Injuries involving the transverse atlantal ligament: classification and treatment guidelines based upon experience with 39 injuries.

Abstract:

:Comprehensive anatomic and clinical analyses of 39 patients with injuries involving the transverse atlantal ligament or its osseous insertions were performed to assess the morphology of the injured ligaments and the patients' capacity to heal. Injuries of the upper cervical spine were screened with plain radiographs, thin-section computed tomography, and magnetic resonance imaging studies. The injuries were classified as disruptions of the substance of the ligament (Type I injuries, n = 16) or as fractures and avulsions involving the tubercle for insertion of the transverse ligament on the C1 lateral mass (Type II injuries, n = 23). These two types of injuries had distinctly different clinical characteristics that were useful for determining treatment. Type I injuries were incapable of healing satisfactorily without internal fixation; they should be treated with early surgery. Type II injuries, which rendered the transverse ligament physiologically incompetent even though the ligament substance was not torn, should be treated initially with a rigid cervical orthosis, because they had a 74% success rate nonoperatively. Surgery should be reserved for patients with Type II injuries that have nonunion with persistent instability after 3 to 4 months of immobilization. Type II injuries had a 26% rate of failure of immobilization; therefore, close monitoring is needed to detect patients who will require delayed operative intervention.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Dickman CA,Greene KA,Sonntag VK

doi

10.1097/00006123-199601000-00012

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

44-50

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

38

pub_type

杂志文章
  • Endovascular Management vs Intravenous Thrombolysis for Acute Stroke Secondary to Carotid Artery Dissection: Local Experience and Systematic Review.

    abstract:BACKGROUND:Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD). OBJECTIVE:To report our interventional experience in AIS from CAD and to compare it with conservative treatment of CAD with intravenous thrombolysis (IVT) via systematic review. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1227/NEU.0000000000001072

    authors: Haussen DC,Jadhav A,Jovin T,Grossberg JA,Grigoryan M,Nahab F,Obideen M,Lima A,Aghaebrahim A,Gulati D,Nogueira RG

    更新日期:2016-05-01 00:00:00

  • Prediction of obliteration after gamma knife surgery for cerebral arteriovenous malformations.

    abstract:OBJECTIVE:To define the factors of importance for the obliteration of cerebral arteriovenous malformations (AVMs), thus making a prediction of the probability for obliteration possible. METHODS:In 945 AVMs of a series of 1319 patients treated with the gamma knife during 1970 to 1990, the relationship between patient, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199703000-00001

    authors: Karlsson B,Lindquist C,Steiner L

    更新日期:1997-03-01 00:00:00

  • Neurenteric cyst of the lower clivus.

    abstract:OBJECTIVE:Neurenteric cysts (NCs) typically arise as benign ventral intradural extramedullary developmental malformations of the spine which contain heterotopic epithelium resembling the intestinal or respiratory tracts. Intracerebral NCs are extremely rare, though the frequency of symptomatic reports and incidental fi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000361998.93841.C3

    authors: Tucker A,Miyake H,Tsuji M,Ukita T,Ito S,Matsuda N,Ohmura T

    更新日期:2010-01-01 00:00:00

  • Dandy-Walker complex and syringomyelia in an adult: case report and discussion.

    abstract:OBJECTIVE AND IMPORTANCE:Syringomyelia in association with the Dandy-Walker complex is rare and only 17 cases have been reported, mostly as autopsy findings or incidental reports in series for other conditions. We present a further case report and discuss the possible pathogenetic mechanisms of syrinx formation in the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200201000-00028

    authors: Hammond CJ,Chitnavis B,Penny CC,Strong AJ

    更新日期:2002-01-01 00:00:00

  • Neurinoma of the trigeminal root and atypical trigeminal neuralgia: their commonality.

    abstract::Two cases of very small trigeminal neurinomas arising proximal to Meckel's cave are presented. We believe that the overlap of the symptoms and signs of these tumors with those of atypical trigeminal neuralgia strengthens the concept of the latter entity also being due to compression of the trigeminal nerve solely with...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Yonas H,Jannetta PJ

    更新日期:1980-03-01 00:00:00

  • Head injury management algorithm as described in Hippocrates' "peri ton en cephali traumaton".

