Treatment of cerebrospinal fluid and syringosubarachnoid shunt infection with systemic and intrathecal antibiotics.

Abstract:

:We present a case of a patient with two preexisting Silastic syringosubarachnoid shunt catheters who developed Enterobacter meningitis. The infection was treated successfully with systemic and intrathecal antibiotics without removal of the catheters. With careful sequential clinical and laboratory monitoring, even this type of cerebrospinal fluid shunt infection can be eradicated without catheter removal and replacement.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Tomaszek DE,Powers SK

doi

10.1227/00006123-198508000-00015

subject

Has Abstract

pub_date

1985-08-01 00:00:00

pages

327-8

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

17

pub_type

杂志文章
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    abstract:BACKGROUND:Machine learning (ML) is a domain of artificial intelligence that allows computer algorithms to learn from experience without being explicitly programmed. OBJECTIVE:To summarize neurosurgical applications of ML where it has been compared to clinical expertise, here referred to as "natural intelligence." ME...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx384

    authors: Senders JT,Arnaout O,Karhade AV,Dasenbrock HH,Gormley WB,Broekman ML,Smith TR

    更新日期:2018-08-01 00:00:00

  • Transsylvian-transinsular approaches to the insula and basal ganglia: operative techniques and results with vascular lesions.

    abstract:BACKGROUND:Lesions in the insula and basal ganglia can be risky to resect because of their depth and proximity to critical structures, particularly in the dominant hemisphere. Transsylvian approaches shorten the surgical distance to these lesions, preserve perisylvian temporal and frontal cortex, and minimize brain tra...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318236760d

    authors: Potts MB,Chang EF,Young WL,Lawton MT,UCSF Brain AVM Study Project.

    更新日期:2012-04-01 00:00:00

  • Motor Evoked Potentials Correlate With Magnetic Resonance Imaging and Early Recovery After Acute Spinal Cord Injury.

    abstract:BACKGROUND:While the utilization of neurophysiologic intraoperative monitoring with motor evoked potentials (MEPs) has become widespread in surgery for traumatic spine fractures and spinal cord injury (SCI), clinical validation of its diagnostic and therapeutic benefit has been limited. OBJECTIVE:To describe the use o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx320

    authors: Dhall SS,Haefeli J,Talbott JF,Ferguson AR,Readdy WJ,Bresnahan JC,Beattie MS,Pan JZ,Manley GT,Whetstone WD

    更新日期:2018-06-01 00:00:00

  • Ipsilateral Motor Innervation Discovered Incidentally on Intraoperative Monitoring: A Case Report.

    abstract:Background and importance:Lesions in the corticospinal tract above the decussation at the medullary pyramids almost universally produce contralateral deficits. Rare cases of supratentorial lesions causing ipsilateral motor deficits have been reported previously, but only ever found secondary to stroke or congenital pyr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyw074

    authors: Ku J,Mendelsohn D,Chew J,Shewchuk J,Dong C,Akagami R

    更新日期:2017-03-01 00:00:00

  • Balloon-in-stent technique for the constructive endovascular treatment of "ultra-wide necked" circumferential aneurysms.

    abstract:INTRODUCTION:Circumferential aneurysms, which incorporate >180 degrees of the circumference of the parent vessel, present a unique therapeutic challenge, particularly in circumstances in which a deconstructive treatment strategy is not feasible. We detail a novel technique for endovascular parent vessel reconstruction ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000186036.35823.10

    authors: Fiorella D,Albuquerque FC,Masaryk TJ,Rasmussen PA,McDougall CG

    更新日期:2005-12-01 00:00:00

  • A patient with a resistant major depression disorder treated with deep brain stimulation in the inferior thalamic peduncle.

    abstract:OBJECTIVE AND IMPORTANCE:The present report explored the effect of electrical stimulation on the inferior thalamic peduncle in a patient with resistant major depression disorder (MDD). CLINICAL PRESENTATION:This report refers to a 49-year-old woman with a history of recurrent episodes of major depression for 20 years ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000170434.44335.19

    authors: Jiménez F,Velasco F,Salin-Pascual R,Hernández JA,Velasco M,Criales JL,Nicolini H

    更新日期:2005-09-01 00:00:00

  • External ventricular drain insertion accuracy: is there a need for change in practice?

