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 on Day 6. The mean value of titratable acidity ranged from 3.4 meq/hour on Day 1 to 3.9 meq/hour on Day 6. Possible risk factors were analyzed as a means of predicting specific subgroups of severely injured patients who would be more prone to have gastrointestinal complications. During the first 6 days after injury, there was no significant association (correlation coefficient not significant at the 0.05 level of significance) of the presence of an intracranial mass lesion, elevated intracranial pressure, brain stem dysfunction or prior episodes of hypotension or hypoxia, sepsis, shock, or the requirement for pressor agents with elevated gastric acid output, mucosal erosion, or hemorrhage. Because no specific risk factor or factors could be identified, all severely brain-injured patients should be on some form of therapy for the prevention of gastrointestinal complications.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

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

doi

10.1227/00006123-198302000-00007

subject

Has Abstract

pub_date

1983-02-01 00:00:00

pages

175-9

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

12

pub_type

杂志文章
  • Apoptosis occurs after cerebral contusions in humans.

    abstract:OBJECTIVE:Animal model systems have shown that head trauma can induce cell death in regions of the brain away from the site of the impact via a process of apoptosis. We sought to determine whether there was evidence of cellular apoptosis in clinically collected materials from human head trauma patients, as well as to a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00034

    authors: Ng I,Yeo TT,Tang WY,Soong R,Ng PY,Smith DR

    更新日期:2000-04-01 00:00:00

  • Expressive and receptive language areas determined by a non-invasive reliable method using functional magnetic resonance imaging and magnetoencephalography.

    abstract:OBJECTIVE:It is known that functional magnetic resonance imaging (fMRI) and magnetoencephalography (MEG) are sensitive to the frontal and temporal language function, respectively. Therefore, we established combined use of fMRI and MEG to make reliable identification of the global language dominance in pathological brai...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249262.03451.0E

    authors: Kamada K,Sawamura Y,Takeuchi F,Kuriki S,Kawai K,Morita A,Todo T

    更新日期:2007-02-01 00:00:00

  • Stereotactic aspiration and antibiotic treatment combined with hyperbaric oxygen therapy in the management of bacterial brain abscesses.

    abstract:OBJECTIVE:Despite advances in surgical techniques in the management of the brain abscess, long-term antibiotics are as crucial to cure as the initial surgical procedure itself. This study was designed to evaluate the effect of adjuvant hyperbaric oxygen (HBO) therapy on the duration of antibiotic treatment. METHODS:Be...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000316257.21478.5b

    authors: Kutlay M,Colak A,Yildiz S,Demircan N,Akin ON

    更新日期:2008-02-01 00:00:00

  • Effects of cytokines on cultured microvascular endothelial cells derived from gerbil brain.

    abstract::Microvascular endothelial cells were isolated from gerbil brain and cultured. These cells retained an endothelial-specific marker, FVIII-related antigen. Alkaline phosphatase activity was also present in early passage. Two weeks after plating, these cells were attached to the culture dishes and had become like cobbles...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198909000-00009

    authors: Yoshida S,Minakawa T,Takai N,Tanaka R

    更新日期:1989-09-01 00:00:00

  • Does navigated transcranial stimulation increase the accuracy of tractography? A prospective clinical trial based on intraoperative motor evoked potential monitoring during deep brain stimulation.

    abstract:BACKGROUND:Tractography based on diffusion tensor imaging has become a popular tool for delineating white matter tracts for neurosurgical procedures. OBJECTIVE:To explore whether navigated transcranial magnetic stimulation (nTMS) might increase the accuracy of fiber tracking. METHODS:Tractography was performed accord...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/NEU.0000000000000715

    authors: Forster MT,Hoecker AC,Kang JS,Quick J,Seifert V,Hattingen E,Hilker R,Weise LM

    更新日期:2015-06-01 00:00:00

  • Partial thrombosis of canine carotid bifurcation aneurysms with cellulose acetate polymer.