    abstract::HIPPOCRATIC WORKS LEND themselves still today to the modern physician for further analysis of his approach to the diagnosis and treatment of various pathological conditions. We present an attempt to systematize his methodology regarding the management of head trauma and present it in the format of a modern-era algorit...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.neu.0000187321.13149.b9

    authors: Dimopoulos VG,Machinis TG,Fountas KN,Robinson JS

    更新日期:2005-12-01 00:00:00

  • 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

  • Destruction of choroid plexus cells in vitro: a new concept for the treatment of hydrocephalus?

    abstract:OBJECTIVE:The current treatment of hydrocephalus using ventriculoperitoneal shunts and third ventriculostomies remains problematic. We revisited the concept of destruction of the choroid plexus for the treatment of hydrocephalus by using an immunotoxin-based technique to specifically destroy this tissue. This approach ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000109536.52432.67

    authors: Timothy J,Chumas P,Chakrabarty A,Drake JM,Morrison E

    更新日期:2004-03-01 00:00:00

  • Sacral fracture with pseudomeningocele and cerebrospinal fluid fistula: case report and review of the literature.

    abstract::A patient who sustained an isolated transverse sacral fracture is presented. A large ventral sacral pseudomeningocele with cerebrospinal fluid (CSF) fistula developed. Eighteen previous cases of traumatic pseudomeningocele have been documented. A review of those cases leads these authors to conclude that: transverse s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198506000-00022

    authors: Hadley MN,Carter LP

    更新日期:1985-06-01 00:00:00

  • Long-Term Outcomes of Endovascular Treatment of Indirect Carotid Cavernous Fistulae: Superior Efficacy, Safety, and Durability of Transvenous Coiling Over Other Techniques.

    abstract:BACKGROUND:Endovascular surgery is the first-line treatment for indirect cavernous carotid fistulae (CCFs). This study compares multiple treatment techniques. OBJECTIVE:To compare endovascular techniques for indirect CCF treatment. METHODS:Retrospective analysis was performed of prospectively maintained records at 4 ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy486

    authors: Alexander MD,Halbach VV,Hallam DK,Cooke DL,Ghodke BV,Dowd CF,Amans MR,Hetts SW,Higashida RT,Meyers PM

    更新日期:2019-07-01 00:00:00

  • Low-Dose Intravenous Heparin Infusion After Aneurysmal Subarachnoid Hemorrhage is Associated With Decreased Risk of Delayed Neurological Deficit and Cerebral Infarction.

    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

    authors: Kole MJ,Wessell AP,Ugiliweneza B,Cannarsa GJ,Fortuny E,Stokum JA,Shea P,Chryssikos T,Khattar NK,Crabill GA,Schreibman DL,Badjatia N,Gandhi D,Aldrich EF,James RF,Simard JM

    更新日期:2020-12-02 00:00:00

  • A new, more accurate classification of middle cerebral artery aneurysms: computed tomography angiographic study of 1,009 consecutive cases with 1,309 middle cerebral artery aneurysms.

    abstract:BACKGROUND:Classification of middle cerebral artery (MCA) aneurysms is sometimes difficult because the identification of the main MCA bifurcation, the key for accurate classification of MCA aneurysms, is inconsistent and somewhat subjective. OBJECTIVE:To use the meeting point of the M1 and M2 trunks as an objective, g...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000429842.61213.d5

    authors: Elsharkawy A,Lehečka M,Niemelä M,Billon-Grand R,Lehto H,Kivisaari R,Hernesniemi J

    更新日期:2013-07-01 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

  • Cervical spondylotic myelopathy, depression, and anxiety: a cohort analysis of 89 patients.

    abstract:OBJECTIVE:To determine the prevalence of depressed and anxious mood states in patients with cervical spondylotic myelopathy (CSM), a degenerative spine condition with symptoms of neck pain, numb clumsy hands, gait difficulties, sphincter dysfunction, and impotence. To examine the relation between mood and functional de...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000166664.19662.43

    authors: Stoffman MR,Roberts MS,King JT Jr

    更新日期:2005-08-01 00:00:00

  • Intracranial meningioma unmasked by elective general anesthesia: report of three cases.

    abstract::Three cases of intracranial meningioma unmasked by elective general anesthesia are reported. In each case, the meningioma was either asymptomatic or so subtly symptomatic that no suspicion of intracranial tumor had been entertained preoperatively. Each patient presented with failure to wake up after routine general an...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198403000-00012

    authors: Young HA,Smith H,Gregory SA,Gleave J

    更新日期:1984-03-01 00:00:00

  • Conversion of a lumboperitoneal shunt to a lumboatrial shunt through femoral catheterization: technical note.

