Carotid endarterectomy after noninvasive evaluation by duplex ultrasonography and magnetic resonance angiography.

Abstract:

:Recent studies documenting the efficacy of carotid endarterectomy (CEA) in selected patients provide further impetus for developing noninvasive techniques to evaluate carotid occlusive disease. Eliminating the morbidity due to preoperative angiography would further refine the treatment of this condition. Recent improvements and greater experience with magnetic resonance angiography (MRA) of extracranial vessels have increased the accuracy of this technique. We present our experience using MRA in combination with duplex ultrasonography as the primary mode of preoperative evaluation for CEA. Fifty-two patients referred for CEA underwent these two studies. In 47 patients (90%), significant stenosis (> 70%) was unambiguously identified on both ultrasound and MRA. Forty-one of these patients underwent CEA on the basis of these studies alone, without conventional angiography. In all of these cases, significant stenosis was identified at the time of surgery (100%), and CEA was performed without difficulty or complications. In five cases (9.6%), the MRA and ultrasound findings did not concur exactly. In three of these cases, the interpretation of the two studies differed with respect to the severity of stenosis; in the others, one of the studies was indeterminate. These patients underwent conventional angiography before surgery. Our experience suggests that the combined use of MRA and ultrasonography affords an accurate noninvasive evaluation of carotid occlusive disease sufficient for surgical planning in most cases.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Lustgarten JH,Solomon RA,Quest DO,Khanjdi AG,Mohr JP

doi

10.1227/00006123-199404000-00007

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

612-8; discussion 618-9

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

34

pub_type

杂志文章
  • Familial cerebral aneurysms: a study of 13 families.

    abstract::Despite the recent interest in familial cerebral aneurysms, the epidemiology, natural history, pattern of inheritance, screening of asymptomatic relatives, and the search for a biochemical marker remain problematic. To assess these issues, we report the results of our prospective study of 30 patients with 38 aneurysms...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199510000-00005

    authors: Leblanc R,Melanson D,Tampieri D,Guttmann RD

    更新日期:1995-10-01 00:00:00

  • Chained lightning: part III--Emerging technology, novel therapeutic strategies, and new energy modalities for radiosurgery.

    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

    authors: Hoh DJ,Liu CY,Chen JC,Pagnini PG,Yu C,Wang MY,Apuzzo ML

    更新日期:2007-12-01 00:00:00

  • Prenatal diagnosis of occipital encephalocele by ultrasound scanning.

    abstract::Fetal visualization in utero can be routinely accomplished using noninvasive ultrasound techniques that do not administer ionizing radiation. Image resolution with real time sonography is sufficient to demonstrate details of possible congenital central nervous system malformations before delivery. The case reported il...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198306000-00016

    authors: Weinstein P,Weinstein L,Dotters D,Bedrick A,Anderson C

    更新日期:1983-06-01 00:00:00

  • History and state of neurosurgery in Austria.

    abstract::Although surgeons in Austria, especially in Vienna, were counted among the leading specialists at the end of the 19th century, neurosurgery did not evolve as a distinct discipline before the turn of the century; achievements were episodic until Anton von Eiselsberg became an enthusiastic surgeon of the central nervous...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006123-200204000-00033

    authors: Pendl G

    更新日期:2002-04-01 00:00:00

  • Surgical approaches to aneurysms of the vertebral and basilar arteries.

    abstract::This report details the surgical treatment of 44 patients with aneurysms of the vertebral and basilar arteries. Three different surgical approaches were utilized depending on the location of the aneurysm. These were an anterior supratentorial approach, a lateral suboccipital approach, and a combined supratentorial and...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198808000-00013

    authors: Solomon RA,Stein BM

    更新日期:1988-08-01 00:00:00

  • Report of a national neurosurgical emergency teleconsulting system.

    abstract:OBJECTIVE:The goal was to develop a low-cost, national, neurosurgical emergency teleconsulting system that is independent of vendor computed tomographic (CT) or magnetic resonance imaging (MRI) scanner type. METHODS:Charge-coupled device scanners are used to digitize hard copies of CT and MRI scans. An enhanced optica...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199801000-00020

    authors: Gray WP,Somers J,Buckley TF

    更新日期:1998-01-01 00:00:00

  • What is the best method for reporting tumor diameter in vestibular schwannoma?

