Intracerebral hemorrhage after carotid endarterectomy.

Abstract:

:A series of 14 patients with intracerebral hemorrhage after carotid endarterectomy is reviewed. This complication occurred in 0.6% of 2362 consecutive carotid endarterectomies performed at the Mayo Clinic from 1972 through 1986. All hemorrhages occurred within the first 2 weeks after operation and were ipsilateral to the side of the operation. Eight patients died, and only two made a good recovery. Significant risk factors are hypertension and chronic hemispheric hypoperfusion with impaired autoregulation. The "normal pressure-hyperperfusion breakthrough" syndrome was considered to be operative in 12 of the 14 patients. Nine patients had documented hyperperfusion (at least 100% increase of baseline cerebral blood flow) at the time of surgery. In an additional three patients, normal perfusion-pressure breakthrough was inferred by the clinical course and radiological findings, as well as by the absence of alternative explanations. Patients at risk for postendarterectomy intracerebral hemorrhage include those who have a clinical history suggestive of hemodynamic cerebral ischemia, severe carotid stenosis with limited hemispheric collateral flow, and postendarterectomy hyperperfusion, as measured by intraoperative cerebral blood flow. To minimize the risk of hemorrhage in these patients, strict maintenance of blood pressure at normotensive or even relatively hypotensive levels during the intraoperative and early postoperative periods is advised.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Piepgras DG,Morgan MK,Sundt TM Jr,Yanagihara T,Mussman LM

doi

10.3171/jns.1988.68.4.0532

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

532-6

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

68

pub_type

杂志文章
  • Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm.

    abstract::Transorbital penetrating injury (TPI), an uncommon subset of head trauma, requires prompt multidisciplinary surgical intervention. While numerous case reports appear in the literature, there is a lack of discrete recommendations for initial evaluation, surgical intervention, and postoperative care of patients with TPI...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/2010.8.JNS10301

    authors: Schreckinger M,Orringer D,Thompson BG,La Marca F,Sagher O

    更新日期:2011-01-01 00:00:00

  • High-resolution in vivo imaging of peripheral nerves using optical coherence tomography: a feasibility study.

    abstract:OBJECTIVE:Because of their complex topography, long courses, and small diameters, peripheral nerves are challenging structures for radiological diagnostics. However, imaging techniques in the area of peripheral nerve diseases have undergone unexpected development in recent decades. They include MRI and high-resolution ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.2.JNS183542

    authors: Carolus AE,Lenz M,Hofmann M,Welp H,Schmieder K,Brenke C

    更新日期:2019-04-26 00:00:00

  • Preserved autoregulation in the rhesus spinal cord after high cervical cord section.

    abstract::The authors studied the effect of high cervical cord section on the phenomenon of autoregulation in the rhesus monkey with the hydrogen clearance method to measure focal spinal cord blood flow (SCBF). Laminectomies were performed at T7-11 and C1-2. The spinal cord was completely severed at C1-2. Under normocapnic cond...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1976.44.4.0425

    authors: Kobrine AI,Doyle TF,Newby N,Rizzoli HV

    更新日期:1976-04-01 00:00:00

  • Painful supernumerary phantom arm following motor cortex stimulation for central poststroke pain. Case report.

    abstract::In this report, the authors describe a case in which the patient began to experience a supernumerary phantom arm after she received motor cortex stimulation for central pain. The patient had a history of right thalamocapsular stroke. It is speculated that the motor cortex activation triggered a response in the patient...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.91.1.0121

    authors: Canavero S,Bonicalzi V,Castellano G,Perozzo P,Massa-Micon B

    更新日期:1999-07-01 00:00:00

  • Extended transsphenoidal approach.

    abstract::The authors have developed an extended transsphenoidal approach with submucosal posterior ethmoidectomy for resection of tumors located in the cavernous sinus or the suprasellar region that are difficult to remove via the conventional transsphenoidal approach. Surgery was performed using this approach in 14 patients w...

