Late seizures and morbidity after subdural empyema.

Abstract:

:A survey of 89 patients with subdural empyema was conducted to assess the incidence of late seizures and morbidity in this disease. Twenty-four patients died during the acute stage of the illness and, of the 65 survivors, 13 were lost or had incomplete follow-up review. Hemiparesis occurred in 48 of the survivors during the acute stage, and all but nine recovered completely. Thirteen patients had a visual field deficit and all recovered; in three of these 13 who had speech disorders the deficits persisted. Recovery from neurological morbidity was not related to the type of surgical treatment; however, the mortality rate was improved by craniotomy. The same incidence of early seizures occurred in those who died (62%) as in those who survived (63%). Of those who had no early seizures, 42% had late seizures, the majority appearing within 16 months. Of those who had early seizures, 71% did not have subsequent attacks. The highest incidence of seizures occurred in patients who had their empyema in the second and third decades of life. The incidence of late seizures was not influenced by the method of surgical treatment, the degree of deterioration of consciousness during the acute stage of the illness, nor by occurrence of early seizures. A significantly increased incidence of early seizures was associated with paranasal sepsis, but not with late seizures.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Cowie R,Williams B

doi

10.3171/jns.1983.58.4.0569

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

569-73

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

58

pub_type

杂志文章
  • Proton nuclear magnetic resonance studies on brain edema.

    abstract::The water in normal and edematous brain tissues of rats was studied by the pulse nuclear magnetic resonance (NMR) technique, measuring the longitudinal relaxation time (T1) and the transverse relaxation time (T2). In the normal brain, T1 and T2 were single components, both shorter than in pure water. Prolongation and ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.6.0747

    authors: Naruse S,Horikawa Y,Tanaka C,Hirakawa K,Nishikawa H,Yoshizaki K

    更新日期:1982-06-01 00:00:00

  • Preliminary evaluation of a novel intraparenchymal capacitive intracranial pressure monitor.

    abstract:OBJECT:Intracranial pressure (ICP) monitors are currently based on fluid-filled, strain gauge, or fiberoptic technology. Capacitive sensors have minimal zero drift and energy requirements, allowing long-term implantation and telemetric interrogation; their application to neurosurgery has only occasionally been reported...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.4.JNS101920

    authors: Aquilina K,Thoresen M,Chakkarapani E,Pople IK,Coakham HB,Edwards RJ

    更新日期:2011-09-01 00:00:00

  • Acute nonlymphocytic leukemia following treatment of malignant glioma. Report of two cases.

    abstract::Two patients with malignant brain tumors who developed acute nonlymphocytic leukemia after treatment with radiation and chemotherapy are described. Both patients survived more than 2 years after diagnosis of the brain tumor. Survival following the diagnosis of leukemia was short, and both patients died of hemorrhage s...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.6.1287

    authors: Kempin S,Sundaresan N,Shapiro WB,Arlin Z

    更新日期:1984-06-01 00:00:00

  • Indications for nonoperative treatment of spinal cord compression due to breast cancer.

    abstract::A retrospective series of 12,478 patients with breast cancer included 2467 patients with spinal metastases. Local treatment was not necessary in 688 patients. Neurological dificit did not develop in 1735 patients who underwent radiotherapy. Forty-four patients developed myelopathy due to spinal cord compression as dem...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.47.5.0653

    authors: Cobb CA 3rd,Leavens ME,Eckles N

    更新日期:1977-11-01 00:00:00

  • Severe symptomatic vasospasm: the role of immediate postoperative angioplasty.

    abstract::The clinical success of angioplasty for symptomatic vasospasm following subarachnoid hemorrhage (SAH) depends on early intervention and can best be achieved after the aneurysm is occluded. However, patients presenting with unsecured ruptured aneurysms and established clinical vasospasm offer a dilemma for the surgeon....

