Abstract：
:Thirty-eight patients underwent transsphenoidal microsurgical treatment of non-neoplastic intrasellar cysts: 36 had cyst drainage and biopsy of the cyst wall, and in two the cyst was totally removed. Surgical morbidity was 8%. The mean follow-up time was 46.3 months; 100% patient follow-up evaluation was achieved. Sixteen female patients (mean age 24.6 years) had pars intermedia cysts: 88% had menstrual irregularities, 63% had galactorrhea, 31% had headache, and 56% had hyperprolactinemia. Within these groups, menstrual cycles returned in 86%, galactorrhea ceased in 90%, headaches resolved in 80%, and serum prolactin levels were restored to normal in 66%. Eight females and three males had Rathke's cleft cysts (mean age 34.0 years): of these 11 patients, 91% had headaches and 18% had hyperprolactinemia; of the eight females, 63% had amenorrhea and 63% had galactorrhea. Within these groups, serum prolactin levels normalized in 50%, and 80% noted reduced headache. Of the females, 80% had return of menses and 50% noted cessation of galactorrhea. Six males and two females had arachnoid cysts (mean age 42.2 years): 50% had headaches; 50% were asymptomatic. Preoperatively, 50% of these patients had hypothyroidism and 25% had adrenal hypofunction. Postoperatively, 75% of patients with headache noted improvement, and 33% of patients with abnormal thyroid function had normal function. Adrenal function did not improve. Three patients had an intrasellar cysticercosis cyst, epidermoid cyst, and postoperative cyst, respectively. All had evidence of partial hypopituitarism; none improved postoperatively. The results indicate that different types of pituitary cysts produce different clinical syndromes, and suggest that simple transsphenoidal drainage and partial removal of the cyst wall can provide safe and effective therapy.
journal_name
J Neurosurgjournal_title
Journal of neurosurgeryauthors
Baskin DS,Wilson CBdoi
10.3171/jns.1984.60.1.0008subject
Has Abstractpub_date
1984-01-01 00:00:00pages
8-13issue
1eissn
0022-3085issn
1933-0693journal_volume
60pub_type
杂志文章abstract：:OBJECTIVE Contrary to acute ischemic stroke involving the anterior circulation, no randomized trial has yet demonstrated the safety and effectiveness of endovascular management in acute basilar artery occlusion (BAO). Recently developed thrombectomy devices, such as stentrievers and aspiration systems, have helped in ...
journal_title：Journal of neurosurgery
pub_type： 评论,杂志文章
doi：10.3171/2016.2.JNS151983
更新日期：2017-05-01 00:00:00
abstract：OBJECT:A visual field deficit resulting from the management of an arteriovenous malformation (AVM) significantly impacts a patient's quality of life. The present study was designed to investigate the clinical and radiological outcomes of stereotactic radiosurgery (SRS) performed for AVMs involving the postgeniculate vi...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/2014.10.JNS1453
更新日期：2015-02-01 00:00:00
abstract：:The authors report the case of a 35-year-old acromegalic woman who developed amenorrhea and decreased left vision, and who was found to have suprasellar and pulmonary hemangiopericytomas. Total removal of the suprasellar hemangiopericytoma resulted in normalization of the plasma human growth hormone (GH) level and a m...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1985.62.5.0767
更新日期：1985-05-01 00:00:00
abstract：:The relationship among cerebral blood flow (CBF), blood volume, cardiac output (CO), and mean arterial blood pressure (MABP) at varying levels of arterial CO2 tensions (PaCO2) were studied in 70 normal cats. The CBF was measured from the clearance curve of xenon-133 and CO with a thermal dilution catheter placed in th...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1980.52.6.0745
更新日期：1980-06-01 00:00:00
abstract：:Atretic cephalocele appears as an unimportant and benign lesion. This malformation consists of meningeal and vestigial tissues (arachnoid, glial, or central nervous system rests). The authors report the findings in 16 cases (seven parietal and nine occipital) of rudimentary cephaloceles. Twelve patients presented with...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1992.77.2.0230
更新日期：1992-08-01 00:00:00
abstract：OBJECTIVE:Identification of risk factors for perioperative epilepsy remains crucial in the care of patients with meningioma. Moreover, associations of brain invasion with clinical and radiological variables have been largely unexplored. The authors hypothesized that invasion of the cortex and subsequent increased edema...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/2017.11.JNS172265
更新日期：2018-04-27 00:00:00
abstract：:Intratumoral hemorrhage as the presenting symptom of spinal tumors is rare. The authors describe a patient who presented with rapidly progressing paraplegia 24 hours after sustaining a minor traumatic injury of the thoracic spine. Radiological evaluation demonstrated a low-thoracic intradural tumor that was resected a...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/spi.2000.93.2.0327
更新日期：2000-10-01 00:00:00
abstract：:OBJECTIVE This study aimed to determine the trial discontinuation and publication rate of randomized controlled trials (RCTs) in neurosurgery. METHODS Trials registered from 2000 to 2012 were identified on the website clinicaltrials.gov using a range of key words related to neurosurgery. Any trials that were actively ...
