The use of electroencephalography and brain protection during operation for basilar aneurysms.

Abstract:

:Intraoperative monitoring with electroencephalography and the use of brain protection with steroids, phenytoin, mannitol, and pentobarbital or etomidate were evaluated in 15 patients undergoing operation for an aneurysm of the upper basilar artery. One patient harbored a basilar trunk aneurysm, 1 an aneurysm of the proximal posterior cerebral artery, 3 an aneurysm of the superior cerebellar artery, and 10 an aneurysm at the basilar tip. The size of the aneurysms varied between 5 and 30 mm. Subarachnoid hemorrhage was the symptom exhibited in 12, mass effect the symptom in 2, and 1 patient was asymptomatic but had an angiogram because of amaurosis. There were 9 patients with multiple aneurysms, 5 of whom had aneurysms of the bilateral anterior circulation. Four patients underwent operation early. In 2 patients, the basilar artery was the sole or main blood supply of the whole brain. All patients except the one with the basilar trunk aneurysm were operated on via a transsylvian approach. All patients received 500 to 800 mg of phenytoin and 10 to 20 mg of dexamethasone shortly before and during surgery, and mannitol (0.8 g/kg) 15 minutes before the induction of hypotension or temporary clipping. Three patients showed slowing of electrical activity over the right hemisphere as a result of retraction of the internal carotid artery; with repositioning of the retractor, this disappeared within 10 minutes. Electrocortical silence was induced in 8 patients; this was in anticipation of prolonged moderate hypotension in 2, short deep hypotension in 2, temporary clipping of major vessels--including the basilar artery--in 2, and a combination of deep hypotension combined with temporary clipping in 2.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Muizelaar JP

doi

10.1097/00006123-198912000-00008

subject

Has Abstract

pub_date

1989-12-01 00:00:00

pages

899-903

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

25

pub_type

杂志文章
  • Stereotactic radiosurgery with the linear accelerator: treatment of arteriovenous malformations.

    abstract::An original stereotactic radiosurgical approach coupling a) Talairach's stereotactic methodology, b) a specially devised mechanical system, and c) a linear accelerator is detailed. The authors present their preliminary results on 66 patients with nonsurgical intracranial arteriovenous malformations. The doses delivere...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198903000-00001

    authors: Betti OO,Munari C,Rosler R

    更新日期:1989-03-01 00:00:00

  • Hemorrhage into a spinal ependymoma after peridural anesthesia.

    abstract::The authors present a case of the accidental puncture of a spinal ependymoma causing bleeding and an increase in the preexisting neurological deficits. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198505000-00016

    authors: Antoniadis G,Richter HP,Schachenmayr W

    更新日期:1985-05-01 00:00:00

  • Catastrophic subarachnoid hemorrhage resulting from ruptured vertebrobasilar dolichoectasia: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Two patients with vertebrobasilar dolichoectasia sustained massive fatal subarachnoid hemorrhage from rupture of the basilar artery wall. Hemorrhage from this entity is not widely known to occur during its natural history and may be exacerbated by systemic anticoagulation. CLINICAL PRESENTATIO...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199802000-00108

    authors: Rabb CH,Barnwell SL

    更新日期:1998-02-01 00:00:00

  • Pressure-mounted cottonoids: technical note.

    abstract::A newly designed cottonoid is fixed to the tip of the suction device by the negative pressure. It is especially useful during microsurgical procedures in areas crowded with neurovascular elements. The advantage of pressure-mounted cottonoids lies in the protection provided to the brain and neurovascular elements durin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198212000-00010

    authors: Arbit E

    更新日期:1982-12-01 00:00:00

  • Assessment of symptomatic rod fracture after posterior instrumented fusion for adult spinal deformity.

    abstract:BACKGROUND:Improved understanding of rod fracture (RF) in adult spinal deformity could be valuable for implant design, surgical planning, and patient counseling. OBJECTIVE:To evaluate symptomatic RF after posterior instrumented fusion for adult spinal deformity. METHODS:A multicenter, retrospective review of RF in ad...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0b013e3182672aab

    authors: Smith JS,Shaffrey CI,Ames CP,Demakakos J,Fu KM,Keshavarzi S,Li CM,Deviren V,Schwab FJ,Lafage V,Bess S,International Spine Study Group.

