Abstract:
:The clinical characteristics of vertebrobasilar dissecting aneurysms occurring with subarachnoid hemorrhage (SAH) were reviewed in 42 patients, with particular focus on the time, incidence, and outcome in association with subsequent rupture. Twenty-nine patients underwent 31 surgical procedures, and the remaining 13 patients were managed without surgery. Surgical details included 19 proximal vertebral artery obliterations (including 1 case of endovascular surgery using balloon occlusion), 9 trappings, 1 wrapping, 1 bleb clipping, and 1 bleb clipping combined with wrapping. Surprisingly, subsequent rupture occurred in 30 (71.4%) of the 42 patients. Excluding one patient with postoperative rupture, 29 patients suffered a subsequent rupture in the unsecured stage. Of these 29 patients, 19 were operated on after the subsequent rupture and 10 were not operated on because of deteriorated clinical condition (9 patients) or anatomic considerations (1 patient). Of the 30 patients that suffered a subsequent rupture, 14 died. Twelve of the deaths were directly related to the second episode of rupture. Of the 12 patients who did not suffer a subsequent rupture, 10 underwent operations and there were no operative deaths. Only one patient died as the result of the initial critical SAH. The mortality (46.7%) of the patients with subsequent rupture was significantly higher (P < 0.05) than that (8.3%) of the patients without subsequent rupture. Seventeen (56.7%) of the 30 subsequent ruptures occurred within 24 hours after the first SAH, and 24 (80%) occurred within the first week. Six (66.7%) of the 9 patients operated on within 24 hours after the first SAH and 11 (68.8%) of the 16 patients operated on within a week suffered preoperative subsequent ruptures.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Mizutani T,Aruga T,Kirino T,Miki Y,Saito I,Tsuchida Tdoi
10.1227/00006123-199505000-00003subject
Has Abstractpub_date
1995-05-01 00:00:00pages
905-11; discussion 912-3issue
5eissn
0148-396Xissn
1524-4040journal_volume
36pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Frontotemporal craniotomies are commonly performed for a variety of neurosurgical pathologies. Infections related to craniotomies cause significant morbidity. We hypothesized that the risk of cranial surgical site infections (SSIs) may be increased in patients whose frontal sinuses are breached during cranio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx046
更新日期:2017-09-01 00:00:00
abstract::Three-dimensional (3D) images were reconstructed from axial computed tomographic scans using the new 3D83 (General Electric Co.) software. Images were reformatted as a movie in multiple frames, each consisting of a discrete 3D scene, and were rotated 360 degrees in 3D space. Improvement in shading and surface algorith...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198601000-00009
更新日期:1986-01-01 00:00:00
abstract::During radiofrequency (RF) heating of trigeminal rootlets, we regularly measured blood pressure rises to 250 to 300 mm Hg, confirming two previous reports. We also found abnormally increased bleeding times in 12% of 127 patients awaiting operation for trigeminal neuralgia. These two facts probably explain 6 fatalities...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198511000-00022
更新日期:1985-11-01 00:00:00
abstract::The author looks back on his more than 70 years of familiarity with Americans involved in warfare, noting their loyal support for our country's objectives. Drawing on the Einstein equation, his own visits to Hiroshima and Nagasaki, and current literature, he, as a physician, belatedly concurs with those who look on th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198304000-00001
更新日期:1983-04-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Median nerve neuropathy can be clinically devastating to a patient. It can be caused by compression of the median nerve anywhere along its course. We present the case of delayed median nerve neuropathy after the placement of a vascular graft in the arm. CLINICAL PRESENTATION:An arm shunt was p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200202000-00035
更新日期:2002-02-01 00:00:00
abstract::An unusual case of intradiploic epidermoid tumor is reported. In this case, a soft mass located over the parietal bone was noted shortly after birth. The mass gradually enlarged. The tumor underwent malignant change after several excisions and repeated inflammations. The patient was successfully treated with extensive...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198502000-00026
更新日期:1985-02-01 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::In the past, stereotactic surgical intervention for Parkinson's disease was considered indicated only in those patients with active motor manifestations that were refractory to pharmacological therapy, manifestations such as tremor, rigidity, dystonia, and dyskinesia. With the reintroduction and refinement of Leksell'...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199506000-00008
更新日期:1995-06-01 00:00:00
abstract::A case of choroidal epithelial cyst of the prepontine region is reported. The cyst wall was studied using light and electron microscopy. Electron microscopy revealed that the lining of the cyst consisted of a single layer of epithelial cells resting on a basement membrane. The epithelial cells contained numerous club-...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198801010-00021
更新日期:1988-01-01 00:00:00
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 ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198302000-00007
更新日期:1983-02-01 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:OBJECTIVE AND IMPORTANCE:Vestibular schwannomas with meningioma islets have been rarely reported in the literature; they have been observed only among patients with neurofibromatosis Type II. We present a case of a sporadic mixed tumor in a patient without neurofibromatosis Type II that was not suspected before surgery...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200008000-00037
更新日期:2000-08-01 00:00:00
abstract::To study the motor recovery after increasingly late nerve suture, we severed 75 rabbit peroneal nerves and reanastomosed them by microsurgical epineural technique after a delay of up to 12 months. Functional, electromyographic, and morphological parameters were used to evaluate the quality of motor function 6 months a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Patients who survive aneurysmal subarachnoid hemorrhage (aSAH) are at risk for delayed neurological deficits (DND) and cerebral infarction. In this exploratory cohort comparison analysis, we compared in-hospital outcomes of aSAH patients administered a low-dose intravenous heparin (LDIVH) infusion (12 U/kg/h...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa473
