CSF dynamics and pressure-volume relationships in communicating hydrocephalus.

Abstract:

:Twenty-nine patients consecutively admitted with a diagnosis of communicating hydrocephalus underwent continuous intracranial pressure (ICP) monitoring; pressure-volume studies; and measurement of resistance to outflow of cerebrospinal fluid (Rout). The two latter calculations were made by the bolus injection and pressure-volume index (PVI) techniques. In 19 patients mean ICP never exceeded 15 mm Hg. In the other 10 patients varying degrees of mildly raised ICP was noted. The frequency of waves at 1/2 to 2/min varied from 3% to 58%. The ICP pulse amplitude ranged from 0.5 to 10 mm Hg, and PVI from 4.6 to 18.2 ml. The Rout ranged from 2.5 to 31.4 mm Hg/ml/min, and was linearly correlated to the ICP. Thus, patients with a higher Rout also had a higher ICP as compared with patients with lower Rout, yet ICP could still be within limits considered normal. The cerebrospinal fluid dynamics (formation rate X resistance) contributed much more to the ICP than in normal individuals. It is postulated that communicating hydrocephalus represents one endpoint of a continuum, where the preceding phase is high-pressure and high-resistance hydrocephalus as, for instance, is seen after subarachnoid hemorrhage. In some patients, there is a possibility of cerebral atrophy accompanied by otherwise insignificant increased Rout. In this study, the PVI technique proved to be a fast and safe method of measuring Rout.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Kosteljanetz M

doi

10.3171/jns.1986.64.1.0045

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

45-52

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

64

pub_type

杂志文章
  • Clinical tolerance of corticospinal tracts in convection-enhanced delivery to the brainstem.

    abstract:OBJECTIVE:Convection-enhanced delivery (CED) has been explored as a therapeutic strategy for diffuse intrinsic pontine glioma (DIPG). Variables that may affect tolerance include infusate volume, infusion rate, catheter trajectory, and target position. Supratentorial approaches for catheter placement and infusate distri...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.6.JNS18854

    authors: Morgenstern PF,Zhou Z,Wembacher-Schröder E,Cina V,Tsiouris AJ,Souweidane MM

    更新日期:2018-12-21 00:00:00

  • Prenatal assignation of lesion levels in neural tube defects by using ultrasonography. Case report and review of the literature.

    abstract::Myelomeningoceles are routinely diagnosed prenatally by using ultrasonography. Because the level of the neural defect has been shown to correlate with functional and cognitive outcome in infants with myelomeningocele, it is of prognostic importance to identify the level prenatally. The authors report on a case in whic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2005.102.2.0248

    authors: McEwing RL,Pretorius DH,James HE,Daneshmand S

    更新日期:2005-03-01 00:00:00

  • Recurrence and malignant degeneration after resection of adult hemispheric low-grade gliomas.

    abstract:OBJECT:Unlike their malignant counterparts, low-grade gliomas are associated with prolonged survival. However, these tumors have a propensity to progress after resection and ultimately undergo malignant degeneration. The factors associated with recurrence and malignant degeneration remain relatively unknown. The author...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.10.JNS08608

    authors: Chaichana KL,McGirt MJ,Laterra J,Olivi A,Quiñones-Hinojosa A

    更新日期:2010-01-01 00:00:00

  • Early diffusion-weighted MRI lesions after treatment of unruptured intracranial aneurysms: a prospective study.

    abstract::OBJECTIVE Diffusion-weighted MRI was used to assess periprocedural lesion load after repair of unruptured intracranial aneurysms (UIA) by microsurgical clipping (MC) and endovascular coiling (EC). METHODS Patients with UIA were assigned to undergo MC or EC according to interdisciplinary consensus and underwent diffusi...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/2016.2.JNS152456

    authors: Platz J,Wagner M,Güresir E,You SJ,Konczalla J,de Rochemont RD,Berkefeld J,Seifert V

    更新日期:2017-04-01 00:00:00

  • VOLUMESERIES: a software tool for target volume follow-up studies with computerized tomography and magnetic resonance imaging. Technical note.

    abstract::In clinical follow-up studies after radiosurgery, imaging modalities such as computerized tomography (CT) and magnetic resonance (MR) imaging are used. Accurate determination of the residual lesion volume is necessary for realistic assessment of the effects of treatment. Usually, the diameters rather than the volume o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.supplement

    authors: Scheib SG,Gianolini S,Haller D,Wellis GN,Siegfried J

    更新日期:2000-12-01 00:00:00

  • Resection for solitary brain metastasis. Role of adjuvant radiation and prognostic variables in 229 patients.

