当前位置： SCI文献检索 > World Neurosurgery期刊下所有文献 > Higher Mean Arterial Pressure Values Correlate with Neurologic Improvement in Patients with Initially Complete Spinal Cord Injuries.

Higher Mean Arterial Pressure Values Correlate with Neurologic Improvement in Patients with Initially Complete Spinal Cord Injuries.

Abstract：

BACKGROUND:Traumatic spinal cord injury (SCI) guidelines recommend to maintain mean arterial pressures (MAPs) above 85 mm Hg for 7 days following SCI to minimize spinal cord ischemia. Some physicians doubt that patients with initially complete injuries benefit. OBJECTIVE:To assess the relationship between MAP augmentation and neurologic improvement in SCI patients stratified by initial American Spinal Injury Association Impairment Scale (AIS) score. METHODS:High-frequency MAP values of acute SCI patients admitted over a 6-year period were recorded, and values were correlated with degree of neurologic recovery in an analysis stratified by postresuscitation AIS score. RESULTS:Sixty-two patients with SCI were analyzed. Thirty-three patients were determined to have complete injuries, and of those 11 improved at least 1 AIS grade by discharge. The average MAP of initially AIS A patients who improved versus those who did not was significantly higher (96.6 ± 0.07 mm Hg vs. 94.4 ± 0.06 mm Hg, respectively; P < 0.001), and the proportion of MAP values <85 mm Hg was significantly lower (13.5% vs. 25.6%, respectively; P < 0.001). A positive correlation between MAP values and outcome was also observed in AIS B and C patients but was not observed in patients who were initially AIS D. CONCLUSION:A positive correlation was observed between MAP values and neurologic recovery in AIS A, B, and C patients but not AIS D patients. These data raise the possibility that patients with an initially complete SCI may derive greater benefit from MAP augmentation than patients with initial AIS D injuries.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Catapano JS,John Hawryluk GW,Whetstone W,Saigal R,Ferguson A,Talbott J,Bresnahan J,Dhall S,Pan J,Beattie M,Manley G

doi

10.1016/j.wneu.2016.08.053

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

72-79

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(16)30720-3

journal_volume

96

pub_type

杂志文章

相关文献

World Neurosurgery文献大全
  • The laterocavernous sinus system: venous inflows, venous outflows, and clinical significance.

    abstract：BACKGROUND:The laterocavernous sinus system is best defined as the entire territory served by the laterocavernous and the superior petrosal sinuses (SPS). METHODS:The laterocavernous sinus is a small but important venous structure located between the two dural layers forming the lateral wall of the cavernous sinus and...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2010.09.016

    authors： Lv X,Jiang C,Li Y,Liu L,Liu J,Wu Z

    更新日期：2011-01-01 00:00:00

  • Increasing Frailty Predicts Worse Outcomes and Increased Complications After Angiogram-Negative Subarachnoid Hemorrhages.

    abstract：BACKGROUND:The effect of frailty on outcomes after angiogram-negative subarachnoid hemorrhages (ANSAH) is currently unknown. We investigated frailty's effects on ANSAH outcomes, including mortality and in-hospital complications. METHODS:Patients from 2014 to 2018 with non-traumatic subarachnoid hemorrhage and cerebral...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.10.003

    authors： McIntyre M,Gandhi C,Dragonette J,Schmidt M,Cole C,Santarelli J,Lehrer R,Al-Mufti F,Bowers CA

    更新日期：2020-02-01 00:00:00

  • Establishment and Implementation of an Enhanced Recovery After Surgery (ERAS) Pathway Tailored for Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery.

    abstract：PURPOSE:The concept of enhanced recovery after surgery (ERAS) spread to different surgical specialties to minimize surgical stress response and to reduce length of hospital stay (LOS) and cost. Recently, several studies have reported experience with the ERAS program for spine surgery. The aim of this study is to introd...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.05.139

    authors： Feng C,Zhang Y,Chong F,Yang M,Liu C,Liu L,Huang C,Huang C,Feng X,Wang X,Chu T,Zhou Y,Huang B

    更新日期：2019-09-01 00:00:00

  • Globus Pallidus Internus Deep Brain Stimulation for Traumatic Hemidystonia Following Penetrating Head Injury.

