Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients.

Abstract:

BACKGROUND:We report 24 patients with a traumatic acute subdural haematoma of the posterior fossa managed between 1997 and 1999 at 8 Italian neurosurgical centres. METHOD:Each centre provided data about patients' clinico-radiological findings, management, and outcomes, which were retrospectively reviewed. FINDINGS:A poor result occurred in 14 patients (58.3%). Ten patients (41.7%) had favourable results. Patients were divided into two groups according to their admission Glasgow Coma Scale (GCS) scores. In Group 1 (12/24 cases; GCS score, > or =8), the outcome was favourable in 75% of cases. In Group 2 (12/12 cases; GCS score, <8), the outcome was poor in 91.6% of cases. Nineteen patients underwent posterior fossa surgery. Factors correlating to outcome were GCS score, status of the basal cisterns and the fourth ventricle, and the presence of supratentorial hydrocephalus. Multivariate analysis showed significant independent prognostic effect only for GCS score (P<0.05). INTERPRETATION:acute posterior fossa subdural haematomas can be divided into two distinct groups: those patients admitted in a comatose state and those with a moderate/mild head injury on admission. Comatose patients present usually with signs of posterior fossa mass effect and have a high percentage of bad outcomes. On the contrary, patients admitted with a GCS of 8 or higher are expected to recover. In these patients the thickness of the haematoma (<1 cm) seems to be a guide to indicate surgical evacuation of the haematoma.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

d'Avella D,Servadei F,Scerrati M,Tomei G,Brambilla G,Massaro F,Stefini R,Cristofori L,Conti A,Cardali S,Tomasello F

doi

10.1007/s00701-003-0150-y

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

1037-44; discussion 1044

issue

12

eissn

0001-6268

issn

0942-0940

journal_volume

145

pub_type

杂志文章,多中心研究
  • Association of F18-fluoro-ethyl-tyrosin uptake and 5-aminolevulinic acid-induced fluorescence in gliomas.

    abstract:PURPOSE:Malignant gliomas are highly infiltrative tumours with a fatal prognosis. F18-fluoroethyl-tyrosine (FET)-positron emission tomography (PET) often reveals a broader extension of these tumours compared with contrast-enhanced magnetic resonance imaging (MRI). Complete resection of the contrast-enhancing lesion is ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0462-7

    authors: Stockhammer F,Misch M,Horn P,Koch A,Fonyuy N,Plotkin M

    更新日期:2009-11-01 00:00:00

  • Endovascular treatment of ruptured dissecting vertebral artery aneurysms--long-term follow-up results, benefits of early embolization, and predictors of outcome.

    abstract:INTRODUCTION:The purpose of this study was to evaluate the effect of endovascular treatment of ruptured dissecting aneurysms of the vertebral artery, the benefits of early embolization, and the predictors of outcomes. CLINICAL MATERIAL AND METHODS:Between September, 2001 and May, 2009, 25 patients with ruptured verteb...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-010-0683-9

    authors: Lee JM,Kim TS,Joo SP,Yoon W,Choi HY

    更新日期:2010-09-01 00:00:00

  • Prevention of cerebral vasospasm with OKY-046 an imidazole derivative and a thromboxane synthetase inhibitor. A preliminary co-operative clinical study.

    abstract::The prevention of cerebral vasospasm with OKY-046, an imidazole derivative and a thromboxane synthetase inhibitor, was studied co-operatively at ten neurosurgical services. Intravenous administrations of 2, 5 or 10 mu/kg/minute of OKY-046 were given continuously from the earliest possible day to the 14th SAH-day to 82...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01476216

    authors: Suzuki S,Iwabuchi T,Tanaka T,Kanayama S,Ottomo M,Hatanaka M,Aihara H

    更新日期:1985-01-01 00:00:00

  • Enhanced neuroregenerative effects by scaffold for the treatment of a rat spinal cord injury with Wnt3a-secreting fibroblasts.

    abstract:BACKGROUND:Wnt proteins are bifunctional axon guidance molecules, several of which appear to mediate guidance of corticospinal tract axons along the spinal cord. Here, we studied increasing effect on regeneration by Wnt-containing alginate scaffolds on spinal cord injury (SCI). METHODS:A total of 32 rats were injured ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1663-7

    authors: Park JH,Min J,Baek SR,Kim SW,Kwon IK,Jeon SR

    更新日期:2013-05-01 00:00:00

  • Infratemporal fossa surgery for malignant diseases.