    journal_title:Journal of neurosurgery

    pub_type: 评论,信件

    doi:10.3171/jns.2001.95.5.0917

    authors: Frank G,Pasquini E,Mazzatenta D

    更新日期:2001-11-01 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

  • 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

  • Use of bone morphogenetic protein-9 gene therapy to induce spinal arthrodesis in the rodent.

    abstract:OBJECT:Bone morphogenetic proteins (BMPs) have been shown to have significant osteoinductive activity in numerous in vitro and in vivo assay systems, and BMP-2 and BMP-7 are currently being evaluated in human clinical studies. In the spinal region, BMPs have been shown to promote spinal arthrodesis at a higher rate tha...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2000.92.2.0191

    authors: Helm GA,Alden TD,Beres EJ,Hudson SB,Das S,Engh JA,Pittman DD,Kerns KM,Kallmes DF

    更新日期:2000-04-01 00:00:00

  • Gamma knife surgery for trigeminal neuralgia.

    abstract:OBJECT:Stereotactic radiosurgery is an increasingly used and the least invasive surgical option for patients with trigeminal neuralgia. In this study, the authors investigate the clinical outcomes in patients treated with this procedure. METHODS:Independently acquired data from 220 patients with idiopathic trigeminal ...

    journal_title:Journal of neurosurgery

    pub_type: 评论,信件

    doi:10.3171/jns.2002.96.1.0160

    authors: Kao MC

    更新日期:2002-01-01 00:00:00

  • Surgical management of camptocormia in Parkinson's disease: systematic review and meta-analysis.

    abstract:OBJECTIVE:Camptocormia is a potentially debilitating condition in the progression of Parkinson's disease (PD). It is described as an abnormal forward flexion while standing that resolves when lying supine. Although the condition is relatively common, the underlying pathophysiology and optimal treatment strategy are unc...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.3171/2018.4.JNS173032

    authors: Chan AK,Chan AY,Lau D,Durcanova B,Miller CA,Larson PS,Starr PA,Mummaneni PV

    更新日期:2018-09-14 00:00:00

  • Limitations of nerve repair of segmental defects using acellular conduits.

    abstract::The authors present the case of a 20-year-old man who, 3 months after his initial injury, underwent repair of a 1.7-cm defect of the ulnar nerve at the wrist; repair was performed with an acellular nerve allograft. Given the absence of clinical or electrophysiological recovery at 8 months postrepair, the patient under...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.4.JNS121938

    authors: Berrocal YA,Almeida VW,Levi AD

    更新日期:2013-09-01 00:00:00

  • Immunobiology of primary intracranial tumors. Part 10: Therapeutic efficacy of interferon in the treatment of recurrent gliomas.

    abstract::Human lymphoblastoid alpha-interferon was administered intravenously or intramuscularly to 19 patients with recurrent gliomas. Each patient had previously undergone surgery and radiation therapy. The treatment course consisted of 8 weeks of therapy with an escalating daily dosage and number of days of treatment per we...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.63.5.0719

    authors: Mahaley MS Jr,Urso MB,Whaley RA,Blue M,Williams TE,Guaspari A,Selker RG

    更新日期:1985-11-01 00:00:00

  • Depressed skull fracture overlying the superior sagittal sinus as a cause of benign intracranial hypertension. Case report.

    abstract::The use of surgical treatment for depressed skull fractures that are located over major venous sinuses is a matter of controversy. However, if clinical and radiological findings of sinus obliteration and related intracranial hypertension are present, surgical decompression is indicated. The authors present the case of...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.88.3.0598

    authors: Uzan M,Ciplak N,Dashti SG,Bozkus H,Erdinçler P,Akman C

    更新日期:1998-03-01 00:00:00

  • Stereotaxic thrombosis of inaccessible intracranial aneurysms.

