Abstract:
:The techniques for the treatment of intracranial arteriovenous fistulae include angiographic balloon occlusion of the fistula as well as direct surgical attack. Regardless of the method, the occurrence of severe hyperemia caused by a lack of autoregulation after obliteration of the fistula remains a significant concern. We report the use of single photon emission computed tomography and transcranial Doppler studies to assess the occurrence of hyperemia during trial balloon occlusion of such fistulae in two patients. Single photon emission computed tomography and transcranial Doppler studies confirmed the lack of hyperemia during the test occlusion, allowing consideration of treatment plans involving acute fistula occlusion without the difficulty imposed by gradual occlusion and permitting a more accurate evaluation of risk. The purpose of this report is to illustrate how clinical evaluation of intracranial hemodynamics can contribute significantly to treatment decisions.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Giller CA,Batjer HH,Purdy P,Walker B,Mathews Ddoi
10.1227/00006123-199410000-00033subject
Has Abstractpub_date
1994-10-01 00:00:00pages
778-82; discussion 782-4issue
4eissn
0148-396Xissn
1524-4040journal_volume
35pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:The aim of the present study was to evaluate the overall treatment efficacy (tumor control, facial nerve function, complications) and quality of life for patients treated primarily for unilateral vestibular schwannomas of 30 mm or less, either by microsurgery or by gamma knife (GK) radiosurgery. The results f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1055/s-2005-916493
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To review a single-institution's 12-year experience of treating malignant gliomas with linear accelerator-based radiosurgery. METHODS:One hundred patients were treated for malignant gliomas at the University of Florida between May 1, 1989, and June 12, 2002. Patient variables were entered into a radiosurgery...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000170560.13251.99
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:Wingspan (Boston Scientific, Fremont, CA) is a self-expanding stent designed specifically for the treatment of symptomatic intracranial atheromatous disease. The current series reports the observed incidence of in-stent restenosis (ISR) and thrombosis on angiographic follow-up. METHODS:A prospective, intent-...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000290914.24976.83
更新日期:2007-09-01 00:00:00
abstract::Anterior cervical instrumentation is used as an adjunct to bone fusion; however, definitive biomechanical data to support some applications and techniques are lacking. In the absence of supportive experimental data, posterior cortical penetration has been recommended with the Caspar system. Previously, we compared the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199312000-00013
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVE:Ollier disease (OD) and Maffucci syndrome are closely related, very rare syndromes, that are both associated with multiple sites of chondrodysplasia. They differ primarily with the additional association of Maffucci syndrome with vascular abnormalities, including hemangiomas. Both are associated with chondros...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000356984.92242.D5
更新日期:2009-12-01 00:00:00
abstract::A striking and diffuse hemangiomatous architecture was identified by microscopic examination of bone specimens obtained at cranial synostectomy and from the craniofacial area of a young boy with Kleeblättschadel deformity and Crouzon's syndrome. A retrospective review of the histopathological appearance of bone specim...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198503000-00019
更新日期:1985-03-01 00:00:00
abstract::The existence of intracranial vasa vasorum supplying the larger vessels of the circle of Willis has long been debated. Much of this debate results from contradictory findings of microanatomic studies in a variety of nonprimate species. Recently, however, a growing body of evidence seems to suggest that in certain path...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::ALTHOUGH ADVANCES IN prenatal care and diagnosis have reduced the incidence of spina bifida, repair of neural tube defects remains one of the standard cases encountered by pediatric neurosurgeons. The operative techniques used in closure of these congenital defects have remained essentially unchanged during the past 2...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Distal junctional kyphosis (DJK) development after cervical deformity (CD)-corrective surgery is a growing concern for surgeons and patients. Few studies have investigated risk factors that predict the occurrence of DJK. OBJECTIVE:To predict DJK development after CD surgery using predictive modeling. METHO...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz347
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Experimental evidence has indicated the benefit of simvastatin in the treatment of subarachnoid hemorrhage. However, no clinical data are available to answer whether a high-dose regimen is more effective than a normal-dose regimen, even though the biochemical actions and related neuroprotective mechanisms ar...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1227/NEU.0b013e31828ab413
更新日期:2013-05-01 00:00:00
abstract::STRESS ULCERS OCCUR frequently in intensive care unit patients who have intracranial disease. After major physiological stress, endoscopic evidence of mucosal lesions of the gastrointestinal tract appears within 24 hours of injury; 17% of these erosions progress to clinically significant bleeding. Gastrointestinal hem...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199708000-00017