    abstract:OBJECTIVE:Free-hand insertion of an external ventricular drain (EVD) is a common emergency neurosurgical procedure, mostly performed for critically ill patients. Although EVD complications have been studied thoroughly, the accuracy of EVD positioning has been audited only occasionally. METHODS:Post-EVD insertion compu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000356973.39913.0B

    authors: Toma AK,Camp S,Watkins LD,Grieve J,Kitchen ND

    更新日期:2009-12-01 00:00:00

  • Neurocutaneous melanosis presenting as an intradural mass of the cervical canal: magnetic resonance features and the presence of melanin as a clue to diagnosis: case report.

    abstract::We present a case of neurocutaneous melanosis in a 1-year-old child who presented with progressive quadriparesis created by an infiltrating extra-axial neoplastic melanin-producing tumor at the foramen magnum. This extensive intra-arachnoid mass filled the basal cisterns of the brain and surrounded the upper cervical ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199410000-00023

    authors: Poe LB,Roitberg D,Galyon DD

    更新日期:1994-10-01 00:00:00

  • Pull-out strength of Caspar cervical screws.

    abstract::Anterior cervical instrumentation as an adjunct to bone fusion has an important role in cervical spine surgery. Posterior vertebral body cortex purchase is strongly recommended in the use of the Caspar system, although few biomechanical data exist to validate this requirement. In this study, Caspar screws were placed ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199212000-00016

    authors: Maiman DJ,Pintar FA,Yoganandan N,Reinartz J,Toselli R,Woodward E,Haid R

    更新日期:1992-12-01 00:00:00

  • Human placenta aneurysm model for training neurosurgeons in vascular microsurgery.

    abstract:BACKGROUND:Neurosurgery, a demanding specialty, involves many microsurgical procedures that require complex skills, including open surgical treatment of intracranial aneurysms. Simulation or practice models may be useful for acquiring these skills before trainees perform surgery on human patients. OBJECTIVE:To describ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000553

    authors: Oliveira Magaldi M,Nicolato A,Godinho JV,Santos M,Prosdocimi A,Malheiros JA,Lei T,Belykh E,Almefty RO,Almefty KK,Preul MC,Spetzler RF,Nakaji P

    更新日期:2014-12-01 00:00:00

  • Stereotactic radiosurgery of angiographically occult vascular malformations: indications and preliminary experience.

    abstract::Stereotactic radiosurgery has been shown to treat successfully angiographically demonstrated arteriovenous malformations of the brain. Angiographic obliteration has represented cure and eliminated the risk of future hemorrhage. The role of radiosurgery in the treatment of angiographically occult vascular malformations...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199012000-00006

    authors: Kondziolka D,Lunsford LD,Coffey RJ,Bissonette DJ,Flickinger JC

    更新日期:1990-12-01 00:00:00

  • Hypnosis for Awake Surgery of Low-grade Gliomas: Description of the Method and Psychological Assessment.

    abstract:BACKGROUND:Awake craniotomy with intraoperative electric stimulation is a reliable method for extensive removal of low-grade gliomas while preserving the functional integrity of eloquent surrounding brain structures. Although fully awake procedures have been proposed, asleep-awake-asleep remains the standard technique....

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000993

    authors: Zemmoura I,Fournier E,El-Hage W,Jolly V,Destrieux C,Velut S

    更新日期:2016-01-01 00:00:00

  • Gamma knife surgery for facial nerve schwannomas.

    abstract:OBJECTIVE:Radical resection of facial nerve schwannomas classically implies a high risk of severe facial palsy. Owing to the rarity of facial palsy after gamma knife surgery (GKS) of vestibular schwannomas, functional evaluation after GKS seems rational in this specific group of patients. To our knowledge, no previous ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249282.46514.DA

    authors: Litre CF,Gourg GP,Tamura M,Mdarhri D,Touzani A,Roche PH,Régis J

    更新日期:2007-05-01 00:00:00

  • Patient tolerance of craniotomy performed with the patient under local anesthesia and monitored conscious sedation.

    abstract:OBJECTIVE:Craniotomy and brain mapping performed with the patient under local anesthesia and monitored sedation is an important technique to allow optimal resection of brain tumors or other lesions in close apposition to eloquent cortex. The subjective experience of patients undergoing this procedure has not been addre...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006123-199801000-00006

    authors: Danks RA,Rogers M,Aglio LS,Gugino LD,Black PM

    更新日期:1998-01-01 00:00:00

  • Brain stem hemorrhage: historical perspective.

    abstract::Brain stem hemorrhage was first recorded in 1812. Its origin has been the subject of much study and experimentation. We review the studies that stress mechanical forces because dynamic axial distortion of the brain stem is a major factor in the physiology and pathology of the central nervous system. ...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/00006123-198804000-00001

    authors: Thompson RK,Salcman M

    更新日期:1988-04-01 00:00:00

  • Significance of the so-called absorptive reserve in communicating hydrocephalus: a preliminary report.

