Traumatic aneurysms and arteriovenous fistulas of intracranial vessels associated with penetrating head injuries occurring during war: principles and pitfalls in diagnosis and management. A survey of 31 cases and review of the literature.

Abstract:

:In the early days of the war between Iran and Iraq, reports of the sudden deaths of soldiers who previously had survived a penetrating head injury suggested the possibility that a late complication, traumatic aneurysm (TA), could be the cause of this catastrophe. In response, the authors planned a prospective study to perform cerebral angiography in victims with penetrating head traumas, especially in those who had artillery shells or bone fragments passing through areas of dense vasculature. Thirty-one TAs and arteriovenous fistulas were documented. Not all of the lesions, however, were deemed appropriate for surgical intervention. Six aneurysms (19.4%) healed spontaneously and shrank or disappeared on repeated serial angiograms. The authors present their cases and discuss the incidence of TAs, their natural course and behavior, and the special problems encountered in managing these interesting and potentially fatal complications of penetrating head injuries.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Amirjamshidi A,Rahmat H,Abbassioun K

doi

10.3171/jns.1996.84.5.0769

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

769-80

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

84

pub_type

杂志文章
  • Premorbid oral antithrombotic therapy and risk for reaccumulation, reoperation, and mortality in acute subdural hematomas.

    abstract:OBJECT:Acute subdural hematomas (SDHs) impart serious morbidity and mortality on the elderly population, with only 5% of those older than 65 years of age attaining functional independence. Despite its widespread use, oral antithrombotic therapy (OAT) in the context of acute SDH has not been extensively studied. The aut...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.7.JNS10446

    authors: Panczykowski DM,Okonkwo DO

    更新日期:2011-01-01 00:00:00

  • Clinical evaluation of flat-panel detector compared with multislice computed tomography in 65 patients with acute intracranial hemorrhage: initial results. Clinical article.

    abstract:OBJECT:The goal in this study was to compare flat-panel detector (FD) CT with multislice (MS) CT in the visualization of intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), intraventricular hemorrhage, and external ventricular drains (EVDs) to evaluate the diagnostic quality and limitations of the new FD CT ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.2.JNS091054

    authors: Struffert T,Eyupoglu IY,Huttner HB,Engelhorn T,Doelken M,Saake M,Ganslandt O,Doerfler A

    更新日期:2010-10-01 00:00:00

  • A methodology for verification of radiotherapy dose calculation.

    abstract:OBJECT:A methodology for dosimetric verification of radiation therapy plans was developed and implemented. Dosimetric accuracy of clinically active intensity-modulated radiotherapy (IMRT) and intensity-modulated radiosurgery (IMRS) programs was assessed using this methodology. METHODS:The methodology included several ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.supplement 3.0356

    authors: Agazaryan N,Ullrich W,Lee SP,Solberg TD

    更新日期:2004-11-01 00:00:00

  • Magnetic resonance imaging and aneurysm clips.

    abstract::The problem of implanted metals causing tissue damage by movement in patients exposed to MRI fields has produced a confusing welter of erroneous, pseudoscientific publications about magnetics, metals, medical equipment, and tissue compatibility. Quite simply, among the devices made for implantation, only those fabrica...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.3171/2012.1.JNS111786

    authors: McFadden JT

    更新日期:2012-07-01 00:00:00

  • Clinical significance of the flow gap in carotid magnetic resonance angiography.

    abstract::Magnetic resonance (MR) angiography offers a safe, noninvasive alternative to conventional angiography in patients with suspected carotid stenosis; however, it tends to overestimate the severity of stenosis. Loss of the MR signal with a resulting flow gap is a frequent finding in cases of high-grade stenosis. The auth...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.3.0384

    authors: Heiserman JE,Zabramski JM,Drayer BP,Keller PJ

    更新日期:1996-09-01 00:00:00

  • Clinical dose profile of Gamma Knife stereotactic radiosurgery for extensive brain metastases.

    abstract:OBJECTIVE:The use of Gamma Knife stereotactic radiosurgery (GKSRS) for the treatment of extensive intracranial metastases has been expanding due to its superior dosimetry and efficacy. However, there remains a dearth of data regarding the dose parameters in actual clinical scenarios. The authors endeavored to calculate...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.3.JNS193369

    authors: Bowden GN,Kim JO,Faramand A,Fallon K,Flickinger J,Lunsford LD

    更新日期:2020-05-08 00:00:00

  • The history of neurosurgery at the University of Rochester.

