Validation of transcranial Doppler ultrasound with a stereotactic neurosurgical technique.

Abstract:

:Vessel identification during a transcranial Doppler (TCD) ultrasound examination is usually based on well-established inferential criteria without confirmation by imaging. Part of a routine study involves taking measurements from the M1 segment of the middle cerebral artery (MCA) and the A1 segment of the anterior cerebral artery (ACA) at the points of maximum mean linear blood flow velocity (LBFV). The authors tested the hypothesis that insonation is from the midpoints of the M1 and A1 segments during clinical TCD examinations. Conventional hand-held TCD examinations were performed on five volunteers. The points of maximum mean LBFV of the M1 and A1 segments of the MCA and ACA were located. Measurements were also taken from the midpoints of the M1 and A1 segments using a magnetic resonance (MR) imaging-guided stereotactic TCD technique. Values for depths of insonation and maximum mean LBFV obtained with the two techniques were compared. There was no significant difference between the two techniques for the measured values of depth of insonation of either the individual vessels (p > 0.11) or the aggregate (p = 0.46). There was a significant difference between the aggregate maximum mean LBFV measurements (p = 0.0022). The hand-held technique systematically produced higher maximum mean LBFV than the MR-guided stereotactic technique. The authors conclude that when using traditional criteria for TCD examination of the ACA and MCA, the points of insonation approximate the middle of the A1 and M1 segments.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Monsein LH,Razumovsky AY,Ackerman SJ,Nauta HJ,Hanley DF

doi

10.3171/jns.1995.82.6.0972

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

972-5

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

82

pub_type

杂志文章
  • Endovascular treatment of intracranial aneurysms: comparative evaluation in a terminal bifurcation aneurysm model in dogs.

    abstract:OBJECT:The authors investigated whether HydroCoils decreased coil compaction and aneurysm recanalization in a canine model of a large, wide-necked, high-flow bifurcation aneurysm. METHODS:Eleven experimental aneurysms were created. Two aneurysms were untreated (Group 1); three were treated with standard platinum coils...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.6.0996

    authors: Yoshino Y,Niimi Y,Song JK,Silane M,Berenstein A

    更新日期:2004-12-01 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

  • Magnetic source imaging of late evoked field responses to vowels: toward an assessment of hemispheric dominance for language.

    abstract:OBJECT:The goal of this study was to determine whether the late neuromagnetic field elicited by simple speech sounds, which is detected by magnetoencephalography, may be used to estimate hemispheric dominance for language and to guide or constrain the intraoperative search for essential language sites. If sufficiently ...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.2001.94.3.0445

    authors: Szymanski MD,Perry DW,Gage NM,Rowley HA,Walker J,Berger MS,Roberts TP

    更新日期:2001-03-01 00:00:00

  • Diagnosis of superior sagittal sinus thrombosis by computerized tomography. Report of two cases.

    abstract::Superior sagittal sinus thrombosis was diagnosed on computerized tomography (CT) scanning and was subsequently confirmed by angiography in two patients. Small ventricles and filling defects occurring within the sinus (the empty triangle sign) appeared to be highly suggestive of superior sagittal sinus thrombosis, and ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.6.1129

    authors: d'Avella D,Russo A,Santoro G,Pandolfo N,Cafarelli F,De Blasi F,del Vivo RE

    更新日期:1984-12-01 00:00:00

  • Drowning hazard with deep brain stimulation: case report.

    abstract::The caudal zona incerta target within the posterior subthalamic area is an investigational site for deep brain stimulation (DBS) in Parkinson disease (PD) and tremor. The authors report on a patient with tremor-predominant PD who, despite excellent tremor control and an otherwise normal neurological examination, exhib...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.5.JNS15589

    authors: Bangash OK,Thorburn M,Garcia-Vega J,Walters S,Stell R,Starkstein SE,Lind CR

    更新日期:2016-05-01 00:00:00

  • Cell-mediated allergy to cerebral aneurysm clip causing extensive cerebral edema.

