Intracranial arteriovenous malformation: contralateral steal phenomena.

Abstract:

:Sixty-two patients with radiographically proven intracranial arteriovenous malformations underwent preoperative regional cerebral blood flow measurement with 133Xe single-photon emission computed tomography. Contralateral regions of hypoperfusion were detected in all cases. Steal severity was assessed according to the contralateral steal index [ISteal(c)]. ISteal(c) was greater than 0.7 (severe) in 22 (35%), 0.7-0.8 (intermediate) in 18 (29%), and greater than 0.8 (mild) in 22 (35%). ISteal(c) was more frequently severe or mild in females and more often intermediate in males (p less than 0.05). Hyperemic complications were encountered more frequently in patients with intermediate ISteal(c) (p = 0.086). An unfavorable outcome was associated with less severe contralateral steal (p = 0.12). A detailed clinical, radiographic, and hemodynamic profile may help to preoperatively identify patients at high risk for a poor surgical outcome.

authors

Batjer HH,Devous MD Sr,Seibert GB,Purdy PD,Ajmani AK,Delarosa M,Bonte FJ

doi

10.2176/nmc.29.401

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

401-6

issue

5

eissn

0470-8105

issn

1349-8029

pii

JST.Journalarchive/nmc1959/29.401

journal_volume

29

pub_type

杂志文章
  • Case volume does not correlate with outcome after cerebral aneurysm clipping: a nationwide study in Japan.

    abstract::The present study analyzed the impact of case volume on outcome after cerebral aneurysm clipping at all 382 core neurosurgical training centers certified by the Japan Neurosurgical Society. A survey requested information on all clipping surgeries for cerebral aneurysms performed during 2003. Among these centers, 369 (...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.47.95

    authors: Hattori N,Katayama Y,Abe T,Japan Neurosurgical Society.

    更新日期:2007-03-01 00:00:00

  • Preliminary experience with air transfer of patients for rescue endovascular therapy after failure of intravenous tissue plasminogen activator.

    abstract::The present report describes our experience with air transfer of patients with acute ischemic stroke in whom intravenous tissue plasminogen activator (IV t-PA) failed for rescue endovascular therapy (EVT). Twenty-three consecutive patients in whom IV t-PA failed were transferred to our hospital for rescue EVT between ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.cr.2014-0235

    authors: Tsujimoto M,Yoshimura S,Enomoto Y,Yamada N,Matsumaru N,Kumada K,Toyoda I,Ogura S,Iwama T

    更新日期:2015-01-01 00:00:00

  • Microsurgically critical anomaly of the anterior communicating artery complex during the pterional approach to a ruptured aneurysm: double fenestration of the proximal A2 segments.

    abstract::A 50-year-old man presented with a ruptured aneurysm of the anterior communicating artery (ACoA) complex anomaly with the neck of the aneurysm located in the upper ACoA. The right pterional approach was performed 2 days after admission. Retraction of the frontal lobe exposed the lower half of the ACoA complex consisti...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.43.304

    authors: Namiki J,Doumoto Y

    更新日期:2003-06-01 00:00:00

  • Comparison of dynamic and xenon computed tomography in the evaluation of cerebrovascular ischemia.

    abstract::Dynamic computed tomographic (DCT) scans with iodine contrast enhancement were compared with simultaneously obtained xenon CT studies of cerebral blood flow (CBF) in 15 patients with subacute or chronic cerebrovascular ischemic disease. Specifically, the width and corrected first moment (cMT1), as demonstrated by DCT,...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.20

    authors: Terada T,Kikuchi H,Kuriyama Y,Nagata I,Yamagata S,Naruo Y,Minamikawa J,Kaneko T,Sawada T

    更新日期:1989-01-01 00:00:00

  • Suprasellar ectopic pituitary adenoma--case report.

    abstract::A 33-year-old female presented with suprasellar ectopic pituitary adenoma manifesting as visual disturbances. Preoperative magnetic resonance imaging demonstrated intact pituitary gland and suprasellar cystic tumor, with a preoperative diagnosis of craniopharyngioma. At surgery, the tumor was identified as a suprasell...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.34.538

    authors: Kohno M,Sasaki T,Narita Y,Teramoto A,Takakura K

    更新日期:1994-08-01 00:00:00

  • Cine-magnetic resonance imaging evaluation of communication between middle cranial fossa arachnoid cysts and cisterns.

