Abstract:
:The management of 15 cases of bilateral locked facets of the cervical spine is reviewed. The C-6, C-7 interspace was the most common interspace involved. There were 4 females and 11 males who were 16 to 63 years old (average, 26 years). Thirteen patients had a complete spinal cord lesion with loss of function below the level of the locked facets. Two had intact dorsal column function. One patient had an ascending spinal cord deficit, which did not change after open reduction. The remainder had no change in spinal cord function after reduction. However, after reduction, 1 patient had a transient root deficit and 2 patients improved in the function of the involved roots. Closed reduction was accomplished by (a) skeletal traction and weight application, (b) manual reduction under sedatives, or (c) manual reduction under general anesthesia. Five patients required open reduction. The failure of closed reduction was attributed to accompanying fractures of one of the facets in 2 cases, increasing neurological deficits during traction in 2 cases, and associated higher cervical fractures in 1 case. Internal stabilization with wire and bone or external stabilization with a halo vest or a brace was used. Twelve patients were followed for 1 1/2 to 7 years (average, 2.7 years). Stabilization after reduction was successful irrespective of the methods used. The various methods of reduction and stabilization are reviewed and discussed.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Sonntag VKdoi
10.1227/00006123-198102000-00002subject
Has Abstractpub_date
1981-02-01 00:00:00pages
150-2issue
2eissn
0148-396Xissn
1524-4040journal_volume
8pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:We evaluated a combined technique designed for procedures requiring intraoperative language mapping. We planned to induce general anesthesia with endotracheal intubation and hyperventilation and then to awaken and extubate the patient for speech testing. After the latter, endotracheal reintubation and general...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199806000-00069
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:Many patients with symptomatic Chiari I malformations experience symptom recurrence after surgical decompression. Identification of predictors of outcome is needed to better select patients most likely to benefit from surgical intervention. We examined whether or not cerebrospinal fluid (CSF) flow dynamics as...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000219841.73999.B3
更新日期:2006-07-01 00:00:00
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
更新日期:2004-07-01 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:BACKGROUND:The optimal magnetic resonance angiography (MRA) sequence for assessing the aneurysm occlusion state or in-stent flow after endovascular coiling is not well established. OBJECTIVE:To evaluate the diagnostic performance of pointwise encoding time reduction with radial acquisition (PETRA)-MRA in patients who ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa467
更新日期:2021-01-13 00:00:00
abstract::This is a brief report of 17 histologically verified choroid plexus papillomas (CPPs). The radiological evaluation and surgical treatment are outlined. The results indicate that the surgical approach was not optimal. Radiation therapy decreasing the vascularity of tissue-proven CPPs and therefore aiding the operative ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract:OBJECTIVE:In this study, the incidence, etiologies, and management with respect to clinical outcome of patients with iatrogenic aneurysmal rupture during attempted coil embolization of intracranial aneurysms are reviewed. METHODS:A retrospective analysis was conducted of 274 patients with intracranial aneurysms treate...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200110000-00005
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:This report illustrates the adequacy of minimally invasive exposure for the resection of an intramedullary ependymoma. CLINICAL PRESENTATION:The patient presented with a history of upper back pain, but a lesion was found during a workup for increased back pain after a motor vehicle accident. INTERVENTION:Th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000360153.65238.F0
更新日期:2009-12-01 00:00:00
abstract::The development of new devices, especially controlled detachable coils, has made the endovascular approach one of the modalities for the treatment of intracranial aneurysms. We describe the treatment and present the results of 35 patients treated by selective occlusion of basilar artery aneurysms in our department dur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199605000-00019
更新日期:1996-05-01 00:00:00
abstract::Although the association between optic glioma and neurofibromatosis is well recognized, few studies have systematically compared the outcomes of patients with optic gliomas and neurofibromatosis and patients with optic gliomas without neurofibromatosis. In the present study, patients with optic gliomas and Type 1 neur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199606000-00010
更新日期:1996-06-01 00:00:00
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
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to develop an embolization material of hollow fiber combined with gelatin hydrogel for the controlled release of basic fibroblast growth factor (bFGF). We examined feasibility of the material in embolization healing aneurysm by bFGF-induced tissue organization. METHODS:An aneu...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000195095.66984.24
更新日期:2006-02-01 00:00:00
abstract::Cerebral vascular tone is modulated, at least in part, by the vascular endothelium. This probably results from a balance between the release of the endothelium-derived relaxing factor(s) and the endothelium-derived constricting factor(s) (e.g., endothelin). The time course of the induction and the decay of these mutua...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199005000-00013
更新日期:1990-05-01 00:00:00
abstract::Both the perforating branches--especially the extracerebral segments--and the arachnoidal anatomy at the level of the posterior communicating artery were studied in 60 human brains previously fixed in formalin. The close relationships between this artery and the oculomotor nerve are described, and it is noted that eac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199005000-00015