    abstract::The Department of Neurosurgery at the University of Rochester has a long legacy of excellent patient care and innovation in the neurosciences. The department's founder, Dr. William Van Wagenen, was a direct pupil of Harvey Cushing and the first president of the Harvey Cushing Society. His successor, Dr. Frank P. Smith...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/2014.7.JNS132658

    authors: Kimmell KT,Petraglia AL,Bakos R,Rodenhouse T,Maurer PK,Pilcher WH

    更新日期:2014-10-01 00:00:00

  • Punctate midline myelotomy for the relief of visceral cancer pain.

    abstract:OBJECT:This study offers clinical support for the concept that neurosurgical interruption of a midline posterior column pathway by performing a punctate midline myelotomy (PMM) provides significant pain relief without causing adverse neurological sequelae in cancer patients with visceral pain refractory to other therap...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2000.92.2.0125

    authors: Nauta HJ,Soukup VM,Fabian RH,Lin JT,Grady JJ,Williams CG,Campbell GA,Westlund KN,Willis WD Jr

    更新日期:2000-04-01 00:00:00

  • Traumatic subarachnoid hemorrhage on the computerized tomography scan obtained at admission: a multicenter assessment of the accuracy of diagnosis and the potential impact on patient outcome.

    abstract:OBJECT:The goal of this study was fourfold: 1) to determine the incidence of traumatic subarachnoid hemorrhage (tSAH) in patients with traumatic brain injury (TBI); 2) to verify agreement in the diagnosis of tSAH in a multicenter study; 3) to assess the incidence of tSAH on the outcome of the patient; and 4) to establi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/jns.2003.98.1.0037

    authors: Mattioli C,Beretta L,Gerevini S,Veglia F,Citerio G,Cormio M,Stocchetti N

    更新日期:2003-01-01 00:00:00

  • Hemorrhage from moyamoya-like vessels associated with a cerebral arteriovenous malformation. Case report.

    abstract::The authors describe a case of subarachnoid hemorrhage from moyamoya-like vessels associated with an arteriovenous malformation (AVM) in a 44-year-old Hispanic man who presented with severe headache. The AVM was located in the left parietal lobe and the ipsilateral middle cerebral artery was occluded. Although the pat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.5.0869

    authors: Fassett DR,Schloesser PE,Couldwell WT

    更新日期:2004-11-01 00:00:00

  • Pathophysiology and treatment of focal cerebral ischemia. Part II: Mechanisms of damage and treatment.

    abstract::The mechanisms that give rise to ischemic brain damage have not been definitively determined, but considerable evidence exists that three major factors are involved: increases in the intercellular cytosolic calcium concentration (Ca++i), acidosis, and production of free radicals. A nonphysiological rise in Ca++i due t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1992.77.3.0337

    authors: Siesjö BK

    更新日期:1992-09-01 00:00:00

  • Combination therapy in a xenograft model of glioblastoma: enhancement of the antitumor activity of temozolomide by an MDM2 antagonist.

    abstract::OBJECTIVE Improvement in treatment outcome for patients with glioblastoma multiforme (GBM) requires a multifaceted approach due to dysregulation of numerous signaling pathways. The murine double minute 2 (MDM2) protein may fulfill this requirement because it is involved in the regulation of growth, survival, and invas...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.1.JNS152513

    authors: Wang H,Cai S,Bailey BJ,Reza Saadatzadeh M,Ding J,Tonsing-Carter E,Georgiadis TM,Zachary Gunter T,Long EC,Minto RE,Gordon KR,Sen SE,Cai W,Eitel JA,Waning DL,Bringman LR,Wells CD,Murray ME,Sarkaria JN,Gelbert LM,Jon

    更新日期:2017-02-01 00:00:00

  • Painful supernumerary phantom arm following motor cortex stimulation for central poststroke pain. Case report.

    abstract::In this report, the authors describe a case in which the patient began to experience a supernumerary phantom arm after she received motor cortex stimulation for central pain. The patient had a history of right thalamocapsular stroke. It is speculated that the motor cortex activation triggered a response in the patient...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.91.1.0121

    authors: Canavero S,Bonicalzi V,Castellano G,Perozzo P,Massa-Micon B

    更新日期:1999-07-01 00:00:00

  • Stereotactic radiosurgery to the resection bed for intracranial metastases and risk of leptomeningeal carcinomatosis.

