Magnetic resonance imaging of obliterated arteriovenous malformations up to 23 years after radiosurgery.

Abstract:

:The authors report outcomes in 18 patients with arteriovenous malformations (AVMs) who were treated with gamma knife radiosurgery and in whom magnetic resonance (MR) imaging was obtained a mean of 14 years (range 8-23 years) after treatment and 10 years (range 4-17 years) after confirmed obliteration of the AVM. All patients were asymptomatic after radiosurgery and during the time of the study. In five patients (28%), cyst formation was observed that corresponded to the site of the obliterated AVM. Cyst formation and contrast enhancement on MR imaging could not be statistically correlated to the radiation dose. In 11 (61%) of the 18 patients, contrast enhancement that was not related to a recanalization of the nidus was observed in the target area. In three patients (17%), an increased T2-weighted signal was detected at the site of previous AVM; this was interpreted as gliosis or demyelination, which appeared to be dose dependent. The study illustrates that cyst formation, contrast enhancement, and an increased T2-weighted signal can be observed in asymptomatic patients in the area that was targeted for AVM radiosurgery up to 23 years after the procedure. The report provides new and essential information about long-term effects on normal tissue after radiosurgery and provides a basis for the interpretation of MR studies in the follow up of small AVMs treated by radiosurgery.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Kihlström L,Guo WY,Karlsson B,Lindquist C,Lindqvist M

doi

10.3171/jns.1997.86.4.0589

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

589-93

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

86

pub_type

杂志文章
  • Hydrocephalus: comparison of clipping and embolization in aneurysm treatment.

    abstract:OBJECT:In this retrospective study conducted at Atkinson Morley's Hospital and Middlesbrough General Hospital, the authors analyzed 100 matched patients who had suffered subarachnoid hemorrhage (SAH) to determine whether the technical procedure by which aneurysms are treated affects the development of chronic hydroceph...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.92.6.0991

    authors: Sethi H,Moore A,Dervin J,Clifton A,MacSweeney JE

    更新日期:2000-06-01 00:00:00

  • A randomized placebo-controlled double-blind trial of nimodipine after SAH in monkeys. Part 1: Clinical and radiological findings.

    abstract::The authors have developed a method to induce chronic cerebral vasospasm after subarachnoid hemorrhage (SAH) in monkeys. With microsurgical techniques, 33 monkeys had a frontotemporal craniectomy and unilateral opening of the subarachnoid cisterns. Cerebrospinal fluid was drained and a fresh hematoma, obtained from an...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.6.1167

    authors: Espinosa F,Weir B,Overton T,Castor W,Grace M,Boisvert D

    更新日期:1984-06-01 00:00:00

  • Radiotherapy for atypical meningiomas.

    abstract:OBJECT:The role of postoperative radiotherapy in patients undergoing first-time resection of WHO Grade II meningioma remains unclear as reflected by varied practices in published clinical studies and national professional surveys. Much of the relevant literature is based on pre-2000 WHO grading criteria for atypical me...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.5.JNS11112

    authors: Mair R,Morris K,Scott I,Carroll TA

    更新日期:2011-10-01 00:00:00

  • Indications for nonoperative treatment of spinal cord compression due to breast cancer.

    abstract::A retrospective series of 12,478 patients with breast cancer included 2467 patients with spinal metastases. Local treatment was not necessary in 688 patients. Neurological dificit did not develop in 1735 patients who underwent radiotherapy. Forty-four patients developed myelopathy due to spinal cord compression as dem...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.47.5.0653

    authors: Cobb CA 3rd,Leavens ME,Eckles N

    更新日期:1977-11-01 00:00:00

  • Epidural-cutaneous fistula in association with the Pott puffy tumor in an adolescent. Case report.

    abstract::The Pott puffy tumor is a subperiosteal abscess associated with underlying osteomyelitis, most often of the frontal bone in conjunction with frontal sinusitis. Intracranial sequelae can include epidural abscess, subdural empyema, intraparenchymal abscess, meningitis, and dural venous thrombophlebitis, all with resulta...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.105.3.235

    authors: Davidson L,McComb JG

    更新日期:2006-09-01 00:00:00

  • Clinical significance of positive cranial bone flap cultures and associated risk of surgical site infection after craniotomies or craniectomies.