更新日期:2020-12-02 00:00:00
abstract::The purpose of this study was to determine if the expression of receptor tyrosine kinases would distinguish astrocytosis from astrocytoma. Because the expression of this family of receptor proteins is greater in higher-grade tumors, a graded series of both reactive and neoplastic astrocytic lesions in humans was evalu...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199307000-00017
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVE:To determine the understanding of the conceptual basis and diagnostic tests used for brain death (BD) by neurosurgeons in Canada. METHODS:Between February and June 2006, a previously developed survey was mailed to every neurosurgeon in Canada. RESULTS:Of 223 surveys mailed, 147 (66%) were returned; of these...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000303200.84994.ae
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To investigate the potential operative morbidity in posteroventral pallidotomy (PVP) for patients with Parkinson's disease. METHODS:We designed a retrospective study that included 796 consecutive patients (mean age, 64.9 yr; male, 559; female, 237) with Parkinson's disease. All PVPs (simultaneous bilateral P...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000047817.60776.5c
更新日期:2003-03-01 00:00:00
abstract::Angiographically equivocal aneurysmal dilatation at the junction of the internal carotid and the posterior communicating arteries was noted in a patient with documented subarachnoid hemorrhage. This was initially thought to be infundibular dilatation. A craniotomy revealed an actual aneurysm, which was obliterated suc...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198112000-00018
更新日期:1981-12-01 00:00:00
abstract:BACKGROUND:The benefits of intravenous thrombolysis for acute ischemic stroke are still limited. OBJECTIVE:To evaluate the safety and efficacy of double-lumen balloon catheter-based reperfusion therapy with or without intra-arterial thrombolysis for acute occlusion of intracranial arteries. METHODS:Fifty-nine patient...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000380954.29925.CE
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:We present a unique case of an anterior cranial base von Hippel-Lindau disease (VHL)-associated microcystic neoplasm. To determine the lesion's relationship with VHL and its appropriate management, we discuss its salient clinical, pathological, and molecular features. CLINICAL PRESENTATION:A ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318223b7a7
更新日期:2011-10-01 00:00:00
abstract::Using transcranial doppler ultrasonography, cerebral blood flow velocity was measured daily from both middle cerebral arteries in 121 patients who had suffered minor (n = 55), moderate (n = 16), or severe (n = 50) brain injury. Serial computed tomographic scans were performed to identify noncontusion-related infarctio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::OBJECTIVE: In the treatment of patients with cranial base tumors, unclippable aneurysms, or medically intractable ischemia, it may be necessary to use high-flow bypass grafts. The indications, surgical techniques and complications are discussed. METHODS: During a 10-year period, 99 saphenous vein grafts and 3 radial a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199906000-00028
更新日期:1999-06-01 00:00:00
abstract::Visual field abnormalities were studied in a retrospective analysis of 199 patients with epidural hematomas. One hundred three patients had been alert enough at the time of hospital admission to have had their visual fields examined, but in only 27 patients were visual fields documented in the charts. Six of the 27 pa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198208000-00007
更新日期:1982-08-01 00:00:00
abstract::We previously described an experimental model for the production of invasive and noninvasive astrocytic series tumors and a semiquantitative assessment of their invasiveness. The tumors are produced by intracerebral inoculation of simian virus 40-transformed cells from four different brain regions. Cells of cerebral c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198709000-00015
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Herein we describe two cases of extracranial-intracranial vein graft bypasses for the treatment of giant intracranial aneurysms in prepubertal pediatric patients. One patient is, we think, the youngest patient reported in the literature to have been successfully treated in such a manner, with a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200203000-00048
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Although there are several large-species animal models for saccular aneurysms, there is a need for a simple, reproducible saccular aneurysm model in mice. OBJECTIVE:To develop a murine saccular aneurysm model, which replicates key characteristics that occur in the formation of human cerebral aneurysms. MET...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000365616.46414.2B
更新日期:2010-03-01 00:00:00
abstract::An operative repair technique for crushed sciatic nerve in the rat was used to examine whether removal of the damaged tissue could be better achieved with a low wattage CO2 laser or a blade. This approach was compared to results in rats undergoing conventional end-to-end nerve anastomosis using a microsurgical approac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198803000-00014
更新日期:1988-03-01 00:00:00
abstract:OBJECTIVE:To report presenting clinical symptoms, previous medical history, and survival rates for people with saccular intracranial aneurysms (IAs), in a defined population. METHODS:The medical records of all residents of Olmsted County, Minnesota, with possible IAs were reviewed. Clinical manifestations at the time ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200108000-00003
更新日期:2001-08-01 00:00:00
abstract::We report a case of hyponatremia associated with volume depletion after pituitary exploration and biopsy. The presence of clinical dehydration precluded diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone. The absence of a hypoadrenal state and the patient's response to volume reexpansion were...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198604000-00015
更新日期:1986-04-01 00:00:00
abstract:BACKGROUND:In spinal deformity treatment, the increased utilization of 3-column (3CO) osteotomies reflects greater comfort and better training among surgeons. This study aims to evaluate the longitudinal performance and adverse events (complications or revisions) for a multicenter group following a decade of 3CO. OBJE...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1093/neuros/nyx338
更新日期:2018-07-01 00:00:00