    更新日期:2012-10-01 00:00:00

  • Optic canal involvement in tuberculum sellae meningiomas: influence on approach, recurrence, and visual recovery.

    abstract:BACKGROUND:Tuberculum sellae meningiomas frequently extend into the optic canals. OBJECTIVE:To emphasize the high frequency of optic canal (OC) involvement in tuberculum sellae meningiomas; the importance of opening the OC and of removing tumor within the canal; and the effect of this maneuver on visual outcome, recur...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000383153.75695.24

    authors: Mahmoud M,Nader R,Al-Mefty O

    更新日期:2010-09-01 00:00:00

  • Three-dimensional computed tomographic reformation of the spine, skull, and brain from axial images.

    abstract::Three-dimensional (3D) images were reconstructed from axial computed tomographic scans using the new 3D83 (General Electric Co.) software. Images were reformatted as a movie in multiple frames, each consisting of a discrete 3D scene, and were rotated 360 degrees in 3D space. Improvement in shading and surface algorith...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198601000-00009

    authors: Virapongse C,Shapiro M,Gmitro A,Sarwar M

    更新日期:1986-01-01 00:00:00

  • The use of allograft or autograft and expandable titanium cages for the treatment of vertebral osteomyelitis.

    abstract:OBJECTIVE:The results of the surgical treatment of osteomyelitis with expandable titanium cages and either allograft or autograft are presented. METHODS:Thirty-six patients with vertebral osteomyelitis are presented. There were 7 cervical, 17 thoracic, 4 thoracolumbar (involving T12-L1), 5 lumbar, and 3 lumbosacral (i...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000336332.11957.0B

    authors: Lu DC,Wang V,Chou D

    更新日期:2009-01-01 00:00:00

  • Staged removal of acoustic tumors: techniques and lessons learned from a series of 83 patients.

    abstract::The removal of large acoustic tumors is associated with increased mortality and cranial nerve injury. One method for treating these difficult lesions is staged resection. Between 1972 and 1992, more than 600 acoustic tumors were resected at our institution. Of these, 83 were removed in stages. This represents the larg...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199511000-00010

    authors: Comey CH,Jannetta PJ,Sheptak PE,Joh HD,Burkhart LE

    更新日期:1995-11-01 00:00:00

  • Brain oxygen tension in severe head injury.

    abstract:OBJECTIVE:Ensuring adequate cerebral oxygenation and perfusion is of fundamental importance in the treatment of patients with acute cerebral disorders. Online continuous monitoring of brain oxygenation is possible with a parenchymal microelectrode that measures local brain oxygen tension. The ultimate question is wheth...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00018

    authors: van den Brink WA,van Santbrink H,Steyerberg EW,Avezaat CJ,Suazo JA,Hogesteeger C,Jansen WJ,Kloos LM,Vermeulen J,Maas AI

    更新日期:2000-04-01 00:00:00

  • External carotid artery to middle cerebral artery bypass with the saphenous vein graft.

    abstract::Patients with occlusive cerebrovascular disease who have failed maximal medical therapy, which consists of antiplatelet agents as well as maximizing modifiable risk factors such as blood pressure, cholesterol, smoking cessation, and obesity, and whose lesions are not amenable or have not responded to the more common v...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333805.74832.ac

    authors: Bisson EF,Visioni AJ,Tranmer B,Horgan MA

    更新日期:2008-06-01 00:00:00

  • Accessing the recesses of the fourth ventricle: comparison of tonsillar retraction and resection in the telovelar approach.

    abstract:OBJECTIVE:To compare the effectiveness of the telovelar approach with tonsillar manipulation for approaching the recesses of the fourth ventricle. METHODS:A telovelar approach was performed in 8 injected cadaveric heads. Areas of exposure were measured for the superolateral and lateral recesses. Horizontal angles were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000348558.35921.4E

    authors: Jittapiromsak P,Sabuncuoglu H,Deshmukh P,Spetzler RF,Preul MC

    更新日期:2010-03-01 00:00:00

  • Percutaneous endoscopic lumbar foraminotomy: an advanced surgical technique and clinical outcomes.

    abstract:BACKGROUND:Although several authors have reported the use of endoscopic techniques to treat lumbar foraminal stenosis, the practical application of these techniques has been limited to soft disc herniation. OBJECTIVE:To describe the details of the percutaneous endoscopic lumbar foraminotomy (ELF) technique for bony fo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000361

    authors: Ahn Y,Oh HK,Kim H,Lee SH,Lee HN

    更新日期:2014-08-01 00:00:00

  • Receptor tyrosine kinase expression in astrocytic lesions: similar features in gliosis and glioma.

