[Single burr hole irrigation without drainage in chronic subdural hematoma].

Abstract:

:The surgical treatment of chronic subdural hematoma has evolved from membranectomy through craniotomy to burr hole irrigation. The latter approach is based on utilization of the natural absorptive process that is thought to be part of the life cycle of the hematoma. To test this theory, the authors treated fifty-nine patients with chronic subdural hematoma according to the following protocol. Local anesthesia was induced with a modified neuroleptanalgesic procedure. A single burr hole was drilled, usually in the posterior frontal region, and irrigation was carried out until the washing was clear. Subdural drainage was not employed. Patients were permitted to walk about on the following day. The outcome was better than that achieved with conventional treatment. Such complications as tension pneumocephalus and intracranial hematoma were not observed, and only one patient (1.7%) had a recurrence. The results of this study indicate that single burr hole irrigation without drainage is a very simple and effective treatment for chronic subdural hematoma. The absence of subdural drainage may be an important feature, since drainage may contribute to the development of certain postoperative complications. Also, the simplified procedure allows patients early mobility, which may be of particular benefit to the elderly.

authors

Iwadate Y,Ishige N,Hosoi Y

doi

10.2176/nmc.29.117

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

117-21

issue

2

eissn

0470-8105

issn

1349-8029

pii

JST.Journalarchive/nmc1959/29.117

journal_volume

29

pub_type

杂志文章,评审
  • Anaplastic ganglioglioma of the cerebellopontine angle. Case report.

    abstract::A 64-year-old woman presented with a rare anaplastic ganglioglioma in the right cerebellopontine angle manifesting as dizziness persisting for 2 weeks. Preoperative magnetic resonance (MR) imaging revealed a partially enhanced cystic lesion of the right cerebellopontine angle. The tumor was subtotally removed through ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.45.591

    authors: Matsuzaki K,Uno M,Kageji T,Hirose T,Nagahiro S

    更新日期:2005-11-01 00:00:00

  • Giant congenital capillary hemangioma of pericranium--case report.

    abstract::The authors report a newborn male infant with a giant congenital capillary hemangioma of the pericranium. An elastic mass, measuring 6.5 x 6.9 x 3.9 cm, was located in the parieto-occipital region. Neurological examination revealed no abnormality. Angiographically, the tumor was fed symmetrically by the bilateral supe...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.30.1029

    authors: Tokuda Y,Uozumi T,Sakoda K,Yamada K,Yamanaka M,Nomura S,Hamasaki T

    更新日期:1990-12-01 00:00:00

  • Efficacy of revascularization surgery for moyamoya syndrome associated with Graves' disease.

    abstract::Appropriate management of moyamoya syndrome associated with Graves' disease is undetermined because of the rarity of this combination. Patients tend to present with cerebrovascular events such as transient ischemic attack (TIA) in a thyrotoxic state, which is relieved by proper antithyroid therapy. Four patients with ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.50.977

    authors: Endo H,Fujimura M,Niizuma K,Shimizu H,Tominaga T

    更新日期:2010-01-01 00:00:00

  • Multiple isolated sinus dural arteriovenous fistulas associated with antithrombin III deficiency--case report--.

    abstract::A 55-year-old man presented with a rare case of multiple isolated sinus dural arteriovenous fistulas (AVFs) associated with antithrombin (AT) III deficiency manifesting as sudden onset of headache and gait disturbance. Increased arterial shunting flow had caused intraventricular hemorrhage after incomplete repeated tr...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.48.455

    authors: Saito A,Takahashi N,Furuno Y,Kamiyama H,Nishimura S,Midorikawa H,Nishijima M

    更新日期:2008-10-01 00:00:00

  • Results and current trends of multimodality treatment for infectious intracranial aneurysms.

    abstract::The authors retrospectively reviewed their cases of infectious intracranial aneurysms and discuss results and trends of current treatment modalities including medical, neurosurgical, and endovascular. Twenty patients (10 males and 10 females; mean age 46 years) with 23 infectious aneurysms were treated by various trea...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.oa.2014-0197

    authors: Matsubara N,Miyachi S,Izumi T,Yamanouchi T,Asai T,Ota K,Wakabayashi T

    更新日期:2015-01-01 00:00:00

  • Immunohistochemical study of medulloblastoma with a monoclonal antibody against human copper and zinc-superoxide dismutase.

    abstract::Superoxide dismutase (SOD) expression in tumor tissues was investigated in 10 cases of medulloblastoma by immunohistochemistry, using a monoclonal antibody against human copper and zinc-superoxide dismutase. Abundant SOD was expressed in tumors from patients with poor outcomes and little SOD in patients with good outc...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.220

    authors: Kurisaka M,Mori K

    更新日期:1996-04-01 00:00:00

  • The Method for Placement of an Intraoperative Continuous Facial Nerve Stimulating Electrode in Acoustic Neuroma Surgery: Technical Note.

