Abstract:
:Wound infection after lumbar, thoracic, or cervical laminectomies is a rare but potentially devastating complication. It can range in severity from superficial wound infection to an extensive wound dehiscence. The usual treatment of these wounds consists of intensive local care, debridement, and appropriate antibiotic therapy. Secondary healing can result in chronic, painful wounds that are difficult to manage and can create the potential for osteomyelitis. Seven cases of infected dehiscent laminectomy wounds are presented. Either critical structures were exposed, or the patients did not heal after secondary or delayed primary closures. In each case, full healing was attained by means of reconstruction with a regional muscle flap. We propose that muscle flap reconstruction offers an excellent alternative for the reconstruction of difficult postlaminectomy wounds.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Shektman A,Granick MS,Solomon MP,Black P,Nair Sdoi
10.1227/00006123-199408000-00019subject
Has Abstractpub_date
1994-08-01 00:00:00pages
307-9; discussion 309issue
2eissn
0148-396Xissn
1524-4040journal_volume
35pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Glial fibrillary acidic protein (GFAP) and ubiquitin C-terminal hydrolase-L1 (UCH-L1) are promising biomarkers of traumatic brain injury (TBI). OBJECTIVE:We investigated the relation of the GFAP and UCH-L1 levels to the severity of TBI during the first week after injury. METHODS:Plasma UCH-L1 and GFAP were...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001226
更新日期:2016-09-01 00:00:00
abstract::Ten cases of posterior cerebral artery (PCA) aneurysm are presented. There were 13 aneurysms in the 10 patients: 6 saccular, 5 fusiform, 1 broad-based, and 1 giant fusiform serpentine aneurysm. Eight patients underwent operation: clipping for 2 saccular aneurysms, trapping for 1 saccular and 3 fusiform aneurysms, and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198612000-00017
更新日期:1986-12-01 00:00:00
abstract:OBJECTIVE:To propose and apply a protocol for assessing the outcome of surgery for carpal tunnel syndrome. METHODS:The protocol included a patient questionnaire that was self-administered before and 1 and 6 months after the operation to assess severity of symptoms (Boston questionnaire) and staging according to clinic...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000073421.92105.62
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:We report an unusual case of basal ganglia granulomas caused by Candida albicans that surrounded the proximal segment of a nonfunctional cerebrospinal fluid shunt in a previously healthy patient. CLINICAL PRESENTATION:A 22-year-old woman had undergone ventriculoatrial cerebrospinal fluid shunt...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200010000-00037
更新日期:2000-10-01 00:00:00
abstract::A patient with unusual angiographic changes of a dissecting aneurysm of the basilar artery is presented. Initial angiography and magnetic resonance imaging revealed a typical dissecting aneurysm. However, a follow-up study demonstrated a saccular aneurysmal dilatation of the proximal part of the dissection. The import...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199402000-00022
更新日期:1994-02-01 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::Intraorbital paragangliomas are rare. A case of intraorbital paraganglioma with extension to the middle cranial fossa is reported. Progressive throbbing, hemicranial headaches, unilateral proptosis, and visual failure are the presenting symptoms. The computed tomographic and operative findings suggested a meningioma. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198905000-00019
更新日期:1989-05-01 00:00:00
abstract:BACKGROUND:Although mirror pain occurs after cordotomy in patients experiencing unilateral pain via a referred pain mechanism, no studies have examined whether this pain mechanism operates in patients who have bilateral pain. OBJECTIVE:To assess the usefulness of cordotomy for bilateral pain from the viewpoint of incr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000593
更新日期:2015-03-01 00:00:00
abstract::The authors present a review of published experience with intracranial-extracranial arterial bypass grafting. The procedure is technically feasible and has a relatively low morbidity and mortality when performed by experienced microvascular surgeons. However, its therapeutic value is still unproven. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197807000-00014
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Internal drainage of cerebrospinal fluid to the abdominal cavity via a ventriculoperitoneal shunt (VPS) is a common procedure for therapy of obstructive hydrocephalus; because this condition is often caused by brain tumors blocking the natural cerebrospinal fluid pathways, the VPS as an artific...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199806000-00118
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:Spinal cord dose limits are critically important for the safe practice of spine stereotactic body radiotherapy (SBRT). However, the effect of inherent spinal cord motion on cord dose in SBRT is unknown. OBJECTIVE:To assess the effects of cord motion on spinal cord dose in SBRT. METHODS:Dynamic balanced fas...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa202
更新日期:2020-06-04 00:00:00
abstract:BACKGROUND:Randomized controlled trials evaluating mechanical thrombectomy (MT) for acute ischemic stroke predominantly studied anterior circulation patients. Both procedural and clinical predictors of outcome in posterior circulation patients have not been evaluated in large cohort studies. OBJECTIVE:To investigate t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa179
更新日期:2020-10-15 00:00:00
abstract:OBJECTIVE:Intraoperative rupture (IOR) of an aneurysm is a known risk in the surgical management of intracranial aneurysms. The purpose of this study was to determine the incidence of IOR in a modern surgical series and to assess which factors bear upon it. METHODS:This study retrospectively examined 1269 patients wit...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000154697.75300.c2
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVE:Frequently, the cervicothoracic junction can be reached through a simple anterior approach. In some cases, access to this region requires a much more aggressive surgical intervention, such as manubriotomy or sternotomy. Information regarding the need for such interventions is particularly useful to have preop...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000347472.07670.EB
