Chronic subdural hematoma: surgical management in 133 patients.

Abstract:

:One hundred and thirty-three patients with chronic subdural hematoma were treated surgically between 1943 and 1980. The patients, aged 5 to 84 years, were graded retrospectively according to the Bender scale; 28% were in Grades 3 and 4. There were 107 unilateral and 26 bilateral hematomas. The clots were removed mostly via burr-holes without drainage. The treatment of 121 patients included an active policy of brain expansion at operation and the postoperative management of intracranial hypotension by lumbar injection. Two patients died, for a mortality rate of 1.5%. The patients who died were 54 and 59 years old, both from among the 26 cases with bilateral lesions; 107 unilateral lesions were treated, with no deaths. None of 51 patients who were aged 61 years and over died. The mean postoperative stay was 17.2 days, and at 3 weeks 77% had been discharged home. Fifteen percent of survivors had permanent disabilities. The common residual deficits were personality and memory disorders, and there was hemiparesis in Grade 4 cases. The high-risk groups of chronic subdural hematoma were those in Grades 3 and 4, bilateral hematomas, and the elderly. These seemed to be benefited by brain inflation and lumbar injections for intracranial hypotension.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Robinson RG

doi

10.3171/jns.1984.61.2.0263

subject

Has Abstract

pub_date

1984-08-01 00:00:00

pages

263-8

issue

2

eissn

0022-3085

issn

1933-0693

journal_volume

61

pub_type

杂志文章
  • 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

  • Different aspects of dysexecutive syndrome in patients with moyamoya disease and its clinical subtypes.

    abstract::OBJECTIVE Dysexecutive syndrome is common in patients with moyamoya disease (MMD), a chronic cerebrovascular disease that is characterized by stenosis of the bilateral internal carotid arteries and progressive collateral revascularization, and MMD can be classified as ischemic or hemorrhagic according to the disease p...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.7.JNS142666

    authors: Fang L,Huang J,Zhang Q,Chan RC,Wang R,Wan W

    更新日期:2016-08-01 00:00:00

  • Percutaneous flexible bipolar epidural neuroelectrode for spinal cord stimulation. Technical note.

    abstract::This article describes a new flexible bipolar neuroelectrode which is inserted percutaneously into the epidural space for segmental spinal cord stimulation. This electrode was used in experiments with dogs and monkeys for recording cortical somatosensory evoked potentials in order to identify intraoperative spinal cor...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.6.1317

    authors: Kaschner AG,Sandmann W,Larkamp H

    更新日期:1984-06-01 00:00:00

  • Normalization of hindbrain morphology after decompression of Chiari malformation Type I.

    abstract:OBJECT:Chiari malformation Type I (CM-I) is characterized by hindbrain deformity. We investigated the effects of craniocervical decompression surgery on the anatomical features of hindbrain deformity with a prospective MRI study of patients with CM-I. METHODS:A prospective longitudinal study was conducted in 48 patien...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2012.8.JNS111476

    authors: Heiss JD,Suffredini G,Bakhtian KD,Sarntinoranont M,Oldfield EH

    更新日期:2012-11-01 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

  • Silver colloid staining technique for analysis of glioma malignancy.

    abstract::A silver colloid staining technique for identifying nucleolar organizer region-associated proteins (Ag-NOR's) was applied to 51 human gliomas. These comprised 20 glioblastomas multiforme, 15 anaplastic astrocytomas, and 16 astrocytomas, in which the mean numbers of Ag-NOR's per cell (+/- standard error of the mean) we...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.73.1.0113

    authors: Kajiwara K,Nishizaki T,Orita T,Nakayama H,Aoki H,Ito H

    更新日期:1990-07-01 00:00:00

  • Recent research into the nature of cerebrospinal fluid formation and absorption.

