Venous outflow restriction as a predictor of cavernous sinus dural arteriovenous fistula obliteration after Gamma Knife surgery.

Abstract:

OBJECTIVE:Gamma Knife surgery (GKS) obliterates 65%-87% of cavernous sinus dural arteriovenous fistulas (CSDAVFs). However, the hemodynamic effect on GKS outcomes is relatively unknown. The authors thus used the classification scheme developed by Suh et al. to explore this effect. METHODS:The authors retrospectively (1993-2016) included 123 patients with CSDAVFs who received GKS alone at the institute and classified them as proliferative type (PT; n = 23), restrictive type (RT; n = 61), or late restrictive type (LRT; n = 39) after analyzing their pre-GKS angiography images. Treatment parameters, the presence of numerous arterial feeders, and venous drainage numbers were compared across the CSDAVF types. Patients' follow-up MR images were evaluated for the presence of complete obliteration. A Kaplan-Meier analysis was conducted to determine the correlation between CSDAVF types and outcomes. RESULTS:The 36-month probability of complete obliteration was 74.3% for all patients, with no significant differences across types (p = 0.56). PT had the largest radiation volume (6.5 cm3, p < 0.001), the most isocenters (5, p = 0.015) and venous drainage routes (3, p < 0.001), and the lowest peripheral dose (16.6 Gy, p = 0.011) and isodose level coverage (64.3%, p = 0.006). CSDAVFs presenting with ocular patterns were less likely to be completely obliterated (hazard ratio 0.531, p = 0.009). After adjustment for age, CSDAVFs with more venous drainage routes were less likely to be completely obliterated (hazard ratio 0.784, p = 0.039). CONCLUSIONS:GKS is an equally effective treatment option for all 3 CSDAVF types. Furthermore, the number of venous drainage routes may help in predicting treatment outcomes and making therapeutic decisions.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Wu CA,Yang HC,Hu YS,Wu HM,Lin CJ,Luo CB,Guo WY,Lee CC,Liu KD,Chung WY

doi

10.3171/2018.9.JNS182040

subject

Has Abstract

pub_date

2019-01-25 00:00:00

pages

1-8

eissn

0022-3085

issn

1933-0693

pii

2018.9.JNS182040

pub_type

杂志文章
  • Results of nerve grafting in radial nerve injuries occurring proximal to the humerus, including those within the posterior cord.

    abstract::OBJECTIVE Results of radial nerve grafting are largely unknown for lesions of the radial nerve that occur proximal to the humerus, including those within the posterior cord. METHODS The authors describe 13 patients with proximal radial nerve injuries who were surgically treated and then followed for at least 24 months...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.12.JNS141944.test

    authors: Bertelli JA,Ghizoni MF

    更新日期:2016-01-01 00:00:00

  • Cerebral effects of hypocapnia plus nitroglycerin-induced hypotension in dogs.

    abstract::This study examined the effect of hypocapnia (PaCO2 20 mm Hg) on cerebral metabolism and the electroencephalogram (EEG) findings in 12 dogs during nitroglycerin (NTG)-induced hypotension. Previous studies suggest that NTG is a more potent cerebral vasodilator than sodium nitroprusside or trimethaphan. It was speculate...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.64.6.0924

    authors: Artru AA,Wright K,Colley PS

    更新日期:1986-06-01 00:00:00

  • Biomechanical properties of expander compared with conventional screws.

    abstract:OBJECT:A pullout strength biomechanical study was performed in 20 fresh swine vertebral bodies in which titanium expander (Group 1) and conventional screws (Group 2) were placed. METHODS:The screws were inserted into the anterosuperior portion of the anterior spine, and assessment was performed after application of lo...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2002.97.3.0346

    authors: Rassi-Neto A,Shimano A

    更新日期:2002-10-01 00:00:00

  • Imaging studies of cerebral hyperperfusion after carotid endarterectomy. Case report.

    abstract::A case is reported of severe unilateral hemispheric edema and localized hemorrhage associated with seizures following endarterectomy of an ipsilateral high-grade carotid stenosis. Imaging studies including angiography, computerized tomography (CT), magnetic resonance imaging/angiography, and xenon-CT, suggested postop...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.1.0133

    authors: Penn AA,Schomer DF,Steinberg GK

    更新日期:1995-07-01 00:00:00

  • Ventriculovesical shunt. Technical note.

    abstract::A patient is reported whose hydrocephalus was controlled by diverting the ventricular cerebrospinal fluid directly into the urinary bladder. This drainage route may have a useful place in the management of the adult pressure-sensitive patient whose more conventional shunt requires frequent revision for repeated obstru...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.6.0858

    authors: West CG

    更新日期:1980-12-01 00:00:00

  • In-hospital mortality and length of hospital stay with craniotomy versus craniectomy for acute subdural hemorrhage: a multicenter, propensity score-matched analysis.

