a surgical treatment, placement of a syringosubarachnoid shunt is effective.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Isu T,Iwasaki Y,Akino M,Abe Hdoi
10.1097/00006123-199004000-00006subject
Has Abstractpub_date
1990-04-01 00:00:00pages
591-6; discussion 596-7issue
4eissn
0148-396Xissn
1524-4040journal_volume
26pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Endoscopic third ventriculostomy (ETV) has been used predominantly in the pediatric population in the past. Application in the adult population has been less extensive, even in large neurosurgical centers. To our knowledge, this report is one of the largest adult ETV series reported and has the consistency o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000994
更新日期:2016-01-01 00:00:00
abstract::Clinoidal meningiomas, also referred to as medial or inner sphenoid wing meningiomas, are often difficult and challenging to remove completely and safely, especially when they become large enough to encircle, compress, or displace the adjacent critical neurovascular structures such as the optic nerve, the internal car...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000220023.09021.03
更新日期:2006-07-01 00:00:00
abstract::A case demonstrating the marked growth of an angiographically occult arteriovenous malformation is presented. A review of 58 cases in which an increase in the size of an arteriovenous malformation occurred suggested that the patient's initial age may have had an important role in such growth and that both the age and ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:Treatment of 11 patients with aneurysms or arteriovenous fistulae of the craniocervical arteries with stent grafts. METHODS:Peripheral stent grafts were deployed in two extracranial internal carotid arteries. Coronary stent grafts were used to treat two giant aneurysms, five direct carotid-cavernous fistulae...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000134455.02947.1f
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Cerebral ischemia is the most worrisome perioperative complication of carotid endarterectomy (CEA). The stroke rate occurring with CEA is estimated to range from 2.3 to 6.3%. Numerous treatment options are available to the neurosurgeon in this scenario, although no "gold standard" exists. CLIN...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000134466.55733.3e
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:With the decrease in the number of cerebral aneurysms treated surgically and the increase of complexity of those treated surgically, there is a need for simulation-based tools to teach future neurosurgeons the operative techniques of aneurysm clipping. OBJECTIVE:To develop and evaluate the usefulness of a n...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000583
更新日期:2015-03-01 00:00:00
abstract::Hindbrain lesions that distort or compress the cervicomedullary junction are commonly associated with syringomyelia. As a basis for discussing pathogenetic mechanisms, the upper end of the central canal of the spinal cord was examined histologically in six aborted fetuses and 14 adults dying of natural causes; the res...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199305000-00008
更新日期:1993-05-01 00:00:00
abstract::A retrospective study of 119 operative procedures for intracranial aneurysm was performed to compare the clinical result with microsurgical technique vs. that with standard instruments and without magnification; the operative technique was the major variable. The study demonstrated more normal patients, less intraoper...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198204000-00001
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVE:Reports from relatively small series of pediatric patients predominantly from single centers have hampered accurate analysis of outcome from endoscopic third ventriculostomy. We combined patients from nine pediatric neurosurgery centers across Canada to obtain a better estimate of outcome and identify factors...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000255420.78431.E7
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:The transforaminal lumbar interbody fusion (TLIF) procedure may reduce many of the risks and limitations associated with posterior lumbar interbody fusion (PLIF). However, little is known about the biomechanical difference between PLIF and TLIF. OBJECTIVE:To determine the biomechanical difference between PL...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182742a69
更新日期:2013-03-01 00:00:00
abstract::The purpose of Clinical Problem Solving manuscripts is to present management challenges in an attempt to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic. We describe the case of a patient who presente...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3181ee42e7
更新日期:2010-10-01 00:00:00
abstract::FRANCESCO DURANTE FROM Letojanni, Sicily, was the first surgeon in the history of neurosurgery to successfully remove a cranial base meningioma. Durante was Chairman of Clinical Surgery at the Royal University of Rome (now University "La Sapienza") for 45 years, participating in the birth of the "Policlinic Umberto I,...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.NEU.0000223444.18909.9A
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:We hypothesized that structural details that have not been described previously would be revealed in cerebral cavernous malformations (CCM) through the use of high-field magnetic resonance and confocal microscopy. The structural details of CCMs excised from patients were sought by examination with high-field ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000325490.80694.A2
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:We sought to determine the duration of cognitive impairment after sports concussion. METHODS:We conducted a study with a prospective design in which 729 athletes underwent preseason baseline testing by being administered a computerized neuropsychological test battery, followed by retesting at regular interva...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000118820.33396.6a
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:Phosphodiesterase-4 (PDE-4) is a cyclic adenosine monophosphate-specific enzyme involved in various inflammatory diseases. We studied its role in and the effect of ibudilast, which predominantly blocks PDE-4, on rat cerebral aneurysms. METHODS:Cerebral aneurysms were induced at the anterior cerebral artery-o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000365771.89576.77
