A new ventriculoperitoneal shunt with a telemetric intracranial pressure sensor: clinical experience in 94 patients with hydrocephalus.

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 applied in 94 patients at Osaka Medical College between March 1986 and December 1995. Postoperative management, postoperative course, postural change of intracranial pressure (ICP), and zero drift of the OSAKA telesensor were investigated. RESULTS:ICP was measured easily in all patients with no inconvenience. The setting of the programmable valve was adjusted postoperatively 38 times in 25 patients. Postoperative ICP in the upright position was -14.9 +/- 4.5 mm Hg, and the difference in ICP between the supine and the upright position was about 20 mm Hg. The slope of the decrease in ICP with continuous postural changes from the supine to the upright position was steep until about 30 to 45 degrees but became incrementally less or even rose slightly about this angle. The initial slope was steeper when the shunt was open than when the shunt was closed; it was also steeper postoperatively than preoperatively. This initial slope, therefore, may indicate the intracranial compliance. Seven cases of shunt malfunction were diagnosed correctly by ICP measurements. Zero drift of the OSAKA telesensor was easily corrected by comparing the ICP reading from the telesensor with the puncture pressure in the on-off valve. CONCLUSION:The OSAKA telesensor is very useful in the postoperative care and pathophysiological evaluation of patients with hydrocephalus.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Miyake H,Ohta T,Kajimoto Y,Matsukawa M

doi

10.1097/00006123-199705000-00009

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

931-5

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

40

pub_type

杂志文章
  • Symptomatic diverticulum of the 4th ventricle.

    abstract::A case of symptomatic diverticulum of the 4th ventricle in a 57-year-old man is presented. This clinicopathological observation supports a relationship between ventricular diverticula and ependyma-lined paraventricular cysts. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199101000-00026

    authors: Vaquero J,Martínez R,Coca S,Saucedo G

    更新日期:1991-01-01 00:00:00

  • High-dose trigeminal neuralgia radiosurgery associated with increased risk of trigeminal nerve dysfunction.

    abstract:OBJECTIVE:Stereotactic radiosurgery is being used with more frequency in the management of patients with trigeminal neuralgia. To improve facial pain outcomes, many centers have increased the prescribed radiation dose to the trigeminal nerve. METHODS:Between April 1997 and December 1999, 68 patients underwent radiosur...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200107000-00008

    authors: Pollock BE,Phuong LK,Foote RL,Stafford SL,Gorman DA

    更新日期:2001-07-01 00:00:00

  • Isolation and perivascular localization of mesenchymal stem cells from mouse brain.

    abstract:BACKGROUND:Although originally isolated from the bone marrow, mesenchymal stem cells (MSCs) have recently been detected in other tissues. However, little is known about MSCs in the brain. OBJECTIVE:To determine the extent to which cells with the features of MSCs exist in normal brain tissue and to determine the locati...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000377859.06219.78

    authors: Kang SG,Shinojima N,Hossain A,Gumin J,Yong RL,Colman H,Marini F,Andreeff M,Lang FF

    更新日期:2010-09-01 00:00:00

  • Dural reconstruction with fascia, titanium mesh, and bone screws: technical note.

    abstract:OBJECTIVE:After the resection of cranial base tumors, there may not be enough free dural margin left for reconstruction after involved bone and dura have been removed. In such a situation, dural reconstruction becomes a problem. We propose a new technique of dural closure in such cases. METHODS:A fascial graft is prep...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200109000-00043

    authors: Sekhar LN,Sarma S,Morita A

    更新日期:2001-09-01 00:00:00

  • Psychosocial functioning at 1 month after head injury.

    abstract::The authors examined the psychosocial sequelae of head trauma at 1 month after injury in a group of 102 adult head-injured patients representing a broad range of severity of trauma. One hundred two control subjects selected from friends of the head-injured patients were used for comparison purposes. Outcome was determ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198404000-00001

    authors: McLean A Jr,Dikmen S,Temkin N,Wyler AR,Gale JL

    更新日期:1984-04-01 00:00:00

  • Gamma knife surgery for facial nerve schwannomas.

