Abstract:
:Fifteen cases of chronic vegetative state (CVS), following severe head injury and lasting for two years or more, are reported. Vegetative state, in most instances after a period of coma, consists of a return of wakefulness accompanied by an apparent total lack of higher mental activity. A protracted period of vegetative state has been chosen to ensure that the possibility of further recovery could virtually be excluded. The term of CVS could therefore be reasonably used to designate these cases. Moreover, cerebral lesions were then thought to be the same as in neuropathological studies. Severe head injury, responsible for CVS, initially affected adults in 11 cases and children in four cases. The range of duration of the vegetative state was 2 to 14 years, with a mean of five years. The data of clinical study and electrophysiological investigations (EEG, brain stem auditory evoked potentials, somatosensory evoked potentials) are reported. A CT scan was carried out in each case to study the impairment of cerebral hemispheres and brain stem, with particular attention to the ventricular size. The results confirm that in the CVS, lesions affect mainly the hemispheres, while brain stem functions are mainly preserved. Vegetative State (VS) is the term proposed by Jennett and Plum (1972) to describe the condition that sometimes emerges after a period of coma, after a severe head injury (SHI). This condition consists of a return of wakefulness accompanied by an apparent total lack of higher mental activity. A practical definition of this state characterised by wakefulness without responsiveness is that the eyes open spontaneously and/or in response to verbal stimuli. Sleep-wake cycles exist. The patients can neither obey simple orders nor locate painful stimuli. They utter no comprehensible words. Blood pressure and breathing remain steady. It is much more difficult to specify exactly how long such a state must persist before it can be confidently declared permanent. Persistent vegetative state, or chronic vegetative state (CVS) is one of the five categories of the Glasgow Outcome Scale (Jennett and Bond, 1975). Bricolo et al (1980) think that the term CVS should never be applied before completion of the first year after the onset of traumatic coma. It actually seems possible to exclude the possibility of any further recovery after unresponsiveness for one year. The term CVS may then be rightfully used to denote this condition. For such protracted periods of VS, we have tried to state in a retrospective study the clinical and electroencephalographic (EEG) course.(ABSTRACT TRUNCATED AT 400 WORDS)
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Danze F,Brule JF,Haddad Kdoi
10.1007/BF01790694subject
Has Abstractpub_date
1989-01-01 00:00:00pages
477-99eissn
0344-5607issn
1437-2320journal_volume
12 Suppl 1pub_type
杂志文章abstract::Although approximately 30% of facial nerve schwannoma cases present with no facial palsy, a large facial nerve schwannoma extending to the middle and posterior cranial fossa quite rarely presents without facial palsy. The authors encountered two patients with large facial nerve schwannoma who presented with only heari...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-005-0381-x
更新日期:2005-07-01 00:00:00
abstract::Skull base chordomas represent very interesting neoplasms, due to their rarity, biological behavior, and resistance to treatment. Their management is very challenging. Recently, the use of a natural corridor, through the nose and the sphenoid sinus, improved morbidity and mortality allowing also for excellent removal ...
journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章
doi:10.1007/s10143-013-0503-9
更新日期:2014-04-01 00:00:00
abstract::Although endovascular or surgical treatment has been performed for preventing the rupture of saccular cerebral aneurysms (sCA), in some patients, the aneurysms may recur and require retreatment. We aimed to investigate the clinical and radiological outcomes of treating recurrent sCA. We retrospectively evaluated the d...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01259-6
更新日期:2020-02-21 00:00:00
abstract::MR imaging of the brain has made tremendous progress during the last years. This technique is generally superior to computed tomography (CT) in brain tumors, due to its capability for direct imagining in various planes and its high tissue contrast. Moreover, the detectability and differentiation of extraaxial tumors, ...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF01741480
更新日期:1989-01-01 00:00:00
abstract::The basic principles of NMRI are explained. Examples are given of the current medical uses of imaging with protons and other nuclei as well. Further developments towards spectroscopic imaging are discussed. ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01892908
更新日期:1984-01-01 00:00:00
abstract::The device is constructed for intra-operative angiographic studies. The main features of the unit are: semi-automatic positioning of the tube into preset coordinates, TV camera serving as receptor, reproduction of the videosignal with twice the number of lines compared with that used normally, retrieval technique perm...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01780706
更新日期:1984-01-01 00:00:00
abstract::In 63 cases of clinical definite or suspected MS we compared the results of CSF analysis, VEP, BAEP, CT scanning without and after double dose contrast, in 17 cases also those of MRT. We found that CSF analysis had the highest rate of abnormal findings, followed by MRT. VEP and CT with double dose contrast showed simi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01795695
更新日期:1988-01-01 00:00:00
abstract::Chemotherapy of malignant glioma has been discussed in relation to recent advances in experimental and clinical studies. It is now obvious that chemotherapy is of increasing importance in the multidisciplinary treatment of malignant gliomas. Survival time of patients was prolonged by intensive and prolonged chemothera...
journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章,评审
doi:10.1007/BF01743285
更新日期:1984-01-01 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::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::Magnetic resonance angiography (MRA) is increasingly used as a noninvasive means to assess internal carotid artery (ICA) stenosis. When used alone, however, MRA may not be sufficiently accurate in certain settings to determine whether ICA disease meets surgical criteria. Although MRA has been recognized to overestimat...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-004-0354-5
更新日期:2005-04-01 00:00:00
abstract::The management of posterior cranial fossa meningioma [PCFM] is challenging and many neurosurgeons advise gamma knife radiosurgery [GKRS] as a modality for its upfront or adjuvant treatment. Due to the varying radiosurgical response based on lesion location, tumor biology, and radiation dosage, we performed a pioneer a...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-019-01144-x
更新日期:2020-08-01 00:00:00
abstract::Unruptured intracranial aneurysms represent a decisional challenge. Treatment risks have to be balanced against an unknown probability of rupture. A better understanding of the physiopathology is the basis for a better prediction of the natural history of an individual patient. Knowledge about the possible determining...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-013-0501-y
更新日期:2014-01-01 00:00:00
abstract::Amyotrophic lateral sclerosis (ALS) is a progressive, degenerative disease of the nervous system. It affects adults in all age groups and leads to death few years after the diagnosis. The etiology is unknown, and there no convincing medical or surgical therapy Some diseases can mimic ALS. If diagnosed early these may ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01105785
更新日期:1998-01-01 00:00:00
abstract::Endoscopy in cerebellopontine angle surgery is an increasingly used technique. Despite of its advantages, the shortcomings arising from the complex anatomy of the posterior fossa are still preventing its widespread use. To overcome these drawbacks, the goal of this study was to define the anatomy of different endoscop...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0800-1
更新日期:2017-07-01 00:00:00
abstract::Stereotactic biopsies of ventricular lesions may be less safe and less accurate than biopsies of superficial lesions. Accordingly, endoscopic biopsies have been increasingly used for these lesions. Except for pineal tumors, the literature lacks clear, reliable comparisons of these two methods. All 1581 adults undergoi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01371-7
更新日期:2020-08-21 00:00:00
abstract::The effective treatment of intracranial abscess remains controversial. Progress in technology, linked with the development of neuronavigational systems, has made stereotactic aspiration and drainage of intracerebral abscesses effective and valid alternatives to traditional methods, namely, conservative medical treatme...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-003-0257-x
更新日期:2003-07-01 00:00:00
abstract::The aim of this study was to perform a morphometric analysis of untreated adult skulls displaying syndromic and nonsyndromic craniosynostosis. We analyzed, in detail, 42 adult craniosynostoses (18 scaphocephaly, 11 anterior plagiocephaly, 2 trigonocephaly, 9 oxycephaly, and 2 brachycephaly) from archeological (three s...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-007-0100-x
更新日期:2008-04-01 00:00:00
abstract::The prognosis after evacuation of a chronic subdural hematoma is generally good, yet occasionally post-operative complications do occur. Intracerebral hematoma following such evacuation is rare and two cases are reported. It is suggested that this complication could be due to the disturbances of intracerebral vascular...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01790653
更新日期:1989-01-01 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::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::Growing evidence from recent studies have revealed that long non-coding RNA (lncRNA) might be a useful prognostic biomarker for glioma; we therefore conducted the current meta-analysis to evaluate prognostic and clinicopathological predictive value of lncRNA expression for glioma patients. Eligible studies were identi...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析
doi:10.1007/s10143-018-0965-x
更新日期:2020-02-01 00:00:00
abstract::The aim of this study was to analyze the long-term clinical and radiological outcomes of craniocervical decompression for patients affected by Chiari I-related syringomyelia. We performed a retrospective analysis of a group of patients affected by Chiari I-associated syringomyelia treated by craniocervical decompressi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-010-0260-y
更新日期:2010-07-01 00:00:00
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 prognos...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0708-9
更新日期:2016-07-01 00:00:00
abstract::The purpose of this study is to describe our series of nine unclippable and uncoilable ruptured aneurysms in eight patients treated by microsurgical wrapping with autologous muscle. Records were retrospectively reviewed for rebleeding rate, morbidity and mortality, changes in size or the aneurysm's configurations, and...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-012-0408-z
更新日期:2013-01-01 00:00:00
abstract::A unique case of suprasellar dermoid cyst and familial hypercholesterolemia in a child is reported. Such an association, which strengthens the congenital hypothesis of dermoid cysts, could be a manifestation of a complex dyslipidemic inherited syndrome, at least in children. Surgical removal of the dermoid cyst which ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00416478
更新日期:1995-01-01 00:00:00
abstract::Polyostotic fibrous dysplasia affects many bones of the skeleton and usually on one side only. In monostotic variety only one bone is affected. The condition which usually starts in early childhood is at first active, gradually becomes quiescent and finally with termination of skeletal growth becomes inactive and ceas...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01837749
更新日期:1981-01-01 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::A technique to reconstruct the posterior elements of the spinal canal in osteoplastic laminotomy is described. The use of titanium microplates allows a stable fixation of the laminar arch with optimal realignment of the lamina cut ends. The titanium implants are fully compatible with magnetic resonance imaging. The au...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF02389311
更新日期:1998-01-01 00:00:00
abstract::The aim of this study was to determine the efficacy and safety of intrathecal baclofen therapy delivered by a programmable pump for the chronic treatment of spinal spasticity. Twelve patients with intractable spasticity caused by spinal cord injuries underwent implantation of a programmable continuous infusion pump af...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-002-0221-1
更新日期:2002-08-01 00:00:00