更新日期:1990-05-01 00:00:00
abstract::The olfactory function could be examined in 101 of 138 patients with anterior communicating artery aneurysms, whom we treated during a recent 6-year period. Among them, 49 patients underwent surgery by the anterior interhemispheric approach and 52 underwent surgery by the basal interhemispheric approach. Fifteen patie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199602000-00017
更新日期:1996-02-01 00:00:00
abstract:OBJECTIVE:This study assessed the neuropsychological outcome of patients after surgical treatment for third ventricle brain tumors. Neuropsychological consequences of surgical intervention can have a major impact on patients' quality of life and therefore have important implications for treatment planning. METHODS:A r...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000333775.81563.91
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Giant fusiform and dolichoectatic aneurysms of the basilar trunk and vertebrobasilar junction (BTVBJ-GFDA) are extremely difficult to treat. OBJECTIVE:To evaluate factors influencing survival and outcome of BTVBJ-GFDA by performing a retrospective multicenter cohort study. METHODS:A total of 32 patients wi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa317
更新日期:2020-12-15 00:00:00
abstract:OBJECTIVE:Recently, several studies suggested that simple decompression is as effective as anterior transposition in ulnar nerve entrapment syndrome. Simple decompression might be performed with minimally invasive techniques. The authors present their technique and results with endoscopic decompression in ulnar nerve e...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000367551.41503.58
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Rotational vertebral artery syndrome (RVAS) is a rare entity about which previously published studies are mostly limited to individual case reports. OBJECTIVE:To report our decade-long experience with this syndrome in 9 patients with compression ranging from the occiput to C6. METHODS:We utilized a posteri...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181ee36db
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:The recent successful development of chronic stimulation of the motor cortex as a treatment for neuropathic and central pain does not exclude the possibility of eventual side effects, such as epileptic seizure or a lowering of the epileptic threshold. This study evaluates the behavioral and electroencephalogr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199908000-00030
更新日期:1999-08-01 00:00:00
abstract::A case of symptomatic Rathke's cleft cyst is described. In spite of the intrasellar component and radiological and clinical evidence of involvement of the pituitary gland, the sella turcica was minimally involved. MRI afforded optimal visualization and localization of the intra- and suprasellar components vis-à-vis th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198902000-00021
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVE:Resection strategies for the treatment of temporal lobe epilepsy (TLE) are a matter of discussion. Few data on the significance of resection type are available for pediatric patients with TLE. METHODS:Data for a series of 89 children who were surgically treated for TLE were analyzed. A first cohort of patien...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000114141.37640.37
更新日期:2004-04-01 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::This is the first report of a series of adults (> 16 years of age) with pineoblastomas who had their entire neuraxis staged at the time of diagnosis. Between 1975 and 1992, seven men and four women with histologically proven pineoblastomas were evaluated at the University of California, San Francisco. The median age a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199509000-00003
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Magnetic resonance with diffusion tensor image (DTI) may be able to estimate trajectories compatible with subcortical tracts close to brain lesions. A limit of DTI is brain shifting (movement of the brain after dural opening and tumor resection). OBJECTIVE:To calculate the brain shift of trajectories compat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821a8555
更新日期:2011-09-01 00:00:00
abstract::Stereo depth electroencephalography (EEG) is of proven benefit in lateralizing and localizing seizure origin in select cases of epilepsy. There are potential hazards and technical considerations inherent with depth EEG, however, that have limited the general applicability of this technique. A new depth EEG electrode w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198305000-00015
更新日期:1983-05-01 00:00:00
abstract::The influence of nitrous oxide on motor evoked potential (MEP) elicited in rats by cortical and midcervical electrical stimulation was studied and compared with early components of somatosensory evoked potential (SEP) following stimulation of the posterior tibial nerve in 6 rats. We found that nitrous oxide gradually ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198901000-00009
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:After the resection of cranial base tumors, there may not be enough free dural margin left for reconstruction after involved bone and dura have been removed. In such a situation, dural reconstruction becomes a problem. We propose a new technique of dural closure in such cases. METHODS:A fascial graft is prep...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200109000-00043
更新日期:2001-09-01 00:00:00
abstract::Tumors and other structural lesions located with and adjacent to the cerebral cortex present certain challenges in terms of the overall management and design of surgical strategies. This comprehensive analysis attempts to define the current understanding of cerebral localization and function and includes the latest ad...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000255489.88321.18
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:Oculomotor nerve palsy greatly impairs the patient's daily life. After oculomotor nerve injury, when the central nerve stump is not available, neurotization of the distal nerve stump with a donor nerve may be performed. Here, we present an experimental anatomic study in rats related to the motor nuclear organ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000073988.28813.77
更新日期:2003-08-01 00:00:00