当前位置： SCI文献检索 > CLINICAL NEUROLOGY AND NEUROSURGERY期刊下所有文献 > Risk factors for cranial nerve deficits during carotid endarterectomy: a retrospective study.

Risk factors for cranial nerve deficits during carotid endarterectomy: a retrospective study.

Abstract：

BACKGROUND:Cranial nerve deficits during CEA are a known complication. The purpose of this study is to evaluate if significant changes in somatosensory evoked potentials and electroencephalography increase cranial nerve deficits during CEA. PROCEDURES:This is an observational retrospective case-control study analyzed with data collected from patients who underwent CEA at the University of Pittsburgh Medical Center. Five hundred and eighty-seven patients were included in the final analysis. Due to the small number of cranial nerve deficits and the comparatively large number of potential covariates, we used a regression analysis with Bayesian shrinkage. FINDINGS:Analysis was performed on 587 patients, of which a total of 11 (1.8%) cases of cranial nerve deficits were recorded. The marginal mandibular branch of the facial nerve was injured in nine (81%) patients and hypoglossal nerve was injured in two (19%) patients. Of the 11 patients, 9 cases resolved by the time of discharge, the 2 cases that persisted both were injuries to the facial nerve. Multivariate analysis using Bayesian shrinkage showed that after adjusting for all risk factors only IOM changes increased the risk of cranial nerve deficits (OR 38.47, 95% CI 7.73, 191.42). CONCLUSIONS:Cranial nerve injury is 38 times more likely in patients who experienced a change in IOM during CEA shunt. Future studies examining the effect of stretch and the degree of retraction on the CN might be more helpful in reducing cranial nerve deficits.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Thirumala PD,Kumar H,Bertolet M,Habeych ME,Crammond DJ,Balzer JR

doi

10.1016/j.clineuro.2014.12.017

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

150-4

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(14)00493-4

journal_volume

130

pub_type

杂志文章

相关文献

CLINICAL NEUROLOGY AND NEUROSURGERY文献大全
  • Diffusion-weighted imaging demonstrates transient cytotoxic edema involving the corpus callosum in a patient with diffuse brain injury.

    abstract：:Reversible T2 hyperintense signal abnormality in the corpus callosum, although frequently seen after diffuse brain injury, has not been well clarified. With some accumulated evidence, we report a case of diffuse brain injury in a 24-year-old man. Magnetic resonance imaging (MRI) demonstrated T2 hyperintense signals in...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(00)00079-2

    authors： Takayama H,Kobayashi M,Sugishita M,Mihara B

    更新日期：2000-09-01 00:00:00

  • Pseudohypoxic brain swelling after elective clipping of an unruptured anterior communicating artery aneurysm.

    abstract：:A case of pseudohypoxic brain swelling, a newly defined entity, is described. The patient experienced generalized seizures and did not awake initially after a seemingly uneventful elective craniotomy for clipping of an unruptured anterior communicating artery aneurysm. Neuroimaging findings demonstrated diffuse brain ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2009.08.007

    authors： Yokota H,Yokoyama K,Miyamoto K,Nishioka T

    更新日期：2009-12-01 00:00:00

  • Delay in the diagnosis of multiple sclerosis in Croatia.

    abstract：BACKGROUND:The National Institute for Health and Clinical Excellence (NICE) guidelines for multiple sclerosis (MS) recommend the time from initial presentation to first neurological evaluation to be no longer than 6 weeks, and a further 6 weeks until any necessary investigations are completed. The aim of this study was...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2013.09.025

    authors： Adamec I,Barun B,Gabelić T,Zadro I,Habek M

    更新日期：2013-12-01 00:00:00

  • Who is referred to neurology clinics?--the diagnoses made in 3781 new patients.

    abstract：OBJECTIVE:Information on the nature and relative frequency of diagnoses made in referrals to neurology outpatient clinics is an important guide to priorities in services, teaching and research. Previous studies of this topic have been limited by being of only single centres or lacking in detail. We aimed to describe th...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.clineuro.2010.05.011

    authors： Stone J,Carson A,Duncan R,Roberts R,Warlow C,Hibberd C,Coleman R,Cull R,Murray G,Pelosi A,Cavanagh J,Matthews K,Goldbeck R,Smyth R,Walker J,Sharpe M

    更新日期：2010-11-01 00:00:00

  • A case of urinary retention in the early stages of herpes simplex virus type-1 encephalitis.

    abstract：:A 70-year-old man developed urinary retention in the early stages of herpes simplex virus (HSV) type-1 encephalitis. A nerve conduction study suggested latent myeloradiculitis. This is the first report of human herpes simplex virus-1 encephalitis followed by urinary retention at early stage from the onset like the Els...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2017.03.011

    authors： Fukuoka T,Nakazato Y,Miyake A,Tamura N,Araki N,Yamamoto T

    更新日期：2017-06-01 00:00:00

  • LINAC radiosurgery for intracranial cavernous malformation: 10-year experience.

