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, metrizamide myelography in conjunction with early and delayed computerized tomography scanning replaced all other diagnostic procedures in patients with syringomyelia. Preoperative accuracy for the two procedures was 87%. The most common symptoms were weakness (79%), sensory loss (67%), pain (38%), and leg stiffness (28%). Surgery was most effective in stabilizing or alleviating pain (100%), sensory loss (81%), and weakness (74%); spasticity, headache, and bowel or bladder dysfunction were less likely to be reversed. Approximately 80% of patients with idiopathic and posttraumatic syringomyelia and 70% of those with arachnoiditis improved or stabilized. Better results were obtained in patients with less severe neurological deficits, suggesting the need for early operative intervention. A higher percentage of patients had neurological improvement with SP shunting than with any other procedure, especially when SP shunting was the first operation performed. Patients treated with SP shunts also had the highest complication rate, most often shunt malfunction. These results indicate that SP shunting is effective in reversing or arresting neurological deterioration in patients with syringomyelia.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Barbaro NM,Wilson CB,Gutin PH,Edwards MS

doi

10.3171/jns.1984.61.3.0531

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

531-8

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

61

pub_type

杂志文章
  • Tonsillar herniation: the rule rather than the exception after lumboperitoneal shunting in the pediatric population.

    abstract::Although the development of tonsillar herniation (acquired Chiari malformation) in association with lumboperitoneal (LP) shunting is well recognized, it has previously been considered rare. In order to ascertain the incidence of this complication after LP shunting, the authors undertook a retrospective study of all pa...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.78.4.0568

    authors: Chumas PD,Armstrong DC,Drake JM,Kulkarni AV,Hoffman HJ,Humphreys RP,Rutka JT,Hendrick EB

    更新日期:1993-04-01 00:00:00

  • Delineating gray and white matter involvement in brain lesions: three-dimensional alignment of functional magnetic resonance and diffusion-tensor imaging.

    abstract:OBJECT:The role of functional magnetic resonance (fMR) imaging has become increasingly important in the presurgical mapping of gray matter. Neurosurgical interventions often involve fiber bundles that connect critical functional areas. Recently, diffusion-tensor (DT) imaging has enabled the visualization of fiber bundl...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.99.6.1018

    authors: Hendler T,Pianka P,Sigal M,Kafri M,Ben-Bashat D,Constantini S,Graif M,Fried I,Assaf Y

    更新日期:2003-12-01 00:00:00

  • Reduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations.

    abstract::The benefits of radiosurgery for cavernous malformations are difficult to assess because of the unclear natural history of this vascular lesion, the inability to image malformation vessels, and the lack of an imaging technique that defines "cure." The authors selected for radiosurgery 47 patients who harbored a hemorr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.5.0825

    authors: Kondziolka D,Lunsford LD,Flickinger JC,Kestle JR

    更新日期:1995-11-01 00:00:00

  • Identification of a human leukocyte antigen-A24-restricted T-cell epitope derived from interleukin-13 receptor alpha2 chain, a glioma-associated antigen.

    abstract:OBJECT:The human leukocyte antigen-A24 (HLA-A24) allele is highly expressed in Asians. This allele is expressed in 60% of the Japanese population and in a significant number of people of other ethnicities. The interleukin-13 type alpha2 receptor (IL-13Ralpha2) has been shown to be a glioma-specific antigen, and is abun...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/109/7/0117

    authors: Shimato S,Natsume A,Wakabayashi T,Tsujimura K,Nakahara N,Ishii J,Ito M,Akatsuka Y,Kuzushima K,Yoshida J

    更新日期:2008-07-01 00:00:00

  • Tuberculous brain abscess. Case report.

    abstract::An abscess was removed from the left occipital region in a 73-year-old woman with no previous history of tuberculosis. The patient later died from aspiration bronchopneumonia. Autopsy revealed a basilar tuberculous meningitis and miliary tuberculosis in the peritracheal lymphatic glands, the liver, the spleen, and in ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.52.3.0419

    authors: González PR,Herrero CV,Joachim GF,Ocaña CR,Sevilla GC,Loyzaga PG

    更新日期:1980-03-01 00:00:00

  • The prognosis in subarachnoid hemorrhage of unknown etiology.