    abstract:OBJECTIVE:Radical resection of facial nerve schwannomas classically implies a high risk of severe facial palsy. Owing to the rarity of facial palsy after gamma knife surgery (GKS) of vestibular schwannomas, functional evaluation after GKS seems rational in this specific group of patients. To our knowledge, no previous ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249282.46514.DA

    authors: Litre CF,Gourg GP,Tamura M,Mdarhri D,Touzani A,Roche PH,Régis J

    更新日期:2007-05-01 00:00:00

  • Spontaneous resolution of chronic epidural hematomas: report of three cases.

    abstract::We report three cases of the spontaneous resolution of a traumatic chronic epidural hematoma. The patients were young adults with only mild headache after trauma. All patients were treated conservatively because of the very mild symptoms and the time lapse of 1 to 2 weeks between trauma and our unexpected detection of...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198407000-00018

    authors: Tochio H,Waga S,Tashiro H,Takeuchi T,Miyazaki M

    更新日期:1984-07-01 00:00:00

  • Reconstruction of the cranial base in surgery for jugular foramen tumors.

    abstract:OBJECTIVE:The surgical removal of a jugular foramen (JF) tumor presents the neurosurgeon with a complex management problem that requires an understanding of the natural history, diagnosis, surgical approaches, and postoperative complications. Cerebrospinal fluid (CSF) leakage is one of the most common complications of ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000156844.48819.0b

    authors: Ramina R,Maniglia JJ,Paschoal JR,Fernandes YB,Neto MC,Honorato DC

    更新日期:2005-04-01 00:00:00

  • Rupture of intracranial aneurysms during endovascular coiling: management and outcomes.

    abstract:OBJECTIVE:In this study, the incidence, etiologies, and management with respect to clinical outcome of patients with iatrogenic aneurysmal rupture during attempted coil embolization of intracranial aneurysms are reviewed. METHODS:A retrospective analysis was conducted of 274 patients with intracranial aneurysms treate...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200110000-00005

    authors: Levy E,Koebbe CJ,Horowitz MB,Jungreis CA,Pride GL,Dutton K,Kassam A,Purdy PD

    更新日期:2001-10-01 00:00:00

  • Cystic glioma of the brain stem with prolonged survival.

    abstract::An unusual case of benign stem glioma with a 15-year survival is presented. In spite of 12 years of clinical quiescence, a focus of the tumor in the upper brain stem was found at necropsy. Morphologically, the tumor was a cystic pilocytic astrocytoma. The few previously reported similar cases in the same location were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198204000-00015

    authors: Soffer D,Sahar A

    更新日期:1982-04-01 00:00:00

  • Repeat endovascular treatment in post-embolization recurrent intracranial aneurysms.

    abstract:OBJECTIVE:The purpose of this study was to describe clinical situations requiring repeat embolization in patients previously treated by endovascular coil embolization for intracranial aneurysms, and to report on our experiences of repeat embolization (RE). METHODS:A total of 466 patients harboring 522 intracranial ane...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000194188.51731.13

    authors: Kang HS,Han MH,Kwon BJ,Kwon OK,Kim SH

    更新日期:2006-01-01 00:00:00

  • Hypnosis for Awake Surgery of Low-grade Gliomas: Description of the Method and Psychological Assessment.

    abstract:BACKGROUND:Awake craniotomy with intraoperative electric stimulation is a reliable method for extensive removal of low-grade gliomas while preserving the functional integrity of eloquent surrounding brain structures. Although fully awake procedures have been proposed, asleep-awake-asleep remains the standard technique....

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000993

    authors: Zemmoura I,Fournier E,El-Hage W,Jolly V,Destrieux C,Velut S

    更新日期:2016-01-01 00:00:00

  • Multimodal reperfusion therapy in patients with acute basilar artery occlusion.

    abstract:OBJECTIVE:Multimodal reperfusion therapy (MMRT) has been advocated for the treatment of acute basilar artery occlusion (ABAO). We aimed to identify prognostic factors in patients with ABAO who underwent MMRT. METHODS:Clinical and radiological data from consecutive ABAO patients were analyzed. All patients underwent MM...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000350862.35963.49

    authors: Raphaeli G,Eichel R,Ben-Hur T,Leker RR,Cohen JE

    更新日期:2009-09-01 00:00:00

  • New jet irrigation bipolar system.

    abstract::Irrigation bipolar systems are particularly useful for the washout of hematomas in subarachnoid hemorrhage during the acute stage of surgery and for preventing adherence of tissue to the bipolar tips during coagulation. These systems have become essential tools, and numerous improvements have been made to them. First,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199606000-00044

    authors: Sano H,Kato Y,Zhou J,Watanabe S,Okuma I,Hayakawa M,Kanno T

    更新日期:1996-06-01 00:00:00

  • Extracranial-intracranial (EC-IC) arterial bypass: past performance and current concepts.

