Abstract：
:A large variety of vertebral tumours undergoes transarterial embolisation (TAE) prior to surgery. However, the subsequent intra-operative blood loss is unpredictable. This retrospective analysis, aims to determine the impact of various factors that may potentially influence the estimated intra-operative blood loss (EBL) in these patients. The study included 56 consecutive patients with spinal tumours who underwent pre-operative TAE. Demographic information, treatment history, tumour type, MRI characteristics, angiographic appearance, embolisation technique and surgical invasiveness were correlated with EBL using univariate and multivariate analysis. Mean EBL was 1317 mls. On univariate analysis, haematological/primary tumours, MRI hypervascularity and selective embolisation were significantly (P < 0.05) associated with increased EBL. A total angiographic devascularisation and embolisation of additional segments above and/or below the involved level were significantly associated with decreased EBL. There was no significant association with hypervascular angiographic appearance or surgical invasiveness. MRI and angiographic hypervascularity were not entirely concordant, especially for the category of moderately vascularised metastases. After multivariate analysis, MRI hypervascularity (1434 vs. 929 mls, P = 0.018) and embolisation of additional segments (1082 vs. 1607 mls, P = 0.003) remained significantly correlated with EBL. In conclusion, during pre-operative TAE of spinal tumours, routine angiographic interrogation of additional levels above and below the involved segment should be made, with a low threshold for embolising them, if safely performable. Compared to angiographic gold standard, MRI hypervascularity is probably a better predictor of EBL.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Zhang J,Kumar NS,Tan BWL,Shen L,Anil Gdoi
10.1007/s10143-018-1003-8subject
Has Abstractpub_date
2019-12-01 00:00:00pages
951-959issue
4eissn
0344-5607issn
1437-2320pii
10.1007/s10143-018-1003-8journal_volume
42pub_type
杂志文章abstract：:Intermediate nerve schwannomas (INS) are extremely rare lesions in literature. They have been described mimicking facial nerve schwannomas, but not vestibular schwannomas (VS). We aimed to review the previously published cases, as well as the evidence to believe that they are far more common, though usually misdiagnos...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-019-01173-6
更新日期：2020-12-01 00:00:00
abstract：:The objective of this study was to ascertain if stereotactic neurosurgical biopsy (SNB) optimizes the therapy of undefined CNS masses. The design was of retrospective treatment and outcome analysis and the setting was a large general hospital. We studied a total of 141 patients with undefined, space-occupying CNS lesi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s101430050043
更新日期：1999-10-01 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：:In 63 specimens, 74 aneurysms, and five other lesions, postmortem microsurgical and endoscopic inspection (PMI) was done. This work not only allowed for safe pathoanatomic findings, but moreover showed characteristics of a training method developed according to a model with clear standards. PMI gives training in: 1. U...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s101430100155
更新日期：2002-03-01 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：:We report the case of a patient with two distinct brain tumors. A meningioma was resected surgically. Nine months later a glioblastoma appeared in the same region, but at a different site. This was not treated, because the patient died. The clinical significance and etiology of these tumors are considered. ...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF00306823
更新日期：1994-01-01 00:00:00
abstract：:A rare case of fourth ventricle meningioma with a combined intraventricular-intracerebellar localization, successfully removed by surgical treatment, is reported. The features of this type of meningioma as compared to the purely intra-ventricular variety are discussed. ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00313514
更新日期：1992-01-01 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：: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：:The pathophysiology of syringomyelia development is not fully understood. Current prevailing theories suggest that increased pulse pressure in the subarachnoid space forces cerebrospinal fluid (CSF) through the spinal cord into the syrinx. It is generally accepted that the syrinx consists of CSF. The here-proposed int...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-006-0029-5
更新日期：2006-10-01 00:00:00
abstract：:Solitary brain affection is rare in echinococcosis. We report the case of a 35-year-old woman presenting with symptomatic grand-mal epilepsy due to a right frontal, partially cystic space-occupying lesion. Pre-operative computed tomography and magnetic resonance imaging (MRI) suggested a cystic astrocytoma. However, h...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s101430050011
更新日期：1999-01-01 00:00:00
abstract：:The orbitotomy has a central importance in craniofacial surgery. It is indicated for premature craniosynostoses, malformations and tumor surgery. The aim of the treatment is to correct functional disturbances and aesthetic impairments. Anatomical structures must be respected. Functional and anatomical aspects of the o...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01787121
更新日期：1989-01-01 00:00:00
abstract：:Spinal cord or cauda equina compression (SCC) is an increasing challenge in clinical oncology due to a higher prevalence of long-term cancer survivors. Our aim was to determine the clinical relevance of SCC regarding patient outcome depending on different tumor entities and their anatomical localization (extradural/in...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-016-0790-z
