Spinal cord injury without radiographic abnormality and Chiari malformation.

Abstract:

:Spinal cord injury without radiographic abnormality and asymptomatic Chiari I malformation have an unusual coincidence. A young boy who had recently fallen from his porch was transferred to the neurosurgery service with a high cervical central cord syndrome. Careful study demonstrated no radiographic abnormality and, although the patient was previously quite well, magnetic resonance imaging revealed Chiari I malformation. Although expectedly uncommon, reports of three other similar cases support a less than independent relationship between these two processes. All four children, each aged 2 years, were premorbidly asymptomatic and were playing when they fell from low elevations; two were on a couch. All were evaluated by primary authorities 12 to 48 hours before definitive admission, and all had normal plain film examinations. Three of the four children suffered injuries in flexion, the fourth in extension. Three realized a 5-minute to 3-hour delay before the onset of symptoms, and three suffered gradual progression of deficit. Magnetic resonance imaging was the most commonly applied and productive diagnostic medium, demonstrating cerebellar ectopia in three of three cases. Two children were surgically treated, and all achieved at least a functional outcome. Similarities among these cases support a common mechanism of injury, and indicate careful counseling in children with asymptomatic Chiari I malformation and consideration of operative decompression in those children with progressive neurological injury and deficit.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Bondurant CP,Oró JJ

doi

10.3171/jns.1993.79.6.0833

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

833-8

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

79

pub_type

杂志文章,评审
  • Anomalous rib presenting as cervical myelopathy: a previously unreported variant of Klippel-Feil syndrome. Case report.

    abstract::A patient is reported with an anomalous rib that caused compression of the cervical spinal cord and presented with cervical myelopathy. This appears to be the first reported instance of this particular anomaly. The clinicoanatomical aspects of this case are discussed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.75.3.0465

    authors: Rock JP,Spickler EM

    更新日期:1991-09-01 00:00:00

  • Motor areas of the frontal cortex in patients with motor eloquent brain lesions.

    abstract::OBJECTIVE Because of its huge clinical potential, the importance of premotor areas for motor function itself and plastic reshaping due to tumors or ischemic brain lesions has received increased attention. Thus, in this study the authors used navigated transcranial magnetic stimulation (nTMS) to investigate whether tum...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.11.JNS152103

    authors: Bulubas L,Sabih J,Wohlschlaeger A,Sollmann N,Hauck T,Ille S,Ringel F,Meyer B,Krieg SM

    更新日期:2016-12-01 00:00:00

  • The prophylactic use of transluminal balloon angioplasty in patients with Fisher Grade 3 subarachnoid hemorrhage: a pilot study.

    abstract:OBJECT:Recent advances in neuroradiology have made it possible to dilate vasospastic human cerebral arteries after aneurysmal subarachnoid hemorrhage (SAH), but the time window is short and the success rate for reversal of delayed ischemic neurological deficits (DINDs) varies between 31% and 77%. In a dog model of vaso...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.91.1.0051

    authors: Muizelaar JP,Zwienenberg M,Rudisill NA,Hecht ST

    更新日期:1999-07-01 00:00:00

  • Pure arterial malformations.

    abstract::OBJECTIVE Over the last half century, there have been isolated case reports of purely arterial malformations. In this study, the authors report a consecutive series of patients with pure arterial malformations, emphasizing the clinical and radiological features of these lesions. METHODS Pure arterial malformations wer...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.2.JNS1744

    authors: Brinjikji W,Cloft HJ,Flemming KD,Comelli S,Lanzino G

    更新日期:2018-07-01 00:00:00

  • Intracranial extension of inflammatory pseudotumor of the orbit. Case report.

    abstract::Orbital pseudotumors are inflammatory lesions of the orbit of unknown etiology, which initially mimic an orbital neoplasm. Involvement of the other orbit is uncommon, and extension into the paranasal sinus rare. Intracranial extension of pseudotumor of the orbit is previously unreported. This is a case report of a pat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.3.0625

    authors: Kaye AH,Hahn JF,Craciun A,Hanson M,Berlin AJ,Tubbs RR

    更新日期:1984-03-01 00:00:00

  • Body position and cerebrospinal fluid pressure. Part 2: clinical studies on orthostatic pressure and the hydrostatic indifferent point.