    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

    authors: Samson DS,Boone S

    更新日期:1978-07-01 00:00:00

  • Relative prognostic value of best motor response and brain stem reflexes in patients with severe head injury.

    abstract::The object of this study was to determine whether the addition of information on brain stem reflexes improves the prognostic precision of the Glasgow coma scale for patients with severe head trauma. The study is based on 109 patients with a Glasgow coma score of 7 or less during the first 24 hours after injury. The av...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198505000-00002

    authors: Born JD,Albert A,Hans P,Bonnal J

    更新日期:1985-05-01 00:00:00

  • Determination of the minimum improvement in pain, disability, and health state associated with cost-effectiveness: introduction of the concept of minimum cost-effective difference.

    abstract:BACKGROUND:Minimum clinical important difference (MCID) has been adopted as the smallest improvement in patient-reported outcome needed to achieve a level of improvement thought to be meaningful to patients. OBJECTIVE:To use a common MCID calculation method with a cost-utility threshold anchor to introduce the concept...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000462079.96571.dc

    authors: Parker SL,McGirt MJ

    更新日期:2015-03-01 00:00:00

  • Whole Sella vs Targeted Stereotactic Radiosurgery for Acromegaly: A Multicenter Matched Cohort Study.

    abstract:BACKGROUND:Targeted stereotactic radiosurgery (SRS) with sparing of the residual pituitary is the traditional radiosurgical method for pituitary adenomas. Whole-sella SRS is an alternative choice for radiologically indeterminate or large adenomas, the safety and efficacy of which has yet to be determined. OBJECTIVE:To...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/neuros/nyz245

    authors: Taylor DG,Janssen A,Ding D,Xu Z,Mehta GU,Liscak R,Kano H,Kosak M,Martinez-Moreno N,Hobbs L,Chen CJ,Grills IS,Mathieu D,Lunsford LD,Vance ML,Sheehan JP

    更新日期:2020-05-01 00:00:00

  • Three-dimensional bone-free rendering of the cerebral circulation by use of computed tomographic angiography and fuzzy connectedness.

    abstract:INTRODUCTION:Three-dimensional computed tomographic angiography (3-D-CTA) can be used to evaluate cerebrovascular disease. A potential limitation of this technology is obscuration of vascular anatomy by bone. In view of this, we developed a method for bone-free rendering using iterative relative fuzzy connectedness (IR...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200207000-00044

    authors: Abrahams JM,Saha PK,Hurst RW,LeRoux PD,Udupa JK

    更新日期:2002-07-01 00:00:00

  • Epithelial growth factor receptor tyrosine kinase inhibitor prevents infiltration and cerebrospinal fluid dissemination in malignant glioma: an experimental study.

    abstract:UNLABELLED:BAC1KGROUND: AG1478 is an epithelial growth factor receptor tyrosine kinase inhibitor. Epithelial growth factor receptor regulates the expression of cadherin in cells via its action on β-catenin, and N-cadherin downregulation promotes infiltration and cerebrospinal fluid (CSF) dissemination of glioma cells. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318215a3d0

    authors: Asano K,Ohkuma H

    更新日期:2011-08-01 00:00:00

  • The effect of graded spinal cord injury on the extrapyramidal and pyramidal motor evoked potentials of the rat.

    abstract::This study investigated the differential effects of graded spinal cord injury on the rat extrapyramidal motor evoked potential (exp-MEP) and pyramidal motor evoked potential (pyr-MEP) and the prognostic value of these effects in predicting postinjury motor performance in the rat model. In 20 rats subjected to graded s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199201000-00014

    authors: Shiau JS,Zappulla RA,Nieves J

    更新日期:1992-01-01 00:00:00

  • Tension pneumocephalus after clipping of a carotid-ophthalmic artery aneurysm via an interhemispheric approach: case report.

