Analysis of treatment failure after radiosurgery for arteriovenous malformations.

Abstract:

OBJECT:The aim of this study was to evaluate the causes of treatment failure in patients with arteriovenous malformations (AVMs) who underwent radiosurgery, which is increasingly used as a treatment method for selected, surgically high-risk AVMs. Unfortunately, radiosurgical treatment fails in a small but significant percentage of patients. In the time period covered in this study, 72 patients attained angiographically confirmed cures after radiosurgery and 36 were retreated after the initial radiosurgical treatment failed. METHODS:Using a computerized image fusion technique, the initial radiosurgical dosimetry plan was superimposed on the remaining AVM nidus at the time of retreatment. Twenty-six percent of the retreated cases were found to have AVM niduses outside the original treatment isodose line, which means that targeting error was a factor. The retreated group was also statistically compared with the cured group. CONCLUSIONS:Multivariate analysis revealed that the following factors were statistically significant predictors of treatment failure: increasing AVM size, decreasing treatment dose, and increasing Spetzler-Martin grade.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Ellis TL,Friedman WA,Bova FJ,Kubilis PS,Buatti JM

doi

10.3171/jns.1998.89.1.0104

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

104-10

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

89

pub_type

杂志文章
  • Fully endoscopic expanded endonasal approach treating skull base lesions in pediatric patients.

    abstract:OBJECT:The authors reviewed their experience with endoscopic approaches to determine their safety and efficacy in the treatment of pediatric patients who harbor skull base lesions. Although they were interested in ascertaining outcomes after surgery as well as validating and defining indications and limitations of thes...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2007.106.2.75

    authors: Kassam A,Thomas AJ,Snyderman C,Carrau R,Gardner P,Mintz A,Kanaan H,Horowitz M,Pollack IF

    更新日期:2007-02-01 00:00:00

  • Localization of vertex lesions seen on CT scan.

    abstract::A simple method is presented for localizing the anatomical site of vertex lesions seen on a computerized tomography (CT) brain scan, using the patient's plain lateral skull film. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.49.1.0071

    authors: O'Leary DH,Lavyne MH

    更新日期:1978-07-01 00:00:00

  • Neurostimulation for chronic noncancer pain: an evaluation of the clinical evidence and recommendations for future trial designs.

    abstract:OBJECT:Neurostimulation to treat chronic pain includes approved and investigational therapies directed at the spinal cord, thalamus, periaqueductal or periventricular gray matter, motor cortex, and peripheral nerves. Persistent pain after surgery and work-related or neural injuries are common indications for such treat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2006.105.2.175

    authors: Coffey RJ,Lozano AM

    更新日期:2006-08-01 00:00:00

  • Postirradiation sarcomatous transformation of a pituitary adenoma: a combined pituitary tumor. Case report.

    abstract::A case is reported in which a fibrosarcoma developed 20 years after irradiation of a pituitary chromophobe adenoma. This rare lesion, like most of the other documented postirradiation pituitary sarcomas, was a combination of fibrosarcoma and pituitary adenoma. These lesions tend to behave in a characteristic fashion, ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.2.0283

    authors: Pieterse S,Dinning TA,Blumbergs PC

    更新日期:1982-02-01 00:00:00

  • In-hospital mortality and length of hospital stay with craniotomy versus craniectomy for acute subdural hemorrhage: a multicenter, propensity score-matched analysis.

    abstract:OBJECTIVE:The optimal surgical treatment for acute subdural hemorrhage (ASDH) remains controversial. The purpose of this study was to compare outcomes in patients who underwent craniotomy with those in patients who underwent decompressive craniectomy for the treatment of ASDH. METHODS:Using the Japan Trauma Data Bank,...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.4.JNS182660

    authors: Shibahashi K,Sugiyama K,Tomio J,Hoda H,Morita A

    更新日期:2019-06-21 00:00:00

  • Congenital ventriculocisternostomy. Case report.

    abstract::A case of congenital ventriculocisternostomy is reported. This infant presented with occipital meningocele. Conray ventriculography demonstrated a spontaneous ventriculocisternostomy and stenosis of the aqueduct. The case is discussed and pertinent literature reviewed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.54.1.0098

    authors: Mann KS,Khosla VK,Gulati DR

    更新日期:1981-01-01 00:00:00

  • Seizures after evacuation of subdural hematomas: incidence, risk factors, and functional impact.