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:The energy index (EI) is a measure of dose homogeneity within a target volume calculated by the integral dose divided by the product of prescription dose and tumor volume. OBJECTIVE:To assess whether a higher EI is associated with greater local control for brain metastases (BMs) treated by Gamma Knife radio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000750
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To evaluate clinical usefulness of cerebrospinal fluid stroke volume (SV) assessed in the cerebral aqueduct, via cine phase-contrast magnetic resonance imaging, for predicting outcome after shunt surgery in suspected normal pressure hydrocephalus. METHODS:Thirty-eight patients with suspected normal pressure ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000249208.04344.A3
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Because of their rarity, the pathogenesis and clinical features of isolated spinal artery aneurysms are still unclear, and their diagnoses and treatments are challenging. We report a case of an isolated posterior spinal artery aneurysm and review previous reports thoroughly to identify the gen...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e31825ea539
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:We have frequently observed the development of postoperative communicating hydrocephalus in patients undergoing decompressive hemicraniectomy. This condition may persist in some patients after cranioplasty and require permanent cerebrospinal fluid (CSF) diversion. To confirm an independent correlation between...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000290894.85072.37
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Preliminary clinical experience with a novel, compact, intraoperative magnetic resonance imaging (MRI)-guided system that can be used in an ordinary operating room is presented. DESCRIPTION OF INSTRUMENTATION:The system features an MRI scanner integrated with an optical and MRI tracking system. Scanning and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200104000-00021
更新日期:2001-04-01 00:00:00
abstract::Visual field abnormalities were studied in a retrospective analysis of 199 patients with epidural hematomas. One hundred three patients had been alert enough at the time of hospital admission to have had their visual fields examined, but in only 27 patients were visual fields documented in the charts. Six of the 27 pa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198208000-00007
更新日期:1982-08-01 00:00:00
abstract:BACKGROUND:There has not been any effective prophylaxis for delayed cerebral ischemia delayed cerebral ischemia (DCI) since the introduction of nimodipine. Platelet inhibition may reduce the risk by preventing the formation of microthrombi. Tirofiban has been used as a single monotherapy bridge given its safety profile...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa170
更新日期:2020-10-15 00:00:00
abstract::Ten cases of posterior cerebral artery (PCA) aneurysm are presented. There were 13 aneurysms in the 10 patients: 6 saccular, 5 fusiform, 1 broad-based, and 1 giant fusiform serpentine aneurysm. Eight patients underwent operation: clipping for 2 saccular aneurysms, trapping for 1 saccular and 3 fusiform aneurysms, and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198612000-00017
更新日期:1986-12-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Few reports have been published on ruptured vertebral artery dissecting aneurysms in which the posteroinferior cerebellar artery (PICA) arises from the aneurysm wall, and there is ongoing debate as to the proper management of this type of aneurysm. This article describes two patients. CLINICAL...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::INNOVATION IS THE driving force behind progress in neurosurgery. Most significant innovations require commercialization to ensure appropriate development and ultimate distribution to patients. There are several key factors that determine whether a particular innovation is likely to be commercially successful. Relation...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200007000-00035
更新日期:2000-07-01 00:00:00
abstract::Samples of ventricular cerebrospinal fluid, tumor cyst fluid, and subdural fluid were obtained from 30 patients at operation. The protein concentration and the specific gravity of each sample were measured and the corresponding mean absorption numbers were calculated from the numerical printout of the preoperative com...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197907010-00003
更新日期:1979-07-01 00:00:00
abstract::A study was undertaken to determine how frequently angiographic vasospasm occurs outside the normal access range of transcranial Doppler ultrasound in patients who have suffered a subarachnoid hemorrhage. Vasospasm located in the basal vessels is readily identifiable using transcranial Doppler ultrasound whereas spasm...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract::This study investigated the spinal evoked response to focal electrical stimulation of the sensorimotor cortex in 32 rats. The results demonstrate a long-latency response (beginning at 8 milliseconds) elicited by electrical stimulation, which is distinct from the short-latency motor evoked potential previously reported...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199104000-00011
更新日期:1991-04-01 00:00:00
abstract::Invasiveness is a critical event in the development of malignancy in brain tumors. A potential molecular mediator is basic fibroblast growth factor (bFGF). NIH-3T3 cells transfected with the bFGF gene fused with a signal peptide sequence (signal peptide bFGF) acquire an invasive phenotype as measured by in vitro assay...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199504000-00020
更新日期:1995-04-01 00:00:00
abstract::The result of 42 blood volume determinations made with autologous red blood cells labeled with chromium-51 are reported. The subjects consisted of 11 control patients and 25 patients with recent subarachnoid hemorrhage (SAH). The mean red blood cell volume (RBCV) and the total blood volume (TBV) for female patients af...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198409000-00010
更新日期:1984-09-01 00:00:00