Abstract:
:A neuroendoscopic biopsy is a minimally invasive and useful procedure for the diagnosis and initial management of tumor-associated hydrocephalus. We describe the nationwide investigation of the current status of neuroendoscopic biopsy for intra- and paraventricular tumors in children, as well as the treatment of tumor-associated hydrocephalus in pediatric patients. The main items examined included the patient's age and sex, location of the tumor, pathological diagnosis, complications, treatment and efficacy of treatment of the tumor-associated hydrocephalus, and the dissemination during the postoperative course. Two hundred twenty-one pediatric patients (mean 8.6 years) from 67 institutions were registered. Endoscopic tumor biopsies were performed in 206 patients (93.2 %), and a histopathological diagnosis could be performed in 195 of these 206 patients (94.7 %). The most frequently histopathologically diagnosed tumor was a germ cell tumor (41.5 %), followed by astrocytic tumors (24.1 %) and cystic lesions (15.9 %). Associated hydrocephalus was observed in 177 patients (80.1 %), 101 of whom underwent endoscopic third ventriculostomy (ETV). The efficacy rate of the ETV in the perioperative period was 99.0 %, and the long-term response rate was 90.1 %. Perioperative complications other than fever were found in 24 patients (10.9 %). In the statistical analysis, pediatric long-term response rate to ETV (p = 0.025) showed significantly more favorable results for pediatric than adult patients (p < 0.05). Neuroendoscopic procedures involving pediatric intra- and paraventricular tumors were considered to be very useful, with a low incidence of complication, and were associated with higher safety.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Miwa T,Hayashi N,Endo S,Ohira Tdoi
10.1007/s10143-015-0629-zsubject
Has Abstractpub_date
2015-10-01 00:00:00pages
693-704issue
4eissn
0344-5607issn
1437-2320journal_volume
38pub_type
杂志文章abstract::Cerebral cysticercosis is the result of infestation of the brain with the larval stage of the intestinal tape worm Taenia Solium. The disease, endemic in some parts of the world, especially Mexico, South America, India, Eastern Europe, is still encountered practically all over the world. There appear to be distinct ge...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF01742763
更新日期:1983-01-01 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
abstract::Hemodynamic parameters play a significant role in the development of cerebral aneurysms. Parameters such as wall shear stress (WSS) or velocity could change in time and may contribute to aneurysm growth and rupture. However, the hemodynamic changes at the rupture location remain unclear because it is difficult to obta...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-016-0795-7
更新日期:2017-04-01 00:00:00
abstract::Given the median survival of 15 months after diagnosis, novel treatment strategies are needed for glioblastoma. Beta-blockers have been demonstrated to inhibit angiogenesis and tumor cell proliferation in various cancer types. The aim of this study was to systematically review the evidence on the effect of beta-blocke...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-020-01277-4
更新日期:2020-03-14 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::Neurological improvement in patients with spinal dural arteriovenous fistulae (SDAVF) is often partial even after adequate treatment. While treatment outcomes have been evaluated primarily on the basis of the postoperative changes in neurological deficits, outcome measures should also reflect the patient-reported outc...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0752-5
更新日期:2017-01-01 00:00:00
abstract::Sinus pericranii is a rare vascular abnormality characterised by abnormal connections between the intra- and extracranial venous systems and is usually found in children. In most instances, a sinus pericranii presents as a soft scalp swelling that appears with the patient in the recumbent position and disappears in th...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-011-0325-6
更新日期:2012-01-01 00:00:00
abstract::Otogenic brain abscesses are a significant cause of mortality and morbidity in developing countries. Usually they occur either by distant thrombophlebitis of cerebral veins or by direct extension in an unsafe type of chronic suppurative otitis media. This case of cerebellar abscess was prepared for surgical excision, ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01111489
更新日期:1998-01-01 00:00:00
abstract::Ethmoidal dural arteriovenous fistulae are rare vascular malformations associated with a high risk of bleeding. We present a multicenter contemporary series of patients treated with microsurgical and endovascular techniques. Sixteen consecutive patients were evaluated and/or treated between 2008 and 2015 at four cente...
