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 retrospectively. Patients were either managed conservatively or treated with endovascular, microsurgical or radiosurgical procedures or in combination. Thirty-nine patients (74 %) presented with intracranial haemorrhage and 14 patients (26 %) with unspecific symptoms. In 22 cases with haemorrhage (56 %), an intracerebellar haematoma was found, whereas 17 patients (44 %) suffered from subarachnoid haemorrhage. AVMs were located in the cerebellum in 44 patients (83 %), in the brainstem in four patients (7.5 %) and the cerebello-pontine angle in another four individuals (7.5 %). Forty-two patients (79 %) were treated either by emboliziation (n = 12, 29 %), surgical resection (n = 16, 38 %), surgical resection with preoperative embolization (n = 12, 29 %) or radiotherapy alone (n = 2, 4 %). A total of eleven patients did not receive any treatment (21 %). Both, morbidity and mortality related to treatment were 12 %, whereas overall morbidity and mortality was 26 and 15 %, respectively. Complete AVM elimination was achieved in 81 % of the treated lesions. A multimodal treatment sequence nowadays represents the gold standard for posterior fossa AVMs. Patients are at high risk for morbidity and mortality, due to the impact of haemorrhage and treatment. Therefore, treatment has to be thoroughly indicated, especially for those patients without bleeding. The initial neurological condition seems to be crucial in terms of clinical outcome.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Stein KP,Wanke I,Schlamann M,Dammann P,Moldovan AS,Zhu Y,Sure U,Sandalcioglu IEdoi
10.1007/s10143-014-0551-9subject
Has Abstractpub_date
2014-10-01 00:00:00pages
619-28issue
4eissn
0344-5607issn
1437-2320journal_volume
37pub_type
杂志文章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：: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：:Whereas previously the dissection of arteries leading to the brain was thought to be a rare occurrence, this diagnosis has been found more frequently in the last years as a result of newer imaging methods. Furthermore, in contrast to earlier opinions, there is a rather good prognosis for the recanalisation of the vess...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF02352070
更新日期：1992-01-01 00:00:00
abstract：:The introduction of computed tomography (CT) and magnetic resonance (MR) imaging has resulted in the detection of increasing numbers of asymptomatic intraventricular tumors. Establishing the correct preoperative diagnosis is important to prevent unnecessary surgical intervention. Our study includes nine cases of benig...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-004-0353-6
更新日期：2005-04-01 00:00:00
abstract：:A nonchordomatous solitary lesion of the clival bone is an exceptionally rare pathological entity, which represents a diagnostic and a therapeutic challenge. Many diseases with extremely different biological behavior, and requiring a dedicated treatment strategy, may result in similar clinical patterns. The approach t...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-013-0463-0
更新日期：2013-10-01 00:00:00
abstract：:In neurosurgical operations, proper craniotomy using retractors is necessary. Various surgical instruments are used for this purpose, including standard retractors and multipurpose head frame retractor systems. However, the conventional multipurpose head frame system is often not optimal for use in some craniotomies a...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01237-y
更新日期：2020-01-11 00:00:00
abstract：:This study sought to describe and evaluate any relationship between D-dimer values and progressive hemorrhagic injury (PHI) after traumatic brain injury (TBI). In patients with TBI, plasma D-dimer was measured while a computed tomography (CT) scan was conducted as soon as the patient was admitted to the emergency depa...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-010-0251-z
更新日期：2010-07-01 00:00:00
abstract：:In 63 cases of clinical definite or suspected MS we compared the results of CSF analysis, VEP, BAEP, CT scanning without and after double dose contrast, in 17 cases also those of MRT. We found that CSF analysis had the highest rate of abnormal findings, followed by MRT. VEP and CT with double dose contrast showed simi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01795695
更新日期：1988-01-01 00:00:00
abstract：:The aim of this study was to determine the efficacy and safety of intrathecal baclofen therapy delivered by a programmable pump for the chronic treatment of spinal spasticity. Twelve patients with intractable spasticity caused by spinal cord injuries underwent implantation of a programmable continuous infusion pump af...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-002-0221-1
更新日期：2002-08-01 00:00:00
abstract：:The author reports a case of a histologically proven cavernous hemangioma of the cavernous sinus and middle fossa, which was treated by radiotherapy. This very rare lesion represents a formidable challenge to the neurosurgeon and its excision has been associated with a considerable mortality rate. The significant redu...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00314842
更新日期：1996-01-01 00:00:00
abstract：:In view of the high incidence of late instability during conservative treatment of cervical spine fractures, operative stabilization should be performed as soon as possible. Besides immediate decompression of the spinal cord, rapid mobilisation of the patient without external fixation is possible. We report on the res...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00304331
更新日期：1993-01-01 00:00:00
abstract：:Three unusual cases of combined intraorbital-intracranial tumors of various types which were chosen from cases treated in the Clinic and Polyclinic of Neurosurgery of the University of Münster, to demonstrate the problems of surgical therapy. A list of indications for the various accesses to the orbita is worked out. ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01794676
更新日期：1988-01-01 00:00:00
abstract：:Endoscopy in cerebellopontine angle surgery is an increasingly used technique. Despite of its advantages, the shortcomings arising from the complex anatomy of the posterior fossa are still preventing its widespread use. To overcome these drawbacks, the goal of this study was to define the anatomy of different endoscop...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-016-0800-1
更新日期：2017-07-01 00:00:00
abstract：:As a result of their presumed benign natural history, cerebral capillary telangiectasias (CCTs) are infrequently addressed in the neurosurgical literature. We performed a comprehensive review of CCTs via the PubMed database to synthesize overall epidemiological, radiographic, natural history, and treatment results. Ac...
