Hydrosyringomyelia associated with a Chiari I malformation in children and adolescents.

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

Neurosurgery

journal_title

Neurosurgery

authors

Isu T,Iwasaki Y,Akino M,Abe H

doi

10.1097/00006123-199004000-00006

subject

Has Abstract

pub_date

1990-04-01 00:00:00

pages

591-6; discussion 596-7

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

26

pub_type

杂志文章
  • Endoscopic Third Ventriculostomy in 250 Adults With Hydrocephalus: Patient Selection, Outcomes, and Complications.

    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

    authors: Grand W,Leonardo J,Chamczuk AJ,Korus AJ

    更新日期:2016-01-01 00:00:00

  • A surgical technique for the removal of clinoidal meningiomas.

    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

    authors: Lee JH,Sade B,Park BJ

    更新日期:2006-07-01 00:00:00

  • Marked growth of a cerebral arteriovenous malformation: case report and review of the literature.

    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:

    authors: Wakabayashi S,Ohno K,Shishido T,Tamaki M,Matsushima Y,Hirakawa K

    更新日期:1991-12-01 00:00:00

  • Treatment of extracranial and intracranial aneurysms and arteriovenous fistulae using stent grafts.

    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

    authors: Felber S,Henkes H,Weber W,Miloslavski E,Brew S,Kühne D

    更新日期:2004-09-01 00:00:00

  • Intravenously administered abciximab in the management of early cerebral ischemia after carotid endarterectomy: case report.

    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

    authors: Barkhoudarian G,Ali MJ,Deveikis J,Thompson BG

    更新日期:2004-09-01 00:00:00

  • Virtual reality cerebral aneurysm clipping simulation with real-time haptic feedback.

    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

    authors: Alaraj A,Luciano CJ,Bailey DP,Elsenousi A,Roitberg BZ,Bernardo A,Banerjee PP,Charbel FT

    更新日期:2015-03-01 00:00:00

  • Anatomical basis of syringomyelia occurring with hindbrain lesions.

    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

    authors: Milhorat TH,Miller JI,Johnson WD,Adler DE,Heger IM

    更新日期:1993-05-01 00:00:00

  • Comparison of clinical result between microsurgical and direct visual intracranial aneurysm surgery.

    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

    authors: Leibrock LG,Epstein MH,Long D

    更新日期:1982-04-01 00:00:00

  • Endoscopic third ventriculostomy in pediatric patients: the Canadian experience.

    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

    authors: Drake JM,Canadian Pediatric Neurosurgery Study Group.

    更新日期:2007-05-01 00:00:00

  • Biomechanical comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion by finite element analysis.

    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

    authors: Xu H,Tang H,Guan X,Jiang F,Xu N,Ju W,Zhu X,Zhang X,Zhang Q,Li M

    更新日期:2013-03-01 00:00:00

  • To glue or not to glue? That is the question!!!

    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

    authors: Natarajan SK,Siddiqui AH,Hopkins LN,Boulis NM,Levy EI

    更新日期:2010-10-01 00:00:00

  • Francesco Durante: the history of intracranial meningiomas and beyond.

    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

    authors: Tomasello F,Germanò A

    更新日期:2006-08-01 00:00:00

  • Advanced magnetic resonance imaging of cerebral cavernous malformations: part I. High-field imaging of excised human lesions.

    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

    authors: Shenkar R,Venkatasubramanian PN,Zhao JC,Batjer HH,Wyrwicz AM,Awad IA

    更新日期:2008-10-01 00:00:00

  • Duration of cognitive impairment after sports concussion.

    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

    authors: Bleiberg J,Cernich AN,Cameron K,Sun W,Peck K,Ecklund PJ,Reeves D,Uhorchak J,Sparling MB,Warden DL

    更新日期:2004-05-01 00:00:00

  • Ibudilast inhibits cerebral aneurysms by down-regulating inflammation-related molecules in the vascular wall of rats.