    abstract：BACKGROUND:Deep brain stimulation (DBS) has been a major advance in the treatment of dystonias. Outcomes are, however, less predictable for secondary dystonias, predominantly due to progression of disease or specific brain lesions. There are few cases reported of globus pallidus internus (GPi)-DBS for posttraumatic dys...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.05.014

    authors： Kwon CS,Hasegawa H,Sokratous G,U-King-Im JM,Samuel M,Ashkan K

    更新日期：2016-08-01 00:00:00

  • Time to Event Analysis for the Development of Venous Thromboembolism After Spinal Fusion ≥ 5 Levels.

    abstract：OBJECTIVE:Venous thromboembolism (VTE) is an important complication after spine surgery with an incidence of 31%. To our knowledge, no study has reported a time-dependent examination of factors influencing VTE. We report factors influencing first and multiple VTE events and perform a time-dependent analysis. METHODS:A...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.03.068

    authors： McClendon J Jr,Smith TR,O'Shaughnessy BA,Sugrue PA,Thompson SE,Koski TR

    更新日期：2015-09-01 00:00:00

  • Primary Lumbar Paraganglioma: Clinical, Radiologic, Surgical, and Histopathologic Characteristics from a Case Series of 13 Patients.

    abstract：BACKGROUND:Paragangliomas are uncommon neuroendocrine tumors, rarely occurring in the lumbar spine. Primary lumbar paragangliomas are prominently vascularized, can present variably, and pose both diagnostic and surgical challenges. We report on a large case series with long-term follow-up and intraoperative footage to ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.05.144

    authors： Fiorini F,Lavrador JP,Vergani F,Bhangoo R,Gullan R,Reisz Z,Al-Sarraj S,Ashkan K

    更新日期：2020-10-01 00:00:00

  • Neutrophil-to-Albumin Ratio as a Biomarker of Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage.

    abstract：OBJECTIVE:This study set out to investigate the relationships between the neutrophil-to-albumin ratio (NAR) in the early stages of aneurysmal subarachnoid hemorrhage (aSAH) and the occurrence of delayed cerebral ischemia (DCI). METHODS:A total of 439 patients with aSAH were included in this retrospective study. NAR as...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.12.084

    authors： Zhang X,Liu Y,Zhang S,Wang C,Zou C,Li A

    更新日期：2020-12-26 00:00:00

  • Novel Oral Anticoagulants in Patients Undergoing Cranial Surgery.

    abstract：BACKGROUND:The number of patients treated with novel oral anticoagulants (NOACs) is increasing. Despite growing clinical relevance, guidelines on the perioperative management of neurosurgical patients treated with NOACs are still lacking. The aim of this study was to analyze the occurrence of postoperative bleeding eve...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.06.105

    authors： Croci DM,Kamenova M,Guzman R,Mariani L,Soleman J

    更新日期：2017-09-01 00:00:00

  • Factors Related to Frailty Associated with Clinical Deterioration After Meningioma Surgery in the Elderly.

    abstract：BACKGROUND:Older patients are increasingly presenting for surgery with intracranial meningioma because of progress with diagnostic imaging and longer life expectancy. However, older patients have many problems, such as comorbidities and reduced physiological capacity reflected in the frailty index. This study examines ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.07.080

    authors： Isobe N,Ikawa F,Tominaga A,Kuroki K,Sadatomo T,Mizoue T,Hamasaki O,Matsushige T,Abiko M,Mitsuhara T,Kinoshita Y,Takeda M,Kurisu K

    更新日期：2018-11-01 00:00:00

  • Stent-Assisted Coil Embolization for a Ruptured Posterior Communicating Artery Pseudoaneurysm After Endoscopic Transsphenoidal Surgery for Pituitary Adenoma.

    abstract：BACKGROUND:Intracranial pseudoaneurysm is a rare complication of endoscopic endonasal surgery. Herein, we describe 2-staged stent-assisted coil embolization for posterior communicating artery pseudoaneurysm after endoscopic endonasal surgery for pituitary adenoma. CASE DESCRIPTION:A 68-year-old man had a history of se...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.12.047

    authors： Morinaga Y,Nii K,Sakamoto K,Inoue R,Mitsutake T,Hanada H

    更新日期：2019-03-01 00:00:00

  • Neurologic Deterioration in Patients with Moyamoya Disease during Pregnancy, Delivery, and Puerperium.

