Abstract:
OBJECTIVE:To save the patency of the internal carotid artery (ICA) during the treatment of carotid cavernous fistulae or cavernous sinus dural arteriovenous malformations, direct surgery of the cavernous sinus after failure of endovascular treatment was attempted in this study. METHODS:A total of 78 patients with carotid cavernous fistulae or cavernous sinus dural arteriovenous malformations were treated. Obliteration of the fistulous rent and preservation of the ICA were the therapeutic goals. All patients, except one in whom acute bleeding occurred, received endovascular treatment as the first treatment. In 18 (23.4%) of these 77 patients, it was not possible to obliterate the fistulous rents without sacrificing the ICAs. The 18 patients and the 1 patient with acute bleeding underwent direct surgery to open the cavernous sinus. RESULTS:Various methods, including suturing or clipping the fistulae, sealing the fistulae with fascia and acrylate glue, and packing the cavernous sinus were applied. In each of three complicated cases, the cavernous segment of the ICA was trapped and an intracranial bypass from the petrous segment to the supraclinoid segment was performed. There was nor mortality, and the most common morbidity was transient oculomotor palsy, which occurred in eight patients. Follow-up angiography revealed that the ICAs or bypass grafts were thrombosed in 5 of the 19 patients who had undergone surgery. CONCLUSION:In this series, the overall ICA patency rate of patients who underwent embolization and surgery was 94%, and the obliteration rate of the fistulae was 100%. Direct surgery of the cavernous sinus as a complimentary treatment of embolization can increase the preservation rate of the ICA.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Tu YK,Liu HM,Hu SCdoi
10.1097/00006123-199710000-00006subject
Has Abstractpub_date
1997-10-01 00:00:00pages
798-805; discussion 805-6issue
4eissn
0148-396Xissn
1524-4040journal_volume
41pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Middle cerebral artery (MCA) aneurysms are often considered unsuitable for endovascular coiling because of unfavorable morphological features. With improvements in endovascular techniques, several series have detailed the results and complications of endovascular treatment of MCA aneurysms. OBJECTIVE:We per...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e318201d7f4
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:To describe a procedure for Leksell gamma knife (LGK) radiosurgery in a lateral position, for treatment of far-lateral intracranial lesions. METHODS:Positioning of the patient in the lateral decubitus position during LGK treatment switches the x and y axis coordinates. This increases the range of the x axis ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::A prototype Brown-Roberts-Welles stereotactic instrument has been used as both a diagnostic and a therapeutic surgical adjunct in cases of intracranial mass lesions. Eighty-three procedures (142 point placements) required computerized guidance stereotaxy. The unit accomplished point intracranial access with an accurac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198303000-00005
更新日期:1983-03-01 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::Research into the embryological development of organs has been of relevant interest for contemporary medicine since the 19th century. In particular, some organs, such as the pituitary gland, or hypophysis, were deemed not to have a specific function. They were thus considered as rudimental organs, a mere residue of ev...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/NEU.0b013e31820f33d2
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Liposclerosing myxofibrous tumors (LSMFTs) are rare benign fibro-osseous tumors most frequently occurring in the proximal femur. We report the first case of this rare tumor occurring within the calvarium. CLINICAL PRESENTATION:Our patient presented with a 2-yr history of enlarging, painless, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy071
更新日期:2019-03-01 00:00:00
abstract::The diagnosis of malignant glioma of the optic nerves and chiasm may be difficult because these rare lesions may mimic other suprasellar lesions. We report a case of glioblastoma multiforme of the optic chiasm in which the appearance of the lesion on computed tomographic (CT) scan was consistent with that of craniopha...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198212000-00011
更新日期:1982-12-01 00:00:00
abstract:BACKGROUND:Brief electrical stimulation (ES) therapy to the nerve may improve outcome in lacerated, repaired nerves. However, most human nerve injuries leave the nerve in continuity with variable and often poor functional recovery from incomplete axon regeneration and reinnervation. OBJECTIVE:To evaluate the effect of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy221
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:While multiple new larger-bore aspiration catheters have been introduced for stroke thrombectomy, sizeable cohort outcome studies are lacking along with meaningful comparative studies to evaluate whether they represent a clinically relevant improvement compared to predecessors. OBJECTIVE:To evaluate compara...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa498
更新日期:2020-12-28 00:00:00
abstract:BACKGROUND:Deep brain stimulation electrode placement with interventional magnetic resonance imaging (MRI) has previously been reported using a commercially available skull-mounted aiming device (Medtronic Nexframe MR) and native MRI scanner software. This first-generation method has technical limitations that are inhe...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31822f4a91
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:We compared long-term seizure outcome and health-related quality of life (HRQoL) of patients who underwent epilepsy surgery and matched medically treated nonsurgical controls with intractable epilepsy. METHODS:Medically treated controls were identified for patients operated on for epilepsy between January 1,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000315999.58022.1c
更新日期:2008-02-01 00:00:00
abstract::When confronted with a patient with a brachial plexus injury, how often as neurosurgeons do we consult an atlas to confirm the anatomy of the brachial plexus and then attempt to establish the location of the lesion? Similar difficulties are encountered with lumbar and sacral plexus lesions. In a project organized to a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::Intervertebral disc space infection can be a serious and disabling complication of any procedure that affords entry for bacteria into the susceptible disc space. Most disc space infections occur after cervical or lumbar laminectomies. Discitis has been reported after myelography, lumbar puncture, paravertebral injecti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198605000-00017