    abstract::The mortality rate, risk of rebleeding, relevant subjective and objective symptoms, and daily functional capacity after a verified subarachnoid hemorrhage (SAH) of unknown etiology were evaluated in 44 patients treated during a 5-year period (1978 to 1983). A vascular basis for the SAH had been excluded by bilateral c...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.6.1029

    authors: Eskesen V,Sørensen EB,Rosenørn J,Schmidt K

    更新日期:1984-12-01 00:00:00

  • Prostaglandin metabolism in experimental cerebral vasospasm.

    abstract::Experimental cerebral vasospasm was produced in the canine basilar artery by an intracisternal injection of fresh autogenous arterial blood, and prostaglandins generated in spastic and nonspastic arteries were assessed by thin-layer chromatography. Prostaglandins synthesized in normal arteries were 6-keto-prostaglandi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.55.5.0779

    authors: Maeda Y,Tani E,Miyamoto T

    更新日期:1981-11-01 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

  • Patterns of care and outcomes among elderly individuals with primary malignant astrocytoma.

    abstract:OBJECT:This study was undertaken to evaluate the association between age at diagnosis, patterns of care, and outcome among elderly individuals with anaplastic astrocytoma (AA) and glioblastoma multiforme (GBM). Methods Using the Surveillance, Epidemiology and End Results database, the authors identified 1753 individual...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/4/0642

    authors: Barnholtz-Sloan JS,Williams VL,Maldonado JL,Shahani D,Stockwell HG,Chamberlain M,Sloan AE

    更新日期:2008-04-01 00:00:00

  • Memory outcome following transsylvian selective amygdalohippocampectomy in 62 patients with hippocampal sclerosis.

    abstract:OBJECT:It remains unclear whether selective amygdalohippocampectomy, an operative technique developed for use in epilepsy surgery to spare unaffected brain tissue and thus minimize the cognitive consequences of temporal lobe surgery, actually leads to a better memory outcome. The present study was performed to determin...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.9.JNS08247

    authors: Morino M,Ichinose T,Uda T,Kondo K,Ohfuji S,Ohata K

    更新日期:2009-06-01 00:00:00

  • Sphenopalatine ganglion stimulation for vasospasm after experimental subarachnoid hemorrhage.

    abstract:OBJECT:Sphenopalatine ganglion stimulation activates perivascular vasodilatory nerves in the ipsilateral anterior circle of Willis. This experiment tested whether stimulation of the ganglion could reverse vasospasm and improve cerebral perfusion after subarachnoid hemorrhage (SAH) in monkeys. METHODS:Thirteen cynomolg...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.6.JNS091525

    authors: Takahashi M,Zhang ZD,Macdonald RL

    更新日期:2011-04-01 00:00:00

  • Verbal memory deficits after left temporal lobectomy for epilepsy. Mechanism and intraoperative prediction.

    abstract::Verbal memory deficits remain a major complication of dominant hemisphere temporal lobectomy for epilepsy. The extent of this deficit was assessed preoperatively and 1 month and 1 year postoperatively with the Wechsler Verbal Memory Scale (WMSV) in 14 adults undergoing left temporal lobectomy. Intraoperative localizat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.1.0101

    authors: Ojemann GA,Dodrill CB

    更新日期:1985-01-01 00:00:00

  • Isolation and partial purification of growth factors with TGF-like activity from human malignant gliomas.

    abstract::The effect of concentrated conditioned medium from each of eight human malignant glioma cell lines on the growth of indicator cells (normal rat kidney fibroblasts (NRK), clone 14) was determined in monolayer and in soft agar assay systems. The conditioned medium from all cell lines was mitogenic in the monolayer assay...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.6.0875

    authors: Rutka JT,Rosenblum ML,Stern R,Ralston HJ 3rd,Dougherty D,Giblin J,DeArmond S

