Safety and usefulness of flexible hand-held laser fibers in microsurgical removal of acoustic neuromas (vestibular schwannomas).

Abstract:

AIMS:We performed a retrospective non-randomized study to analyze the results of microsurgery of acoustic neuromas (AN) using two different flexible hand-held laser fibers, CO2 (Omniguide(®)) and 2μ-Thulium (Revolix jr(®)). METHODS:From September 2010 to June 2015, 84 patients suffering from AN have been operated on with microsurgical technique via retrosigmoid (RS) approach. In 42 cases tumor resection was performed with the assistance of hand-held flexible laser (L-group): in 8 cases CO2-fiber and in 34 2μ-Thulium-fiber. Fortytwo patients, operated on without laser-assistance, were used as comparison group (C-group) (matched-pair-technique). Facial nerve function was assessed with the House-Brackmann (HB) scale preoperatively, 1 week postoperatively, and 6-month or more after surgery. RESULTS:Overall time from incision to skin suture changed in relation to size of tumor (165-575min) and was not affected by the use of laser. In 2 cases preoperative facial nerve palsy was observed. In the remaining 82 cases, at 6-month follow-up facial nerve preservation rate (HB I) was 90.2%. Hearing preservation rate (AAO-HNS A/B classes) was 68.4% (26 out of 38). Adopting a 0-3-scale, the mean surgeon satisfaction rate of usefulness of laser fiber was 2.64. CONCLUSIONS:The use of a hand-held flexible laser fiber in AN-microsurgery seems to be safe and subjectively facilitates tumor resection especially in "difficult" conditions (e.g., highly vascularized and hard tumors). In this limited retrospective trial, the good functional outcome following conventional microsurgery had not further improved, nor the surgical time reduced by laser. Focusing its use on "difficult" (large and vascularized) cases may lead to different results in future.

journal_name

Clin Neurol Neurosurg

authors

Mastronardi L,Cacciotti G,Scipio ED,Parziale G,Roperto R,Tonelli MP,Carpineta E

doi

10.1016/j.clineuro.2016.03.019

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

35-40

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(16)30117-2

journal_volume

145

pub_type

杂志文章
  • Does botulinum toxin injection in parotid glands interfere with the swallowing dynamics of Parkinson's disease patients?

    abstract:BACKGROUND:During recent years, sialorrhea in Parkinson's disease (PD) has been treated with botulinum toxin type A (BT-A); however, there are no data describing its effects on swallowing dynamics in this group of patients. OBJECTIVE:To investigate whether injection of BT-A into the parotid glands interferes with the ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2008.12.007

    authors: Nóbrega AC,Rodrigues B,Melo A

    更新日期:2009-06-01 00:00:00

  • The differential yet concurrent contributions of motor, cognitive and affective disturbance to freezing of gait in Parkinson's disease.

    abstract:OBJECTIVES:We sought to concurrently examine the specific motor, cognitive and affective contributions to self-reported FOG symptoms. PATIENTS AND METHODS:Ninety-six patients with Parkinson's disease completed the validated freezing of gait questionnaire and had their motor function scored on section three of the Unif...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2012.06.027

    authors: Shine JM,Naismith SL,Lewis SJ

    更新日期:2013-05-01 00:00:00

  • The prognostic value of spirometric tests in Amyotrophic Lateral Sclerosis patients.

    abstract:OBJECTIVE:Amyotrophic lateral sclerosis (ALS) patients tend to develop progressive respiratory muscle weakness, leading to ventilatory failure and ineffective cough, principal causes of morbidity and mortality. Since patients are usually unaware of these symptoms, these are generally not noticed until the advanced stag...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105456

    authors: Pirola A,De Mattia E,Lizio A,Sannicolò G,Carraro E,Rao F,Sansone V,Lunetta C

    更新日期:2019-09-01 00:00:00

  • Endermology: a treatment for injection-induced lipoatrophy in multiple sclerosis patients treated with sub cutaneous glatiramer acetate.

    abstract:OBJECTIVE:To evaluate sessions of endermology (LPG) on patients with lipoatrophy, due to GA injections in an open-labelled study. BACKGROUND:Glatiramer acetate (GA) is an immunomodulatory drug, with an excellent safety profile, that is currently used for treatment of multiple sclerosis and is administered as daily sub...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.07.012

    authors: Lebrun C,Mondot L,Bertagna M,Calleja A,Cohen M

    更新日期:2011-11-01 00:00:00

  • Sudden progression of a glioblastoma in partial remission?

