Computerized tomography and prognosis in early aneurysm surgery.

Abstract:

:A study of computerized tomography (CT) scans was performed in a consecutive series of 100 patients with ruptured saccular cerebral aneurysms who were admitted, diagnosed, and operated on within 72 hours after subarachnoid hemorrhage (SAH) and treated with calcium antagonists. The aneurysms were in the anterior portion of the circle of Willis in 95% of patients and in the posterior portion in 5%; 12% had multiple aneurysms. Preoperative neurological grades according to Hunt and Hess were I to III in 74% of patients and IV or V in 26%. Subarachnoid hemorrhage as determined by CT scanning was minor in 20%, moderate in 43%, and severe in 37% of patients. All patients received intraoperative and postoperative administration of the calcium antagonist nimodipine. Three days postoperatively, SAH (as measured by CT) was significantly reduced in the majority of patients but was still moderate in 18%. In the postoperative course, 2% of patients developed delayed ischemic neurological symptoms due to vasospasm. In two additional patients, ischemic symptoms were transient and fully reversible. At the 6-month follow-up interval, a significant prognostic difference was found between two patient groups with different CT scan findings. Among the patients with SAH only, the rate of good outcome (no or minimal deficit) was 93% when the preoperative neurological Grade was I or II; but even with a Grade of III to V, there was a good outcome in 84% of patients. By contrast, in patients with additional intracerebral and/or intraventricular hemorrhage, the good-outcome rate was only 44%. From these data it is concluded that morphological preoperative CT findings are of prognostic value and may even be superior to clinical grading in predicting outcome.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Auer LM,Schneider GH,Auer T

doi

10.3171/jns.1986.65.2.0217

subject

Has Abstract

pub_date

1986-08-01 00:00:00

pages

217-21

issue

2

eissn

0022-3085

issn

1933-0693

journal_volume

65

pub_type

杂志文章
  • Ultrasound determination of cerebrospinal fluid shunt patency. Technical note.

    abstract::A technique employing a Doppler ultrasound flowmeter in determining cerebrospinal fluid shunt patency is described. The technique has proven to be a valuable aid in the elevaluation of the patient in whom shunt function is in question. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.42.6.0728

    authors: Flitter MA,Buchheit WA,Murtagh F,Lapayowker MS

    更新日期:1975-06-01 00:00:00

  • Fenestrated clips for internal carotid artery aneurysms. Technical note.

    abstract::A new aneurysm clip has been developed specifically for internal carotid artery (ICA) aneurysms. This fenestrated clip's occluding blades deviate laterally, since the majority of ICA aneurysms protrude posterolateral to the parent artery. The clip was applied safely in seven recent patients with ICA aneurysms. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.1.0122

    authors: Fujita S

    更新日期:1986-07-01 00:00:00

  • Pain reduction in amputees by long-term spinal cord stimulation. Long-term follow-up study over 5 years.

    abstract::This follow-up study analyzes the results of dorsal column stimulation instituted between 1972 and 1974 for the relief of pain in 84 patients, including 64 amputees. Good results decreased from 52.4% after 2 years of stimulation to 39% after 5 years. Special therapeutic problems in amputees are discussed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.52.3.0346

    authors: Krainick JU,Thoden U,Riechert T

    更新日期:1980-03-01 00:00:00

  • The role of surgery for high-grade intracranial dural arteriovenous fistulas: importance of obliteration of venous outflow.

    abstract:OBJECT:Surgical intervention may be required if endovascular embolization is insufficient to completely obliterate intracranial dural arteriovenous fistulas (DAVFs). The authors report their 14-year experience with 23 patients harboring diverse intracranial DAVFs that required surgical intervention. METHODS:Between 19...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.9.JNS08733

    authors: Liu JK,Dogan A,Ellegala DB,Carlson J,Nesbit GM,Barnwell SL,Delashaw JB

    更新日期:2009-05-01 00:00:00

  • Stereotactic radiosurgery to the resection bed for intracranial metastases and risk of leptomeningeal carcinomatosis.