    abstract::The authors reviewed 229 consecutive patients treated intramurally by resection of solitary cerebral metastasis. Patients were classified into four groups on the basis of whether a gross total resection or subtotal resection was performed and whether systemic disease was present or absent at the time of craniotomy. Gr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1992.77.4.0531

    authors: Smalley SR,Laws ER Jr,O'Fallon JR,Shaw EG,Schray MF

    更新日期:1992-10-01 00:00:00

  • Intraoperative transdural functional mapping. Technical note.

    abstract::During craniotomy for supratentorial intraparenchymal space-occupying lesions, with the patient either under general anesthesia or awake, a smaller durotomy designed to expose only the region of resection may be desirable because of brain swelling. Similarly, during repeat craniotomy or craniotomy following cerebral i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.80.4.0756

    authors: Silbergeld DL

    更新日期:1994-04-01 00:00:00

  • The oculomotor-tentorial triangle. Part 2: a microsurgical workspace for vascular lesions in the crural and ambient cisterns.

    abstract::OBJECTIVEPathology in the region of the basilar quadrifurcation, anterolateral midbrain, medial tentorium, and interpeduncular and ambient cisterns may be accessed anteriorly via an orbitozygomatic (OZ) craniotomy. In Part 1 of this series, the authors explored the anatomy of the oculomotor-tentorial triangle (OTT). I...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.2.JNS173141

    authors: Mascitelli JR,Gandhi S,Tayebi Meybodi A,Lawton MT

    更新日期:2018-06-01 00:00:00

  • Significant headache improvement after transsphenoidal surgery in patients with small sellar lesions.

    abstract:OBJECT:Pituitary adenomas represent a large proportion of brain tumors that are increasing in incidence because of improved imaging techniques. Headache is the primary symptom in patients with large tumors (macroadenomas), but is also a symptom in patients with small tumors (microadenomas, tumors < 1.0 cm). The prevale...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/2008.8.JNS08805

    authors: Fleseriu M,Yedinak C,Campbell C,Delashaw JB

    更新日期:2009-02-01 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

  • Effective conversion of irinotecan to SN-38 after intratumoral drug delivery to an intracranial murine glioma model in vivo. Laboratory investigation.

    abstract:OBJECT:Irinotecan (CPT-11), a topoisomerase I inhibitor, is a cytotoxic agent with activity against malignant gliomas and other tumors. After systemic delivery, CPT-11 is converted to its active metabolite, SN-38, which displays significantly higher cytotoxic potency. However, the achievement of therapeutically effecti...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.2.JNS09719

    authors: Wang W,Ghandi A,Liebes L,Louie SG,Hofman FM,Schönthal AH,Chen TC

    更新日期:2011-03-01 00:00:00

  • A graft-versus-tumor effect in a patient with ependymoma who received an allogenic bone marrow transplant for therapy-related leukemia. Case report.

    abstract::Graft-versus-leukemia effect is an immune-mediated antitumor phenomenon associated with allogenic bone marrow transplants (BMTs) for hematological malignancies, and recent findings have indicated that a similar effect could occur in some solid tumors such as breast cancers. The authors report on a 42-year-old man with...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2002.97.2.0474

    authors: Tanaka M,Shibui S,Kobayashi Y,Nomura K,Nakanishi Y

    更新日期:2002-08-01 00:00:00

  • Treatment of spontaneous intracranial hypotension with percutaneous placement of a fibrin sealant. Report of four cases.

    abstract::Spontaneous intracranial hypotension due to a cerebrospinal fluid (CSF) leak in the spine is an important cause of new, daily persistent headaches. Most patients respond well to conservative treatments including epidural blood patching. Limited options for effective treatment are available for patients in whom these t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.100.6.1098

    authors: Schievink WI,Maya MM,Moser FM

    更新日期:2004-06-01 00:00:00

  • Perioperative complications and neurological outcomes of first and second craniotomies among patients enrolled in the Glioma Outcome Project.

    abstract:OBJECT:In many new clinical trials of patients with malignant gliomas surgical intervention is incorporated as an integral part of tumor-directed interstitial therapies such as gene therapy, biodegradable wafer placement, and immunotherapy. Assessment of toxicity is a major component of evaluating these novel therapeut...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.98.6.1175

    authors: Chang SM,Parney IF,McDermott M,Barker FG 2nd,Schmidt MH,Huang W,Laws ER Jr,Lillehei KO,Bernstein M,Brem H,Sloan AE,Berger M,Glioma Outcomes Investigators.

