Observer variability in assessing the clinical features of subarachnoid hemorrhage.

Abstract:

:Clinical assessment of patients with subarachnoid hemorrhage (SAH) is important both in determining management and in predicting outcome. A previous report showed considerable observer inconsistency when patients were graded with either the Hunt and Hess or the Nishioka system. This study evaluates observer variability in assessment of the individual clinical features from which these grading systems are derived. Assessment of the presence or absence of neck stiffness caused least inter-observer variability. Headache caused most variability, due to difficulty in grading its severity. Determination of the severity of a neurological deficit proved more reliable than deciding whether or not a deficit was present. The terms used to describe the level of consciousness in the Hunt and Hess and Nishioka systems were found to be significantly less consistent than the Glasgow Coma Scale. The authors suggest that when patients with SAH are assessed it is necessary to take into account the consistency with which observers can record a clinical feature, as well as its prognostic importance.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Lindsay KW,Teasdale GM,Knill-Jones RP

doi

10.3171/jns.1983.58.1.0057

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

57-62

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

58

pub_type

杂志文章
  • Acute postoperative seizures following anterior temporal lobectomy for intractable partial epilepsy.

    abstract:OBJECT:Recurrence of seizures immediately following epilepsy surgery can be emotionally devastating, and raises concerns about the chances of successfully attaining long-term seizure control. The goals of this study were to investigate the frequency of acute postoperative seizures (APOS) occurring in the 1st postoperat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.89.2.0177

    authors: Malla BR,O'Brien TJ,Cascino GD,So EL,Radhakrishnan K,Silbert P,Marsh WR

    更新日期:1998-08-01 00:00:00

  • Flow diversion treatment of complex bifurcation aneurysms beyond the circle of Willis: complications, aneurysm sac occlusion, reabsorption, recurrence, and jailed branch modification at follow-up.

    abstract:OBJECTIVE:The purpose of this study is to present the authors' medium-term results, with special emphasis on complications, occlusion rate of the aneurysm sac (digital subtraction angiography [DSA] and MRI), and the fate of cortical branches and perforating arteries covered ("jailed") by the flow diverter (FD) stent. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.7.JNS18654

    authors: Michelozzi C,Darcourt J,Guenego A,Januel AC,Tall P,Gawlitza M,Bonneville F,Cognard C

    更新日期:2018-12-21 00:00:00

  • Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting: retrospective review of 4494 patients.

    abstract:OBJECT:Intracranial hemorrhage associated with cerebral hyperperfusion syndrome (CHS) following carotid endarterectomy (CEA) or carotid artery stenting (CAS) is a rare but potentially devastating complication. In the present study the authors evaluated 4494 patients with carotid artery stenosis who had undergone CEA or...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/12/1130

    authors: Ogasawara K,Sakai N,Kuroiwa T,Hosoda K,Iihara K,Toyoda K,Sakai C,Nagata I,Ogawa A,Japanese Society for Treatment at Neck in Cerebrovascular Disease Study Group.

    更新日期:2007-12-01 00:00:00

  • Pathogens and glioma: a history of unexpected discoveries ushering in novel therapy.

    abstract::In the late 19th century, Dr. William B. Coley introduced the theory that infections may aid in the treatment of malignancy. With the creation of Coley's toxin, reports of remission during viral illnesses for systemic malignancies soon emerged. A few decades after this initial discovery, Austrian physicians performed ...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.3171/2016.12.JNS162123

    authors: Shah AH,Jusué-Torres I,Ivan ME,Komotar RJ,Kasahara N

    更新日期:2018-04-01 00:00:00

  • Interactive magnetic resonance imaging-guided management of intracranial cystic lesions by using an open magnetic resonance imaging system.

    abstract:OBJECT:The authors present their experience with neurosurgical procedures requiring real-time imaging feedback such as aspiration of a cystic structure or abscess cavity, decompression of hydrocephalic ventricles, management of arachnoid cysts, and installation of permanent or temporary drainage conduits, in which inte...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2001.95.1.0015

    authors: Kollias SS,Bernays RL

    更新日期:2001-07-01 00:00:00

  • Two examples of ancient skull surgery.

