Abstract:
:In spite of recent advancements in the management of ruptured aneurysm, there are still controversies as to how to threat the patients in serious conditions, one of these concerning whether to operate patients admitted with symptomatic vasospasm (vasospasm on admission) and when. While early surgery may protect patient from further rupturing, it may also increase risk of worsening by inducing much more vasospasm. Four cases of severe vasospasm associated with aneurysmal subarachnoid hemorrhage (SAH) were reported. All of these cases showed symptomatic and angiographical vasospasm on their admission 3-11 days after initial attack of SAH. All cases had a preoperative clinical grading using Hunt & Kosnik of IV, and were treated by early surgery with clipping followed by percutaneous balloon angioplasty (PTA) immediately after clipping. Two cases returned to their previous occupations, while one case remained bed ridden and one died in spite of therapy. Early surgery in this series actually prevented further rupturing, but it is not clear whether PTA immediately after clipping may prevent further deterioration by progression of vasospasm. For selected cases especially those with reversible ischemia, this combined treatment may offer more favorable results than late surgery with conservative medical care. Further investigation is necessary to support the validity of this therapy.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Fujii Y,Takahashi A,Ezura M,Mizoi Kdoi
10.1007/BF00417662subject
Has Abstractpub_date
1995-01-01 00:00:00pages
79-84issue
2eissn
0344-5607issn
1437-2320journal_volume
18pub_type
杂志文章abstract::Supplemental education is desirable for neurosurgical training, and the use of human cadaver specimen and virtual reality models is routine. An in vivo porcine training model for cranial neurosurgery was introduced in 2005, and our recent experience with this unique model is outlined here. For the first time, porcine ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-014-0572-4
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study is to describe our series of nine unclippable and uncoilable ruptured aneurysms in eight patients treated by microsurgical wrapping with autologous muscle. Records were retrospectively reviewed for rebleeding rate, morbidity and mortality, changes in size or the aneurysm's configurations, and...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-012-0408-z
更新日期:2013-01-01 00:00:00
abstract::Massive hemorrhage is a very uncommon event among hemangioblastomas. Forty-four cases have been reported before this review. Thorough analysis of all reported cases on literature was accomplished. The majority presented as parenchymatous or subarachnoid bleedings. Subarachnoid hemorrhage was only associated with spina...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-009-0217-1
更新日期:2010-01-01 00:00:00
abstract::A hypothalamic hamartoma associated with true precocious puberty in a 7-month-old girl is hereby reported. Hormonal studies disclosed elevated serum levels of luteinizing hormone (LH) and follicle stimulating hormone, both of which responded well to LH-releasing hormone stimulation. Following a subtotal removal of the...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00258250
更新日期:1993-01-01 00:00:00
abstract::Multilevel discectomy and inter-vertebral body fusion combined with anterior plate-screw fixation is the common procedure in cervical spine surgery. The correct placement of the screws is an important factor for the outcome of these operations. Yet no systematic approach has been undertaken to optimize the geometry of...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-005-0386-5
更新日期:2005-10-01 00:00:00
abstract::A nonchordomatous solitary lesion of the clival bone is an exceptionally rare pathological entity, which represents a diagnostic and a therapeutic challenge. Many diseases with extremely different biological behavior, and requiring a dedicated treatment strategy, may result in similar clinical patterns. The approach t...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-013-0463-0
更新日期:2013-10-01 00:00:00
abstract::The purpose of this study was to determine the effect of aspirin therapy discontinuation on intraoperative blood loss in spinal surgery. We searched Medline and Google Scholar 1946 to January 2017 inclusive for case-control studies, cohort studies, and controlled trials reporting intraoperative blood loss during spina...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-018-0945-1
更新日期:2018-10-01 00:00:00
abstract::The purpose of the present study is to analyze the impact of intraoperative resection control modalities on overall survival (OS) and progression-free survival (PFS) following gross total resection (GTR) of glioblastoma. We analyzed data of 76 glioblastoma patients (30f, mean age 57.4 ± 11.6 years) operated at our ins...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0698-z
更新日期:2016-07-01 00:00:00
abstract::Structural and functional neuroimaging studies are essential in the evaluation of individuals with partial epilepsy syndromes. Magnetic resonance imaging (MRI) is important to delineate structural abnormalities underlying seizure disorders, commonly including hippocampal sclerosis or cortical dysplasias. Identificatio...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-003-0293-6
更新日期:2003-10-01 00:00:00
abstract::This retrospective study included eight consecutive cases with C2 vertebral body neoplastic lesions. The anterior retropharyngeal approach was used to remove the lesions and decompress the spinal cord. Spinal stabilization with occipitocervical plating in a second-stage operation makes the treatment more tolerable for...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-003-0319-0
更新日期:2004-07-01 00:00:00
abstract::Although several studies have suggested that aneurysmal wall inflammation and laminar thrombus are associated with the rupture of saccular aneurysms, the mechanisms leading to the rupture remain obscure. We performed full exposure of aneurysms before clip application and attempted to keep the fibrin cap on the rupture...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0628-0
更新日期:2015-07-01 00:00:00
abstract::Unruptured intracranial aneurysms represent a decisional challenge. Treatment risks have to be balanced against an unknown probability of rupture. A better understanding of the physiopathology is the basis for a better prediction of the natural history of an individual patient. Knowledge about the possible determining...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-013-0501-y
更新日期:2014-01-01 00:00:00
abstract::Magnesium has neuroprotective and antivasospastic properties in the presence of subarachnoid hemorrhage (SAH). The present study investigated the effect of intracisternal administration of magnesium on cerebral vasospasm in the experimental SAH rat model. The rat double-SAH model (0.2 mL autologous blood injected twic...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-008-0122-z
更新日期:2008-04-01 00:00:00