    更新日期:2003-06-01 00:00:00

  • Intracranial desmoplastic small round cell tumor presenting as a suprasellar mass.

    abstract::Desmoplastic small round cell tumors (DSRCTs) are rare, aggressive neoplasms that typically arise from abdominal and pelvic peritoneum in young adults. Other primary sites are uncommon, and an intracranial origin is exceptionally rare. Here the authors report the first case of a DSRCT presenting as a primary suprasell...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS132490

    authors: Thondam SK,du Plessis D,Cuthbertson DJ,Das KS,Javadpour M,MacFarlane IA,Leggate J,Haylock B,Daousi C

    更新日期:2015-04-01 00:00:00

  • Transcranial Doppler ultrasonography in raised intracranial pressure and in intracranial circulatory arrest.

    abstract::Transcranial Doppler ultrasonography was used to monitor 71 patients suffering from intracranial hypertension with subsequent brain death. Among these, 29 patients were also assessed for systemic arterial pressure and epidural intracranial pressure, so that a correlation between cerebral perfusion pressure and the Dop...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Hassler W,Steinmetz H,Gawlowski J

    更新日期:1988-05-01 00:00:00

  • Big data, machine learning, and artificial intelligence: a field guide for neurosurgeons.

    abstract::Big data has transformed into a trend phrase in healthcare and neurosurgery, becoming a pervasive and inescapable phrase in everyday life. The upsurge in big data applications is a direct consequence of the drastic boom in information technology as well as the growing number of internet-connected devices called the In...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.5.JNS201288

    authors: Raju B,Jumah F,Ashraf O,Narayan V,Gupta G,Sun H,Hilden P,Nanda A

    更新日期:2020-10-02 00:00:00

  • Epidural-cutaneous fistula in association with the Pott puffy tumor in an adolescent. Case report.

    abstract::The Pott puffy tumor is a subperiosteal abscess associated with underlying osteomyelitis, most often of the frontal bone in conjunction with frontal sinusitis. Intracranial sequelae can include epidural abscess, subdural empyema, intraparenchymal abscess, meningitis, and dural venous thrombophlebitis, all with resulta...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.105.3.235

    authors: Davidson L,McComb JG

    更新日期:2006-09-01 00:00:00

  • Treatment of spontaneous carotid-cavernous fistula in Ehlers-Danlos syndrome by transvenous occlusion with Guglielmi detachable coils. Case report and review of the literature.

    abstract::The authors report on a young woman with Ehlers-Danlos syndrome (EDS) Type IV in whom a spontaneous direct carotid-cavernous fistula (CCF) was treated by transvenous occlusion with regular and fiber-coated Guglielmi detachable coils. To the authors' knowledge, this is the first time this approach has been used in a pa...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2000.93.4.0689

    authors: Kanner AA,Maimon S,Rappaport ZH

    更新日期:2000-10-01 00:00:00

  • Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients.

    abstract:OBJECT:The development of endoscopic endonasal approaches, albeit in the early stages, represents part of the continuous evolution of skull base surgery. During this early period, it is important to determine the safety of these approaches by analyzing surgical complications to identify and eliminate their causes. MET...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.10.JNS09406

    authors: Kassam AB,Prevedello DM,Carrau RL,Snyderman CH,Thomas A,Gardner P,Zanation A,Duz B,Stefko ST,Byers K,Horowitz MB

    更新日期:2011-06-01 00:00:00

  • Endoscopic third ventriculostomy: an outcome analysis of primary cases and procedures performed after ventriculoperitoneal shunt malfunction.

    abstract:OBJECT:The authors analyzed the role of endoscopic third ventriculostomy (ETV) as a primary treatment for hydrocephalus and also as an alternative to shunt revision for malfunctioning and infected ventriculoperitoneal (VP) shunts. METHODS:A retrospective analysis of clinical notes, operation records, and magnetic reso...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2005.103.5.0393

    authors: O'Brien DF,Javadpour M,Collins DR,Spennato P,Mallucci CL

    更新日期:2005-11-01 00:00:00

  • Multiple system Erdheim-Chester disease with massive hypothalamic-sellar involvement and hypopituitarism.