    abstract::The author, while a research illustrator at the Smithsonian Institution National Museum of Natural History, studied two ancient skulls from the Incan period in Peru, both with trephination. Her conclusions and illustrations of the skulls are included in this paper. ...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/jns.1992.76.3.0550

    authors: Froeschner EH

    更新日期:1992-03-01 00:00:00

  • Quantification of thermal asymmetry. Part 2: Application in low-back pain and sciatica.

    abstract::Temperature differences between the lower extremities were measured using a computerized thermometric scanning system in order to compare the degree of thermal asymmetry in 144 patients with low-back pain. The patients displayed highly significant thermal asymmetries, with the involved limb being cooler (p less than 0...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.4.0556

    authors: Uematsu S,Jankel WR,Edwin DH,Kim W,Kozikowski J,Rosenbaum A,Long DM

    更新日期:1988-10-01 00:00:00

  • Variations in pressure-volume index and CSF outflow resistance at different locations in the feline craniospinal axis.

    abstract::Pressure volume index (PVI) and cerebrospinal fluid (CSF) outflow resistance (Ro) were estimated in spontaneously breathing anestheized cats by the bolus injection test under normal conditions and also under abnormal conditions produced by slow infusion of saline into the CSF space. Bolus injections were made separate...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.64.2.0298

    authors: Takizawa H,Gabra-Sanders T,Miller JD

    更新日期:1986-02-01 00:00:00

  • Persistent primitive trigeminal artery-cavernous sinus fistula with intracerebral hemorrhage: endovascular treatment using detachable coils in a transarterial double-catheter technique. Case report and review of the literature.

    abstract::Intracerebral hemorrhage occurred in this 61-year-old woman with preexisting diplopia and proptosis. Results of angiography demonstrated a persistent primitive trigeminal artery (PPTA)-cavernous sinus fistula with cortical venous reflux. Two microcatheters were introduced transarterially through the PPTA into the two ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.4.0697

    authors: Tokunaga K,Sugiu K,Kameda M,Sakai K,Terasaka K,Higashi T,Date I

    更新日期:2004-10-01 00:00:00

  • Cerebral sparganosis diagnosed and treated with stereotactic techniques. Report of two cases.

    abstract::Infestation of the central nervous system with sparganum, the larva of Spirometra mansoni, is rare. Only 27 cases have been reported in the literature; however, the true incidence might be underestimated. Two cases are reported that were definitively diagnosed by stereotactic biopsy techniques. Without a positive hist...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.78.1.0129

    authors: Tsai MD,Chang CN,Ho YS,Wang AD

    更新日期:1993-01-01 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

  • Pituitary apoplexy associated with a triple bolus test. Case report.

    abstract::The authors report a case of pituitary apoplexy resulting in bilateral internal carotid artery occlusion, with marked depression of consciousness and hemiplegia. After transsphenoidal tumor decompression, restoration of flow in both carotid arteries was documented angiographically and the patient made an excellent cli...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.3.0586

    authors: Bernstein M,Hegele RA,Gentili F,Brothers M,Holgate R,Sturtridge WC,Deck J

    更新日期:1984-09-01 00:00:00

  • Hybrid fluorescein-guided surgery for pituitary adenoma resection: a pilot study.

    abstract:OBJECTIVE:The authors conducted a pilot study on hybrid fluorescein-guided surgery for pituitary adenoma resection and herein describe the feasibility and safety of this technique. METHODS:In this pilot study, the authors included all consecutive patients presenting with pituitary adenomas, functioning and nonfunction...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.1.JNS181512

    authors: Romano-Feinholz S,Alcocer-Barradas V,Benítez-Gasca A,Martínez-de la Maza E,Valencia-Ramos C,Gómez-Amador JL

    更新日期:2019-04-05 00:00:00

  • Three-dimensional SPACE fluid-attenuated inversion recovery at 3 T to improve subthalamic nucleus lead placement for deep brain stimulation in Parkinson's disease: from preclinical to clinical studies.

    abstract::OBJECTIVE Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a well-established therapy for motor symptoms in patients with pharmacoresistant Parkinson's disease (PD). However, the procedure, which requires multimodal perioperative exploration such as imaging, electrophysiology, or clinical examination d...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.7.JNS15379

    authors: Senova S,Hosomi K,Gurruchaga JM,Gouello G,Ouerchefani N,Beaugendre Y,Lepetit H,Lefaucheur JP,Badin RA,Dauguet J,Jan C,Hantraye P,Brugières P,Palfi S

