Resection of multiple nocardial brain abscesses: diagnostic role of computerized tomography.

Abstract:

:We present a case of multiple brain lesions in which the preoperative computerized tomographic (CT) scan suggested the presence of brain abscesses rather than metastatic tumors. The patient presented with symptoms of left frontal and right cerebellar mass lesions, confirmed by carotid and vertebral arteriography and a radionuclide brain scan. A CT scan revealed multiple contiguous ring-enhancing lesions of various sizes at both sites. With the exception of a prior mild pulmonary infection, no findings suggested underlying malignancy, immunosuppression, or medical illness. We based our decision to administer antibiotics preoperatively on the presumed presence of abscess. We found and totally removed two multiloculated abscesses during one operation and initiated sulfa drug therapy (sulfisoxazole) immediately after identification of the Nocardia organism. The patient experienced no postoperative complications and at 6-months follow-up is clinically free of disease.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Rosenblum ML,Rosegay H

doi

10.1227/00006123-197904000-00007

subject

Has Abstract

pub_date

1979-04-01 00:00:00

pages

315-8

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

4

pub_type

杂志文章
  • Usefulness of cordotomy in patients with cancer who experience bilateral pain: implications of increased pain and new pain.

    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

    authors: Higaki N,Yorozuya T,Nagaro T,Tsubota S,Fujii T,Fukunaga T,Moriyama M,Yoshikawa T

    更新日期:2015-03-01 00:00:00

  • Intraventricular thrombolysis speeds blood clot resolution: results of a pilot, prospective, randomized, double-blind, controlled trial.

    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

    authors: Naff NJ,Hanley DF,Keyl PM,Tuhrim S,Kraut M,Bederson J,Bullock R,Mayer SA,Schmutzhard E

    更新日期:2004-03-01 00:00:00

  • Radiosurgery in the treatment of malignant gliomas: the University of Florida experience.

    abstract:OBJECTIVE:To review a single-institution's 12-year experience of treating malignant gliomas with linear accelerator-based radiosurgery. METHODS:One hundred patients were treated for malignant gliomas at the University of Florida between May 1, 1989, and June 12, 2002. Patient variables were entered into a radiosurgery...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.neu.0000170560.13251.99

    authors: Ulm AJ 3rd,Friedman WA,Bradshaw P,Foote KD,Bova FJ

    更新日期:2005-09-01 00:00:00

  • Wingspan in-stent restenosis and thrombosis: incidence, clinical presentation, and management.

    abstract:OBJECTIVE:Wingspan (Boston Scientific, Fremont, CA) is a self-expanding stent designed specifically for the treatment of symptomatic intracranial atheromatous disease. The current series reports the observed incidence of in-stent restenosis (ISR) and thrombosis on angiographic follow-up. METHODS:A prospective, intent-...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000290914.24976.83

    authors: Levy EI,Turk AS,Albuquerque FC,Niemann DB,Aagaard-Kienitz B,Pride L,Purdy P,Welch B,Woo H,Rasmussen PA,Hopkins LN,Masaryk TJ,McDougall CG,Fiorella DJ

    更新日期:2007-09-01 00:00:00

  • Cerebellar liponeurocytoma with an unusually aggressive clinical course: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Liponeurocytomas are rare cerebellar neoplasms in adults, with benign histological features and a favorable clinical prognosis. Current clinical opinion is based on a total of less than 20 published cases and suggests that gross total resection and long-term follow-up monitoring, with possible ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000093430.61239.7e

    authors: Jenkinson MD,Bosma JJ,Du Plessis D,Ohgaki H,Kleihues P,Warnke P,Rainov NG

    更新日期:2003-12-01 00:00:00

  • Treatment of pain of diffuse metastatic cancer by stereotactic chemical hypophysectomy: long term results and observations on mechanism of action.

    abstract::Stereotactic instillation of absolute alcohol into the sella turcica for pituitary destruction was carried out in 29 patients divided into two groups. Seventeen with prostatic carcinoma underwent a total of 19 injections with 94% good to excellent results that persisted throughout the remainder of the patient's life-s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198003000-00006

    authors: Levin AB,Katz J,Benson RC,Jones AG

    更新日期:1980-03-01 00:00:00

  • Treatment of giant intradural (perimedullary) arteriovenous fistulas.