    abstract：BACKGROUND:We reviewed our clinical experience of patients with moyamoya disease (MMD) who gave birth and assessed characteristics of those experiencing neurologic deterioration. METHODS:The patients were classified into patients diagnosed with MMD during pregnancy and puerperium (group 1) and those diagnosed before p...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.11.094

    authors： Park W,Ahn JS,Chung J,Chung Y,Lee S,Park JC,Kwun BD

    更新日期：2018-03-01 00:00:00

  • Preoperative Light Transmission Aggregometry Values Predict for Thromboembolic Complications After Stent-Assisted Coil Embolization.

    abstract：OBJECTIVE:Risk control of thromboembolic complications (TECs) during stent-assisted coil embolization (SACE) for unruptured intracranial aneurysms (UIAs) is crucial for satisfactory treatment outcomes. We retrospectively evaluated the data from our cohort of SACE for UIAs to analyze the role of anatomical, clinical, an...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.10.179

    authors： Kan I,Ishibashi T,Sakuta K,Fujimura S,Yuki I,Kaku S,Kodama T,Kato N,Nishimura K,Aoki K,Sasaki Y,Karagiozov K,Murayama Y

    更新日期：2020-02-01 00:00:00

  • Risk Factors for Postoperative Cerebral Vasospasm After Surgical Resection of Acoustic Neuroma.

    abstract：BACKGROUND:Cerebral vasospasm is an important cause of morbidity after subarachnoid hemorrhage, but can also occur after resection of acoustic neuroma. This study aimed to identify factors associated with postoperative cerebral vasospasm in patients with acoustic neuroma. METHODS:This was a retrospective analysis of p...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.07.016

    authors： Qi J,Jia W,Zhang L,Zhang J,Wu Z

    更新日期：2015-12-01 00:00:00

  • Development of a Virtual Reality Preoperative Planning System for Postlateral Endoscopic Lumbar Discectomy Surgery and Its Clinical Application.

    abstract：OBJECTIVE:Percutaneous endoscopic lumbar discectomy is an effective way to treat lumbar disc herniation. Traditional preoperative planning based on a 2-dimensional method by magnetic resonance/computed tomography may cause inaccuracy of puncture during surgery. We used virtual reality to stimulate a surgery environment...

    journal_title：World neurosurgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.wneu.2018.08.082

    authors： Zheng C,Li J,Zeng G,Ye W,Sun J,Hong J,Li C

    更新日期：2019-03-01 00:00:00

  • Long-Term Causes of Death and Excess Mortality After Carotid Artery Ligation.

    abstract：OBJECTIVE:Carotid artery ligation (CAL) is used to treat large and complex intracranial aneurysms. However, little is known about long-term survival and causes of death in patients who undergo the procedure. This study was intended to evaluate if patients who have undergone CAL have long-term excess mortality and what ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.01.023

    authors： Ibrahim TF,Jahromi BR,Miettinen J,Raj R,Andrade-Barazarte H,Goehre F,Kivisaari R,Lehto H,Hernesniemi J

    更新日期：2016-06-01 00:00:00

  • Does Heterotopic Ossification in Cervical Arthroplasty Affect Clinical Outcome?

    abstract：OBJECTIVE:To investigate the occurrence and progression of heterotopic ossification (HO) in patients treated by anterior cervical discectomy with arthroplasty. It was evaluated if HO affects clinical outcome and range of motion (ROM). Risk factors of HO was studied as well. METHODS:Patients who underwent anterior cerv...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.187

    authors： Yang X,Bartels RHMA,Donk R,Depreitere B,Walraevens J,Zhai Z,Vleggeert-Lankamp CLA

    更新日期：2019-11-01 00:00:00

  • Risks and Benefits of Glioblastoma Resection in Older Adults: A Retrospective Austrian Multicenter Study.

    abstract：OBJECTIVE:To assess the prognostic profile, clinical outcome, treatment-associated morbidity, and treatment burden of elderly patients with glioblastoma (GBM) undergoing microsurgical tumor resection as part of contemporary treatment algorithms. METHODS:We retrospectively identified patients with GBM ≥65 years of age ...