更新日期:2009-12-01 00:00:00
abstract::Three patients with occlusive cerebrovascular disease were evaluated for possible extracranial-intracranial arterial anastomosis. Cerebral angiography repeated at a later date revealed disappearance of the initial vascular stenosis or occlusion and development of extensive collateral circulation. It was concluded in t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197805000-00003
更新日期:1978-05-01 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::The surgical approaches to the cavernous sinus were examined in 50 adult cadaveric cavernous sinuses using magnification of X3 to X40. The following approaches were examined: 1) the superior intradural approach directed through a frontotemporal craniotomy and the roof of the cavernous sinus; 2) the superior intradural...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199006000-00001
更新日期:1990-06-01 00:00:00
abstract::There is general agreement that aggressive management and monitoring of the patient with closed head injury with control of intracranial pressure (ICP) will improve patient survival and eventual outcome. Conversely, there is little agreement on the value of surgical craniectomy for increasing intracranial volume and s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198810000-00002
更新日期:1988-10-01 00:00:00
abstract:OBJECTIVE:To analyze the possible role of the cerebellum in the modulation of cortical motor output associated with repetitive electrical stimulation of the sciatic nerve in the rat. METHODS:A sustained somatosensory stimulation induces an increase in the intensity of the response of the rodent motor cortex. Wistar ra...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000156616.94446.00
更新日期:2005-04-01 00:00:00
abstract::Transcranial stab wounds are uncommon. Three such cases are presented. The severity of the wounds may vary from innocuous to devastating. Skull films are useful in delineating the depth of penetration. The presence of the knife blade in situ may make the computed tomographic scan impossible to perform or difficult to ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198811000-00022
更新日期:1988-11-01 00:00:00
abstract::Three patients, ages 69, 67, and 74 years, respectively, underwent surgical removal of cystic cerebellar astrocytomas. All three had past histories pointing to the existence of a cerebellar lesion for many decades prior to surgery: Patient 1 had had nystagmus on lateral gaze on the side of the tumor since early childh...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198908000-00016
更新日期:1989-08-01 00:00:00
abstract::Although an association between optic glioma and neurofibromatosis is well recognized, there has been no previous analysis of cases relating the locus of tumor to the presence or absence of von Recklinghausen's disease. This paper presents the results of such an analysis as well as a description of the comparative his...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197906000-00006
更新日期:1979-06-01 00:00:00
abstract:OBJECTIVE:We have developed a telemetric intracranial pressure sensor (OSAKA telesensor; Nagano Keiki Seisakusyo Co. Ltd., Tokyo, Japan) and investigated the clinical usefulness of new ventriculoperitoneal shunting with an OSAKA telesensor, an on-off valve, and a programmable valve. METHODS:The OSAKA telesensor was ap...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199705000-00009
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:Cerebral vasospasm is the leading cause of morbidity and mortality in patients who are hospitalized because of aneurysmal subarachnoid hemorrhage (SAH). Recent work has suggested that activation of the complement cascade contributes to the development of cerebral vasospasm. To further examine this hypothesis,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199607000-00028
更新日期:1996-07-01 00:00:00
abstract::The notion of nanotechnology has evolved since its inception as a fantastic conceptual idea to its current position as a mainstream research initiative with broad applications among all divisions of science. In the first part of this series, we reviewed the structures and principles that comprise the main body of know...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000217016.79256.16
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Limited dorsal myeloschisis (LDM) is postulated to be a result of incomplete dysjunction in primary neurulation. However, clinical experience of LDM located below the first-second sacral (S1-S2) vertebral level, which is formed from secondary neurulation (S2-coccyx), suggested that LDM may not be entirely ex...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy632
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Intraoperative electrocorticography (ECoG) has been utilized in patients with tumor-associated seizures; however, its effectiveness for seizure control remains controversial. OBJECTIVE:To evaluate clinical outcomes in pediatric patients undergoing lesionectomy with or without ECoG. METHODS:Patients undergo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy342
更新日期:2019-09-01 00:00:00
abstract::From 1985 to 1991, 13 children were diagnosed at the University of Illinois College of Medicine at Peoria, Saint Francis Medical Center, with cerebral venous thrombosis (CVT) by magnetic resonance imaging scan. Ages ranged from newborn to 5 years. Six children were premature neonates, five were term neonates and two w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199211000-00007
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:Endoscopy usually is avoided in patients without hydrocephalus because of presumed difficulties with ventricular cannulation and intraventricular navigation. The feasibility of endoscopic tumor management in patients without hydrocephalus was assessed on the basis of achieving the surgical objective and asses...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000176641.17216.fb
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:During the past decade, management of posterior circulation aneurysms has shifted away from microsurgery. Currently, microsurgical clipping is considered a primary, competitive alternative to endovascular coiling, or more commonly, a secondary alternative when endovascular therapy is unfavorable. We present a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000333295.59738.de
更新日期:2008-06-01 00:00:00