Abstract:
:The objectives of this study were to evaluate the use of brain stem auditory evoked potentials (BAEPs) in 10 adult patients with vascular disorders of the posterior circulation that were treated surgically and to compare the BAEPs with the neurological findings. The vascular lesions included basilar artery stenosis in 3 patients, vertebral artery stenosis in 1 patient, brain stem/cerebellar arteriovenous malformation in 2 patients, and basilar artery aneurysm in 4 patients. Measurement of BAEPs were carried out during operation in all cases. Eight patients had BAEPs measured before operation, and 9 patients had BAEPs measured after operation. Repeat postoperative studies were performed in patients with changes in neurological status. In general, BAEP abnormalities correlated with the neurological findings before and after operation. Six patients had normal intraoperative studies. None of them had clinical findings of pontomesencephalic dysfunction after operation. Three patients with significant BAEP abnormalities during operation had neurological findings of pontomedullary ischemia after operation. Transient BAEP changes in 1 patient were thought to be the result of brain stem retraction. The BAEPs were lost in 3 patients who died. The use of BAEP measurement did not lengthen the operative procedures. However, the technique used in this study required 4 to 8 minutes for the accumulation and interpretation of each average, thereby delaying feedback to the surgeon. The results of this study suggest a potential role for BAEP monitoring in identifying brain stem injury during posterior circulation surgery.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Little JR,Lesser RP,Lueders H,Furlan AJdoi
10.1227/00006123-198305000-00003subject
Has Abstractpub_date
1983-05-01 00:00:00pages
496-502issue
5eissn
0148-396Xissn
1524-4040journal_volume
12pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Although the combined petrosal approach has significant advantages for medium to large petroclival lesions, it carries the risk of a few major complications. The cerebrospinal fluid leak rate with this approach has been reported to be as high as 15%. OBJECTIVE:To describe an innovative technique of watertig...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3182356269
更新日期:2012-06-01 00:00:00
abstract::Benign hemangioendothelioma is rarely included in discussions of vascular neoplasms involving the central nervous system, whereas it is a well-defined entity outside the neuraxis. We present four cases of benign hemangioendothelioma, including an infantile hemangioendothelioma with venous drainage into the transverse ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198009000-00008
更新日期:1980-09-01 00:00:00
abstract::A case of hemangioma calcificans in the 4th ventricle is reported. Skull x-ray films demonstrated a dense calcification in the posterior fossa. Computed tomography disclosed a hyperdense mass in the 4th ventricle. The clinical picture was of increased intracranial pressure due to obstructive hydrocephalus. An hemangio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198406000-00016
更新日期:1984-06-01 00:00:00
abstract:BACKGROUND:Traumatic fractures of the second cervical vertebra are common, representing nearly 20% of all acute cervical spinal fracture-dislocation injuries. They are divided into 3 distinct injury patterns: odontoid fractures, hangman's fracture injuries, and fractures of the axis body, involving all other fracture i...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000366118.21964.A8
更新日期:2010-03-01 00:00:00
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
更新日期:2012-04-01 00:00:00
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
更新日期:1988-04-01 00:00:00
abstract::A new head-positioning system has been developed to hold the head firmly during the performance of a computed tomograhic scan and to position the head reproducibly during repeat scans. This can be used to maintain the head in position during long scanning sessions, to relate a lesion to landmarks on scout views, to fo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198008000-00006
更新日期:1980-08-01 00:00:00
abstract:OBJECTIVE:It is postulated that reactive oxygen species may play an inductive role in neuro-oncogenesis. However, data pertaining to the redox state of astrocytomas are limited, which prompted us to undertake this study. METHODS:Intraoperative snap-frozen samples were obtained from the surface and core of 8 low-grade ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199711000-00025
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:Endovascular coil embolization of ruptured aneurysms is performed under general anesthesia at most centers for perceived improved image quality and patient safety. OBJECTIVE:To report the feasibility of and outcomes associated with endovascular treatment of subarachnoid hemorrhage (SAH) patients with ruptur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31827b9183
更新日期:2013-02-01 00:00:00
abstract::Our experience with progressive unilateral hydrocephalus in children and the pathophysiology of nonneoplastic obstruction of the foramen of Monro has been analyzed. The status of the foramen of Monro in either congenital or acquired progressive unilateral hydrocephalus was classified into the following four categories...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198512000-00003
更新日期:1985-12-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Treatment of one side in cases of dissecting aneurysms of the bilateral vertebral arteries (VAs) with subarachnoid hemorrhage may result in dissection or rupture on the contralateral side. CLINICAL PRESENTATION:Three patients presented with dissecting aneurysms of the bilateral VAs with subara...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200206000-00033
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:Frequently, the cervicothoracic junction can be reached through a simple anterior approach. In some cases, access to this region requires a much more aggressive surgical intervention, such as manubriotomy or sternotomy. Information regarding the need for such interventions is particularly useful to have preop...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000347472.07670.EB