    abstract:OBJECT:The risk of surgical site infection (SSI) after craniotomies or craniectomies in patients in whom contaminated bone flaps have been reimplanted has not been determined. The objectives of this study were to identify the prevalence of bone flaps with positive cultures--especially those contaminated with Propioniba...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.1.JNS10782

    authors: Chiang HY,Steelman VM,Pottinger JM,Schlueter AJ,Diekema DJ,Greenlee JD,Howard MA 3rd,Herwaldt LA

    更新日期:2011-06-01 00:00:00

  • Analysis and measurement of some sources of variability in experimental spinal cord trauma.

    abstract::Experiments were performed on anesthetized cats to determine whether the variability that is common in experimental spinal cord injuries produced by the weight-drop technique can be reduced if a more accurate determination of the actual intensity of the insult to the cord is measured. In addition, determinations of th...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.50.6.0784

    authors: Molt JT,Nelson LR,Poulos DA,Bourke RS

    更新日期:1979-06-01 00:00:00

  • Dural arteriovenous malformations of the spine. Clinical features and surgical results in 55 cases.

    abstract::The clinical and angiographic findings of 55 patients with a spinal dural arteriovenous malformation (AVM) are reviewed, and the results of surgery assessed. The symptoms of dural AVM are usually gradual in onset, and hemorrhage from this type of AVM is less common than in true spinal cord angiomas. Other clinical fea...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.2.0238

    authors: Symon L,Kuyama H,Kendall B

    更新日期:1984-02-01 00:00:00

  • Patterns of care and outcomes among elderly individuals with primary malignant astrocytoma.

    abstract:OBJECT:This study was undertaken to evaluate the association between age at diagnosis, patterns of care, and outcome among elderly individuals with anaplastic astrocytoma (AA) and glioblastoma multiforme (GBM). Methods Using the Surveillance, Epidemiology and End Results database, the authors identified 1753 individual...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/4/0642

    authors: Barnholtz-Sloan JS,Williams VL,Maldonado JL,Shahani D,Stockwell HG,Chamberlain M,Sloan AE

    更新日期:2008-04-01 00:00:00

  • Blood flow and autoregulation in rat pituitary gland.

    abstract::The authors describe an experimental model that allows dynamic studies of blood flow in the pituitary gland. Twenty-eight male Wistar rats were anesthetized and the pituitary gland was exposed using a parapharyngeal approach. Teflon-coated platinum wire electrodes were placed in the adenohypophysis near the midline an...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.63.1.0116

    authors: Kemeny AA,Jakubowski JA,Jefferson AA,Pasztor E

    更新日期:1985-07-01 00:00:00

  • MicroRNA and gene expression changes in unruptured human cerebral aneurysms.

    abstract::OBJECTIVE The molecular mechanisms behind cerebral aneurysm formation and rupture remain poorly understood. In the past decade, microRNAs (miRNAs) have been shown to be key regulators in a host of biological processes. They are noncoding RNA molecules, approximately 21 nucleotides long, that posttranscriptionally inhi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.11.JNS151841

    authors: Bekelis K,Kerley-Hamilton JS,Teegarden A,Tomlinson CR,Kuintzle R,Simmons N,Singer RJ,Roberts DW,Kellis M,Hendrix DA

    更新日期:2016-12-01 00:00:00

  • Pituitary gland metastasis from adenocarcinoma of the prostate. Case report.

    abstract::A case of prostatic carcinoma metastasis to the pituitary gland is reported. The presentation and rarity of such a lesion is addressed. The literature review yielded only isolated case reports of symptomatic brain metastases unassociated with bone disease from adenocarcinoma of the prostate. The management options of ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1989.71.1.0138

    authors: Couldwell WT,Chandrasoma PT,Weiss MH

    更新日期:1989-07-01 00:00:00

  • Cervical myeloradiculopathy caused by arthrotic hypertrophy of the posterior facets and laminae.

    abstract::Five patients with typical cervical myeloradiculopathy caused by focal cervical spinal stenosis are presented. Dorsal intrusions into the spinal canal by hypertrophied apophyseal joints and thickened laminae resulted in cord and nerve root compression. Minor spondylotic changes were present in the floor of the spinal ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.49.3.0387

    authors: Epstein JA,Epstein BS,Lavine LS,Carras R,Rosenthal AD

    更新日期:1978-09-01 00:00:00

  • Blood flow in normal and injured monkey spinal cord.