    abstract:OBJECTIVE:To investigate the usefulness of a cellulose acetate polymer (CAP) solution for partial thrombosis of aneurysms. METHODS:We created 14 canine cervical carotid bifurcation aneurysms, 11 of which were subsequently thrombosed partially with CAP solution. We then conducted angiographic and histological investiga...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199805000-00108

    authors: Tokunaga K,Kinugasa K,Mandai S,Handa A,Hirotsune N,Ohmoto T

    更新日期:1998-05-01 00:00:00

  • Traumatic false aneurysms of the middle meningeal artery.

    abstract::The authors report a rare case of traumatic false aneurysm of the middle meningeal artery associated with a delayed contralateral extradural hematoma. The extradural hematoma was evacuated, and the pseudoaneurysm was removed to avoid delayed rupture. The literature on traumatic aneurysms is reviewed. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198602000-00016

    authors: Salazar Flores J,Vaquero J,Garcia Sola R,Rossi E,Martinez R,Martinez P,Santos H,Bravo G

    更新日期:1986-02-01 00:00:00

  • The detection and management of intracranial hypertension after initial suture release and decompression for craniofacial dysostosis syndromes.

    abstract::We performed a retrospective study of 107 consecutive patients with syndromic forms of craniosynostosis (craniofacial dysostosis) seen by the craniofacial team at the Hospital for Sick Children between 1986 and 1992. There were 51 patients with Crouzon's syndrome, 33 with Apert's syndrome, 8 with Pfeiffer syndrome, 11...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199504000-00010

    authors: Siddiqi SN,Posnick JC,Buncic R,Humphreys RP,Hoffman HJ,Drake JM,Rutka JT

    更新日期:1995-04-01 00:00:00

  • Leptomeningeal cyst resulting from adulthood trauma: case report.

    abstract::The authors report a rare sequelae of a skull fracture in an adult, a leptomeningeal cyst. A unique method for repairing this defect is described as well. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199001000-00025

    authors: Halliday AL,Chapman PH,Heros RC

    更新日期:1990-01-01 00:00:00

  • The simplified acute physiology score to predict outcome in patients with subarachnoid hemorrhage.

    abstract:OBJECTIVE:Current prognosticators for patients with subarachnoid hemorrhage (SAH) do not take into account signs of extracerebral organ dysfunction. This may explain the only moderate predictive value of these prognosticators. We assessed the prognostic value of the simplified acute physiology score (SAPS) II in SAH pa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000166536.42876.9c

    authors: Schuiling WJ,de Weerd AW,Dennesen PJ,Algra A,Rinkel GJ

    更新日期:2005-08-01 00:00:00

  • The Use of Vancomycin Powder for Surgical Prophylaxis Following Craniotomy.

    abstract:BACKGROUND:Intrawound vancomycin powder has been studied extensively in spinal fusion surgeries and been found to reduce rates of surgical site infections (SSIs) significantly. Despite its success in spinal surgeries, topical vancomycin has not been extensively studied with respect to cranial neurosurgery. OBJECTIVE:T...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyw127

    authors: Ravikumar V,Ho AL,Pendhakar AV,Sussman ES,Kwong-Hon Chow K,Li G

    更新日期:2017-05-01 00:00:00

  • Anterior cervical discectomy and corpectomy.

    abstract:OBJECTIVE:The objective of this review article is to describe the authors' operative technique for performing anterior cervical corpectomy and fusion. METHODS:The authors reviewed their operative technique and experience to clearly detail the general methods utilized to safely and effectively perform anterior cervical...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000205285.20336.C2

    authors: Perez-Cruet MJ,Samartzis D,Fessler RG

    更新日期:2006-04-01 00:00:00

  • Intracranial developmental cysts in children: treatment by cystoperitoneal shunting.

    abstract::The author presents the results of primary cystoperitoneal shunting in 12 infants and children with developmental cysts in various intracranial locations. Preoperative studies were done in each child to rule out a brain tumor as the cause of the cyst and to determine whether communication existed between the cyst and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198106000-00002

    authors: Stein SC

    更新日期:1981-06-01 00:00:00

  • A History of the Council of State Neurosurgical Societies.

