Reversible dural arteriovenous malformation-induced venous ischemia as a cause of dementia: treatment by surgical occlusion of draining dural sinus: case report.

Abstract:

:We report a unique case of thalamic dementia caused by tentorial dural arteriovenous malformation (AVM), which was successfully treated by surgical occlusion of the straight sinus after attempts to occlude the dural AVM by endovascular procedures had failed. The tentorial dural AVM was fed by bilateral posterior meningeal arteries and occipital arteries, with early retrograde venous drainage into the straight sinus, inferior sagittal sinus, basal vein of Rosenthal, and dural veins in the falx cerebri. The venous ischemia in bilateral thalamus was revealed as low-density areas in computed tomographic scans, as high-intensity areas in T2-weighted magnetic resonance images, and as decreased cerebral blood flow and increased cerebral blood volume in single-photon positron emission computed tomography. Because this patient was not amenable to cure by endovascular embolization, an open surgical approach, surgical occlusion of the draining venous channel (the straight sinus), was performed. Postoperatively, dural AVM in angiography and venous ischemia in bilateral thalamus were resolved, as revealed by magnetic resonance imaging and single-photon positron emission computed tomography. Dementia caused by bilateral thalamic ischemia was also resolved. This case clearly illustrates the pathophysiological mechanism of venous ischemia in the bilateral thalamus to cause reversible dementia.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Ito M,Sonokawa T,Mishina H,Sato K

doi

10.1227/00006123-199512000-00019

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

1187-91; discussion 1191-2

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

37

pub_type

杂志文章
  • Stent-mediated wedging of a calcific embolus to recanalize an occluded middle cerebral artery: technical case report.

    abstract:OBJECTIVE:Calcific cerebral emboli are rare yet pose a difficult therapeutic challenge because of their lack of response to thrombolytic therapy and their propensity for fragmentation. CLINICAL PRESENTATION:A 75-year-old woman developed aphasia and hemiparesis after cardiac catheterization from a near-occlusive calcif...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000335088.85470.FC

    authors: Schirmer CM,Thaler DE,Malek AM

    更新日期:2008-07-01 00:00:00

  • Ruptured aneurysm at the origin of the accessory middle cerebral artery: case report.

    abstract::The accessory middle cerebral artery is a rare vascular anomaly of the brain. We describe a case of a ruptured aneurysm at the junction of the accessory middle cerebral artery and the horizontal portion of the anterior cerebral artery. The lesion was demonstrated by angiography and confirmed at surgery. No perforating...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199002000-00022

    authors: Kuwabara S,Naitoh H

    更新日期:1990-02-01 00:00:00

  • Thoracic constrictive arachnoiditis after Pantopaque myelography: report of two cases.

    abstract::Two unusual cases of constrictive arachnoiditis localized to thoracic levels after Pantopaque myelography and unrelated to any operation, trauma, or disc disease at these levels are presented. The pertinent literature is reviewed. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Barsoum AH,Cannillo KL

    更新日期:1980-03-01 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

  • Anaplastic meningioma arising from a radiologically diagnosed arachnoid cyst: case report.

    abstract:OBJECTIVE AND IMPORTANCE:We report the first example of an anaplastic meningioma arising from an intracranial arachnoid cyst and discuss the diagnostic challenges of this case, including the useful role of genetic markers. CLINICAL PRESENTATION:A 72-year-old man presented with transient episodes of expressive dysphasi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000370013.55369.92

    authors: Lwu S,Starreveld YP,Branson J,Perry A

    更新日期:2010-07-01 00:00:00

  • Unilateral hydrocephalus caused by an intraventricular venous malformation obstructing the foramen of Monro.

    abstract::Unilateral hydrocephalus in an adult was caused by obstruction of the left foramen of Monro by an intraventricular venous malformation. Magnetic resonance imaging of the region of the foramen of Monro demonstrated the lesion, which subsequently was confirmed to be a venous malformation by angiography and surgery. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199004000-00017

    authors: Tien R,Harsh GR 4th,Dillon WP,Wilson CB

    更新日期:1990-04-01 00:00:00

  • In vitro biomechanical analysis of a new lumbar low-profile locking screw-plate construct versus a standard top-loading cantilevered pedicle screw-rod construct: technical report.