    abstract::Cine-magnetic resonance (MR) imaging examinations were performed in 10 patients with middle cranial fossa arachnoid cysts to evaluate communication between the cysts and the normal cerebrospinal fluid (CSF) space. Eight of 10 patients were evaluated by time of flight cine-MR imaging, and two by phase contrast cine-MR ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.353

    authors: Eguchi T,Taoka T,Nikaido Y,Shiomi K,Fujimoto T,Otsuka H,Takeuchi H

    更新日期:1996-06-01 00:00:00

  • Restenosis following carotid endarterectomy--clinical profiles and pathological findings.

    abstract::Restenosis following carotid endarterectomy is not a rare condition. Among 122 endarterectomies we experienced, five restenoses (4.1%) were encountered and treated by the second surgery. The present report clarifies the clinical profiles and pathological findings of restenosis following carotid endarterectomy. Mean ag...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:

    authors: Yamada K,Kishiguchi T,Ito M,Otsuki H,Kohmura E,Taneda M,Hayakawa T

    更新日期:1998-01-01 00:00:00

  • Synovial cysts of the lumbar spine--pathological considerations and surgical strategy.

    abstract::Symptomatic lumbar synovial cysts (LSCs) are a rare cause of degenerative narrowing of the spinal canal, with thecal sac or nerve root compression. True synovial cysts have a thick wall lined by synovial cells, containing granulation tissue, numerous histiocytes, and giant cells. In contrast, pseudo-cysts lack special...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.53.95

    authors: Ganau M,Ennas F,Bellisano G,Ganau L,Ambu R,Faa G,Maleci A

    更新日期:2013-01-01 00:00:00

  • Huge facial schwannoma extending into the middle cranial fossa and cerebellopontine angle without facial nerve palsy--case report.

    abstract::A 46-year-old male presented with a huge facial schwannoma extending into both the middle cranial fossa and the cerebellopontine angle but without manifesting facial nerve palsy. Neurological examination on admission revealed no deficits except for speech disturbance. Computed tomography showed a multicystic tumor ext...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.40.528

    authors: Furuta S,Hatakeyama T,Zenke K,Nagato S

    更新日期:2000-10-01 00:00:00

  • Recurrent brain abscess associated with hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease)--case report.

    abstract::A 53-year-old mentally handicapped female with hereditary hemorrhagic telangiectasia complicated by pulmonary arteriovenous fistula developed a recurrent brain abscess in the left frontal region. She responded well to surgical drainage and antibiotic therapy. Previously, she had two brain abscesses of the left parieto...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.32.891

    authors: Kikuchi K,Kowada M,Shioya H,Shioya T

    更新日期:1992-11-01 00:00:00

  • [Brain metastasis from primary pericardial mesothelioma. Case report].

    abstract::A 50-year-old female was admitted because of nausea, vomiting, and cerebellar ataxia. Computed tomography scan revealed an enhanced mass accompanied with a cyst in the right cerebellar hemisphere. The mass situated in the subcortical region was removed. Histologically, highly vascular tumor cells lined the cavities. P...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.30.884

    authors: Asoh Y,Nakamura M,Maeda T,Shiogai T,Ogashiwa M,Takeuchi K,Watanabe K,Tanaka U,Matsuo E

    更新日期:1990-01-01 00:00:00

  • [Pituitary hemorrhage extending into the third ventricle. Case report].

    abstract::A case of pituitary apoplexy causing pituitary hemorrhage with extension into the third ventricle is reported. The patient was a 73-year-old, obese female admitted with sudden onset of vomiting and impaired consciousness. Neurological examination revealed that she was stuporous, with marked neck stiffness and a dilate...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.908

    authors: Takasugi N,Doi A

    更新日期:1989-10-01 00:00:00

  • Head and neck extension-fixation with a head frame for exposure of the distal internal carotid artery in carotid endarterectomy--technical note.