    abstract::Preservation of facial nerve (FN) function is the most important goal in acoustic neuroma (AN) surgery. We have been using intraoperative continuous facial nerve monitoring (ICFNm) of evoked electromyography during AN surgery. ICFNm is very useful, and we can identify the real-time functions of the FN. Some surgeons h...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.tn.2018-0149

    authors: Torihashi K,Sora S,Sato H,Kohno M

    更新日期:2018-11-15 00:00:00

  • Superficial siderosis of the central nervous system caused by hemorrhagic intraventricular craniopharyngioma: case report and literature review.

    abstract::Superficial siderosis is a rare condition caused by hemosiderin deposits in the central nervous system (CNS) due to prolonged or recurrent low-grade bleeding into the cerebrospinal fluid (CSF). CNS tumor could be one of the sources of bleeding, both pre- and postoperatively. We report an extremely rare case of superfi...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.cr.2012-0362

    authors: Tosaka M,Sato K,Amanuma M,Higuchi T,Arai M,Aishima K,Shimizu T,Horiguchi K,Sugawara K,Yoshimoto Y

    更新日期:2015-01-01 00:00:00

  • Spinal cord edema preceding syringomyelia associated with Chiari I malformation--case report.

    abstract::A 38-year-old woman with Chiari I malformation presented with spinal cord edema preceding syringomyelia manifesting as a 5-month history of nuchal pain and numbness of the upper extremities. Magnetic resonance imaging showed spinal cord edema, a poorly defined syrinx at the C-2 to T-2 levels, and distorted cerebellar ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.42.410

    authors: Itoh Y,Kuwahara N,Sasajima T,Mizoi K,Hatazawa J

    更新日期:2002-09-01 00:00:00

  • A new, curved catheter for ventriculoperitoneal shunting--technical note.

    abstract::A curved ventricular catheter was designed for ventriculoperitoneal shunt procedures. The tip of the catheter can be inserted into the anterior horn along the curvature of the lateral ventricle. To date, it has been applied in 14 cases, all with satisfactory results. ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.449

    authors: Ohta T,Taniguchi H,Nishimura S,Manno T

    更新日期:1989-05-01 00:00:00

  • Chiari malformation and syringomyelia in monozygotic twins: birth injury as a possible cause of syringomyelia--case report.

    abstract::A 26-year-old female, the elder of monozygotic twins, presented with slow progressive numbness and pain in her left arm. Magnetic resonance (MR) imaging showed syringomyelia with Chiari malformation. The patient's birth had been difficult with prolonged delivery time, breech delivery, and neonatal asphyxia. MR imaging...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.40.176

    authors: Iwasaki Y,Hida K,Onishi K,Nanba R

    更新日期:2000-03-01 00:00:00

  • Adverse effects of intravenous acetazolamide administration for evaluation of cerebrovascular reactivity using brain perfusion single-photon emission computed tomography in patients with major cerebral artery steno-occlusive diseases.

    abstract::Adverse effects of intravenous acetazolamide administration for evaluation of cerebrovascular reactivity using brain perfusion single-photon emission computed tomography (SPECT) were prospectively investigated in 100 patients with major cerebral artery, atherosclerotic, and steno-occlusive diseases. All patients under...

    journal_title:Neurologia medico-chirurgica

    pub_type: 临床试验,杂志文章

    doi:10.2176/nmc.51.479

    authors: Saito H,Ogasawara K,Suzuki T,Kuroda H,Kobayashi M,Yoshida K,Kubo Y,Ogawa A

    更新日期:2011-01-01 00:00:00

  • Association of paranasal sinus osteoma and intracranial mucocele--two case reports.

    abstract::Two young adult males presented with paranasal sinus osteoma associated with mucocele. A 20-year-old man presented with headache and seizure, and another 20-year-old man presented with headache, frontal deformity, and visual disturbances. Both patients underwent surgery and satisfactory results were obtained. Isolated...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.44.201

    authors: Akay KM,Ongürü O,Sirin S,Celasun B,Gönül E,Timurkaynak E

    更新日期:2004-04-01 00:00:00

  • A case of presumably Rathke's cleft cyst associated with postoperative cerebrospinal fluid leakage through persisting embryonal infundibular recess.