    abstract:OBJECTIVE:A standard top-loading lumbar pedicle screw-rod system is compared with a pedicle screw-plate system with smaller-diameter screws, more medial entry, and lower profile to assess the relative stability, strength, and resistance to fatigue of the 2 systems. METHODS:Seven human cadaveric specimens were studied ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000363701.76835.BF

    authors: Crawford NR,Doğan S,Yüksel KZ,Villasana-Ramos O,Soto-Barraza JC,Sawa AG,Porter RW,Marciano FF,Theodore N

    更新日期:2010-02-01 00:00:00

  • Prophylactic vena cava filter insertion in patients with traumatic spinal cord injury: preliminary results.

    abstract::Pulmonary embolism (PE) is a devastating complication in patients with traumatic spinal cord injury (SCI). Prophylactic measures such as venous compression hose or low-dose heparin are only partially protective in reducing the risk of venous thromboembolism and are contraindicated in some patients. Because of extended...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199408000-00008

    authors: Wilson JT,Rogers FB,Wald SL,Shackford SR,Ricci MA

    更新日期:1994-08-01 00:00:00

  • The use of intraoperative electrophysiology for the placement of spinal cord stimulator paddle leads under general anesthesia.

    abstract:BACKGROUND:Placement of spinal cord stimulating paddle leads has traditionally been performed under local anesthesia with intravenous sedation to allow intraoperative confirmation of appropriate placement. It may be difficult to maintain appropriate sedation in certain patients because of medical comorbidities. Further...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e318232ff29

    authors: Mammis A,Mogilner AY

    更新日期:2012-06-01 00:00:00

  • Ectopic corticotroph adenoma in the cavernous sinus: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Adrenocorticotropin (ACTH)-secreting pituitary adenomas causing Cushing's disease are often difficult to identify because of their variable locations and their small size. This report presents histological evidence of an ectopic ACTH-secreting adenoma located entirely within the cavernous sinus...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199910000-00041

    authors: Sanno N,Tahara S,Yoshida Y,Onose H,Wakabayashi I,Teramoto A

    更新日期:1999-10-01 00:00:00

  • Silent corticotroph adenomas: Emory University cohort and comparison with ACTH-negative nonfunctioning pituitary adenomas.

    abstract:BACKGROUND:Silent corticotroph adenomas (SCAs) are clinically nonfunctioning pituitary adenomas (NFPAs) with positive staining for corticotropin (ACTH) by immunohistochemistry. Whether SCAs behave more aggressively than NFPAs without ACTH immunoreactivity (ACTH negative) remains controversial. OBJECTIVE:To compare cha...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318257c1f0

    authors: Ioachimescu AG,Eiland L,Chhabra VS,Mastrogianakis GM,Schniederjan MJ,Brat D,Pileggi AV,Oyesiku NM

    更新日期:2012-08-01 00:00:00

  • Sequentially staged resection and 2-column reconstruction for C2 tumors through a combined anterior retropharyngeal-posterior approach: surgical technique and results in 11 patients.

    abstract:BACKGROUND:Surgical treatment of C2 tumors remains challenging. Because of the deep location and unique anatomical complexity, anterior exposure in this region is considered difficult and dangerous, and few reports concerning anterior tumor resection and reconstruction exist. OBJECTIVE:To describe a technique of seque...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31821bc7f9

    authors: Yang X,Wu Z,Xiao J,Teng H,Feng D,Huang W,Chen H,Wang X,Yuan W,Jia L

    更新日期:2011-12-01 00:00:00

  • Inflammation and intracranial aneurysms.

    abstract:OBJECTIVE:An intracranial aneurysm is an important acquired cerebrovascular disease that can cause a catastrophic subarachnoid hemorrhage. Despite modern therapy, most patients die or are left disabled as a direct result of a severe initial hemorrhage. The development of more effective treatment strategies depends on u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199911000-00024

    authors: Chyatte D,Bruno G,Desai S,Todor DR

    更新日期:1999-11-01 00:00:00

  • Intraventricular neurocytoma: a clinical and pathological study of three cases and review of the literature.

    abstract::Three patients with a recently described tumor of neuronal origin, intraventricular neurocytoma, are presented. These tumors occur as intraventricular lesions in young patients, and the prognosis after surgical treatment is favorable. The initial pathological diagnosis of intraventricular neurocytoma may be difficult ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:

    authors: Barbosa MD,Balsitis M,Jaspan T,Lowe J

    更新日期:1990-06-01 00:00:00

  • Intraventricular pneumocephalus secondary to subcutaneous emphysema: a case report.