    abstract:OBJECT:Following resection of a brain metastasis, stereotactic radiosurgery (SRS) to the cavity is an emerging alternative to postoperative whole-brain radiation therapy (WBRT). This approach attempts to achieve local control without the neurocognitive risks associated with WBRT. The authors aimed to report the outcome...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.6.GKS14708

    authors: Ojerholm E,Lee JY,Thawani JP,Miller D,O'Rourke DM,Dorsey JF,Geiger GA,Nagda S,Kolker JD,Lustig RA,Alonso-Basanta M

    更新日期:2014-12-01 00:00:00

  • A rare case of central nervous system amyloidoma treated with fractionated radiotherapy.

    abstract::A 54-year-old female presented with multiple episodes of emesis, intractable headaches, worsening balance, and slowly progressive right facial weakness. Imaging demonstrated a 3-cm mass in the left internal capsule and corona radiata region with associated edema, mass effect, and midline shift concerning for high-grad...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.7.JNS1690

    authors: Meier T,Hazenfield JM,Girnius S,Hagen M,Warnick RE,Kharofa J

    更新日期:2017-08-01 00:00:00

  • Radiation-induced atypical meningioma with rapid growth in a 13-year-old girl. Case report.

    abstract::This case illustrates the potential growth rate of an atypical meningioma in a pediatric patient, emphasizes one of the potential risks after therapeutic radiation, and underscores the importance of clinical evaluation and follow up of the symptomatic patient after tumor resection and radiation therapy. The authors re...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2004.100.5.0488

    authors: Ware ML,Cha S,Gupta N,Perry VL

    更新日期:2004-05-01 00:00:00

  • Transantral transsphenoidal approach to the pituitary. Technical note.

    abstract::The authors describe the technique of a transantral transsphenoidal approach to the sella turcica. The advantages and potential complications are discussed. This procedure may also be applicable when dealing with tumors of the skull base and orbits. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.59.6.1102

    authors: Hoyt TE,Turnbull FM,Kusske JA

    更新日期:1983-12-01 00:00:00

  • Molecular genetic investigation of the neurofibromatosis type 2 tumor suppressor gene in sporadic meningioma.

    abstract::The authors investigated the role of somatic mutations of the neurofibromatosis type 2 (NF2) gene in sporadic meningioma. Neurofibromatosis 2 is a dominantly inherited familial tumor syndrome predisposing affected patients to a variety of central nervous system tumors including vestibular schwannoma and meningioma. Ne...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.84.5.0847

    authors: Harada T,Irving RM,Xuereb JH,Barton DE,Hardy DG,Moffat DA,Maher ER

    更新日期:1996-05-01 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

  • 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

  • Effects of decompressive craniectomy on functional outcomes and death in poor-grade aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis.

    abstract::OBJECTIVE Patients with poor-grade aneurysmal subarachnoid hemorrhage (aSAH) (World Federation of Neurosurgical Societies Grade IV or V) are often considered for decompressive craniectomy (DC) as a rescue therapy for refractory intracranial hypertension. The authors performed a systematic review and meta-analysis to a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.3171/2016.9.JNS161383

    authors: Alotaibi NM,Elkarim GA,Samuel N,Ayling OGS,Guha D,Fallah A,Aldakkan A,Jaja BNR,de Oliveira Manoel AL,Ibrahim GM,Macdonald RL

    更新日期:2017-12-01 00:00:00

  • Development of a cerebral arteriovenous malformation documented in an adult by serial angiography. Case report.

    abstract::This 61-year-old man with a right-sided tentorial dural arteriovenous fistula (DAVF) was initially treated with staged stereotactic radiosurgery and transarterial embolization. Results of follow-up cerebral angiography performed 4 years later demonstrated complete obliteration of the dAVF and development of a previous...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.6.1058

    authors: Friedman JA,Pollock BE,Nichols DA

    更新日期:2000-12-01 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

  • Diagnostic value of preoperative inflammatory markers in patients with glioma: a multicenter cohort study.

    abstract::OBJECTIVE Glioma is the most common form of brain tumor and has high lethality. The authors of this study aimed to elucidate the efficiency of preoperative inflammatory markers, including neutrophil/lymphocyte ratio (NLR), derived NLR (dNLR), platelet/lymphocyte ratio (PLR), lymphocyte/monocyte ratio (LMR), and progno...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2017.3.JNS161648

    authors: Zheng SH,Huang JL,Chen M,Wang BL,Ou QS,Huang SY

    更新日期:2018-09-01 00:00:00

  • Hemiparesis caused by vertebral artery compression of the medulla oblongata. Case report.