    abstract::There are only sparse data on viral CNS infections in patients with malignant glioma. We report a case of fatal herpes encephalitis in a patient with glioblastoma in partial remission and provide a short review of the literature. ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2003.12.002

    authors: Lins H,Kanakis D,Heinrichs T,Dietzmann K,Wallesch CW,Mawrin C

    更新日期:2004-09-01 00:00:00

  • Is there a difference in risk factors for single and multiple symptomatic lesions in small vessel disease? What is the difference between one and plenty--experience from 201 Serbian patients.

    abstract:OBJECTIVES/PURPOSES:Small vessel disease (SVD) is associated with traditional vascular risk factors (RF). The aim of our study was to determine whether different SVD types, single lacunar infarction (LI) and multiple LI (MLI) with or without white matter lesions (WML), have different RF profiles. PATIENTS AND METHODS:...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2005.03.009

    authors: Pavlovic AM,Pekmezovic T,Zidverc-Trajkovic J,Pavlovic DM,Jovanovic Z,Mijajlovic M,Petrovic M,Kostic VS,Sternic N

    更新日期:2006-06-01 00:00:00

  • Genetic and molecular alterations in meningiomas.

    abstract::Meningiomas are the most common benign intracranial tumors in adults arising from the dura matter. The etiology of meningiomas is mostly unknown, although several risk factors have been described, such as ionizing radiation, head injury, hormones and genetic factors. According to WHO they are classified into 3 grades,...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2010.12.007

    authors: Alexiou GA,Markoula S,Gogou P,Kyritsis AP

    更新日期:2011-05-01 00:00:00

  • Combined approaches to the skull base for intracranial extension of tumors via perineural spread can improve patient outcomes.

    abstract::Many neoplasms of the head and neck extend centripetally, gaining access to the central nervous system via nerves through the skull base foramina. Often patients with perineural spread have been excluded from aggressive interventions given the overall poor prognosis and technical difficulty when addressing the perineu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.08.029

    authors: Palejwala SK,Barry JY,Rodriguez CN,Parikh CA,Goldstein SA,Lemole GM Jr

    更新日期:2016-11-01 00:00:00

  • Vascular cognitive impairment in patients with late-onset seizures after an ischemic stroke.

    abstract:BACKGROUND:Cognitive impairment and seizures are both common conditions in patients with cerebrovascular disease. PURPOSE:The present study investigates whether the occurrence of late-onset seizures, following an ischemic stroke, contributes to vascular cognitive impairment. PATIENTS AND METHODS:The mean Mini-Mental ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2005.10.008

    authors: De Reuck J,De Clerck M,Van Maele G

    更新日期:2006-10-01 00:00:00

  • Evaluation of clinical parameters during and after treatment of attack in patients with clinically isolated syndrome: comparison of the results with that of multiple sclerosis patients.

    abstract:OBJECTIVES:The aim of the present study was to examine the changes in the measurement of functions during and after pulse methylprednisolone (MP) treatment during a clinically isolated syndrome (CIS) attack, using the multiple sclerosis functional composite (MSFC) and Expanded Disability Status Scale (EDSS), and to com...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.09.003

    authors: Piri Cinar B,Ozakbas S,Idiman E

    更新日期:2013-12-01 00:00:00

  • Butterfly vertebra.

    abstract::A patient with a so-called 'butterfly vertebra' is presented. Radiography, including computed tomography, is shown. The embryology and pathogenesis of the vertebral column with respect to vertebral abnormalities are discussed, with special reference to butterfly vertebra. Finally, attention is paid to the clinical man...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(82)90039-7

    authors: de Graaf RJ,Matricali B,Hamburger HL

    更新日期:1982-01-01 00:00:00

  • Anatomical evaluation of the vertebral artery (V2) and its influence in cervical spine surgery.

    abstract:OBJECTIVE:The aim of this study was to quantitatively evaluate the surgical anatomy of the vertebral artery and the sub-axial spine to assess their influence on cervical spine surgery. PATIENTS AND METHODS:Retrospective data was evaluated from a total of 275 three-dimensional head and neck CT-angiograms. Vertebral art...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2018.09.002

    authors: Lee HJ,Kim JH,Kim IS,Hong JT

    更新日期:2018-11-01 00:00:00

  • Subacute pancerebellar syndrome associated with systemic lupus erythematosus.

    abstract::A pancerebellar syndrome of subacute progression associated with cerebellar atrophy is highly suggestive of a paraneoplastic cerebellar degeneration (PCD). We describe a 27-year-old woman with systemic lupus erythematosus (SLE) that presented with a subacute pancerebellar syndrome. Serum and CSF anti-Yo, anti-Hu and a...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(96)00013-3

    authors: Manto MU,Rondeaux P,Jacquy J,Hildebrand JG

    更新日期:1996-05-01 00:00:00

  • Magnetic resonance angiography in a patient with Crohn's disease associated cerebral vasculitis.