    abstract::Intraventricular tension pneumocephalus is an unusual complication of surgically treated hydrocephalus. This is a life-threatening complication requiring prompt diagnosis and treatment. A case is presented wherein tension pneumocephalus developed as a result of cervicocranial subcutaneous emphysema in the presence of ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198410000-00016

    authors: Horton DD,Pollay M,Reynolds AF Jr

    更新日期:1984-10-01 00:00:00

  • Assessment of symptomatic rod fracture after posterior instrumented fusion for adult spinal deformity.

    abstract:BACKGROUND:Improved understanding of rod fracture (RF) in adult spinal deformity could be valuable for implant design, surgical planning, and patient counseling. OBJECTIVE:To evaluate symptomatic RF after posterior instrumented fusion for adult spinal deformity. METHODS:A multicenter, retrospective review of RF in ad...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0b013e3182672aab

    authors: Smith JS,Shaffrey CI,Ames CP,Demakakos J,Fu KM,Keshavarzi S,Li CM,Deviren V,Schwab FJ,Lafage V,Bess S,International Spine Study Group.

    更新日期:2012-10-01 00:00:00

  • Mirror-image spinal dural arteriovenous fistulas at the craniocervical junction: case report and review of the literature.

    abstract:BACKGROUND AND IMPORTANCE:We report an extremely rare case with mirror-site spinal dural arteriovenous fistulas (DAVFs) at the craniocervical junction. Although multiple spinal DAVFs have been reported in the literature, complete mirror-site lesions with fistulas and feeding arteries in the symmetric position have not ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e318223bab5

    authors: Oshita J,Yamaguchi S,Ohba S,Kurisu K

    更新日期:2011-11-01 00:00:00

  • Subarachnoid hemorrhage and intracerebral hematoma: incidence, prognostic factors, and outcome.

    abstract:OBJECTIVE:To analyze the incidence and impact of an intracerebral hematoma (ICH) on treatment and outcome in patients with aneurysmal subarachnoid hemorrhage. METHODS:Data of 585 consecutive patients with subarachnoid hemorrhage from June 1999 to December 2005 were prospectively entered in a database. ICH was diagnose...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000335170.76722.B9

    authors: Güresir E,Beck J,Vatter H,Setzer M,Gerlach R,Seifert V,Raabe A

    更新日期:2008-12-01 00:00:00

  • Thiamine-deficient encephalopathy in association with aneurysmal subarachnoid hemorrhage: a case report.

    abstract::An alcoholic man who was admitted with an acute onset of neck pain and confusion was diagnosed as suffering from a subarachnoid hemorrhage after rupture of an anterior communicating artery aneurysm. Additionally, he showed a bilateral 6th nerve palsy of variable extent. The postoperative course was complicated by pulm...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199304000-00028

    authors: Valdueza JM,Puchner MJ,Herrmann HD

    更新日期:1993-04-01 00:00:00

  • Transnasal endoscopic surgery of the pituitary gland: technical note.

    abstract:OBJECTIVE:An approach to transnasal transsphenoidal debulking of pituitary tumors using endoscopic guidance is presented. METHODS:Technical details of this approach using an endoscope inserted through one nostril and operating instruments inserted through a submucosal tunnel created via the other nostril are discussed...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199607000-00046

    authors: Rodziewicz GS,Kelley RT,Kellman RM,Smith MV

    更新日期:1996-07-01 00:00:00

  • Preservation of facial nerve function after postoperative vasoactive treatment in vestibular schwannoma surgery.

    abstract:OBJECTIVE:Facial nerve paresis and hearing loss are common complications after vestibular schwannoma surgery. Experimental and clinical studies point to a beneficial effect of nimodipine and hydroxyethyl starch for preservation of cochlear nerve function. A retrospective analysis was undertaken to evaluate the effect o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000230260.95477.0A

    authors: Strauss C,Romstöck J,Fahlbusch R,Rampp S,Scheller C

    更新日期:2006-09-01 00:00:00

  • Laser or razor? A novel experimental peripheral nerve repair technique.