    abstract::The case is reported of a patient with progressive left hemiparesis due to vascular compression of the medulla oblongata. Metrizamide computerized tomography cisternography revealed that the left vertebral artery was compressing and distorting the left lateral surface of the medulla. Compression was surgically relieve...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.3.0425

    authors: Kim P,Ishijima B,Takahashi H,Shimizu H,Yokochi M

    更新日期:1985-03-01 00:00:00

  • Cysts of the atlantoaxial joint: excellent long-term outcome after posterolateral surgical decompression. Report of two cases.

    abstract::Articular cysts of the atlantoaxial joint are infrequently described and probably an underreported cause of upper cervical spinal cord compression. The authors report on two patients with cysts located posteriorly of the dens in whom a C-1 and partial C-2 hemilaminectomy with subtotal resection of the cyst provided ad...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2001.95.1.0111

    authors: Zorzon M,Skrap M,Diodato S,Nasuelli D,Lucci B

    更新日期:2001-07-01 00:00:00

  • Low flow velocity in the middle cerebral artery predicting infarction after bypass surgery in adult moyamoya disease.

    abstract::OBJECTIVE Direct and indirect bypass surgeries are recognized as the most effective treatments for preventing further stroke in adults with moyamoya disease (MMD). However, the risk factors for postoperative infarction after bypass surgery for MMD are not well established. Therefore, the objective of this study was to...

    journal_title:Journal of neurosurgery

    pub_type: 评论,杂志文章

    doi:10.3171/2016.3.JNS152256

    authors: Cho H,Jo KI,Yu J,Yeon JY,Hong SC,Kim JS

    更新日期:2017-05-01 00:00:00

  • Sulcus-centered resection for focal cortical dysplasia type II: surgical techniques and outcomes.

    abstract::Focal cortical dysplasia type II (FCD II) is a common histopathological substrate of epilepsy surgery. Here, the authors propose a sulcus-centered resection strategy for this malformation, provide technical details, and assess the efficacy and safety of this technique. The main purpose of the sulcus-centered resection...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.5.JNS20751

    authors: Zhao B,Zhang C,Wang X,Wang Y,Liu C,Mo J,Zheng Z,Zhang K,Shao XQ,Hu W,Zhang J

    更新日期:2020-08-07 00:00:00

  • Glycerol rhizotomy and radiofrequency thermocoagulation for trigeminal neuralgia in multiple sclerosis.

    abstract:OBJECT:Patients with trigeminal neuralgia due to multiple sclerosis (TN-MS) and idiopathic TN (ITN) who underwent glycerol rhizotomy (GR) and radiofrequency thermocoagulation with glycerol rhizotomy (RFTC-GR) were compared to investigate the effectiveness of these percutaneous ablative procedures in the TN-MS populatio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2012.9.JNS1226

    authors: Bender MT,Pradilla G,Batra S,See AP,James C,Pardo CA,Carson BS,Lim M

    更新日期:2013-02-01 00:00:00

  • Inhibition of growth of established human glioma cell lines by modulators of the protein kinase-C system.

    abstract::The protein kinase-C (PKC) second messenger system contributes to regulation of cell growth and differentiation. This study was undertaken to examine the effects of modulators of the PKC enzyme system on the state of differentiation and proliferation rates of human gliomas in vitro. The administration of the PKC-activ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.73.4.0594

    authors: Couldwell WT,Antel JP,Apuzzo ML,Yong VW

    更新日期:1990-10-01 00:00:00

  • Effects of intracranial meningioma location, size, and surgery on neurocognitive functions: a 3-year prospective study.

    abstract::OBJECT Current recommendations stress the need for cognitive parameters to be integrated in the evaluation of outcomes for intracranial meningioma surgery. The aim of this prospective study was to examine neurocognitive function in meningioma patients pre- and postoperatively. METHODS Patients with skull base (anterio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.6.JNS1549

    authors: Liouta E,Koutsarnakis C,Liakos F,Stranjalis G

    更新日期:2016-06-01 00:00:00

  • Spinal cord injury without radiological abnormality in preschool-aged children: correlation of magnetic resonance imaging findings with neurological outcomes.