    abstract:OBJECTIVE:The optimal surgical treatment for acute subdural hemorrhage (ASDH) remains controversial. The purpose of this study was to compare outcomes in patients who underwent craniotomy with those in patients who underwent decompressive craniectomy for the treatment of ASDH. METHODS:Using the Japan Trauma Data Bank,...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.4.JNS182660

    authors: Shibahashi K,Sugiyama K,Tomio J,Hoda H,Morita A

    更新日期:2019-06-21 00:00:00

  • Patients with brain contusions: predictors of outcome and relationship between radiological and clinical evolution.

    abstract:OBJECT:Traumatic parenchymal mass lesions are common sequelae of traumatic brain injuries (TBIs). They occur in up to 8.2% of all TBI cases and 13%-35% of severe TBI cases, and they account for up to 20% of surgical intracranial lesions. Controversy exists concerning the association between radiological and clinical ev...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2013.12.JNS131090

    authors: Iaccarino C,Schiavi P,Picetti E,Goldoni M,Cerasti D,Caspani M,Servadei F

    更新日期:2014-04-01 00:00:00

  • Recombinant vesicular stomatitis virus vectors as oncolytic agents in the treatment of high-grade gliomas in an organotypic brain tissue slice-glioma coculture model.

    abstract:OBJECT:The purpose of this study was to evaluate both replication-competent and replication-restricted recombinant vesicular stomatitis virus (VSV) vectors as therapeutic agents for high-grade gliomas by using an organotypic brain tissue slice-glioma coculture system. METHODS:The coculture system involved growing diff...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.100.6.1049

    authors: Duntsch CD,Zhou Q,Jayakar HR,Weimar JD,Robertson JH,Pfeffer LM,Wang L,Xiang Z,Whitt MA

    更新日期:2004-06-01 00:00:00

  • Morphometric and qualitative analysis of congenital occipitocervical instability in children: implications for patients with Down syndrome.

    abstract:OBJECT:Congenital occipitocervical (OC) instability is uncommon in healthy children but can occur in many children with Down syndrome. A simple morphometric method of evaluating the OC joint in children with OC instability is presented, supported by a qualitative image analysis based on computed tomography (CT). METHO...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2006.105.1.50

    authors: Browd S,Healy LJ,Dobie G,Johnson JT 3rd,Jones GM,Rodriguez LF,Brockmeyer DL

    更新日期:2006-07-01 00:00:00

  • Relationship of cerebral blood flow to cardiac output, mean arterial pressure, blood volume, and alpha and beta blockade in cats.

    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

    authors: Davis DH,Sundt TM Jr

    更新日期:1980-06-01 00:00:00

  • Suprascapular nerve entrapment: experience with 28 cases.

    abstract::Suprascapular nerve entrapment (SNE) in the suprascapular notch is a rare entity that must be considered in the differential diagnosis of radicular pain, as well as that of shoulder discomfort. Over a period of 10 years (1985-1995), the authors treated 28 cases of SNE in 27 patients by surgical decompression of the ne...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.6.1020

    authors: Antoniadis G,Richter HP,Rath S,Braun V,Moese G

    更新日期:1996-12-01 00:00:00

  • Blood flow in normal and injured monkey spinal cord.

    abstract::The authors used indicator fractionation techniques to determine blood flow in normal and bluntly traumatized spinal cords of Macaca rhesus monkeys. Normal flow rates were determined for several levels of spinal cord as well as differential values for white and gray matter from representative areas. Flow rates in trau...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.43.2.0162

    authors: Bingham WG,Goldman H,Friedman SJ,Murphy S,Yashon D,Hunt WE

    更新日期:1975-08-01 00:00:00

  • A serrated suction tip for tumor removal. Technical note.

    abstract::A serrated suction tip with a variety of diameters and serrations has been developed for the microsurgical removal of tumors. These tips can dissect and aspirate tumor tissue, cerebrospinal fluid, or blood simultaneously, and the degree of suction can be controlled by the pressure of the tip against the tumor. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.1.0140

    authors: Shibuya M,Suzuki Y,Nakane T

    更新日期:1988-07-01 00:00:00

  • Drowning hazard with deep brain stimulation: case report.