    abstract::The improvement in the knowledge of the main anatomical landmarks permits an evolution in the safety of the surgical treatment and a conceptual development of the geometrical anatomico-surgical characteristics of the infratemporal fossa. This conceptual evolution determines surgical and oncological advantages: firstly...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01411469

    authors: Iannetti G,Belli E,Cicconetti A,Delfini R,Ciappetta P

    更新日期:1996-01-01 00:00:00

  • Intracranial glioependymal (neuroglial) cysts: a systematic review.

    abstract:BACKGROUND:Glioependymal cysts (GECs) are benign intracranial cysts that have been rarely reported in the literature. The exact pathogenesis of these developmental anomalies is controversial. Moreover, the terminology used to name GECs and other intracranial cysts is confusing because they are undistinguishably reporte...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3566-0

    authors: Robles LA,Paez JM,Ayala D,Boleaga-Duran B

    更新日期:2018-07-01 00:00:00

  • Microsurgical anatomy of the anterior choroidal artery.

    abstract::The anterior choroidal artery (A.ch.a.) was studied in 140 hemispheres of the human brain. In 50 specimens the artery was cannulated and perfused with acrylic resin, in 20 specimens the A.ch.a., was selectively cannulated and perfused with dye. The artery then was microsurgically dissected and photographically documen...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01401968

    authors: Hussein S,Renella RR,Dietz H

    更新日期:1988-01-01 00:00:00

  • Congenital malformations of the craniovertebral junction: classification and surgical treatment.

    abstract::The clinical, radiological and surgical findings of 56 patients with congenital malformations of the craniovertebral junction who underwent surgical intervention in the Department of Neurosurgery, Hacettepe University Medical School were reviewed. The anomalies were classified according to their embryonic origin. Fort...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01808763

    authors: Erbengi A,Oge HK

    更新日期:1994-01-01 00:00:00

  • Giant cell tumor of the lumbar spine with intraperitoneal growth: case report and review of literature.

    abstract::Giant cell tumors of the spine are uncommon. Usually they are benign and solitary, but locally very aggressive. Most of them occur at the sacral spine. There are only 26 reported cases in the literature involving this type of tumor in the lumbar spine, in particular exhibiting an intraperitoneal growth. We present the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-013-1713-1

    authors: Munoz-Bendix C,Cornelius JF,Bostelmann R,Gierga K,Steiger HJ

    更新日期:2013-07-01 00:00:00

  • Stereolithographic models in the interdisciplinary planning of treatment for complex intracranial aneurysms.

    abstract:BACKGROUND:Treatment of complex intracranial aneurysms requires strategic pre-interventional or preoperative planning. In addition to modern three-dimensional (3D) rotational angiography, computed tomography angiography (CTA) or magnetic resonance angiogram (MRA), a solid, tangible 3D model may improve anatomical compr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-016-2892-3

    authors: Andereggen L,Gralla J,Andres RH,Weber S,Schroth G,Beck J,Widmer HR,Reinert M,Raabe A,Peterhans M

    更新日期:2016-09-01 00:00:00

  • The endoscopic intraventricular management of pineal cysts: a minimally invasive modus operandi.

    abstract:BACKGROUND:The management of pineal cysts is still debatable, especially for asymptomatic incidental ones. For symptomatic cysts associated with hydrocephalus, the surgical management is mandatory and may include either classical microsurgical approaches to the pineal region or endoscopic trans-ventricular approaches i...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1849-z

    authors: Berhouma M,Ni H,Vallee B

    更新日期:2013-10-01 00:00:00

  • Intra-osseous ultrasound for pedicle screw positioning in the subaxial cervical spine: an experimental study.

    abstract:BACKGROUND:In contrast to other regions of the human spine, dorsal fixation with rods and pedicle screws is comparatively rarely performed in the cervical spine. Although this technique provides a higher mechanical strength than the more frequently used lateral mass screws, many surgeons fear the relatively high rate o...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0447-6

    authors: Kantelhardt SR,Bock HC,Siam L,Larsen J,Burger R,Schillinger W,Bockermann V,Rohde V,Giese A

    更新日期:2010-04-01 00:00:00

  • Role of antithrombotic therapy in the risk of hematoma recurrence and thromboembolism after chronic subdural hematoma evacuation: a population-based consecutive cohort study.

    abstract:OBJECTIVE:To establish the risk of recurrence in patients with chronic subdural hematoma (cSDH) on antithrombotic treatment (AT, i.e., antiplatelets and anticoagulants). Secondary end points were perioperative morbidity and mortality between groups (AT vs. no-AT group) and exploration if timing of resumption of AT trea...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3330-x

    authors: Fornebo I,Sjåvik K,Alibeck M,Kristiansson H,Ståhl F,Förander P,Jakola AS,Bartek J Jr

