Experience with cerebellopontine angle epidermoids.

Abstract:

OBJECTIVE:Cerebellopontine angle (CPA) epidermoids, although of benign nature, are of considerable neurosurgical interest because of their close proximity and adherence to the cranial nerves and the brain stem. We describe our experience and attempt to correlate the final outcomes with the extent of surgical removal. METHODS:Twenty-five consecutive patients with CPA epidermoids that were surgically treated were reviewed, and the final outcomes were assessed. RESULTS:Thirteen patients had trigeminal neuralgia. In 7 of the 13 patients, trigeminal neuralgia was the only presenting feature. The epidermoid was confined to the CPA in each of 6 patients, and in each of 18, it had varying degrees of supratentorial extension. One patient had a predominant supratentorial epidermoid with extension to the CPA. The lesions were totally excised in 12 patients. Near-total removal was accomplished in eight patients, and in the remaining five, partial removal was accomplished. Transient worsening of the cranial nerve functions occurred in 11 patients, probably as a result of aggressive dissection of the capsule from the cranial nerves. In 9 of the 11 patients, the cranial nerve functions improved by the time of discharge. All of the patients who had trigeminal neuralgia were relieved of their symptoms. Eighteen patients were followed up for a mean period of 42 months, and none had symptoms of recurrence. CONCLUSION:Aggressive surgical removal results in transient but significant cranial nerve dysfunction in the postoperative period. A conservative approach is indicated for patients in whom the capsule is adherent to the brain stem and the cranial nerves.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Mohanty A,Venkatrama SK,Rao BR,Chandramouli BA,Jayakumar PN,Das BS

doi

10.1097/00006123-199701000-00004

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

24-9; discussion 29-30

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

40

pub_type

杂志文章
  • Quality of life after brainstem cavernoma surgery in 71 patients.

    abstract:BACKGROUND:Symptomatic patients with a brainstem cavernoma are treated surgically with increasing frequency. Generally, the patient's benefit from this difficult surgical intervention is quantified by the assessment of neurological symptoms. OBJECTIVE:To document the beneficial effect of surgery in a larger patient po...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31821d31b7

    authors: Dukatz T,Sarnthein J,Sitter H,Bozinov O,Benes L,Sure U,Bertalanffy H

    更新日期:2011-09-01 00:00:00

  • Analysis of different types of resection for pediatric patients with temporal lobe epilepsy.

    abstract:OBJECTIVE:Resection strategies for the treatment of temporal lobe epilepsy (TLE) are a matter of discussion. Few data on the significance of resection type are available for pediatric patients with TLE. METHODS:Data for a series of 89 children who were surgically treated for TLE were analyzed. A first cohort of patien...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000114141.37640.37

    authors: Clusmann H,Kral T,Gleissner U,Sassen R,Urbach H,Blümcke I,Bogucki J,Schramm J

    更新日期:2004-04-01 00:00:00

  • Apoptosis occurs after cerebral contusions in humans.

    abstract:OBJECTIVE:Animal model systems have shown that head trauma can induce cell death in regions of the brain away from the site of the impact via a process of apoptosis. We sought to determine whether there was evidence of cellular apoptosis in clinically collected materials from human head trauma patients, as well as to a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00034

    authors: Ng I,Yeo TT,Tang WY,Soong R,Ng PY,Smith DR

    更新日期:2000-04-01 00:00:00

  • Acceleration of aneurysm healing by hollow fiber enabling the controlled release of basic fibroblast growth factor.

    abstract:OBJECTIVE:The objective of this study was to develop an embolization material of hollow fiber combined with gelatin hydrogel for the controlled release of basic fibroblast growth factor (bFGF). We examined feasibility of the material in embolization healing aneurysm by bFGF-induced tissue organization. METHODS:An aneu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000195095.66984.24

    authors: Kawakami O,Miyamoto S,Hatano T,Yamada K,Hashimoto N,Tabata Y

    更新日期:2006-02-01 00:00:00

  • Stereotactic radiosurgery in cases of acoustic neurinoma: further experiences.