    abstract::Lumbar cerebrospinal fluid (CSF) pressure was recorded in 116 adult neurosurgical patients in the lateral and sitting positions. The level of zero CSF pressure while in the sitting position (ZPS) and hydrostatic indifferent point (HIP) for lateral and sitting positions were determined and referred to the craniospinal ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1976.44.6.0698

    authors: Magnaes B

    更新日期:1976-06-01 00:00:00

  • Frequency and characteristics associated with inherited thrombophilia in patients with intracranial dural arteriovenous fistula.

    abstract::OBJECTIVEThe pathogenesis of dural arteriovenous fistulas (DAVFs) remains poorly defined. Prior studies on thrombophilia as a risk factor for DAVF development are limited by small sample sizes and poor generalizability.METHODSIn this longitudinal observational study, all patients with intracranial DAVFs evaluated at t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.10.JNS171987

    authors: LaHue SC,Kim H,Pawlikowska L,Nelson J,Cooke DL,Hetts SW,Singh V

    更新日期:2018-04-01 00:00:00

  • Vicryl (polyglactin 910) mesh as a dural substitute in the presence of pia arachnoid injury.

    abstract::Previously presented data showed that Vicryl mesh was a potentially effective dural grafting material. It is easily handled, relatively inexpensive, absorbed over time, and elicits a minimal inflammatory response. The present experimental project was conducted to investigate the effectiveness of a tightly woven versio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.1.0124

    authors: Nussbaum CE,Maurer PK,McDonald JV

    更新日期:1989-07-01 00:00:00

  • Incidence and predictors of 30-day readmission for patients discharged home after craniotomy for malignant supratentorial tumors in California (1995-2010).

    abstract:OBJECT:Hospital readmission within 30 days of discharge is a major contributor to the high cost of health care in the US and is also a major indicator of patient care quality. The purpose of this study was to investigate the incidence, causes, and predictors of 30-day readmission following craniotomy for malignant supr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.1.JNS131264

    authors: Marcus LP,McCutcheon BA,Noorbakhsh A,Parina RP,Gonda DD,Chen C,Chang DC,Carter BS

    更新日期:2014-05-01 00:00:00

  • Scar formation in the carotid sheath identified during carotid endarterectomy in patients with previous cardiac surgery: significance of history of intraoperative Swan-Ganz catheter insertion. Clinical article.

    abstract:OBJECT:Scar formation in the carotid sheath is often identified during carotid endarterectomy (CEA) in patients with previous cardiac surgery, and dissection of the carotid sheath and exposure of the carotid arteries in such patients are difficult. The purpose of the present study was to investigate factors related to ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.4.JNS091819

    authors: Yoshida K,Ogasawara K,Kobayashi M,Tsuboi J,Okabayashi H,Ogawa A

    更新日期:2010-10-01 00:00:00

  • Fluoroscopically guided epidural blood patch with subsequent spinal CT scans in the treatment of spontaneous cerebrospinal fluid hypovolemia.

    abstract:OBJECT:Recent evidence has indicated that the efficacy of the epidural blood patch (EBP) in the treatment of spontaneous CSF hypovolemia (SCH) is still limited. Therefore, further improvement of the EBP technique is an important clinical challenge. The authors describe a series of cases of SCH treated with fluoroscopic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.1.JNS101326

    authors: Watanabe K,Hashizume K,Kawaguchi M,Fujiwara A,Sasaoka N,Furuya H

    更新日期:2011-06-01 00:00:00

  • Displacement of mammillary bodies by craniopharyngiomas involving the third ventricle: surgical-MRI correlation and use in topographical diagnosis.

    abstract:OBJECT:Accurate diagnosis of the topographical relationships of craniopharyngiomas (CPs) involving the third ventricle and/or hypothalamus remains a challenging issue that critically influences the prediction of risks associated with their radical surgical removal. This study evaluates the diagnostic accuracy of MRI to...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.1.JNS111722

    authors: Pascual JM,Prieto R,Carrasco R,Barrios L

    更新日期:2013-08-01 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

  • Meningioma of the pineal region: a surgical series of 10 cases.

    abstract::Ten cases of meningioma of the pineal region were histologically verified at a single institution during an 8-year period. These represented 0.3% of 3061 intracranial meningiomas, as well as 6.2% of 164 pineal tumors. Patients were predominantly women. Symptoms and signs of increased intracranial pressure were most co...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.4.0586

    authors: Konovalov AN,Spallone A,Pitzkhelauri DI

    更新日期:1996-10-01 00:00:00

  • Operative management of selected brachial plexus lesions.

