Strategic and Technical Considerations for the Endovascular Embolization of Intracranial Meningiomas.

Abstract:

:Endovascular embolization is a frequently used adjunct to operative resection of meningiomas. Embolization may decrease intraoperative blood loss, operative time, and surgical difficulty associated with resection. The specific clinical applications of this treatment have not been defined clearly. Procedural indications, preferred embolic agent, and latency until tumor resection all differ across operators. It is clear that strategic patient selection, comprehensive anatomic understanding, and sound operative technique are critical to the success of the embolization procedure. This article reviews the management and technical considerations associated with preoperative meningioma embolization.

journal_name

Neurosurg Clin N Am

authors

James RF,Kramer DR,Page PS,Gaughen JR Jr,Martin LB,Mack WJ

doi

10.1016/j.nec.2015.11.005

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

155-66

issue

2

eissn

1042-3680

issn

1558-1349

pii

S1042-3680(15)00119-9

journal_volume

27

pub_type

杂志文章,评审
  • Avoiding iatrogenic nerve injury in endoscopic carpal tunnel release.

    abstract::In the hands of the inexperienced, endoscopic carpal tunnel release bears a substantial risk for neurovascular injury. For those thoroughly trained in this technique, it is a fast and elegant but also more expensive way to achieve carpal tunnel release. If performed uneventfully, it minimizes trauma and avoids a subst...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2008.07.023

    authors: Kretschmer T,Antoniadis G,Richter HP,König RW

    更新日期:2009-01-01 00:00:00

  • Gene therapy for skull base tumors.

    abstract::During the last 10 years, gene therapy has certainly risen to the forefront of basic science and clinical medicine. Designing more efficient gene delivery systems is currently the "holy grail" of genetic therapeutics, because even the most efficient viral vectors do not transfect all cells at the treatment site, which...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Jane JA Jr,Helm GA

    更新日期:2000-10-01 00:00:00

  • Intraoperative use of somatosensory evoked potentials for brain monitoring during carotid surgery.

    abstract::Somatosensory evoked potentials (SSEP) are a valuable clinical tool in the operating theater. Multichannel SSEP monitoring is an objective measure of CBF and cerebral function. The monitoring of the SSEP during carotid surgery is a simple and reliable method of determining the effect of carotid clamping on CBF and the...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Horsch S,Ktenidis K

    更新日期:1996-10-01 00:00:00

  • On the surgery of the seat of the soul: the pineal gland and the history of its surgical approaches.

    abstract::The pineal gland has been studied through philosophy and science for thousands of years. Its role in human physiology was not well understood until the scientific community first started to report on pineal pathology in the eighteenth century. Throughout the nineteenth and twentieth centuries, reports on pineal tumors...

    journal_title:Neurosurgery clinics of North America

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.nec.2011.04.001

    authors: Choudhry O,Gupta G,Prestigiacomo CJ

    更新日期:2011-07-01 00:00:00

  • Functional MRI localizing in the cerebellum.

    abstract::Mapping of cerebellar function by functional MRI now enables us not only to re-establish older anatomic findings of somatotopic representations but to gain new insights in the function of the cerebellum and its intimate relations of cerebral regions to serving sensorimotor function, sensory discrimination, and cogniti...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2004.07.008

    authors: Grodd W,Hülsmann E,Ackermann H

    更新日期:2005-01-01 00:00:00

  • Anatomy and microanatomy of peripheral nerve.

    abstract::The anatomy of the peripheral nervous system is presented, with special emphasis on the connective tissue sheaths and their relationship to the nerves' blood supply. The microanatomy of nerve fibers is also presented, with a focus on pathologic changes caused by compression and ischemic injuries. The article highlight...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Myers RR

    更新日期:1991-01-01 00:00:00

  • Proximal junctional kyphosis and proximal junctional failure.

    abstract::Proximal junctional failure (PJF) should be distinguished from proximal junctional kyphosis, which is a recurrent deformity with limited clinical impact. PJF includes mechanical failure, and is a significant complication following adult spinal deformity surgery with potential for neurologic injury and increased need f...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2013.01.001

    authors: Hart RA,McCarthy I,Ames CP,Shaffrey CI,Hamilton DK,Hostin R

    更新日期:2013-04-01 00:00:00

  • Selection of treatment modalities or observation of dural arteriovenous fistulas.

    abstract::Cranial dural arteriovenous fistulas (DAVFs) represent an important class of cranial vascular lesions. The clinical significance of these lesions is highly dependent on the pattern of venous drainage, with cortical venous reflux being an important marker of an aggressive, high-risk fistula. For asymptomatic benign fis...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2011.09.004

    authors: Paul AR,Colby GP,Huang J,Tamargo RJ,Coon AL

    更新日期:2012-01-01 00:00:00

  • The neuro-ophthalmologic examination.

