Abstract:
:Microvascular decompression represents an effective treatment for hemifacial spasm. The use of lateral spread response (LSR) monitoring remains a useful intraoperative tool to ensure adequate decompression of the facial nerve. The aim of this study was to assess the value of LSRs intraoperative monitoring as a prognostic indicator for the outcome of microvascular decompression in hemifacial spasm. Our study included 100 patients prospectively. The patients were classified into four groups whether LSRs were totally, partially, not relieved, or not detected from the start. According to clinical outcome, the patients were classified into four groups depending on the clinical course after surgery and the residual symptoms if any. Then, correlations were made between LSR events and treatment outcome to detect its reliability as a prognostic indicator. LSRs were relieved totally in 56 % of the patients, partially relieved in 14 %, not relieved in 10 %, and were not detected in 20 % of the patients from the start. HFS was relieved directly after operation in 62 % with clinical improvement of 90-100 %. Thirty-one percent described 50-90 % improvement over the next 3 months after surgery. Almost all of these 31 % (28 out of 31 patients) reported further clinical improvement of 90-100 % within 1 year after surgery. Three percent suffered from a relapse after a HFS-free period, and 4 % reported minimal or no improvement describing 0-50 % of the preoperative state. The percentage of the satisfied patients with the clinical outcome who reported after 1 year a clinical improvement of 90-100 % was 90 %. Statistical analysis did not find a significant correlation between the relief of LSRs and clinical outcome. LSRs may only represent an intraoperative tool to guide for an adequate decompression but failed to represent a reliable prognostic indicator for treatment outcome.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
El Damaty A,Rosenstengel C,Matthes M,Baldauf J,Schroeder HWdoi
10.1007/s10143-016-0708-9subject
Has Abstractpub_date
2016-07-01 00:00:00pages
455-66issue
3eissn
0344-5607issn
1437-2320pii
10.1007/s10143-016-0708-9journal_volume
39pub_type
杂志文章abstract::Surgery is the only therapeutic option for cerebral cavernous malformations (CCM) and is proposed, whenever possible, after haemorrhagic events, neurological symptoms, or epilepsy, radiosurgery being a controversial alternative in some cases. However, there is no treatment for non-accessible lesions, such as brainstem...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-018-01074-0
更新日期:2019-06-01 00:00:00
abstract::Acute intracranial subdural hematoma (ASDH) is commonly associated with a grave prognosis citing a high incidence of morbidity and mortality. The parameters to decide on surgical evacuation of the hematoma are sometimes controversial. In this study, we theorized that the ratio between maximal hematoma thickness and mi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-017-0873-5
更新日期:2018-04-01 00:00:00
abstract::Clinical and radiological features that help predict the growth potential of meningioma would be beneficial. The purpose of this study is to clarify the characteristics related to proliferating potential using the MIB-1 staining index. We analyzed the relationship of MIB-1 staining indices to characteristics of 342 co...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-006-0039-3
更新日期:2006-10-01 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::Traumatic brain injury is a major problem worldwide. Our objective is to synthesize available evidence in the literature concerning the effectiveness of neuroprotective drugs (cerebrolysin, citicoline, and piracetam) on Glasgow outcome score (GOS), cognitive performance, and survival in traumatic brain injury patients...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-016-0775-y
更新日期:2018-04-01 00:00:00
abstract::This aimed to evaluate the effect of surgery for overall survival (OS) and progression-free survival (PFS) in intracranial primary CNS lymphoma (PCNSL) of all patients diagnosed at a single center. A prospective database at Oslo University Hospital of PCNSL was reviewed over a 12-year period (2003-2014). Seventy-nine ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0946-0
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Trigeminal neuralgia (TN) is characterized by jolts of pain along the distribution of the trigeminal nerve. If patients fail conservative management, microvascular decompression (MVD) is the next step in treatment. MVD is largely done by placing implant pads between the nerve and compressing vessels. We cond...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-019-01187-0
更新日期:2020-02-01 00:00:00
abstract::Intraoperative magnetic resonance imaging (iopMRI) actually has an important role in the surgery of brain tumors, especially gliomas and pituitary adenomas. The aim of our work was to describe the advantages and drawbacks of this tool for the surgical treatment of cervical intramedullary gliomas. We describe two expli...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-013-0510-x
更新日期:2013-11-15 00:00:00
abstract::A review of a series of 56 patients with a giant intracranial aneurysm showed that 28 presented with signs related to the mass effect and 19 with subarachnoid hemorrhage (SAH). Additional clinical signs observed were seizures, ischemia, and endocrinological disturbances. Fourty-five aneurysms involved the carotid arte...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00383260
更新日期:1991-01-01 00:00:00
abstract::Expandable vertebral body replacement cages (VBRs) have been widely used for reconstruction of the thoracolumbar spine following corpectomy. However, their use in the cervical spine is less common, and currently, no expandable cages on the market are cleared or approved by the US Food and Drug Administration for use i...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-015-0649-8
更新日期:2016-01-01 00:00:00
abstract::Patients infected with the human immunodeficiency virus (HIV) or suffering from acquired immunodeficiency syndrome (AIDS) are now surviving for longer periods of time secondary to improvements in medical management. As the classical causes of morbidity and mortality in this patient population have come under better co...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-004-0371-4
更新日期:2005-04-01 00:00:00
abstract::A multidimensional concept of diagnosis and treatment of mental disorders is presented. Major contributions to basic research come from pharmacological experiments. Clinical outcome in treatment of endogenous depression can be assessed by rating scales and psychophysiological tests and correlated with the serum level ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01650030
更新日期:1980-01-01 00:00:00
