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 of the first hemorrhage. The mortality associated with recurrent hemorrhage did not increase significantly with successive episodes of hemorrhage. The rate of rebleeding was 17.9%/year initially, but declined to 3%/year after 5 years and then to 2%/year after 10 years. Among patients treated nonsurgically, the prognosis was more favorable for patients presenting with seizures than for patients presenting with hemorrhage. Patients in the seizure group had a 26.9% incidence of hemorrhage causing an 11.6% mortality; 40.5% of the patients in the hemorrhage group died. The prognosis was poor for patients with posterior fossa AVMs; the mortality was 66.7% with the first hemorrhage. Recurrent posterior fossa hemorrhage was the rule in survivors, and most of those hemorrhages were fatal. The prognosis for children with AVMs was no different from that for adults.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Fults D,Kelly DL Jrdoi
10.1227/00006123-198411000-00003subject
Has Abstractpub_date
1984-11-01 00:00:00pages
658-62issue
5eissn
0148-396Xissn
1524-4040journal_volume
15pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:The role of women in Western society has changed dramatically in the past several decades. Despite this, many gender disparities still exist for professionals in the health care sector. In neurosurgery, a disproportionately small percentage of the workforce in the United States and Canada is female. These fig...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000232671.44297.DF
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To examine the anatomy of the infraorbital canal and foramen and the angles at which a radiofrequency probe must be directed to enter the infraorbital foramen and canal, as a guide to performing radiofrequency ablation of the infraorbital nerve in patients with relative or absolute contraindications to lesion...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000336327.10368.79
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:The lack of treatment options for surgically inaccessible cavernous malformations has made radiosurgery a possible alternative to conservative management. The few previous reports of radiosurgical efficacy have been limited by small numbers, short follow-up, or lack of attention to the full spectrum of end po...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199806000-00013
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Cavernous malformations can present in children with a sporadic course of repeated hemorrhage and enlargement, but they are rarely aggressive, infiltrative, or multilobar. We present the case of a young boy with a complex cavernous malformation that evolved during the course of a decade to enco...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000137277.08281.48
更新日期:2004-10-01 00:00:00
abstract::The authors report two patients with a rare complication of parent artery narrowing that occurred 3 and 6 months after aneurysm surgery. In both cases, the stenosed arteries had been wrapped around their entire circumferences with neurosurgical sponge (cotton linter) and coated with plastic adhesive (cyanoacrylate com...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199506000-00029
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE:To assess the impact of vasospasm on costs, length of stay, and mortality among inpatients with aneurysmal subarachnoid hemorrhage. METHODS:We combined hospital accounting and physician billing data for a consecutive cohort of 198 patients who underwent surgical clipping or endovascular coiling for subarachn...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371980.08391.71
更新日期:2010-08-01 00:00:00
abstract::Magnetic resonance can visualize the vertebral bodies, discs, neural structures, cerebrospinal fluid (CSF), neural foramina, and extradural structures in the sagittal, axial, and coronal planes. The normal nucleus pulposus can be differentiated from the anulus and changes associated with degeneration. Infection, traum...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00022
更新日期:1984-10-01 00:00:00
abstract:OBJECTIVE:To study interhemispheric differences of somatosensory evoked field (SEF) characteristics and the spatial distribution of equivalent current dipole sources in patients with unilateral hemispheric lesions around the central sulcus region. METHODS:In 17 patients with perirolandic lesions, averaged somatosensor...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000306099.45764.5c
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:Radiosurgery can be considered a well-established option for the treatment of arteriovenous malformations (AVMs). The exact application of the therapeutic dose is based on the availability of imaging data sets with superior image quality that can be superimposed using an image fusion algorithm. For follow-up ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000325936.00982.0a
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:The high rate of mutagenesis in malignant cells has been considered to be a primary factor in the appearance of chemotherapy-resistant cell clones in glioblastomas. Quinacrine binds strongly to deoxyribonucleic acid, preventing mutagenesis. We investigated whether quinacrine could improve carmustine therapy i...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200110000-00033
更新日期:2001-10-01 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::Image guidance (IG) and robotics systems are becoming more widespread in their utilization and can be invaluable intraoperative adjuncts during spine surgery. Both are highly reliant upon stereotaxy and either pre- or intraoperative radiographic imaging. While user-operated IG systems have been commercially available ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyy630
更新日期:2019-06-01 00:00:00