journal_title:Neurosurgical review
pub_type: 杂志文章,多中心研究,评审
doi:10.1007/s10143-016-0764-1
更新日期:2018-04-01 00:00:00
abstract::In the last decade, operative decompression of cord and cauda, internal fixation with rods, bony fusion and early ambulation, have become more popular in the management of thoracolumbar injuries with neurological deficit. Computer-tomography, CT myelography and peroperative ultrasonography provided direct evidence, th...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743066
更新日期:1986-01-01 00:00:00
abstract::We report the case of a patient with two distinct brain tumors. A meningioma was resected surgically. Nine months later a glioblastoma appeared in the same region, but at a different site. This was not treated, because the patient died. The clinical significance and etiology of these tumors are considered. ...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF00306823
更新日期:1994-01-01 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::Histological, immunocytochemical, and biological features of 38 giant cell gliomas were investigated. The invasion of these tumors and its giant cells by histiocytes, lymphocytes, plasma cells, and especially by eosinophilic granulocytes is viewed as an immune response, which may explain a favorable clinical course. F...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01782050
更新日期:1987-01-01 00:00:00
abstract::Forty-four adult acromegalic patients carrying growth hormone-producing pituitary macroadenomas were investigated with neuroradiological and endocrinological techniques. Plasma growth hormone and somatomedin-C levels were repeatedly measured before surgical removal of tumors and during the follow-up period. Twenty-fiv...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01105562
更新日期:1997-01-01 00:00:00
abstract::Teflon is utilized in neurosurgery as well as in plastic, vascular and heart surgery. Although the effect of Teflon on different types of cells and tissues has been previously studied, we are not aware of any study in which the effect of Teflon was tested on cells of the central nervous system. We have therefore exami...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00346368
更新日期:1990-01-01 00:00:00
abstract::A primary xanthomatous tumor is very rare in the central nervous system (CNS). Here we report the case of a fibroxanthoma arising from the dura mater of the cerebrum that demonstrated no systemic disease or metabolic abnormalities. A 19-month-old, otherwise healthy boy was found to have an enlarged head. Magnetic reso...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s101430050019
更新日期:1999-12-01 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::Multilevel discectomy and inter-vertebral body fusion combined with anterior plate-screw fixation is the common procedure in cervical spine surgery. The correct placement of the screws is an important factor for the outcome of these operations. Yet no systematic approach has been undertaken to optimize the geometry of...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-005-0386-5
更新日期:2005-10-01 00:00:00
abstract::Glial tumors are the most common tumors of the nervous system, affecting individuals at any age. Since understanding of the molecular pathologies underlying human gliomas is still very poor, the treatment and therefore prognosis of this malignancy could not yet be improved. In order to determine whether different glio...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-003-0279-4
更新日期:2004-01-01 00:00:00
abstract::Acute hydrocephalus is a well-documented complication of subarachnoid hemorrhage. The insertion of external ventricular drainage (EVD) has been the standard of care in the management of this complication, aiming primarily at immediate improvement of the clinical condition of these patients, making them more suitable c...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-005-0423-4
更新日期:2006-01-01 00:00:00
abstract::The use of simulation in surgical training is ever growing. Evidence suggests such training may have beneficial clinically relevant effects. The objective of this research is to investigate the effects of surgical simulation training on clinically relevant patient outcomes by evaluating randomized controlled trials (R...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-020-01314-2
更新日期:2020-05-13 00:00:00
abstract::Despite increasing experience and improved material, endovascular treatment of cerebral aneurysms still has risks linked to the technique itself and to the specificity of the pathology treated. The purpose of this report is to examine procedural technical and clinical negative events, even minimal ones, occurring in t...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-006-0059-z
更新日期:2007-04-01 00:00:00
abstract::Topographic brain mapping of EEG and evoked potentials permits the display of spontaneous and event-related activity of the brain. This new method is superior to conventional polygraphy because of the topographic approach which delineates structural and functional brain lesions. Data from 16 to 20 scalp electrodes wer...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01781950
更新日期:1987-01-01 00:00:00
abstract::Excision of a circumscribed spongioblastoma with intrapontine-intramesencephalic extension was performed via the floor of the fourth ventricle in two girls 14 and 5 years of age. The preoperative neurological deficits (severe hemiparesis, cerebellar, and sixth and seventh cranial nerve disturbances) showed slow but co...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743035
更新日期:1983-01-01 00:00:00
abstract::Three of 30 human cerebral cortex biopsies from infants treated for hydrocephalus by shunt operation are described. The descriptions include an account of their case history, the clinical methods, and the operational procedures. The biopsy specimens were studied in semithin and ultrathin sections. Attention is drawn t...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01741422
更新日期:1988-01-01 00:00:00
abstract::Postoperative epidural haematoma distant to a site of craniotomy is a rare but possibly hazardous complication. We report a 31-year-old female who presented with a history of chronic hydrocephalus due to fourth-ventricular plexus papilloma. Following resection of the posterior fossa tumour with intraoperative placemen...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-003-0315-4
更新日期:2004-04-01 00:00:00
abstract::We report here on congenital sphenoorbital encephalocele which could not be disclosed by computed tomography including contrast medium application or by orbital sonography. Surgery and histological examination were necessary to establish correct the diagnosis. ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01794689
更新日期:1988-01-01 00:00:00
abstract::The purpose of this study was to study the acute phase effects of adenosine triphosphate (ATP)-MgCl2 on experimental spinal cord clip compression injury. Spinal cord clip compression injury was performed on 36 albino Wistar rats. The rats were divided into five groups. T4-T8 total laminectomy was performed on all rats...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-002-0233-x
更新日期:2003-01-01 00:00:00
abstract::Papillary meningioma (PM) is a rare central nervous system tumor. We aimed to analyze the characteristics and outcomes of patients with PM (WHO grade III) and identify risk factors that influence survival using the Surveillance, Epidemiology, and End Results (SEER) database. Clinical characteristics, tumor features, a...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01449-2
更新日期:2021-01-08 00:00:00
abstract::A hypothalamic hamartoma associated with true precocious puberty in a 7-month-old girl is hereby reported. Hormonal studies disclosed elevated serum levels of luteinizing hormone (LH) and follicle stimulating hormone, both of which responded well to LH-releasing hormone stimulation. Following a subtotal removal of the...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00258250
更新日期:1993-01-01 00:00:00