更新日期:1986-05-01 00:00:00
abstract:BACKGROUND:Achieving seizure control in patients with low-grade temporal lobe gliomas or glioneuronal tumors remains highly underappreciated, because seizures are the most frequent presenting symptom and significantly impact patient quality-of-life. OBJECTIVE:To assess how the extent of temporal lobe resection influen...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e31823c3a30
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:The most common postoperative complication of the transsphenoidal approach is cerebrospinal fluid (CSF) rhinorrhea. If the dura is widely opened beyond the sellar floor and massive intraoperative CSF leakage is encountered, then the conventional packing method, in which the sella turcica is filled with pieces...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000108780.72365.dc
更新日期:2004-03-01 00:00:00
abstract::The paraclinoid area is investigated anatomically for possible microneurosurgical approaches to the C3 segment of the internal carotid artery and to structures in the vicinity of the anterior siphon knee. Removal of the anterior clinoid process reveals a tight connective tissue ring that fixes the internal carotid art...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVE:Microvascular compressions of the cochlear nerve can lead to tinnitus. The tinnitus initially is related to nonsynchronous signal transmission in the auditory nerve, neurophysiologically characterized by a peak II amplitude decrease. Chronic compression can lead to a focal demyelination, resulting in an incre...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000366110.87836.53
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Intracranial germinomas often disseminate via the ventricular and subarachnoid pathways, but seeding to the perioptic arachnoid space is extremely unusual. We report two cases of recurrent germinoma seeding in the optic nerve. CLINICAL PRESENTATION:Two men with pure germinoma were initially tr...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-200101000-00041
更新日期:2001-01-01 00:00:00
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
更新日期:2016-05-01 00:00:00
abstract::This report details the surgical treatment of 44 patients with aneurysms of the vertebral and basilar arteries. Three different surgical approaches were utilized depending on the location of the aneurysm. These were an anterior supratentorial approach, a lateral suboccipital approach, and a combined supratentorial and...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198808000-00013
更新日期:1988-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of gamma knife (GK) radiosurgery, in terms of neurological improvement and tumor growth control (TGC), for a large series of patients with cavernous sinus meningiomas. METHODS:Between February 1993 and January 2002, 156 patients with cavernous sinus meningiomas (35 male and 121 femal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200211000-00009
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:Most of the endoscopes used for endonasal transsphenoidal surgery use 4-mm diameter lenses. The applicability of a newly developed neuroendoscope with a lens diameter of only 2 mm was tested in endonasal transsphenoidal pituitary surgery. METHODS:The newly developed rigid-rod neuroendoscope with a 2-mm lens ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255381.64969.C8
更新日期:2007-04-01 00:00:00
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
更新日期:1984-07-01 00:00:00
abstract::We have divided head injury into three categories based on the Glasgow Coma Scale (GCS) (severe, 3-8; moderate, 9-12; and minor, 13-15). In a previous report, we described significant disability after minor head injury. The present report describes 199 patients with moderate head injury, 159 of whom underwent follow-u...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198209000-00002
更新日期:1982-09-01 00:00:00
abstract:OBJECTIVE:Tentorial dural arteriovenous malformations (DAVMs) are uncommon lesions associated with an aggressive natural history. Controversy exists regarding their optimal treatment. We present a single-institution series of tentorial DAVMs treated during a 12-year period, address the current controversies, and presen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000053221.22954.85
更新日期:2003-04-01 00:00:00
abstract::Brain stem hemorrhage was first recorded in 1812. Its origin has been the subject of much study and experimentation. We review the studies that stress mechanical forces because dynamic axial distortion of the brain stem is a major factor in the physiology and pathology of the central nervous system. ...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1227/00006123-198804000-00001
更新日期:1988-04-01 00:00:00
abstract::Fifty-one surgical decompressions without nerve transposition for ulnar neuropathy were performed in 46 patients. All of the patients were men with an average age of 59 years at the time of surgery. The follow-up range was between 5 and 32 months (average, 17.8 months). The disease involved the nondominant arm in 24 p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199011000-00007
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND:Observational methods can be used in conjunction with the comparative effectiveness research (CER) paradigm to inform decisions between alternative patient management strategies in real-world clinical settings. OBJECTIVE:To present a brief review of current observational research regarding 3 strategies for ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31820cd45a
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Vertebrobasilar insufficiency resulting from disease of the subclavian artery is well recognized. Usually, this occurs as the "subclavian steal" syndrome in the context of chronic subclavian stenosis and is consequently well tolerated because of collateralization. Acute disruption of the hemody...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::This article represents the first of a 2-part exploration of quantum dots (Qdots) and their application to neurological surgery. Spanning from materials science to immunology, this initial review traces the marriage of imaging physics to biochemical specificity. Qdot science now stands poised to dramatically advance t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000347889.62762.3F
更新日期:2009-06-01 00:00:00