    abstract:OBJECT:The purpose of this study was to evaluate the incidence of seizures or epileptiform abnormalities on electroencephalography (EEG) studies in patients undergoing surgical treatment for acute subdural hematoma (SDH). METHODS:This was a retrospective study of 134 consecutive patients with acute or acute-on-chronic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.7.JNS09392

    authors: Rabinstein AA,Chung SY,Rudzinski LA,Lanzino G

    更新日期:2010-02-01 00:00:00

  • Systemic gamma-interferon therapy for recurrent gliomas.

    abstract::Recombinant gamma-interferon (2 mg/sq m) was administered intravenously twice weekly in 8-week courses to 14 patients with recurrent gliomas. Computerized tomography (CT) evidence of response was seen in only one patient, and stabilization for 12 to 86 weeks was recorded in three. This was a disappointing result, part...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.6.0826

    authors: Mahaley MS Jr,Bertsch L,Cush S,Gillespie GY

    更新日期:1988-12-01 00:00:00

  • Use of endoscopic transorbital and endonasal approaches for 360° circumferential access to orbital tumors.

    abstract:OBJECTIVE:Orbital tumors are often surgically challenging because they require an extensive fronto-temporo-orbital zygomatic approach (FTOZ) and a multidisciplinary team approach to provide the best outcomes. Recently, minimally invasive endoscopic techniques via a transorbital superior eyelid approach (ETOA) or endosc...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.6.JNS20890

    authors: Jeon C,Hong SD,Woo KI,Seol HJ,Nam DH,Lee JI,Kong DS

    更新日期:2020-09-25 00:00:00

  • Delayed nonhemorrhagic encephalopathy following mild head trauma. Case report.

    abstract::Delayed nonhemorrhagic encephalopathy following mild head trauma is a rare condition with an unknown etiology. The few cases reported in the literature are in young adults, all of them in the era before computerized tomography (CT) became available, and all had a devastating clinical course with multifocal ischemia or...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.4.0608

    authors: Ram Z,Hadani M,Spiegelman R,Tadmor R,Shacked I

    更新日期:1989-10-01 00:00:00

  • Endovascular stent therapy for extracranial and intracranial carotid artery dissection: single-center experience.

    abstract:OBJECT:The objective of this study was to evaluate endovascular stent therapy for carotid artery dissections (CADs). METHODS:Retrospective review of data at Millard Fillmore Gates Hospital identified 43 patients with 44 CADs (intracranial and/or extracranial) treated with carotid artery (CA) stent placement between Ja...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.1.JNS091806

    authors: Ohta H,Natarajan SK,Hauck EF,Khalessi AA,Siddiqui AH,Hopkins LN,Levy EI

    更新日期:2011-07-01 00:00:00

  • Primary leiomyosarcoma of the dura mater. Case report.

    abstract::A rare case of leiomyosarcoma arising from the dura mater is presented. A definite histological diagnosis was based on the electron microscopic features. Extensive removal of the tumor and postoperative radiation therapy resulted in complete remission. The etiology and the origin of this tumor are discussed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.68.2.0308

    authors: Asai A,Yamada H,Murata S,Matsuno A,Tsutsumi K,Takemura T,Matsutani M,Takakura K

    更新日期:1988-02-01 00:00:00

  • Surgical management and outcome of schwannomas in the craniocervical region.

    abstract:OBJECT:Schwannomas occupying the craniocervical junction (CCJ) are rare and usually originate from the jugular foramen, hypoglossal nerves, and C-1 and C-2 nerves. Although they may have different origins, they may share the same symptoms, surgical approaches, and complications. An extension of these lesions along the ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.5.JNS0966

    authors: Cavalcanti DD,Martirosyan NL,Verma K,Safavi-Abbasi S,Porter RW,Theodore N,Sonntag VK,Dickman CA,Spetzler RF

    更新日期:2011-05-01 00:00:00

  • Surgical strategy for distal anterior cerebral artery aneurysms: microsurgical anatomy.

    abstract:OBJECT:Most distal anterior cerebral artery (ACA) aneurysms arise at the pericallosal-callosomarginal artery (PerA-CMA) junction, which is usually located in the A3 segment of the ACA around the genu of the corpus callosum. Aneurysms in the PerA-CMA junction are divided into two types according to their location: supra...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.99.3.0517

    authors: Kawashima M,Matsushima T,Sasaki T

    更新日期:2003-09-01 00:00:00

  • Spinal arachnoid cyst developing after surgical treatment of a ruptured vertebral artery aneurysm: a possible complication of topical use of fibrin glue. Case report.