    abstract::The authors report the first case of vasogenic cerebral edema due to a cell-mediated hypersensitivity reaction to a nickel-containing aneurysm clip. The patient initially presented for elective clipping of a right middle cerebral artery aneurysm, and on long-term follow-up she demonstrated relapsing-remitting cerebral...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.6.JNS132405

    authors: Tan T,Tee JW,Han TF

    更新日期:2014-10-01 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

  • Transplacental transmission of metastatic melanoma to the posterior fossa. Case report.

    abstract::The authors describe the first documented case of transplacental transmission of metastatic melanoma to the neuraxis. The patient was a 7-month-old boy who presented with signs and symptoms of elevated intracranial pressure. Magnetic resonance imaging revealed an inhomogeneously enhancing posterior fossa mass measurin...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2005.103.2.0191

    authors: Trumble ER,Smith RM,Pearl G,Wall J

    更新日期:2005-08-01 00:00:00

  • Clinical use of supinator motor branch transfer to the posterior interosseous nerve in C7-T1 brachial plexus palsies.

    abstract:OBJECT:In C7-T1 brachial plexus palsies, finger extension and flexion are absent. At the authors' institution, finger flexion has been successfully reconstructed by transferring the brachialis motor branch to the anterior interosseous nerve. However, there is no reliable method for restoring finger extension. In the pr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.1.JNS091441

    authors: Dong Z,Gu YD,Zhang CG,Zhang L

    更新日期:2010-07-01 00:00:00

  • Fibrinolytic parameters as an admission prognostic marker of head injury in patients who talk and deteriorate.

    abstract::Because it has been difficult to predict the outcome of patients with head injury in the early period after admission, a clinical study was undertaken to evaluate if the fibrinolytic parameters could be reliable indicators of outcome. Seventy patients presenting with head injury without obvious trauma in other regions...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.86.5.0768

    authors: Takahashi H,Urano T,Takada Y,Nagai N,Takada A

    更新日期:1997-05-01 00:00:00

  • Thrombus organization and healing in an experimental aneurysm model. Part II. The effect of various types of bioactive bioabsorbable polymeric coils.

    abstract:OBJECT:Bioabsorbable polymeric material coils are being used in the endovascular treatment of aneurysms to achieve better thrombus organization than is possible using bare platinum coils. We used immunohistochemical and molecular biological analysis techniques in experimental aneurysms implanted with three different bi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/07/0109

    authors: Yuki I,Lee D,Murayama Y,Chiang A,Vinters HV,Nismmura I,Wang CJ,Ishii A,Wu BM,Viñuela F

    更新日期:2007-07-01 00:00:00

  • Long-term survival of patients treated with BCNU for brain tumors.

    abstract::The authors present three patients who, after excision and irradiation of their brain tumors, were treated with BCNU for recurrence. All three patients responded well and now are without evidence of tumor, 37, 30, and 36 months after BCNU was stopped. Although these patients represent only a small fraction of those tr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.43.2.0191

    authors: Calogero J,Crafts DC,Wilson CB,Boldrey EB,Rosenberg A,Enot KJ

    更新日期:1975-08-01 00:00:00

  • Intrinsic development of choroidal and thalamic collaterals in hemorrhagic-onset moyamoya disease: case-control study of the Japan Adult Moyamoya Trial.

    abstract::OBJECTIVE: This study was performed to identify the angiographic features of hemorrhagic-onset moyamoya disease (MMD) in comparison with those of patients with ischemic-onset MMD. METHODS: This case-control study compared the data set of the Japan Adult Moyamoya (JAM) Trial with the angiographic data of adult patients...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.11.JNS171990

    authors: Fujimura M,Funaki T,Houkin K,Takahashi JC,Kuroda S,Tomata Y,Tominaga T,Miyamoto S

    更新日期:2019-05-01 00:00:00

  • Endoscopic endonasal resection of Rathke cleft cysts: clinical outcomes and surgical nuances.

    abstract:OBJECT:Rathke cleft cysts (RCCs) are benign lesions that can be diagnosed as an incidental finding associated with headaches, pituitary dysfunction, or vision deterioration. Typically, they occur in a sellar or suprasellar location. The aim of this study was to review the clinical presentation and outcomes associated w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.10.JNS09348

    authors: Madhok R,Prevedello DM,Gardner P,Carrau RL,Snyderman CH,Kassam AB

    更新日期:2010-06-01 00:00:00

  • Fenestrated clips for internal carotid artery aneurysms. Technical note.

