Abstract：
:Although disorders of cerebral autoregulation are commonly seen in neurosurgical disease, there is currently no test of autoregulation in widespread use that may be performed safely at the bedside. The presence of autoregulation, however, can be seen in the brief hyperemic response in the middle cerebral artery distribution following a transient manual carotid artery compression in the neck. This transient hyperemic response (THR) is readily measured with transcranial Doppler techniques, and therefore might serve as a qualitative marker of cerebral autoregulation. To evaluate the THR as a clinical tool, carotid compressions were performed during 172 TCD studies on 79 patients with neurosurgical disorders and on 10 patients without cerebral disease. The results were correlated with clinical status (e.g., Hunt-Hess Grade for subarachnoid hemorrhage and Glasgow Coma Score for trauma). There were no complications arising from the compressions. A separate assessment of autoregulation was made from TCD recordings obtained intraoperatively during 16 procedures and correlated to the pre-operative THRs. Autoregulation was further assessed in 4 patients during a hypotensive challenge, and again compared to the THRs. A strong correlation was seen between the THR results and clinical status. The THR was also strongly correlated with the intraoperative assessments, and all 4 patients receiving hypotensive challenges had abnormal THRs and demonstrated evidence of poor autoregulation during the challenge. None of the control patients had abnormal THRs. The THR arising from transient artery compression is readily detected with TCD techniques and correlates well with clinical status and other indicators of autoregulatory ability.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Giller CAdoi
10.1007/BF01407660subject
Has Abstractpub_date
1991-01-01 00:00:00pages
7-14issue
1-2eissn
0001-6268issn
0942-0940journal_volume
108pub_type
杂志文章abstract：:We present a rare fatal complication of an occipital condylar fracture. The patient was initially neurologically intact, but showed secondary clinical deterioration. Imaging revealed extensive extra-axial hemorrhage at the craniocervical junction and an acute obstructive hydrocephalus. MR imaging demonstrated a T2 hyp...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-017-3165-5
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To define the value of electrically elicited motor evoked potentials (MEP), obtained during the initial phase of the coma, for correct prediction of the post-coma motor status. METHODS:Fifty-two patients were investigated by MEP within 72 hours after onset of the coma. It was the aim to correlate the MEP fin...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050385
更新日期：1999-01-01 00:00:00
abstract：:Being motor nerves neurinomas originating from ocular nerves are very rare, unless associated with neurofibromatosis. Authors describe two cases of oculomotor nerve i.e. third nerve, Schwann cell tumours. One of them presented as a cavernous sinus mass in a middle aged lady while the other was a middle aged man with a...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050229
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:The BrainIT group works collaboratively on developing standards for collection and analyses of data from brain-injured patients and to facilitate a more efficient infrastructure for assessing new health care technology with the primary objective of improving patient care. European Community (EC) funding supp...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,多中心研究
doi：10.1007/s00701-010-0719-1
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to assess the reliability of fluorescein sodium in predicting conclusive tissue diagnosis in stereotactic brain biopsies and to characterize features of contrast-enhancing and non-enhancing MRI lesions associated with fluorescence. METHODS:A total of 19 patients were studied, 1...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04318-5
更新日期：2020-08-01 00:00:00
abstract：:In the last 3.5 years (up to August 1988) out of 450 patients with surgically treated intracranial aneurysms in 100 cases (22%) acute surgery was performed (up to 72 h after SAH). Patients in grade I-III (WFNS scale) were operated upon. In all the cases there were supratentorial aneurysms. CSF drainage during the oper...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01420184
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To study an effective method for surgical management of vertebral and basilar artery aneurysms. METHODS:Forty-one patients with 43 aneurysms of the vertebral and basilar arteries were managed by microsurgical clipping. Cerebral angiography revealed basilar apex aneurysms in 17 patients, basilar trunk in six ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-013-1656-6