abstract::Endovascular management of cerebral aneurysms resulting in third nerve palsies has been proposed as an alternative to microsurgical clip ligation. Third nerve function recovery following endovascular treatment in a large patient population has not been evaluated. A literature search of MEDLINE, PubMed, and Cochrane da...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-007-0089-1
更新日期:2007-10-01 00:00:00
abstract::Homocysteine (tHcy) has been hardly studied among patients with head injury. This study was to evaluate whether there is any independent impact of tHcy levels on neurological outcome following head injury in a multivariate model. Patients admitted within 24 h of injury were included in the study, along with 20 age- an...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-017-0880-6
更新日期:2018-04-01 00:00:00
abstract::Endoscopy in cerebellopontine angle surgery is an increasingly used technique. Despite of its advantages, the shortcomings arising from the complex anatomy of the posterior fossa are still preventing its widespread use. To overcome these drawbacks, the goal of this study was to define the anatomy of different endoscop...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0800-1
更新日期:2017-07-01 00:00:00
abstract::Acute intracranial subdural hematoma (ASDH) is commonly associated with a grave prognosis citing a high incidence of morbidity and mortality. The parameters to decide on surgical evacuation of the hematoma are sometimes controversial. In this study, we theorized that the ratio between maximal hematoma thickness and mi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-017-0873-5
更新日期:2018-04-01 00:00:00
abstract::Long-term patency of superficial temporal artery to middle cerebral artery (STA-MCA) bypass surgery for atherosclerotic disease and associated risk factors for loss of patency have rarely been discussed. We retrospectively analyzed long-term patency following STA-MCA bypass and evaluated various demographic and clinic...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0736-5
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Sylvian fissure arteriovenous malformations (AVMs) are among the most challenging AVMs to manage surgically. The estimates of their risk factors and prediction of their long-term prognosis are crucial for clinical decision-making. The authors conducted a retrospective review to patients with sy...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-013-0470-1
更新日期:2013-10-01 00:00:00
abstract::We evaluate the current literature regarding treatment of intracranial atherosclerotic disease, with particular emphasis on emerging medical, surgical, and endovascular trials. A MEDLINE and PubMed search of the literature related to intracranial atherosclerotic disease was performed. Articles which discussed medical,...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-008-0172-2
更新日期:2009-01-01 00:00:00
abstract::The purpose of this study was to study the acute phase effects of adenosine triphosphate (ATP)-MgCl2 on experimental spinal cord clip compression injury. Spinal cord clip compression injury was performed on 36 albino Wistar rats. The rats were divided into five groups. T4-T8 total laminectomy was performed on all rats...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-002-0233-x
更新日期:2003-01-01 00:00:00
abstract::The device is constructed for intra-operative angiographic studies. The main features of the unit are: semi-automatic positioning of the tube into preset coordinates, TV camera serving as receptor, reproduction of the videosignal with twice the number of lines compared with that used normally, retrieval technique perm...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01780706
更新日期:1984-01-01 00:00:00
abstract::Histological, immunocytochemical, and biological features of 38 giant cell gliomas were investigated. The invasion of these tumors and its giant cells by histiocytes, lymphocytes, plasma cells, and especially by eosinophilic granulocytes is viewed as an immune response, which may explain a favorable clinical course. F...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01782050
更新日期:1987-01-01 00:00:00
abstract::CSF hydrocele as a complication of migration or extrusion of the peritoneal end of the V-P shunt has rarely been reported. Here the case of a 6 month old infant, born at 28 weeks gestational age, is reported. The baby was noted to have scrotal swelling, exacerbated by crying, two months after insertion of ventriculope...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00313040
更新日期:1991-01-01 00:00:00
abstract::Intraoperative magnetic resonance imaging (iopMRI) actually has an important role in the surgery of brain tumors, especially gliomas and pituitary adenomas. The aim of our work was to describe the advantages and drawbacks of this tool for the surgical treatment of cervical intramedullary gliomas. We describe two expli...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-013-0510-x
更新日期:2013-11-15 00:00:00
abstract::A large variety of vertebral tumours undergoes transarterial embolisation (TAE) prior to surgery. However, the subsequent intra-operative blood loss is unpredictable. This retrospective analysis, aims to determine the impact of various factors that may potentially influence the estimated intra-operative blood loss (EB...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-1003-8
更新日期:2019-12-01 00:00:00
abstract::Craniotomy surgical site infections are an inherent risk and dreaded complication for the elective brain tumor patient. Sequelae can include delays in resumption in adjuvant treatments for multiple surgeries if staged cranioplasty is pursued. Here, the authors review their experience in operative debridement of surgic...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0955-z
更新日期:2018-10-01 00:00:00
abstract::The use of simulation in surgical training is ever growing. Evidence suggests such training may have beneficial clinically relevant effects. The objective of this research is to investigate the effects of surgical simulation training on clinically relevant patient outcomes by evaluating randomized controlled trials (R...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-020-01314-2
更新日期:2020-05-13 00:00:00
abstract::The unruptured intracranial aneurysm treatment score (UIATS) was published in April 2015 as a multidisciplinary consensus regarding treatment of unruptured intracranial aneurysms (UIA). As a tertiary center with focus on vascular neurosurgery, we aimed to investigate whether our treatment decision-making in patients w...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0944-2
更新日期:2018-10-01 00:00:00
abstract::The rupture of an intracranial aneurysm leads to subarachnoid hemorrhage (SAH). To prevent SAH, unruptured lesions can be treated by either endovascular or microsurgical approach. Due to their complex anatomy, middle cerebral artery (MCA) aneurysms represent a unique subgroup of intracranial aneurysms. Primary objecti...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-014-0563-5
更新日期:2014-10-01 00:00:00