    abstract::The caudal zona incerta target within the posterior subthalamic area is an investigational site for deep brain stimulation (DBS) in Parkinson disease (PD) and tremor. The authors report on a patient with tremor-predominant PD who, despite excellent tremor control and an otherwise normal neurological examination, exhib...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.5.JNS15589

    authors: Bangash OK,Thorburn M,Garcia-Vega J,Walters S,Stell R,Starkstein SE,Lind CR

    更新日期:2016-05-01 00:00:00

  • Craniopharyngioma of the cerebellopontine angle. Case report.

    abstract::The authors report a case of craniopharyngioma presenting in the right cerebellopontine angle. The tumor was removed totally. The purpose of this report is to record this very unusual localization of a craniopharyngioma. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.4.0842

    authors: Altinörs N,Senveli E,Erdoğan A,Arda N,Pak I

    更新日期:1984-04-01 00:00:00

  • Intraoperative subcortical mapping of a language-associated deep frontal tract connecting the superior frontal gyrus to Broca's area in the dominant hemisphere of patients with glioma.

    abstract:OBJECT:The deep frontal pathway connecting the superior frontal gyrus to Broca's area, recently named the frontal aslant tract (FAT), is assumed to be associated with language functions, especially speech initiation and spontaneity. Injury to the deep frontal lobe is known to cause aphasia that mimics the aphasia cause...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS14945

    authors: Fujii M,Maesawa S,Motomura K,Futamura M,Hayashi Y,Koba I,Wakabayashi T

    更新日期:2015-06-01 00:00:00

  • Concurrence of chromosome 6 chromothripsis and glioblastoma metastasis.

    abstract::The authors report an unusual case of a widely metastatic glioblastoma. DNA copy number microarray profile of the resected specimen revealed complex rearrangements found throughout chromosome 6, a phenomenon known as chromothripsis. Such chromothripsis pattern was not observed in 50 nonmetastatic glioblastoma specimen...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.4.JNS153052

    authors: Rennert RC,Hoshide RR,Signorelli JW,Amaro D,Sack JA,Brennan CW,Chen CC

    更新日期:2017-05-01 00:00:00

  • Dorsal root entry zone lesions for intractable pain after trauma to the conus medullaris and cauda equina.

    abstract::This review was undertaken to determine the efficacy of using dorsal root entry zone (DREZ) lesions to treat intractable pain caused by trauma to the conus medullaris and cauda equina. Traumatic lesions of this area are unique in that both the spinal cord and the peripheral nerve roots are injured. Although DREZ lesio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.82.1.0028

    authors: Sampson JH,Cashman RE,Nashold BS Jr,Friedman AH

    更新日期:1995-01-01 00:00:00

  • Spontaneous decompression of syringomyelia: magnetic resonance imaging findings. Case report.

    abstract::The case of a 30-year-old woman with Chiari I malformation and a cervicothoracic syrinx is presented. The patient was followed clinically over a 2 1/2-year period. Spontaneous and complete resolution of the syrinx, as documented by serial magnetic resonance studies, was accompanied by only a minimal change in objectiv...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.74.2.0283

    authors: Jack CR Jr,Kokmen E,Onofrio BM

    更新日期:1991-02-01 00:00:00

  • Reduced expression of the transporter associated with antigen processing 1 molecule in malignant glioma cells, and its restoration by interferon-gamma and -beta.

    abstract:OBJECT:It remains unclear whether malignant glioma cells can deliver tumor antigens efficiently to major histocompatibility complex (MHC) Class I molecules. To elucidate the mechanism of antigen presentation in malignant gliomas, the authors examined the expression of the transporter associated with antigen processing ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.104.2.264

    authors: Satoh E,Mabuchi T,Satoh H,Asahara T,Nukui H,Naganuma H

    更新日期:2006-02-01 00:00:00

  • Holographic interferometry applied to the study of the human skull.

    abstract::A laboratory technique that allows strain measurements of the skull is described. Holographic interferometry allows the entire surface displacement of the skull to be mapped within 1/10 of the wavelength of light. Holographic interferometric pictures are presented following various stress applications to the skull. Th...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.52.6.0825

    authors: Spetzler RF,Spetzler H

    更新日期:1980-06-01 00:00:00

  • Subarachnoid-pleural fistula after resection of thoracic tumors.

    abstract:OBJECT:Little has been written about the appropriate diagnosis, investigation, and management of subarachnoid-pleural fistula (SPF). The authors report a series of patients with SPF that developed after resection of spinal tumor and discuss the diagnosis and treatment of this entity. METHODS:Between 1993 and 2002, nin...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2004.100.4.0332

    authors: Hentschel SJ,Rhines LD,Wong FC,Gokaslan ZL,McCutcheon IE

    更新日期:2004-04-01 00:00:00

  • Barbiturate coma in focal cerebral ischemia. Relationship of protection to timing of therapy.

