Abstract:
:The extent of treatment for the victims of gunshot wounds to the brain remains quite controversial, particularly when these patients present with extensive neurological dysfunction. We propose guidelines regarding the degree and aggressiveness of therapy. The factors that seem to have a significant impact on the patient's final outcome are the neurological examination at the time of admission, the radiological findings, and the motivation for the shooting. Thus, the authors propose a nonsurgical line of therapy for comatose patients with unilateral or bilateral cerebral gunshot wounds where bone or metal fragments are visualized away from the bullet path on computed tomography scan, particularly when these individuals are suicide victims.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Nagib MG,Rockswold GL,Sherman RS,Lagaard MWdoi
10.1227/00006123-198605000-00003subject
Has Abstractpub_date
1986-05-01 00:00:00pages
533-7issue
5eissn
0148-396Xissn
1524-4040journal_volume
18pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:The supraorbital approach is well accepted for lesions in the anterior fossa, the sellar region, and the anterior circle of Willis. However, the usefulness of this approach has not yet been elucidated for lesions in the interpeduncular fossa. The technique of an endoscope-assisted, ipsi- and contralateral sup...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199901000-00062
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the effectiveness of syringosubarachnoid (S-S) shunting for syringomyelia with Chiari malformation. The authors describe the technical methods of performing the S-S shunt and the clinical results, including shunt malfunction. METHODS:Forty-nine patients underwent S-S...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200002000-00026
更新日期:2000-02-01 00:00:00
abstract::In the last decade of the 18th century, Franz Joseph Gall of Vienna invented a combination of physiognomy and brain localization that he originally called "craniology" (the science of the head) and later called "organology" (the science of the organs of the brain). Between 1800 and 1812, he worked with Johann Christop...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/00006123-199510000-00025
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:It is not completely clear whether there are differences in the evolution of the neuropsychological outcomes between the 2 intervention procedures (surgery and endovascular coiling) used in subarachnoid aneurysmatic hemorrhage. Some studies have investigated this topic but without completely controlling the ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181fa2152
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Maximizing extent of resection (EOR) improves outcomes in adults with World Health Organization (WHO) grade II low-grade gliomas (LGG). However, recent studies demonstrate that LGGs bearing a mutation in the isocitrate dehydrogenase 1 (IDH1) gene are a distinct molecular and clinical entity. It remains uncle...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx265
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:The surgical strategies and outcomes for 70 patients operated on for tuberculum sellae meningioma were analyzed retrospectively. The analysis was based on factors that probably determined the difficulties encountered during surgery, assisted in predicting the extent of resectability, and helped in predicting ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::We studied the impairment of autoregulation of cerebral blood flow (CBF) and its effect on the electrical activity of the brain during the development of chronic cerebral vasospasm after subarachnoid hemorrhage, using a vasospasm model in primates. Fourteen animals were divided into two groups: a clot group (8) and a ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199101000-00007
更新日期:1991-01-01 00:00:00
abstract::The time course, anatomic distribution, and extent of changes in cerebral lactate, N-acetyl-L-aspartate (NAA), and other metabolite levels determined by three-dimensional in vivo 1H magnetic resonance spectroscopy and single-voxel spectral analysis after middle cerebral artery occlusion in rats. Increased lactate was ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199601000-00030
更新日期:1996-01-01 00:00:00
abstract::The management of adult hydrocephalus spans a broad range of disorders and ages. Modern management strategies include endoscopic and adjustable cerebrospinal fluid shunt diversionary techniques. The assessment and management of the following clinical conditions are discussed: 1) the adult patient with congenital or ch...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000316269.82467.f7
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Although mirror pain occurs after cordotomy in patients experiencing unilateral pain via a referred pain mechanism, no studies have examined whether this pain mechanism operates in patients who have bilateral pain. OBJECTIVE:To assess the usefulness of cordotomy for bilateral pain from the viewpoint of incr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000593
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:Animal models and clinical studies suggest that intraventricular thrombolysis improves clot resolution and clinical outcomes among patients with intraventricular hemorrhage. However, this intervention may increase the rates of rebleeding and infection. To assess the safety and efficacy of intraventricular thr...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1227/01.neu.0000108422.10842.60
更新日期:2004-03-01 00:00:00
abstract::The result of 42 blood volume determinations made with autologous red blood cells labeled with chromium-51 are reported. The subjects consisted of 11 control patients and 25 patients with recent subarachnoid hemorrhage (SAH). The mean red blood cell volume (RBCV) and the total blood volume (TBV) for female patients af...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198409000-00010
更新日期:1984-09-01 00:00:00
abstract:OBJECTIVE:Intermittent stimulation of the left cervical vagus nerve trunk is emerging as a novel adjunct in the treatment of medically refractory seizures. We sought to evaluate theoretical and practical issues attendant to this concept. We review the anatomic and physiological background arguing for clinical applicati...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验,评审
doi:10.1097/00006123-199812000-00001