    abstract::A new aneurysm clip has been developed specifically for internal carotid artery (ICA) aneurysms. This fenestrated clip's occluding blades deviate laterally, since the majority of ICA aneurysms protrude posterolateral to the parent artery. The clip was applied safely in seven recent patients with ICA aneurysms. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.1.0122

    authors: Fujita S

    更新日期:1986-07-01 00:00:00

  • Evolution of techniques for the resection of vestibular schwannomas: from saving life to saving function.

    abstract::The current state of surgery for vestibular schwannomas (VSs) is the result of a century of step-by-step technical progress by groundbreaking surgeons who transformed the procedure from its hazardous infancy and high mortality rate to its current state of safety and low morbidity rate. Harvey Cushing advocated bilater...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/2008.3.17473

    authors: Akard W,Tubbs RS,Seymour ZA,Hitselberger WE,Cohen-Gadol AA

    更新日期:2009-04-01 00:00:00

  • High-resolution 1H-magnetic resonance spectroscopy of pediatric posterior fossa tumors in vitro.

    abstract::High-resolution proton magnetic resonance (MR) spectroscopy was performed on perchlorate extracts of tumors (24 cases) or peritumoral vermis (five cases) obtained at surgery. Fifteen tumors were typical cerebellar astrocytomas and nine were posterior fossa primitive neuroectodermal tumors/medulloblastomas. Spectra obt...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.3.0443

    authors: Sutton LN,Wehrli SL,Gennarelli L,Wang Z,Zimmerman R,Bonner K,Rorke LB

    更新日期:1994-09-01 00:00:00

  • Panventriculomegaly with a wide foramen of Magendie and large cisterna magna.

    abstract::OBJECT The authors' goal in this paper is to provide the first clinical, radiological, and genetic studies of panventriculomegaly (PaVM) defined by a wide foramen of Magendie and large cisterna magna. METHODS Clinical and brain imaging data from 28 PaVM patients (including 10 patients from 5 families) were retrospecti...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.6.JNS15162

    authors: Kageyama H,Miyajima M,Ogino I,Nakajima M,Shimoji K,Fukai R,Miyake N,Nishiyama K,Matsumoto N,Arai H

    更新日期:2016-06-01 00:00:00

  • Comparing the risks of frameless stereotactic biopsy in eloquent and noneloquent regions of the brain: a retrospective review of 284 cases.

    abstract:OBJECT:Frameless stereotactic biopsy has been shown in multiple studies to be a safe and effective tool for the diagnosis of brain lesions. However, no study has directly evaluated its safety in lesions located in eloquent regions in comparison with noneloquent locations. In this study, the authors determine whether an...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.3.JNS081695

    authors: Air EL,Leach JL,Warnick RE,McPherson CM

    更新日期:2009-10-01 00:00:00

  • Enhanced expression of proapoptotic and autophagic proteins involved in the cell death of glioblastoma induced by synthetic glycans.

    abstract:OBJECT:Glioblastoma is the most aggressive malignant brain tumor, and overall patient survival has not been prolonged even by conventional therapies. Previously, the authors found that chemically synthesized glycans could be anticancer agents against growth of a series of cancer cells. In this study, the authors examin...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.1.JNS131534

    authors: Faried A,Arifin MZ,Ishiuchi S,Kuwano H,Yazawa S

    更新日期:2014-06-01 00:00:00

  • Low-dose aspirin prophylaxis and risk of intracranial hemorrhage in patients older than 60 years of age with mild or moderate head injury: a prospective study.

    abstract:OBJECT:The goal of this paper was to investigate a possible relationship between the consumption of low-dose aspirin (LDA) and traumatic intracranial hemorrhage in an attempt to determine whether older patients receiving prophylactic LDA require special treatment following an incidence of mild-to-moderate head trauma. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.99.4.0661

    authors: Spektor S,Agus S,Merkin V,Constantini S

    更新日期:2003-10-01 00:00:00

  • Dysembryoplastic neuroepithelial tumor of the cerebellum and brainstem. Case report.

