Abstract：
BACKGROUND:By now it has been well established that vertebral artery injury (VAI) is associated with unstable cervical spine injuries resulting from blunt trauma. A more complete understanding of predisposing factors and the mechanism of injury in VAI should result in improved outcomes and reduced risk for patients with VAI associated with unstable cervical spine injury following blunt trauma. The authors report statistical outcome and hypothesis to more thoroughly examine the predisposing factors for VAI, of which management is controversial, in destabilized midcervical spine trauma. METHODS:Ninety-one of 131 consecutive patients who underwent surgery for a traumatically destabilized subaxial cervical spine were included, and results were analyzed statistically by logistic regression. RESULTS:Eighteen patients (19.8 % of 91 patients) had a VAI associated with midcervical spine trauma (C2-C6). In univariate statistical analysis, transverse foramen fracture (P = 0.002), facet dislocation (P = 0.014), and facet fracture (P = 0.001) were significant risk factors. However, only facet fracture was determined to be significant risk factor after multivariate analysis (P = 0.006, odds ratio 20.98). It is hypothesized that a VAI occurs in a midcervical spine injury when a facet fracture allows the bony compartment to impinge on the relatively narrow free space of the intervertebral foramen, which is also occupied by the cervical root. CONCLUSION:A facet fracture is the most important risk factor for VAI in patients with a destabilized midcervical spine injury. Patients with a C2-C6 facet fracture may require a definitive evaluation with vertebral artery imaging.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Chung D,Sung JK,Cho DC,Kang DHdoi
10.1007/s00701-012-1499-6subject
Has Abstractpub_date
2012-11-01 00:00:00pages
2091-8; discussion 2098issue
11eissn
0001-6268issn
0942-0940journal_volume
154pub_type
杂志文章abstract：:Meningiomas are tumors arising from the meninges and represent the most frequent central nervous system tumors in adults. Recent large-scale genetic studies and preclinical meningioma mouse modelling led to a better comprehension of meningioma development and suggested evidences of close relationships between meningea...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
doi：10.1007/s00701-020-04650-w
更新日期：2021-01-01 00:00:00
abstract：:A recent modification of the occipital transtentorial approach to the pineal region and medial-posterior hemisphere is described. The patient is operated upon in a lateral reclining (park bench) position with the side to undergo occipitoparietal craniotomy, slightly dependant. Following dural opening to the margins of...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01405427
更新日期：1990-01-01 00:00:00
abstract：:In order to further elucidate the pathogenesis of the direct carotid cavernous fistulas (dCCF) clinical, patho-anatomical, and physico-mechanical studies were performed. In 27 of 42 patients the dCCF were found to be localized in the segment C4 (according to Teufel, 12), in 13 patients in segment C2 and in only 2 pati...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01808537
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:This prospective observational study was undertaken to investigate the advantages, the safety, and the drawbacks of reconstructing a cervical corpectomy with a distractible corpectomy cage. According to the author's literature search, this is the second clinical report on a distractible cervical corpectomy c...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-006-0871-9
更新日期：2006-11-01 00:00:00
abstract：AIM:Numerous materials have been used to replace defects in the dura mater as result of neurosurgical and spinal procedures. Tissudura is a biomatrix made of cross-linked equine collagen fibrils, mainly of the interstitial type I. The specially engineered dura-like layered structure provides a non porous primary water ...
journal_title：Acta neurochirurgica
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1007/s00701-009-0290-9
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:Lately, morphological parameters of the surrounding vasculature aside from aneurysm size, specific for the aneurysm location, e.g., posterior cerebral artery angle for basilar artery tip aneurysms, could be identified to correlate with the risk of rupture. We examined further image-based morphological paramet...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04593-2
更新日期：2020-10-06 00:00:00
abstract：:We describe an extremely rare example of Ewing's sarcoma (ES)/peripheral primitive neuroectodermal tumour (pPNET) originating from the jugular foramen. The patient was a 10-year-old boy who presented with progressive symptoms due to right lower cranial nerve palsies. Computed tomographic (CT) scan and magnetic resonan...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-008-1601-2
更新日期：2008-08-01 00:00:00
abstract：BACKGROUND:Most scales used to assess prognosis after subarachnoid haemorrhage (SAH) are based on the level of consciousness of the patient. Based on information from a logistic regression model, Ogilvy et al. developed a new grading scheme (Massachussetts General Hospital (MGH) Scale) which applied a simple scoring me...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-004-0417-y
更新日期：2005-01-01 00:00:00
abstract：OBJECT:The authors analyzed the cases of 163 patients with syringomyelia to assess the appropriate surgical procedure. METHODS:Depending on the aetiological factors and treatment considerations the series was classified into three groups. Group I were cases where there was no definite demonstrable aetiological factor;...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050038
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:As the volume of scientific publications increases, the rate of retraction of published papers is also likely to increase. In the present study, we report the characteristics of retracted papers from clinical neurosurgery and allied clinical and basic science specialties. METHODS:Retracted papers were ident...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04615-z
