Abstract:
OBJECTIVE:The beaten copper appearance of the cranium, as well as other cranial radiographic and computed tomographic findings in children with craniosynostosis, is often interpreted by clinicians as evidence of elevated intracranial pressure (ICP). However, a correlation between radiological findings and ICP measurements has not been previously demonstrated, and their usefulness in detecting elevated ICP has not been defined. METHODS:To address those issues, 123 children with craniosynostosis who had cranial radiographs and ICP monitoring were studied. To assess the specificity of certain radiological findings to patients with craniosynostosis, cranial radiographs of patients with craniosynostosis were compared to those of age- and sex-matched controls. In patients with craniosynostosis, findings on cranial radiographs were compared to computed tomographic scans of the brain. Radiographic findings were then correlated with ICP measurements obtained while the patient was sleeping, which was measured using a Camino fiberoptic ICP monitor (Camino Laboratories, San Diego, CA). All radiographs were independently analyzed by two radiologists who were blinded to clinical and ICP data. RESULTS:A diffuse beaten copper pattern, erosion of the dorsum sellar, and suture diastasis were seen more commonly in patients with craniosynostosis than in controls (P < 0.05), but the presence of the beaten copper pattern was no more common in children with craniosynostosis. ICP was greater when a diffuse beaten copper pattern, dorsum sellar erosion, suture diastasis, or narrowing of basal cisterns was present (P < 0.05). CONCLUSION:Although this study demonstrates that some cranial radiographic and computed tomographic findings do correlate with elevated ICP, the sensitivity of radiological methods for detecting elevated ICP is universally low and they are not recommended to screen for elevated ICP in children with craniosynostosis.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Tuite GF,Evanson J,Chong WK,Thompson DN,Harkness WF,Jones BM,Hayward RDdoi
10.1097/00006123-199610000-00007subject
Has Abstractpub_date
1996-10-01 00:00:00pages
691-9issue
4eissn
0148-396Xissn
1524-4040journal_volume
39pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract::A case of cerebellar hemorrhage complicating the postoperative course of a patient who had undergone a cervical laminectomy in the sitting position is presented. The drop in cerebrospinal fluid pressure accompanying the procedure is thought to have had some role in the development of the hemorrhage. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198108000-00016
更新日期:1981-08-01 00:00:00
abstract::Intravenously enhanced computed tomography (CT) was used in patients in whom the differential diagnosis between recurrent herniated disc and postoperative scar was considered. Enhanced CT images demonstrated postoperative herniated discs more accurately than clinical criteria, myelography, or plain or postmetrizamide ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198702000-00018
更新日期:1987-02-01 00:00:00
abstract::The left middle cerebral artery and both carotid arteries of 17 cats were occluded to evaluate the effects of oxygenated fluorocarbon emulsion on brain ischemia. Carotid and middle cerebral arteries were occluded concurrently for 2 hours, followed by occlusion of the middle cerebral artery only for another 24 hours. S...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198603000-00003
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:The lateral extracavitary approach (LECA) and costotransversectomy (CTE) are 2 dorsolateral approaches that avoid entrance into the pleural cavity and facilitate ventral decompression. The indications and outcomes of each of these approaches have not been fully defined in the literature. OBJECTIVE:To assess...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182706102
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Deep brain stimulation alleviates tremor of various origins. Several regions like the ventralis intermediate nucleus of thalamus, the caudal zona incerta, and the posterior subthalamic region are generally targeted. Previous work with fiber tractography has shown the involvement of the cerebello-thalamo-cort...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000540
更新日期:2014-12-01 00:00:00
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
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:Although most adult brachial plexus injuries result from high-speed mechanisms, no laboratory model has been created to mimic rapid-stretch nerve injuries. Understanding the biomechanical response of nerves to rapid stretch is essential to understanding clinical injury patterns and developing models that mim...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy423
更新日期:2019-07-01 00:00:00
abstract::High upper thoracic sympathectomy using microsurgical techniques aided by electrical stimulation of the sympathetic chain is described. Use of the microscope facilitates identification and dissection of the sympathetic chain and minimizes the risk of pleural damage. Electrical stimulation of the sympathetic chain esta...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198903000-00026
更新日期:1989-03-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Traditionally, thoracic fractures that require anterior stabilization are treated through an open thoracotomy approach. Thoracoscopic instrumentation avoids many of the complications associated with an open thoracotomy but is technically challenging. We report the first cases of dual-rod intern...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000119229.92157.66
更新日期:2004-05-01 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:The optimal management of unruptured brain arteriovenous malformations (AVMs) is controversial after the ARUBA trial. OBJECTIVE:To confirm or repudiate the ARUBA conclusion that "medical management only is superior to medical management with interventional therapy for unruptured brain arteriovenous malforma...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy391
更新日期:2019-07-01 00:00:00
abstract::Lumbar degenerative scoliosis is a relatively common problem, and is being treated more frequently due to the confluence of an aging population and an increased capacity and willingness to manage difficult problems in older patients. Lumbar degenerative scoliosis is a complex pathology as it often involves the interse...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw094