    abstract::Persisting embryonal infundibular recess (PEIR) is a rare anomaly of the third ventricular floor. Only eight cases have been published. In this report, a case of presumably Rathke's cleft cyst associated with cerebrospinal fluid leakage caused by PEIR is described. An 81-year-old woman underwent endoscopic transspheno...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.cr2013-0014

    authors: Kuroiwa M,Kusano Y,Ogiwara T,Tanaka Y,Takemae T,Hongo K

    更新日期:2014-01-01 00:00:00

  • Characterization of immobilized anti-CD3 antibody-activated T lymphocytes for use in adoptive immunotherapy of patients with brain tumors.

    abstract::Large numbers of T lymphocytes were successfully cultured for use in adoptive immunotherapy using immobilized anti-CD3 antibody. This method allows more than 1.5 x 10(10) T lymphocytes to be cultured within 2 weeks from only 20 ml of blood. Proliferated T lymphocytes were less cytotoxic than lymphokine-activated kille...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.32.255

    authors: Yamazaki T,Sekine T

    更新日期:1992-05-01 00:00:00

  • Expression of the B-chain of platelet-derived growth factor and proliferative activity of human brain tumors.

    abstract::The expression of the B-chain of platelet-derived growth factor (PDGF) was analyzed in 29 human brain tumors (4 astrocytomas, 7 glioblastomas, 3 medulloblastomas, 3 oligodendrogliomas, 7 meningiomas, and others) using monoclonal antibody after digestion with alkaline phosphatase, and compared with proliferative activi...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.33.205

    authors: Nakamura T,Takeshita I,Inamura T,Tashima T,Fukui M

    更新日期:1993-04-01 00:00:00

  • Acute subdural hematoma after intra-arterial thrombolysis for acute ischemic stroke--case report.

    abstract::A 79-year-old man with a cardiac pacemaker for bradycardia fell down and presented with sudden onset of right hemiplegia and aphasia. Initial computed tomography (CT) showed no cerebral infarction but angiography revealed occlusion of the left middle cerebral artery (MCA). Local intra-arterial thrombolysis with tissue...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.45.627

    authors: Meguro T,Higashi H,Nishimoto K

    更新日期:2005-12-01 00:00:00

  • Neonatal brain abscess with intracystic hemorrhage--case report.

    abstract::The authors describe the case of an 11-day-old boy with high fever and signs of meningeal irritation in whom computed tomography demonstrated a large brain abscess with intracystic hemorrhage in the right temporal lobe. Cerebrospinal fluid analysis indicated purulent meningitis caused by Escherichia coli. After aspira...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.861

    authors: Nakagawa Y,Shinno K,Akaike Y,Fujimoto N,Okajima K,Matsumoto K

    更新日期:1989-09-01 00:00:00

  • Late onset cerebrospinal fluid leakage associated with past head injury.

    abstract::Late onset cerebrospinal fluid (CSF) leakage, such as rhinorrhea or otorrhea, is a rare complication of closed head injury. We encountered two cases of delayed CSF leakage more than 10 years after head injury. In both cases, surgical treatments were performed using intradural approaches, and the dural defects were clo...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.53.217

    authors: Kamochi H,Kusaka G,Ishikawa M,Ishikawa S,Tanaka Y

    更新日期:2013-01-01 00:00:00

  • Cerebral blood flow changes during localized hyperthermia.

    abstract::Hyperthermia is becoming a potent therapeutic method for malignant brain tumors, either alone or in combination with radiation therapy. The heat response of organized tissues includes other factors besides the inherent cellular thermosensitivity, that is, tissue pH, PaO2, and nutrient supply, all of which are largely ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.30.923

    authors: Moriyama E

    更新日期:1990-11-01 00:00:00

  • Cerebellar hemorrhage secondary to cranial metastasis of prostate cancer--case report.

    abstract::A 77-year-old man with a 9-year history of prostate cancer presented with high fever and dysphagia. The initial diagnosis was aspiration pneumonia, but the patient became comatose 2 days after admission, and neuroradiological workup revealed cerebellar hemorrhage, obstructive hydrocephalus, and extensive destruction o...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.44.82

    authors: Inamasu J,Nakamura Y,Saito R,Kuroshima Y,Mayanagi K,Orii M,Ichikizaki K

    更新日期:2004-02-01 00:00:00

  • Primary central nervous system mucosa-associated lymphoid tissue lymphoma--case report.

    abstract::A 55-year-old woman presented with an extremely rare primary central nervous system mucosa-associated lymphoid tissue (MALT) lymphoma manifesting as seizure and was subsequently diagnosed with dural MALT lymphoma in the cranium. Magnetic resonance imaging revealed a left frontal dural mass with peritumoral edema. Hist...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.51.527

    authors: Kamoshima Y,Sawamura Y,Sugiyama T,Yamaguchi S,Houkin K,Kubota K

    更新日期:2011-01-01 00:00:00

  • Retrolabyrinthine presigmoid transpetrosal approach for selective subtemporal amygdalohippocampectomy.