    更新日期:2016-08-01 00:00:00

  • Formation of autocrine loops in human cerebral meningioma tissue by leukemia inhibitor factor, interleukin-6, and oncostatin M: inhibition of meningioma cell growth in vitro by recombinant oncostatin M.

    abstract:OBJECT:It has been demonstrated that growth of cerebral meningiomas found in humans is controlled by a variety of factors, including growth factors, aminergic agents, neuropeptides, and steroids. To further our knowledge of this process, the authors investigated the presence and function of the cytokines leukemia inhib...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.88.3.0541

    authors: Schrell UM,Koch HU,Marschalek R,Schrauzer T,Anders M,Adams E,Fahlbusch R

    更新日期:1998-03-01 00:00:00

  • Pediatric infratentorial subdural empyema: analysis of 14 cases.

    abstract:OBJECT:Pediatric cases of infratentorial subdural empyema (SDE) are both rare and associated with high rates of morbidity and mortality. The goal of this study was to report patient characteristics, treatment, and outcome in an exclusively pediatric series of SDE cases. METHODS:A series of 14 pediatric cases of infrat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.105.5.370

    authors: Venkatesh MS,Pandey P,Devi BI,Khanapure K,Satish S,Sampath S,Chandramouli BA,Sastry KV

    更新日期:2006-11-01 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

  • Intramuscular myxoma causing lumbar radiculopathy. Case report and review of the literature.

    abstract::The authors present the rare case of a myxoma, a benign soft-tissue tumor of mesenchymal origin noted for occurring in the left atrium of the heart, which was found in the lumbar paraspinal muscles of an 80-year-old woman. This patient experienced low-back pain for over 20 years and had noted its increasing severity w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/spi.2001.95.2.0260

    authors: Guppy KH,Wagner F,Tawk R,Gallagher L

    更新日期:2001-10-01 00:00:00

  • Increased cerebral blood flow but no reversal or prevention of vasospasm in response to L-arginine infusion after subarachnoid hemorrhage.

    abstract:OBJECT:The reduction in the level of nitric oxide (NO) is a purported mechanism of delayed vasospasm after subarachnoid hemorrhage (SAH). Evidence in support of a causative role for NO includes the disappearance of nitric oxide synthase (NOS) from the adventitia of vessels in spasm, the destruction of NO by hemoglobin ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.92.1.0121

    authors: Pluta RM,Afshar JK,Thompson BG,Boock RJ,Harvey-White J,Oldfield EH

    更新日期:2000-01-01 00:00:00

  • Long-term outcomes in patients with vestibular schwannomas treated using gamma knife surgery: 10-year follow up.

    abstract:OBJECT:Gamma knife surgery (GKS) has been a safe and effective treatment for vestibular schwannomas in both the short and long term, although less is known about long-term outcomes in the past 10 years. The aim of this study was to clarify long-term outcomes in patients with vestibular schwannomas treated using GKS bas...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.102.1.0010

    authors: Hasegawa T,Kida Y,Kobayashi T,Yoshimoto M,Mori Y,Yoshida J

    更新日期:2005-01-01 00:00:00

  • Threshold of the extent of resection for WHO Grade III gliomas: retrospective volumetric analysis of 122 cases using intraoperative MRI.

    abstract::OBJECTIVE WHO Grade III gliomas are relatively rare and treated with multiple modalities such as surgery, chemotherapy, and radiotherapy. The impact of the extent of resection (EOR) on improving survival in patients with this tumor type is unclear. Moreover, because of the heterogeneous radiological appearance of Grad...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.3.JNS162383

    authors: Fujii Y,Muragaki Y,Maruyama T,Nitta M,Saito T,Ikuta S,Iseki H,Hongo K,Kawamata T

    更新日期:2018-07-01 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

  • Expanding neurosurgery.