    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

    authors: de la Torre JC,Karaca M,Merali Z,Fortin T,Richard M

    更新日期:1988-03-01 00:00:00

  • An institutional experience with cervical vagus nerve trunk stimulation for medically refractory epilepsy: rationale, technique, and outcome.

    abstract:OBJECTIVE:Intermittent stimulation of the left cervical vagus nerve trunk is emerging as a novel adjunct in the treatment of medically refractory seizures. We sought to evaluate theoretical and practical issues attendant to this concept. We review the anatomic and physiological background arguing for clinical applicati...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:10.1097/00006123-199812000-00001

    authors: Amar AP,Heck CN,Levy ML,Smith T,DeGiorgio CM,Oviedo S,Apuzzo ML

    更新日期:1998-12-01 00:00:00

  • Theodor Kocher's craniometer.

    abstract::The first half of the 20th century witnessed the rapid emergence of neurological surgery as a surgical subspecialty. Only few surgeons made a name for themselves equally in general surgery and neurological surgery. One of them was the Swiss surgeon Theodor Kocher (1841-1917). He was honored with the Nobel Prize for hi...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000344003.72056.7F

    authors: Schültke E

    更新日期:2009-05-01 00:00:00

  • Spontaneous thrombosis of a residual arteriovenous malformation in eloquent cortex after surgery: case report.

    abstract:OBJECTIVE AND IMPORTANCE:The presence of a residual arteriovenous malformation (AVM) on postoperative angiograms is typically an indication for prompt return to the operating room to complete resection, because of the risk of early hemorrhage. This approach, however, may involve risks of neurological deficits when the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200205000-00038

    authors: Bendok BR,Getch CC,Ali MJ,Parish T,Batjer HH

    更新日期:2002-05-01 00:00:00

  • Single intracisternal bolus of recombinant tissue plasminogen activator in patients with aneurysmal subarachnoid hemorrhage: preliminary assessment of efficacy and safety in an open clinical study.

    abstract::Intracisternal thrombolysis with recombinant tissue plasminogen activator (rtPA) was performed in 20 patients with aneurysmal subarachnoid hemorrhage. All patients had blood accumulations in the basal cisterns according to Fisher's Grade III, thus being at a high risk for the development of posthemorrhagic delayed isc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199206000-00010

    authors: Stolke D,Seifert V

    更新日期:1992-06-01 00:00:00

  • Angles between A1 and A2 segments of the anterior cerebral artery visualized by three-dimensional computed tomographic angiography and association of anterior communicating artery aneurysms.

    abstract:OBJECTIVE:The angle of arteries at bifurcations, as well as the blood flow, are factors of hemodynamic stress on the apical region, where aneurysms often develop. Using images obtained with three-dimensional computed tomographic angiography, we sought to determine the angles between the A1 and A2 segments of the anteri...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006123-199907000-00021

    authors: Kasuya H,Shimizu T,Nakaya K,Sasahara A,Hori T,Takakura K

    更新日期:1999-07-01 00:00:00

  • Petroclival meningiomas: multimodality treatment and outcomes at long-term follow-up.

    abstract:OBJECTIVE:To evaluate patients' clinical outcome, survival, and performance status, at the long-term follow-up evaluation after aggressive microsurgical resection of petroclival meningiomas. METHODS:During a 13-year period (1991-2004), 150 patients underwent 207 operative procedures for resection of petroclival mening...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255472.52882.D6

    authors: Natarajan SK,Sekhar LN,Schessel D,Morita A

    更新日期:2007-06-01 00:00:00

  • Trochlear nerve schwannomas occurring in patients without neurofibromatosis: case report and review of the literature.

    abstract:OBJECTIVE AND IMPORTANCE:Despite their predilection for sensory nerves, intracranial schwannomas have been reported in a number of mixed and purely motor cranial nerves, especially in association with Type 2 neurofibromatosis. We report the rare occurrence of a trochlear nerve schwannoma in a patient without neurofibro...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199707000-00050

    authors: Santoreneos S,Hanieh A,Jorgensen RE

    更新日期:1997-07-01 00:00:00

  • A new method for modulating traumatic brain injury with mechanical tissue resuscitation.

    abstract:BACKGROUND:Traumatic brain injuries remain a treatment enigma with devastating late results. As terminally differentiated tissue, the brain retains little capacity to regenerate, making early attempts to preserve brain cells after brain injury essential. OBJECTIVE:To resuscitate damaged tissue by modulating edema, sol...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/NEU.0b013e3182446760

    authors: Argenta LC,Zheng Z,Bryant A,Tatter SB,Morykwas MJ

    更新日期:2012-05-01 00:00:00