    abstract::The retrolabyrinthine presigmoid transpetrosal approach is a modification of the subtemporal approach which is suitable for complete amygdalectomy. By drilling away the retrolabyrinthine presigmoid petrosal bone, at least 1 cm more space below and 1 cm more space medially is obtained than in the subtemporal approach, ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.39.214

    authors: Hori T,Kondo S,Takenobu A,Hirao J,Kohaya N,Takeuchi H,Watanabe T

    更新日期:1999-03-01 00:00:00

  • Dynamic magnetic resonance appearance of the vertebral dissecting aneurysm--case report.

    abstract::A dissecting aneurysm of the vertebral artery occurred in a 38-year-old male presenting with ischemic attacks. Vertebral angiography revealed irregular narrowing and dilatation of the right vertebral artery, and retention of the contrast medium. Routine T1-weighted magnetic resonance (MR) imaging demonstrated signal v...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.32.698

    authors: Hamada J,Sato K,Nagahiro S,Ushio Y

    更新日期:1992-08-01 00:00:00

  • Changes in the level of 7 alpha-hydroxy-3-oxo-4-cholestenoic acid in cerebrospinal fluid after subarachnoid hemorrhage.

    abstract::A high concentration of a type of cholic acid, 7 alpha-hydroxy-3-oxo-4-cholestenoic acid, is observed in the content of chronic subdural hematoma. To investigate the possible causes, the level of this compound was measured in the cerebrospinal fluid of patients who underwent surgery for aneurysmal subarachnoid hemorrh...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.35.294

    authors: Nagata K,Seyama Y,Shimizu T

    更新日期:1995-05-01 00:00:00

  • [Spinal epidural cavernous hemangioma. Case report].

    abstract::Spinal epidural cavernous hemangiomas are very rare; only 18 cases have been reported in the literature. The authors describe the case of a 38-year-old male whose first symptom was numbness of the foot, which, after 2 years, spread to the abdomen. On admission, he had no weakness but exhibited hyper-reflex of the lowe...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.29.538

    authors: Kurose K,Kishi H,Sadatoh T

    更新日期:1989-06-01 00:00:00

  • Intracranial extracerebral neuroblastoma originating from the convexity dura mater.

    abstract::A 19-year-old female presented with an unusual intracranial extracerebral neuroblastoma originating from the dura mater. The tumor was located in the right frontal convexity, and had adhered neither to the underlining arachnoid membrane nor the cerebral cortex. The tumor feeders were meningeal arteries. Light microsco...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.19

    authors: Ishii N,Sawamura Y,Aoki T,Nagashima K,Kashiwaba T,Abe H

    更新日期:1996-01-01 00:00:00

  • Angiotensin-converting enzyme inhibitor cilazapril suppresses expression of basic fibroblast growth factor messenger ribonucleic acid and protein in endothelial and intimal smooth muscle cells in a vascular injury model of spontaneous hypertensive rats.

    abstract::The relationship between the expression of basic fibroblast growth factor (bFGF) messenger ribonucleic acid (mRNA) and protein, a potent mitogen for vascular smooth muscle cells in vivo, and administration of the angiotensin-converting enzyme inhibitor cilazapril, which suppresses smooth muscle cells proliferation in ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.38.257

    authors: Iwata A,Masago A,Yamada K

    更新日期:1998-05-01 00:00:00

  • Malignant fibrous histiocytoma in the parietal bone.

    abstract::Malignant fibrous histiocytomas (MFHs) are mesenchymal tumors, usually arising in soft tissue of the extremities and are remarkably resistant to radiation and chemotherapy. A 45-year-old female presented with a rare case of MFH originating in the cranial bone manifesting as a lump in the left parietal region with no n...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.38.359

    authors: Yoshida D,Harashima K,Node Y,Kojima T,Shimura T,Teramoto A

    更新日期:1998-06-01 00:00:00

  • Central nervous system metastases from Ewing's sarcoma--case report.

    abstract::A 12-year-old boy presented with a rare case of intracranial metastasis 33 months after surgical treatment for Ewing's sarcoma of the rib. His chief complaints were headache, right hemiparesis, and disturbance of speech. Computed tomography revealed a large metastatic lesion in the left occipitoparietal region. The tu...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.34.754

    authors: Mizushima H,Jinbo H,Shimazu M,Abe T,Kunii N,Matsumoto K

    更新日期:1994-11-01 00:00:00