    abstract::Ten patients with giant intradural spinal arteriovenous fistulas (perimedullary Types II and III) were treated with embolization alone (three patients) or in combination with surgery (seven patients). Their ages at the time of treatment ranged from 2 to 40 years, with a mean of 19.5 years. The indications for treatmen...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199312000-00003

    authors: Halbach VV,Higashida RT,Dowd CF,Fraser KW,Edwards MS,Barnwell SL

    更新日期:1993-12-01 00:00:00

  • Microsurgery of the fourth ventricle: Part 1. Microsurgical anatomy.

    abstract::Operations on the 4th ventricle offer the potential for injury of the brain stem, cerebellum, cranial nerves, and major cerebellar arteries and veins. Twenty-five cadaver brains were examined using 3x to 25x magnification to define the relationship of these vital structures to the 4th ventricle. The 4th ventricle has ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198211000-00008

    authors: Matsushima T,Rhoton AL Jr,Lenkey C

    更新日期:1982-11-01 00:00:00

  • Transvascular coil hooking procedure to retrieve an unraveled Guglielmi detachable coil: technical note.

    abstract:OBJECTIVE:A patient with an anterior communicating artery aneurysm was treated by use of endovascular coiling, and a Guglielmi detachable coil (Boston Scientific/Target, Fremont, CA) fractured distal to its connection to the delivering catheter. The unraveled coil floated out from the aneurysm to extend into the bifurc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200204000-00048

    authors: Raftopoulos C,Goffette P,Billa RF,Mathurin P

    更新日期:2002-04-01 00:00:00

  • Suprasellar Rathke cleft cysts: clinical presentation and treatment outcomes.

    abstract:BACKGROUND:Rathke cleft cysts (RCCs), benign remnants of the Rathke pouch typically arising in the sella, sometimes have suprasellar extension. Purely suprasellar RCCs are rarely reported. OBJECTIVE:To compare the presentations, surgical outcomes, and pathology of purely suprasellar RCCs and sellar-based RCCs. METHOD...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318228bcea

    authors: Potts MB,Jahangiri A,Lamborn KR,Blevins LS,Kunwar S,Aghi MK

    更新日期:2011-11-01 00:00:00

  • Lymphocytic hypophysitis with involvement of the cavernous sinus and hypothalamus.

    abstract::Two cases of lymphocytic hypophysitis are reported, in which hypothalamic involvement causing diabetes insipidus was a prominent clinical feature. In one case, a man had clinical and radiological evidence of the involvement of the cavernous sinus. This represents the second reported case of a man with lymphocytic hypo...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199103000-00019

    authors: Nussbaum CE,Okawara SH,Jacobs LS

    更新日期:1991-03-01 00:00:00

  • Randomized trials of neurosurgical interventions: a systematic appraisal.

    abstract:OBJECTIVE:To systematically appraise the study design and quality of reporting of randomized controlled trials (RCTs) on neurosurgical procedures and to identify potential defects and biases. METHODS:Randomized controlled trials with at least five patients comparing any neurosurgical procedure against another procedur...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000126873.00845.a7

    authors: Vranos G,Tatsioni A,Polyzoidis K,Ioannidis JP

    更新日期:2004-07-01 00:00:00

  • Pontine cavernous angioma resected using the subtemporal, anterior transpetrosal approach determined using three-dimensional anisotropy contrast imaging: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:We describe a case of brainstem cavernous angioma resected by the subtemporal, anterior transpetrosal approach, selected on the basis of three-dimensional anisotropy contrast (3-DAC) imaging. CLINICAL PRESENTATION:A 64-year-old woman presented with sudden headache and gait disturbance. Anatomi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000193531.59606.CB

    authors: Kashimura H,Inoue T,Ogasawara K,Ogawa A

    更新日期:2006-02-01 00:00:00

  • Tissue distribution and antitumor activity of topotecan delivered by intracerebral clysis in a rat glioma model.

    abstract:OBJECTIVE:Intracerebral clysis is a drug delivery technique that depends on convection-enhanced microinfusion to achieve therapeutic drug levels within the brain. In this study, brain tumor-bearing rats were treated with topotecan delivered systemically and by the intracerebral clysis method. Our objective was to deter...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Kaiser MG,Parsa AT,Fine RL,Hall JS,Chakrabarti I,Bruce JN

    更新日期:2000-12-01 00:00:00

  • Stereotactic radiosurgery for tentorial dural arteriovenous fistulae draining into the vein of Galen: report of two cases.