abstract::Experimental brain tumours were produced in cats by stereotactic implantation of 4 million suspended cells of a rat glioma clone into the internal capsule. Three weeks after implantation a spherical tumour developed with a diameter of up to 10 mm which was surrounded by vasogenic white matter oedema. In untreated anim...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743708
更新日期:1981-01-01 00:00:00
abstract::It is well known that radiation can induce meningiomas. These tumors usually arise in patients with a history of low-dose radiation to the scalp for treatment of tinea capitis or high-dose radiation for a previous brain tumor. Radiation-associated meningiomas (RAMs) morphologically resemble their spontaneously arising...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-004-0366-1
更新日期:2005-04-01 00:00:00
abstract::Postoperative wound healing can pose a problem in patients undergoing instrumented surgery for pyogenic spondylodiscitis. Robotic guidance allows the minimally invasive placement of pedicle screws in the thoracolumbar spine. We assessed whether using this technique to perform minimally invasive surgery had an impact o...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-017-0877-1
更新日期:2018-04-01 00:00:00
abstract::The endoscope has become an essential tool for transsphenoidal pituitary surgeries because of the panoramic view and the ability to visualize structures beyond the direct line of vision. However, the regular dedicated instruments for these surgeries sometimes do not reach the areas visualized by an angled endoscope, a...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-007-0108-2
更新日期:2008-01-01 00:00:00
abstract::Eosinophilic granuloma is an uncommon lesion, often self-limiting. A location in the spine is rare; until now, only 35 cases have been reported. MRI is the most effective diagnostic technique, although conventional X-ray can also be useful as a first approach. Therapy consists of immobilization of the patients, surger...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF00383729
更新日期:1995-01-01 00:00:00
abstract::Among 1142 patients with head injuries hospitalized in the Neurosurgery Department of Gazi University Medical School during the period between 1979 and 1992, 583 had initial CT scans. A retrospective analysis of these initial CT images revealed intracranial air on admission in only 21 cases. These were classified as a...
journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章
doi:10.1007/BF01111479
更新日期:1998-01-01 00:00:00
abstract::The objective of this systematic review is to create an overview of the literature on the comparison of navigated transcranial magnetic stimulation (nTMS) as a mapping tool to the current gold standard, which is (intraoperative) direct cortical stimulation (DCS) mapping. A search in the databases of PubMed, EMBASE, an...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-020-01397-x
更新日期:2020-10-03 00:00:00
abstract::There are still different descriptions of the segmentation of the posterior cerebral artery, although there is a radiological and anatomical consensus on the segmentation of the anterior and the middle cerebral artery. This study aims to define the most appropriate localization for origin and end points of the segment...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0972-y
更新日期:2019-03-01 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::Case report of traumatic induced tetraplegia due to multiple cranio-cervical abnormalities with cord compression at the level of C4/C5. Diagnostic and operative procedure. ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743105
更新日期:1983-01-01 00:00:00
abstract::With the increasing number of endovascular interventions during the last years, the number of procedure-related complications has risen accordingly. Despite sophisticated and effective endovascular treatments for acute thromboembolic events during intervention, vessel occlusion can remain refractory to medical and end...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-010-0283-4
更新日期:2011-01-01 00:00:00
abstract::Overcoming the metabolic restrictions of hypoxia may allow the progression of lower-grade tumors to glioblastoma multiforme. Our findings of up-regulation of HIF-1alpha and its downstream targets VEGF, GLUT-1, and CAIX in higher-grade gliomas support this hypothesis. We compared the gene expression profiles of the U-2...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-007-0070-z
更新日期:2007-07-01 00:00:00
abstract::There is growing evidence that the nervous system influences spinal cord vasculature. However, most descriptions of the spinal cord have paid little attention to this important aspect. We reviewed the literature on the innervation of spinal cord vessels with an emphasis on findings that may be applicable to human medi...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-016-0788-6
更新日期:2018-07-01 00:00:00
abstract::The posteroinferior region of the thalamus is formed by the pulvinar, and it is surgically accessed through the infratentorial supracerebellar approach, between the midline and the retromastoid region. This study aimed to compare the paramedian, lateral, extreme lateral, and contralateral paramedian corridors with the...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01405-0
更新日期:2020-10-24 00:00:00
abstract::Intracranial pseudoaneurysm formation due to ruptured non-traumatic saccular aneurysm is extremely rare. We experienced two cases of large pseudoaneurysm formation due to rupture of a saccular aneurysm. The neuroradiological ghost-like appearance of the aneurysms led to misdiagnoses as large partially thrombosed aneur...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-004-0336-7
更新日期:2004-10-01 00:00:00
abstract::Giant cavernous hemangiomas occur very rarely, and little has been reported about their behavior. In this case report three cavernous hemangiomas with a diametric measure between 6 cm and 7 cm and distinct features will be described. A 36-year-old female patient presented with headache and nausea. A CT scan disclosed ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-006-0042-8
更新日期:2007-01-01 00:00:00
abstract::Residual and recurrent intracranial aneurysms after surgical clipping present a persistent risk of bleeding. Secondary coiling after incomplete clipping represents a strategy to occlude the residual sac: feasibility, bleeding risk and outcome were evaluated through a systematic review of literature along with the seri...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0950-4
更新日期:2019-06-01 00:00:00
abstract::The author reports a case of a histologically proven cavernous hemangioma of the cavernous sinus and middle fossa, which was treated by radiotherapy. This very rare lesion represents a formidable challenge to the neurosurgeon and its excision has been associated with a considerable mortality rate. The significant redu...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00314842
更新日期:1996-01-01 00:00:00