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.80.2.0224

    authors: Le Roux PD,Newell DW,Eskridge J,Mayberg MR,Winn HR

    更新日期:1994-02-01 00:00:00

  • Median to radial nerve transfer for treatment of radial nerve palsy. Case report.

    abstract::The purpose of this study is to report a surgical technique of nerve transfer to restore radial nerve function after a complete palsy due to a proximal injury to the radial nerve. The authors report the case of a patient who underwent direct nerve transfer of redundant or expendable motor branches of the median nerve ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/09/0666

    authors: Mackinnon SE,Roque B,Tung TH

    更新日期:2007-09-01 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

  • Venous sinus stenting for reduction of intracranial pressure in IIH: a prospective pilot study.

    abstract::OBJECTIVE Idiopathic intracranial hypertension (IIH) may cause blindness due to elevated intracranial pressure (ICP). Venous sinus stenosis has been identified in select patients, leading to stenting as a potential treatment, but its effects on global ICP have not been completely defined. The purpose of this pilot stu...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.8.JNS16879

    authors: Liu KC,Starke RM,Durst CR,Wang TR,Ding D,Crowley RW,Newman SA

    更新日期:2017-11-01 00:00:00

  • Clinical and electroneurographic evaluation of sensory/motor-differentiated nerve repair in the hand.

    abstract::In 17 patients acetylcholinesterase activity was used to differentiate between sensory and motor fascicles in median and ulnar nerve repair of the hand. Eleven patients received follow-up evaluation 1 to 11 years after surgery, and at that time clinical and electroneurographic examinations were performed to evaluate t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.78.5.0709

    authors: Deutinger M,Girsch W,Burggasser G,Windisch A,Mayr N,Freilinger G

    更新日期:1993-05-01 00:00:00

  • Speech changes induced by deep brain stimulation of the subthalamic nucleus in Parkinson disease: involvement of the dentatorubrothalamic tract.

    abstract::OBJECTIVE Patients with Parkinson disease (PD) who undergo subthalamic nucleus (STN) deep brain stimulation (DBS) often develop a deterioration in speech performance, but there is no clear consensus on the specific effects seen or the mechanism involved and little description of the impact of DBS on conversational spe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.5.JNS16243

    authors: Fenoy AJ,McHenry MA,Schiess MC

    更新日期:2017-06-01 00:00:00

  • Microendoscopic stereotactic-guided percutaneous radiofrequency trigeminal nucleotractotomy.

    abstract:OBJECT:Over the past few decades, various authors have performed open or stereotactic trigeminal nucleotractotomy for the treatment of neuropathic facial pain resistant to medical treatment. Stereotactic procedures can be performed percutaneously under local anesthesia, allowing intraoperative neurological examination ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.8.JNS11618

    authors: Teixeira MJ,de Almeida FF,de Oliveira YS,Fonoff ET

    更新日期:2012-02-01 00:00:00

  • A comparison of 3 radiographic scales for the prediction of delayed ischemia and prognosis following subarachnoid hemorrhage.

    abstract:OBJECT:Delayed cerebral ischemia is a major cause of morbidity and death following aneurysmal subarachnoid hemorrhage and requires timely intervention for a successful outcome to be achieved. In this study the investigators compared the commonly used Fisher scale with 2 newer radiographic scales for the prediction of v...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/109/8/0199

    authors: Kramer AH,Hehir M,Nathan B,Gress D,Dumont AS,Kassell NF,Bleck TP

    更新日期:2008-08-01 00:00:00

  • Hook-rod with pedicle screw fixation for unstable spinal fracture. Technical note.

    abstract::A technique is described in which spinal fracture repositioning, decompression, and stabilization are achieved by a combination of hook-rod and pedicle screw fixation. This straightforward technique is useful for performing acute decompression in patients with partial neurological deficits and multisystem injuries. A ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Stancić MF,Mićović V,Potocnjak M

    更新日期:2000-01-01 00:00:00

  • Experimental model for induction of cerebral aneurysms in rats.