journal_title：Journal of neurosurgery
pub_type： 评论,杂志文章
doi：10.3171/2016.8.JNS16765
更新日期：2017-10-01 00:00:00
abstract：:The interaction between oxyhemoglobin (oxyHb) and 5-hydroxytryptamine (5-HT) was investigated in an experimental model of isolated canine internal and common carotid arteries with insertion of stainless steel cannulae. Extraluminal application of 10(-5) M oxyHb induced marked and long-lasting vasoconstriction in the i...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1988.69.2.0263
更新日期：1988-08-01 00:00:00
abstract：:Tophaceous pseudogout is one of the rarest forms of crystal deposition disease, typically presenting as a destructive and invasive mass involving the temporomandibular joint or the infratemporal fossa region in the absence of any other articular manifestations. Previous cases have been assumed to be caused by calcium ...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1999.90.1.0148
更新日期：1999-01-01 00:00:00
abstract：:A randomized double-blind placebo-controlled study was carried out to determine whether phenytoin administered soon after injury lessens the incidence of epilepsy in the 1st week after severe head trauma. In this study, 244 patients were randomized into either a phenytoin or placebo group. The patients in the phenytoi...
journal_title：Journal of neurosurgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.3171/jns.1983.58.2.0231
更新日期：1983-02-01 00:00:00
abstract：:Space-occupying lesions of the basal ganglia are a rare cause of extrapyramidal dysfunction in children. Metastatic pineal germinoma in both basal ganglia produced dystonia in a 12-year-old boy. The literature is reviewed. Extrapyramidal manifestations in the child are compared with previously reported cases of basal ...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1978.48.1.0108
更新日期：1978-01-01 00:00:00
abstract：:Peroneal neuropathy has been observed in starvation, anorexia, and other situations of extreme weight loss. The authors report a case in which sequential bilateral peroneal neuropathies developed after successful bariatric surgery resulting in a weight loss of 114 lbs over 12 months. The diagnosis was confirmed using ...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.2006.105.4.631
更新日期：2006-10-01 00:00:00
abstract：:OBJECTIVEParaclinoid aneurysms represent approximately 5% of intracranial aneurysms (Drake et al. [1968]). Visual impairment, which occurs in 16%-40% of patients, is among the most common presentations of these aneurysms (Day [1990], Lai and Morgan [2013], Sahlein et al. [2015], and Silva et al. [2017]). Flow-divertin...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/2018.1.JNS171774
更新日期：2018-06-01 00:00:00
abstract：:A 63-year-old woman with a 10-year history of intermittent cerebrospinal fluid (CSF) rhinorrhea was found to have a transclival meningocele. After pluridirectional tomography demonstrated a bone defect in the clivus, the diagnosis was established by means of computerized tomography (CT) by comparing the absorption coe...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1980.53.4.0553
更新日期：1980-10-01 00:00:00
abstract：OBJECT:Primary and metastatic neoplasms of the lumbosacral junction frequently pose a complex problem for the surgical management and stabilization of the spine because of the anatomical and biomechanical factors of this transition zone between spine and pelvis. The authors have used a modification of the Galveston tec...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/spi.2000.92.1.0061
更新日期：2000-01-01 00:00:00
abstract：OBJECT:The head-shaking method combined with cisternal irrigation has been proposed to be effective in preventing cerebral vasospasm after subarachnoid hemorrhage (SAH) by facilitating rapid washout of the clot from the subarachnoid space. This study was conducted to evaluate the effectiveness of this method. METHODS:...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.2004.100.2.0236
更新日期：2004-02-01 00:00:00
abstract：:A case of enterogenous cyst causing compression of the spinal cord at C-1 is presented. The clinical course and radiological and histological findings are discussed. ...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1979.51.4.0556
更新日期：1979-10-01 00:00:00
abstract：:OBJECTIVE Vitamin D deficiency has been associated with a variety of negative outcomes in critically ill patients, but little focused study on the effects of hypovitaminosis D has been performed in the neurocritical care population. In this study, the authors examined the effect of vitamin D deficiency on 3-month outc...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/2017.2.JNS163037
更新日期：2018-06-01 00:00:00
abstract：:The Department of Neurosurgery at the University of Rochester has a long legacy of excellent patient care and innovation in the neurosciences. The department's founder, Dr. William Van Wagenen, was a direct pupil of Harvey Cushing and the first president of the Harvey Cushing Society. His successor, Dr. Frank P. Smith...