    abstract::Fourteen patients with acoustic neurinomas varying in size from 7 to 30 mm were treated by stereotactic radiosurgery and then were followed for 4 years. The tumors of eight patients decreased 1 to 10 mm in diameter, no change was found in two, and the tumor increased slightly in three patients. Loss of the ability to ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198307000-00003

    authors: Norén G,Arndt J,Hindmarsh T

    更新日期:1983-07-01 00:00:00

  • Intra-arterial Cereport (RMP-7) and carboplatin: a dose escalation study for recurrent malignant gliomas.

    abstract:OBJECTIVE:Animal and human studies have shown increased delivery of radiolabeled compounds across the blood-brain-tumor barrier using intra-arterial (IA) Cereport (RMP-7; Alkermes Inc., Cambridge, MA) with a radiolabeled tracer. This present study assesses the safety, tolerance, and preliminary efficacy of the IA admin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00015

    authors: Cloughesy TF,Black KL,Gobin YP,Farahani K,Nelson G,Villablanca P,Kabbinavar F,Viñeula F,Wortel CH

    更新日期:1999-02-01 00:00:00

  • Enlarging subependymal cyst: case report.

    abstract::A 1-month-old infant with a Dandy-Walker malformation underwent the placement of a ventriculoperitoneal shunt to treat progressive hydrocephalus. On the initial computed tomographic scan, a subependymal cystic lesion larger than 1 cm in diameter was noted in the head of the right caudate nucleus, which enlarged to 3 c...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199504000-00030

    authors: Rabb CH,Levy ML,McComb JG,Feigenbaum JA

    更新日期:1995-04-01 00:00:00

  • Magnetoencephalographic study of posterior tibial nerve stimulation in patients with intracranial lesions around the central sulcus.

    abstract:OBJECTIVE:To study interhemispheric differences of somatosensory evoked field (SEF) characteristics and the spatial distribution of equivalent current dipole sources in patients with unilateral hemispheric lesions around the central sulcus region. METHODS:In 17 patients with perirolandic lesions, averaged somatosensor...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000306099.45764.5c

    authors: Willemse RB,de Munck JC,van't Ent D,Ris P,Baayen JC,Stam CJ,Vandertop WP

    更新日期:2007-12-01 00:00:00

  • Treatment of cerebrospinal fluid and syringosubarachnoid shunt infection with systemic and intrathecal antibiotics.

    abstract::We present a case of a patient with two preexisting Silastic syringosubarachnoid shunt catheters who developed Enterobacter meningitis. The infection was treated successfully with systemic and intrathecal antibiotics without removal of the catheters. With careful sequential clinical and laboratory monitoring, even thi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198508000-00015

    authors: Tomaszek DE,Powers SK

    更新日期:1985-08-01 00:00:00

  • Traumatic subarachnoid hemorrhage: demographic and clinical study of 750 patients from the European brain injury consortium survey of head injuries.

    abstract:OBJECTIVE:Previous reports identified the presence of traumatic subarachnoid hemorrhage (tSAH) on admission computed tomographic (CT) scans as an independent prognostic factor in worsening outcomes. The mechanism underlying the link between tSAH and prognosis has not been clarified. The aim of this study was to investi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200202000-00006

    authors: Servadei F,Murray GD,Teasdale GM,Dearden M,Iannotti F,Lapierre F,Maas AJ,Karimi A,Ohman J,Persson L,Stocchetti N,Trojanowski T,Unterberg A

    更新日期:2002-02-01 00:00:00

  • The Levels of Glial Fibrillary Acidic Protein and Ubiquitin C-Terminal Hydrolase-L1 During the First Week After a Traumatic Brain Injury: Correlations With Clinical and Imaging Findings.

    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

    authors: Posti JP,Takala RS,Runtti H,Newcombe VF,Outtrim J,Katila AJ,Frantzén J,Ala-Seppälä H,Coles JP,Hossain MI,Kyllönen A,Maanpää HR,Tallus J,Hutchinson PJ,van Gils M,Menon DK,Tenovuo O

    更新日期:2016-09-01 00:00:00

  • Tirofiban Protocol Protects Against Delayed Cerebral Ischemia: A Case-Series Study.

    abstract:BACKGROUND:There has not been any effective prophylaxis for delayed cerebral ischemia delayed cerebral ischemia (DCI) since the introduction of nimodipine. Platelet inhibition may reduce the risk by preventing the formation of microthrombi. Tirofiban has been used as a single monotherapy bridge given its safety profile...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa170

    authors: Zanaty M,Osorno-Cruz C,Byer S,Roa JA,Limaye K,Ishii D,Nakagawa D,Torner J,Yongjun L,Ortega-Gutiérrez S,Samaniego EA,Allan L,Hasan D