    abstract::Some intracranial aneurysms that might be considered inoperable by open craniotomy are readily treatable by stereotaxic thrombosis. This is possible because the stereotaxic technique requires only that some point on the fundus of the aneurysm can be punctured with a needle. Illustrative cases are given describing the ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.47.6.0833

    authors: Smith RW,Alksne JF

    更新日期:1977-12-01 00:00:00

  • Efficacy of neuroendoscopic procedures in minimally invasive preferential management of pineal region tumors: a prospective study.

    abstract:OBJECT:This prospective study is based on a consecutive series of 20 patients with pineal region tumors who underwent minimally invasive preferential management. The purpose of this report is to discuss the role of neuroendoscopic procedures in the management of pineal region tumors. METHODS:If the tumor markers alpha...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.2.0245

    authors: Oi S,Shibata M,Tominaga J,Honda Y,Shinoda M,Takei F,Tsugane R,Matsuzawa K,Sato O

    更新日期:2000-08-01 00:00:00

  • Age-related differences in unruptured intracranial aneurysms: 1-year outcomes.

    abstract:OBJECT:The aim of this study was to determine age-related differences in short-term (1-year) outcomes in patients with unruptured intracranial aneurysms (UIAs). METHODS:Four thousand fifty-nine patients prospectively enrolled in the International Study of Unruptured Intracranial Aneurysms were categorized into 3 group...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2014.6.JNS121179

    authors: Mahaney KB,Brown RD Jr,Meissner I,Piepgras DG,Huston J 3rd,Zhang J,Torner JC,ISUIA Investigators.

    更新日期:2014-11-01 00:00:00

  • Surgery of spinal nerve schwannoma. Risk of neurological deficit after resection of involved root.

    abstract::When surgically removing a spinal nerve schwannoma, preservation of the involved root is attempted and may be feasible. However, in large tumors, sacrifice of the nerve root is often required to achieve total removal of the tumor, and the resection does not always result in postoperative neurological deficit. The pres...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.6.0810

    authors: Kim P,Ebersold MJ,Onofrio BM,Quast LM

    更新日期:1989-12-01 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

  • Mononuclear leukocyte ADP-ribosylation as an indicator of immune function in malignant-glioma patients treated with betamethasone for cerebral edema.

    abstract::Glioma patients receiving corticosteroids (16 mg/day betamethasone) were examined for evidence of immune cell dysfunction by using quantitative estimates of adenosine diphosphate (ADP)-ribosylation in peripheral mononuclear leukocytes as the physiological indicator. The duration of daily treatment with corticosteroids...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1992.77.4.0601

    authors: Pero RW,Salford LG,Strömblad LG,Andersson C

    更新日期:1992-10-01 00:00:00

  • Cerebral aneurysms in childhood and adolescence.

    abstract::In this study, 24 aneurysms occurring in 23 patients under the age of 18 years (mean 12 years) are analyzed. The male:female ratio was 2.8:1, and the youngest patient was 3 months old. Mycotic lesions and those associated with other vascular malformations were excluded. Forty-two percent of the aneurysms were located ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1989.70.3.0420

    authors: Meyer FB,Sundt TM Jr,Fode NC,Morgan MK,Forbes GS,Mellinger JF

    更新日期:1989-03-01 00:00:00

  • Lipoma of the cerebellopontine angle. Case report.

    abstract::The authors present a surgical case of a lipoma of the cerebellopontine angle in a 28-year-old woman. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.46.4.0544

    authors: Fukui M,Tanaka A,Kitamura K,Okudera T

    更新日期:1977-04-01 00:00:00

  • Atorvastatin reduction of intravascular thrombosis, increase in cerebral microvascular patency and integrity, and enhancement of spatial learning in rats subjected to traumatic brain injury.

    abstract:OBJECT:Atorvastatin, a beta-hydroxy-beta-methylglutaryl coenzyme A reductase inhibitor, has pleiotropic effects, such as promoting angiogenesis, increasing fibrinolysis, and reducing inflammatory responses, and has shown promise in enhancing recovery in animals with traumatic brain injury (TBI) and stroke. The authors ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.5.0813

    authors: Lu D,Mahmood A,Goussev A,Schallert T,Qu C,Zhang ZG,Li Y,Lu M,Chopp M

    更新日期:2004-11-01 00:00:00

  • Steroids in severe head injury: A prospective randomized clinical trial.

    abstract::This is a prospective randomized study of the efficacy of steroid therapy in patients with severe head injury. One hundred patients were randomized into two equal groups: the steroid group received 5 mg/kg/day of methylprednisolone, and the nonsteroid group received no drug. The groups were similar in their clinical f...

