A New Classification for Pathologies of Spinal Meninges-Part 2: Primary and Secondary Intradural Arachnoid Cysts.

Abstract:

BACKGROUND:Spinal intradural arachnoid cysts are rare causes of radiculopathy or myelopathy. Treatment options include resection, fenestration, or cyst drainage. OBJECTIVE:To classify intradural spinal arachnoid cysts and present results of their treatment. METHODS:Among 1519 patients with spinal space occupying lesions, 130 patients demonstrated intradural arachnoid cysts. Neuroradiological and surgical features were reviewed and clinical data analyzed. RESULTS:Twenty-one patients presented arachnoid cysts as a result of an inflammatory leptomeningeal reaction related to meningitis, subarachnoid hemorrhage, intrathecal injections, intradural surgery, or trauma, ie, secondary cysts. For the remaining 109 patients, no such history could be elucidated, ie, primary cysts. Forty-six percent of primary and 86% of secondary cysts were associated with syringomyelia. Patients presented after an average history of 53 ± 88 months. There were 122 thoracic and 7 lumbar cysts plus 1 cervical cyst. Fifty-nine patients with primary and 15 patients with secondary cysts underwent laminotomies with complete or partial cyst resection and duraplasty. Mean follow-up was 57 ± 52 months. In the first postoperative year, profound improvements for primary cysts were noted, in contrast to marginal changes for secondary cysts. Progression-free survival for 10 years following surgery was determined as 83% for primary compared to 15% for secondary cysts. Despite differences in clinical presentation, progression-free survival was almost identical for patients with or without syringomyelia. CONCLUSIONS:Complete or partial resection leads to favorable short- and long-term results for primary arachnoid cysts. For secondary cysts, surgery can only provide clinical stabilization for a limited time due to the often extensive arachnoiditis.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Klekamp J

doi

10.1093/neuros/nyx050

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

217-229

issue

2

eissn

0148-396X

issn

1524-4040

pii

3065547

journal_volume

81

pub_type

杂志文章
  • Colored silicone injection for use in neurosurgical dissections: anatomic technical note.

    abstract:OBJECTIVE:The dissection of cadaveric specimens is very important for a more sophisticated understanding of neurosurgical anatomic features and approaches. Teaching known approaches to residents or learning new approaches is best performed in a cadaveric laboratory. The utility of neurosurgical cadaveric dissections ca...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199911000-00058

    authors: Sanan A,Abdel Aziz KM,Janjua RM,van Loveren HR,Keller JT

    更新日期:1999-11-01 00:00:00

  • Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report.

    abstract:OBJECTIVE:Posttraumatic spinal cord herniation is a rare condition. We describe a case of spinal cord herniation into an associated pseudomeningocele after a brachial plexus avulsion injury. CLINICAL PRESENTATION:A 33-year-old man began to develop progressive Horner's syndrome 14 years after a brachial plexus avulsion...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249195.76527.61

    authors: Yokota H,Yokoyama K,Noguchi H,Uchiyama Y

    更新日期:2007-01-01 00:00:00

  • Impact of myelography on the radiotherapeutic management of malignant spinal cord compression.

    abstract::From December 1981 through August 1984, 24 patients with spinal cord compression syndrome due to epidural neoplasms were evaluated for radiotherapy with clinical examination, radiographs of the spine, and myelography. All plain films were reviewed, and mock radiotherapy fields designed using specific criteria for marg...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198610000-00018

    authors: Calkins AR,Olson MA,Ellis JH

    更新日期:1986-10-01 00:00:00

  • Impact of changes in intraoperative somatosensory evoked potentials on stroke rates after clipping of intracranial aneurysms.

    abstract:BACKGROUND:Somatosensory evoked potential (SSEP) monitoring is used during intracranial aneurysm surgery to track the effects of anesthesia, surgical manipulation, and temporary clipping. OBJECTIVE:To present the outcomes of 663 consecutive patients (691 cases) treated surgically for intracranial aneurysms who underwe...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31823f5cf7

    authors: Wicks RT,Pradilla G,Raza SM,Hadelsberg U,Coon AL,Huang J,Tamargo RJ

    更新日期:2012-05-01 00:00:00

  • Apoptosis occurs after cerebral contusions in humans.

    abstract:OBJECTIVE:Animal model systems have shown that head trauma can induce cell death in regions of the brain away from the site of the impact via a process of apoptosis. We sought to determine whether there was evidence of cellular apoptosis in clinically collected materials from human head trauma patients, as well as to a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00034

    authors: Ng I,Yeo TT,Tang WY,Soong R,Ng PY,Smith DR

    更新日期:2000-04-01 00:00:00

  • Natural history of arteriovenous malformations of the brain: a clinical study.