    abstract::Two groups of rats with induced arterial hypertension were studied. One group underwent section of the left common carotid artery with an end-to-side anastomosis of the proximal segment to the right common carotid artery. The second group was subjected to ligation of the left common carotid artery. The number of aneur...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.3.0398

    authors: Alvarez F,Roda JM

    更新日期:1986-09-01 00:00:00

  • Intraventricular infusion of nerve growth factor as the cause of sympathetic fiber sprouting in sensory ganglia.

    abstract:OBJECT:The results of previous clinical trials have indicated that intraventricular infusion of nerve growth factor (NGF) in patients with Alzheimer's disease is frustrated by the appearance of weight loss and diffuse back pain. The present study tested whether NGF induces sympathetic sprouting in sensory ganglia. Such...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.91.3.0447

    authors: Nauta HJ,Wehman JC,Koliatsos VE,Terrell MA,Chung K

    更新日期:1999-09-01 00:00:00

  • Intrathecal colistin for treatment of highly resistant Pseudomonas ventriculitis. Case report and review of the literature.

    abstract::Nosocomial infections with organisms resistant to multiple antibiotic agents represent an evolving challenge in the intensive care setting, particularly in patients requiring surgical diversion of cerebrospinal fluid. The authors present the case of a 51-year-old woman who endured protracted hospitalization and requir...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2005.102.5.0915

    authors: Gump WC,Walsh JW

    更新日期:2005-05-01 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

  • Prognostic value of changes in brain tissue oxygen pressure before and after decompressive craniectomy following severe traumatic brain injury.

    abstract::OBJECTIVE In severe traumatic brain injury (TBI), the effects of decompressive craniectomy (DC) on brain tissue oxygen pressure (PbtO2) and outcome are unclear. The authors aimed to investigate whether changes in PbtO2 after DC could be used as an independent prognostic factor. METHODS The authors conducted a retrospe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.1.JNS161840

    authors: Lubillo ST,Parrilla DM,Blanco J,Morera J,Dominguez J,Belmonte F,López P,Molina I,Ruiz C,Clemente FJ,Godoy DA

    更新日期:2018-05-01 00:00:00

  • The neuroprotective pharmacology of methylprednisolone.

    abstract::A 24-hour intensive intravenous dosing regimen with the glucocorticoid steroid methylprednisolone has recently been shown to be effective in enhancing neurological recovery in spinal cord-injured patients when initiated within 8 hours after injury. The state of knowledge concerning the neuroprotective pharmacology of ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1992.76.1.0013

    authors: Hall ED

    更新日期:1992-01-01 00:00:00

  • Prospective study of zero drift in fiberoptic pressure monitors used in clinical practice.

    abstract::One hundred and one fiberoptic pressure transducers (59 subdural and 42 ventricular) were studied in 86 patients (some in whom more than one device had been inserted). Only four complications occurred: two transient cerebrospinal fluid leaks after removal and two clinically insignificant intracerebral hematomas. No in...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.1997.86.6.0927

    authors: Bavetta S,Norris JS,Wyatt M,Sutcliffe JC,Hamlyn PJ

    更新日期:1997-06-01 00:00:00

  • Congenital ventriculocisternostomy. Case report.

    abstract::A case of congenital ventriculocisternostomy is reported. This infant presented with occipital meningocele. Conray ventriculography demonstrated a spontaneous ventriculocisternostomy and stenosis of the aqueduct. The case is discussed and pertinent literature reviewed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.54.1.0098

    authors: Mann KS,Khosla VK,Gulati DR

    更新日期:1981-01-01 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

  • Distinctions between pituicytoma and ordinary pilocytic astrocytoma. Case report.