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Intracranial aneurysm rupture prediction is poor, with only a few risk factors for rupture identified and used in clinical practice. OBJECTIVE:To provide an overview of all the risk factors (including genetic, molecular, morphological, and hemodynamic factors) that have potential for use in clinical practic...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx238
更新日期:2018-04-01 00:00:00
abstract:INTRODUCTION:Interest in using the extended endonasal transsphenoidal approach for management of suprasellar lesions, with either a microscopic or endoscopic technique, has increased in recent years. The most relevant benefit is that this median approach permits the exposure and removal of suprasellar lesions without t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000289708.49684.47
更新日期:2007-09-01 00:00:00
abstract::The object of this investigation was to study the effects of dimethyl sulfoxide (DMSO) upon the evolution of cerebral infarction. Twenty adult cats anesthetized lightly with ketamine hydrochloride underwent right middle cerebral artery occlusion for 6 hours. Ten cats were not treated and 10 cats received DMSO (2.5 g/k...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198107000-00006
更新日期:1981-07-01 00:00:00
abstract::With the advent of more sensitive diagnostic techniques, we are encountering an increasing number of young patients harboring cerebral astrocytoma. The great danger in such patients is that the astrocytoma cells will undergo dedifferentiation to a higher state of malignancy. An essential question is whether the use of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198706000-00028
更新日期:1987-06-01 00:00:00
abstract:BACKGROUND:Although transarterial regional hypothermia is an attractive alternative to general hypothermia, its efficacy and underlying mechanisms remain unclear. OBJECTIVE:To confirm transarterial regional hypothermia therapeutic effects on ischemia/reperfusion (I/R) injury and to elucidate the mechanisms responsible...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001088
更新日期:2016-07-01 00:00:00
abstract::Different fluids used in neurosurgery were tested for the production of blood-brain barrier dysfunction by applying them to the brain surface of the cat for 3 hours. Normal saline, Ringer's solution, and Elliott's Solution B induced no obvious damage either by closed subdural perfusion or when applied to the brain sur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198007000-00008
更新日期:1980-07-01 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:BACKGROUND:Multimodal intracranial monitoring in the neurosurgical patient requires insertion of probes through multiple craniostomies. OBJECTIVE:To report our 5-year experience with a novel device allowing multimodal monitoring though a single twist-drill hole. METHODS:All devices (Hummingbird Synergy, Innerspace) w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000451
更新日期:2014-09-01 00:00:00
abstract::In a prospective study on the effect of shunting, 22 patients diagnosed as suffering from normal pressure hydrocephalus (NPH) were investigated by means of temporary external lumbar drainage (ELD). Five patients had to be excluded from the study because of complications of ELD or definitive shunting. ELD correctly pre...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198802000-00020
更新日期:1988-02-01 00:00:00
abstract:BACKGROUND:Chordomas are rare but challenging neoplasms involving the skull base. A preoperative grading system will be useful to identify both areas for treatment and risk factors, and correlate to the degree of resection, complications, and recurrence. OBJECTIVE:To propose a new grading system for cranial chordomas ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx423
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Stereotactic laser ablation offers an advantage over open surgical procedures for treatment of epileptic foci, tumors, and other brain pathology. Robot-assisted stereotactic laser ablation could offer an accurate, efficient, minimally invasive, and safe method for placement of an ablation catheter into the t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000286
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:The anterior lumbar interbody fusion (ALIF) procedure has become an accepted fusion technique for treating patients with degenerative disorders of the lumbar spine. Many consider laparoscopic ALIF to be the least invasive approach. A modification of the open laparotomy--the "mini-open" approach--is an attract...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200207000-00015
更新日期:2002-07-01 00:00:00
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
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:Conflicting reports have been published with regard to the relationship between the efficacy of p53 gene therapy and the p53 status of gliomas. In this study, we evaluated whether U-87MG glioma cells harboring wild-type p53 and U251 and U-373MG glioma cells harboring mutated p53 demonstrate different sensitiv...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200107000-00027
更新日期:2001-07-01 00:00:00
abstract::The Standardized Luria-Nebraska Neuropsychological Test Battery was used for pre- and postoperative evaluation of two patients, each of whom had a large posterior parietal arteriovenous malformation (AVM) of the left cerebral hemisphere. In both cases the AVMs, which were fed by the left anterior, middle, and posterio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198009000-00005
更新日期:1980-09-01 00:00:00
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
更新日期:2018-08-01 00:00:00
abstract::In our studies of the pathogenesis of cerebral vasospasm, we have been emphasizing that microthrombosis may play an important role in the induction of cerebral ischemic symptoms or cerebral infarction. In this report, multiple microthrombi are demonstrated histologically to be a major cause of cerebral infarction in t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198308000-00018
更新日期:1983-08-01 00:00:00
abstract::Positron emission tomography is currently one of the most useful methods for measurements of cerebral hemodynamics and oxygen metabolism, because it facilitates accurate analysis of the local cerebral circulation in three-dimensional quantitative images. In this study, we performed positron emission tomography studies...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199006000-00009
更新日期:1990-06-01 00:00:00