    abstract::A case of postoperative tension pneumocephalus of unusual cause after carotid-ophthalmic artery aneurysm clipping is presented. A second craniotomy for decompression and exploration demonstrated a small fistula in the planum sphenoidale, which presumably had been made when the right optic canal was unroofed during the...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-198811000-00020

    authors: Asai A,Yamada H,Tsutsumi K,Takakura K

    更新日期:1988-11-01 00:00:00

  • Socioeconomic costs of open surgery and gamma knife radiosurgery for benign cranial base tumors.

    abstract:OBJECTIVE:The aim of this study was to evaluate the relative socioeconomic costs of benign cranial base tumors treated with open surgery and gamma knife radiosurgery. METHODS:In a retrospective study, we studied 174 patients with benign cranial base tumors, less than 3 cm in diameter (or volume less than 30 ml), admit...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000209892.42585.9B

    authors: Cho DY,Tsao M,Lee WY,Chang CS

    更新日期:2006-05-01 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

  • Resolution of hemifacial spasm after surgical obliteration of a tentorial arteriovenous fistula: case report.

    abstract:OBJECTIVE AND IMPORTANCE:We describe a patient with a tentorial dural arteriovenous fistula who presented with ipsilateral hemifacial spasm. CLINICAL PRESENTATION:A 50-year-old man sought treatment for left facial twitching that worsened over 6 months. Magnetic resonance imaging and catheter angiography demonstrated a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000192386.89105.82

    authors: Deshmukh VR,Maughan PH,Spetzler RF

    更新日期:2006-01-01 00:00:00

  • Surgical anatomy of the ophthalmic artery: its origin and proximal course.

    abstract:OBJECTIVE:We examined the surgical anatomy of the ophthalmic artery (OA) by dissection of cadaver heads, evaluating the anatomic relationships between the origin of the OA and both its proximal course and surrounding structures. In addition, we demonstrated the surgical application of these anatomic features for safe s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.000177442.96517.3d

    authors: Huynh-Le P,Natori Y,Sasaki T

    更新日期:2005-10-01 00:00:00

  • Human placenta aneurysm model for training neurosurgeons in vascular microsurgery.

    abstract:BACKGROUND:Neurosurgery, a demanding specialty, involves many microsurgical procedures that require complex skills, including open surgical treatment of intracranial aneurysms. Simulation or practice models may be useful for acquiring these skills before trainees perform surgery on human patients. OBJECTIVE:To describ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000553

    authors: Oliveira Magaldi M,Nicolato A,Godinho JV,Santos M,Prosdocimi A,Malheiros JA,Lei T,Belykh E,Almefty RO,Almefty KK,Preul MC,Spetzler RF,Nakaji P

    更新日期:2014-12-01 00:00:00

  • Use of local cerebral blood flow monitoring to predict brain damage after disturbance to the venous circulation: cortical vein occlusion model by photochemical dye.

    abstract::A rat model of cortical vein occlusion by the photochemical thrombotic technique was used to evaluate whether monitoring the change in the local cerebral blood flow (LCBF) could predict brain damage after cortical vein occlusion. The cortical vein occlusion was attained by using the photochemical thrombotic technique,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199508000-00013

    authors: Nakase H,Kakizaki T,Miyamoto K,Hiramatsu K,Sakaki T

    更新日期:1995-08-01 00:00:00

  • Femoral ring allograft for anterior cervical interbody fusion: technical note.

    abstract:OBJECTIVE:Cadaveric fibula with locking plate internal fixation has been reported to be associated with fewer complications and better long-term results, compared with autologous iliac crest. With the knowledge that cortically dense allografts collapse less with time, new machined femoral ring allografts were developed...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Shapiro S,Bindal R

    更新日期:2000-12-01 00:00:00

  • Traumatic intracerebellar hemorrhage: clinicoradiological analysis of 81 patients.

    abstract:OBJECTIVE:We report 81 patients with a traumatic intracerebellar hemorrhagic contusion or hematoma managed between 1996 and 1998 at 13 Italian neurosurgical centers. METHODS:Each center provided data about patients' clinicoradiological findings, management, and outcomes, which were retrospectively reviewed. RESULTS:A...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00006123-200201000-00004

    authors: d'Avella D,Servadei F,Scerrati M,Tomei G,Brambilla G,Angileri FF,Massaro F,Cristofori L,Tartara F,Pozzati E,Delfini R,Tomasello F

    更新日期:2002-01-01 00:00:00