更新日期：2017-07-01 00:00:00
abstract：:Direct delivery of antibiotics to the ventricular system offers an alternative for the management of nosocomial meningitis. However, the available literature frequently results in controversial findings regarding its safety. The present meta-analysis aimed at summarizing the risk of local complications after the admin...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-019-01226-w
更新日期：2019-12-24 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：:It was suggested that D, L-Methadone might improve the clinical course of glioma patients. Owing to massive press coverage, patients demand the prescription of D, L-Methadone, but regarding its adjunctive use in glioma therapy there is no standard medication plan. Furthermore, it is not known which side effects the ad...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-020-01250-1
更新日期：2020-02-14 00:00:00
abstract：:Otogenic brain abscesses are a significant cause of mortality and morbidity in developing countries. Usually they occur either by distant thrombophlebitis of cerebral veins or by direct extension in an unsafe type of chronic suppurative otitis media. This case of cerebellar abscess was prepared for surgical excision, ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01111489
更新日期：1998-01-01 00:00:00
abstract：:Between 1986 and 1988 100 patients in whom MRI had been used to diagnose prolapses of lumbar intervertebral discs were admitted to the neurosurgical department of the Munich Technical University. MRI proved to be a valuable diagnostic technique, even if one has to concede certain limitations to the usefulness of the r...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00383835
更新日期：1993-01-01 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：:Cerebral cysticercosis is the result of infestation of the brain with the larval stage of the intestinal tape worm Taenia Solium. The disease, endemic in some parts of the world, especially Mexico, South America, India, Eastern Europe, is still encountered practically all over the world. There appear to be distinct ge...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/BF01742763
更新日期：1983-01-01 00:00:00
abstract：:80-90% of individuals suffering from aneurysmal bone cyst (ABC) are children or adolescents. Primary ABC is a non-neoplastic lesion. Diagnostic assessment and detection of recurrence demands repeated plain x-rays or CT scans. These repeated radiographic examinations expose these young patients to large doses of ionizi...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF00383659
更新日期：1990-01-01 00:00:00
abstract：:Preoperative prediction of molecular information of lower-grade gliomas (LrGGs) helps to determine the overall treatment strategy as well as the initial surgical strategy. This study aimed to detect magnetic resonance imaging (MRI) texture parameters to predict the molecular signature of LrGGs using a commercially ava...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-019-01157-6
更新日期：2020-08-01 00:00:00
abstract：:This short paper summarizes the basic concept and the technology of a new computed radiographic system which uses an energy-storage phosphorus panel called "Imaging Plate" as an image sensor. The "Imaging Plate" can be used to obtain radiographs in exactly the same way as the screen-film combination is used in convent...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/BF01744878
更新日期：1985-01-01 00:00:00
abstract：:Proximally located posterior communicating artery (PCoA) aneurysms, projecting postero-laterally in proximity to the tentorium, may pose a technical challenge for microsurgical clipping due to obscuration of the proximal aneurysmal neck by the anterior petroclinoid fold. We describe an efficacious technique utilizing ...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-014-0554-6
更新日期：2014-10-01 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：:Chiari I malformation (CI) continues to raise great interest among physicians due to the larger and larger number of newly diagnosed cases. The clinical and radiological picture and the management options of such a chronic disease are well acknowledged as well as those of the associated syringomyelia. Little is known,...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-012-0391-4
更新日期：2012-07-01 00:00:00
abstract：:Von Hippel-Lindau disease (VHL) is a hereditary cancer syndrome caused by germline mutations of the VHL tumor suppressor gene. Major progress has been made in the last decade in both clinical and fundamental aspects of VHL. The VHL gene product, pVHL, has major and multiple functions: pVHL regulates not only first ang...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s101430050024
更新日期：2000-03-01 00:00:00
abstract：:Optic pathway glioma (OPG) encompasses a spectrum of findings ranging from lesions confined to the optic nerve only, lesions affecting the optic chiasm and hypothalamus, and lesions with diffuse involvement of a large part of the optic pathway and neighboring structures. The majority of pediatric low-grade astrocytoma...
journal_title：Neurosurgical review
pub_type： 杂志文章
doi：10.1007/s10143-016-0747-2
更新日期：2017-01-01 00:00:00
abstract：:During surgeries in the upper cerebellopontine angle (CPA), the superior petrosal veins (SPVs) often act as obstacles; and their sectioning sometimes causes serious complications. In this study, we introduced a classification system for the SPVs wherein their tributaries were classified into four groups on the basis o...
journal_title：Neurosurgical review
pub_type： 杂志文章,评审
doi：10.1007/s10143-014-0548-4
更新日期：2014-10-01 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