    journal_title：World neurosurgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.wneu.2019.09.097

    authors： Schwartz C,Romagna A,Stefanits H,Zimmermann G,Ladisich B,Geiger P,Rechberger J,Winkler S,Weiss L,Fastner G,Trinka E,Weis S,Spiegl-Kreinecker S,Steinbacher J,McCoy M,Johannes T,Gruber A,Rezai Jahromi B,Niemelä M,Wink

    更新日期：2020-01-01 00:00:00

  • Endovascular Retrograde Suction Decompression-Assisted Clipping of Large Paraclinoid Aneurysm in Hybrid Operating Room: 2-Dimensional Operative Video.

    abstract：:Surgical treatment of large paraclinoid aneurysms remains technically challenging due to the adjacent bony anatomy and neurovascular structures. Endovascular retrograde suction decompression using a double-lumen balloon catheter facilitates clip ligation of the aneurysm. Video 1 demonstrates a large paraclinoid aneury...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.03.109

    authors： Xu F,Huang L,Xu B,Gu Y,Leng B

    更新日期：2018-06-01 00:00:00

  • Neurosurgery and Telemedicine in the United States: Assessment of the Risks and Opportunities.

    abstract：BACKGROUND:Telemedicine has seen substantial growth in the past 20 years, related to technologic advancements and evolving reimbursement policies. The risks and opportunities of neurosurgical telemedicine are nuanced. METHODS:We reviewed general and peer-reviewed literature as it relates to telemedicine and neurosurge...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2016.01.075

    authors： Kahn EN,La Marca F,Mazzola CA

    更新日期：2016-05-01 00:00:00

  • Intraoperative and Postoperative Bleeding in Microvascular Decompression for Trigeminal Neuralgia.

    abstract：OBJECTIVE:The surgical approach for the trigeminal nerve involves veins connected to the superior petrosal and tentorial sinus, and we should pay special attention to these veins. We investigated intraoperative and postoperative bleeding using our database. METHODS:A prospectively accumulated database of 247 microvasc...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.06.139

    authors： Kasuya H,Kuroi Y,Yokosako S,Koseki H,Tani S

    更新日期：2018-10-01 00:00:00

  • Brain Radionecrosis After Adjuvant Radiation Therapy for a Primary Intracerebral Undifferentiated Sarcoma.

    abstract：BACKGROUND:Primary intracranial sarcomas of the central nervous system are rare tumors. They mainly arise from intracranial mesenchymal tissue present in the meninges and can occur at any age. Sometimes osteosarcoma can involve the skull rather than long body bones. In this latter case it is the more common subtype. Su...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2020.07.174

    authors： Napolitano M,Ranieri A,Maniscalco GT,Riccardi F,De Dominicis G,Caiazzo P

    更新日期：2020-11-01 00:00:00

  • Surgical Release of a Dorsal Thoracic Arachnoid Web.

    abstract：:Dorsal arachnoid web (DAW) is a rare clinical entity with unknown etiology, and it can mimic other conditions on imaging.1,2 We present a surgical video of a patient with DAW that was misdiagnosed as ventral cord herniation. A 35-year-old woman presented with upper back pain and progressive bilateral lower extremity w...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2020.08.011

    authors： Aljuboori Z,Boakye M

    更新日期：2020-11-01 00:00:00

  • Intracranial Inflammatory Myofibroblastic Tumor with Sarcomatous Local Recurrence.

    abstract：CASE DESCRIPTION:A 20-year-old woman presented with a rare intracranial inflammatory myofibroblastic tumor (IMT) manifesting as headache and insomnia. Magnetic resonance imaging showed a tumorous lesion with heterogeneous enhancement at the right temporal lobe, as well as perifocal edema with midline shift. The tumor w...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.07.060

    authors： Chuah YY,Tashi T,Shy CG,Shyu JS,Dong MJ,Hsueh EJ

    更新日期：2016-09-01 00:00:00

  • Subtemporal approach to posterior cerebral artery aneurysms.