    abstract：BACKGROUND:The annual hemorrhage rate of intracranial cavernous malformation (CM) is reported to range from 0.23% to 1.1%. Because of the low hemorrhage rate, operating on a deep symptomatic lesion with or without hemorrhage is considered controversial. For the prevention of hemorrhage, radiosurgery is an alternative m...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2006.04.001

    authors： Huang YC,Tseng CK,Chang CN,Wei KC,Liao CC,Hsu PW

    更新日期：2006-12-01 00:00:00

  • Application of diffusion tensor imaging and tractography of the optic radiation in anterior temporal lobe resection for epilepsy: a systematic review.

    abstract：BACKGROUND:Approximately 50-100% of patients with temporal lobe epilepsy undergoing anterior temporal lobe resection (ATLR) will suffer a postoperative visual field defect (VFD) due to disruption of the optic radiation (OpR). OBJECTIVE:We conducted a systematic review of the literature to examine the role of DTI and t...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2014.06.013

    authors： Piper RJ,Yoong MM,Kandasamy J,Chin RF

    更新日期：2014-09-01 00:00:00

  • Hypothalamic Hamartomas: A Comprehensive Review of Literature - Part 3: Updates on Radiotherapy Management.

    abstract：:Hypothalamic hamartomas (HH) are rare, non-neoplastic heterotopic tissues which contains normal neurons and glia including oligodendrocytes and fibrillary astrocytes but in an abnormal distribution. They arise from the floor of the third ventricle, tuber cinereum, or mammillary bodies. Estimated incidence ranges from ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2020.106077

    authors： Alomari SO,El Houshiemy MN,Bsat S,Moussalem CK,Allouh M,Omeis IA

    更新日期：2020-10-01 00:00:00

  • Intraoperative neurophysiological monitoring for intradural extramedullary tumors: why not?

    abstract：BACKGROUND:While intraoperative neurophysiological monitoring (IOM) for intramedullary tumors has become a standard in neurosurgical practice, IOM for intradural extramedullary tumors (IDEMs) is still under debate. The aim of this study is to evaluate the role of IOM during surgery for IDEMs. METHODS:From March 2008 t...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2015.01.007

    authors： Ghadirpour R,Nasi D,Iaccarino C,Giraldi D,Sabadini R,Motti L,Sala F,Servadei F

    更新日期：2015-03-01 00:00:00

  • Genetic and molecular distinctions in spinal ependymomas: A review.

    abstract：:While gross total resection of spinal ependymomas prevents recurrence, this surgical result is not always possible. Increasing evidence suggests that ependymomas occurring in the spine are genetically distinct from those originating in the brain. Herein we review the most recent developments detailing the molecular an...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2015.10.011

    authors： Connolly ID,Ali R,Li Y,Gephart MH

    更新日期：2015-12-01 00:00:00

  • Anxiety, memories and coping in patients undergoing intracranial tumor surgery.

    abstract：OBJECTIVES:The diagnosis and the surgical removal of a brain tumor can have serious impact on the quality of life of a patient. The question rises, whether having more or just less memories of the procedure is better for coping with such an event. Furthermore, for preoperative information of future patients it is impor...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.05.013

    authors： van Ark TJ,Klimek M,de Smalen P,Vincent AJPE,Stolker RJ

    更新日期：2018-07-01 00:00:00

  • The safety and efficacy of the LVIS stent for the treatment of ruptured intracranial aneurysms within 24 hours: A multicenter retrospective study.

    abstract：OBJECTIVE:Stent-assisted coiling is increasingly used in the treatment of acutely ruptured intracranial aneurysms. However, the optimal timing of the stent-assisted coiling remains unknown. We aimed to investigate the safety and efficacy of the Low Profile Visualized Intraluminal Support (LVIS) stent for ruptured aneur...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106117

    authors： Wang X,Xing H,Cai J,Jin D,Chen Y,Cui Y,Ding S,Wan J,Pan Y,Mao G,Zhao B

    更新日期：2020-10-01 00:00:00

  • Diagnosis and surgical management of extracranial PICA aneurysms presenting through subarachnoid haemorrhage: Case report and review of the literature.

    abstract：OBJECTIVE AND IMPORTANCE:We present a very unusual case in which a proximal posterior inferior cerebellar artery (PICA) aneurysm was located extracranially. We reviewed the PICA origin anatomy and pathology of aneurysms at this site. CLINICAL PRESENTATION:A Caucasian woman, 52 years of age, presented with a lesion at ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2009.05.012

    authors： Dammers R,Krisht AF,Partington S

    更新日期：2009-11-01 00:00:00

  • Local delivery methods of therapeutic agents in the treatment of diffuse intrinsic brainstem gliomas.