    abstract::The natural history of intracranial arteriovenous malformations (AVMs) was studied in 131 patients. The 83 patients managed nonsurgically and the 48 patients treated surgically were followed for an average of 8 years. Hemorrhage occurred in 61.8% of all patients. A second hemorrhage occurred in 67.4% of the survivors ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198411000-00003

    authors: Fults D,Kelly DL Jr

    更新日期:1984-11-01 00:00:00

  • The simplified acute physiology score to predict outcome in patients with subarachnoid hemorrhage.

    abstract:OBJECTIVE:Current prognosticators for patients with subarachnoid hemorrhage (SAH) do not take into account signs of extracerebral organ dysfunction. This may explain the only moderate predictive value of these prognosticators. We assessed the prognostic value of the simplified acute physiology score (SAPS) II in SAH pa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000166536.42876.9c

    authors: Schuiling WJ,de Weerd AW,Dennesen PJ,Algra A,Rinkel GJ

    更新日期:2005-08-01 00:00:00

  • Enhancement of neurogenesis and memory by a neurotrophic peptide in mild to moderate traumatic brain injury.

    abstract:BACKGROUND:Traumatic brain injury (TBI) is a risk factor for Alzheimer disease (AD), a neurocognitive disorder with similar cellular abnormalities. We recently discovered a small molecule (Peptide 6) corresponding to an active region of human ciliary neurotrophic factor, with neurogenic and neurotrophic properties in m...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000577

    authors: Chohan MO,Bragina O,Kazim SF,Statom G,Baazaoui N,Bragin D,Iqbal K,Nemoto E,Yonas H

    更新日期:2015-02-01 00:00:00

  • Intracranial subdural empyemas in the era of computed tomography: a review of 699 cases.

    abstract:OBJECTIVE:Intracranial empyemas are the most common form of intracranial suppuration seen in our unit and, despite modern antibiotic therapy and advanced neurosurgical and imaging facilities, these pus collections remain a formidable challenge, often resulting in significant morbidity and death. We present an analysis ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199903000-00055

    authors: Nathoo N,Nadvi SS,van Dellen JR,Gouws E

    更新日期:1999-03-01 00:00:00

  • Neurosurgical Practice in Transition: A Review.

    abstract::Neurosurgery is experiencing a period of acute change driven by 2 forces: (1) the perception that the healthcare system in the United States is wasteful and that patients are receiving low "value" care, (2) the belief that quality and long-term outcomes can be measured accurately. We believe 3 important shifts will em...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyx008

    authors: Kim DH,Dagi TF,Bean JR

    更新日期:2017-04-01 00:00:00

  • Craniosynostosis: computed tomographic evaluation of skull base and calvarial deformities and associated intracranial changes.

    abstract::Computed tomography has proven useful in children with craniosynostosis for the evaluation of deformity of the skull base, calvarium, and parenchymal brain structures. A retrospective analysis of 24 children seen during a 4-year period who had adequate preoperative, postoperative, and follow-up scans was carried out. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198110000-00003

    authors: Carmel PW,Luken MG 3rd,Ascherl GF Jr

    更新日期:1981-10-01 00:00:00

  • Moderate head injury: completing the clinical spectrum of brain trauma.

    abstract::We have divided head injury into three categories based on the Glasgow Coma Scale (GCS) (severe, 3-8; moderate, 9-12; and minor, 13-15). In a previous report, we described significant disability after minor head injury. The present report describes 199 patients with moderate head injury, 159 of whom underwent follow-u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198209000-00002

    authors: Rimel RW,Giordani B,Barth JT,Jane JA

    更新日期:1982-09-01 00:00:00

  • Familial colloid cyst of the third ventricle: case report and review of associated conditions.

    abstract::The cases of a father and his son who were diagnosed with pathologically confirmed colloid cysts of the third ventricle are presented. The familial occurrence of this tumor is rare and suggests that genetic factors may play a role in its formation. Consistent with the concept that the cyst originates as a developmenta...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199602000-00033

    authors: Akins PT,Roberts R,Coxe WS,Kaufman BA

    更新日期:1996-02-01 00:00:00

  • Promises and Perils of Artificial Intelligence in Neurosurgery.

    abstract::Artificial intelligence (AI)-facilitated clinical automation is expected to become increasingly prevalent in the near future. AI techniques may permit rapid and detailed analysis of the large quantities of clinical data generated in modern healthcare settings, at a level that is otherwise impossible by humans. Subsequ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyz471

    authors: Panesar SS,Kliot M,Parrish R,Fernandez-Miranda J,Cagle Y,Britz GW

    更新日期:2020-07-01 00:00:00

  • The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy.