    abstract::Erdheim-Chester disease (ECD) is a rare multiple system histiocytosis that is characterized pathologically by xanthogranulomatous infiltrates and radiologically by symmetrical sclerosis of long bones. The diagnosis is often confirmed by biopsy of bone or of orbital or retroperitoneal soft tissue. Intracranial involvem...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2002.96.2.0344

    authors: Oweity T,Scheithauer BW,Ching HS,Lei C,Wong KP

    更新日期:2002-02-01 00:00:00

  • Association of the NOS3 intron-4 VNTR polymorphism with aneurysmal subarachnoid hemorrhage.

    abstract:OBJECT:The nitric oxide system has been linked to the pathogenesis of aneurysmal subarachnoid hemorrhage (SAH). The authors performed a case-control study to investigate the association between SAH and common genetic variants within the endothelial nitric oxide synthase gene (NOS3). METHODS:Three hundred thirty-three ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.5.JNS131572

    authors: Staalsø JM,Edsen T,Kotinis A,Romner B,Springborg JB,Olsen NV

    更新日期:2014-09-01 00:00:00

  • Endoscopic transorbital surgery for Meckel's cave and middle cranial fossa tumors: surgical technique and early results.

    abstract::OBJECTIVETumors involving Meckel's cave remain extremely challenging because of the surrounding complex neurovascular structures and deep-seated location. The authors investigated a new minimal-access technique using the endoscopic transorbital approach (eTOA) through the superior eyelid crease to Meckel's cave and mi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.6.JNS181099

    authors: Jeon C,Hong CK,Woo KI,Hong SD,Nam DH,Lee JI,Choi JW,Seol HJ,Kong DS

    更新日期:2018-11-01 00:00:00

  • Volume of residual disease as a predictor of outcome in adult patients with recurrent supratentorial glioblastomas multiforme who are undergoing chemotherapy.

    abstract:OBJECT:For patients with recurrent glioblastomas multiforme (GBMs) the prognosis is poor. Although chemotherapy may provide a survival advantage, the role of the extent of tumor resection, or the volume of the residual tumor at the time of recurrence, before instituting chemotherapy, is unclear. This study was designed...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.2004.100.1.0041

    authors: Keles GE,Lamborn KR,Chang SM,Prados MD,Berger MS

    更新日期:2004-01-01 00:00:00

  • Ruptured fusiform aneurysm of the superior third of the basilar artery associated with the absence of the midbasilar artery. Case report.

    abstract::A case involving the absence of the midthird portion of the basilar artery (BA) associated with a ruptured fusiform aneurysm of the superior third of the basilar artery discovered after a subarachnoid hemorrhage is reported. Surgical clipping was precluded by the anatomical conditions. The aneurysm was treated by occl...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.5.0961

    authors: Ricolfi F,Decq P,Brugieres P,Blustajn J,Melon E,Gaston A

    更新日期:1996-11-01 00:00:00

  • Pyrogenic cytokine interleukin-6 expression by a chordoid meningioma in an adult with a systemic inflammatory syndrome. Case report and review of the literature.

    abstract::Chordoid meningioma is a rare meningothelial tumor characterized by chordoma-like histological features with lymphoplasmacellular infiltration. This tumor is often seen in children, but not in adults, with a systemic inflammatory syndrome (iron-resistant microcytic anemia and/or dysgammaglobulinemia) and very rarely w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.103.3.0555

    authors: Denaro L,Di Rocco F,Gessi M,Lauriola L,Lauretti L,Pallini R,Fernandez E,Maira G

    更新日期:2005-09-01 00:00:00

  • Early repeat surgery for persistent Cushing's disease.

    abstract::The potential efficacy of early repeat transsphenoidal surgery for persistent Cushing's disease has not previously been examined. On 222 patients with no prior pituitary treatment and a preoperative diagnosis of Cushing's disease, 29 (13%) remained hypercortisolemic after an initial transsphenoidal pituitary explorati...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.80.1.0037

    authors: Ram Z,Nieman LK,Cutler GB Jr,Chrousos GP,Doppman JL,Oldfield EH

    更新日期:1994-01-01 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

  • A reassessment of vascular endothelial growth factor in central nervous system pathology.

    abstract::Overexpression of vascular endothelial growth factor (VEGF) is associated with several central nervous system (CNS) diseases and abnormalities, and is often postulated as a causative factor and promising therapeutic target in these settings. The authors' goal was to reassess the contribution of VEGF to the biology and...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2005.103.5.0853

    authors: Merrill MJ,Oldfield EH

    更新日期:2005-11-01 00:00:00