    abstract：:Brainstem gliomas comprise 10-20% of all pediatric central nervous system (CNS) tumors and diffuse intrinsic pontine gliomas (DIPGs) account for the majority of these lesions. DIPG is a rapidly progressive disease with almost universally fatal outcomes and a median survival less than 12 months. Current standard-of-car...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2016.01.007

    authors： Goodwin CR,Xu R,Iyer R,Sankey EW,Liu A,Abu-Bonsrah N,Sarabia-Estrada R,Frazier JL,Sciubba DM,Jallo GI

    更新日期：2016-03-01 00:00:00

  • Risk factors for glioblastoma therapy associated complications.

    abstract：OBJECTIVE:Thromboembolic events, seizures, neurologic symptoms and adverse effects from corticosteroids and chemotherapies are frequent clinical complications seen in Glioblastoma (GB) patients. The exact impact these have on dismal patient outcome has not been fully elucidated. We aimed at assessing treatment associat...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2015.01.006

    authors： Ening G,Osterheld F,Capper D,Schmieder K,Brenke C

    更新日期：2015-07-01 00:00:00

  • Watershed infarction after near drowning in a two year old child.

    abstract：:Cerebral watershed infarctions usually occur after a period of acute and severe systemic hypotension resulting in a distinctive clinical picture. We present a two year old girl who developed watershed infarctions after a near drowning accident. The clinical features and diagnostic aspects are described. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(91)90060-3

    authors： Schaar CG,Brouwer OF,Wondergem JH

    更新日期：1991-01-01 00:00:00

  • Progressive dementia, without cerebral hemorrhage, in a patient with hereditary cerebral amyloid angiopathy.

    abstract：:A now 58-year-old female patient, carrier of the point-mutation in the beta-amyloid gene on chromosome 21 which causes hereditary cerebral hemorrhage with amyloidosis - Dutch type, developed progressive dementia after the age of 55 years. She never suffered from a cerebral hemorrhage. Dementia has been described as a ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(92)90181-2

    authors： Haan J,Bakker E,Jennekens-Schinkel A,Roos RA

    更新日期：1992-01-01 00:00:00

  • Angiographic features, surgical management and outcomes of proximal middle cerebral artery aneurysms.

    abstract：OBJECTIVE:Understanding the microanatomy of the proximal middle cerebral artery (M1) and its early branches is very important for aneurysm surgery in this region. However, few articles provide detailed descriptions of such aneurysms. We report the angiographic characteristics of a series of M1 aneurysms and our experie...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2008.02.014

    authors： Park DH,Kang SH,Lee JB,Lim DJ,Kwon TH,Chung YG,Lee HK

    更新日期：2008-06-01 00:00:00

  • Risk-assessment in chronic subdural hematoma evaluated in 148 patients - A score for predicting recurrence.

    abstract：BACKGROUND:Chronic subdural hematoma (CSDH) is a frequent disease in neurosurgical practice. However, a considerable recurrence rate keeps this condition challenging to treat. We aimed to provide a simple tool for risk assessment in these patients. METHODS:We conducted a retrospective analysis of surgically treated pa...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106020

    authors： Suero Molina E,Borscheid L,Freistühler M,Zawy Alsofy S,Stummer W,Schipmann S

    更新日期：2020-08-01 00:00:00

  • Surgical outcomes in traumatic brain injuries with bilateral mass occupying lesions. Analysis of prognostic factors.

    abstract：INTRODUCTION:Traumatic brain injury is a silent epidemic with major impacts on national productivity as it affects the economically productive age group. Bilateral injuries are usually severe with no clearly defined predictors of outcome as per current available literature. METHODS:We retrospectively assessed 102 cons...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106017

    authors： Yeole U,Krishnakumar M,Gopalakrishna KN,Sekar A,Sadashiva N,Shukla D

    更新日期：2020-09-01 00:00:00

  • Steroid-induced complete remission in a case of primary cerebral non-Hodgkin's lymphoma.

    abstract：:A case of a primary non-Hodgkin's lymphoma of the CNS is reported in which a complete and stable disappearance of an enhancing mass lesion on the CT scan after treatment with dexamethasone was followed by the occurrence of a high-grade malignant lymphoma in the opposite hemisphere 18 months later. The long-lasting and...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(89)90119-4

    authors： Pohl P,Oberhuber G,Dietze O,Vogl G,Pallua AK,Plangger CA,Huber H

    更新日期：1989-01-01 00:00:00

  • 'Angiographic moyamoya' its definition, classification, and therapy.

