当前位置： SCI文献检索 > CLINICAL NEUROLOGY AND NEUROSURGERY期刊下所有文献 > The midline suboccipital subtonsillar approach to the cerebellomedullary cistern and its structures: anatomical considerations, surgical technique and clinical application.

The midline suboccipital subtonsillar approach to the cerebellomedullary cistern and its structures: anatomical considerations, surgical technique and clinical application.

Abstract：

OBJECTIVE:Lesions of the cerebellomedullary cistern lateral to the lower brainstem in an area extending from the foraminae of Luschka to the foramen magnum are rare and can be caused by various sources. There is no consensus on an ideal surgical approach. We describe the anatomical features and the surgical technique of the midline suboccipital subtonsillar (STA) approach to the cerebellomedullary cistern and its pathologies. METHODS:The study was performed on three alcohol (ETOH)-fixed specimens (6 sides), and the technique of the approach was highlighted. The tonsillar retraction needed to view the important structures was measured. Additionally, the records of 31 patients who underwent the STA procedure were evaluated. We provide three clinical cases as examples. RESULTS:Tonsillar retraction of 0.3cm (SD±0.1cm) exposed the PICA with its telo-velo-tonsillar and cortical branches. Retraction of 0.4cm (SD±0.2cm) exposed the spinal root of CN XI. Retraction of 0.9cm (SD±0.01cm) exposed the hypoglossal canal. Retraction of 1.3cm (SD±0.2cm) exposed the root exit zone of the glossopharyngeal nerve. Retraction of 1.6cm (SD±0.3cm) exposed the jugular foramen (JF), and retraction of 2.4cm (SD±0.2cm) exposed the inner auditory canal (IAC). In all of the selected cases, the pathology could be reached and exposed using the STA. CONCLUSIONS:We recommend STA as a straightforward, easy-to-learn and therefore time-saving and safe procedure compared with other standard approaches to the cerebellomedullary cistern and its pathologies.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Herlan S,Ebner FH,Nitz A,Hirt B,Tatagiba M,Roser F

doi

10.1016/j.clineuro.2014.07.029

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

98-105

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(14)00289-3

journal_volume

125

pub_type

杂志文章

相关文献

CLINICAL NEUROLOGY AND NEUROSURGERY文献大全
  • Endovascular therapy for vasospasm secondary to subarachnoid hemorrhage: A meta-analysis and systematic review.

    abstract：:Endovascular therapy has been used as an alternative treatment for vasospasm following subarachnoid hemorrhage. The effectiveness and safety of endovascular therapy are still controversial. We performed a systematic review and meta-analysis to identify any advantage of endovascular therapy over traditional medical tre...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.clineuro.2017.09.016

    authors： Yao Z,Hu X,You C

    更新日期：2017-12-01 00:00:00

  • Butterfly vertebra.

    abstract：:A patient with a so-called 'butterfly vertebra' is presented. Radiography, including computed tomography, is shown. The embryology and pathogenesis of the vertebral column with respect to vertebral abnormalities are discussed, with special reference to butterfly vertebra. Finally, attention is paid to the clinical man...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(82)90039-7

    authors： de Graaf RJ,Matricali B,Hamburger HL

    更新日期：1982-01-01 00:00:00

  • Computed tomographic changes in lacunar syndromes.

    abstract：BACKGROUND:Lacunes are small deep infarcts due to occlusion of long-perforating arterial branches. The clinical presentation and outcome are variable. The present study investigates the prognostic value of comparing repeated computed tomographic (CT) scans in patients with a lacunar syndrome (LACS). PATIENTS AND METHO...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2004.12.022

    authors： De Reuck J,Hemelsoet D,Nieuwenhuis L,Van Maele G

    更新日期：2005-12-01 00:00:00

  • The complementary value of Doppler-ultrasonography and ocular pneumoplethysmography according to Gee (OPG-Gee) in carotid obstructions.

    abstract：:The results of the combination of CW-Doppler ultrasonography and OPG-Gee are described in 68 patients. The Doppler examination had a sensitivity of 92% and a specificity of 89%, the percentages for the OPG-Gee were 69 en 79. The combination of the Doppler examination with the OPG-Gee improves our positive predictive v...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(88)90026-1

    authors： Strik F

    更新日期：1988-01-01 00:00:00

  • Outcome and prognostic value of treatment for brain metastases and the primary tumor in patients with breast cancer brain metastases.

    abstract：OBJECTIVE:The aim of this single-institution cohort study is to describe clinical characteristics of patients with breast cancer brain metastases (BCBM), to investigate survival after diagnosis of brain metastases (BM), and to assess the aggressive treatments to BCBM. PATIENTS AND METHODS:We identified 134 consecutive...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.04.026

    authors： Wang Y,Ji Z,Lin FH,Wang XH,Wan-Ming H,He ZQ,Duan H,Guo CC,Zhang XH,Mou YG