    abstract:OBJECT:Following resection of a brain metastasis, stereotactic radiosurgery (SRS) to the cavity is an emerging alternative to postoperative whole-brain radiation therapy (WBRT). This approach attempts to achieve local control without the neurocognitive risks associated with WBRT. The authors aimed to report the outcome...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.6.GKS14708

    authors: Ojerholm E,Lee JY,Thawani JP,Miller D,O'Rourke DM,Dorsey JF,Geiger GA,Nagda S,Kolker JD,Lustig RA,Alonso-Basanta M

    更新日期:2014-12-01 00:00:00

  • Long-term motor outcome analysis using a motor score composite following surgical brachial plexus repair.

    abstract:OBJECT:Due to the complex and variable nature of brachial plexus injury, outcome analysis can be cumbersome and imprecise. Many scales have been devised, but no single scale is used uniformly. Moreover, despite several studies in which the authors have reported brachial plexus surgical data, no highly predictive clinic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2007.106.4.276

    authors: Ashley WW Jr,Baty JD,Hollander T,Noetzel MJ,Park TS

    更新日期:2007-04-01 00:00:00

  • Median to radial nerve transfer for treatment of radial nerve palsy. Case report.

    abstract::The purpose of this study is to report a surgical technique of nerve transfer to restore radial nerve function after a complete palsy due to a proximal injury to the radial nerve. The authors report the case of a patient who underwent direct nerve transfer of redundant or expendable motor branches of the median nerve ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/09/0666

    authors: Mackinnon SE,Roque B,Tung TH

    更新日期:2007-09-01 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

  • A new approach for observing cerebral cisterns and ventricles via a percutaneous lumbosacral route by using fine, flexible fiberscopes.

    abstract:OBJECT:To establish a new method for the diagnosis of central nervous system diseases, the authors visualized the cerebral cisterns and ventricles via a percutaneous lumbosacral route by using newly developed fine, flexible fiberscopes. METHODS:Fine, flexible fiberscopes, 0.9 and 1.4 mm in diameter, were introduced up...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2007.12.17287

    authors: Shimoji K,Ogura M,Gamou S,Yunokawa S,Sakamoto H,Fukuda S,Morita S

    更新日期:2009-02-01 00:00:00

  • Factors associated with burnout among US neurosurgery residents: a nationwide survey.

    abstract::OBJECTIVEExcessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.9.JNS17996

    authors: Attenello FJ,Buchanan IA,Wen T,Donoho DA,McCartney S,Cen SY,Khalessi AA,Cohen-Gadol AA,Cheng JS,Mack WJ,Schirmer CM,Swartz KR,Prall JA,Stroink AR,Giannotta SL,Klimo P

    更新日期:2018-11-01 00:00:00

  • Open reduction of pediatric atlantoaxial rotatory fixation: long-term outcome study with functional measurements.

    abstract:OBJECT:Atlantoaxial rotatory fixation (AARF) is an uncommon disorder of childhood in which resolution usually occurs spontaneously or after traction therapy. In a minority of children irreducible or chronic fixation develop, and the natural history then usually involves restriction of head on neck movement, abnormal he...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2004.100.3.0235

    authors: Crossman JE,David K,Hayward R,Crockard HA

    更新日期:2004-03-01 00:00:00

  • Mechanical thrombectomy and intravascular imaging for cerebral venous sinus thrombosis: a preclinical model.

    abstract:OBJECTIVE:Although the majority of patients with cerebral venous sinus thrombosis (CVST) will improve with anticoagulation therapy, a portion of patients will either present in a comatose state or continue to deteriorate clinically despite early anticoagulation. In these cases, along with treating the underlying thromb...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.6.JNS201795

    authors: Pasarikovski CR,Ku JC,Keith J,Ramjist J,Dobashi Y,Priola SM,da Costa L,Kumar A,Yang VXD

    更新日期:2020-10-30 00:00:00

  • Glioblastoma developing at the site of a cerebellar medulloblastoma treated 6 years earlier. Case report.

    abstract::The authors report the highly unusual development of a glioblastoma multiforme at the site of excision of a medulloblastoma 6 years earlier. The patient was operated on for a cerebellar medulloblastoma at the age of 13 years. Postoperative treatment included irradiation and chemotherapy. Six years later, a glioblastom...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.67.6.0915

    authors: Schmidbauer M,Budka H,Bruckner R,Vorkapic P

    更新日期:1987-12-01 00:00:00

  • Stereotactic radiofrequency thermocoagulation for giant hypothalamic hamartoma.