    abstract::The purpose of this study was to determine if the expression of receptor tyrosine kinases would distinguish astrocytosis from astrocytoma. Because the expression of this family of receptor proteins is greater in higher-grade tumors, a graded series of both reactive and neoplastic astrocytic lesions in humans was evalu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199307000-00017

    authors: Kristt DA,Reedy E,Yarden Y

    更新日期:1993-07-01 00:00:00

  • Surgical approaches to the cavernous sinus: a microsurgical study.

    abstract::The surgical approaches to the cavernous sinus were examined in 50 adult cadaveric cavernous sinuses using magnification of X3 to X40. The following approaches were examined: 1) the superior intradural approach directed through a frontotemporal craniotomy and the roof of the cavernous sinus; 2) the superior intradural...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199006000-00001

    authors: Inoue T,Rhoton AL Jr,Theele D,Barry ME

    更新日期:1990-06-01 00:00:00

  • Metabolic and nutritional sequelae in the non-steroid treated head injury patient.

    abstract::Energy production, substrate oxidation, serum protein levels, and weight change were studied in 16 non-steroid treated patients with severe head injury. Patients were evaluated during an average of 31.3 days from hospital admission to discharge. The mean measured energy expenditure (MEE) was 1.40 +/- 0.5 times predict...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198511000-00010

    authors: Young B,Ott L,Norton J,Tibbs P,Rapp R,McClain C,Dempsey R

    更新日期:1985-11-01 00:00:00

  • Role of prostaglandins in delayed cerebral ischemia after subarachnoid hemorrhage.

    abstract::Prostaglandin E2, thromboxane B2, and 6-oxo-prostaglandin F1 alpha were assayed in blood and cerebrospinal fluid samples from patients after subarachnoid hemorrhage (SAH) and from a control population. The levels found in samples obtained from patients after SAH were compared with those found in controls and were also...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199201000-00004

    authors: O'Neill P,Walton S,Foy PM,Shaw MD

    更新日期:1992-01-01 00:00:00

  • Neurosurgery and Manned Spaceflight.

    abstract::There has been a renewed interest in manned spaceflight due to endeavors by private and government agencies. Publicized goals include manned trips to or colonization of Mars. These missions will likely be of long duration, exceeding existing records for human exposure to extra-terrestrial conditions. Participants will...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyy531

    authors: Panesar SS,Fernandez-Miranda JC,Kliot M,Ashkan K

    更新日期:2020-03-01 00:00:00

  • Fatal phenytoin-related toxic epidermal necrolysis: case report.

    abstract::Toxic epidermal necrolysis is a rare but often fatal hypersensitivity reaction to numerous agents, including most anticonvulsants. The authors present a case of fatal phenytoin-related toxic epidermal necrolysis in a patient who was given prophylactic anticonvulsant therapy after he sustained a moderately severe close...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198912000-00022

    authors: Kelly DF,Hope DG

    更新日期:1989-12-01 00:00:00

  • Spontaneous pneumocephalus in the posterior fossa in a patient with a ventriculoperitoneal shunt: case report.

    abstract:OBJECTIVE AND IMPORTANCE:A unique case of spontaneous pneumocephalus is described. It appeared a few years after the uneventful introduction of a cerebrospinal fluid shunt and was probably attributable to a defect of the posterior mastoid plate. CLINICAL PRESENTATION:A 65-year-old man presented with a subacute onset o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-200004000-00048

    authors: Kanner AA,Nageris BI,Chaimoff M,Rappaport ZH

    更新日期:2000-04-01 00:00:00

  • Vertical gaze palsy after thalamic stimulation for Tourette syndrome: case report.

    abstract:OBJECTIVE:We describe a patient who developed a vertical gaze paralysis after deep brain stimulation performed for intractable Tourette syndrome due to a small deep bleeding in the upper mesencephalon. CLINICAL PRESENTATION:A 39-year-old man underwent thalamic deep brain stimulation for intractable Tourette syndrome. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000303208.00242.a6

    authors: Ackermans L,Temel Y,Bauer NJ,Visser-Vandewalle V,Dutch-Flemish Tourette Surgery Study Group.