    abstract::A 12-year operative experience with 171 consecutive patients with severe brachial plexus lesions who had at least 1 1/2 years of follow-up review is analyzed. Selection for and timing of operation was helped by categorization of each individual plexus element as "completely" or "incompletely" injured and as "in contin...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.58.5.0631

    authors: Kline DG,Judice DJ

    更新日期:1983-05-01 00:00:00

  • Microvascular decompression for superior oblique myokymia: first experience. Case report.

    abstract::Superior oblique myokymia (SOM) is a rare eye movement disorder presenting as uniocular rotatory microtremor due to intermittent contractions of the superior oblique muscle. Medical treatment usually fails to provide long-term benefit for the patient and has considerable side effects. Surgical alternatives including t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.89.6.1020

    authors: Samii M,Rosahl SK,Carvalho GA,Krzizok T

    更新日期:1998-12-01 00:00:00

  • Trigeminal neurinomas: operative approach in eight cases.

    abstract::The authors report eight cases of trigeminal neurinoma managed over the past 13 years with radical resection at a single-stage operation. Three patients were male and five were female, ranging in age from 25 to 56 years (mean 41.5 years). One had von Recklinghausen's disease. The tumors were located mainly within the ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.4.0506

    authors: Yasui T,Hakuba A,Kim SH,Nishimura S

    更新日期:1989-10-01 00:00:00

  • The value of repeat pan-angiography in cases of unexplained subarachnoid hemorrhage.

    abstract::Four-vessel angiography was repeated in 56 patients with confirmed subarachnoid hemorrhage in whom the initial investigation was negative. Only one aneurysm was demonstrated. The results suggested that, with good technique, careful observation, and a complete four-vessel cerebral angiography, a false negative rate of ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.5.0712

    authors: Forster DM,Steiner L,Hakanson S,Bergvall U

    更新日期:1978-05-01 00:00:00

  • Use of bone morphogenetic protein-9 gene therapy to induce spinal arthrodesis in the rodent.

    abstract:OBJECT:Bone morphogenetic proteins (BMPs) have been shown to have significant osteoinductive activity in numerous in vitro and in vivo assay systems, and BMP-2 and BMP-7 are currently being evaluated in human clinical studies. In the spinal region, BMPs have been shown to promote spinal arthrodesis at a higher rate tha...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2000.92.2.0191

    authors: Helm GA,Alden TD,Beres EJ,Hudson SB,Das S,Engh JA,Pittman DD,Kerns KM,Kallmes DF

    更新日期:2000-04-01 00:00:00

  • Individual variations in the sulcal anatomy of the basal temporal lobe and its relevance for epilepsy surgery: an anatomical study performed using magnetic resonance imaging.

    abstract:OBJECT:The concept of selective amygdalohippocampectomy is based on pathophysiological insights into the epileptogenicity of the hippocampal region and the definition of the clinical syndrome of mesial temporal lobe epilepsy (TLE). High-resolution magnetic resonance (MR) imaging allows correlation of the site of histol...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2002.96.3.0464

    authors: Novak K,Czech T,Prayer D,Dietrich W,Serles W,Lehr S,Baumgartner C

    更新日期:2002-03-01 00:00:00

  • Tremor cells in the human thalamus: differences among neurological disorders.

    abstract:OBJECT:Thalamic neurons firing at frequencies synchronous with tremor are thought to play a critical role in the generation and maintenance of tremor. The authors studied the incidence and locations of neurons with tremor-related activity (TRA) in the thalamus of patients with varied pathological conditions-including P...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.1.0043

    authors: Brodkey JA,Tasker RR,Hamani C,McAndrews MP,Dostrovsky JO,Lozano AM

    更新日期:2004-07-01 00:00:00

  • A practical grading scale for predicting outcome after radiosurgery for arteriovenous malformations: analysis of 1012 treated patients.

    abstract:OBJECT:The authors performed a study to review outcomes following Gamma Knife radiosurgery for cerebral arteriovenous malformations (AVMs) and to create a practical scale to predict long-term outcome. METHODS:Outcomes were reviewed in 1012 patients who were followed up for more than 2 years. Favorable outcome was defi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.5.JNS1311

    authors: Starke RM,Yen CP,Ding D,Sheehan JP

    更新日期:2013-10-01 00:00:00

  • Brain tissue oxygen tension response to induced hyperoxia reduced in hypoperfused brain.