    更新日期：2018-07-01 00:00:00

  • Migrainous infarction with appearance of laminar necrosis on MRI.

    abstract：:Although there is accepted criteria for migrainous infarction, the pathophysiology of this disease process remains poorly defined. Delineation of MRI characteristics of migrainous infarction may improve our understanding of the pathophysiology, diagnosis, and prognosis of this disorder. We present a case of a migraino...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.04.005

    authors： Liang Y,Scott TF

    更新日期：2007-09-01 00:00:00

  • Clipping of a vertebral artery aneurysm behind the hypoglossal nerve under the monitoring of lower cranial nerves.

    abstract：:Under an operative view, an aneurysm of the vertebral artery is located behind the lower cranial nerves. To prevent neurological deficits we employed electrophysiological monitoring while clipping an aneurysm of the vertebral artery. A 64-year-old woman had suffered a sudden severe headache in the morning. Computed to...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2010.02.002

    authors： Ishikawa M,Kusaka G,Takashima K,Kamochi H,Shinoda S

    更新日期：2010-06-01 00:00:00

  • Lower motor neuron syndrome in a patient with HER2-positive metastatic breast cancer: A case report and review of the literature.

    abstract：:Paraneoplastic neurological syndromes are very rare and often associated to breast, ovarian and small cells lung cancers. Paraneoplastic motor neuron diseases (MNDs) are even rarer, and frequently described in patients with breast cancer. We presented the first case of patient affected by HER2-positive breast tumor an...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2018.06.038

    authors： Diamanti L,Quaquarini E,Berzero G,Bini P,Gastaldi M,Franciotta D,Alfonsi E,Ceroni M,Frascaroli M,Bernardo A,Marchioni E

    更新日期：2018-09-01 00:00:00

  • Axonal damage in multiple sclerosis: a complex issue in a complex disease.

    abstract：:Multiple sclerosis is no longer considered to simply be an autoimmune demyelinating disease. Axonal destruction is another central pathological feature and a contributor to the accumulating disability of disease progression. The mechanism underlying axonal pathology has not been fully clarified but does not appear to ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2004.02.017

    authors： Grigoriadis N,Ben-Hur T,Karussis D,Milonas I

    更新日期：2004-06-01 00:00:00

  • Differentiating pseudo-occlusion from true occlusion of proximal internal carotid artery in acute ischemic stroke on CT angiography.

    abstract：OBJECTIVE:A lack of visualization of the proximal internal carotid artery (ICA) on computed tomography angiography (CTA) in acute ischemic stroke may be caused by an atherosclerotic occlusion or a pseudo-occlusion by a massive thrombus in the ICA. Pseudo-occlusion of the proximal ICA is caused by stagnant flow from a d...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105495

    authors： Kim H,Kwak HS,Chung GH,Hwang SB

    更新日期：2019-10-01 00:00:00

  • Culture positive tuberculous meningitis: clinical indicators of poor prognosis.

    abstract：:Few studies have evaluated culture positive tuberculous meningitis (TBM) as a group. We evaluated certain clinical factors in culture positive TBM which could be associated with a poorer outcome. Out of 40 consecutive TBM patients seen over a period of 4 years in a tertiary referral hospital, 18 culture positive and n...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(99)00025-6

    authors： Tan EK,Chee MW,Chan LL,Lee YL

    更新日期：1999-09-01 00:00:00

  • Clinical characteristics of headache or facial pain prior to the development of acute herpes zoster of the head.

    abstract：OBJECTIVES:When physicians encounter patients with headache or facial pain (preeruptive pain) associated with acute herpes zoster of the head, especially before the appearance of characteristic skin eruptions (preeruptive phase), they typically find it difficult to make clinical impressions and apply appropriate diagno...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2016.12.004

    authors： Lee HL,Yeo M,Choi GH,Lee JY,Kim JS,Shin DI,Lee SS,Lee SH

    更新日期：2017-01-01 00:00:00

  • Involvement of disregulated c-myc but not c-sis/PDGF in atypical and anaplastic meningiomas.

    abstract：:We investigated the expression of c-myc and c-sis/PDGF mRNA and protein products in 20 cases of meningiomas of various grades: 10 benign, 5 atypical and 5 anaplastic meningiomas. All cases of atypical and anaplastic meningiomas were positive for c-myc protein and mRNA by immunohistochemistry and in situ hybridisation,...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(00)00119-0

    authors： Nagashima G,Aoyagi M,Yamamoto S,Wakimoto H,Tamaki M,Yamamoto K,Fujimoto T,Hirakawa K

    更新日期：2001-04-01 00:00:00

  • Frontal lobe atrophy is associated with small vessel disease in ischemic stroke patients.