    abstract::Twelve patients with communicating hydrocephalus were studied with a servocontrolled lumbar infusion technique to measure net cerebrospinal fluid (CSF) absorptive capacity and resting pressure. Each patient showed a significant absorptive reserve; the rate of CSF absorption exceeded the rate of formation over a physio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198105000-00003

    authors: Sklar FH,Beyer CW Jr,Diehl JT,Clark WK

    更新日期:1981-05-01 00:00:00

  • New variants of malignant glioneuronal tumors: a clinicopathological study of 40 cases.

    abstract:OBJECTIVE:To demonstrate that malignant glioneuronal tumors comprise a large spectrum of neoplasms, without mature ganglion-like cells, that may histologically resemble any malignant glioma (World Health Organization Grade III or IV) but have a distinct biological behavior. METHODS:This series includes all tumors diag...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000143033.36582.40

    authors: Varlet P,Soni D,Miquel C,Roux FX,Meder JF,Chneiweiss H,Daumas-Duport C

    更新日期:2004-12-01 00:00:00

  • Accurate Delineation of Glioma Infiltration by Advanced PET/MR Neuro-Imaging (FRONTIER Study): A Diagnostic Study Protocol.

    abstract:BACKGROUND:Glioma imaging, used for diagnostics, treatment planning, and follow-up, is currently based on standard magnetic resonance imaging (MRI) modalities (T1 contrast-enhancement for gadolinium-enhancing gliomas and T2 fluid-attenuated inversion recovery hyperintensity for nonenhancing gliomas). The diagnostic acc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000001355

    authors: Verburg N,Pouwels PJ,Boellaard R,Barkhof F,Hoekstra OS,Reijneveld JC,Vandertop WP,Wesseling P,de Witt Hamer PC

    更新日期:2016-10-01 00:00:00

  • Clinical clerkships in neurosurgery and neurology at United States medical schools.

    abstract::The neurology and neurosurgery clinical clerkship experience (excluding lectures and conferences) of the students in U.S. allopathic medical schools during one of the academic years 1986 to 1987 or 1987 to 1988 was surveyed. Almost all schools have at least some students taking these clerkships. The majority of studen...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199110000-00027

    authors: Lehman RA,Brodner RA,Greenblatt SH,Hirsh LF,Loeser J,Smith K,Curran L

    更新日期:1991-10-01 00:00:00

  • Combined pretemporal and endovascular approach to the cavernous sinus for the treatment of carotid-cavernous dural fistulae: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:The endovascular treatment of carotid-cavernous dural fistulae is becoming the prominent treatment modality for these lesions. The intractability of these lesions and their tendency to recur, especially after previous endovascular treatment sessions, exhausts the available routes and tends to p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00113

    authors: Krisht AF,Burson T

    更新日期:1999-02-01 00:00:00

  • Subependymal giant cell astrocytoma: a clinical, pathological, and flow cytometric study.

    abstract::Of 345 patients with tuberous sclerosis complex evaluated at the Mayo Clinic from 1950 to 1989, 23 were identified as having brain tumors. In 20 of the 23, histological or clinical evidence showed the tumor to be a subependymal giant cell astrocytoma. A search of the Mayo Clinic tissue registry yielded 73 giant cell-c...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Shepherd CW,Scheithauer BW,Gomez MR,Altermatt HJ,Katzmann JA

    更新日期:1991-06-01 00:00:00

  • Preoperative diagnosis of lymphocytic hypophysitis (adenohypophysitis) unresponsive to short course dexamethasone: case report.

    abstract::Lymphocytic hypophysitis (adenohypophysitis) is a rare lymphocytic infiltration of the pituitary gland that usually occurs during pregnancy. Because of its rarity, it has seldom been diagnosed preoperatively, and no trials of therapeutic treatment have been reported to date. We describe a 29-year-old woman with a pitu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199202000-00023

    authors: Reusch JE,Kleinschmidt-DeMasters BK,Lillehei KO,Rappe D,Gutierrez-Hartmann A

    更新日期:1992-02-01 00:00:00

  • Study Protocol: Early Stereotactic Gamma Knife Radiosurgery to Residual Tumor After Surgery of Newly Diagnosed Glioblastoma (Gamma-GBM).