    更新日期:2020-10-15 00:00:00

  • Transoral repair of a rare basioccipital meningocele in a neonate: case report.

    abstract::An extremely rare case of a basioccipital meningocele causing obstruction of the upper airway in a neonate is described. A transoral approach was used to remove the meningocele and repair the dural fistula. Bilateral posterior lateral pharyngeal releasing incisions were made to allow mucosal and muscle coverage over t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198909000-00027

    authors: Azizkhan RG,Cuenca RE,Powers SK

    更新日期:1989-09-01 00:00:00

  • Multiple meningiomas evaluated by computed tomography.

    abstract::There were 15 cases of multiple meningiomas in a consecutive series of 168 cases of meningioma studied by computed tomography during the last 5 years. This incidence of 8.9% is significantly higher than the 1 to 3% incidence reported previously. A brief clinical survey of the 15 cases and a description of the location...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198108000-00004

    authors: Lusins JO,Nakagawa H

    更新日期:1981-08-01 00:00:00

  • Hyperbaric oxygen in the treatment of a radiosurgical complication: technical case report.

    abstract:OBJECTIVE:Hyperbaric oxygenation is a rarely used method of treatment for steroid-refractory radiation-induced edema after stereotactic radiosurgery. We present its successful implementation for a radiosurgical complication after the treatment of a deep, large arteriovenous malformation. We also review the literature o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255343.41206.6F

    authors: Lynn M,Friedman WA

    更新日期:2007-03-01 00:00:00

  • 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

  • Near-real-time guidance using intraoperative magnetic resonance imaging for radical evacuation of hypertensive hematomas in the basal ganglia.

    abstract:OBJECTIVE:To report our preliminary clinical experience in treating patients with hypertensive hemorrhage in the basal ganglia using a minimally invasive approach facilitated by intraoperative real-time imaging of an open magnetic resonance imaging (MRI) system and a newly designed cutting suction device. METHODS:We d...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200011000-00010

    authors: Bernays RL,Kollias SS,Romanowski B,Valavanis A,Yonekawa Y

    更新日期:2000-11-01 00:00:00

  • The Potential Value of the Disappearance of the Lateral Spread Response During Microvascular Decompression for Predicting the Clinical Outcome of Hemifacial Spasms: A Prospective Study.

    abstract:BACKGROUND:Hemifacial spasm (HFS) is a benign, chronic, involuntary movement of the muscles involved in facial expressions that typically begins in the orbicularis oculi and spreads to the other expression muscles over several years. OBJECTIVE:To clarify the effectiveness of intraoperative electromyogram during microv...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181f74120

    authors: Kim CH,Kong DS,Lee JA,Park K

    更新日期:2010-12-01 00:00:00

  • Alexia without agraphia in a musician after transcallosal removal of a left intraventricular meningioma.

    abstract::After a meningioma situated in the trigone of the left lateral ventricle was excised by the transcallosal approach of Kempe and Blaylock, a right-handed musician with a right hemianopsia developed alexia without agraphia. In contrast to previously reported cases of this syndrome arising from other etiologies, he was u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197902000-00011

    authors: Levin HS,Rose JE

    更新日期:1979-02-01 00:00:00

  • Delayed endovascular revascularization in a patient with progressive neurological deterioration from bilateral intracranial vertebral artery occlusions: case report.

    abstract:BACKGROUND AND IMPORTANCE:This article describes delayed endovascular revascularization in a patient with clinical and radiographic evidence of posterior circulation hemodynamic failure in the setting of intracranial occlusive lesions. CLINICAL PRESENTATION:A 48-year-old man presented with a 6-week history of progress...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182186811

    authors: Ogilvy CS,Khalessi AA,Hauck EF,Shannon LR 2nd,Hopkins LN,Levy EI,Siddiqui AH

    更新日期:2011-07-01 00:00:00

  • Repairing holes in the head: a history of cranioplasty.