    abstract::Neurosurgical practice requires a solid foundation in the principles and interpretation of the neuro-ophthalmologic examination. In this article, the techniques used in the neuro-ophthalmologic examination to assess visual acuity, ocular motility, visual fields, the pupils, the eyelids, and the fundus are reviewed. An...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Galetta SL

    更新日期:1999-10-01 00:00:00

  • Surface Technologies in Spinal Fusion.

    abstract::Patients with symptomatic instability of the spine may be treated surgically with interbody fusion. Cost and complexity in this procedure arises owing to the implanted materials involved with facilitating fusion such as titanium or polyetheretherketone. Surface modifications have been developed to augment these base m...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2019.08.007

    authors: Enders JJ,Coughlin D,Mroz TE,Vira S

    更新日期:2020-01-01 00:00:00

  • Neurotization of elements of the brachial plexus.

    abstract::Satisfactory therapy for an avulsion injury of the brachial plexus has yet to be described. Dorsal root entry zone lesions will usually mitigate the searing pain which is so disabling in some of these patients. Neurotization procedures are effective in restoring limited function to these patients. The most useful isol...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Friedman AH

    更新日期:1991-01-01 00:00:00

  • Stereotactic radiosurgery for pineal region tumors.

    abstract::Our present treatment strategy for treating pineal region tumors is shown in Figure 5. We believe that stereotactic biopsy should be the first procedure in pineal region tumors so that a histologic diagnosis can be obtained. Based on the biopsy findings, the appropriate subsequent therapy, whether microsurgery, fracti...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Dempsey PK,Lunsford LD

    更新日期:1992-01-01 00:00:00

  • Management of Skull Base Tumor-Associated Facial Pain.

    abstract::Cancer-associated facial pain can be caused by a variety of pathologic conditions. Here the authors describe the symptoms and incidence of facial pain secondary to three separate anatomic subcategories of cancer. The authors subsequently discuss the effectiveness and drawbacks of the most common methods of treatment. ...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2016.02.009

    authors: Reddy GD,Wagner K,Phan J,DeMonte F,Raza SM

    更新日期:2016-07-01 00:00:00

  • Endovascular treatment of carotid-cavernous fistulas.

    abstract::Endovascular management has become the treatment of choice for carotid-cavernous fistulas regardless of the fistula type. The endovascular method offers numerous options that render it capable of treating each fistula type by choosing an adequate technique. This advantage along with the advancement in the field has le...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2014.04.011

    authors: Zanaty M,Chalouhi N,Tjoumakaris SI,Hasan D,Rosenwasser RH,Jabbour P

    更新日期:2014-07-01 00:00:00

  • Management of encephaloceles and craniofacial problems in the neonatal period.

    abstract::Although craniofacial problems are commonly detected during the neonatal period, only a selected subgroup of lesions require early intervention. Such lesions are characterized either by their potential for causing early neurologic impairment, infection, or other severe sequelae if treatment is delayed or by the fact t...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Pollack IF

    更新日期:1998-01-01 00:00:00

  • Stereotactic craniotomy.

    abstract::Computed tomography-based stereotactic biopsy procedures for diagnosing intracranial tumors are common today. In addition, point stereotaxis is used to center a craniotomy over a superficial lesion or to find a deep one. Technical innovations have improved performance of these operations. The author describes the inst...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Kelly PJ

    更新日期:1990-10-01 00:00:00

  • Vertebroplasty and kyphoplasty.

    abstract::Percutaneous vertebroplasty and kyphoplasty provide minimally invasive options for the management of osteoporotic and osteolytic vertebral compression fractures. These techniques provide substantial pain relief and support without requiring long periods of recumbency, and have an acceptable complication rate. Vertebra...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2006.06.005

    authors: Eichholz KM,O'Toole JE,Christie SD,Fessler RG

    更新日期:2006-10-01 00:00:00

  • Acute and long-term complications of therapeutic radiation for skull base tumors.

    abstract::Acute toxicity from radiation of skull base tumors typically resolves spontaneously within days to weeks after completion of therapy. Long-term complications have a latency of months to years after radiation and are usually irreversible. The need to keep the probability of chronic toxicity at an acceptable level has d...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Stelzer KJ

    更新日期:2000-10-01 00:00:00

  • Errors in neurosurgery.

    abstract::Medical errors are common and dangerous, estimated to cause over 400,000 deaths per year in the United States alone. The field of neurosurgery is not immune to these errors, and many studies have begun analyzing the frequency and types of errors that neurosurgical patients experience, along with their effects and caus...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2014.11.011

    authors: Rolston JD,Bernstein M

    更新日期:2015-04-01 00:00:00

  • Degenerative lumbar scoliosis.