    abstract:OBJECTIVES:Increasing PaO2 can increase brain tissue PO2 (PbtO2). Nevertheless, the small increase in arterial O2 content induced by hyperoxia does not increase O2 delivery much, especially when cerebral blood flow (CBF) is low, and the effectiveness of hyperoxia as a therapeutic intervention remains controversial. The...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/01/0053

    authors: Hlatky R,Valadka AB,Gopinath SP,Robertson CS

    更新日期:2008-01-01 00:00:00

  • A functional neuroimaging investigation of deep brain stimulation in patients with obsessive-compulsive disorder.

    abstract:OBJECT:Deep brain stimulation (DBS) of the ventral [anterior internal] capsule/ventral striatum (VC/VS) is under investigation as an alternative to anterior capsulotomy for severe obsessive-compulsive disorder (OCD). In neuroimaging studies of patients with OCD, dysfunction in the orbitofrontal and anterior cingulate c...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/jns.2006.104.4.558

    authors: Rauch SL,Dougherty DD,Malone D,Rezai A,Friehs G,Fischman AJ,Alpert NM,Haber SN,Stypulkowski PH,Rise MT,Rasmussen SA,Greenberg BD

    更新日期:2006-04-01 00:00:00

  • A comparison of proliferation indices in human anterior pituitary adenomas using formalin-fixed tissue and in vitro cell culture.

    abstract::The authors compared detection methods for cell proliferation in human anterior pituitary adenomas using histological sections and dispersed cell culture. After tumor cells had been grown for 4 days in dispersed culture, bromodeoxyuridine (BUdR), proliferating cell nuclear antigen (PCNA), and Ki-67 were compared by do...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.1.0085

    authors: Atkin SL,Green VL,Hipkin LJ,Landolt AM,Foy PM,Jeffreys RV,White MC

    更新日期:1997-07-01 00:00:00

  • Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting.

    abstract::The authors reviewed the clinical findings, radiological evaluation, and operative therapy of 39 patients with syringomyelia. Syringoperitoneal (SP) shunting was used in 15 patients and other procedures were used in 24 patients. Follow-up periods ranged from 1 1/2 to 12 years. During the period of this study, metrizam...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.3.0531

    authors: Barbaro NM,Wilson CB,Gutin PH,Edwards MS

    更新日期:1984-09-01 00:00:00

  • Effect of trauma dose on spinal cord edema.

    abstract::The spinal cord of anesthetized cats was subjected to impact trauma of different intensities to determine how changes in trauma magnitude affect the formation and distribution of edema. All animals underwent a laminectomy to expose the cord segments corresponding to the T5--7 vertebrae. Fourteen cats were injected wit...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.54.6.0802

    authors: Wagner FC Jr,Stewart WB

    更新日期:1981-06-01 00:00:00

  • Effect of clot removal on cerebral vasospasm.

    abstract::The effect of clot removal on cerebral vasospasm was studied in 104 patients with aneurysmal subarachnoid hemorrhage (SAH). The series included patients who fulfilled all of the following criteria: operation was performed by Day 3 after the ictus; the patient's preoperative clinical grade was between Grades I and IV; ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.72.2.0224

    authors: Inagawa T,Yamamoto M,Kamiya K

    更新日期:1990-02-01 00:00:00

  • Is there an inherited anatomical conformation favoring aneurysmal formation of the anterior communicating artery?

    abstract::OBJECTIVE The pathophysiological mechanisms responsible for the formation of intracranial aneurysms (IAs) remain only partially elucidated. However, current evidence suggests a genetic component. The purpose of this study was to investigate the specific anatomical variations in the arterial complex that are associated...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2016.4.JNS153032

    authors: Bourcier R,Lenoble C,Guyomarch-Delasalle B,Daumas-Duport B,Papagiannaki C,Redon R,Desal H

    更新日期:2017-05-01 00:00:00

  • Reduction of central nervous system ischemic injury by monoclonal antibody to intercellular adhesion molecule.

    abstract::Activated leukocytes appear to be directly involved in potentiating ischemic central nervous system (CNS) injury. Adhesion of leukocytes to endothelium is essential for their migration and requires the binding of adhesion receptors of the leukocyte (CD 18) to an intercellular adhesion molecule (ICAM) on endothelium. M...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.75.4.0623

    authors: Clark WM,Madden KP,Rothlein R,Zivin JA

    更新日期:1991-10-01 00:00:00