    abstract：:Are there any differences between probable Moyamoya disease and unilateral Moyamoya disease? What kinds of differences exist between definite and probable Moyamoya disease? Furthermore, according to the diagnostic criteria of Moyamoya disease, patients with systemic disorders and angiographic features similar to those...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/s0303-8467(97)00052-8

    authors： Natori Y,Ikezaki K,Matsushima T,Fukui M

    更新日期：1997-10-01 00:00:00

  • Depression with anosognosia following a left subcortical stroke.

    abstract：:Controversy exists about whether depression following stroke represents a biologically mediated change or a psychological reaction to the deficits. We present a patient with an acute isolated personality change and depression following a lacunar infarct of the left internal capsule, who was unaware of his affective ch...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(02)00113-0

    authors： Biran I,Chatterjee A

    更新日期：2003-04-01 00:00:00

  • Assessment of the effect of short-term factors on surgical treatments for hypertensive intracerebral haemorrhage.

    abstract：BACKGROUND:Hypertension is the most common cause of intracerebral haemorrhages (ICHs), yet the short-term impact factors associated with hypertensive intracerebral haemorrhages (HICHs) in patients who undergo different surgical treatments are still unknown. MATERIALS AND METHODS:All consecutive patients with acute HIC...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2016.08.023

    authors： Zhao Z,Wang H,Li Z,Wang X,Zhang W,Feng K,Fan J

    更新日期：2016-11-01 00:00:00

  • Higher mean platelet volume determined shortly after the symptom onset in acute ischemic stroke patients is associated with a larger infarct volume on CT brain scans and with worse clinical outcome.

    abstract：OBJECTIVE:Mean platelet volume (MPV) determined shortly after the onset of acute ischemic stroke represents the pre-stroke values. Data on its relationship to stroke severity/outcome have been conflicting. We related MPV to infarct volume on CT brain scans and risk of death/dependence 7 days and 3 months post-stroke. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2009.04.002

    authors： Pikija S,Cvetko D,Hajduk M,Trkulja V

    更新日期：2009-09-01 00:00:00

  • Peripheral facial paralysis associated with HIV infection: A case series and literature review.

    abstract：OBJECTIVE:The association between peripheral facial paralysis (PFP) and HIV infection has been scarcely explained. The authors aimed to describe the association between PFP and HIV infection status, along with the related co-morbidities and the outcomes of PFP, as well as the literature review on this topic. PATIENTS ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2018.06.033

    authors： Sathirapanya P,Fujitnirun C,Setthawatcharawanich S,Phabphal K,Limapichat K,Chayakul P,Silpapojakul K,Jaruratanasirikul S,Siripaitoon P,Chusri S,Kositpantawong N

    更新日期：2018-09-01 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

  • Transluminal balloon angioplasty for cerebral vasospasm after spontaneous subarachnoid hemorrhage: A single-center experience.

    abstract：OBJECTIVES:After spontaneous subarachnoid hemorrhage (sSAH), cerebral vasospasm (CVS) is a common complication, potentially resulting in infarction mainly responsible for a poor outcome. Intra-arterial vasodilators lead to transient increase of brain perfusion, but only transluminal balloon angioplasty (TBA) promises l...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2019.105590

    authors： Schacht H,Küchler J,Boppel T,Leppert J,Ditz C,Schramm P,Neumann A

    更新日期：2020-01-01 00:00:00

  • Cerebral venous thrombosis: influence of risk factors and imaging findings on prognosis.

    abstract：PURPOSE:To investigate imaging findings, risk factors and outcome in patients with cerebral venous thrombosis (CVT). METHODS:Records of all patients with diagnosis of CVT between 1992 and 2002 were reviewed. Patients with CNS infection and with CVT secondary to invasive procedures were excluded. Inherited and acquired...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2004.10.004

    authors： Appenzeller S,Zeller CB,Annichino-Bizzachi JM,Costallat LT,Deus-Silva L,Voetsch B,Faria AV,Zanardi VA,Damasceno BP,Cendes F

    更新日期：2005-08-01 00:00:00

  • SPECT in the diagnosis of Alzheimer's disease and multi-infarct-dementia.

    abstract：:SPECT with Tc-99m HM-PAO as a radiopharmaceutical was performed in 17 patients meeting research criteria for Alzheimer's disease (AD), in 10 patients with a clinical diagnosis of multi-infarct-dementia (MID) and in 12 healthy volunteers. Regional tracer uptake was measured in frontal, parietal, and temporoparietal reg...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(91)90007-c

    authors： Weinstein HC,Haan J,van Royen EO,Derix MM,Lanser JB,van der Zant F,Dunnewold RJ,van Kroonenburgh MJ,Pauwels EK,van der Velde EA

    更新日期：1991-01-01 00:00:00