Abstract:
:In the last decade, operative decompression of cord and cauda, internal fixation with rods, bony fusion and early ambulation, have become more popular in the management of thoracolumbar injuries with neurological deficit. Computer-tomography, CT myelography and peroperative ultrasonography provided direct evidence, that, without surgical decompression, reduction of displaced bone and disc fragments, propelled into the spinal canal, is often incomplete, not only after postural reduction, but also after rod instrumentation. The percentage of patients with incomplete paraplegia who show improvement of neurological deficit after surgical reduction and stabilization, is probably greater than that noted with postural management. There are, however, shortcomings in the classification of neurological deficit, which hamper adequate comparison. Further research in this field is necessary. The value of the surgical approaches is mainly in immediate stabilization, which diminishes pain, facilitates nursing care and allows more rapid mobilization. This results in a shorter stay in hospital and earlier active rehabilitation. That decompression of the neural elements provides improved neurological recovery seems likely, but has so far not been proven. Management of these patients, preferably admitted to specialized units, should be carried out by an orthopedic surgeon and a neurosurgeon in cooperation. The orthopedic surgeon is mainly concerned with management of the spine; the neurosurgeon with management of the paraplegia, operations being carried out by both.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Braakman Rdoi
10.1007/BF01743066subject
Has Abstractpub_date
1986-01-01 00:00:00pages
141-7issue
1-2eissn
0344-5607issn
1437-2320journal_volume
9pub_type
杂志文章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::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::Massive hemorrhage is a very uncommon event among hemangioblastomas. Forty-four cases have been reported before this review. Thorough analysis of all reported cases on literature was accomplished. The majority presented as parenchymatous or subarachnoid bleedings. Subarachnoid hemorrhage was only associated with spina...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-009-0217-1
更新日期:2010-01-01 00:00:00
abstract::Homocysteine (tHcy) has been hardly studied among patients with head injury. This study was to evaluate whether there is any independent impact of tHcy levels on neurological outcome following head injury in a multivariate model. Patients admitted within 24 h of injury were included in the study, along with 20 age- an...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-017-0880-6
更新日期:2018-04-01 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::In spite of recent advancements in the management of ruptured aneurysm, there are still controversies as to how to threat the patients in serious conditions, one of these concerning whether to operate patients admitted with symptomatic vasospasm (vasospasm on admission) and when. While early surgery may protect patien...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00417662
更新日期:1995-01-01 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::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::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::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::We did a prospective study of 70 adults with chronic subdural hematomas. We looked at the correlation between some aetiological, clinical, and radiological factors and outcome. The present analysis found a significant positive correlation of cephalea, isodense aspect of the hematoma at CT scan, and pulsatance of the e...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00383875
更新日期:1995-01-01 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
abstract::The apparent diffusion coefficient (ADC) on diffusion-weighted imaging (DWI) plays an important role in diagnosing intracranial tumors and predicting the histopathological grade of the tumor. However, the differences in the ADC values between craniopharyngiomas and germ cell tumors (GCTs) have not been clarified. We t...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0660-0
更新日期:2016-04-01 00:00:00
abstract::Although abundant in nature, fungi are infrequently pathogenic in humans. CNS fungal infections in non-immunocompromised individuals are uncommon. We discuss here the case of an otherwise healthy black woman with an isolated mass of the cerebellopontine angle identified as Blastomyces dermatitidis, successfully treate...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s101430050053
更新日期:1999-10-01 00:00:00
abstract::A case of "sudden infant death" after 15 minutes of successful resuscitation of cardiovascular function is presented. While apnoic cranial nerve areflexia and electrocerebral silence persisted, angiography and transcranial Doppler sonography demonstrated nearly normal cerebral perfusion, which even increased day by da...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00257815
更新日期:1992-01-01 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::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::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::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::We collected data to provide evidence that orbital cavernous malformations (CMs) are histopathologically, neuroradiologically, and clinically different from cerebral CMs and may represent a distinct entity. In this study, the main clinical, histopathological and radiological characteristics of 19 patients (11 females ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-006-0055-3
更新日期:2007-01-01 00:00:00
abstract::Hemangioblastoma is a rare benign tumor that consists of neoplastic vacuolated stromal cells and highly developed capillary blood vessels. These tumors are almost exclusively found in the central nervous system, but in extremely rare cases, it can arise in peripheral nerves. In the majority of cases, it occurs sporadi...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-014-0587-x
更新日期:2015-01-01 00:00:00
abstract::Epidermoid cysts constitute less than 1% of intracranial tumors with the majority of them involving cerebellopontine angle (CPA). Although several mechanisms for cranial nerve dysfunction due to these tumors have been proposed, no direct evaluation for hyper- or hypoactive dysfunction has been done. In this case serie...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0684-5
更新日期:2016-04-01 00:00:00
abstract::Despite decades of study, the etiology of brain cancer remains elusive. However, extensive molecular characterization of primary brain tumors has been accomplished, outlining recurrent features that are proving useful for devising targeted therapies. There are far too few patients available for comparing the efficacy ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-010-0275-4
更新日期:2010-10-01 00:00:00
abstract::The number of patients undergoing surgical treatment for pharmacoresistant temporal lobe epilepsy is rapidly increasing. While there have been many clinicopathological studies concerning the medial structures of the temporal lobe in temporal lobe epilepsy, its lateral structures have received little attention. To exam...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/pl00021698
更新日期:2000-06-01 00:00:00
abstract::Twenty-six patients with oculomotor nerve palsy due to cerebral aneurysms were examined. There were six males and twenty females with a mean age of 55 years. 25 of the 26 aneurysms were located at the junction of the internal carotid and the posterior communicating artery and one was at the junction of the basilar art...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01741485
更新日期:1989-01-01 00:00:00
abstract::We aimed to evaluate whether bypass of the external carotid artery (ECA) to the middle cerebral artery (MCA) can be established by a short saphenous vein graft in order to increase the anastomosis patency. The method was performed to ten adult cadaver sides. We described a modified technique for bypass of the ECA to t...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-008-0138-4
更新日期:2008-07-01 00:00:00
abstract::Esthesioneuroblastoma is an uncommon malignant neoplasm that arises from olfactory mucosa, often with intracranial extension. A case report of the youngest victim in the literature (2-year-old boy) is presented. ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01390528
更新日期:1997-01-01 00:00:00
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::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::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 (EB...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-1003-8
更新日期:2019-12-01 00:00:00