Abstract:
PURPOSE:The aim of the present study was to delineate preoperative factors that may predict perforator injuries following open surgery for an unruptured middle cerebral artery (MCA) aneurysm. METHODS:The authors conducted a retrospective review of 85 consecutive patients who underwent surgical clipping of 91 unruptured MCA aneurysms. In addition to demographic profiles, angiographic characteristics of aneurysms, which included the side, size, projection, height from the origin of the ophthalmic artery, and distance between the internal carotid artery (ICA) bifurcation and the aneurysm origin, were analysed and correlated with perforator injuries. Compared with the preoperative CT and/or MRI, any newly-developed infarctions in the striatocapsular area were regarded as perforator injuries even if they were very small and asymptomatic. RESULTS:A perforator injury was found in 14 out of 91 cases (15%). Although the majority of them remained asymptomatic, neurological deterioration occurred in four patients. Of the analysed variables, both the height (from the origin of the ophthalmic artery) and the distance (between the ICA bifurcation and the aneurysm origin) were significantly associated with perforator injuries. A stepwise increment of the risk was observed as the position of aneurysms became higher or as the distance to the ICA bifurcation became shorter. CONCLUSIONS:These results would be helpful in estimating surgical risks for an unruptured MCA aneurysm, one of the most commonly encountered aneurysms in the neurosurgical field.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Yeon JY,Kim JS,Hong SCdoi
10.3109/02688697.2010.535924subject
Has Abstractpub_date
2011-08-01 00:00:00pages
497-502issue
4eissn
0268-8697issn
1360-046Xjournal_volume
25pub_type
杂志文章abstract:OBJECTIVE:Surgical manipulation of the pituitary stalk, neurohypophysis or the hypothalamus may disturb control of the plasma sodium level. The factors that might predict the risk of postoperative sodium imbalance are not clear, and were investigated in this study. METHODS:A retrospective survey of 129 surgical record...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688697.2012.714013
更新日期:2013-02-01 00:00:00
abstract::Since 1976, 133 patients treated by posterior fossa microvascular decompression (MVD) for trigeminal neuralgia (TN) have been followed-up prospectively to determine the incidence of recurrent TN. The follow-up period was between 6 months and 15 years, with 60 patients having been follow-up for more than 5 years. Of th...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::Combining previously independently established techniques our objective was to develop and evaluate a method for bedside qualitative assessment of cerebral blood flow in neurointensive care (NICU) patients. The CT-protocol was optimized using phantoms and comparing a mobile CT-scanner (Tomoscan-M, Philips) with two st...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688690500389898
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abstract:AIM:The aim of this manuscript is to review the current state of knowledge regarding C-reactive protein (CRP) kinetics after standard neurosurgical procedures, and to determine the value of CRP as a screening test for early post-operative infectious complications as opposed to other more commonly used tests, and as a m...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688697.2010.500408
更新日期:2010-12-01 00:00:00
abstract::Background: Vertebral body compression fractures are one of the most common causes of disability and morbidity, especially among the elderly population. The present study was performed in order to evaluate the effect of percutaneous balloon kyphoplasty (BKP) on patients' pain and quality of life (QOL) in Iran.Methods:...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688697.2020.1777254
更新日期:2020-06-09 00:00:00
abstract::A series of 31 patients harbouring 33 glomus tumours of the skull base were treated by a posterolateral combined otoneurosurgical approach. Seventy-four percent of tumours were totally exercised. Only one case required a 2-staged procedure. Three patients were given postoperative radiotherapy. Twenty-eight patients ha...
journal_title:British journal of neurosurgery
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doi:10.3109/02688698909001022
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abstract::Intracranial penetration during attempted nasogastric intubation is a rare, often lethal occurrence. We report the inadvertent introduction of a nasogastric tube intracranially in a neonate following repair of unilateral choanal atresia. Following manual removal of the tube, the patient made a good recovery. ...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688699943547
更新日期:1999-08-01 00:00:00
abstract::Objective: Vaccination therapy using tumour antigen-loaded, autologous dendritic cells (DC) is a promising therapeutic approach alongside standard treatment for glioblastoma (GBM). However, reliable diagnostic criteria regarding therapy monitoring are not established. Here, we analysed the impact of additional 18F-flu...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688697.2019.1639615
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abstract::We investigated subdural pressure gradients within the operative field of the exposed intact dura in 53 patients with space-occupying lesions during craniotomy. In 37 patients with supratentorial brain tumour paired measurements of subdural pressure were studied in either the same horizontal or vertical plane. In 16 p...
journal_title:British journal of neurosurgery
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doi:10.1080/026886900408414
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abstract::Myxopapillary ependymoma (MPE) is a rare variant of ependymoma that is most commonly located in the cauda equina and filum terminale. We present a case of 23-year-old man diagnosed with MPE in the fourth ventricle and sacral canal area with extensive disseminated lesions along the cerebrospinal ventricular system. Add...
journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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abstract::Surgical approaches to the posterior fossa may be complicated by pseudomeningocoele formation. We report on its natural history and risk factors for its formation, as seen on serial MRI postoperatively in children with posterior fossa tumours. In a retrospective study of 84 children undergoing surgery for posterior fo...
journal_title:British journal of neurosurgery
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doi:10.1080/02688690310001627777
更新日期:2003-12-01 00:00:00
abstract::The authors report the rare and first documented case of intracranial collision tumour occurrence in a previously evacuated intracerebral haematoma site. Surgery trauma could predispose to collision tumour occurrence. Research efforts should try to reveal the possible pathogenesis of this condition. ...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688697.2012.697220
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abstract:BACKGROUND:Giant pituitary adenomas (> 4 cm) are a surgical challenge. We present our experiences in surgical management of these tumors in a series of 250 patients. METHODS:Two hundred and fifty patients with giant pituitary adenomas were managed surgically at our center over last 13 years. Majority (92%) of patients...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688690903370305
更新日期:2010-02-01 00:00:00
abstract::Low-grade (WHO level I) meningiomas are slow-growing, benign tumours typically presenting with unspecific symptoms (e.g. headache), seizures, cranial nerve compression and neuropsychological symptoms determined by location and size of the lesion. Haemorrhagic onset and sequelae are rare, and have been described infreq...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.1080/02688690500208734
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abstract::Microdialysis enables the chemistry of extracellular fluid in body tissues to be measured. Extracellular proteases such as the cysteine protease, cathepsin S (CatS), are thought to facilitate astrocytoma invasion. Microdialysates obtained from human brain tumours in vivo were subjected to cathepsin S activity and ELIS...
journal_title:British journal of neurosurgery
pub_type: 临床试验,杂志文章
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journal_title:British journal of neurosurgery
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doi:10.1080/02688690120097714
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journal_title:British journal of neurosurgery
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doi:10.1080/02688697.2017.1416061
更新日期:2020-02-01 00:00:00
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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abstract::Fibrous dysplasia (FD) is an uncommon benign fibro-osseous abnormality of bone, of unknown aetiology and equal sex incidence, which is most commonly restricted to one bone (monostotic FD: MFD, 70%). Less commonly multiple bones are affected (polyostotic FD: PFD, 27%). Vertebral involvement is uncommon (4%), but more c...
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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doi:10.3109/02688699008992729
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journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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更新日期:2016-01-01 00:00:00
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journal_title:British journal of neurosurgery
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