    abstract:OBJECTIVE:To determine the effects of a postoperative early isolated lumbar extension muscle-strengthening program on pain, disability, return to work, and power of back muscle after operation for herniated lumbar disc. METHODS:Seventy-five patients were randomized into an exercise group (20 men, 15 women) and a contr...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/neurosurgery/57.4.764

    authors: Choi G,Raiturker PP,Kim MJ,Chung DJ,Chae YS,Lee SH

    更新日期:2005-10-01 00:00:00

  • Sensory and motor interhemispheric integration after section of different portions of the anterior corpus callosum in nonepileptic patients.

    abstract:OBJECTIVE:We evaluated somatosensory and motor interhemispheric integration in four patients who underwent transection of different portions of the anterior corpus callosum (CC) for removal of an intraventricular cyst. The study goal was to relate their performances to the topographical organization of the CC. METHODS...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000163089.31657.08

    authors: Caillé S,Sauerwein HC,Schiavetto A,Villemure JG,Lassonde M

    更新日期:2005-07-01 00:00:00

  • Transvascular coil hooking procedure to retrieve an unraveled Guglielmi detachable coil: technical note.

    abstract:OBJECTIVE:A patient with an anterior communicating artery aneurysm was treated by use of endovascular coiling, and a Guglielmi detachable coil (Boston Scientific/Target, Fremont, CA) fractured distal to its connection to the delivering catheter. The unraveled coil floated out from the aneurysm to extend into the bifurc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200204000-00048

    authors: Raftopoulos C,Goffette P,Billa RF,Mathurin P

    更新日期:2002-04-01 00:00:00

  • Angioplasty and stenting of basilar artery stenosis: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:Symptomatic basilar artery stenosis has a poor prognosis. Treatment options are limited. Surgical bypasses are technically demanding and of no proven benefit. Percutaneous angioplasty is associated with a significant complication rate, because of intraplaque dissection, restenosis secondary to ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199908000-00047

    authors: Lanzino G,Fessler RD,Miletich RS,Guterman LR,Hopkins LN

    更新日期:1999-08-01 00:00:00

  • Mapping of lactate and N-acetyl-L-aspartate predicts infarction during acute focal ischemia: in vivo 1H magnetic resonance spectroscopy in rats.

    abstract::The time course, anatomic distribution, and extent of changes in cerebral lactate, N-acetyl-L-aspartate (NAA), and other metabolite levels determined by three-dimensional in vivo 1H magnetic resonance spectroscopy and single-voxel spectral analysis after middle cerebral artery occlusion in rats. Increased lactate was ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199601000-00030

    authors: Higuchi T,Fernandez EJ,Maudsley AA,Shimizu H,Weiner MW,Weinstein PR

    更新日期:1996-01-01 00:00:00

  • High-resolution three-dimensional magnetic resonance angiography and three-dimensional spoiled gradient-recalled imaging in the evaluation of neurovascular compression in patients with trigeminal neuralgia: a double-blind pilot study.

    abstract:OBJECTIVE:To assess the value of high-resolution three-dimensional (3D) time-of-flight (TOF) magnetic resonance (MR) angiography and gadolinium (Gad)-enhanced 3D spoiled gradient-recalled imaging in the visualization of neurovascular compression in patients with trigeminal neuralgia. METHODS:Forty-eight patients with ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000197117.34888.DE

    authors: Anderson VC,Berryhill PC,Sandquist MA,Ciaverella DP,Nesbit GM,Burchiel KJ

    更新日期:2006-04-01 00:00:00

  • Primary hydatid cyst of sacral spinal canal: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Primary hydatid cysts of the spinal canal are very rare. The patient in the present case presented with lower cauda equina compression caused by a primary solitary hydatid cyst of the sacral spinal canal, which is a remote possibility. To the best of our knowledge, such a case has not been repo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199702000-00040

    authors: Pandey M,Chaudhari MP

    更新日期:1997-02-01 00:00:00

  • Revascularization of the scalp by microsurgical techniques after complete avulsion.

    abstract::A total scalp replantation was performed after a complete traumatic avulsion of the scalp with skull fracture. Multiple arterial and venous anastomoses were required. Satisfactory healing occurred, and the patient has had a subsequent uneventful cranioplasty to fill a bony defect, with normal scalp healing. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197805000-00016

    authors: Chater NL,Buncke H,Brownstein M

    更新日期:1978-05-01 00:00:00

  • The epidemiology of outpatient visits for minor head injury: 2005 to 2009.

