Abstract:
:During a 34-month period, 12 cases of delayed traumatic intracerebral hematoma (DTICH) were diagnosed among 162 consecutive prospectively studied patients admitted to the Medical College of Virginia with severe closed head injuries. All patients were unresponsive to command and unable to utter formed words at the time of admission. The interval from injury to diagnosis of DTICH by computerized tomography (CT) was within 48 hours in 11 of the 12 cases. Six patients had no decompressive surgery before the development of the lesion. Four patients had undergone decompressive surgery and then developed DTICH on the contralateral side. Two patients developed lesions in the vicinity of the operative site that were thought not to be the result of operation. The development of DTICH was not heralded by neurological deterioration nor by elevation of intracranial pressure. Eleven of the 12 patients had suffered a secondary hypoxic insult soon after the head injury. We suggest that the CT appearance of DTICH is likely to represent hemorrhage into an existing traumatized area and is an epiphenomenon rather than a cause of severe primary and secondary brain damage.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Gudeman SK,Kishore PR,Miller JD,Girevendulis AK,Lipper MH,Becker DPsubject
Has Abstractpub_date
1979-09-01 00:00:00pages
309-13issue
3eissn
0148-396Xissn
1524-4040journal_volume
5pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Functional neuronavigation with intraoperative 3-dimensional (3D) ultrasound may facilitate safer brain lesion resections than conventional neuronavigation. OBJECTIVE:In this study, functional magnetic resonance imaging (fMRI) and diffusion tensor tractography (DTT) were used to map eloquent areas. We asses...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371731.20246.AC
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:The incidence of traumatic craniocervical artery dissection varies in published trauma series. OBJECTIVE:To determine the frequency of traumatic craniocervical artery injury in polytrauma patients by using standardized whole-body trauma computed tomography with adapted computed tomography angiography of the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821a8701
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:Uncoupling of cerebral blood flow (CBF) and oxidative metabolism is observed after severe head injury in comatose patients; however, the mechanism(s) involved remain undefined. Adenosine can produce cerebral vasodilation and reduce neuronal activity and is a possible mediator of uncoupling. We hypothesized th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199712000-00010
更新日期:1997-12-01 00:00:00
abstract::A newly designed cottonoid is fixed to the tip of the suction device by the negative pressure. It is especially useful during microsurgical procedures in areas crowded with neurovascular elements. The advantage of pressure-mounted cottonoids lies in the protection provided to the brain and neurovascular elements durin...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198212000-00010
更新日期:1982-12-01 00:00:00
abstract::An 8-year-old boy was treated with irradiation (66 Gy) for a brain stem glioma. Five months after the completion of radiotherapy, magnetic resonance imaging demonstrated apparent tumor progression despite the patient's neurological improvement. The child continued to improve, with subsequent radiographic evidence of t...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/00006123-198808000-00024
更新日期:1988-08-01 00:00:00
abstract:OBJECTIVE:Ollier disease (OD) and Maffucci syndrome are closely related, very rare syndromes, that are both associated with multiple sites of chondrodysplasia. They differ primarily with the additional association of Maffucci syndrome with vascular abnormalities, including hemangiomas. Both are associated with chondros...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000356984.92242.D5
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Cerebral revascularization is an important part of the treatment of complex intracranial aneurysms that require deliberate occlusion of a parent artery. In situ bypass brings together intracranial donor and recipient arteries that lie parallel and in close proximity to one another rather than using an extracr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163599.78896.f4
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:The safety of flow-diverting stents for the treatment of ruptured intracranial aneurysms is unknown. CLINICAL PRESENTATION:A 35-year-old woman with a ruptured dissecting aneurysm of the intradural right vertebral artery and incorporating the right posterior inferior cerebellar artery was trea...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31827fc9be
更新日期:2013-06-01 00:00:00
abstract::The recently described multiple tumor suppressor 1/cyclin-dependent kinase inhibitor 2 (MTS1/CDKN2) gene, encoding the cyclin-dependent kinase 4 inhibitor p16, is mutated in a wide variety of tumor cell lines, including gliomas. To investigate the possible role of this gene in the genesis of the central nervous system...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199505000-00013
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:Aneurysmal subarachnoid hemorrhage (aSAH) is associated with disproportionally high mortality and long-term neurological sequelae. Management of patients with aSAH has changed markedly over the years, leading to improvements in outcome. OBJECTIVE:To describe trends in aSAH care and outcome in a high-volume ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa465
更新日期:2020-12-11 00:00:00
abstract::: The development of technical skills is a major goal of any neurosurgical training program. Residency programs in North America are focused on achieving an adequate level of training to produce technically competent surgeons. The training requirements and educational environments needed to produce expert surgeons are...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0000000000000115
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To study the cerebral metabolism and its relationship to cerebral blood flow (CBF) acutely after subarachnoid hemorrhage (SAH). METHODS:SAH was induced in rats by endovascular perforation of the internal carotid artery, blood injection into the prechiasmatic cistern or the cisterna magna. CBF (measured by la...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000103670.09687.7a
更新日期:2004-02-01 00:00:00