    abstract：BACKGROUND:The pathogenesis of frontal lobe atrophy (FLA) in stroke patients is unclear. We aimed to ascertain whether subcortical ischemic changes were more associated with FLA than with parietal lobe atrophy (PLA) and temporal lobe atrophy (TLA). METHODS:Brain magnetic resonance images (MRIs) from 471 Chinese ischem...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2009.08.019

    authors： Chen Y,Chen X,Xiao W,Mok VC,Wong KS,Tang WK

    更新日期：2009-12-01 00:00:00

  • Successful treatment of amoebic meningoencephalitis in a Chinese living in Hong Kong.

    abstract：:Primary amoebic meningoencephalitis due to Naegleria fowleri was found in a 38-year-old Chinese man living in Hong Kong who presumably acquired the infection from swimming in a hot spring in neighbouring China. Amoebic cysts were identified in tissue taken from a brain abscess. The patient responded to surgical draina...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(93)90132-z

    authors： Wang A,Kay R,Poon WS,Ng HK

    更新日期：1993-09-01 00:00:00

  • Montreal Cognitive Assessment score correlates with regional cerebral blood flow in post-stroke patients.

    abstract：OBJECTIVE:Valid and reliable measures are needed to assess post-stroke cognitive impairment. The Montreal Cognitive Assessment (MoCA) has been considered a superior screening test to the Mini-Mental State Examination (MMSE) for patients with post-stroke cognitive impairment, particularly in executive function, which ma...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.09.004

    authors： Nakaoku Y,Oishi N,Hase Y,Hase M,Saito S,Mitsueda T,Matsui M,Toyoda K,Nagatsuka K,Kalaria RN,Fukuyama H,Ihara M,Takahashi R

    更新日期：2018-11-01 00:00:00

  • Central neurocytoma: a clinical, radiological and pathological study of nine cases.

    abstract：PURPOSE:Central neurocytoma is a rare intraventricular brain tumor that affects young adults and presents with increased intracranial pressure secondary to obstructive hydrocephalus. Typically, it has a favorable prognosis after adequate surgical intervention, but in some cases the clinical course is more aggressive. I...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.09.023

    authors： Chen CL,Shen CC,Wang J,Lu CH,Lee HT

    更新日期：2008-02-01 00:00:00

  • Locked-in syndrome. Case and literature review.

    abstract：:A case of locked-in syndrome is described and the literature is reviewed. The disorder consists of quadriplegia and mutism with preserved consciousness. The only remaining voluntary movements are usually vertical eye movements and eyelid blinking. Most cases are caused by basilar artery occlusion resulting in a brains...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/0303-8467(84)90289-0

    authors： Virgile RS

    更新日期：1984-01-01 00:00:00

  • Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre.

    abstract：OBJECTIVE:To establish the clinical characteristics, aetiology, neuro-physiological characteristics, imaging findings and other investigations in a cohort of patients with non-traumatic brachial plexopathy (BP). METHODS:A 3-year retrospective study of patients with non-traumatic BP identified by electromyography (EMG)...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.05.010

    authors： Mullins GM,O'Sullivan SS,Neligan A,Daly S,Galvin RJ,Sweeney BJ,McNamara B

    更新日期：2007-10-01 00:00:00

  • Can we now dispense with DSA in the evaluation of aneurysm occlusion even in the most crucial first follow-up after endovascular treatment?

    abstract：OBJECTIVES:Catheter angiography (DSA) as gold standard for the evaluation of aneurysmal occlusion after coiling has now been largely replaced by MRI or CTA in long term observations. However, the first year after treatment is crucial because most recurrences occur in this time. Until now no guidelines exist concerning ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2016.08.005

    authors： Gramsch C,Zülow S,Nensa F,Maderwald S,Göricke S,Ringelstein A,Müller O,Sure U,Wanke I,Schlamann M

    更新日期：2016-10-01 00:00:00

  • Results and risk factors for recurrence following endoscopic endonasal transsphenoidal surgery for pituitary adenoma.

    abstract：BACKGROUND:Endoscopic endonasal (EE) transsphenoidal surgery is an important surgical approach to the treatment of sellar pathology, particularly for pituitary adenomas. Risk factors for the radiographic recurrence of pituitary adenomas resected using a purely endoscopic approach have not been established. This study i...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2014.01.020

    authors： Bodhinayake I,Ottenhausen M,Mooney MA,Kesavabhotla K,Christos P,Schwarz JT,Boockvar JA

    更新日期：2014-04-01 00:00:00

  • Acro-osteolysis (report of two cases and brief review of literature.

    abstract：:Two siblings suffering from acro-osteolysis, a rare disorder, are discussed. Although three distinct types of acro-osteolysis, namely familial, idiopathic, and due to vinyl-chloride, are clearly defined, these patients did not fit into any category. They had intact nails, preserved tactile and sensory system, plantar ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(80)90059-1

    authors： Kaur S,Kumar B,Chopra JS,Lamba G,Narang A

    更新日期：1980-01-01 00:00:00

  • High long-term symptomatic recurrence rates after Chiari-1 decompression without dural opening: a single center experience.