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:To evaluate the significance of protein S-100b as a serum marker for the prediction of functional outcome in the event of symptomatic spinal cord compression due to epidural metastases. METHOD:34 patients with paresis due to metastatic spinal cord compression were included in this prospective study. Venous ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-004-0242-3
更新日期：2004-05-01 00:00:00
abstract：:The effects of the new spasmolytic agent HA1077, which belongs to the calciumantagonists but acts by mechanisms different from those of conventional calcium channel blockers, on the cerebral microcirculation were studied in rats using isolated and cannulated intracerebral (parenchymal) arterioles of 50 microns average...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01420194
更新日期：1990-01-01 00:00:00
abstract：INTRODUCTION:An open collaborative international network has been established which aims to improve inter-centre standards for collection of high-resolution, neurointensive care data on patients with traumatic brain injury. The group is also working towards the creation of an open access, detailed and validated databas...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,多中心研究
doi：10.1007/s00701-003-0066-6
更新日期：2003-08-01 00:00:00
abstract：:During a period of 10 years (1977-1986) 40 cases of tumour of the pineal region have been treated at the Istituto Neurologico "C. Besta"-of Milan. Out of these 40 cases, 27 (67.5%) were in the paediatric (10-15 years) or juvenile (15-20 years) age at the time of operation. Since 1983 a specific diagnostic and therapeu...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01403491
更新日期：1989-01-01 00:00:00
abstract：:The use of cold as a therapeutic agent has a long and colorful history. The Edwin Smith Papyrus, the most ancient medical text known, dated 3500 B.C., made numerous references to the use of cold as therapy. Baron de Larrey, a French army surgeon during Napoleon's Russian campaign, packed the limbs in ice prior to ampu...
journal_title：Acta neurochirurgica
pub_type： 历史文章,杂志文章
doi：10.1007/s00701-006-0747-z
更新日期：2006-05-01 00:00:00
abstract：:In 41 out of 130 encapsulated chronic subdural haematomas erythroblasts were found. As there were no skull fractures and no erythroblasts were found in peripheral blood smears, it is concluded, that these colonies of erythroblasts originate from the granulation tissue during the formation of membranes. The actual outp...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01402896
更新日期：1988-01-01 00:00:00
abstract：:Maurice Ravel (1875-1937), the great impressionist-classicist composer of many popular compositions, such as the Boléro, suffered from a progressive disease and died following an exploratory craniotomy by Clovis Vincent. The history of his progressive dementia and the contribution of a car accident, following which he...
journal_title：Acta neurochirurgica
pub_type： 传,历史文章,杂志文章
doi：10.1007/s00701-009-0507-y
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:This study was aimed at the evaluation of the relationship between genetic polymorphisms of catechol-O-methyltransferase (COMT) (rs4680:A > G-Val158Met, rs6269:A > G, rs4633:C > T, rs4818:C > G) and pain sensitivity after lumbar discectomy. METHODS:All patients had one-level symptomatic disc herniation from...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-013-1895-6
更新日期：2014-02-01 00:00:00
abstract：:An extensive and segmental spasm of the ophthalmic artery has been demonstrated angiographically a few hours after a car accident in a case with posttraumatic amaurosis. The possibility of a correlation between ophthalmic artery spasm and posttraumatic amaurosis has been discussed. ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01886679
更新日期：1976-01-01 00:00:00
abstract：OBJECTIVE:To prospectively compare the demonstration of the intracranial optic pathway in patients with sellar/juxtasellar tumours and with clinical evidence of visual disturbance using either spoiled gradient recalled acquisition in steady state (SPGR) or conventional spin echo (CSE) T1-weighted imaging. MATERIALS AN...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050138
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Mortality and morbidity of aneurysmal subarachnoid haemorrhage (aSAH) remain high, and prognosis is influenced by multiple non-modifiable factors such as aSAH severity. By analysing the chronology of aSAH management, we aim at identifying modifiable factors with emphasis on the occurrence of rebleeds in a se...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04673-3
更新日期：2021-01-06 00:00:00
abstract：BACKGROUND:Common primary bone tumors include osteosarcomas (OSC) and Ewing sarcomas (EWS). The skull is a rare site, and literature about their treatment and survival is scarce. Using the Surveillance, Epidemiology, and End Results (SEER) database, this study aims to assess the treatment and survival of skull OSC and ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-018-3754-y