    abstract::As neurological surgery evolved into its own subspecialty early in the 20th century, a need arose to create an environment for communication and education among those surgeons working in this burgeoning surgical discipline. As the socioeconomic climate in health care began to change in the United States, an unforeseen...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1093/neuros/nyw009

    authors: Zaidi HA,Tumialán LM,Rosenow JM,Colen CB,Stroink AR,Linskey M,Schirmer CM,Watridge C

    更新日期:2017-01-01 00:00:00

  • Aneurysmal Subarachnoid Hemorrhage: Trends, Outcomes, and Predictions From a 15-Year Perspective of a Single Neurocritical Care Unit.

    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

    authors: Samuels OB,Sadan O,Feng C,Martin K,Medani K,Mei Y,Barrow DL

    更新日期:2020-12-11 00:00:00

  • Cord compression secondary to cervical disc herniation associated with calcification of the ligamentum flavum: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Calcification of the ligamentum flavum is a rare disease that occurs almost exclusively in elderly Japanese people. We report the case of a young Caucasian woman who presented with a C5-C6 disc herniation associated with a cervical calcified ligamentum flavum. CLINICAL PRESENTATION:The patient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200103000-00047

    authors: Ugarriza LF,Cabezudo JM,Porras LF,Rodríguez-Sánchez JA

    更新日期:2001-03-01 00:00:00

  • Ruptured cerebral aneurysms missed by initial angiographic study.

    abstract::The authors reviewed the computed tomographic (CT) scans of patients with subarachnoid hemorrhage whose initial angiograms were negative, to investigate the validity of CT scans in predicting the presence of an angiographically missed aneurysm in such patients. During the past 14 years, additional angiograms have been...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199007000-00006

    authors: Iwanaga H,Wakai S,Ochiai C,Narita J,Inoh S,Nagai M

    更新日期:1990-07-01 00:00:00

  • The localizing value of asymmetry in pupillary size in severe head injury: relation to lesion type and location.

    abstract::Reliable Assessment of the probability that a head injury patient harbors a surgical intracranial lesion is critical to both triage and treatment. The authors analyzed data from 608 patients with severe head injuries (Glasgow Coma Scale score, < or = 8) in the Traumatic Coma Data Bank to assess the reliability of pupi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199405000-00008

    authors: Chesnut RM,Gautille T,Blunt BA,Klauber MR,Marshall LE

    更新日期:1994-05-01 00:00:00

  • The effectiveness of interventions to reduce neurological injuries in rugby union: a systematic review.

    abstract:BACKGROUND:Rugby is characterized by high-speed collisions among the players that predispose them to injuries, particularly to the head, neck, and spine. OBJECTIVE:To evaluate the effectiveness of current neurological injury prevention strategies in rugby union. METHODS:Systematic review in May 2010. We assessed the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1227/NEU.0b013e3181f209f1

    authors: Cusimano MD,Nassiri F,Chang Y

    更新日期:2010-11-01 00:00:00

  • Angioscopy-assisted aneurysm clipping.

    abstract:OBJECTIVE:To test the concept that endovascular angioscopy can assist surgical intracranial aneurysm clipping by providing an endoluminal view of the aneurysm-parent vessel complex. METHODS:A carotid bifurcation aneurysm was surgically created in a dog at the lingual artery origin. A balloon catheter was inflated prox...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199909000-00032

    authors: Lanzino G,Miskolczi L,Guterman LR,Hopkins LN

    更新日期:1999-09-01 00:00:00

  • Introduction of the human Horsley-Clarke stereotactic frame.

    abstract::It is well known that the Horsley-Clarke frame was developed and first used by Robert Henry Clarke and the pioneer neurosurgeon Victor Horsley in 1906 for making lesions in the central nervous system of animals. The Horsley-Clarke frame was extensively used throughout the next 4 decades for excitation and lesion produ...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006123-199603000-00029

    authors: Jensen RL,Stone JL,Hayne RA

    更新日期:1996-03-01 00:00:00

  • High dose versus low dose dexamethasone in experimental epidural spinal cord compression.