    abstract：OBJECTIVE:We evaluated long-term outcomes of posterior fossa decompression (PFD) without duroplasty in consecutive patients with newly diagnosed Chiari-1 malformation. METHODS:We searched the institutional database for all adult patients who underwent Chiari decompression between 1995 and 2007. PFD was offered to all ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2013.12.016

    authors： Krishna V,McLawhorn M,Kosnik-Infinger L,Patel S

    更新日期：2014-03-01 00:00:00

  • Comparison of the fenestrated pedicle screw and conventional pedicle screw in minimally percutaneous fixation for the treatment of spondylolisthesis with osteoporotic spine.

    abstract：OBJECTIVES:To assess the feasibility of cement-augmented fenestrated pedicle screw for patients with spondylolisthesis with osteoporotic spine. PATIENTS AND METHODS:From January 2014 to March 2018, a retrospective study of 88 patients with spondylolisthesis and osteoporosis treated with minimally invasive transforamin...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105377

    authors： Wang W,Liu C,Li J,Li H,Wu J,Liu H,Li C,Zhou Y

    更新日期：2019-08-01 00:00:00

  • Brain and skull base MRI findings in patients with Ollier-Maffucci disease: A series of 12 patient-cases.

    abstract：OBJECTIVES:To estimate the prevalence rate of silent cranial and intracranial lesions in a series of Ollier-Maffucci patients. PATIENTS AND METHODS:Cerebral MRI was routinely performed in Ollier-Maffucci patients followed-up in our tertiary centers. Patients with previous history of skull base or intracranial tumors w...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2017.07.011

    authors： Mandonnet E,Anract P,Martin E,Roujeau T,Spena G,Cormier-Daire V,Duffau H,Baujat G,Collaborators.

    更新日期：2017-09-01 00:00:00

  • Chronic post-stroke fatigue: It may no longer be about the stroke itself.

    abstract：OBJECTIVE:Post-stroke fatigue (PSF) is a debilitating complication of stroke recovery. Contributing risk factors, whether they are modifiable, and if they change over time remain understudied. We determine factors associated with PSF and how they evolve from the subacute through chronic phases of recovery. PATIENTS AN...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.09.027

    authors： Chen K,Marsh EB

    更新日期：2018-11-01 00:00:00

  • The role of the Sylvian fissure configuration and the vascular anatomy on different bleeding patterns in ruptured middle cerebral artery aneurysms.

    abstract：OBJECTIVE:Ruptured middle cerebral artery (MCA) aneurysms are one of the causes of subarachnoid (SAH) or intracerebral hemorrhage (ICH) but the factors associated with the bleeding type are unknown. The aim of the study was to analyze the association of the morphological variations of the Sylvian fissure (SF) and vascu...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105572

    authors： Neyazi B,Siblini A,Frantsev R,Özkan N,Sandalcioglu IE,Sure U,Maslehaty H

    更新日期：2020-02-01 00:00:00

  • Holocord astrocytomas in childhood.

    abstract：:In this case report, we present a patient with a low-grade holocord astrocytoma. Therapy and its consequences are discussed. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(90)90066-e

    authors： Vles JS,Grubben CP,van Ooy A,Weil EH

    更新日期：1990-01-01 00:00:00

  • Hemorrhage rates of external ventricular drain (EVD), intracranial pressure gauge (ICP) or combined EVD and ICP gauge placement within 48 h of endovascular coil embolization of cerebral aneurysms.

    abstract：OBJECT:In single patients with a cerebral aneurysm an external ventricular drain (EVD), an intracranial pressure (ICP) gauge or a combined EVD and ICP gauge placement is necessary after coil embolization and initiation of postprocedural anticoagulation. The aim of this study was to examine the hemorrhage rates of drain...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2013.01.023

    authors： Scholz C,Hubbe U,Deininger M,Deininger MH

    更新日期：2013-08-01 00:00:00

  • Somatosensory and motor evoked potentials during correction surgery of scoliosis in neurologically asymptomatic Chiari malformation-associated scoliosis: A comparison with idiopathic scoliosis.

    abstract：OBJECTIVES:To analyze the somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) in neurologically asymptomatic Chiari malformation-associated scoliosis (CMS) patients with and without syringomyelia as compared with those in idiopathic scoliosis (IS) ones, and to identify whether the deformities have...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.105689

    authors： Shi B,Qiu J,Xu L,Li Y,Jiang D,Xia S,Liu Z,Sun X,Shi B,Zhu Z,Qiu Y

    更新日期：2020-04-01 00:00:00