The neurosurgical management of spinal metastases causing cord and cauda equina compression.

Abstract:

:The authors report a series of 100 consecutive patients with spinal metastases causing cord or cauda equine compression, who were treated with surgical decompression. Of these, 30% (all women) had breast cancer. The most common primary neoplasm in man was prostatic carcinoma. Pain was the earliest and most prominant symptom, followed by weakness. Bladder dysfunction was recorded in 40 patients. The thoracic region was the most common site of cord compression (76 patients). Surgical treatment involved urgent and extensive laminectomy decompression. Concomitant spinal stabilization was required in 10 cases, involving posterior rib graft fusion in seven and Harrington rod instrumentation in three. At last follow-up review, 29 of these patients were living with an average postoperative survival of 2.3 years; 71 patients had died with an average survival of 8.8 months. Surgical decompression produced effective pain relief in 70% of the patients. Postoperatively, 58 patients could walk; of these, 40 were walking and continent of urine 6 months following surgery (including five patients who were totally paraplegic on admission). Positive approach and aggressive management in this problem can achieve results superior to those generally reflected in the literature.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Livingston KE,Perrin RG

doi

10.3171/jns.1978.49.6.0839

subject

Has Abstract

pub_date

1978-12-01 00:00:00

pages

839-43

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

49

pub_type

杂志文章
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    doi:10.3171/jns.1991.74.5.0816

    authors: Herregodts P,Vloeberghs M,Schmedding E,Goossens A,Stadnik T,D'Haens J

    更新日期:1991-05-01 00:00:00

  • Gamma Knife surgery for the management of glomus tumors: a multicenter study.

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    authors: Sheehan JP,Tanaka S,Link MJ,Pollock BE,Kondziolka D,Mathieu D,Duma C,Young AB,Kaufmann AM,McBride H,Weisskopf PA,Xu Z,Kano H,Yang HC,Lunsford LD

    更新日期:2012-08-01 00:00:00

  • The use of simulation in neurosurgical education and training. A systematic review.

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    pub_type: 杂志文章,meta分析,评审

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    authors: Kirkman MA,Ahmed M,Albert AF,Wilson MH,Nandi D,Sevdalis N

    更新日期:2014-08-01 00:00:00

  • Use of fat-suppressed T2 -weighted sagittal images after infusion of excess saline into the subarachnoid space as a new diagnostic modality for cerebrospinal fluid hypovolemia: technical note.

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    pub_type: 杂志文章

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    更新日期:2016-02-01 00:00:00

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

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    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

  • A mathematical model of survival in a newly inserted ventricular shunt.

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    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/PED-07/12/448

    authors: Stein SC,Guo W

    更新日期:2007-12-01 00:00:00

  • Vestibular schwannoma surgery in the elderly: a matched cohort study.

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    pub_type: 杂志文章

    doi:10.3171/2013.6.JNS122433

    authors: Van Abel KM,Carlson ML,Driscoll CL,Neff BA,Link MJ

    更新日期:2014-01-01 00:00:00

  • Vascularized temporoparietal fascial flap for the treatment of a traumatic cerebrospinal fluid fistula in the middle cranial fossa. Technical note.

    abstract::The temporoparietal fascial flap (TPFF) is a vascularized pedicle flap commonly used in head and neck reconstructions. The authors describe the use of a TPFF in repairing a large traumatic middle cranial fossa CSF fistula via a middle cranial fossa approach. During the 18-month follow-up, the patient had no further CS...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.9.17662

    authors: Taha M,Carroll T,McMahon J

    更新日期:2009-08-01 00:00:00

  • Effects of nimodipine on the production of thromboxane A2 following total global cerebral ischemia.

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    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.3.0416

    authors: Haddon WS,Prough DS,Kong D,Petrozza P

    更新日期:1988-09-01 00:00:00

  • Subcutaneous bone flap storage after emergency craniectomy: cost-effectiveness and rate of resorption.

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    pub_type: 杂志文章

    doi:10.3171/2017.6.JNS17943

    authors: Ernst G,Qeadan F,Carlson AP

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

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    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

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  • 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...

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    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

  • Correlation of personality assessments with standard selection criteria for neurosurgical residency applicants.

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    pub_type: 杂志文章

    doi:10.3171/2015.7.JNS15880

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    更新日期:2016-10-01 00:00:00

  • Surgical treatment of the retethered spinal cord after repair of lipomyelomeningocele.

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    pub_type: 杂志文章

    doi:10.3171/jns.1991.74.5.0709

    authors: Sakamoto H,Hakuba A,Fujitani K,Nishimura S

    更新日期:1991-05-01 00:00:00

  • Burden of cerebral hypoperfusion in patients with delayed cerebral ischemia after subarachnoid hemorrhage.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.3.JNS183041

    authors: Jafri H,Diringer MN,Allen M,Zazulia AR,Zipfel GJ,Dhar R

    更新日期:2019-05-31 00:00:00

  • Detection of Bartonella henselae by polymerase chain reaction in brain tissue of an immunocompromised patient with multiple enhancing lesions. Case report and review of the literature.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1998.89.4.0640

    authors: George TI,Manley G,Koehler JE,Hung VS,McDermott M,Bollen A

    更新日期:1998-10-01 00:00:00

  • Inhibition of delayed arterial narrowing by the iron-chelating agent deferoxamine.