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:The resection of convexity meningiomas should harbour a low rate of morbidity. Functional preservation should be the main goal of surgery and have higher priority over radicality. Involvement of the primary motor cortex (PMC) increases surgical risk. The goal of this study was to evaluate the effect of corti...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-012-1279-3
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:Computer-assisted design and manufacturing (CAD/CAM) techniques have been implemented in craniosynostosis surgery to facilitate cranial remodeling. However, until now, computed tomography (CT) scans with ionizing radiation were necessary to plan the procedure and create guiding templates. The purpose of this...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04445-z
更新日期：2020-06-09 00:00:00
abstract：:Does the absolute value of the stump pressure (post-occlusion back pressure) become a useful index of a good collateral circulation? The authors continuously monitored the mean arterial pressure before, during and after 20-minute balloon test occlusion in 24 patients. The stump pressure was then compared with the resu...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01411175
更新日期：1996-01-01 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：BACKGROUND:Microvascular decompression (MVD) for hemifacial spasm (HFS) has been popular, but it may take enough time to master this special operative technique and procedure. This may induce uneven distribution of the number of MVD operations in each institute, possibly resulting in an overall unsatisfactory quality o...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-013-1724-y
更新日期：2013-09-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-009-0239-z
更新日期：2009-06-01 00:00:00
abstract：:The management of vestibular schwannomata is controversial. Surveillance remains an acceptable option for elderly patients or those with small lesions. Stereoradiosurgery is also an option, while surgery is often preferred in younger patients with larger lesions. In elderly patients with lesions causing brainstem comp...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-009-0493-0
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Most surgical teams currently consider that endoscopy has become the "gold standard" technique for the transsphenoidal approach to pituitary surgery. Pituitary adenomas are commonly benign tumours and should benefit from the least invasive approach. METHOD:In Foch Hospital, from 2006 to 2020, 2835 patients ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04542-z
更新日期：2020-08-29 00:00:00
abstract：:From a clinical standpoint recovery of spinal nerve roots is less likely than that of peripheral nerves, despite their identical structures. This may be due to several factors including the length of gap to be bridged, changes in the proximal stump or neuroma, and chromatolysis. In this paper we discuss the roles of s...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01405874
更新日期：1976-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01401302
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND/PURPOSE:Increased slow-wave activity in intracranial pressure (ICP) signifies an exhausted cerebrospinal compensatory reserve across a range of conditions. In this study, we attempted to describe synchronisation between slow waves of ICP and of near-infrared spectroscopy (NIRS) variables during controlled el...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：2010-10-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01404951
更新日期：1995-01-01 00:00:00
abstract：BACKGROUND:The necessity of red blood cell (RBC) transfusions in neurosurgical procedures is under debate. Although detailed recommendations exist for many other surgical disciplines, there are very limited data on the probability of transfusions during neurosurgical procedures. METHODS:Three-thousand and twenty-six c...
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pub_type： 杂志文章
doi：10.1007/s00701-012-1373-6
更新日期：2012-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00701-005-0562-y
更新日期：2005-08-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-015-2344-5
更新日期：2015-04-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050283
更新日期：1999-01-01 00:00:00
abstract：:The aetiology of incomplete adrenergic denervation and reduction in the number and caliber of the cerebral vessels in hydrocephalus is still obscure. Stretching of the blood vessels alone is far from explaining these major vascular changes. Previous studies have shown that increased lipid peroxidation produces toxic e...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01405185
更新日期：1993-01-01 00:00:00
abstract：OBJECTIVE:This study is aimed to describe the observable anatomical variants of the innervation of extensor hallucis longus muscle (EHLM) in order to have the surgical coordinates to perform neurotomy on the targeted branches of its innervation and to give a valuable alternative to the commonly used technique of fascic...
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pub_type： 杂志文章
doi：10.1007/s00701-009-0504-1
更新日期：2009-10-01 00:00:00
abstract：:It is critical that traumatic intracranial pseudoaneurysms should be removed completely from the parent artery because there is a possibility of significant morbidity and mortality from the high risk of rebleeding from any remnants of the pseudoaneurysm. However, the deconstruction of the parent artery has the risk of...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-011-1251-7
更新日期：2012-03-01 00:00:00
abstract：:Among 64 patients with hemifacial spasm (HFS) and 60 with trigeminal neuralgia (TN) treated by microvascular decompression (MVD), repeated MVD performed on 3 cases with HFS resulted in the absence of spasm in all cases. In 7 cases with TN, this technique resulted in complete remission in 2, recurrence in 3, and no pai...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01400583
更新日期：1992-01-01 00:00:00