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:A two-stage approach using orbitozygomatic (OZ) and retrosigmoid (RS) craniotomies is one option for the management of petroclival lesions with supratentorial extension. The goal of this study was to investigate the supratentorial and infratentorial exposures of the clivus obtained through this staged approac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000326013.99562.eb
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:Subarachnoid hemorrhage (SAH) predisposes patients to excessive natriuresis and volume contraction. We studied the effects of postoperative administration of 5% albumin solution on sodium balance and blood volume after SAH. We also sought to identify physiological variables that influence renal sodium excreti...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006123-199804000-00048
更新日期:1998-04-01 00:00:00
abstract::THE DIRECT ENDONASAL transsphenoidal approach to the sella with the operating microscope was initially described more than 20 years ago. Herein, we describe the technique, its evolution, and lessons learned over a 10-year period for treating pituitary adenomas and other parasellar pathology. From July 1998 to January ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000327025.03975.BA
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000316425.21752.E2
更新日期:2008-10-01 00:00:00
abstract::Clinical problems are often complex. Problems of great complexity are usually associated with a commensurately greater degree of difficulty with respect to the decision making process. This is most certainly true regarding the management of cervical spondylosis. Usually, clinicians make clinically appropriate decision...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000249279.79686.E3
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Distal junctional kyphosis (DJK) development after cervical deformity (CD)-corrective surgery is a growing concern for surgeons and patients. Few studies have investigated risk factors that predict the occurrence of DJK. OBJECTIVE:To predict DJK development after CD surgery using predictive modeling. METHO...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz347
更新日期:2020-01-01 00:00:00
abstract::The history of spinal surgery is an important part of the spine-related sciences. The development of treatment strategies for spine-related disorders is acquired from the Western literature. In this article, an Eastern physician, Ibn Sina, who is known as Avicenna in the West, and his treatise, Al-Qanun fi al-Tibb (th...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.neu.0000064811.30933.7f
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:Iron catalyzed generation of injurious free radicals has been implicated in the pathogenesis of cerebral vasospasm after subarachnoid hemorrhage (SAH). The present study assessed the effects of the iron chelator deferiprone on cerebral vasospasm in an in vivo rabbit model of SAH. METHODS:Twenty-four rabbits ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199712000-00028
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the role of transsphenoidal selective adenomectomy alone or in combination with adjuvant therapy in treatment of recurrent Cushing's disease. METHODS:A total of 16 patients with recurrent Cushing's disease underwent reoperation, 15 via a transsphenoidal approach and one ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000215945.26764.92
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:To determine if a window of time could be defined during which angioplasty would be most effective in reversing neurological decline and ultimately improving outcome. METHODS:Of a group of 466 patients, 93 underwent endovascular management of clinical vasospasm that was medically refractory. Eighty-four of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199905000-00022
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:Carotid blowout syndrome (CBS) is a life-threatening emergency resulting from compromise of the carotid artery caused by malignancy in the head and neck. OBJECTIVE:To report our experience with covered stents for the prevention or treatment of carotid blowout syndrome secondary to head and neck cancer to as...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000738
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:For the prevention of postoperative CSF fistula a better understanding of origins and risk factors is necessary. OBJECTIVE:To identify the petrous bone air cell volume as a risk factor for developing CSF fistula, we performed a retrospective analysis. METHODS:From 2000 to 2007 519 patients had a retrosigmo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f88884
更新日期:2010-12-01 00:00:00
abstract::Radiosurgery is fundamentally the harnessing of energy and delivering it to a focal target for a therapeutic effect. The evolution of radiosurgical technology and practice has served toward refining methodologies for better conformal energy delivery. In the past, this has resulted in developing strategies for improved...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000306089.22894.4e
更新日期:2007-12-01 00:00:00
abstract::Adenomatous tumors of the middle ear are rare, with only approximately 100 cases reported. A distinct subclass of this tumor demonstrates microscopic papillary architecture and has a propensity to erode the petrous bone and extend intracranially. The term "aggressive papillary middle ear tumor" has recently been propo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199409000-00018
更新日期:1994-09-01 00:00:00
abstract::The sitting prone position is compared with the standard laminectomy prone position and the sitting up position for posterior fossa surgery. We measured central venous pressure and airway pressure with the patient in different positions to determine the comparative efficacy of the sitting prone position. On a linear a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-02-01 00:00:00
abstract::The author looks back on his more than 70 years of familiarity with Americans involved in warfare, noting their loyal support for our country's objectives. Drawing on the Einstein equation, his own visits to Hiroshima and Nagasaki, and current literature, he, as a physician, belatedly concurs with those who look on th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198304000-00001
更新日期:1983-04-01 00:00:00
abstract::A 4-year-old girl presented with an intramedullary epidermoid cyst of the cervical spinal cord. The clinical, radiological, and surgical features and a brief critical review of the literature are included in this report. The cyst contents were removed totally in two operations. The child had a coexisting neuroenteric ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199207000-00018
更新日期:1992-07-01 00:00:00