    abstract::A case is reported of a 59-year-old man with a spinal arachnoid cyst accompanied by spinal arachnoiditis. The patient developed symptoms after treatment for a ruptured vertebral artery aneurysm, in which fibrin glue was used for reconstruction of the suboccipital bone defect. It is believed that the fibrin glue may ha...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.84.3.0526

    authors: Taguchi Y,Suzuki R,Okada M,Sekino H

    更新日期:1996-03-01 00:00:00

  • Neuroprotective effect of the surfactant poloxamer 188 in a model of intracranial hemorrhage in rats.

    abstract:OBJECT:Neuronal injury remains a leading cause of morbidity in both neonates and adults with injuries induced by intracranial hemorrhage, ischemia-reperfusion, and excitotoxicity. To date, a number of neuroprotective strategies have been evaluated, but they have shown little benefit. Poloxamer 188 (P-188), a membrane-a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2007.106.1.36

    authors: Cadichon SB,Le Hoang M,Wright DA,Curry DJ,Kang U,Frim DM

    更新日期:2007-01-01 00:00:00

  • Nimodipine in aneurysmal subarachnoid hemorrhage: a randomized study of intravenous or peroral administration.

    abstract:OBJECT:The calcium antagonist nimodipine has been shown to reduce the incidence of ischemic complications following aneurysmal subarachnoid hemorrhage (SAH). Although most randomized studies have been focused on the effect of the peroral administration of nimodipine, intravenous infusion is an alternative and the prefe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2008.7.JNS08178

    authors: Kronvall E,Undrén P,Romner B,Säveland H,Cronqvist M,Nilsson OG

    更新日期:2009-01-01 00:00:00

  • Cerebral hemispherectomy in pediatric patients with epilepsy: comparison of three techniques by pathological substrate in 115 patients.

    abstract:OBJECT:Cerebral hemispherectomy for intractable seizures has evolved over the past 50 years, and current operations focus less on brain resection and more on disconnection. In addition, cases involving cortical dysplasia and Rasmussen encephalitis are being identified and surgically treated in younger individuals. Few ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2004.100.2.0125

    authors: Cook SW,Nguyen ST,Hu B,Yudovin S,Shields WD,Vinters HV,Van de Wiele BM,Harrison RE,Mathern GW

    更新日期:2004-02-01 00:00:00

  • Long-range plasticity between intact hemispheres after contralateral cervical nerve transfer in humans.

    abstract:OBJECT:Peripheral nerve injury in a limb usually causes intrahemispheric functional reorganization of the contralateral motor cortex. Recently, evidence has been emerging for significant interhemispheric cortical plasticity in humans, mostly from studies of direct cortical damage. However, in this study, a long-range i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.1.JNS09448

    authors: Zuo CT,Hua XY,Guan YH,Xu WD,Xu JG,Gu YD

    更新日期:2010-07-01 00:00:00

  • Clinical characteristics and long-term outcomes in patients with ruptured posterior inferior cerebellar artery aneurysms: a comparative analysis.

    abstract:OBJECT:Subarachnoid hemorrhage (SAH) from ruptured posterior inferior cerebellar artery (PICA) aneurysms is uncommon, and long-term outcome data for patients who have suffered such hemorrhages is lacking. This study investigated in-hospital and long-term clinical data from a prospective cohort of patients with SAH from...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS141079

    authors: Williamson RW,Wilson DA,Abla AA,McDougall CG,Nakaji P,Albuquerque FC,Spetzler RF

    更新日期:2015-08-01 00:00:00

  • Neurosurgical management of acromegaly. Results in 82 patients treated between 1972 and 1977.

    abstract::A consecutive series of 82 acromegalic patients who underwent transsphenoidal surgery during a 5-year period is presented. Preoperative and postoperative values for human growth hormone (HGH) were available in 80 cases. Microadenomas were present in 18 patients with a mean preoperative HGH value of 25.2 ng/ml, diffuse...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.50.4.0454

    authors: Laws ER Jr,Piepgras DG,Randall RV,Abboud CF

    更新日期:1979-04-01 00:00:00

  • Five-year institutional bibliometric profiles for 103 US neurosurgical residency programs.

    abstract:OBJECT:Various bibliometric indices based on the citations accumulated by scholarly articles, including the h-index, g-index, e-index, and Google's i10-index, may be used to evaluate academic productivity in neurological surgery. The present article provides a comprehensive assessment of recent academic publishing outp...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS141025

    authors: Taylor DR,Venable GT,Jones GM,Lepard JR,Roberts ML,Saleh N,Sidiqi SK,Moore A,Khan N,Selden NR,Michael LM 2nd,Klimo P Jr