    abstract:OBJECTIVE:Various methods have been used to report the tumor diameter of vestibular schwannomas. To clarify the most appropriate method to represent the tumor volume, tumor diameters according to various measuring methods were statistically compared with the actual tumor volume. METHODS:Tumor volume was measured by th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000080062.61335.a5

    authors: Tanaka Y,Hongo K,Tada T,Kobayashi S

    更新日期:2003-09-01 00:00:00

  • Symptomatic congenital spinal stenosis in a child.

    abstract::A case of congenital lumbar stenosis producing lower extremity spasticity and bladder dysfunction in a young child is presented. Myelography demonstrated a marked stenosis of the spinal canal at L-2, L-3, and decompressive laminectomy resulted in a marked improvement in symptoms. A discussion of lumbar stenosis in gen...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198207010-00013

    authors: Dauser RC,Chandler WF

    更新日期:1982-07-01 00:00:00

  • Biomechanical comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion by finite element analysis.

    abstract:BACKGROUND:The transforaminal lumbar interbody fusion (TLIF) procedure may reduce many of the risks and limitations associated with posterior lumbar interbody fusion (PLIF). However, little is known about the biomechanical difference between PLIF and TLIF. OBJECTIVE:To determine the biomechanical difference between PL...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182742a69

    authors: Xu H,Tang H,Guan X,Jiang F,Xu N,Ju W,Zhu X,Zhang X,Zhang Q,Li M

    更新日期:2013-03-01 00:00:00

  • Anterolateral C1-C2 transarticular fixation for atlantoaxial arthrodesis: landmarks, working area, and angles of approach.

    abstract:BACKGROUND:An alternative route must be used for atlantoaxial arthrodesis to avoid the risks of transoral route or when posterior approaches are contraindicated. OBJECTIVE:To assess relevant quantitative anatomic parameters for C1-C2 anterolateral transarticular fixation and to demonstrate the nuances of an anterolate...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000383134.47267.0F

    authors: Cavalcanti DD,Agrawal A,Garcia-Gonzalez U,Crawford NR,Tavares PL,Theodore N,Sonntag VK,Preul MC

    更新日期:2010-09-01 00:00:00

  • Neurocutaneous melanosis presenting as an intradural mass of the cervical canal: magnetic resonance features and the presence of melanin as a clue to diagnosis: case report.

    abstract::We present a case of neurocutaneous melanosis in a 1-year-old child who presented with progressive quadriparesis created by an infiltrating extra-axial neoplastic melanin-producing tumor at the foramen magnum. This extensive intra-arachnoid mass filled the basal cisterns of the brain and surrounded the upper cervical ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199410000-00023

    authors: Poe LB,Roitberg D,Galyon DD

    更新日期:1994-10-01 00:00:00

  • Experimental exposure of the cat brain surface to neurosurgical irrigation fluids and air: study of blood-brain barrier damage.

    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

    authors: Vällfors B,Hansson HA,Svensson J

    更新日期:1980-07-01 00:00:00

  • Symptomatic diverticulum of the 4th ventricle.

    abstract::A case of symptomatic diverticulum of the 4th ventricle in a 57-year-old man is presented. This clinicopathological observation supports a relationship between ventricular diverticula and ependyma-lined paraventricular cysts. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199101000-00026

    authors: Vaquero J,Martínez R,Coca S,Saucedo G

    更新日期:1991-01-01 00:00:00

  • Pyriformis syndrome in a 10-year-old boy as a complication of operation with the patient in the sitting position.

    abstract::We present a case of sciatic neuropathy due to the pyriformis syndrome after operation in the sitting position. Neither sciatic nerve injury nor the pyriformis syndrome has been reported after operation in the sitting position, although a low incidence of common peroneal nerve injury has been reported as a complicatio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198807000-00023

    authors: Brown JA,Braun MA,Namey TC

    更新日期:1988-07-01 00:00:00

  • Intended Near-Total Removal of Koos Grade IV Vestibular Schwannomas: Reconsidering the Treatment Paradigm.