    abstract::Vasculitits of the central nervous system (CNS) is a known complication of chronic inflammatory bowel diseases. We report the case of a female patient with Crohn's disease, developing vasculitis of the CNS with evidence of pathological vessel depiction on magnetic resonance angiography. To our knowledge this is the fi...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2003.09.004

    authors: Schluter A,Krasnianski M,Krivokuca M,Spielmann RP,Neudecker S,Hirsch W

    更新日期:2004-03-01 00:00:00

  • Outcome and complications of chronically implanted subdural electrodes for the treatment of medically resistant epilepsy.

    abstract:BACKGROUND:Surgery for medically resistant epilepsy is safe and effective. However, when noninvasive techniques are insufficient, then consideration is given to invasive electrocorticography (EcoG). OBJECTIVE:The aim of the study was to analyze results and complications of subdural electrodes placement in the treatmen...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2012.10.007

    authors: Vale FL,Pollock G,Dionisio J,Benbadis SR,Tatum WO

    更新日期:2013-07-01 00:00:00

  • Could Helicobacter pylori play an important role in axonal type of Guillain-Barré syndrome pathogenesis?

    abstract::In this case-control study, ELISA and Western blot with whole bacterial protein lysate were performed on serum and cerebrospinal fluid (CSF) of 15 controls and 15 patients. According to Griffin subtypes, 10 of our patients were in acute inflammatory demyelinating polyradiculoneuropathy (AIDP) group, 3 in acute motor a...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.11.008

    authors: Ghabaee M,Ghanbarian D,Brujeni GN,Bokaei S,Siavoshi F,Gharibzadeh S

    更新日期:2010-04-01 00:00:00

  • Pedicle fracture of the axis: report of two cases and a review of literature.

    abstract::Clinical and neuroradiological features of two cases with unilateral pedicle fractures of C2 were presented and the literature of this rare traumatic fracture was reviewed. Both 37- and 57-year-old woman had traffic accident and were admitted in our institute. Both patients were neurologically free except for neck pai...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2004.06.001

    authors: Cokluk C,Takayasu M,Yoshida J

    更新日期:2005-02-01 00:00:00

  • Pain and functional improvement effects of methylene blue injection on the soft tissue around fusion site after traumatic thoracolumbar fixation: A double-blind, randomized placebo-controlled study.

    abstract:OBJECTIVE:Fractures of the thoracolumbar spine can cause pain, long-term reductions in quality of life (QOL), and neural deficits. The aim of this study was to investigate the effects of methylene blue (MB) on preventing postoperative pain and improving QOL in patients with throracolumbar fractures undergoing posterior...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.clineuro.2016.08.018

    authors: Farrokhi MR,Yazdanpanah H,Gholami M,Farrokhi F,Mesbahi AR

    更新日期:2016-11-01 00:00:00

  • Morbidity following sural nerve harvesting: a prospective study.

    abstract:OBJECTIVE:To evaluate donor site morbidity following sural nerve harvesting, with special attention to the recovery of sensory loss. METHODS:We prospectively followed 38 subjects who underwent sural nerve harvest, including two with bilateral nerve excision. Symptoms related to sural nerve excision were evaluated and ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2012.02.045

    authors: Martins RS,Barbosa RA,Siqueira MG,Soares MS,Heise CO,Foroni L,Teixeira MJ

    更新日期:2012-10-01 00:00:00

  • Non-motor fluctuations in Parkinson's disease: prevalence, characteristics and management in a large cohort of parkinsonian outpatients.

    abstract:OBJECTIVE:To describe demographic and clinical characteristics in a group of Parkinson's disease (PD) patients with non-motor fluctuations (NMF) and to evaluate the management of medications proposed to treat NMF. METHODS:Three hundred and three PD patients (mean age, 66 ± 10.3 years; mean disease duration, 10.1 ± 6.5...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.10.006

    authors: Brun L,Lefaucheur R,Fetter D,Derrey S,Borden A,Wallon D,Bourre B,Maltête D

    更新日期:2014-12-01 00:00:00

  • Subarachnoideal blood spread following epidural blood patch given to treat spontaneous intracranial hypotension: Can it cause neurological complications?

    abstract:OBJECTIVE:(1) To determine the frequency of subarachnoid blood spread following epidural blood patch (EBP) in a cohort of subjects with spontaneous intracranial hypotension (SIH). (2) To describe the outcome of these patients. PATIENTS AND METHODS:In a cohort of 106 patients exhibiting SIH, spiral spinal CT scans were...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2015.11.007

    authors: Ferrante E,Rubino F,Mongelli M,Arpino I

    更新日期:2016-01-01 00:00:00

  • Hypofractionated stereotactic radiotherapy combined with chemotherapy or not in the management of recurrent malignant gliomas: A systematic review and meta-analysis.