    更新日期:2007-11-01 00:00:00

  • Anchoring method for hemifacial spasm associated with vertebral artery: technical note.

    abstract:OBJECTIVE:We describe an easy and useful method for treating hemifacial spasm related to the vertebral artery. METHODS:The technique entails the manufacture of a dural belt harvested from the cerebellar convexity dura and a dural bridge made at the petrous dura combined with the use of an aneurysm clip. The dural belt...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199912000-00048

    authors: Kyoshima K,Watanabe A,Toba Y,Nitta J,Muraoka S,Kobayashi S

    更新日期:1999-12-01 00:00:00

  • De novo aneurysm: case reports and literature review.

    abstract:BACKGROUND AND IMPORTANCE:Formation of cerebral de novo aneurysms (CDNAs) is rare, and the pathogenesis remains obscure. We analyzed factors involved in formation of CDNAs and suggest guidelines for follow-up of patients. CLINICAL PRESENTATION:We retrospectively reviewed intracranial aneurysms at our institute and pub...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182196489

    authors: Rahmah NN,Horiuchi T,Kusano Y,Sasaki T,Hongo K

    更新日期:2011-09-01 00:00:00

  • Colored silicone injection for use in neurosurgical dissections: anatomic technical note.

    abstract:OBJECTIVE:The dissection of cadaveric specimens is very important for a more sophisticated understanding of neurosurgical anatomic features and approaches. Teaching known approaches to residents or learning new approaches is best performed in a cadaveric laboratory. The utility of neurosurgical cadaveric dissections ca...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199911000-00058

    authors: Sanan A,Abdel Aziz KM,Janjua RM,van Loveren HR,Keller JT

    更新日期:1999-11-01 00:00:00

  • Paraplegia after tethered cord surgery: an uncommon combined anomaly of spinal arteriovenous fistula and sacral lipoma--case report.

    abstract:OBJECTIVE AND IMPORTANCE:The coexistence of spinal arteriovenous malformation (AVM) with congenital abnormalities is relatively common. However, the association of a spinal AVM and lipoma is rare. We present an adult patient with this combined anomaly and discuss the clinical relevance of this case. CLINICAL PRESENTAT...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000171028.96829.69

    authors: Cheung AC,Kalkanis SN,Ogilvy CS

    更新日期:2005-09-01 00:00:00

  • Limited Dorsal Myeloschisis: Reconsideration of its Embryological Origin.

    abstract:BACKGROUND:Limited dorsal myeloschisis (LDM) is postulated to be a result of incomplete dysjunction in primary neurulation. However, clinical experience of LDM located below the first-second sacral (S1-S2) vertebral level, which is formed from secondary neurulation (S2-coccyx), suggested that LDM may not be entirely ex...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy632

    authors: Kim JW,Wang KC,Chong S,Kim SK,Lee JY

    更新日期:2020-01-01 00:00:00

  • Isolation and perivascular localization of mesenchymal stem cells from mouse brain.

    abstract:BACKGROUND:Although originally isolated from the bone marrow, mesenchymal stem cells (MSCs) have recently been detected in other tissues. However, little is known about MSCs in the brain. OBJECTIVE:To determine the extent to which cells with the features of MSCs exist in normal brain tissue and to determine the locati...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000377859.06219.78

    authors: Kang SG,Shinojima N,Hossain A,Gumin J,Yong RL,Colman H,Marini F,Andreeff M,Lang FF

    更新日期:2010-09-01 00:00:00

  • Aneurysm of the anterior inferior cerebellar artery-posterior inferior cerebellar artery variant: case report with anatomical description in the cadaver.

    abstract:OBJECTIVE AND IMPORTANCE:The authors report a very rare case of an aneurysm at the distal segment of the anterior inferior cerebellar artery-posterior inferior cerebellar artery (AICA-PICA) variant along with a description of the surgical anatomy of this variation in a cadaveric specimen. CLINICAL PRESENTATION:A 44-ye...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000199344.63306.DD

    authors: Baskaya MK,Coscarella E,Jea A,Morcos JJ

    更新日期:2006-02-01 00:00:00

  • Near-infrared indocyanine green video angiography: a new method for intraoperative assessment of vascular flow.

    abstract:OBJECTIVE:We report our initial clinical experience with a new method for intraoperative blood flow assessment. The purposes of the study were to assess the use of indocyanine green (ICG) video angiography in neurovascular cases, to assess the handling and image quality, to compare the findings with postoperative angio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200301000-00017

    authors: Raabe A,Beck J,Gerlach R,Zimmermann M,Seifert V

    更新日期:2003-01-01 00:00:00

  • Feasibility of radiosurgery for malignant brain tumors in infants by use of image-guided robotic radiosurgery: preliminary report.

    abstract:OBJECTIVE:The benefits of radiation therapy are generally denied to infants with malignant brain tumors because of the risk of devastating cognitive decline. Efforts to limit this morbidity with radiosurgical techniques have not been feasible for infants because of the dual requirements of rigid head fixation and high ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000137332.03970.57

    authors: Giller CA,Berger BD,Gilio JP,Delp JL,Gall KP,Weprin B,Bowers D

    更新日期:2004-10-01 00:00:00