    abstract:BACKGROUND:Glioblastoma (GBM) is the most common malignant brain tumor in adult patients. Tumor recurrence commonly occurs around the resection cavity, especially after subtotal resection (STR). Consequently, the extent of resection correlates with overall survival (OS), suggesting that depletion of postoperative tumor...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy156

    authors: Brehmer S,Grimm MA,Förster A,Seiz-Rosenhagen M,Welzel G,Stieler F,Wenz F,Groden C,Mai S,Hänggi D,Giordano FA

    更新日期:2019-05-01 00:00:00

  • The impact of provider volume on mortality after intracranial tumor resection.

    abstract:OBJECTIVE:Policies of regionalization and selective referral for a number of "high-risk" surgical procedures are being explored and implemented as a result of significant variation in postoperative mortality between high- and low-volume providers. The effect of provider volume on outcomes after intracranial tumor resec...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200301000-00005

    authors: Cowan JA Jr,Dimick JB,Leveque JC,Thompson BG,Upchurch GR Jr,Hoff JT

    更新日期:2003-01-01 00:00:00

  • Prognostic implications of p53 overexpression in supratentorial astrocytic tumors.

    abstract::The wild-type p53 gene is thought to play a critical role in tumor suppression and has been shown to reverse the transformed phenotype of tumor cells in vitro. Mutational inactivation of this aspect of p53 activity occurs frequently in many human neoplasms, including astrocytomas, and is thought to represent a critica...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199411000-00005

    authors: Chozick BS,Pezzullo JC,Epstein MH,Finch PW

    更新日期:1994-11-01 00:00:00

  • Endovascular therapy of very small aneurysms of the anterior communicating artery: five-fold increased incidence of rupture.

    abstract:BACKGROUND:Intraprocedural rupture is a dangerous complication of endovascular treatment. Small ruptured anterior communicating artery (ACoA) aneurysms and microaneurysms present a challenge for both surgical and endovascular therapies to achieve obliteration. An understanding of the complication rates of treating rupt...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0b013e3182077373

    authors: Schuette AJ,Hui FK,Spiotta AM,Obuchowski NA,Gupta R,Moskowitz SI,Tong FC,Dion JE,Cawley CM

    更新日期:2011-03-01 00:00:00

  • Inflammation and intracranial aneurysms.

    abstract:OBJECTIVE:An intracranial aneurysm is an important acquired cerebrovascular disease that can cause a catastrophic subarachnoid hemorrhage. Despite modern therapy, most patients die or are left disabled as a direct result of a severe initial hemorrhage. The development of more effective treatment strategies depends on u...

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    pub_type: 杂志文章

    doi:10.1097/00006123-199911000-00024

    authors: Chyatte D,Bruno G,Desai S,Todor DR

    更新日期:1999-11-01 00:00:00

  • Gastric secretory and mucosal injury response to severe head trauma.

    abstract::The problem of gastric secretory and mucosal injury response was evaluated in 19 patients who had suffered a severe head injury. Fifteen of 19 patients had some evidence of gastrointestinal hemorrhage. In 7 cases, this was marked. The mean volume of gastric secretions ranged from 36.4 ml/hour on Day 1 to 47.6 ml/hour ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198302000-00007

    authors: Gudeman SK,Wheeler CB,Miller JD,Halloran LG,Becker DP

    更新日期:1983-02-01 00:00:00

  • Necrosis and Brain Invasion Predict Radio-Resistance and Tumor Recurrence in Atypical Meningioma: A Retrospective Cohort Study.

    abstract:BACKGROUND:Meningiomas are the most common tumors occurring in the central nervous system, with variable recurrence rates depending on World Health Organization grading. Atypical (Grade II) meningioma has a higher rate of recurrence than benign (Grade I) meningioma. The efficacy of adjuvant radiotherapy (RT) to improve...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa348

    authors: Garcia-Segura ME,Erickson AW,Jairath R,Munoz DG,Das S

    更新日期:2020-12-15 00:00:00

  • "Target bypass": a method for preoperative targeting of a recipient artery in superficial temporal artery-to-middle cerebral artery anastomoses.

    abstract:OBJECTIVE:To introduce a method for preoperative targeting of a proper recipient artery in superficial temporal artery-to-middle cerebral artery anastomosis. METHODS:Six operations for superficial temporal artery-to-middle cerebral artery anastomosis in four patients with moyamoya disease or moyamoya-like disease and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000232775.06672.F4

    authors: Kikuta K,Takagi Y,Fushimi Y,Ishizu K,Okada T,Hanakawa T,Miki Y,Fukuyama H,Nozaki K,Hashimoto N

    更新日期:2006-10-01 00:00:00