    abstract::The authors present a rare case of pituicytoma. A dynamic magnetic resonance study performed after Gd injection revealed a markedly, homogeneously enhanced, early-phase pituitary lesion in a 32-year-old woman with a 1-year history of amenorrhea. The tumor bled easily during transsphenoidal resection. The lesion consis...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.98.2.0404

    authors: Katsuta T,Inoue T,Nakagaki H,Takeshita M,Morimoto K,Iwaki T

    更新日期:2003-02-01 00:00:00

  • Effects of vasopressin and oxytocin on canine cerebral circulation in vivo.

    abstract::In vivo experiments on the vasoactive effects of vasopressin and oxytocin on cerebral circulation were carried out in anesthetized dogs, using an electromagnetic flowmeter to measure vertebral blood flow and angiography to measure the internal diameter of the basilar artery. Direct bolus infusion of 1 pmol to 1 nmol o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1992.77.3.0424

    authors: Suzuki Y,Satoh S,Kimura M,Oyama H,Asano T,Shibuya M,Sugita K

    更新日期:1992-09-01 00:00:00

  • Malignant progression in meningioma: documentation of a series and analysis of cytogenetic findings.

    abstract:OBJECT:The malignant progression of benign tumors is well documented in gliomas and other systemic lesions. It is also well known that some meningiomas become progressively aggressive despite their original benign status. The theory of clonal evolution is widely believed to explain malignant progression in meningioma; ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.2.0210

    authors: Al-Mefty O,Kadri PA,Pravdenkova S,Sawyer JR,Stangeby C,Husain M

    更新日期:2004-08-01 00:00:00

  • Combined stereotactic split-course fractionated gamma knife radiosurgery and conventional radiation therapy for unfavorable gliomas: a phase I study.

    abstract:OBJECT:This investigation was performed to determine the tolerance and toxicities of split-course fractionated gamma knife radiosurgery (FSRS) given in combination with conventional external-beam radiation therapy (CEBRT). METHODS:Eighteen patients with previously unirradiated, gliomas treated between March 1995 and J...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.2000.93.supplement

    authors: Regine WF,Patchell RA,Strottmann JM,Meigooni A,Sanders M,Young B

    更新日期:2000-12-01 00:00:00

  • Spontaneous involution of a large pineal region hemorrhagic cyst in an infant. Case report.

    abstract::The authors report the case of a newborn presenting at birth with macrocephaly and a large pineal region hemorrhagic cyst without neurological deficit. No neurosurgical intervention was performed, and subsequent imaging studies demonstrated complete involution of the cyst. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.104.4.275

    authors: Nimmagadda A,Sandberg DI,Ragheb J

    更新日期:2006-04-01 00:00:00

  • Subependymomas of the fourth ventricle. Surgical treatment in 12 cases.

    abstract::Subependymomas of the fourth ventricle are generally considered incidental postmortem findings, and have received scant attention from neurosurgeons. The authors present a surgical series of 12 cases of this disorder diagnosed over a 13-year period. The clinical and radiological findings were reviewed and correlations...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.4.0508

    authors: Jooma R,Torrens MJ,Bradshaw J,Brownell B

    更新日期:1985-04-01 00:00:00

  • Early craniometric tools as a predecessor to neurosurgical stereotaxis.

    abstract::In this paper the authors trace the history of early craniometry, referring to the technique of obtaining cranial measurements for the accurate correlation of external skull landmarks to specific brain regions. Largely drawing on methods from the newly emerging fields of physical anthropology and phrenology in the lat...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/2015.6.JNS15424

    authors: Serletis D,Pait TG

    更新日期:2016-06-01 00:00:00

  • Use of porcine dermis as a dural substitute in 72 patients.

    abstract::Experience over a 2-year period with the use of porcine dermis as a dural substitute is reported. In this series, porcine dermis was used for dural repair in a total of 72 patients. In a further 28 patients, one of the authors (A.E.B.) used porcine dermis to wrap lumbar nerve roots at the time of surgery for either pr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.2.0351

    authors: O'Neill P,Booth AE

    更新日期:1984-08-01 00:00:00