    更新日期:1989-12-01 00:00:00

  • Unenhanced and gadolinium-DTPA-enhanced MR imaging in postoperative evaluation in pediatric brain tumors.

    abstract::Gadolinium-diethylenetriaminepenta-acetic acid (Gd-DTPA) is a chelated paramagnetic contrast agent under clinical trial for use in magnetic resonance (MR) imaging. The increased signal intensity following the intravenous infusion of contrast medium may improve the ability of MR imaging to delineate tumors. The use of ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.1.0049

    authors: Dickman CA,Rekate HL,Bird CR,Drayer BP,Medina M

    更新日期:1989-07-01 00:00:00

  • Gamma knife radiosurgery for cavernous hemangiomas in the cavernous sinus. Report of three cases.

    abstract::A cavernous hemangioma occurring in the cavernous sinus is a rare vascular tumor that causes cranial nerve symptoms by direct compression. Surgical removal is often difficult because excessive intraoperative bleeding is expected. These lesions remain a therapeutic challenge even with state-of-the-art treatment modalit...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2002.97.supplement

    authors: Nakamura N,Shin M,Tago M,Terahara A,Kurita H,Nakagawa K,Ohtomo K

    更新日期:2002-12-01 00:00:00

  • Electrical spinal cord stimulation in reflex sympathetic dystrophy: retrospective analysis of 23 patients.

    abstract:OBJECT:The aim of the study was to assess retrospectively the clinical efficacy and possible adverse effects of electrical spinal cord stimulation (SCS) for the treatment of patients with reflex sympathetic dystrophy (RSD). METHODS:Twenty-three patients who suffered severe pain due to RSD were included in the study. T...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.1999.90.1.0079

    authors: Kemler MA,Barendse GA,Van Kleef M,Van Den Wildenberg FA,Weber WE

    更新日期:1999-01-01 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

  • Heterotopic new bone formation in the cervical spine following head injury. Case report.

    abstract::Heterotopic new bone formation, associated with head injuries, usually affects the shoulder, elbow, and hip joints. The authors present a case with an unusual involvement of the cervical spine, confirmed by bone scanning and computerized tomography. Although the etiology of heterotopic new bone formation is not well u...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.64.3.0513

    authors: Groswasser Z,Reider-Groswasser I

    更新日期:1986-03-01 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

  • Deficits of hand coordination and laterality of carotid endarterectomy.

    abstract:OBJECT:Neurocognitive performance is used to assess multiple cognitive domains, including motor coordination, before and after carotid endarterectomy (CEA). Although gross motor strength is impaired with ischemia of large cortical areas or of the internal capsule, the authors hypothesize that patients undergoing CEA de...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.8.JNS1459

    authors: Heyer EJ,Mallon KA,Mergeche JL,Stern Y,Connolly ES

    更新日期:2015-01-01 00:00:00

  • Transcranial puncture through the parietal and mastoid foramina for the treatment of dural fistulas. Report of four cases.

    abstract::In this report the authors describe the endovascular treatment of dural arteriovenous fistulas (DAVFs) through transcranial puncture of the feeding arteries. Four patients had DAVFs that were fed by occipital arteries (OAs) that supplied blood to the intracranial meningeal arteries via the transcranial branches and co...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2007.106.5.912

    authors: Chapot R,Saint-Maurice JP,Narata AP,Rogopoulos A,Moreau JJ,Houdart E,Maubon A

    更新日期:2007-05-01 00:00:00

  • Results of nerve grafting in radial nerve injuries occurring proximal to the humerus, including those within the posterior cord.

    abstract::OBJECTIVE Results of radial nerve grafting are largely unknown for lesions of the radial nerve that occur proximal to the humerus, including those within the posterior cord. METHODS The authors describe 13 patients with proximal radial nerve injuries who were surgically treated and then followed for at least 24 months...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.12.JNS141944.test

    authors: Bertelli JA,Ghizoni MF

    更新日期:2016-01-01 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

  • True anatomical compartmentalization of the cavernous sinus in a patient with bilateral cavernous dural arteriovenous fistulae. Case report.