    abstract::In adults, symptomatic scoliosis is usually a de novo primary degenerative deformity that develops in the fifth or sixth decade or an unrecognized or untreated idiopathic deformity with superimposed degeneration. The evaluation and treatment of adult scoliosis must focus on addressing patient symptoms while limiting t...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2006.05.002

    authors: Oskouian RJ Jr,Shaffrey CI

    更新日期:2006-07-01 00:00:00

  • Positron emission tomography in pediatric epilepsy.

    abstract::PET is an additional tool in the armamentarium to provide improved care to children and infants with epilepsy. It provides important lateralizing information noninvasively, thus avoiding the need for depth or subdural electrodes in most instances. It can be invaluable when CT and MR imaging do not show a structural le...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Cummings TJ,Chugani DC,Chugani HT

    更新日期:1995-07-01 00:00:00

  • Cosmetic considerations in cranial surgery: plastic surgical perspective.

    abstract::This article is an overview of the recent advances and cosmetic implications of various aspects of craniofacial surgery from a plastic surgical viewpoint. ...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1042-3680(02)00021-9

    authors: Narayan D,Persing JA

    更新日期:2002-10-01 00:00:00

  • Noninvasive physiologic evaluation of the aneurysm patient.

    abstract::Patients harboring intracranial aneurysms may experience secondary brain injury around the time of aneurysm repair, either from the repair process itself or secondary to altered cerebral vascular physiology following subarachnoid hemorrhage. Management of patients with aneurysms includes strategies to avoid or minimiz...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Skirboll S,Newell DW

    更新日期:1998-07-01 00:00:00

  • Open myelomeningocele.

    abstract::This article defines open myelomeningocele and describes its development in the embryo. The anatomic features of the neural placode, pia-arachnoid, and dorsal versus ventral roots are well described. The surgical technique and prenatal and postnatal care are detailed. Anomalies associated with open myelomeningocele ar...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Hahn YS

    更新日期:1995-04-01 00:00:00

  • Regional cerebral blood flow and metabolism in chronic subdural hematoma.

    abstract::There are two hypotheses on how chronic subdural hematoma causes hemiparesis and other focal neurologic symptoms without, in most cases, leaving permanent neurologic deficits. One hypothesis is that the reduced regional cerebral blood flow (rCBF) caused by either compression or distortion of the local or remote brain ...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Kuwabara H

    更新日期:2000-07-01 00:00:00

  • Stereotactic cingulotomy.

    abstract::Cingulotomy can be helpful in certain patients with severe, disabling, and treatment-refractory major affective disorders, OCD, and chronic anxiety states. This form of psychosurgical treatment should only be carried out by an expert multidisciplinary team with experience in these disorders. Cingulotomy should be cons...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1042-3680(02)00115-8

    authors: Cosgrove GR,Rauch SL

    更新日期:2003-04-01 00:00:00

  • Emerging directions in motion preservation spinal surgery.

    abstract::In this review, we focus on novel surgical techniques and spinal arthroplasty systems inactive development. First, we discuss systems that allow for minimally invasive approaches to the lumbar disc space: (1) lateral approaches, (2) posterior approaches,and (3) oblique approaches. These techniques offer the potential ...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2005.08.001

    authors: Acosta FL Jr,Aryan HE,Ames CP

    更新日期:2005-10-01 00:00:00

  • Resection surgery for epilepsy. Outcome and quality of life.

    abstract::Psychosocial problems frequently are more difficult to manage than the seizures. Quality of life investigations are important in identifying psychosocial issues that impede the benefits of improved or complete seizure control. Three categories of quality of life assessment are discussed: professional observation and r...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Batzel LW,Fraser RT

    更新日期:1993-04-01 00:00:00

  • Management of skull base metastases.

    abstract::Skull base metastases (SBM) are rare among all tumors affecting the base of the skull. Because of their rarity, they have received limited attention in the published medical literature. Several clinical syndromes associated with SBM have been described. Knowledge of these syndromes and maintenance of a high index of s...

    journal_title:Neurosurgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.nec.2010.08.005

    authors: Chamoun RB,DeMonte F

    更新日期:2011-01-01 00:00:00

  • History of randomized clinical trials in neurosurgery.

    abstract::The randomized clinical trial is a treatment evaluation technique that has been available in clinical research since 1946. Its first application in neurosurgery seems to have occurred in 1960 by McKissock and colleagues. Neurosurgery has been slow to adopt the technique, particularly in the evaluation of surgical ther...

    journal_title:Neurosurgery clinics of North America

    pub_type: 历史文章,杂志文章

    doi:

    authors: Haines SJ

    更新日期:2001-01-01 00:00:00