abstract:IMPORTANCE:Rhinocerebral mucormycosis is extremely difficult to treat. Approximately 70% of patients are poorly controlled diabetics, and many of the remainder are immunocompromised as a consequence of cytotoxic drugs, burn injuries, or end-stage renal disease. Despite standard treatment consisting of surgical debridem...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199803000-00037
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:Neurenteric cysts (NCs) typically arise as benign ventral intradural extramedullary developmental malformations of the spine which contain heterotopic epithelium resembling the intestinal or respiratory tracts. Intracerebral NCs are extremely rare, though the frequency of symptomatic reports and incidental fi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000361998.93841.C3
更新日期:2010-01-01 00:00:00
abstract::STRESS ULCERS OCCUR frequently in intensive care unit patients who have intracranial disease. After major physiological stress, endoscopic evidence of mucosal lesions of the gastrointestinal tract appears within 24 hours of injury; 17% of these erosions progress to clinically significant bleeding. Gastrointestinal hem...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199708000-00017
更新日期:1997-08-01 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:OBJECTIVE:The statement that intracranial meningiomas are cleavable tumors has to be seriously questioned from a surgical standpoint. The purpose of this study was 1) to analyze the operative reports of a personal series of meningiomas to evaluate the percentages of the tumors that could be dissected by passing in the ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199803000-00007
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Endovascular treatment of wide-necked and complex aneurysms may require stent-assisted coiling, either as primary stenting or combined with the balloon remodeling technique (BRT). OBJECTIVE:To compare the angiographic results and clinical outcomes of both strategies in the Safety and Efficacy of Neuroform f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000639
更新日期:2015-04-01 00:00:00
abstract::External ventricular drainage (EVD) was used before and after posterior fossa operations in 62 children and adolescents. In all cases, the removal of the tumor (midline in 47 and laternal in 15) was attempted; total removal was achieved in 41. The overall mortality was 6.5% (4 patients). Only 25% of the survivors need...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:The microendoscopic discectomy (MED) technique was initially developed in 1997 to treat herniated lumbar disc disease. Since then, thousands of cases have been successfully performed at more than 500 institutions. This article discusses the technical aspects of this procedure and presents a consecutive case s...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::Myogenic motor-evoked responses to transcranial magnetic stimulation of the motor cortex (tcmag-MERs) may become clinically useful for the noninvasive assessment of motor pathway conduction during surgery. However, application is hindered because most anesthetic regimens result in severe depression of tcmag-MER amplit...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199412000-00008
更新日期:1994-12-01 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::The authors present a case of pituitary apoplexy characterized by massive third ventricular hemorrhage. This rare complication, which caused total blindness in the patient, a 67-year-old man, was treated with transcranial decompression of the pituitary tumor and removal of a blood clot from the third ventricle. After ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199301000-00018
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:The concept of neurovascular decompression for the treatment of hemifacial spasm is now widely accepted. In this study, we report our long-term results for 145 cases treated with this procedure. METHODS:The results of 145 microvascular decompressions to treat hemifacial spasm (performed between 1980 and 1998...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200204000-00005
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Three-dimensional (3D) printing has revolutionized training, education, and device testing. Understanding the design and physical properties of 3D-printed models is important. OBJECTIVE:To systematically review the design, physical properties, accuracy, and experimental outcomes of 3D-printed vascular model...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa134
更新日期:2020-09-15 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::Eighteen studies on psychosocial aspects of back pain are reviewed. Among six studies trying to differentiate pain of organic and functional origin, only two studies claim to be able to make such a distinction. Psychological disturbance--studied with a variety of instruments--proved to be an important factor affecting...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:BACKGROUND:Anterior clinoidectomy is an essential preliminary step for parasellar and pericavernous sinus surgery. Endoscopy is a widely accepted modality for neurosurgical strategies and is becoming more important in treating conditions involving the cranial base. OBJECTIVE:To determine the feasibility of endoscopic ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821144e5
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of the telovelar approach with tonsillar manipulation for approaching the recesses of the fourth ventricle. METHODS:A telovelar approach was performed in 8 injected cadaveric heads. Areas of exposure were measured for the superolateral and lateral recesses. Horizontal angles were...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000348558.35921.4E
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Inflammatory cascades play a significant role in progressive neurological injury after transient cerebral ischemia. It has been demonstrated that heparin, a potent anticoagulant, also possesses anti-inflammatory properties that diminish postreperfusion damage after stroke. However, the potential for heparin t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000306109.55174.e6
更新日期:2007-12-01 00:00:00