    abstract:BACKGROUND:The Centers for Disease Control and Prevention have called for studies detailing the prevalence and burden of mild traumatic brain injury (mTBI) in the outpatient clinical setting. OBJECTIVE:The aim of this study was to describe the prevalence of outpatient visits for minor head injury and compare the numbe...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000429846.14579.41

    authors: Mannix R,O'Brien MJ,Meehan WP 3rd

    更新日期:2013-07-01 00:00:00

  • Microsurgical removal of intraventricular lesions using endoscopic visualization and stereotactic guidance.

    abstract:OBJECTIVE:To demonstrate the technique of stereotactic microsurgical endoscopic removal of intraventricular tumors or colloid cysts assisted by intraoperative computed tomography. METHODS:We adapted a tubular "ventriculoport" for stereotactic insertion of an endoscope into the ventricle. This facilitated microsurgical...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000146227.75138.08

    authors: Harris AE,Hadjipanayis CG,Lunsford LD,Lunsford AK,Kassam AB

    更新日期:2005-01-01 00:00:00

  • Dexamethasone decreases the delivery of tumor-specific monoclonal antibody to both intracerebral and subcutaneous tumor xenografts.

    abstract::The effect of dexamethasone on the delivery of monoclonal antibody L6 IgG to intracerebral and subcutaneous LX-1 small cell lung carcinoma xenografts was evaluated in nude rats (n = 157). Dexamethasone (0, 8, or 24 mg/m2) was given 18 hours before infusion of L6 IgG, with or without osmotic disruption of the blood-bra...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199309000-00018

    authors: Neuwelt EA,Barnett PA,Ramsey FL,Hellström I,Hellström KE,McCormick CI

    更新日期:1993-09-01 00:00:00

  • Clinicopathological correlations in syringomyelia using axial magnetic resonance imaging.

    abstract::Axial magnetic resonance (MR) images of non-neoplastic spinal cord cavities were reviewed in 115 patients with otherwise complete neurological and neuroradiological findings. The variations in axial morphology revealed three distinct cavitary patterns. These patterns were as follows: 1) symmetrically enlarged central ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199508000-00003

    authors: Milhorat TH,Johnson RW,Milhorat RH,Capocelli AL Jr,Pevsner PH

    更新日期:1995-08-01 00:00:00

  • Delayed ischemic deterioration in patients with early aneurysm operation and intravenous nimodipine.

    abstract::A consecutive series of 100 individuals with aneurysmal subarachnoid hemorrhage were subjected to early aneurysm operation followed by subsequent intravenous administration of the calcium antagonist nimodipine during the critical period for symptomatic vasospasm. A total of 85 patients were in Hunt and Hess neurologic...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198602000-00005

    authors: Säveland H,Ljunggren B,Brandt L,Messeter K

    更新日期:1986-02-01 00:00:00

  • Stereotactic radiosurgery for cavernous malformations: Kjellberg's experience with proton beam therapy in 98 cases at the Harvard Cyclotron.

    abstract:OBJECTIVE:The lack of treatment options for surgically inaccessible cavernous malformations has made radiosurgery a possible alternative to conservative management. The few previous reports of radiosurgical efficacy have been limited by small numbers, short follow-up, or lack of attention to the full spectrum of end po...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199806000-00013

    authors: Amin-Hanjani S,Ogilvy CS,Candia GJ,Lyons S,Chapman PH

    更新日期:1998-06-01 00:00:00

  • The arteries of the corpus callosum: a microsurgical anatomic study.

    abstract:OBJECTIVE:The corpus callosum is the major commissural pathway connecting the hemispheres of the human brain. It is particularly important, because various tumors and vascular lesions can be located in and around the corpus callosum, and it is a route through which pass several surgical approaches. Performing accurate ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199612000-00001

    authors: Türe U,Yaşargil MG,Krisht AF

    更新日期:1996-12-01 00:00:00

  • Hyperacute neuropathological findings after proton beam radiosurgery of the rat hippocampus.

    abstract:OBJECTIVE:To study the hyperacute histological and immunohistochemical effects of stereotactic proton beam irradiation of the rat hippocampus. METHODS:Nine rats underwent proton beam radiosurgery of one hippocampus with nominal doses of cobalt-2, -12, and -60 Gray equivalents (n = 3 each). Control animals (n = 3) were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000159885.34134.20

    authors: Brisman JL,Cosgrove GR,Thornton AF,Beer T,Bradley-Moore M,Shay CT,Hedley-Whyte ET,Cole AJ

    更新日期:2005-06-01 00:00:00