    abstract:OBJECTIVE AND IMPORTANCE:Treatment of tentorial dural arteriovenous fistulae (DAVFs) primarily draining into the vein of Galen remains a therapeutic challenge. We present two cases of ruptured galenic DAVFs that were successfully treated with gamma knife radiosurgery. CLINICAL PRESENTATION:Patient 1, a 66-year-old wom...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200003000-00039

    authors: Shin M,Kurita H,Tago M,Kirino T

    更新日期:2000-03-01 00:00:00

  • Extreme lateral disc herniation: diagnosis by computed tomographic scanning.

    abstract::Extreme lateral disc herniation with compression of the nerve root as it exits through the foramen has been a recognized entity for a number of years. Until recently, this diagnosis was made infrequently except at the time of operation. Reported here are 12 cases of root compression from disc herniation at the level o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198405000-00004

    authors: Godersky JC,Erickson DL,Seljeskog EL

    更新日期:1984-05-01 00:00:00

  • Natural history of arteriovenous malformations of the brain: a clinical study.

    abstract::The natural history of intracranial arteriovenous malformations (AVMs) was studied in 131 patients. The 83 patients managed nonsurgically and the 48 patients treated surgically were followed for an average of 8 years. Hemorrhage occurred in 61.8% of all patients. A second hemorrhage occurred in 67.4% of the survivors ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198411000-00003

    authors: Fults D,Kelly DL Jr

    更新日期:1984-11-01 00:00:00

  • The effect of hypothermia and hyperthermia on photodynamic therapy of normal brain.

    abstract::The effect of whole body hyperthermia and hypothermia in conjunction with photodynamic therapy (PDT) was determined on normal rat brain. Hyperthermia animals (Group I, n = 18) were warmed until their core body temperature reached 40 degrees C, (brain temperature, 39.7 +/- 0.5 degree C) and maintained at 40 +/- 1 degre...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199501000-00018

    authors: Dereski MO,Madigan L,Chopp M

    更新日期:1995-01-01 00:00:00

  • Cost-effectiveness of digital subtraction angiography in the setting of computed tomographic angiography negative subarachnoid hemorrhage.

    abstract:BACKGROUND:Recent studies have documented the high sensitivity of computed tomography angiography (CTA) in detecting a ruptured aneurysm in the presence of acute subarachnoid hemorrhage (SAH). The practice of digital subtraction angiography (DSA) when CTA does not reveal an aneurysm has thus been called into question. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318282a578

    authors: Jethwa PR,Punia V,Patel TD,Duffis EJ,Gandhi CD,Prestigiacomo CJ

    更新日期:2013-04-01 00:00:00

  • Recurrence of olfactory groove meningiomas.

    abstract:OBJECTIVE:Despite apparent gross total resection, olfactory groove meningiomas have a high rate of late recurrence (average, 23%). In this retrospective study, we confirmed that the sites of these recurrences are the cranial base and paranasal sinuses. We postulated that these recurrences stem from conservative handlin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000079484.19821.4a

    authors: Obeid F,Al-Mefty O

    更新日期:2003-09-01 00:00:00

  • Combination of functional magnetic resonance imaging-guided neuronavigation and intraoperative cortical brain mapping improves targeting of motor cortex stimulation in neuropathic pain.

    abstract:OBJECTIVE:To evaluate, regardless of the clinical results, the contribution of combining functional magnetic resonance imaging (fMRI) with intraoperative cortical brain mapping (iCM) as functional targeting methods for epidural chronic motor cortex stimulation (MCS) in refractory neuropathic pain. METHODS:Eighteen neu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333762.38500.ac

    authors: Pirotte B,Voordecker P,Neugroschl C,Baleriaux D,Wikler D,Metens T,Denolin V,Joffroy A,Massager N,Brotchi J,Levivier M

    更新日期:2008-06-01 00:00:00

  • Interstitial irradiation of brain tumors: a review.

    abstract::As an adjuvant to surgery, radiation therapy has consistently proven to be the most successful form of treatment for primary and secondary malignant brain tumors and possibly for inoperable benign tumors. Because the risk of radiation necrosis of normal brain limits the amount of radiation that can be given by externa...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-198112000-00022

    authors: Bernstein M,Gutin PH

    更新日期:1981-12-01 00:00:00

  • Increased cell opening and prolapse of struts of a neuroform stent in curved vasculature: value of angiographic computed tomography: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:To describe the use of a new imaging tool, angiographic computed tomography, for visualization of cell opening and strut prolapse of a Neuroform 2 stent (Boston Scientific/Target, Fremont, CA) placed in curved vasculature for treatment of a basilar tip aneurysm. CLINICAL PRESENTATION:A 46-year...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000205287.06739.E1

    authors: Benndorf G,Claus B,Strother CM,Chang L,Klucznik RP

    更新日期:2006-04-01 00:00:00

  • Resective Epilepsy Surgery for Tuberous Sclerosis in Children: Determining Predictors of Seizure Outcomes in a Multicenter Retrospective Cohort Study.