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    pub_type: 杂志文章

    doi:10.3171/jns.1992.77.5.0763

    authors: Harada T,Mayberg MR

    更新日期:1992-11-01 00:00:00

  • Computer-derived density spectral array in detection of mild analog electroencephalographic ischemic pattern changes during carotid endarterectomy.

    abstract::The purpose of this prospective study was twofold: 1) to determine the sensitivity and specificity of computer-derived density spectral array in detecting analog electroencephalographic (EEG) ischemic pattern changes during carotid artery cross-clamping in patients undergoing carotid endarterectomy; and 2) to assess t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.78.6.0884

    authors: Kearse LA Jr,Martin D,McPeck K,Lopez-Bresnahan M

    更新日期:1993-06-01 00:00:00

  • Telomerase activity in primary and secondary glioblastomas multiforme as a novel molecular tumor marker.

    abstract:OBJECT:Telomerase activity is responsible for cell immortality. To examine the role of telomerase in the carcinogenesis of human glioblastomas multiforme (GBMs), the authors studied telomerase activity, telomerase component expression, and telomere lengths in 42 GBM samples. METHODS:In all samples, EGFR and MDM2 ampli...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.4.0618

    authors: Harada K,Kurisu K,Tahara H,Tahara E,Ide T,Tahara E

    更新日期:2000-10-01 00:00:00

  • Liposomes coupled with monoclonal antibodies against glioma-associated antigen for targeting chemotherapy of glioma.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.3.0382

    authors: Kito A,Yoshida J,Kageyama N,Kojima N,Yagi K

    更新日期:1989-09-01 00:00:00

  • Carcinoembryonic antigen production associated with an osteolytic meningioma. Case report.

    abstract::An elevated serum carcinoembryonic antigen (CEA) without evidence of neoplasia was noted in an 84-year-old woman. She subsequently developed a lytic skull lesion, which at surgery proved to be an atypical meningioma. Immunohistochemical analysis demonstrated that this tumor was producing CEA. This aggressive meningiom...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.82.3.0489

    authors: Partington MD,Scheithauer BW,Piepgras DG

    更新日期:1995-03-01 00:00:00

  • Classification and regression trees (CART) for prediction of function at 1 year following head trauma.

    abstract::A cohort of 514 hospitalized head-injury survivors was identified based on their injury and 448 (87%) of them were followed for 1 year. Comprehensive neurobehavioral testing was performed 1 month and 1 year after injury. The authors developed predictions of six neuropsychological and two psychosocial outcomes 1 year a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.82.5.0764

    authors: Temkin NR,Holubkov R,Machamer JE,Winn HR,Dikmen SS

    更新日期:1995-05-01 00:00:00

  • Transcranial approach to the orbit: microsurgical anatomy.

    abstract::An anatomical study of three microsurgical intraorbital routes to the optic nerve and orbital apex, which can be reached through a fronto-orbital craniotomy, was conducted on cadaver specimens. The structures that could be exposed via the medial, central, or lateral approaches directed through the orbital roof were de...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.1.0078

    authors: Natori Y,Rhoton AL Jr

    更新日期:1994-07-01 00:00:00

  • Factors affecting postoperative cerebrospinal fluid leaks after retrosigmoidal craniotomy for vestibular schwannomas.

    abstract:OBJECT:The aim of this study was to identify patients likely to develop CSF leaks after vestibular schwannoma surgery using a retrospective analysis for the identification of risk factors. METHODS:Between January 2001 and December 2006, 420 patients underwent retrosigmoidal microsurgical tumor removal in a standardize...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

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    authors: Stieglitz LH,Wrede KH,Gharabaghi A,Gerganov VM,Samii A,Samii M,Luedemann WO

    更新日期:2009-10-01 00:00:00

  • Metastatic renal cell carcinoma of the spine: surgical treatment and results.

    abstract:OBJECT:Renal cell carcinoma (RCC) is an aggressive malignancy that frequently metastasizes. When RCC metastasizes to the spine, significant pain and neurological dysfunction often follow. Because systemic therapy and radiotherapy have a limited effect in controlling spinal disease, surgery is frequently required; howev...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2001.94.1.0018

    authors: Jackson RJ,Loh SC,Gokaslan ZL

    更新日期:2001-01-01 00:00:00

  • The semisitting position: analysis of the risks and surgical outcomes in a contemporary series of 425 adult patients undergoing cranial surgery.

    abstract::OBJECTIVE The objective of this study was to analyze the incidence of the primary complications related to positioning or surgery and their impact on neurological outcome in a consecutive series of patients undergoing elective surgery in the semisitting position. METHODS The authors prospectively collected and retrosp...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

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    更新日期:2017-10-01 00:00:00

  • Early surgical removal of migrated coil/stent after failed embolization of intracranial aneurysm.

    abstract:OBJECT:Distal coil or stent migration is a rare, but potentially morbid complication of intracranial aneurysm embolization. At present, there is no established standard of surgical evacuation of displaced material-in particular, there is no consensus on the optimum time for such intervention. The authors report their p...

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    pub_type: 杂志文章

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  • Correlation of histopathological features and proliferative potential of gliomas.

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    pub_type: 杂志文章

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  • The first formulation of image-based stereotactic principles: the forgotten work of Gaston Contremoulins.

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    pub_type: 传,历史文章,杂志文章

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  • Mutism after posterior fossa surgery in children. Report of three cases.

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    更新日期:1990-06-01 00:00:00