    abstract:OBJECT:Spinal cord injury without radiological abnormality (SCIWORA) was defined in the era when magnetic resonance (MR) images were not popularly used as diagnostic tools. Although it is generally accepted that MR imaging can effectively illustrate the level and severity of spinal cord injury in the acute phase of tra...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2005.103.1.0017

    authors: Liao CC,Lui TN,Chen LR,Chuang CC,Huang YC

    更新日期:2005-07-01 00:00:00

  • Tectal plate lesions in children.

    abstract:OBJECT:The authors characterized the clinical course of tectal plate lesions in a group of pediatric patients to identify the prognostic factors at presentation that predict progression, in an attempt to differentiate tectal hamartomas from tumors. METHODS:A retrospective review was conducted of the management of tect...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.104.6.369

    authors: Ternier J,Wray A,Puget S,Bodaert N,Zerah M,Sainte-Rose C

    更新日期:2006-06-01 00:00:00

  • Early surgical removal of migrated coil/stent after failed embolization of intracranial aneurysm.

    abstract:OBJECT:Distal coil or stent migration is a rare, but potentially morbid complication of intracranial aneurysm embolization. At present, there is no established standard of surgical evacuation of displaced material-in particular, there is no consensus on the optimum time for such intervention. The authors report their p...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.1.JNS132788

    authors: Turek G,Kochanowicz J,Lewszuk A,Lyson T,Zielinska-Turek J,Chwiesko J,Mariak Z

    更新日期:2015-10-01 00:00:00

  • Broadening the clinical spectrum: unusual presentation of spontaneous cerebrospinal fluid hypovolemia. Case report.

    abstract::The syndrome of spontaneous intracranial hypotension is characterized by orthostatic headaches in conjunction with reduced cerebrospinal fluid (CSF) pressure or CSF volume, and characteristic magnetic resonance (MR) imaging findings. A 50-year-old man presented with a 1-year history of paroxysmal ataxia of gait and sh...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.98.4.0903

    authors: Nowak DA,Rodiek SO,Zinner J,Guhlmann A,Topka H

    更新日期:2003-04-01 00:00:00

  • Bilateral retro-auricular dermal sinus tracts with intradural extension. Case report.

    abstract::The authors describe a previously unreported malformation involving paired, bilaterally symmetrical dermal sinus tracts in the retro-auricular area, both of which passed through the asterion and posterior fossa dura mater to end intracranially. Cranial dermal sinus tracts are congenital lesions that virtually always o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.99.1.0163

    authors: Nejat F,Dias MS,Eftekhar B,Roodsari NN,Hamidi S

    更新日期:2003-07-01 00:00:00

  • Complement fixation by IgM and IgG autoantibodies on cultured human glial cells.

    abstract::The humoral immune response to autologous gliomas has been investigated in 16 patients using immune adherence and anti-C3 immunofluorescence assays of serum samples. Significant antiglioma antibody activity was detected in 56% of these sera. Fractionation experiments demonstrated that IgM class antibodies were more ef...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.55.1.0019

    authors: Garson JA,Quindlen EA,Kornblith PL

    更新日期:1981-07-01 00:00:00

  • Characteristics and surgical treatment of dolichoectatic and fusiform aneurysms.

    abstract::Dolichoectatic and fusiform aneurysms represent a small subset of cerebral aneurysms and are often among the most difficult to treat. A consecutive series of 40 patients with 41 of these two types of aneurysms is presented, including their clinical characteristics and surgical treatments. Common to all aneurysms was t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.84.2.0185

    authors: Anson JA,Lawton MT,Spetzler RF

    更新日期:1996-02-01 00:00:00

  • Spontaneous regression of a herniated cervical disc in a patient with myelopathy. Case report.

    abstract::The authors present a case of spontaneous regression of a herniated cervical nucleus pulposus in a patient with myelopathy. This 37-year-old woman developed sudden quadriparesis; she had reported no history of trauma. Magnetic resonance (MR) imaging revealed a large disc herniation and increased signal intensity of th...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.1999.90.1.0138

    authors: Song JH,Park HK,Shin KM

    更新日期:1999-01-01 00:00:00