    abstract:BACKGROUND:There are no established variables that predict the success of curative resective epilepsy surgery in children with tuberous sclerosis complex (TSC). OBJECTIVE:We performed a multicenter observational study to identify preoperative factors associated with seizure outcome in children with TSC undergoing rese...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0000000000000875

    authors: Fallah A,Rodgers SD,Weil AG,Vadera S,Mansouri A,Connolly MB,Major P,Ma T,Devinsky O,Weiner HL,Gonzalez-Martinez JA,Bingaman WE,Najm I,Gupta A,Ragheb J,Bhatia S,Steinbok P,Witiw CD,Widjaja E,Snead OC,Rutka JT

    更新日期:2015-10-01 00:00:00

  • Role of hemoglobin and iron in hydrocephalus after neonatal intraventricular hemorrhage.

    abstract:BACKGROUND:Neonatal germinal matrix hemorrhage/intraventricular hemorrhage is common and often results in hydrocephalus. The pathogenesis of posthemorrhagic hydrocephalus is not fully understood. OBJECTIVE:To explore the potential role of hemoglobin and iron released after hemorrhage. METHODS:Artificial cerebrospinal...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000524

    authors: Strahle JM,Garton T,Bazzi AA,Kilaru H,Garton HJ,Maher CO,Muraszko KM,Keep RF,Xi G

    更新日期:2014-12-01 00:00:00

  • Intracerebral hematoma related to thrombolysis for myocardial infarction.

    abstract::The incidence of intracerebral hematomas after myocardial infarction increases after thrombolysis. As noted in the case described, clots formed after the administration of thrombolytic agents may remain liquid, and this blood can be drained by a catheter. However, in this case, the patient continued to bleed locally. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199311000-00019

    authors: Kaufman HH,McAllister P,Taylor H,Schmidt S

    更新日期:1993-11-01 00:00:00

  • Intra-arterial Cereport (RMP-7) and carboplatin: a dose escalation study for recurrent malignant gliomas.

    abstract:OBJECTIVE:Animal and human studies have shown increased delivery of radiolabeled compounds across the blood-brain-tumor barrier using intra-arterial (IA) Cereport (RMP-7; Alkermes Inc., Cambridge, MA) with a radiolabeled tracer. This present study assesses the safety, tolerance, and preliminary efficacy of the IA admin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00015

    authors: Cloughesy TF,Black KL,Gobin YP,Farahani K,Nelson G,Villablanca P,Kabbinavar F,Viñeula F,Wortel CH

    更新日期:1999-02-01 00:00:00

  • Congenital Dermal Sinus and Limited Dorsal Myeloschisis: "Spectrum Disorders" of Incomplete Dysjuction Between Cutaneous and Neural Ectoderms.

    abstract:BACKGROUND:The existence of tethering tracts in spinal dysraphism, other than congenital dermal sinus (CDS), has been recognized and has been summated into an integrated concept of limited dorsal myeloschisis (LDM). OBJECTIVE:To elucidate the underlying embryology of LDM in relation to CDS by focusing on the pathologi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy058

    authors: Lee JY,Park SH,Chong S,Phi JH,Kim SK,Cho BK,Wang KC

    更新日期:2019-02-01 00:00:00

  • Effect of the dural application of Zenker's solution on the feline brain.

    abstract::Zenker's solution is a tissue fixative containing mercuric chloride, potassium bichromate, sodium sulfate, and glacial acetic acid. In 1956, Anderson and Johnson reported its use in clinical neurosurgery. They applied the solution to the exposed dura after craniectomy. Delayed bone formation was thought to be due to t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198001000-00006

    authors: Marlin AE,Brown WE Jr,Huntington HW,Epstein F

    更新日期:1980-01-01 00:00:00

  • Myeloma manifesting as a large jugular tumor: case report.

    abstract::The authors report a case of cranial plasmacytoma with multiple myelomas and palsy of the lower cranial nerves. The osteolytic lesion adjacent to the jugular foramen was demonstrated by an angiogram to be exceedingly hypervascular, with arteriovenous shunting resembling that seen in paragangliomas. Forty-five cases of...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199012000-00018

    authors: Miyachi S,Negoro M,Saito K,Nehashi K,Sugita K

    更新日期:1990-12-01 00:00:00