    更新日期:2015-09-01 00:00:00

  • Extraaxial primitive neuroectodermal tumor mimicking a vestibular schwannoma: diagnostic and therapeutic difficulties. Report of two cases.

    abstract::Extraaxial cerebellopontine angle (CPA) medulloblastomas and other primitive neuroectodermal tumors (PNETs) are rare tumors. The authors report on two patients with PNETs who presented with progressive audiovestibular symptoms. In each case magnetic resonance (MR) imaging revealed an extraaxial lesion that filled the ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2001.94.4.0612

    authors: Kalamarides M,Dewolf E,Couvelard A,Shahidi A,Bouccara D,Cyna-Gorse F,Rey A,Sterkers O

    更新日期:2001-04-01 00:00:00

  • Myelomeningocele: long-term neurosurgical treatment and follow-up in 202 patients.

    abstract:OBJECT:In this paper the authors focus on the long-term management of myelomeningocele (MMC) and its associated conditions. METHODS:During a 25-year period, 220 consecutive patients with MMC underwent surgical repair. There were 203 cases (92%) of enlarged ventricles, but only 171 cases (78%) of hydrocephalus. Seven i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/PED-07/11/368

    authors: Talamonti G,D'Aliberti G,Collice M

    更新日期:2007-11-01 00:00:00

  • Risk of early closed reduction in cervical spine subluxation injuries.

    abstract:OBJECT:The authors retrospectively reviewed 121 patients with traumatic cervical spine injuries to determine the risk of neurological deterioration following early closed reduction. METHODS:After excluding minor fractures and injuries without subluxation, the medical records and imaging studies (computerized tomograph...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.1999.90.1.0013

    authors: Grant GA,Mirza SK,Chapman JR,Winn HR,Newell DW,Jones DT,Grady MS

    更新日期:1999-01-01 00:00:00

  • Experimental chronic subdural hematoma in mice. Gross morphology and light microscopic observations.

    abstract::A new experimental model of chronic subdural hematoma in mice is described. A single intraperitoneal injection of 6-aminonicotinamide (25 mg/kg body weight) on the 5th postnatal day induced hydrocephalus in mice with almost 100% success. Approximately 60% of the mice spontaneously developed intracranial hemorrhage 20 ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.67.5.0710

    authors: Aikawa H,Suzuki K

    更新日期:1987-11-01 00:00:00

  • Preirradiation methotrexate chemotherapy of primary central nervous system lymphoma: long-term outcome.

    abstract::The treatment of primary central nervous system lymphoma with chemotherapy prior to whole-brain radiation therapy (WBRT) has improved outcome considerably in this previously fatal disease. Complete or partial responses to intravenous methotrexate (3.5 gm/sq m with leucovorin rescue every 3 weeks for two to four cycles...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.2.0188

    authors: Glass J,Gruber ML,Cher L,Hochberg FH

    更新日期:1994-08-01 00:00:00

  • Spinal cord injury.

    abstract:OBJECT:It is known that the spinal cord can sustain traumatic injury without associated injury of the spinal column in some conditions, such as a flexible spinal column or preexisting narrowed spinal canal. The purpose of this study was to characterize the clinical features and to understand the mechanisms in cases of ...

    journal_title:Journal of neurosurgery

    pub_type: 评论,信件

    doi:

    authors: Bhatoe HS

    更新日期:2001-04-01 00:00:00

  • Nevus of Ota associated with meningeal melanosis and intracranial melanoma. Case report.

    abstract::A case is reported of a patient in whom an intracranial extracerebral melanoma developed in association with a life-long nevus of Ota. Melanotic pigmentation of the skull, periosteum, and meninges beneath the nevus was found at operation. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.58.2.0280

    authors: Sagar HJ,Ilgren EB,Adams CB

    更新日期:1983-02-01 00:00:00

  • Disc herniation at T1-2. Report of four cases and literature review.

    abstract::In preparing this paper, the authors reviewed their experiences with four cases of T1-2 disc herniation as well as the medical literature on the subject. Intervertebral thoracic disc herniations are uncommon and high thoracic disc herniations are rare. In the upper third of the thoracic spine, T1-2 is the most common ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1998.88.1.0148

    authors: Morgan H,Abood C

    更新日期:1998-01-01 00:00:00