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-infrared spectroscopy (NIRS) to detect the development of delayed hematomas were performed in 167 patients. The difference in absorbance of light (delta OD) at 760 nm between the normal and the hematoma side was measured serially during the first 3 days after injury. Twenty-seven (16%) of the patients developed a type of late hematoma: intracerebral hematoma in eight, extracerebral hematoma in six, and postoperative hematoma in 13 patients. Eighteen of the delayed hematomas caused significant mass effect and required surgical evacuation. The hematomas appeared between 2 and 72 hours after admission. In 24 of the 27 patients, a significant increase (> 0.3) in the delta OD occurred prior to an increase in intracranial pressure, a change in the neurological examination, or a change on CT scan. A favorable outcome occurred in 67% of the patients with delayed hematomas, which suggests that early diagnosis using NIRS may allow early treatment and reduce secondary injury caused by delayed hematomas.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

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

doi

10.3171/jns.1995.83.3.0438

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

438-44

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

83

pub_type

杂志文章
  • Microneurosurgery for aneurysms of the basilar artery.

    abstract::The authors report microsurgical treatment in 32 cases of basilar artery aneurysms, operated on with good results in 28 cases, fair results in one, and poor results in one; there were two deaths. Twenty-nine patients (91%) were able to return to social activities. Characteristics of the surgical techniques include 1) ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.51.5.0615

    authors: Sugita K,Kobayashi S,Shintani A,Mutsuga N

    更新日期:1979-11-01 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 hyperplasia causing complete bitemporal hemianopia with resolution following surgical decompression: case report.

    abstract::In this report, the authors demonstrated that idiopathic pituitary hyperplasia (PH) can cause complete bitemporal hemianopia and amenorrhea, even in the setting of mild anatomical compression of the optic chiasm and normal pituitary function. Furthermore, complete resolution of symptoms can be achieved with surgical d...

    journal_title:Journal of neurosurgery

    pub_type:

    doi:10.3171/2020.5.JNS20448

    authors: Raviv N,Amin A,Kenning TJ,Pinheiro-Neto CD,Jones D,Sharma V,Peris-Celda M

    更新日期:2020-08-14 00:00:00

  • Surgical treatment of patients with vestibular schwannomas after failed previous radiosurgery.

    abstract:OBJECT:An increasing number of patients with vestibular schwannomas (VSs) are being treated with radiosurgery. Treatment failure or secondary regrowth after radiosurgery, however, has been observed in 2%-9% of patients. In large tumors that compress the brainstem and in patients who experience rapid neurological deteri...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.12.JNS111682

    authors: Gerganov VM,Giordano M,Samii A,Samii M

    更新日期:2012-04-01 00:00:00

  • Reinvestigation of the ambient cistern and its related arachnoid membranes: an anatomical study.

    abstract:OBJECT:A precise understanding of the ambient cistern and its associated arachnoid membranes is helpful for accessing perimesencephalic lesions. However, few studies of the arachnoid membranes related to the ambient cistern have been published, and, additionally, some aspects of the ambient cistern also require further...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.2.JNS101365

    authors: Qi ST,Fan J,Zhang XA,Pan J

    更新日期:2011-07-01 00:00:00

  • Experimental intracerebral mass: time-related effects on local cerebral blood flow.

    abstract::Cerebral blood flow (CBF) was measured at different times during the first 150 minutes following an experimental space-occupying lesion produced with a 50-microliter microballoon in rats. Local CBF was measured with the carbon-14-labeled iodoantipyrine quantitative autoradiographic technique. A region of local ischemi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.67.5.0732

    authors: Kingman TA,Mendelow AD,Graham DI,Teasdale GM

    更新日期:1987-11-01 00:00:00

  • Immunohistochemical expression of nestin in adenohypophysial vessels during development of pituitary infarction.

    abstract:OBJECTIVES:The aim of this work was to investigate the immunohistochemical expression of nestin, a member of the intermediate filament family, in adenohypophysial vasculature during development and progression of pituitary infarction. METHODS:Forty-five nontumorous adenohypophyses and 34 pituitary adenomas of various ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/01/0118

    authors: Salehi F,Kovacs K,Cusimano MD,Horvath E,Bell CD,Rotondo F,Scheithauer BW

    更新日期:2008-01-01 00:00:00

  • Recurrent idiopathic perimesencephalic subarachnoid hemorrhage.

    abstract::Perimesencephalic nonaneurysmal subarachnoid hemorrhage (PNSAH) is a benign variant of SAH defined by clinical symptoms of SAH, a characteristic pattern of extravasated blood on noncontrast CT, and negative findings on cerebral angiography. This syndrome carries a favorable prognosis with reportedly no risk of recurre...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.5.JNS102020

    authors: Reynolds MR,Blackburn SL,Zipfel GJ

    更新日期:2011-09-01 00:00:00

  • Thalamic deep brain stimulation for writer's cramp.