    abstract:BACKGROUND:The goals of treating Koos grade IV vestibular schwannomas are to relieve brainstem compression, preserve or restore neurological function, and achieve long-term tumor control while minimizing tumor- and treatment-related morbidity. OBJECTIVE:To propose a treatment paradigm involving the intentional near-to...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx143

    authors: Zumofen DW,Guffi T,Epple C,Westermann B,Krähenbühl AK,Zabka S,Taub E,Bodmer D,Mariani L

    更新日期:2018-02-01 00:00:00

  • Magnetic resonance imaging in cases of spinal dural arteriovenous malformation.

    abstract::Two patients with spinal dural arteriovenous malformations associated with intramedullary changes confirmed by the T2-weighted magnetic resonance imaging (MRI) scans are reported. The characteristics of the MRI findings for these 2 patients were as follows. 1) In the T2-weighted spin-echo image, intramedullary changes...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198906000-00023

    authors: Isu T,Iwasaki Y,Akino M,Koyanagi I,Abe H

    更新日期:1989-06-01 00:00:00

  • Malignant optic glioma presenting radiologically as a "cystic" suprasellar mass: case report and review of the literature.

    abstract::The diagnosis of malignant glioma of the optic nerves and chiasm may be difficult because these rare lesions may mimic other suprasellar lesions. We report a case of glioblastoma multiforme of the optic chiasm in which the appearance of the lesion on computed tomographic (CT) scan was consistent with that of craniopha...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198212000-00011

    authors: Barbaro NM,Rosenblum ML,Maitland CG,Hoyt WF,Davis RL

    更新日期:1982-12-01 00:00:00

  • Language and motor mapping during resection of brain arteriovenous malformations: indications, feasibility, and utility.

    abstract:BACKGROUND:Microsurgical resection of arteriovenous malformations (AVMs) located in the language and motor cortex is associated with the risk of neurological deterioration, yet electrocortical stimulation mapping has not been widely used. OBJECTIVE:To demonstrate the usefulness of intraoperative mapping with language/...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318207a9a7

    authors: Gabarrós A,Young WL,McDermott MW,Lawton MT

    更新日期:2011-03-01 00:00:00

  • Successful separation of craniopagus parasiticus.

    abstract:OBJECTIVE:Craniopagus parasiticus is an extremely rare condition. The first attempt to separate such twins was performed in the Dominican Republic in 2004. The infant died 7 hours after surgery. The aim of this report is to present a case in which surgical separation was successfully performed on February 18, 2005. In ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000245587.23710.A6

    authors: Lotfy M,Sakr SA,Ayoub BM

    更新日期:2006-11-01 00:00:00

  • Pseudotumor syndrome resulting from a cerebral arteriovenous malformation: case report.

    abstract::We report a case of a cerebral arteriovenous malformation presenting as a pseudotumor cerebri syndrome. The lack of mass effect, hemorrhage, or hydrocephalus, in addition to angiographic evidence of high-flow and venous outflow restriction, implicate increased cerebral blood flow and venous hypertension as the mechani...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199503000-00020

    authors: David CA,Peerless SJ

    更新日期:1995-03-01 00:00:00

  • Evidence for a central pathway in the cerebrovascular effects of spinal cord stimulation.

    abstract:OBJECTIVE:Cervical spinal cord stimulation (SCS) augments cerebral blood flow (CBF) in a number of animal models. The mechanisms underlying the cerebrovascular effects of SCS are not yet well delineated. In this study, we analyzed two alternative pathways in CBF alterations induced by SCS in rats, one involving direct ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000126949.28912.71

    authors: Patel S,Huang DL,Sagher O

    更新日期:2004-07-01 00:00:00

  • Surgery for Unruptured Spetzler-Martin Grade 3 Brain Arteriovenous Malformations: A Prospective Surgical Cohort.

    abstract:BACKGROUND:There is uncertainty regarding the management of unruptured Spetzler-Martin grade 3 brain arteriovenous malformations (SMG3 ubAVM). OBJECTIVE:To analyze our series of patients treated by surgery. METHODS:A single-surgeon database of consecutively enrolled bAVMs (between 1989 and 2014) was analyzed. Adverse...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000774

    authors: Morgan MK,Assaad N,Korja M

    更新日期:2015-09-01 00:00:00

  • Study Protocol: Early Stereotactic Gamma Knife Radiosurgery to Residual Tumor After Surgery of Newly Diagnosed Glioblastoma (Gamma-GBM).