    abstract::OBJECTIVE The authors undertook this study to validate the feasibility and safety of stereotactic radiofrequency thermocoagulation (SRT) for the surgical treatment of giant hypothalamic hamartoma (HH). METHODS Of the 109 patients who underwent SRT for hypothalamic hamartoma (HH) at the authors' institution between 199...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.6.JNS15200

    authors: Shirozu H,Masuda H,Ito Y,Sonoda M,Kameyama S

    更新日期:2016-10-01 00:00:00

  • Immunobiology of primary intracranial tumors. Part 4: levamisole as an immune stimulant in patients and in the ASV glioma model.

    abstract::Levamisole was evaluated as an immune stimulant in a randomized controlled study of patients with anaplastic gliomas, who had undergone surgical resection and who were also treated with radiotherapy and BCNU chemotherapy. Of 102 patients placed into the study, 85 were determined to comprise the adequately treated grou...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3171/jns.1981.54.2.0220

    authors: Mahaley MS Jr,Steinbok P,Aronin P,Dudka L,Zinn D

    更新日期:1981-02-01 00:00:00

  • Role of galectin-1 in migration and invasion of human glioblastoma multiforme cell lines.

    abstract:OBJECT:Galectin-1 is highly expressed in motile cell lines. The authors investigated whether galectin-1 actually modulates the migration and invasion of human glioblastoma multiforme (GBM) cell lines, and whether its expression with respect to invasion and prognosis is attributable to certain glioma subgroups. METHODS...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/109/8/0273

    authors: Jung TY,Jung S,Ryu HH,Jeong YI,Jin YH,Jin SG,Kim IY,Kang SS,Kim HS

    更新日期:2008-08-01 00:00:00

  • Safe removal of retained ventricular catheters using intraluminal choroid plexus coagulation. Technical note.

    abstract::The authors describe a simple technique that reduces the incidence of retained ventricular catheters and minimizes the risk of life-threatening intraventricular hemorrhage during the removal of an obstructed, adherent ventricular catheter in patients with hydrocephalus. The technique requires no special equipment and ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.6.1101

    authors: Whitfield PC,Guazzo EP,Pickard JD

    更新日期:1995-12-01 00:00:00

  • Potentiation of response to low doses of levodopa in MPTP-injected monkeys by chemical unilateral subthalamotomy.

    abstract:OBJECT:Subthalamotomy is a stereotactic surgery performed in patients with disabling dyskinesias due to Parkinson disease. The authors set out to model this human condition in MPTP monkeys and determine if subthalamotomy allowed a reduction of levodopa for similar benefit. METHODS:The authors performed unilateral subt...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2012.9.JNS12295

    authors: Jourdain VA,Grégoire L,Morissette M,Morin N,Parent M,Di Paolo T

    更新日期:2013-01-01 00:00:00

  • Cerebrovascular CO2 reactivity after carotid artery occlusion.

    abstract::Cerebral blood flow (CBF) was measured in 39 men at normocapnia and after 5% CO2 inhalation using the xenon-133 technique. Twenty-three patients had unilateral carotid artery occlusion with no angiographic evidence of contralateral carotid artery stenosis or ophthalmic collateral flow. Eleven of these patients had und...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.1.0024

    authors: Clifton GL,Haden HT,Taylor JR,Sobel M

    更新日期:1988-07-01 00:00:00

  • Preserved autoregulation in the rhesus spinal cord after high cervical cord section.

    abstract::The authors studied the effect of high cervical cord section on the phenomenon of autoregulation in the rhesus monkey with the hydrogen clearance method to measure focal spinal cord blood flow (SCBF). Laminectomies were performed at T7-11 and C1-2. The spinal cord was completely severed at C1-2. Under normocapnic cond...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1976.44.4.0425

    authors: Kobrine AI,Doyle TF,Newby N,Rizzoli HV

    更新日期:1976-04-01 00:00:00

  • Pituitary adenoma producing growth hormone and adrenocorticotropin: a histological, immunocytochemical, electron microscopic, and in situ hybridization study. Case report.

    abstract::The authors report on the morphological features of a pituitary adenoma that produced growth hormone (GH) and adrenocorticotropic hormone (ACTH). This hormone combination produced by a single adenoma is extremely rare; a review of the available literature showed that only one previous case has been published. The tumo...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1998.88.6.1111

    authors: Kovacs K,Horvath E,Stefaneanu L,Bilbao J,Singer W,Muller PJ,Thapar K,Stone E

    更新日期:1998-06-01 00:00:00