    abstract::Hypofractionated stereotactic radiotherapy (HFSRT) is a common salvage treatment for recurrent malignant glioma (MG). However, it remains controversial whether the combination of HFSRT and chemotherapy could improve survival for patients with recurrent MG compared to HFSRT alone. The present systematic review and meta...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.clineuro.2019.105401

    authors: Hu YJ,Zhang LF,Ding C,Chen D,Chen J

    更新日期:2019-08-01 00:00:00

  • Outcome of diabetes insipidus in patients with Rathke's cleft cysts.

    abstract:OBJECTIVES:It is well-known that Rathke's cleft cysts (RCCs) infrequently cause headache, endocrinological dysfunction, and visual disturbance, and in rare cases, cause diabetes insipidus (DI). Although surgical evacuation of the cyst content can result in high rates of symptomatic improvement, not only the treatment e...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2018.02.031

    authors: Oishi M,Hayashi Y,Sasagawa Y,Kita D,Tachibana O,Nakada M

    更新日期:2018-04-01 00:00:00

  • An unusual case of lipoblastic meningioma of the falx cerebri.

    abstract::The clinicopathological features of a lipomatous meningioma of the falx cerebri with an unusual histological pattern are presented. ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(00)00094-9

    authors: Mariniello G,Spaziante R,Del Basso De Caro ML,de Divitiis E

    更新日期:2000-09-01 00:00:00

  • Stereotactic electroencephalography.

    abstract::Stereotactic implantation of depth electrodes for surgical evaluation of drug-resistant epilepsy is the technique of choice in many centers across the world. Historically, the choice of depth versus subdural electrodes has been largely dependent on the training of epileptologists and epilepsy surgeons in light of thei...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2019.105640

    authors: Gholipour T,Koubeissi MZ,Shields DC

    更新日期:2020-02-01 00:00:00

  • Clinical presentation, etiology, and survival in adult acute encephalitis syndrome in rural Central India.

    abstract:BACKGROUND:Acute encephalitis syndrome (AES) is a constellation of symptoms that includes fever and altered mental status. Most cases are attributed to viral encephalitis (VE), occurring either in outbreaks or sporadically. We conducted hospital-based surveillance for sporadic adult-AES in rural Central India in order ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.04.008

    authors: Joshi R,Mishra PK,Joshi D,Santhosh SR,Parida MM,Desikan P,Gangane N,Kalantri SP,Reingold A,Colford JM Jr

    更新日期:2013-09-01 00:00:00

  • Multiple brain abscesses following surgical treatment of a perianal abscess.

    abstract::We report a case of multiple brain abscesses (BAs) in a 67-year-old man with symptoms of progredient disorientation and amnestic aphasia. Onset of symptoms occurred one week after surgical treatment of a perianal abscess. No other source of infection was identified and the abscesses were limited to the brain. The immu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2004.11.024

    authors: Doepp F,Schreiber SJ,Wandinger KP,Trendelenburg G,Valdueza JM

    更新日期:2006-02-01 00:00:00

  • Novel low-grade glioneuronal neoplasm presenting in an octogenarian: case report and review of the literature.

    abstract::Glioneuronal neoplasms are rare tumors that typically affect patients in the first three decades of life. Since the publication of the World Health Organization (WHO) 2000 classification of tumors, further variants of these tumors have been reported. We present an 83-year-old gentleman who presented with a history of ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2005.05.006

    authors: Kuo YH,Edgar MA,Luther N,Schwartz TH

    更新日期:2006-06-01 00:00:00

  • Muscle activation features of the osteoarthritic knee with patellar lateral subluxation.

    abstract:OBJECTIVE:The aim of the study was to compare the muscle activation feature of vastus medialis obliquus (VMO) and vastus lateralis (VL) between the osteoarthritic knee patients with patellar lateral subluxation (Group 1B) and without patellar lateral subluxation (Group 1A). METHODS:Isokinetic muscle strength of the kn...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/S0303-8467(15)30009-3

    authors: Tang SF,Wu CK,Chen CH,Chen JT,Tang AC,Wu SH

    更新日期:2015-02-01 00:00:00

  • Clinical characterization and successful treatment of 6 patients with Churg-Strauss syndrome-associated neuropathy.

    abstract:OBJECTIVE:To confirm the reported findings and clarify unknown clinical features of Churg-Strauss syndrome (CSS)-associated neuropathy and design appropriate treatment. PATIENTS AND METHODS:We assessed the clinical features of 6 patients with CSS-associated neuropathy. RESULTS:Mononeuritis multiplex was present in 4 ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.07.004

    authors: Nakamura M,Yabe I,Yaguchi H,Kishimoto R,Mito Y,Fujiki N,Houzen H,Tsuji-Akimoto S,Niino M,Sasaki H

    更新日期:2009-10-01 00:00:00