    abstract::The authors used indicator fractionation techniques to determine blood flow in normal and bluntly traumatized spinal cords of Macaca rhesus monkeys. Normal flow rates were determined for several levels of spinal cord as well as differential values for white and gray matter from representative areas. Flow rates in trau...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.43.2.0162

    authors: Bingham WG,Goldman H,Friedman SJ,Murphy S,Yashon D,Hunt WE

    更新日期:1975-08-01 00:00:00

  • Efficacy of deep rTMS for neuropathic pain in the lower limb: a randomized, double-blind crossover trial of an H-coil and figure-8 coil.

    abstract::OBJECTIVE Electrical motor cortex stimulation can relieve neuropathic pain (NP), but its use requires patients to undergo an invasive procedure. Repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex (M1) using a figure-8 coil can relieve NP noninvasively, but its ability to relieve lower limb...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2016.9.JNS16815

    authors: Shimizu T,Hosomi K,Maruo T,Goto Y,Yokoe M,Kageyama Y,Shimokawa T,Yoshimine T,Saitoh Y

    更新日期:2017-11-01 00:00:00

  • Subdural versus subgaleal drainage for chronic subdural hematomas: a post hoc analysis of the TOSCAN trial.

    abstract:OBJECTIVE:The use of subdural drains after surgical evacuation of chronic subdural hematoma (CSH) decreases the risk of recurrence and has become the standard of care. Halfway through the controlled, randomized TOSCAN (Randomized Trial of Follow-up CT after Evacuation of Chronic Subdural Hematoma) trial, the authors' i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.5.JNS19858

    authors: Häni L,Vulcu S,Branca M,Fung C,Z'Graggen WJ,Murek M,Raabe A,Beck J,Schucht P

    更新日期:2019-08-30 00:00:00

  • Thoracic spinal stenosis: experience with seven cases.

    abstract::The authors report seven cases of thoracic spinal stenosis caused by thickening of the laminar arch and facet joints. Claudication was a prominent clinical feature of this disorder. Motor and sensory abnormalities were found in all cases with either segmental or peripheral distribution. Diagnosis was best made from th...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.68.1.0037

    authors: Yamamoto I,Matsumae M,Ikeda A,Shibuya N,Sato O,Nakamura K

    更新日期:1988-01-01 00:00:00

  • Sex differences in outcome following sports-related concussion.

    abstract:OBJECT:Females comprise an increasing percentage of the athlete population across all age groups, and analysis of recent literature reveals that they sustain more concussions in collegiate sports. Results of human and animal studies indicate that females may have poorer outcomes after traumatic brain injury; however, n...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.102.5.0856

    authors: Broshek DK,Kaushik T,Freeman JR,Erlanger D,Webbe F,Barth JT

    更新日期:2005-05-01 00:00:00

  • Shunt nephritis. Role of the complement system in its pathogenesis and management.

    abstract::Three cases of shunt nephritis in which serial complement levels were obtained during the course of treatment are presented to illustrate the value of monitoring complement levels in the management of this condition. In shunt nephritis, circulating immune complexes are formed which contain antigen from bacteria of low...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.55.1.0099

    authors: Wyatt RJ,Walsh JW,Holland NH

    更新日期:1981-07-01 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

  • Extraosseous spinal chordoma. Case report.

    abstract::An extraosseous extradural tumor of the lumbar region with the histological appearance of chordoma produced symptoms in a 58-year-old woman. The tumor occupied the epidural space and produced scalloping of the adjacent vertebral body and pedicle without associated bone destruction. The location of the tumor within Bat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.75.6.0980

    authors: Tomlinson FH,Scheithauer BW,Miller GM,Onofrio BM

    更新日期:1991-12-01 00:00:00

  • Induction of hypercontractility in human cerebral arteries by rewarming following hypothermia: a possible role for tyrosine kinase.

    abstract::Induction of hypothermia is used routinely in neurosurgical and cardiovascular operations to protect the brain from ischemic insult. However, despite a plethora of experimental evidence supporting the use of hypothermia to protect the brain from ischemia, clinical experience using deliberate hypothermia in humans has ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.3.0431

    authors: Sagher O,Huang DL,Webb RC

    更新日期:1997-09-01 00:00:00

  • Application of magnetic resonance neurography in the evaluation of patients with peripheral nerve pathology.