    abstract::Adequate exposure of the distal internal carotid artery (ICA) for carotid endarterectomy may be difficult to achieve because of the position of the mandible and associated soft tissues. A simple yet effective use of a head frame is described to gain several centimeters of exposure of the distal ICA. The patient's head...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.43.271

    authors: Takigawa T,Yanaka K,Yasuda M,Asakawa H,Matsumaru Y,Nose T

    更新日期:2003-05-01 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

  • Status and Future Perspectives of Utilizing Big Data in Neurosurgical and Stroke Research.

    abstract::The management, analysis, and integration of Big Data have received increasing attention in healthcare research as well as in medical bioinformatics. The J-ASPECT study is the first nationwide survey in Japan on the real-world setting of stroke care using data obtained from the diagnosis procedure combination-based pa...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.ra.2016-0174

    authors: Nishimura A,Nishimura K,Kada A,Iihara K,J-ASPECT Study GROUP.

    更新日期:2016-11-15 00:00:00

  • Moyamoya disease in Yugoslavia: angiographic study.

    abstract::The angiographic findings in 31 Yugoslav moyamoya patients, 16 males and 15 females, including four children, were studied by conventional or digital subtraction angiography. The angiographic findings were reviewed for stenoocclusive lesions, form of the main cerebral arteries, transdural anastomoses, and basal vascul...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.37.512

    authors: Borota L,Marinkovic S,Bajic R,Prstojevic B,Kovacevic M

    更新日期:1997-07-01 00:00:00

  • Bone window computed tomography for detection of dural defect associated with cervical ossified posterior longitudinal ligament.

    abstract::Anterior decompression of a cervical ossified posterior longitudinal ligament (OPLL) which involves the dura mater occasionally results in a postoperative cerebrospinal fluid fistula. Bone window computed tomography (CT) was carried out to detect dural defects in 21 patients with cervical OPLL. Twelve of 21 patients h...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.37.173

    authors: Hida K,Iwasaki Y,Koyanagi I,Abe H

    更新日期:1997-02-01 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

  • Metronidazole Induced Encephalopathy Mimicking an Acute Ischemic Stroke Event.

    abstract::Metronidazole induced encephalopathy (MIE), an encephalopathy brought by an antibiotic, is characterized with cerebellar dysfunction, altered mental status and extrapyramidal symptoms. MIE can result in an acute manifestation, but MIE has not been reported as a stroke mimic. An 86-year-old patient undergoing metronida...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.cr.2018-0107

    authors: Takada K,Maki Y,Kinosada M,Ishibashi R,Chin M,Yamagata S

    更新日期:2018-09-15 00:00:00

  • Low-grade astroblastoma recurring with extensive invasion.

    abstract::A 17-year-old male presented with morning headache and double vision. Neuroimaging revealed a lobulated enhanced mass lesion with a blurred margin and remarkable peritumoral edema, and high uptake of methionine. The gray, soft, well-circumscribed mass was grossly totally resected. Histological examination showed the t...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.46.450

    authors: Kaji M,Takeshima H,Nakazato Y,Kuratsu J

    更新日期:2006-09-01 00:00:00

  • Simple new method for making a rat carotid artery post-angioplasty stenosis model.

    abstract::A simple new method for making a rat post-angioplasty stenosis model was developed using a single-lumen compliant balloon catheter/guidewire system and no special diet. This technique was applied to 10 9-week-old Wistar rats fed a normal diet. The catheter/guidewire system was inserted from the external carotid artery...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.47.525

    authors: Tsuruta W,Yamamoto T,Suzuki K,Yoshida F,Matsumura A

    更新日期:2007-11-01 00:00:00

  • Permissible arterial occlusion time in aneurysm surgery: postoperative hyperperfusion caused by temporary clipping.

    abstract::The relationship between hyperperfusion and temporary clipping was evaluated to determine the safe limit for the duration of temporary clipping in aneurysm surgery. Twenty-one patients surgically treated for a ruptured aneurysm were examined using xenon-enhanced computed tomography on postoperative days 4 to 13. Eight...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.39.901

    authors: Araki Y,Andoh H,Yamada M,Nakatani K,Andoh T,Sakai N

    更新日期:1999-12-01 00:00:00

  • Unusual location of intracranial vagus neurinoma--case report.