journal_title：Journal of neurosurgery
pub_type： 历史文章,杂志文章
doi：10.3171/2014.7.JNS132658
更新日期：2014-10-01 00:00:00
abstract：:The authors report their investigation of the effects of high-dose barbiturates on the multimodality evoked response in 9 cats. After baseline evoked responses were obtained, boluses of pentobarbital were infused intravenously at regular intervals, amounting to cumulative total doses of 9, 18, 27, 45, 63, 123, and 183...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1982.57.2.0178
更新日期：1982-08-01 00:00:00
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 s...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1978.49.6.0839
更新日期：1978-12-01 00:00:00
abstract：OBJECT:Changes in cortical representation in patients with cerebral lesions may alter the correlation between cortical anatomy and function. This is of potential clinical significance when the extent of cortical resection is based on surface anatomical landmarks. METHODS:Fifty-one patients with supratentorial lesions ...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.2000.92.2.0242
更新日期：2000-02-01 00:00:00
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
更新日期：2018-12-21 00:00:00
abstract：OBJECT:While research is important for the survival, growth, and expansion of neurosurgery, little work has been done to quantify the status and trends of neurosurgical publications. The purpose of this bibliometric study was to quantitatively analyze trends in neurosurgical publications, including changes in worldwide...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/2011.8.JNS11857
更新日期：2011-12-01 00:00:00
abstract：:The effect of suppression of postischemic reactive hyperemia on the blood-brain barrier (BBB) and ischemic brain edema after temporary focal cerebral ischemia was studied in cats under ketamine and alpha-chloralose anesthesia. Regional cerebral blood flow (rCBF) was measured by a thermal diffusion method and a hydroge...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1989.70.1.0073
更新日期：1989-01-01 00:00:00
abstract：OBJECT:The aims of this study were to determine the following: whether there are sex differences in intracerebral hemorrhage (ICH) induced brain injury in rats, whether delayed administration of 17beta-estradiol can reduce ICH-induced brain damage, and whether these effects are estrogen receptor (ER)-dependent. METHOD...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.2005.103.1.0097
更新日期：2005-07-01 00:00:00
abstract：:A patient with a subcutaneous sacrococcygeal ependymoma and metastasis to the inguinal lymph nodes is presented and his treatment is described. Previous reports on sacrococcygeal ependymoma are reviewed. ...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/jns.1988.68.3.0474
更新日期：1988-03-01 00:00:00
abstract：:Theodore Brown Rasmussen succeeded Wilder Penfield as director of the Montreal Neurological Institute (MNI) and held this post from 1960 to 1972. During his career, Rasmussen probably performed more operations for epilepsy than any other surgeon of his time; he became the foremost authority in this field. His meticulo...
journal_title：Journal of neurosurgery
pub_type： 传,历史文章,杂志文章
doi：10.3171/jns.2003.98.3.0631
更新日期：2003-03-01 00:00:00
abstract：OBJECT:This study proposes a variation of the transorbital endoscopic approach (TOEA) that uses the lateral orbit as the primary surgical corridor, in a minimally invasive fashion, for the posterior fossa (PF) access. The versatility of this technique was quantitatively analyzed in comparison with the anterior transpet...
journal_title：Journal of neurosurgery
pub_type： 杂志文章
doi：10.3171/2018.2.JNS172334
更新日期：2018-08-03 00:00:00