abstract::This report describes the successful removal of a ruptured dominant hemisphere arteriovenous malformation that arose in the region of the basal ganglia and was supplied by the lenticulostriate arteries. Obliteration of the lesion was accomplished by a transcerebral approach from above, utilizing the preexisting hemato...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVE:Our previous studies demonstrated that simvastatin promotes neurological functional recovery after traumatic brain injury (TBI) in rat; however, the underlying mechanisms remain poorly understood. The purpose of this study was to investigate the anti-inflammatory effect of simvastatin by measuring the level o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000346272.76537.DC
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Identification of rupture sites in patients with multiple intracranial aneurysms is largely based on aneurysm size, location, and shape. Finding circumferential enhancement along the aneurysm wall (CEAW) on magnetic resonance (MR) vessel wall imaging was recently shown to be indicative of ruptured aneurysm. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx267
更新日期:2018-05-01 00:00:00
abstract::The authors report the unusual case of an aneurysm arising on an extracranial loop of the left posterior inferior cerebellar artery (PICA). The computed tomographic scan showed an isolated hemorrhage in the lateral ventricles, and the lesion was recognized 1.5 cm below the foramen magnum at the level of the atlas. The...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198812000-00020
更新日期:1988-12-01 00:00:00
abstract::The closure of myelorachischisis defects has been difficult and at times complicated. Over the past 2 decades, the use of rotational advancement flaps has been increasingly popular, but can be attended by instances of skin ischemia and necrosis. The development of the myocutaneous and muscle flap concept has aided rec...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198209000-00015
更新日期:1982-09-01 00:00:00
abstract:OBJECTIVE:To assess whether the development of delayed ischemic deficits (DIDs) after aneurysmal subarachnoid hemorrhage can be predicted using transcranial Doppler ultrasonography and the transient hyperemic response test (THRT). METHODS:An increase in the middle cerebral artery peak flow velocity (FV) of more than 9...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200010000-00004
更新日期:2000-10-01 00:00:00
abstract::Cerebral arterial vasospasm continues to be a major secondary medical complication of aneurysmal subarachnoid hemorrhage. Despite hypervolemic hemodilution, arterial hypertension, and pharmacological therapy, morbidity and mortality due to vasospasm remain high. The authors discuss a patient with vasospasm who did not...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199505000-00024
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:The objective was to examine the microsurgical anatomy basic to the microsurgical and endovascular management of lesions involving the dural arteries. METHODS:Adult cadaveric heads and skulls were examined using the magnification provided by the surgical microscope to define the origin, course, and distribut...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144823.94402.3d
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:A number of publications suggest that there are seasonal influences on the incidence of subarachnoid hemorrhage (SAH). Most series agree on a peak incidence during springtime. Meteorological influences have been assumed to be obvious explanations for seasonal variations. Furthermore, the perceived clustering ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000325864.91584.c7
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To determine the indications for, efficacy of, and safety of depth electrode placement using magnetic resonance imaging (MRI)-guided stereotactic surgery in patients with intractable epilepsy. METHODS:We analyzed retrospectively the results of depth electrode usage in 50 consecutive patients at the Universit...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199608000-00018
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:The postangioplasty evaluation of a stenotic vessel is often conducted by studying serial angiograms to determine the anatomic reduction in stenosis. In flow-limiting stenosis, the hemodynamic change that accompanies these anatomic changes is of great importance in evaluating the success of the angioplasty. T...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Lumbar discectomy is the most commonly performed spine procedure. Academic spine centers with potentially differing caseloads and experience may have different outcomes. OBJECTIVE:To determine whether the choice of center in which surgery is performed affects lumbar discectomy outcomes. METHODS:Spine Patie...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1227/NEU.0b013e31826772cb
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:We measured cerebrospinal fluid flow velocity by use of cine phase contrast magnetic resonance imaging to quantitate the effectiveness of surgical decompression in patients with cervical myelopathy. METHODS:Forty-seven patients with cervical myelopathy attributable to either spondylosis or ossification of th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200204000-00020
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:This Phase I trial of ciliary neurotrophic factor (CNTF) delivered intrathecally for the treatment of patients with amyotrophic lateral sclerosis was designed to determine the safety of this new mode of administration as well as the pharmacokinetics and drug distribution. METHODS:CNTF was administered using ...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1097/00006123-199701000-00021
更新日期:1997-01-01 00:00:00
abstract::Experience with 120 patients who incurred a gunshot wound to the head with dural penetration is presented. All of the patients were managed by a standard resuscitation protocol and assigned a clinical grade based on their level of consciousness both at the time of presentation and at 2 to 4 months after injury. Fifty ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199107000-00011
更新日期:1991-07-01 00:00:00
abstract::We recorded the intraoperative somatosensory evoked potentials directly from the upper cervical cord and medulla in a patient with an intrinsic tumor at the region of the cervicomedullary junction. The killed end potential, a large positive potential, was obtained at the caudal end of the tumor. This type of potential...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199006000-00020
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND:Elderly patients with glioblastoma have an especially poor prognosis; optimizing their medical and surgical care remains of paramount importance. OBJECTIVE:To investigate patient and treatment characteristics of elderly vs nonelderly patients and develop an algorithm to predict elderly patients' survival. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx148
更新日期:2018-01-01 00:00:00
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
更新日期:2006-02-01 00:00:00