    abstract::A compound of methylcellulose-silicone expanding progressively over a 1-week period by moisture absorption was implanted in the midthoracic epidural space of 17 Sprague Dawley adult rats. When the animals became paraplegic 6.3 +/- 1.6 days later, they were randomized into three groups: untreated control (n = 5), high ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198806010-00005

    authors: Delattre JY,Arbit E,Rosenblum MK,Thaler HT,Lau N,Galicich JH,Posner JB

    更新日期:1988-06-01 00:00:00

  • Ruptured arteriovenous malformation in the auditory nerve: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:Arteriovenous malformations in the cranial nerves are very rare, and only one case has been reported in the literature. To our knowledge, this is the first case report of an arteriovenous malformation in the auditory nerve. CLINICAL PRESENTATION:A 30-year-old woman presented with a subarachnoi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000159720.61145.6e

    authors: Oya S,Matsui T,Asai A

    更新日期:2005-06-01 00:00:00

  • Lateral extracavitary vs. costotransversectomy approaches to the thoracic spine: reflections on lessons learned.

    abstract:BACKGROUND:The lateral extracavitary approach (LECA) and costotransversectomy (CTE) are 2 dorsolateral approaches that avoid entrance into the pleural cavity and facilitate ventral decompression. The indications and outcomes of each of these approaches have not been fully defined in the literature. OBJECTIVE:To assess...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182706102

    authors: Lubelski D,Abdullah KG,Mroz TE,Shin JH,Alvin MD,Benzel EC,Steinmetz MP

    更新日期:2012-12-01 00:00:00

  • Bilateral homonymous hemianopsia due to tentorial herniation, with sparing of central vision: case report.

    abstract::Cases of complete bilateral homonymous hemianopsia with sparing of central vision that are caused by bilateral tentorial herniation are extremely rare. We describe one such case resulting from severe head trauma, the first to be reported in which magnetic resonance images showed clear evidence of the responsible lesio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199210000-00028

    authors: Tanaka R,Miyasaka Y,Yada K,Mukuno K

    更新日期:1992-10-01 00:00:00

  • Laser Interstitial Thermal Therapy: Lighting the Way to a New Treatment Option in Neurosurgery.

    abstract:ABBREVIATIONS:LITT, laser interstitial therapyNd:YAG, neodymium-doped yttrium aluminum. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0000000000001435

    authors: Diaz R,Ivan ME,Hanft S,Vanni S,Manzano G,Jagid J,Komotar RJ

    更新日期:2016-12-01 00:00:00

  • The relationship between cerebral blood flow autoregulation and cerebrovascular pressure reactivity after traumatic brain injury.

    abstract:BACKGROUND:Cerebrovascular pressure reactivity is the principal mechanism of cerebral autoregulation. Assessment of cerebral autoregulation can be performed by using the mean flow index (Mx) based on transcranial Doppler ultrasonography. Cerebrovascular pressure reactivity can be monitored by using the pressure reactiv...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318260feb1

    authors: Budohoski KP,Czosnyka M,de Riva N,Smielewski P,Pickard JD,Menon DK,Kirkpatrick PJ,Lavinio A

    更新日期:2012-09-01 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

  • 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

  • Predicting survival in patients with brain metastases treated with radiosurgery using artificial neural networks.

    abstract:BACKGROUND:Artificial neural networks (ANNs) excel at analyzing challenging data sets and can be exceptional tools for decision support in clinical environments. The present study pilots the use of ANNs for determining prognosis in neuro-oncology patients. OBJECTIVE:To determine whether ANNs perform better at predicti...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31828ea04b

    authors: Oermann EK,Kress MA,Collins BT,Collins SP,Morris D,Ahalt SC,Ewend MG

    更新日期:2013-06-01 00:00:00