journal_title：Neurosurgical review
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10143-012-0435-9
更新日期：2013-04-01 00:00:00
abstract：:Surgery is the only therapeutic option for cerebral cavernous malformations (CCM) and is proposed, whenever possible, after haemorrhagic events, neurological symptoms, or epilepsy, radiosurgery being a controversial alternative in some cases. However, there is no treatment for non-accessible lesions, such as brainstem...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-018-01074-0
更新日期：2019-06-01 00:00:00
abstract：:Pediatric cortical ependymomas (CEs) are rare; the clinical features and optimal treatment remain ill-defined. We aimed to clarify the clinical characteristics and outcome of pediatric CEs based on institutional series and literature review. Thirteen children with CEs from our department were included in the present s...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01336-w
更新日期：2020-06-30 00:00:00
abstract：:Acute intracranial subdural hematoma (ASDH) is commonly associated with a grave prognosis citing a high incidence of morbidity and mortality. The parameters to decide on surgical evacuation of the hematoma are sometimes controversial. In this study, we theorized that the ratio between maximal hematoma thickness and mi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-017-0873-5
更新日期：2018-04-01 00:00:00
abstract：:This study was carried out to evaluate the early results and the prognostic factors affecting the outcome during the in-hospital stay of 110 patients with civilian gunshot wounds to the head admitted at the Hospital of Restauração, Recife, Brazil. Penetrating injury (66%) was the most prevalent type of wound encounter...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-012-0377-2
更新日期：2012-07-01 00:00:00
abstract：:80-90% of individuals suffering from aneurysmal bone cyst (ABC) are children or adolescents. Primary ABC is a non-neoplastic lesion. Diagnostic assessment and detection of recurrence demands repeated plain x-rays or CT scans. These repeated radiographic examinations expose these young patients to large doses of ionizi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00383659
更新日期：1990-01-01 00:00:00
abstract：:Clinical practice guidelines (CPGs) play an important role in healthcare. The guideline development process should be precise and rigorous to ensure that the results are reproducible and not vague. To determine the quality of guidelines, the Appraisal of Guidelines and Research and Evaluation (AGREE) instrument was de...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-014-0569-z
更新日期：2015-01-01 00:00:00
abstract：:From our observations of two patients, the problems of traumatic intracranial aneurysm are discussed. The prerequisites for recognition of such an aneurysm are the clinical findings, especially the angiographic control of the course of the aneurysm and, if possible, the results of histological examination. The difficu...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01647129
更新日期：1980-01-01 00:00:00
abstract：:The purpose of this study was to investigate and to compare the effects of microsuturing to that of tissue adhesives (Tisseel) on the healing of anastomosing peripheral nerve incisions. Forty-five Wistar-Albino rats were placed in special cages and separated into three groups (n = 15). In the control group, biliteral ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01105896
更新日期：1997-01-01 00:00:00
abstract：:The unruptured intracranial aneurysm treatment score (UIATS) was published in April 2015 as a multidisciplinary consensus regarding treatment of unruptured intracranial aneurysms (UIA). As a tertiary center with focus on vascular neurosurgery, we aimed to investigate whether our treatment decision-making in patients w...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-018-0944-2
更新日期：2018-10-01 00:00:00
abstract：:We present 78 patients with spinal cord injuries. Operation is not indicated in cord contusion, extended bleeding into the spinal canal or severe fracture dislocation. However, it would seem advisable to operate on patients with vertebral fractures, particularly at the lower thoracic and lumbar levels, if intraspinal ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01790702
更新日期：1989-01-01 00:00:00
abstract：:The posteroinferior region of the thalamus is formed by the pulvinar, and it is surgically accessed through the infratentorial supracerebellar approach, between the midline and the retromastoid region. This study aimed to compare the paramedian, lateral, extreme lateral, and contralateral paramedian corridors with the...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01405-0
更新日期：2020-10-24 00:00:00
abstract：:Supplemental education is desirable for neurosurgical training, and the use of human cadaver specimen and virtual reality models is routine. An in vivo porcine training model for cranial neurosurgery was introduced in 2005, and our recent experience with this unique model is outlined here. For the first time, porcine ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-014-0572-4
更新日期：2015-01-01 00:00:00
abstract：:Twenty patients with severe head injury were analysed as to whether they developed a humoral immunodeficiency syndrome. In spite of the fact that 75% developed pyogenic complications all patients showed a polyclonal humoral activation of their immune system with an increase in IgG, IgA, IgM and the complement factors....
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01790685
更新日期：1989-01-01 00:00:00
abstract：:A case of "sudden infant death" after 15 minutes of successful resuscitation of cardiovascular function is presented. While apnoic cranial nerve areflexia and electrocerebral silence persisted, angiography and transcranial Doppler sonography demonstrated nearly normal cerebral perfusion, which even increased day by da...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00257815
更新日期：1992-01-01 00:00:00
abstract：:Structural and functional neuroimaging studies are essential in the evaluation of individuals with partial epilepsy syndromes. Magnetic resonance imaging (MRI) is important to delineate structural abnormalities underlying seizure disorders, commonly including hippocampal sclerosis or cortical dysplasias. Identificatio...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-003-0293-6
更新日期：2003-10-01 00:00:00
abstract：:The spinal nerve can be pinched between the transverse process of the fifth lumbar vertebra and the sacral ala. The patients are divided into two types: elderly persons with degenerative scoliosis and somewhat younger adults with isthmic spondylolisthesis. For the first time, we describe extraforaminal impingement of ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-010-0300-7
更新日期：2010-04-01 00:00:00