    abstract::An unusual case of complete anatomical compartmentalization of the cavernous sinus in a patient with bilateral Type D cavernous dural arteriovenous fistulae is described. This anatomical anomaly isolated the anterior cavernous sinus and orbital venous system, which was primarily responsible for the patient's clinical ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.79.4.0592

    authors: Chaloupka JC,Goller D,Goldberg RA,Duckwiler GR,Martin NA,Viñuela F

    更新日期:1993-10-01 00:00:00

  • A new method for measuring cerebrospinal fluid flow in shunts.

    abstract::An implantable device for measurement of cerebrospinal fluid (CSF) flow in a ventriculoperitoneal shunt tube has been developed. The unit is energized by an extracorporeal high-frequency generator (200 KHz), and electrolysis creates bubbles in the shunt tube. Velocity of bubble flow is detected by a pair of ultrasonic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.58.4.0557

    authors: Hara M,Kadowaki C,Konishi Y,Ogashiwa M,Numoto M,Takeuchi K

    更新日期:1983-04-01 00:00:00

  • Use of a Peltier chip with a newly devised local brain-cooling system for neocortical seizures in the rat. Technical note.

    abstract::Local cortical cooling for termination of epileptic discharges (EDs) has recently become a focus of research. The authors report on a newly devised cooling system that uses a thermoelectric (Peltier) chip and examine the system's performance in experimental neocortical seizures. Experiments were performed in adult mal...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.104.1.150

    authors: Imoto H,Fujii M,Uchiyama J,Fujisawa H,Nakano K,Kunitsugu I,Nomura S,Saito T,Suzuki M

    更新日期:2006-01-01 00:00:00

  • Intracranial air on computerized tomography.

    abstract::Intracranial gas may be epidural, subdural, subarachnoid, parenchymal, or intraventricular. Intracranial air can be easily diagnosed and its location correctly assessed by computerized tomography. Potentially serious complications of intracranial air, such as tension pneumocephalus, can be rapidly and accurately ident...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.3.0355

    authors: Osborn AG,Daines JH,Wing SD,Anderson RE

    更新日期:1978-03-01 00:00:00

  • Long-term outcome in patients harboring intracranial ependymoma.

    abstract:OBJECT:The prognostic significance of tumor grade and resection and the efficacy of prophylactic radiation remain controversial in the management of intracranial ependymoma. The outcomes in patients with intracranial ependymoma treated at the Kyoto University Hospital were reviewed retrospectively, and prognostic signi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.103.1.0031

    authors: Kawabata Y,Takahashi JA,Arakawa Y,Hashimoto N

    更新日期:2005-07-01 00:00:00

  • Primary myxoma of the parafalcine meninges. Case report.

    abstract::The authors report on an unusual case of a primary intracranial myxoma in a 39-year-old woman. The patient presented with headache and generalized seizure. Magnetic resonance imaging revealed a large right frontal tumor resembling a parasagittal meningioma. A gross-total resection was performed, and histological revie...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.104.3.440

    authors: Powers CJ,Pizzi CC,Cummings TJ,Friedman AH

    更新日期:2006-03-01 00:00:00

  • Medical school and residency influence on choice of an academic career and academic productivity among neurosurgery faculty in the United States. Clinical article.

    abstract:OBJECT:Factors determining choice of an academic career in neurological surgery are unclear. This study seeks to evaluate the graduates of medical schools and US residency programs to determine those programs that produce a high number of graduates remaining within academic programs and the contribution of these gradua...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.3.JNS101176

    authors: Campbell PG,Awe OO,Maltenfort MG,Moshfeghi DM,Leng T,Moshfeghi AA,Ratliff JK

    更新日期:2011-08-01 00:00:00