    abstract::Recent information regarding the nature of bulk cerebrospinal fluid formation and absorption is reviewed, integrated with previous knowledge, and applied to the clinical setting. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.59.3.0369

    authors: McComb JG

    更新日期:1983-09-01 00:00:00

  • Neonatal craniopharyngioma. Case report.

    abstract::The authors report a case of craniopharyngioma in a newborn infant. Marked hydrocephalus of the fetal head was recognized in the pelvimetric roentgenograms of the mother and massive suprasellar calcification was seen in the plain skull films. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.42.1.0091

    authors: Azar-Kia B,Krishnan UR,Schechter MM

    更新日期:1975-01-01 00:00:00

  • The human area postrema: clear-cut silhouette and variations shown in vivo.

    abstract::OBJECT The human area postrema (AP) is a circumventricular organ that has only been described in cadaveric specimens and animals. Because of its position in the calamus scriptorius and the absence of surface markers on the floor of the fourth ventricle, the AP cannot be clearly localized during surgical procedures. ME...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.11.JNS14482

    authors: Longatti P,Porzionato A,Basaldella L,Fiorindi A,De Caro P,Feletti A

    更新日期:2015-05-01 00:00:00

  • Intracranial neurothekeoma (nerve-sheath myxoma). Case report.

    abstract::Neurothekeoma is a benign cutaneous nerve-sheath tumor. The authors describe the case of a 16-year-old girl with a parasellar neurothekeoma that was successfully removed. Magnetic resonance imaging with gadolinium administration revealed bright enhancement of the peripheral portions and nonhomogeneous uptake in the ce...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.79.2.0280

    authors: Paulus W,Warmuth-Metz M,Sörensen N

    更新日期:1993-08-01 00:00:00

  • Management of large vestibular schwannoma. Part I. Planned subtotal resection followed by Gamma Knife surgery: radiological and clinical aspects.

    abstract:OBJECT:In large vestibular schwannoma (VS), microsurgery is the main treatment option, and complete resection is considered the primary goal. However, previous studies have documented suboptimal facial nerve outcomes in patients who undergo complete resection of large VSs. Subtotal resection is likely to reduce the ris...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.6.JNS101958

    authors: van de Langenberg R,Hanssens PE,van Overbeeke JJ,Verheul JB,Nelemans PJ,de Bondt BJ,Stokroos RJ

    更新日期:2011-11-01 00:00:00

  • Nimodipine in aneurysmal subarachnoid hemorrhage: a randomized study of intravenous or peroral administration.

    abstract:OBJECT:The calcium antagonist nimodipine has been shown to reduce the incidence of ischemic complications following aneurysmal subarachnoid hemorrhage (SAH). Although most randomized studies have been focused on the effect of the peroral administration of nimodipine, intravenous infusion is an alternative and the prefe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2008.7.JNS08178

    authors: Kronvall E,Undrén P,Romner B,Säveland H,Cronqvist M,Nilsson OG

    更新日期:2009-01-01 00:00:00

  • Cranialization of the frontal sinus--the final remedy for refractory chronic frontal sinusitis.

    abstract:OBJECT:Chronic sinusitis can be a debilitating disease with significant impact on quality of life. Frontal sinusitis has a relatively low prevalence, but complications can be severe due to its anatomical location. After failure of conservative measures, typically endoscopic procedures are performed to improve the drain...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/2011.11.JNS101849

    authors: van Dijk JM,Wagemakers M,Korsten-Meijer AG,Kees Buiter CT,van der Laan BF,Mooij JJ

    更新日期:2012-03-01 00:00:00

  • History of the Journal of Neurosurgery, 1965-1980.

    abstract::The author, who was editor of the Journal of Neurosurgery from 1975 to 1985, recalls the history of the journal during the 15 hears beginning in 1965, when Dr. Louise Eisenhardt resigned as its first editor. In an addendum, he presents some thoughts on the future of neurosurgery and the role the journal should play in...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/jns.1994.80.5.0939

    authors: Schwartz HG

    更新日期:1994-05-01 00:00:00

  • Does adjuvant external-beam radiotherapy improve outcomes for nonbenign meningiomas? A Surveillance, Epidemiology, and End Results (SEER)-based analysis.