    abstract::Cranioplasty is almost as ancient as trephination, yet its fascinating history has been neglected. There is strong evidence that Incan surgeons were performing cranioplasty using precious metals and gourds. Interestingly, early surgical authors, such as Hippocrates and Galen, do not discuss cranioplasty and it was not...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006123-199703000-00033

    authors: Sanan A,Haines SJ

    更新日期:1997-03-01 00:00:00

  • Multifocal Intradural Extramedullary Pilocytic Astrocytomas of the Spinal Cord: A Case Report and Review of the Literature.

    abstract:Background and importance:Pilocytic astrocytoma (PA) is among the most common of the central nervous system gliomas in the pediatric population; however, it is uncommon in adults. PAs of the spinal cord in adults are even rarer, with only a few cases found in the literature. We report here the first case in the literat...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyw029

    authors: Basheer A,Rammo R,Kalkanis S,Felicella MM,Chedid M

    更新日期:2017-02-01 00:00:00

  • Surgical treatment of spinal extradural arteriovenous fistula with parenchymal drainage: report on 5 cases.

    abstract:BACKGROUND AND IMPORTANCE:Spinal extradural arteriovenous fistula (SEDAVF) with parenchymal drainage (type A) is a rare clinical entity that causes venous congestive myelopathy. Treatment includes endovascular and open microsurgical interventions. We reviewed the clinical records of patients treated for a type A SEDAVF...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000189

    authors: Niizuma K,Endo T,Sato K,Takada S,Sugawara T,Mikawa S,Tominaga T

    更新日期:2013-12-01 00:00:00

  • Endoscopic Third Ventriculostomy in 250 Adults With Hydrocephalus: Patient Selection, Outcomes, and Complications.

    abstract:BACKGROUND:Endoscopic third ventriculostomy (ETV) has been used predominantly in the pediatric population in the past. Application in the adult population has been less extensive, even in large neurosurgical centers. To our knowledge, this report is one of the largest adult ETV series reported and has the consistency o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000994

    authors: Grand W,Leonardo J,Chamczuk AJ,Korus AJ

    更新日期:2016-01-01 00:00:00

  • Harvey Cushing: the New Haven years.

    abstract::Cushing's New Haven years were limited professionally to the completion of projects that had been previously started. These were the description of basophilism and the completion of the meningioma monograph and A Surgeon's Journal. His early years as a student at Yale led him to subsequent intense involvement in event...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/00006123-199911000-00009

    authors: Davey LM

    更新日期:1999-11-01 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

  • Optic nerve arteriovenous malformation causing optic apoplexy: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Vascular malformations in the optic pathway are rare. Only one case of pathologically confirmed arteriovenous malformation (AVM) of the optic nerve has been reported previously. We document the case of a patient with an optic nerve AVM who presented with optic apoplexy that was diagnosed with t...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200210000-00041

    authors: Muragaki Y,Ujiie H,Ohno M,Kubo O,Hori T

    更新日期:2002-10-01 00:00:00

  • Cerebellar liponeurocytoma with an unusually aggressive clinical course: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Liponeurocytomas are rare cerebellar neoplasms in adults, with benign histological features and a favorable clinical prognosis. Current clinical opinion is based on a total of less than 20 published cases and suggests that gross total resection and long-term follow-up monitoring, with possible ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000093430.61239.7e

    authors: Jenkinson MD,Bosma JJ,Du Plessis D,Ohgaki H,Kleihues P,Warnke P,Rainov NG

    更新日期:2003-12-01 00:00:00

  • Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition.

    abstract::The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendati...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000001432

    authors: Carney N,Totten AM,O'Reilly C,Ullman JS,Hawryluk GW,Bell MJ,Bratton SL,Chesnut R,Harris OA,Kissoon N,Rubiano AM,Shutter L,Tasker RC,Vavilala MS,Wilberger J,Wright DW,Ghajar J

    更新日期:2017-01-01 00:00:00

  • Intracerebral depth electrode monitoring in partial epilepsy: the morbidity and efficacy of placement using magnetic resonance image-guided stereotactic surgery.

    abstract:OBJECTIVE:To determine the indications for, efficacy of, and safety of depth electrode placement using magnetic resonance imaging (MRI)-guided stereotactic surgery in patients with intractable epilepsy. METHODS:We analyzed retrospectively the results of depth electrode usage in 50 consecutive patients at the Universit...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199608000-00018

    authors: Ross DA,Brunberg JA,Drury I,Henry TR

    更新日期:1996-08-01 00:00:00