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Elective stenting for intracranial stenosis is under study as an effective means of reducing stroke risk. At most institutions, these procedures are performed and monitored after the induction of general anesthesia. OBJECTIVE:To report our success with elective intracranial stenting and angioplasty performe...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181efbcac
更新日期:2010-11-01 00:00:00
abstract::Three cases of osteomyelitis of the skull base with associated problems in diagnosis and therapy are discussed. Patients with atypical skull base osteomyelitis are difficult to diagnose as they have no ear abnormalities, but they often develop multiple cranial nerve deficits mimicking symptoms of a posterior fossa mas...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199203000-00021
更新日期:1992-03-01 00:00:00
abstract::Magnetic resonance can visualize the vertebral bodies, discs, neural structures, cerebrospinal fluid (CSF), neural foramina, and extradural structures in the sagittal, axial, and coronal planes. The normal nucleus pulposus can be differentiated from the anulus and changes associated with degeneration. Infection, traum...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00022
更新日期:1984-10-01 00:00:00
abstract::For several decades, the clinical study of Parkinson's disease has driven an increasingly sophisticated understanding of the dopaminergic system and its complex role in modulating motor behavior. This article reviews salient areas of research in this field, commencing with the molecular biology of the development of t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000249209.11967.CB
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:For adult meningiomas, the staining index (SI) for the anti-Ki-67 monoclonal antibody MIB-1 is well correlated with histological atypia and tumor recurrence. MIB-1 SIs for meningiomas in the pediatric population have not been previously reported. Meningiomas tend to be more histologically aggressive and to re...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200103000-00027
更新日期:2001-03-01 00:00:00
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
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:The corpus callosum is the major commissural pathway connecting the hemispheres of the human brain. It is particularly important, because various tumors and vascular lesions can be located in and around the corpus callosum, and it is a route through which pass several surgical approaches. Performing accurate ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199612000-00001
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Cerebral ischemia is the most worrisome perioperative complication of carotid endarterectomy (CEA). The stroke rate occurring with CEA is estimated to range from 2.3 to 6.3%. Numerous treatment options are available to the neurosurgeon in this scenario, although no "gold standard" exists. CLIN...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000134466.55733.3e
更新日期:2004-09-01 00:00:00
abstract::The rete mirabile, a vascular network assumed to give origin to the intracranial segments of the internal carotid arteries, was interpreted by Galen as the key station for the conversion of the "vital spirit" into the "animal spirit." According to this interpretation, the rete was determinant either in sustaining the ...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.NEU.0000216118.31290.65
更新日期:2006-06-01 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:OBJECTIVE:The pineal region is a rare intracranial site for metastasis. We report three patients initially considered to have metastatic papillary adenocarcinoma to the pineal region. On review, these papillary, keratin-positive neoplasms meet the criteria for papillary tumor of the pineal region (PTPR). CLINICAL PRES...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255443.44365.77
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Ocular fundus abnormalities, especially intraocular hemorrhage, may represent a clinically useful prognostic marker in patients with acute subarachnoid hemorrhage (SAH). OBJECTIVE:To evaluate associations between ocular fundus abnormalities and clinical outcomes in acute SAH. METHODS:Prospective evaluation...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa411
更新日期:2021-01-13 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:The contralateral approach to internal carotid-ophthalmic artery aneurysms has been used in selected cases but has rarely been described for a giant internal carotid artery aneurysm. We report a case of giant aneurysm that was successfully clipped via the contralateral pterional approach. CLIN...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200104000-00059
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Pharmacological prophylaxis for venous thromboembolism (VTE) in the neurosurgical population is still a matter of debate, as the risk-to-benefit ratio is not well defined. OBJECTIVE:To further evaluate the risk-to-benefit ratio of VTE prophylaxis (VTEP) for all neurosurgical procedures. METHODS:A prospecti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy035
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:Ischemia plays an important role in the development of pathological changes in nerve tissue, and restoration of blood flow results in injury (ischemia/reperfusion [I/R] injury) mediated by toxic oxygen free radicals. Trapidil is currently used as a coronary artery vasodilating agent and is also used for the p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200207000-00031
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Patients with severe cubital tunnel syndrome often have poor functional recovery with conventional surgical treatment. Postsurgical electrical stimulation (PES) has been shown to enhance axonal regeneration in animal and human studies. OBJECTIVE:To determine if PES following surgery for severe cubital tunne...
journal_title:Neurosurgery
pub_type: 杂志文章,随机对照试验
doi:10.1093/neuros/nyz322
更新日期:2020-06-01 00:00:00
abstract::Thirty-four cases of cerebellar abscess, diagnosed by computed tomographic (CT) scanning, were managed according to a standard protocol during a 4-year period. Triple high dosage intravenous antibiotics were used, open catheter drainage of the abscess was instituted, and external ventricular drainage was added if obvi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198710000-00018
更新日期:1987-10-01 00:00:00
abstract::We constructed and discussed a mathematical model of intracranial saccular aneurysms based on the static mechanics of hollow vessels and were able to focus on three variables that are fundamental to the process of enlargement and rupture of these lesions. They are blood pressure (P), wall strength (sigma), and total w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198508000-00007
更新日期:1985-08-01 00:00:00