    abstract:OBJECT:The aim of this study was to examine the effect of postoperative external-beam radiation therapy (EBRT) on disease-specific survival in patients with nonbenign meningiomas. METHODS:The Surveillance, Epidemiology, and End Results (SEER) database from 1988 to 2007 was queried for cases of resected Grades II (atyp...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2012.7.JNS111439

    authors: Stessin AM,Schwartz A,Judanin G,Pannullo SC,Boockvar JA,Schwartz TH,Stieg PE,Wernicke AG

    更新日期:2012-10-01 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

  • Comparison of spinal cord gray matter and white matter softness: measurement by pipette aspiration method.

    abstract:OBJECT:Although the gray matter of the spinal cord has been thought to be softer than the white matter, there is no evidence to support this belief. Because the spinal cord is extremely soft, it has been difficult to measure the mechanical properties of the gray and white matter. The modulis of elasticity of the gray a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2001.95.2.0221

    authors: Ozawa H,Matsumoto T,Ohashi T,Sato M,Kokubun S

    更新日期:2001-10-01 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

  • Intrasellar cavernous hemangioma. Case report.

    abstract::The authors present a rare entity, an intrasellar cavernous hemangioma that on neuroimages mimicked a nonfunctioning pituitary macroadenoma in a patient with a known orbital hemangioma. Such lesions can grow extraaxially within the dural sinuses, particularly the cavernous sinus, and present like tumors. A better unde...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2001.94.3.0520

    authors: Cobbs CS,Wilson CB

    更新日期:2001-03-01 00:00:00

  • Delayed nonhemorrhagic encephalopathy following mild head trauma. Case report.

    abstract::Delayed nonhemorrhagic encephalopathy following mild head trauma is a rare condition with an unknown etiology. The few cases reported in the literature are in young adults, all of them in the era before computerized tomography (CT) became available, and all had a devastating clinical course with multifocal ischemia or...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.4.0608

    authors: Ram Z,Hadani M,Spiegelman R,Tadmor R,Shacked I

    更新日期:1989-10-01 00:00:00

  • The history and evolution of transsphenoidal surgery.

    abstract::Initial attempts at transcranial approaches to the pituitary gland in the late 1800s and early 1900s resulted in a mortality rate that was generally considered prohibitive. Schloffer suggested the use of a transsphenoidal route as a safer, alternative approach to the sella turcica. He reported the first successful rem...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/jns.2001.95.6.1083

    authors: Liu JK,Das K,Weiss MH,Laws ER Jr,Couldwell WT

    更新日期:2001-12-01 00:00:00

  • Sex differences in outcome following sports-related concussion.

    abstract:OBJECT:Females comprise an increasing percentage of the athlete population across all age groups, and analysis of recent literature reveals that they sustain more concussions in collegiate sports. Results of human and animal studies indicate that females may have poorer outcomes after traumatic brain injury; however, n...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.102.5.0856

    authors: Broshek DK,Kaushik T,Freeman JR,Erlanger D,Webbe F,Barth JT

    更新日期:2005-05-01 00:00:00

  • Bilateral morning glory syndrome associated with sphenoid encephalocele. Case report.

    abstract::Morning glory syndrome is a congenital anomaly of the optic disc in which the disc is enlarged and excavated, with white glial tissue in the center. A case is presented of morning glory syndrome associated with sphenoid encephalocele, median cleft lip, and agenesis of the corpus callosum. A 22-day-old boy was referred...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1992.77.6.0949

    authors: Itakura T,Miyamoto K,Uematsu Y,Hayashi S,Komai N

    更新日期:1992-12-01 00:00:00

  • Lymphomatoid granulomatosis apparently confined to one temporal lobe. Case report.