    abstract::The therapeutic application of barbiturate-induced coma was evaluated in a primate model of focal cerebral ischemia. A standardized regimen of pentobarbital was used, and the times of initiation of administration were varied following a 6-hour middle cerebral artery occlusion in baboons. Three groups of five animals w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.5.0685

    authors: Selman WR,Spetzler RF,Roski RA,Roessmann U,Crumrine R,Macko R

    更新日期:1982-05-01 00:00:00

  • A novel, low-cost, reusable, high-fidelity neurosurgical training simulator for cerebrovascular bypass surgery.

    abstract::OBJECTIVECerebrovascular bypass surgery is a challenging yet important neurosurgical procedure that is performed to restore circulation in the treatment of carotid occlusive diseases, giant/complex aneurysms, and skull base tumors. It requires advanced microsurgical skills and dedicated training in microsurgical techn...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.11.JNS17318

    authors: Cikla U,Sahin B,Hanalioglu S,Ahmed AS,Niemann D,Baskaya MK

    更新日期:2018-05-11 00:00:00

  • Falcine sinus and occipital encephalocele: a magnetic resonance venography study.

    abstract:OBJECT:Occipital encephaloceles are relatively frequently encountered. Many investigators have addressed the embryogenesis of these formations, but the dural system has never before been studied. In this retrospective analysis the authors sought to gain a better understanding of the origins of these defects. METHODS:T...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.89.5.0738

    authors: Bartels RH,Merx JL,van Overbeeke JJ

    更新日期:1998-11-01 00:00:00

  • Efficacy of intraarterial superselective indocyanine green videoangiography in cerebral arteriovenous malformation surgery in a hybrid operating room.

    abstract:OBJECTIVE:Although intravenous indocyanine green (ICG) videoangiography has been reported to be useful when applied to cerebral arteriovenous malformation (AVM) surgery, the ICG that remains after the procedure makes it difficult to understand the anatomy, to evaluate nidus blood flow changes, and to repeat ICG videoan...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.3.JNS20319

    authors: Shimada K,Yamaguchi T,Miyamoto T,Sogabe S,Korai M,Okazaki T,Kanematsu Y,Satomi J,Nagahiro S,Takagi Y

    更新日期:2020-05-22 00:00:00

  • Motor areas of the frontal cortex in patients with motor eloquent brain lesions.

    abstract::OBJECTIVE Because of its huge clinical potential, the importance of premotor areas for motor function itself and plastic reshaping due to tumors or ischemic brain lesions has received increased attention. Thus, in this study the authors used navigated transcranial magnetic stimulation (nTMS) to investigate whether tum...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.11.JNS152103

    authors: Bulubas L,Sabih J,Wohlschlaeger A,Sollmann N,Hauck T,Ille S,Ringel F,Meyer B,Krieg SM

    更新日期:2016-12-01 00:00:00

  • Subarachnoid hemorrhage from intracranial dissecting aneurysm.

    abstract::Rupture of an intracranial dissecting aneurysm is a rare but dangerous event. The authors' experience with 14 cases of these lesions on the vertebrobasilar circulation suggests that these aneurysms have typical angiographic silhouettes and that, at least in the vertebral artery, they are treatable by proximal arterial...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.2.0325

    authors: Friedman AH,Drake CG

    更新日期:1984-02-01 00:00:00

  • Prognostic value of globus pallidus internus volume in primary dystonia treated by deep brain stimulation.

    abstract:OBJECT:Given that improvement is variable from one patient to another, the authors analyzed the impact of globus pallidus internus (GPi) volume on the result of deep brain stimulation (DBS) by comparing highly and less improved patients with primary dystonodyskinetic syndromes. METHODS:A stereotactic model was develop...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.3.17433

    authors: Vasques X,Cif L,Hess O,Gavarini S,Mennessier G,Coubes P

    更新日期:2009-02-01 00:00:00

  • Sex-specific effects of subthalamic nucleus stimulation on pain in Parkinson's disease.

    abstract:OBJECTIVE:Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is known to reduce motor symptoms of Parkinson's disease (PD). The effects of DBS on various nonmotor symptoms often differ from patient to patient. The factors that determine whether or not a patient will respond to treatment have not been elucida...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2020.6.JNS201126

    authors: Khazen O,DiMarzio M,Platanitis K,Grimaudo HC,Hancu M,Shao MM,Staudt MD,Maguire L,Sukul VV,Durphy J,Hanspal EK,Adam O,Molho E,Pilitsis JG

    更新日期:2020-10-09 00:00:00