    abstract:BACKGROUND:Glioblastoma (GBM) is the most common malignant brain tumor in adult patients. Tumor recurrence commonly occurs around the resection cavity, especially after subtotal resection (STR). Consequently, the extent of resection correlates with overall survival (OS), suggesting that depletion of postoperative tumor...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy156

    authors: Brehmer S,Grimm MA,Förster A,Seiz-Rosenhagen M,Welzel G,Stieler F,Wenz F,Groden C,Mai S,Hänggi D,Giordano FA

    更新日期:2019-05-01 00:00:00

  • Mechanisms of whole blood-induced cerebral arterial contraction.

    abstract::Using rabbit cerebral arteries in an in vitro chamber, we examined the cerebral arterial contraction initiated by clotting whole blood. By using methysergide maleate and a novel thromboxane synthetase inhibitor, 1-carboxyheptylimidazole (1-CHI), we studied the contributions of both serotonin and the prostaglandin meta...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Schumacher MA,Alksne JF

    更新日期:1981-09-01 00:00:00

  • Recurrent cerebellar hemangioblastoma with enhancing tumor in the cyst wall: case report.

    abstract:OBJECTIVE:Hemangioblastomas are the most common primary intra-axial tumors of the adult posterior fossa and the tumors most often associated with von Hippel-Lindau disease. Resection of cerebellar hemangioblastomas involves tumor excision and drainage of associated cysts. The cyst wall is considered devoid of tumor cel...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333313.33296.02

    authors: Bishop FS,Liu JK,Chin SS,Fults DW

    更新日期:2008-06-01 00:00:00

  • The treatment of anaplastic oligodendrogliomas and mixed gliomas.

    abstract::We evaluated the treatment outcome of 17 patients with anaplastic oligodendroglioma and 17 patients with anaplastic mixed oligodendroglioma-astrocytoma. In the anaplastic oligodendroglioma group, eight patients were treated at the time of the initial admission with radiotherapy and adjuvant chemotherapy, and nine pati...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199303000-00005

    authors: Kyritsis AP,Yung WK,Bruner J,Gleason MJ,Levin VA

    更新日期:1993-03-01 00:00:00

  • Interobserver agreement in assessment of motor response and brain stem reflexes.

    abstract::In 1982, we developed a new coma scale, the Glasgow-Liège scale, which combines the quantified analysis of five brain stem reflexes with the Glasgow methodology. The present study was undertaken to determine to what extent agreement exists among different raters assessing brain stem reflexes (Parameter R) and to compa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198704000-00001

    authors: Born JD,Hans P,Albert A,Bonnal J

    更新日期:1987-04-01 00:00:00

  • Gastric secretory and mucosal injury response to severe head trauma.

    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

    authors: Gudeman SK,Wheeler CB,Miller JD,Halloran LG,Becker DP

    更新日期:1983-02-01 00:00:00

  • Angioplasty and stenting of basilar artery stenosis: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:Symptomatic basilar artery stenosis has a poor prognosis. Treatment options are limited. Surgical bypasses are technically demanding and of no proven benefit. Percutaneous angioplasty is associated with a significant complication rate, because of intraplaque dissection, restenosis secondary to ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199908000-00047

    authors: Lanzino G,Fessler RD,Miletich RS,Guterman LR,Hopkins LN

    更新日期:1999-08-01 00:00:00

  • O-desulfated heparin improves outcome after rat cerebral ischemia/reperfusion injury.

    abstract:OBJECTIVE:Inflammatory cascades play a significant role in progressive neurological injury after transient cerebral ischemia. It has been demonstrated that heparin, a potent anticoagulant, also possesses anti-inflammatory properties that diminish postreperfusion damage after stroke. However, the potential for heparin t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000306109.55174.e6

    authors: Mocco J,Shelton CE,Sergot P,Ducruet AF,Komotar RJ,Otten ML,Sosunov SA,Macarthur RB,Kennedy TP,Connolly ES Jr

    更新日期:2007-12-01 00:00:00