更新日期：2019-02-01 00:00:00
abstract：:The authors have reviewed the literature concerning measures for cerebral protection during carotid endarterectomy, with particular reference to the controversy regarding the use of an intraluminar shunt. The authors use preoperative EEG analysis during the carotid compression test as well as intraoperative EEG monito...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01401154
更新日期：1984-01-01 00:00:00
abstract：INTRODUCTION:Desmoid-type fibromatosis (DTF) frequently arises in patients with neuromuscular choristoma (NMC). We hypothesize that NMC-associated DTF occurs in soft tissues innervated by the NMC-affected nerve, and arises from CTNNB1-mutated (myo) fibroblasts within or directly adjacent to the NMC. MATERIALS AND METH...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-019-04178-8
更新日期：2020-05-01 00:00:00
abstract：:Of 812 patients with intracranial tumours treated by radiosurgery during the period 1984-1990, 129 had meningiomas. Of these latter, 72 had middle fossa meningiomas. Patients with meningiomas treated by us since March 1990 are not included in this report since we established the investigative principle of a minimum of...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01446988
更新日期：1993-01-01 00:00:00
abstract：:The effects of thromboxane A2 synthetase inhibitor and hyperdynamic therapy on delayed cerebral ischaemia following aneurysmal subarachnoid haemorrhage were evaluated in a series of twenty eight patients, who underwent aneurysmal clipping with 72 hours after subarachnoid haemorrhage. Postoperatively, 13 patients were ...
journal_title：Acta neurochirurgica
pub_type： 临床试验,杂志文章
doi：10.1007/BF01401822
更新日期：1993-01-01 00:00:00
abstract：PURPOSE:We present the results of the visualisation of radial oxygen gradients in rats' cortices and their potential use in neurocritical management. METHODS:PO₂ maps of the cortex of ten sedated, intubated and controlled ventilated Wistar rats were obtained with a camera (SensiMOD, PCO, Kelheim, Germany). Those pictu...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-010-0777-4
更新日期：2010-12-01 00:00:00
abstract：:171 patients with an instability-related failed back surgery syndrome underwent internal fixation. The operative indication was based on specific diagnostic procedures such as anaesthesia of articular nerves and the trial external immobilization in a plaster jacket. Taking account of the different types of hypermobili...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01401868
更新日期：1993-01-01 00:00:00
abstract：:We report a 2.5-year-old boy with Saudi variant of multiple sulfatase deficiency (MSD or Austin's disease). He presented with the features of cervical cord compression and a severe form of hydrocephalus. The former was due to a thickened posterior arch of the atlas and the latter from a narrow foramen magnum and menin...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01401468
更新日期：1994-01-01 00:00:00
abstract：:Too few cases of isolated abducent nerve palsy caused by neurovascular compression syndrome have been reported. We here report on a case of abducent nerve palsy caused by neurovascular compression syndrome that was successfully treated by microvascular decompression (MVD). A 46-year-old male presented with a 6-month h...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
doi：10.1007/s00701-015-2530-5
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Severe traumatic brain injury (sTBI) is a major cause of morbidity and mortality. Intracranial pressure (ICP) monitoring and management form the cornerstone of treatment paradigms for sTBI in developed countries. We examine the available randomized controlled trial (RCT) data on the impact of ICP management ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
doi：10.1007/s00701-017-3363-1
更新日期：2017-12-01 00:00:00
abstract：:In 15 patients without acute brain injury the concentrations of Neuron-specific Enolase (NSE), S-100 Protein (S-100), Creatine Kinase (CK), and Creatine Kinase BB isoenzyme (CK-BB) in ventricular cerebrospinal fluid (CSF) were measured immediately after lateral ventricle cannulation for diagnostic or treatment purpose...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01400675
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:Implantation of neural cells has been proposed as a therapeutic strategy for repairing the injured or diseased brain. In the present study we have examined the potential of olfactory ensheathing cells (OEC) to promote brain repair after surgical implantation in a rodent model of parkinsonism. METHODS:Neonat...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-007-1121-5
更新日期：2007-01-01 00:00:00