    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.1981.54.5.0596

    authors: Saul TG,Ducker TB,Salcman M,Carro E

    更新日期:1981-05-01 00:00:00

  • Angiographic demonstration of congenital absence of both internal carotid arteries. Case report.

    abstract::The authors present angiographic demonstration of bilateral, congenital, total absence of the internal carotid arteries in a patient with subarachnoid hemorrhage. Angiography demonstrated complete absence of both internal carotid arteries. The intracranial blood supply had been provided by communication between a hype...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.42.4.0478

    authors: Rosen IW,Mills DF,Nadel HI,Kaiserman DD

    更新日期:1975-04-01 00:00:00

  • Fluid-fluid level in pituitary tumors: analysis of management of 106 cases.

    abstract:OBJECT:The management issues of 106 cases of pituitary tumors with a fluid level within the fluid content of the cystic part of the tumor (a "fluid-fluid" level) were reviewed. METHODS:Between 2000 and March 2009, 1660 pituitary tumors were treated neurosurgically at K.E.M. Hospital. Investigations of 106 of these cas...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.11.JNS091083

    authors: Goel A,Shah A,Jhawar SS,Goel NK

    更新日期:2010-06-01 00:00:00

  • The neurophysiology and effect of deep brain stimulation in a patient with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced parkinsonism.

    abstract::Parkinsonism caused by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) exposure was first identified in intravenous drug users. This neurotoxicant has since been used extensively in nonhuman primates to induce an experimental model of Parkinson disease (PD). In this study, the authors examined the intraoperative p...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.8.JNS08882

    authors: Christine CW,Langston JW,Turner RS,Starr PA

    更新日期:2009-02-01 00:00:00

  • Coil embolization of posttraumatic pseudoaneurysm of the ophthalmic artery causing subarachnoid hemorrhage. Case report.

    abstract::The authors report a unique case of subarachnoid hemorrhage caused by a traumatic pseudoaneurysm of the ophthalmic artery, which was successfully treated with coil embolization. Clinical and imaging features, as well as the relevant literature, are described. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/11/1043

    authors: Hopkins JK,Shaibani A,Ali S,Khawar S,Parkinson R,Futterer S,Russell EJ,Getch C

    更新日期:2007-11-01 00:00:00

  • Neurosurgical management of acromegaly. Results in 82 patients treated between 1972 and 1977.

    abstract::A consecutive series of 82 acromegalic patients who underwent transsphenoidal surgery during a 5-year period is presented. Preoperative and postoperative values for human growth hormone (HGH) were available in 80 cases. Microadenomas were present in 18 patients with a mean preoperative HGH value of 25.2 ng/ml, diffuse...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.50.4.0454

    authors: Laws ER Jr,Piepgras DG,Randall RV,Abboud CF

    更新日期:1979-04-01 00:00:00

  • Predicting aneurysm rupture probabilities through the application of a computed tomography angiography-derived binary logistic regression model.

    abstract:OBJECT:The goal of this study was to establish a biomathematical model to accurately predict the probability of aneurysm rupture. Biomathematical models incorporate various physical and dynamic phenomena that provide insight into why certain aneurysms grow or rupture. Prior studies have demonstrated that regression mod...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.5.17558

    authors: Prestigiacomo CJ,He W,Catrambone J,Chung S,Kasper L,Pasupuleti L,Mittal N

    更新日期:2009-01-01 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