    abstract：OBJECTIVE:Aneurysms of the posterior cerebral artery (PCA) are rare, and therefore the individual and institutional experience of their microsurgical management is usually limited. In the present article, we describe our experience with the subtemporal approach to aneurysms arising from the PCA. METHODS:We reviewed 34...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.01.042

    authors： Goehre F,Lehecka M,Jahromi BR,Lehto H,Kivisaari R,Hijazy F,Nayeb L,Sugimoto T,Morishige M,Elsharkawy A,von und zu Fraunberg M,Jääskeläinen JE,Hernesniemi JA

    更新日期：2015-05-01 00:00:00

  • Assessment of therapeutic response in patients with brain abscess using diffusion tensor imaging.

    abstract：BACKGROUND:Accurate assessment of therapeutic response in patients with brain abscess (BA) is essential to direct appropriate therapy. This study was performed with an aim to see the treatment-induced changes in diffusion tensor imaging (DTI) indices (i.e., fractional anisotropy [FA] and mean diffusivity [MD]) in follo...

    journal_title：World neurosurgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.surneu.2009.04.003

    authors： Nath K,Ramola M,Husain M,Kumar M,Prasad K,Gupta R

    更新日期：2010-01-01 00:00:00

  • Perineural Spread of Clear Cell Adenocarcinoma of Müllerian Origin Resulting in Neoplastic Lumbosacral Plexopathy.

    abstract：BACKGROUND:Adenocarcinomas of müllerian origin are malignancies derived from tissues of the proximal third of the vagina, cervix, uterus, and fallopian tubes. These organs develop from the embryologic müllerian ducts. While reports of perineural spread of certain uterine and cervical carcinomas exist in the literature,...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2020.06.121

    authors： Murthy NK,Sturgis CD,Amrami KK,Spinner RJ

    更新日期：2020-09-01 00:00:00

  • The Return Back to Typical Practice from the "Battle Plan" of the Coronavirus Disease 2019 (COVID-19) Pandemic: A Comparative Study.

    abstract：BACKGROUND:Every aspect of the medical field has been heavily affected by the coronavirus disease 2019 (COVID-19) pandemic, and neurosurgical services are no exception. Several departments have reported their experiences and protocols to provide insights for others impacted. The goals of this study are to report the lo...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.07.083

    authors： Pressman E,Noureldine MHA,Kumar JI,Krafft PR,Mantei B,Greenberg MS,Agazzi S,van Loveren H,Alikhani P

    更新日期：2020-10-01 00:00:00

  • Longitudinal Survey of Trainee Case Log Entry for Carotid Endarterectomy: Trends in Neurologic, General, and Vascular Surgery.

    abstract：BACKGROUND:Multiple surgical specialties perform carotid endarterectomy (CEA). As indications for CEA narrows, neurosurgery residents are less exposed to this procedure. This study aims to determine trends in CEA training among graduating trainees in neurosurgery and compare these to general and vascular surgery. METH...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.10.145

    authors： White MD,Agarwal N,Alan N

    更新日期：2020-11-02 00:00:00

  • The Assassination of Abraham Lincoln and the Evolution of Neuro-Trauma Care: Would the 16th President Have Survived in the Modern Era?

    abstract：:Abraham Lincoln was the 16(th) President of the United States of America. On April 14, 1865, shortly after his re-election and the conclusion of the Civil War, Lincoln was shot and killed by John Wilkes Booth. Although numerous physicians tended to the President shortly after his injury, he passed away the next mornin...

    journal_title：World neurosurgery

    pub_type： 传,历史文章,杂志文章,评审

    doi：10.1016/j.wneu.2015.06.011

    authors： Yan SC,Smith TR,Bi WL,Brewster R,Gormley WB,Dunn IF,Laws ER Jr

    更新日期：2015-11-01 00:00:00

  • Cranioplasty with Titanium Might Be Suitable for Adult Epilepsy Surgery After Subdural Placement Surgery To Avoid Surgical Site Infection.

    abstract：BACKGROUND:The purpose of the present study was to compare the surgical site infection (SSI) rates between resorbable plates and titanium plates used for adult patients with intractable epilepsy who had undergone epilepsy surgery after subdural electrode placement. METHODS:We performed subdural electrode surgery, foll...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.201

    authors： Amano Y,Fujimoto A,Ichikawa N,Sato K,Baba S,Nishimura M,Enoki H,Okanishi T

    更新日期：2019-11-01 00:00:00