    abstract::A new technique for the diversion of the peritoneal end of a lumboperitoneal shunt into the right atrium through femoral vein catheterization is presented. As an alternative to a ventriculoatrial shunt, this is a promising technique for the treatment of patients with communicating hydrocephalus when the peritoneal cav...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198802000-00033

    authors: Aoki N

    更新日期:1988-02-01 00:00:00

  • Posterior reduction and fixation of an unstable Jefferson fracture with C1 lateral mass screws, C2 isthmus screws, and crosslink fixation: technical case report.

    abstract:OBJECTIVE:We sought to describe a modified technique for the reduction and stabilization of unstable Jefferson fractures. CLINICAL PRESENTATION:We present the case of an isolated unstable Jefferson fracture in a 33-year-old woman. The patient was the victim of a motor vehicle accident. Her neurological examination was...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000335022.91240.c9

    authors: Tessitore E,Momjian A,Payer M

    更新日期:2008-07-01 00:00:00

  • Clinical evaluation and follow-up outcome of diffusion tensor imaging-based functional neuronavigation: a prospective, controlled study in patients with gliomas involving pyramidal tracts.

    abstract:OBJECTIVE:To evaluate diffusion tensor imaging (DTI)-based functional neuronavigation in surgery of cerebral gliomas with pyramidal tract (PT) involvement with respect to both perioperative assessment and follow-up outcome. METHODS:A prospective, randomized controlled study was conducted between 2001 and 2005. A conse...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1227/01.neu.0000303189.80049.ab

    authors: Wu JS,Zhou LF,Tang WJ,Mao Y,Hu J,Song YY,Hong XN,Du GH

    更新日期:2007-11-01 00:00:00

  • Contralateral cerebellar hemorrhagic infarction after pterional craniotomy: report of five cases and review of the literature.

    abstract:OBJECTIVE AND IMPORTANCE:Five cases of cerebellar hemorrhagic infarction complicating pterional craniotomy are presented. Recognition of this rare complication may be delayed, with catastrophic consequences, because clinicians are unaware of the possibility. We suggest that the mechanism of this complication is disloca...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199610000-00040

    authors: Papanastassiou V,Kerr R,Adams C

    更新日期:1996-10-01 00:00:00

  • Promises and Perils of Artificial Intelligence in Neurosurgery.

    abstract::Artificial intelligence (AI)-facilitated clinical automation is expected to become increasingly prevalent in the near future. AI techniques may permit rapid and detailed analysis of the large quantities of clinical data generated in modern healthcare settings, at a level that is otherwise impossible by humans. Subsequ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyz471

    authors: Panesar SS,Kliot M,Parrish R,Fernandez-Miranda J,Cagle Y,Britz GW

    更新日期:2020-07-01 00:00:00

  • Administration of ex vivo-expanded bone marrow-derived endothelial progenitor cells attenuates focal cerebral ischemia-reperfusion injury in rats.

    abstract:OBJECTIVE:This study aimed to examine early effects of ex vivo-expanded bone marrow-derived endothelial progenitor cells (EPCs) on focal cerebral ischemia-reperfusion injury. METHODS:EPCs were obtained from mononuclear cells of autologous bone marrow of a rat. After culture on fibronectin-coated dishes for 10 to 14 da...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000229058.08706.88

    authors: Ohta T,Kikuta K,Imamura H,Takagi Y,Nishimura M,Arakawa Y,Hashimoto N,Nozaki K

    更新日期:2006-09-01 00:00:00

  • External ventricular drainage in the management of posterior fossa tumors in children and adolescents.

    abstract::External ventricular drainage (EVD) was used before and after posterior fossa operations in 62 children and adolescents. In all cases, the removal of the tumor (midline in 47 and laternal in 15) was attempted; total removal was achieved in 41. The overall mortality was 6.5% (4 patients). Only 25% of the survivors need...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Papo I,Caruselli G,Luongo A

    更新日期:1982-01-01 00:00:00

  • Expanded endoscopic endonasal approach for treatment of clival chordomas: early results in 12 patients.