    abstract::A 55-year-old male presented with hearing disturbance and tinnitus in the left ear. Computed tomography (CT) and magnetic resonance imaging demonstrated a well-defined, homogeneously enhanced mass in the left cerebellomedullary cistern without extension close to the jugular foramen. A three-dimensional image reconstru...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.35.667

    authors: Kamiguchi H,Ohira T,Kobayashi M,Ogino M,Shiobara R,Toya S

    更新日期:1995-09-01 00:00:00

  • Posterior Laminoplastic Laminotomy Combined with a Paraspinal Transmuscular Approach for Removing a Lumbar Dumbbell-shaped Schwannoma: A Technical Note.

    abstract::The surgical strategies and methods used to treat dumbbell-shaped tumors located in the lumbar-foraminal region are controversial. Although a total facetectomy and combined intra- and extraspinal canal approach provide a wide operative field, facet fusion is required, which can be rather invasive. Here, we report a su...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.tn.2014-0441

    authors: Ngerageza JG,Ito K,Aoyama T,Murata T,Horiuchi T,Hongo K

    更新日期:2015-01-01 00:00:00

  • Paraclinoid carotid artery aneurysms with the dome eroding the anterior clinoid process: preoperative depiction of topography and surgical tactics--two case reports.

    abstract::A 70-year-old male and a 55-year-old female presented with unruptured aneurysms in the clinoid segment of the carotid artery. Intraoperative rupture during removal of the anterior clinoid process resulted in unintended carotid artery occlusion in the former patient, causing hemispherical infarction and death. However,...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.639

    authors: Nagasawa S,Ogawa R,Suyama Y,Ohta T

    更新日期:1996-09-01 00:00:00

  • Symptomatic Rathke's cleft cyst simulating arachnoid cyst--case report.

    abstract::A case of symptomatic Rathke's cleft cyst simulating an arachnoid cyst is presented. Although computed tomography and magnetic resonance imaging showed that the cyst content was identical to cerebrospinal fluid, there was faint contrast enhancement in part of the wall. Histological observation suggested that the somew...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.29.1039

    authors: Onda K,Tanaka R,Takeda N,Yamada N,Takahashi H

    更新日期:1989-11-01 00:00:00

  • Neuronavigation-guided Frameless Stereoelectroencephalography (SEEG).

    abstract::Stereoelectroencephalography (SEEG) is an invasive surgical procedure used to identify epileptogenic zones. The combination of both subdural grids and depth electrodes (DEs) is currently used for invasive intracranial monitoring in many epilepsy centers. To perform DE implantation, some centers use frame-based stereot...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.tn.2017-0110

    authors: Fujimoto A,Okanishi T,Kanai S,Sato K,Nishimura M,Enoki H

    更新日期:2017-09-15 00:00:00

  • Spontaneous thrombosis of intracavernous internal carotid artery aneurysm and parent artery occlusion in patients with positive balloon test occlusion--two case reports.

    abstract::Two patients with giant intracavernous internal carotid artery (ICA) aneurysms were intolerant to balloon test occlusion of the ICA, and later developed spontaneous thrombosis of the aneurysm and the parent ICA without ischemic sequelae. Case 1: A 60-year-old female with a giant right intracavernous ICA aneurysm prese...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.41.436

    authors: Kurokawa R,Kuroshima Y,Yoshida K,Kawase T

    更新日期:2001-09-01 00:00:00

  • [The usefulness of lumbar epidural pressure as an index of intracranial pressure].

    abstract::The reliability of lumbar intraspinal epidural pressure (ISEDP) as an index of intracranial pressure was investigated in seven patients with high intracranial pressure following neurosurgery. ISEDP and intracranial epidural pressure (ICEDP) were measured simultaneously, the latter by the conventional method. ISEDP was...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.484

    authors: Fujioka S,Kaku M,Hamada J,Yokota A,Ushio Y

    更新日期:1989-06-01 00:00:00

  • Anomalous origin of the ophthalmic artery from the anterior cerebral artery.

    abstract::A 39-year-old woman presented with left visual disturbance and diplopia. Magnetic resonance imaging revealed a well-enhanced tumor in the left tentorium, cavernous sinus, and suprasellar region. Angiography demonstrated an abnormal origin of the ophthalmic artery from the anterior cerebral artery. The tumor was partia...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.51.579

    authors: Li Y,Horiuchi T,Yako T,Ishizaka S,Hongo K

    更新日期:2011-01-01 00:00:00