    更新日期:2017-11-01 00:00:00

  • An assessment of patient-reported long-term outcomes following surgery for cauda equina syndrome.

    abstract:BACKGROUND:Data regarding long-term outcomes following surgery for cauda equina syndrome (CES) is scarce. In addition, these studies rely on patient descriptions of the presence or absence of symptoms, with no gradation of severity. This study aimed to assess long-term bladder, bowel, sexual and physical function using...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-03973-7

    authors: Hazelwood JE,Hoeritzauer I,Pronin S,Demetriades AK

    更新日期:2019-09-01 00:00:00

  • Medical therapy of hypothalamic diseases.

    abstract::Hormonal disturbances caused by hypothalamic pathology can be treated effectively by target hormone replacement in the case of failure of glandotropic hormone secretion. Hyposomatotropism in children has to be substituted by parenteral administration of growth hormone. In addition gonadotropins respectively gonadotrop...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406335

    authors: von Werder K,Müller OA

    更新日期:1985-01-01 00:00:00

  • Early surgery for brainstem cavernomas.

    abstract:BACKGROUND:The purpose was to review our experience with the surgical management of brainstem cavernomas (BSCs) and especially the impact of the surgical timing on the clinical outcome. METHOD:We retrospectively reviewed 22 patients harboring a BSC, who underwent 23 procedures. FINDINGS:Surgery was carried out during...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0671-7

    authors: Bruneau M,Bijlenga P,Reverdin A,Rilliet B,Regli L,Villemure JG,Porchet F,de Tribolet N

    更新日期:2006-04-01 00:00:00

  • Pertreatment radiation induced oedema causing acute hydrocephalus after radiosurgery for multiple cerebellar metastases.

    abstract:BACKGROUND:Most complications of radiosurgery occur after 6-12 months and some long term complications up to after 5-10 years. Although severe, immediate side effects are rare, we report a patient who shows that this possibility should be taken into account when large volumes are treated especially in the posterior fos...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-003-0053-y

    authors: Wolff R,Karlsson B,Dettmann E,Böttcher HD,Seifert V

    更新日期:2003-08-01 00:00:00

  • Concomitant renal cell carcinoma with pituitary adenoma.

    abstract::Renal cell carcinoma has a complex and variable natural history. We report a case underlining this who presented concomitant renal cell carcinoma metastasis with pituitary and adrenocortical adenomas. A 62-year-old woman presented with visual loss. Imaging revealed a large sellar mass with suprasellar extension. Four ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-002-1060-0

    authors: Weber J,Gassel AM,Hoch A,Spring A

    更新日期:2003-03-01 00:00:00

  • Spontaneous resolution of lumbar vertebral eosinophilic granuloma.

    abstract::Eosinophilic granuloma (EG) is a rare disease but is more common in adults than children. It's often self-limiting. Spinal involvement is rare. It is the localized and most benign form of Langerhans' cell histiocytosis (previously known as histiocytosis X), characterised by lytic lesions in one or more bones. Spontane...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-003-0182-3

    authors: Bavbek M,Atalay B,Altinörs N,Caner H

    更新日期:2004-02-01 00:00:00

  • Intratumoural cyst formation in pituitary macroadenomas.

    abstract::Twenty-one patients with various types of pituitary macroadenomas underwent hypophysectomy at the Chaim Sheba Medical Centre between 1985 to 1987. Intraoperative fine needle aspiration of the tumoural content was attempted prior to tumour excision. Although none of the patients had a history compatible with pituitary ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405275

    authors: Ram Z,Hadani M,Berezin M,Findler G,Sahar A,Shacked I

    更新日期:1989-01-01 00:00:00

  • Head injuries and the risk of concurrent cervical spine fractures.

    abstract:BACKGROUND:Cervical spine injuries of variable severity are common among patients with an acute traumatic brain injury (TBI). We hypothesised that TBI patients with positive head computed tomography (CT) scans would have a significantly higher risk of having an associated cervical spine fracture compared to patients wi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3133-0

    authors: Thesleff T,Kataja A,Öhman J,Luoto TM

    更新日期:2017-05-01 00:00:00

  • Incomplete tumour control following DNA vaccination against rat gliomas expressing a model antigen.