    abstract:OBJECT:Writer's cramp is a type of idiopathic focal hand dystonia characterized by muscle cramps that accompany execution of the writing task specifically. In this report, the authors describe the clinical outcome after thalamic deep brain stimulation (DBS) therapy in patients with writer's cramp and present an illustr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/11/0977

    authors: Fukaya C,Katayama Y,Kano T,Nagaoka T,Kobayashi K,Oshima H,Yamamoto T

    更新日期:2007-11-01 00:00:00

  • Limitations of the transcallosal transchoroidal approach to the third ventricle.

    abstract:OBJECT:The aim of this study was to determine the anatomical limitations of the transcallosal transchoroidal approach to the third ventricle. METHODS:Twenty-six formalin-fixed specimens were studied. Sagittal dissections were used to determine the anatomical relationships of the foramen of Monro, the angle of approach...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.7.JNS08124

    authors: Ulm AJ,Russo A,Albanese E,Tanriover N,Martins C,Mericle RM,Pincus D,Rhoton AL

    更新日期:2009-09-01 00:00:00

  • Broadening the clinical spectrum: unusual presentation of spontaneous cerebrospinal fluid hypovolemia. Case report.

    abstract::The syndrome of spontaneous intracranial hypotension is characterized by orthostatic headaches in conjunction with reduced cerebrospinal fluid (CSF) pressure or CSF volume, and characteristic magnetic resonance (MR) imaging findings. A 50-year-old man presented with a 1-year history of paroxysmal ataxia of gait and sh...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.98.4.0903

    authors: Nowak DA,Rodiek SO,Zinner J,Guhlmann A,Topka H

    更新日期:2003-04-01 00:00:00

  • Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal fluid leakage and chronic intracranial hypotension syndrome in seven cases.

    abstract:OBJECT:Spontaneous spinal cerebrospinal fluid (CSF) leakage with development of the intracranial hypotension syndrome and acquired Chiari I malformation due to lumbar spinal CSF diversion procedures have both been well described. However, concomitant presentation of both syndromes has rarely been reported. The object o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.88.2.0237

    authors: Atkinson JL,Weinshenker BG,Miller GM,Piepgras DG,Mokri B

    更新日期:1998-02-01 00:00:00

  • Ventricular catheter exchange using a peel-away outer catheter.

    abstract::Ventricular catheter replacement can be challenging, especially in patients with small ventricles. Shunt malfunction due to ventricular catheter obstruction can occur without ventricular enlargement, such as in the setting of slit-ventricle syndrome or benign intracranial hypertension. The authors describe a simple te...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.4.JNS091879

    authors: Omahen DA,Hentschel SJ,Cameron GS

    更新日期:2011-09-01 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

  • Pentobarbital changes compartmental contribution to cerebral blood flow.

    abstract::Barbiturates were administered to normal dogs, establishing an isoelectric electrocorticogram. Cortical cerebral blood flows (CBF) and deeper CBF's were respectively measured by krypton-85 (85Kr) and xenon-133 (133 Xe). Following barbiturate administration, the two methods of measuring CBF showed a poor coefficient of...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.4.0504

    authors: Laurent JP,Lawner P,Simeone FA,Fink E

    更新日期:1982-04-01 00:00:00

  • Tentorial detachment technique in the combined petrosal approach for petroclival meningiomas.

    abstract:OBJECT:The combined petrosal approach is a suitable technique for the resection of medium-to-large petroclival meningiomas (PCMs). Multiple technical modifications have been reported to increase the surgical corridor, including the method of dural and tentorial opening. The authors describe their method of dural openin...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.11.JNS11985

    authors: Kusumi M,Fukushima T,Mehta AI,Aliabadi H,Nonaka Y,Friedman AH,Fujii K

    更新日期:2012-03-01 00:00:00

  • Seizure incidence in the acute postneurosurgical period diagnosed using continuous electroencephalography.

    abstract::OBJECTIVEDelay in diagnosis and subsequent treatment of nonconvulsive seizures can lead to worsened outcomes. The gold standard in detecting nonconvulsive seizures is continuous video-electroencephalography (cEEG). Compared to routine, 30-minute EEG, the use of cEEG increases the likelihood of capturing intermittent n...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.1.JNS171466

    authors: Freund B,Probasco JC,Ritzl EK

    更新日期:2018-05-01 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

  • Emergency transorbital ventricular puncture: refinement of external landmarks.

    abstract:OBJECT:Emergency access to the ventricular system is sometimes necessary for the treatment of raised intracranial pressure with ensuing herniation. One procedure described in the literature is a transorbital approach performed using a spinal needle. Because past publications have been case reports with minimal definiti...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.3.JNS081651

    authors: Tubbs RS,Loukas M,Shoja MM,Cohen-Gadol AA

    更新日期:2009-12-01 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

  • Acrylic spinal fusion. A 20-year clinical series and technical note.