    abstract::The history of medicine is replete with innovations in neurosurgery that have spurred further developments across the medical spectrum. Surgeons treating pathologies in the head and spine have broken ground with new approaches, techniques, and technologies since ancient times. Neurosurgeons occupy a vital nexus in pat...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/2014.8.JNS141791

    authors: Couldwell WT,Mortimer V,Kraus KL

    更新日期:2014-12-01 00:00:00

  • Surgical approaches for the lateral mesencephalic sulcus.

    abstract:OBJECTIVE:The brainstem is a compact, delicate structure. The surgeon must have good anatomical knowledge of the safe entry points to safely resect intrinsic lesions. Lesions located at the lateral midbrain surface are better approached through the lateral mesencephalic sulcus (LMS). The goal of this study was to compa...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.1.JNS182036

    authors: Cavalcanti DD,Morais BA,Figueiredo EG,Spetzler RF,Preul MC

    更新日期:2019-04-12 00:00:00

  • A prospective, randomized clinical trial to compare the effect of hyperbaric to normobaric hyperoxia on cerebral metabolism, intracranial pressure, and oxygen toxicity in severe traumatic brain injury.

    abstract:OBJECT:Oxygen delivered in supraphysiological amounts is currently under investigation as a therapy for severe traumatic brain injury (TBI). Hyperoxia can be delivered to the brain under normobaric as well as hyperbaric conditions. In this study the authors directly compare hyperbaric oxygen (HBO2) and normobaric hyper...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2009.7.JNS09363

    authors: Rockswold SB,Rockswold GL,Zaun DA,Zhang X,Cerra CE,Bergman TA,Liu J

    更新日期:2010-05-01 00:00:00

  • Cost-benefit value of microscopic examination of intervertebral discs.

    abstract:OBJECT:Given the virtual absence of histologically detected, clinically unsuspected disease in intervertebral disc specimens, some authors have advocated that histological examination be discontinued. However, the examination of intervertebral disc specimens remains common practice in most pathology laboratories. No co...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.89.3.0378

    authors: Grzybicki DM,Callaghan EJ,Raab SS

    更新日期:1998-09-01 00:00:00

  • Long-term outcomes of wide-necked intracranial bifurcation aneurysms treated with T-stent-assisted coiling.

    abstract:OBJECTIVE:The endovascular treatment of complex bifurcation aneurysms possessing a neck that incorporates multiple side branches remains a surgical challenge. Double-stent-assisted coiling techniques, such as those with stents in an X and Y configuration, enable the endovascular treatment of wide-necked complex intracr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.9.JNS191733

    authors: Aydin K,Stracke CP,Barburoglu M,Yamac E,Berdikhojayev M,Sencer S,Chapot R

    更新日期:2019-12-06 00:00:00

  • Influence of smoking on aneurysm recurrence after endovascular treatment of cerebrovascular aneurysms.

    abstract::OBJECTIVE Smoking is a known risk factor for aneurysm development and aneurysmal subarachnoid hemorrhage, as well as subsequent vasospasm in both untreated individuals and patients who have undergone surgical clipping of cerebrovascular aneurysms. However, there is a lack of data in the current scientific literature a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.12.JNS161625

    authors: Futchko J,Starr J,Lau D,Leach MR,Roark C,Pandey AS,Thompson BG

    更新日期:2018-04-01 00:00:00

  • Relationship between patient safety indicator events and comprehensive stroke center volume status in the treatment of unruptured cerebral aneurysms.

    abstract::OBJECTIVE The Agency of Healthcare Research and Quality (AHRQ) has defined Patient Safety Indicators (PSIs) for assessments in quality of inpatient care. The hypothesis of this study is that, in the treatment of unruptured cerebral aneurysms (UCAs), PSI events are less likely to occur in hospitals meeting the volume t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.5.JNS162778

    authors: Washington CW,Taylor LI,Dambrino RJ,Clark PR,Zipfel GJ

    更新日期:2018-08-01 00:00:00

  • Management of juvenile spinal AVM's by embolization and operative excision. Case report.

    abstract::A small group of spinal arteriovenous malformations (AVM's) most commonly present in children or young adults, are characterized by a large size, high flow, the presence of multiple feeders, and frequent extension to paraspinous structures. Cardiac output requirements may be significantly increased by these so-called ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.70.4.0628

    authors: Spetzler RF,Zabramski JM,Flom RA

    更新日期:1989-04-01 00:00:00