    abstract::Lymphomatoid granulomatosis is of uncertain etiology and poses problems with diagnosis and treatment. A case with involvement of the right temporal lobe, but associated with cystoid macular edema of the retina, is described. The unusual mode of presentation, the radiographic, operative, and pathological findings, the ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.67.4.0612

    authors: Kerr RS,Hughes JT,Blamires T,Teddy PJ

    更新日期:1987-10-01 00:00:00

  • Hemorrhage from moyamoya-like vessels associated with a cerebral arteriovenous malformation. Case report.

    abstract::The authors describe a case of subarachnoid hemorrhage from moyamoya-like vessels associated with an arteriovenous malformation (AVM) in a 44-year-old Hispanic man who presented with severe headache. The AVM was located in the left parietal lobe and the ipsilateral middle cerebral artery was occluded. Although the pat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.5.0869

    authors: Fassett DR,Schloesser PE,Couldwell WT

    更新日期:2004-11-01 00:00:00

  • CT-guided stereotactic fibrinolysis of spontaneous and hypertensive cerebellar hemorrhage: long-term results.

    abstract::The surgical indication for spontaneous cerebellar hemorrhage is not as controversial as the operative management of intracranial hemorrhage. Timing of the operation is crucial: intervening too early can produce an additional strain on the patient and an increased risk, while waiting too long to evacuate the hematoma ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.73.2.0217

    authors: Mohadjer M,Eggert R,May J,Mayfrank L

    更新日期:1990-08-01 00:00:00

  • The effect of thymidine kinase transduction and ganciclovir therapy on tumor vasculature and growth of 9L gliomas in rats.

    abstract::Eradication of malignant brain tumors by in situ intratumoral, retrovirally mediated transfer of the herpes simplex virus thymidine kinase (HSVtk) gene, which sensitizes the tumor cells to ganciclovir, has recently been demonstrated in animal models. The observation that tumors studied in vitro and in animals can be c...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.2.0256

    authors: Ram Z,Walbridge S,Shawker T,Culver KW,Blaese RM,Oldfield EH

    更新日期:1994-08-01 00:00:00

  • Transarterial embolization of vein of Galen malformations: the use of magnetic resonance imaging noninvasive optimal vessel analysis to quantify shunt reduction. Report of two cases.

    abstract::In patients with vein of Galen malformations, high-flow shunting decreases cerebral perfusion. By reducing or eliminating these shunts, transarterial embolization can improve cerebral perfusion and clinical outcomes. Quantifying pre- and postembolization shunt blood flow may help determine the optimal timing and effic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.104.1.41

    authors: Langer DJ,Song JK,Niimi Y,Chwajol M,Lefton DR,Brisman JL,Molofsky W,Kupersmith MJ,Berenstein A

    更新日期:2006-01-01 00:00:00

  • Acute obstructive hydrocephalus associated with infratentorial subdural hygromas complicating Chiari malformation Type I decompression. Report of two cases and literature review.

    abstract::Obstructive hydrocephalus complicating foramen magnum decompression (FMD) for a Chiari malformation (CM) Type I is rare. Two female patients (17 and 55 years old) presented with strain-related headaches. In both cases magnetic resonance (MR) imaging studies confirmed a CM Type I, which was accompanied by syringomyelia...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2005.103.4.0752

    authors: Marshman LA,Benjamin JC,Chawda SJ,David KM

    更新日期:2005-10-01 00:00:00

  • Acute occlusion of the posterior spinal vein. Experimental study in monkeys.

    abstract::The posterior spinal vein was occluded with silicone in seven rhesus monkeys, and locally resected in one. There were no neurological findings associated with acute venous obstruction of the cord. Follow-up arteriography revealed diversion of venous outflow into the anterior spinal venous system. Histology revealed gl...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.51.2.0201

    authors: Doppman JL,Girton M,Popovsky MA

    更新日期:1979-08-01 00:00:00