    abstract:BACKGROUND:Vaccination against tumour-associated antigens is one approach to elicit anti-tumour responses. We investigated the effect of polynucleotide (DNA) vaccination using a model antigen (E. coli lacZ) in a syngeneic gliosarcoma model (9L). METHODS:Fisher 344 rats were vaccinated thrice by intramuscular injection...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-012-1526-7

    authors: Ginzkey C,Eicker S,Marget M,Krause J,Brecht S,Westphal M,Hugo HH,Mehdorn M,Steinmann J,Hamel W

    更新日期:2013-01-01 00:00:00

  • Spontaneous development of an intracavernous arterial aneurysm into a carotid-cavernous fistula. Case report.

    abstract::The case report here deals with an intracavernous arterial aneurysm spontaneously developing into a carotid-cavernous fistula. The etiopathology of these fistulas is discussed. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406042

    authors: Lesoin F,Rousseau M,Petit H,Jomin M

    更新日期:1984-01-01 00:00:00

  • Cerebral arterial fenestrations: a common phenomenon in unexplained subarachnoid haemorrhage.

    abstract:BACKGROUND:Fenestrations of intracranial arteries are variants resulting from incomplete fusion of vessels during development with unknown clinical significance. They are best visualised with 3D rotational angiography (3DRA). OBJECTIVE:In a prospective consecutive series of patients with suspected aneurysms, 3DRA was ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-012-1587-7

    authors: Hudák I,Lenzsér G,Lunenkova V,Dóczi T

    更新日期:2013-02-01 00:00:00

  • Deep brain stimulation and frameless stereotactic radiosurgery in the treatment of bilateral parkinsonian tremor: target selection and case report of two patients.

    abstract::Considerable positive experience in functional radiosurgery has been reported since Leksell's first experience in 1951, but the development of frameless radiosurgery was been limited because of the difficulty of identifying invisible functional targets. In this paper we report on two cases of bilateral parkinsonian tr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-011-0962-0

    authors: Franzini A,Marchetti M,Brait L,Milanesi I,Messina G,Forapani E,Broggi G,Fariselli L

    更新日期:2011-05-01 00:00:00

  • Surgical management of giant pituitary tumours--a review of 30 cases.

    abstract::An experience with surgical management of 30 giant pituitary tumours is analysed in this report. The clinical features, anatomical spread and relationship of these tumours with the cavernous sinus and other parasellar and basal forebrain structures is analysed. The problem encountered in the surgical treatment are rev...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01412306

    authors: Goel A,Nadkarni T

    更新日期:1996-01-01 00:00:00

  • Acute surgery of cerebral aneurysms and prevention of symptomatic vasospasm.

    abstract::A treatment protocol for a controlled open study in patients with subarachnoid haemorrhage (SAH) from cerebral aneurysms is presented, applying acute surgery and pharmacological prevention of symptomatic vasospasm: In patients clinically graded I-III (Hunt and Hess), operation is performed within 48 to 72 hours. After...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01401814

    authors: Auer LM

    更新日期:1983-01-01 00:00:00

  • Monoamine acid metabolites in ventricular CSF of patients with brain tumours.

    abstract::Homovanillic acid (HVA) and 5-hydroxyindolacetic acid (5-HIAA) in ventricular CSF were determined in 19 patients (12 female 7 male) with brain tumours. No relationship was found between ventricular fluid pressure (VFP) and levels of HVA and 5-HIAA. A relationship was observed between ventricular CSF, HVA concentration...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405944

    authors: Bareggi SR,Porta M,Collice M,Calderini G,Ferrara M,Morselli PL

    更新日期:1976-01-01 00:00:00

  • The new WHO 2016 classification of brain tumors-what neurosurgeons need to know.

    abstract:BACKGROUND:The understanding of molecular alterations of tumors has severely changed the concept of classification in all fields of pathology. The availability of high-throughput technologies such as next-generation sequencing allows for a much more precise definition of tumor entities. Also in the field of brain tumor...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-016-3062-3

    authors: Banan R,Hartmann C

    更新日期:2017-03-01 00:00:00

  • What is a reasonable surgical procedure for spinal extradural arachnoid cysts: is cyst removal mandatory? Eight consecutive cases and a review of the literature.

    abstract:BACKGROUND:Spinal epidural arachnoid cysts (EAC) are rare and may present with myelopathy, which can be completely curable with surgery. The majority of investigators believe that the repairment of dural defect is important to treat EAC. However, the necessity of excising EACs remains controversial. The purpose of this...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-012-1356-7

    authors: Lee CH,Hyun SJ,Kim KJ,Jahng TA,Kim HJ

    更新日期:2012-07-01 00:00:00