    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

    authors: Yagi K,Tada Y,Kitazato KT,Tamura T,Satomi J,Nagahiro S

    更新日期:2010-03-01 00:00:00

  • The Energy Index Does Not Affect Local Control of Brain Metastases Treated by Gamma Knife Stereotactic Radiosurgery.

    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

    authors: Jani A,Rozenblat T,Yaeh AM,Nanda T,Saad S,Qureshi YH,Feng W,Sisti MB,Bruce JN,McKhann GM 2nd,Lesser J,Lassman AB,Isaacson SR,Wang TJ

    更新日期:2015-07-01 00:00:00

  • Is aqueductal stroke volume, measured with cine phase-contrast magnetic resonance imaging scans useful in predicting outcome of shunt surgery in suspected normal pressure hydrocephalus?

    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

    authors: Kahlon B,Annertz M,Ståhlberg F,Rehncrona S

    更新日期:2007-01-01 00:00:00

  • Dissecting aneurysm of the posterior spinal artery: case report and review of the literature.

    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

    authors: Kim HJ,Choi IS

    更新日期:2012-09-01 00:00:00

  • Postoperative hydrocephalus in patients undergoing decompressive hemicraniectomy for ischemic or hemorrhagic stroke.

    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

    authors: Waziri A,Fusco D,Mayer SA,McKhann GM 2nd,Connolly ES Jr

    更新日期:2007-09-01 00:00:00

  • Novel, compact, intraoperative magnetic resonance imaging-guided system for conventional neurosurgical operating rooms.

    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

    authors: Hadani M,Spiegelman R,Feldman Z,Berkenstadt H,Ram Z

    更新日期:2001-04-01 00:00:00

  • Hemianopia: a presenting feature of acute epidural hematomas.

    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

    authors: Matwijecky C,Steinbok P

    更新日期:1982-08-01 00:00:00

  • Tirofiban Protocol Protects Against Delayed Cerebral Ischemia: A Case-Series Study.

    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

    authors: Zanaty M,Osorno-Cruz C,Byer S,Roa JA,Limaye K,Ishii D,Nakagawa D,Torner J,Yongjun L,Ortega-Gutiérrez S,Samaniego EA,Allan L,Hasan D

    更新日期:2020-10-15 00:00:00

  • Aneurysms of the posterior cerebral artery: report of ten cases.

    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

    authors: Chang HS,Fukushima T,Takakura K,Shimizu T

    更新日期:1986-12-01 00:00:00

  • Subarachnoid hemorrhage from vertebral artery dissecting aneurysms involving the origin of the posteroinferior cerebellar artery: report of two cases and review of the literature.

    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:

    authors: Yasui T,Komiyama M,Nishikawa M,Nakajima H

    更新日期:2000-01-01 00:00:00

  • The neurosurgeon as innovator and entrepreneur.

    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

    authors: Firlik AD,Lowry DW,Levy AJ,Hirsch RC

    更新日期:2000-07-01 00:00:00

  • Correlation of absorption coefficients with intracranial fluid protein concentrations and specific gravities.

    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

    authors: Salcman M

    更新日期:1979-07-01 00:00:00

  • Distribution of angiographic vasospasm after subarachnoid hemorrhage: implications for diagnosis by transcranial Doppler ultrasonography.

    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:

    authors: Newell DW,Grady MS,Eskridge JM,Winn HR

    更新日期:1990-10-01 00:00:00

  • Motor evoked potentials elicited from pyramidal stimulation and recorded from the spinal cord in the rat.

    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

    authors: Ryder J,Zappulla R,Nieves J

    更新日期:1991-04-01 00:00:00

  • Cells transfected with the basic fibroblast growth factor gene fused to a signal sequence are invasive in vitro and in situ in the brain.

    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

    authors: Gately S,Tsanaclis AM,Takano S,Klagsbrun M,Brem S

    更新日期:1995-04-01 00:00:00

  • Depression of circulating blood volume in patients after subarachnoid hemorrhage: implications for the management of symptomatic vasospasm.

    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

    authors: Solomon RA,Post KD,McMurtry JG 3rd

    更新日期:1984-09-01 00:00:00