    abstract::Methyl methacrylate (acrylic) was used in fusion techniques in 82 patients, most of whom had metastatic disease, between 1959 and 1979. In all cases the acrylic was used to supplement stabilization with Meurig-Williams stainless steel plates or with wire. In cases involving a decompressive laminectomy and excisional b...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.5.0606

    authors: Hansebout RR,Blomquist GA Jr

    更新日期:1980-11-01 00:00:00

  • Role of protein tyrosine phosphorylation in erythrocyte lysate-induced intracellular free calcium concentration elevation in cerebral smooth-muscle cells.

    abstract:OBJECT:Tyrosine kinases play an important role in the regulation of systemic vascular smooth-muscle tone. The authors studied the involvement of protein tyrosine kinase activity in erythrocyte lysate-mediated signal transduction in cerebral smooth-muscle cells. METHODS:Tyrosine kinase phosphorylation and intracellular...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.90.4.0743

    authors: Iwabuchi S,Marton LS,Zhang JH

    更新日期:1999-04-01 00:00:00

  • Pyrogenic cytokine interleukin-6 expression by a chordoid meningioma in an adult with a systemic inflammatory syndrome. Case report and review of the literature.

    abstract::Chordoid meningioma is a rare meningothelial tumor characterized by chordoma-like histological features with lymphoplasmacellular infiltration. This tumor is often seen in children, but not in adults, with a systemic inflammatory syndrome (iron-resistant microcytic anemia and/or dysgammaglobulinemia) and very rarely w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.103.3.0555

    authors: Denaro L,Di Rocco F,Gessi M,Lauriola L,Lauretti L,Pallini R,Fernandez E,Maira G

    更新日期:2005-09-01 00:00:00

  • Computerized tomographic and pathologic studies of the untreated, quiescent, and recurrent glioblastoma multiforme.

    abstract::Pathological findings in 20 cases of glioblastoma multiforme were correlated with clinical histories and computerized tomographic (CT) scans. This was done to define the neoplasm in three stages: before treatment, during remission, and during recurrence. The untreated lesions were markedly cellular neoplasms composed ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.58.2.0159

    authors: Burger PC,Dubois PJ,Schold SC Jr,Smith KR Jr,Odom GL,Crafts DC,Giangaspero F

    更新日期:1983-02-01 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

  • Ascites and abdominal pseudocysts following ventriculoperitoneal shunt surgery: variations of the same theme.

    abstract:OBJECT:Ascites and abdominal pseudocysts are two complications that can occur following placement of a ventriculoperitoneal (VP) shunt. Although various factors have been implicated, the exact pathogenesis of the two conditions remains elusive. To the authors' knowledge, there are no studies in which these two obviousl...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2007.106.5.350

    authors: Kariyattil R,Steinbok P,Singhal A,Cochrane DD

    更新日期:2007-05-01 00:00:00

  • Fibrinolytic enzyme in the lining walls of chronic subdural hematoma.

    abstract::Active plasmin, available plasmin, and total plasminogen were measured by Enzo-diffusion fibirn plate techniques in 11 cases and level of tissue activator and tissue fibrinolytic activities in another 11 cases with chronic subdural hematoma. The values were too small to be measured in some instances. Anti-plasmin in t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.2.0197

    authors: Ito H,Komai T,Yamamoto S

    更新日期:1978-02-01 00:00:00

  • The sympathetic nervous system and atherosclerosis.

    abstract::Morphometric and chemical changes in the arterial wall were studied after 12 months of diet-induced atherosclerosis in rhesus monkeys treated with either bilateral surgical thoracic sympathectomy or propranolol. There was a marked reduction in the progression of atherosclerosis in the carotid arteries and a moderate r...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.67.6.0906

    authors: Lichtor T,Davis HR,Johns L,Vesselinovitch D,Wissler RW,Mullan S

    更新日期:1987-12-01 00:00:00

  • Calf enlargement from S-1 radiculopathy. Report of two cases.

    abstract::Two patients with painless hypertrophy of one calf had clinical and myelographic features compatible with an S-1 radiculopathy. Electromyographic studies revealed intermittent spontaneous discharges (bizarre repetitive potentials) in the affected extremity. Several patients have previously been described with S-1 radi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.3.0442

    authors: Cooper WH,Ringel SP,Treihaft MM,Hall KA

    更新日期:1985-03-01 00:00:00

  • Transposition of the lateral femoral cutaneous nerve.

    abstract::OBJECTIVEMeralgia paresthetica causes pain, burning, and loss of sensation in the anterolateral thigh. Surgical treatment traditionally involves neurolysis or neurectomy of the lateral femoral cutaneous nerve (LFCN). After studying and publishing data on the anatomical feasibility of LFCN transposition, the author pre...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.8.JNS171120

    authors: Hanna A

    更新日期:2018-04-13 00:00:00