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Few reports have been published on ruptured vertebral artery dissecting aneurysms in which the posteroinferior cerebellar artery (PICA) arises from the aneurysm wall, and there is ongoing debate as to the proper management of this type of aneurysm. This article describes two patients. CLINICAL...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::Motor evoked potentials (MEPs) to scalp stimulation have been obtained in 45 control patients and in 70 patients with neurological diseases. Optimal responses were obtained through a pericranial cathode consisting of 6 to 12 regularly spaced, interconnected pericranial cathodal discs whose resistance was carefully bal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198701000-00035
更新日期:1987-01-01 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::Immortalized in surgical history for the introduction of "antiseptic wax," Sir Victor Horsley played a pivotal role in shaping the face of standard neurosurgical practice. His contributions include the first laminectomy for spinal neoplasm, the first carotid ligation for cerebral aneurysm, the curved skin flap, the tr...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1097/00006123-200203000-00032
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:In order to weigh the risks of surgery against the presumed advantages, it is important to have specific knowledge about complication rates. OBJECTIVE:To study the surgical mortality and rate of reoperations for hematomas and infections after intracranial surgery for brain tumors in a large, contemporary, s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31820c0441
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To save the patency of the internal carotid artery (ICA) during the treatment of carotid cavernous fistulae or cavernous sinus dural arteriovenous malformations, direct surgery of the cavernous sinus after failure of endovascular treatment was attempted in this study. METHODS:A total of 78 patients with caro...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199710000-00006
更新日期:1997-10-01 00:00:00
abstract::A case of an intracranial hematoma in a neonate causing the release of free hemoglobin into the plasma is presented. No previous such case has been described. The relationship between hemoglobinemia and the occurrence of acute renal failure in this neonate is discussed, with comments on the possible etiological role o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198707000-00027
更新日期:1987-07-01 00:00:00
abstract:BACKGROUND:It is a prevalent myth that a postoperative infection may actually confer a survival advantage in patients with malignant glioma. This contention is based largely on anecdotal reports. Recently, a single-center study showed there was no survival advantage in those patients who had glioblastoma with postopera...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318222adfa
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:The extracranial venous drainage of the brain is provided mainly by the jugular veins with the variable participation of extrajugular pathways. CLINICAL PRESENTATION:Two cases of occipital sinus pericranii (SP) were observed. A 6-year-old girl presented with a progressively enlarging occipita...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31828baab4
更新日期:2013-06-01 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:BACKGROUND:Robot-assisted stereoelectroencephalography (SEEG) may represent a simplified, precise, and safe alternative to the more traditional SEEG techniques. OBJECTIVE:To report our clinical experience with robotic SEEG implantation and to define its utility in the management of patients with medically refractory e...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001034
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Cerebral cavernous malformations (CCM) may lead to repetitive intracerebral hemorrhage. In selected cases, a surgical resection is indicated. OBJECTIVE:To identify magnetic resonance imaging (MRI) features of CCM that correlate with the difficulty of dissection and postoperative outcome. METHODS:This study...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx025
更新日期:2017-09-01 00:00:00
abstract::Radiosurgery is fundamentally the harnessing of energy and delivering it to a focal target for a therapeutic effect. The evolution of radiosurgical technology and practice has served toward refining methodologies for better conformal energy delivery. In the past, this has resulted in developing strategies for improved...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000306089.22894.4e
更新日期:2007-12-01 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::A successfully managed case of posterior fossa subdural hematoma occurring in a hemophiliac is reported, and the rarity of this lesion is mentioned. The management of the hemophiliac who is a victim of craniocerebral trauma is discussed, with emphasis on the use of computerized tomographic scanning to obtain rapid dia...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197809000-00014
更新日期:1978-09-01 00:00:00
abstract:OBJECTIVE:Arteriovenous malformations (AVMs) involving the cerebellum and brainstem are relatively rare lesions that most often present clinically as a result of a hemorrhagic episode. Although these AVMs were once thought to have a more aggressive clinical course in comparison with supratentorial AVMs, recent autopsy ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000204641.38419.2D
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:Finnish saccular intracranial aneurysm (sIA) disease associates to 2q33, 8q11, and 9p21 loci and links to 19q13, Xp22, and kallikrein cluster in sIA families. Detailed phenotyping of familial and sporadic sIA disease is required for fine mapping of the Finnish sIA disease. METHODS:Eastern Finland, which is p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000367634.89384.4B
更新日期:2010-04-01 00:00:00
abstract::The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/00006123-198902000-00004
更新日期:1989-02-01 00:00:00
abstract::Experimental brain lesions were created in the left parietooccipital cortex of the albino rabbit through the intact dura mater with high radiating carbon dioxide laser energy (40-watt impacts of 0.5-second duration for a total of 4 seconds on a 12.5-mm surface). Behavior, intracranial pressure (ICP), systolic arterial...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00