    abstract::The authors present a case in which dysembryoplastic neuroepithelial tumors (DNETs) occurred in the cerebellum and brainstem of a 44-year-old woman. A magnetic resonance image of the brain revealed multiple cystic lesions in the right cerebellar hemisphere, vermis, tonsil, and brainstem. Partial removal of the tumors ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.3.0487

    authors: Fujimoto K,Ohnishi H,Tsujimoto M,Hoshida T,Nakazato Y

    更新日期:2000-09-01 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

  • Frequency of thromboembolic events associated with endovascular aneurysm treatment: retrospective case series.

    abstract:OBJECT:There is little evidence addressing whether procedures requiring adjunctive devices lead to an increased frequency of thromboembolic complications. The authors report their experience with 155 aneurysms treated with and without adjunctive devices. METHODS:The authors retrospectively reviewed their last 155 aneu...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/6/1095

    authors: Brooks NP,Turk AS,Niemann DB,Aagaard-Kienitz B,Pulfer K,Cook T

    更新日期:2008-06-01 00:00:00

  • Potential heating caused by intraparenchymal intracranial pressure transducers in a 3-tesla magnetic resonance imaging system using a body radiofrequency resonator: assessment of the Codman MicroSensor Transducer.

    abstract::Magnetic resonance imaging and spectroscopy may provide important clinical information in the acute stages of brain injury. For this to occur it must be ensured that intracranial pressure (ICP) monitoring devices are safe to bring into the MR imaging suite. The authors tested a Codman MicroSensor ICP Transducer (Codma...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/109/7/0159

    authors: Newcombe VF,Hawkes RC,Harding SG,Willcox R,Brock S,Hutchinson PJ,Menon DK,Carpenter TA,Coles JP

    更新日期:2008-07-01 00:00:00

  • The effect of a PP2A inhibitor on the nuclear receptor corepressor pathway in glioma.

    abstract:OBJECT:Nuclear receptor corepressor (N-CoR) forms a complex that maintains neural stem cells in an undifferentiated state through transcriptional repression. Recently, it has been shown that N-CoR is overexpressed in glioblastoma multiforme (GBM) tumor stem cells and has a putative role in maintaining these cells in an...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.11.JNS091272

    authors: Lu J,Zhuang Z,Song DK,Mehta GU,Ikejiri B,Mushlin H,Park DM,Lonser RR

    更新日期:2010-08-01 00:00:00

  • High-dose BCNU with autologous bone marrow rescue for recurrent glioblastoma multiforme.

    abstract::Eleven patients with recurrent malignant glioma were treated with single high doses of BCNU ranging from 600 to 1400 mg/sq m. To prevent the characteristic late myelosuppression observed after conventional doses of BCNU, autologous bone marrow harvested just before drug treatment was infused 24 to 36 hours after thera...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.54.4.0455

    authors: Hochberg FH,Parker LM,Takvorian T,Canellos GP,Zervas NT

    更新日期:1981-04-01 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

  • Spontaneous intracerebral hematoma in carotid-cavernous fistula. Report of three cases.

    abstract::Spontaneous intracerebral hematoma associated with carotid-cavernous fistula is rare. Three new cases are presented. In each, the hemorrhage originated in the vicinity of localized intracranial venous engorgement, as demonstrated by cerebral angiography. Rupture of one or several of the distended venous channels from ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.59.4.0680

    authors: Turner DM,Vangilder JC,Mojtahedi S,Pierson EW

    更新日期:1983-10-01 00:00:00

  • Early detection of delayed traumatic intracranial hematomas using near-infrared spectroscopy.

    abstract::Delayed intracranial hematomas are an important treatable cause of secondary brain injury in patients with head trauma. Early identification and treatment of these lesions, which appear or enlarge after the initial computerized tomography (CT) scan, may improve neurological outcome. Serial examinations using near-infr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.3.0438

    authors: Gopinath SP,Robertson CS,Contant CF,Narayan RK,Grossman RG,Chance B

    更新日期:1995-09-01 00:00:00