    abstract::Currently, diagnosis and management of disorders involving nerves are generally undertaken without images of the nerves themselves. The authors evaluated whether direct nerve images obtained using the new technique of magnetic resonance (MR) neurography could be used to make clinically important diagnostic distinction...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.2.0299

    authors: Filler AG,Kliot M,Howe FA,Hayes CE,Saunders DE,Goodkin R,Bell BA,Winn HR,Griffiths JR,Tsuruda JS

    更新日期:1996-08-01 00:00:00

  • Atretic cephalocele: the tip of the iceberg.

    abstract::Atretic cephalocele appears as an unimportant and benign lesion. This malformation consists of meningeal and vestigial tissues (arachnoid, glial, or central nervous system rests). The authors report the findings in 16 cases (seven parietal and nine occipital) of rudimentary cephaloceles. Twelve patients presented with...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1992.77.2.0230

    authors: Martinez-Lage JF,Sola J,Casas C,Poza M,Almagro MJ,Girona DG

    更新日期:1992-08-01 00:00:00

  • Selective cochlear neurotomy in the cerebellopontine cistern using electrophysiological monitoring in a patient with intractable tinnitus. Case report.

    abstract::Selective cochlear neurotomy for intractable tinnitus is quite difficult to perform because there is no way to approach the cochlear nerve without interfering with other neural structures. The authors successfully performed selective cochlear neurotomy in the cerebellopontine cistern in a patient with persistent intra...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.86.6.1053

    authors: Ryu H,Yamamoto S,Sugiyama K,Uemura K

    更新日期:1997-06-01 00:00:00

  • Limbic system surgery for treatment-refractory obsessive-compulsive disorder: a prospective long-term follow-up of 64 patients.

    abstract:OBJECT:Obsessive-compulsive disorder (OCD) is a common and disabling psychiatric illness, and in a significant proportion of patients with OCD the disease is refractory to conventional pharmacotherapy and psychotherapy. For more than half a century, patients with severe, treatment-resistant OCD have been treated with s...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2012.11.JNS12389

    authors: Sheth SA,Neal J,Tangherlini F,Mian MK,Gentil A,Cosgrove GR,Eskandar EN,Dougherty DD

    更新日期:2013-03-01 00:00:00

  • Distinctive flow pattern of wall shear stress and oscillatory shear index: similarity and dissimilarity in ruptured and unruptured cerebral aneurysm blebs.

    abstract:OBJECT:The difference in the hemodynamics of wall shear stress (WSS) and oscillatory shear index (OSI) between ruptured and unruptured aneurysms is not well understood. The authors investigated the hemodynamic similarities and dissimilarities in ruptured and thin-walled unruptured aneurysm blebs. METHODS:Magnetic reso...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2012.7.JNS111991

    authors: Kawaguchi T,Nishimura S,Kanamori M,Takazawa H,Omodaka S,Sato K,Maeda N,Yokoyama Y,Midorikawa H,Sasaki T,Nishijima M

    更新日期:2012-10-01 00:00:00

  • Development of a cerebral arteriovenous malformation documented in an adult by serial angiography. Case report.

    abstract::This 61-year-old man with a right-sided tentorial dural arteriovenous fistula (DAVF) was initially treated with staged stereotactic radiosurgery and transarterial embolization. Results of follow-up cerebral angiography performed 4 years later demonstrated complete obliteration of the dAVF and development of a previous...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.6.1058

    authors: Friedman JA,Pollock BE,Nichols DA

    更新日期:2000-12-01 00:00:00

  • A frameless stereotaxic integration of computerized tomographic imaging and the operating microscope.

    abstract::A computer-based system has been developed for the integration and display of computerized tomography (CT) image data in the operating microscope in the correct perspective without requiring a stereotaxic frame. Spatial registration of the CT image data is accomplished by determination of the position of the operating...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.4.0545

    authors: Roberts DW,Strohbehn JW,Hatch JF,Murray W,Kettenberger H

    更新日期:1986-10-01 00:00:00

  • Results of gamma knife surgery for Cushing's disease.

    abstract:OBJECT:Cushing's disease is a challenging neuroendocrine disorder. Although resection remains the primary treatment option for most patients, the disease persists if there is residual or recurrent tumor. Stereotactic radiosurgery has been used to treat patients with persistent Cushing's disease after a prior resection....

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.7.JNS13217

    authors: Sheehan JP,Xu Z,Salvetti DJ,Schmitt PJ,Vance ML

    更新日期:2013-12-01 00:00:00