    abstract:OBJECTIVE:We report our recent experience with an expanded purely endoscopic endonasal approach for the treatment of clival chordomas. METHODS:Twelve patients underwent an expanded endoscopic approach for excision of cranial base chordomas at Toronto Western Hospital. Two patients had undergone a previous craniotomy f...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000316414.20247.32

    authors: Dehdashti AR,Karabatsou K,Ganna A,Witterick I,Gentili F

    更新日期:2008-08-01 00:00:00

  • The multiple tumor suppressor 1/cyclin-dependent kinase inhibitor 2 gene in human central nervous system primitive neuroectodermal tumor.

    abstract::The recently described multiple tumor suppressor 1/cyclin-dependent kinase inhibitor 2 (MTS1/CDKN2) gene, encoding the cyclin-dependent kinase 4 inhibitor p16, is mutated in a wide variety of tumor cell lines, including gliomas. To investigate the possible role of this gene in the genesis of the central nervous system...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199505000-00013

    authors: Raffel C,Ueki K,Harsh GR 4th,Louis DN

    更新日期:1995-05-01 00:00:00

  • Suspension laminotomy: a new surgical technique for compression myelopathy.

    abstract::In an attempt to eliminate the many negative aspects of conventional extensive laminectomy, we originated in 1981 and have developed a new surgical technique called "suspension laminotomy." A basic principle of this operation is preservation and repair of the soft and bony tissue of the spine with osseous enlargement ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198712000-00033

    authors: Ohmori K,Ishida Y,Suzuki K

    更新日期:1987-12-01 00:00:00

  • Glioma occurrence after sellar irradiation: case report and review.

    abstract:OBJECTIVE:Tumor neogenesis is an uncommon but known consequence after therapeutic irradiation of the central nervous system. Causative agents for glioma induction remain unknown, but laboratory and clinical data suggest a possible role for radiation as a promotor. In the treatment of both pituitary adenomas and craniop...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199801000-00038

    authors: Simmons NE,Laws ER Jr

    更新日期:1998-01-01 00:00:00

  • Intracranial hemorrhage and spinal cord injury from a fractured C1-C2 sublaminar cable: case report.

    abstract:OBJECTIVE:This is a unique case report of a fractured atlantoaxial interspinous multistranded cable leading to intracranial hemorrhage and spinal cord injury. CLINICAL PRESENTATION:A 61-year-old woman, with a history of rheumatoid arthritis and C1-C2 interspinous wiring with allograft for atlantoaxial instability, pre...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000369198.70959.E1

    authors: Kakarla UK,Valdivia JV,Sonntag VK,Bambakidis NC

    更新日期:2010-06-01 00:00:00

  • Elevation of brain norepinephrine concentration after experimental subarachnoid hemorrhage.

    abstract::Regional brain tissue catecholamine concentrations were measured in 5 control rats and in 10 rats 72 hours after experimental subarachnoid hemorrhage (SAH). Catecholamine levels were determined in the cerebral hemispheres, brain stem, and cerebellum of each animal using a radioenzymatic assay. Three days after SAH, th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198609000-00005

    authors: Solomon RA,McCormack BM,Lovitz RN,Swift DM,Hegemann MT

    更新日期:1986-09-01 00:00:00

  • Advances in surgical approaches to dural fistulas.

    abstract::Dural arteriovenous fistulas are abnormal connections of dural arteries to dural veins or venous sinuses originating from within the dural leaflets. They are usually located near or within the wall of a dural venous sinus that is frequently obstructed or stenosed. The dural fistula sac is contained within the dural le...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0000000000000228

    authors: Youssef PP,Schuette AJ,Cawley CM,Barrow DL

    更新日期:2014-02-01 00:00:00

  • De novo large fusiform posterior circulation intracranial aneurysm presenting with subarachnoid hemorrhage 7 years after therapeutic internal carotid artery occlusion: case report and review of the literature.

    abstract:BACKGROUND AND IMPORTANCE:Although the use of proximal artery occlusion, or hunterian ligation, for the treatment of intracranial aneurysms has decreased greatly over the past decades, this approach still finds use for certain giant and complex aneurysms. The main risks of artery sacrifice are ischemic complications bu...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e31825fd169

    authors: Arnaout OM,Rahme RJ,Aoun SG,Daou MR,Batjer HH,Bendok BR

    更新日期:2012-09-01 00:00:00