Abstract:
:Dural arteriovenous fistulas are abnormal connections of dural arteries to dural veins or venous sinuses originating from within the dural leaflets. They are usually located near or within the wall of a dural venous sinus that is frequently obstructed or stenosed. The dural fistula sac is contained within the dural leaflets, and drainage can be via a dural sinus or retrograde through cortical veins (leptomeningeal drainage). Dural arteriovenous fistulas can occur at any dural sinus but are found most frequently at the cavernous or transverse sinus. Leptomeningeal venous drainage can lead to venous hypertension and intracranial hemorrhage. The various treatment options include transarterial and transvenous embolization, stereotactic radiosurgery, and open surgery. Although many of the advances in dural arteriovenous fistula treatment have occurred in the endovascular arena, open microsurgical advances in the past decade have primarily been in the tools available to the surgeon. Improvements in microsurgical and skull base approaches have allowed surgeons to approach and obliterate fistulas with little or no retraction of the brain. Image-guided systems have also allowed better localization and more efficient approaches. A better understanding of the need to simply obliterate the venous drainage at the site of the fistula has eliminated the riskier resections of the past. Finally, the use of intraoperative angiography or indocyanine green videoangiography confirms the complete disconnection of fistula while the patient is still on the operating room table, preventing reoperation for residual fistulas.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Youssef PP,Schuette AJ,Cawley CM,Barrow DLdoi
10.1227/NEU.0000000000000228subject
Has Abstractpub_date
2014-02-01 00:00:00pages
S32-41eissn
0148-396Xissn
1524-4040pii
00006123-201402001-00006journal_volume
74 Suppl 1pub_type
杂志文章,评审相关文献
NEUROSURGERY文献大全abstract::STRESS ULCERS OCCUR frequently in intensive care unit patients who have intracranial disease. After major physiological stress, endoscopic evidence of mucosal lesions of the gastrointestinal tract appears within 24 hours of injury; 17% of these erosions progress to clinically significant bleeding. Gastrointestinal hem...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199708000-00017
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:While the utilization of neurophysiologic intraoperative monitoring with motor evoked potentials (MEPs) has become widespread in surgery for traumatic spine fractures and spinal cord injury (SCI), clinical validation of its diagnostic and therapeutic benefit has been limited. OBJECTIVE:To describe the use o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx320
更新日期:2018-06-01 00:00:00
abstract::The results of magnetic resonance (MR) evaluation in 18 patients with common neurosurgical problems, including cerebrovascular lesions, intracranial tumors, and craniovertebral junction pathological conditions, are presented. The results are compared with those of routine diagnostic studies. Overall, MR imaging was eq...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract:OBJECTIVE:In rare cases, space-occupying pseudoarthrotic clavicular nonunion causes symptomatic brachial plexus compression. The surgical treatment of clavicular pseudoarthrosis has been extensively reported in the literature. This article reports our experience of a definitive treatment strategy using free vascularize...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000326036.54714.17
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:The prevalence of intracranial aneurysms is approximately 2% with an annual rupture rate of 0.7%. OBJECTIVE:We describe our initial feasibility experience using a new double-lumen balloon catheter for single-catheter balloon-assisted coil embolization of wide-neck intracranial aneurysms. METHODS:Two patien...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182181e3a
更新日期:2011-09-01 00:00:00
abstract::Comprehensive anatomic and clinical analyses of 39 patients with injuries involving the transverse atlantal ligament or its osseous insertions were performed to assess the morphology of the injured ligaments and the patients' capacity to heal. Injuries of the upper cervical spine were screened with plain radiographs, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199601000-00012
更新日期:1996-01-01 00:00:00
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
更新日期:2005-01-01 00:00:00
abstract::Positron emission computed tomographic (PECT) scanning studies have demonstrated that high grade gliomas exhibit increased 2-[18F]fluoro-2-deoxyglucose (18FDG) uptake compared to cerebral white matter and low grade gliomas. Hexokinase catalyzes the phosphorylation of glucose, as well as 18FDG and 2-deoxyglucose (2DG),...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198510000-00001
更新日期:1985-10-01 00:00:00
abstract:OBJECTIVE:Spine deformities, notably scoliosis, are known to occur in conjunction with syringomyelia. This study aims to analyze the effect of laminectomies performed in the course of treatment of syringomyelia. It examines the incidence, severity, and type of spine deformity as it relates to the extent and location of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000279971.87437.1F
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Resection of cerebellopontine angle (CPA) meningiomas may result in significant neurological morbidity. Radiosurgery offers a minimally invasive alternative to surgery. OBJECTIVE:To evaluate, in a multicenter cohort study, the outcomes of patients harboring CPA meningiomas who underwent Gamma Knife radiosur...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000000480
更新日期:2014-10-01 00:00:00
abstract::Although surgeons in Austria, especially in Vienna, were counted among the leading specialists at the end of the 19th century, neurosurgery did not evolve as a distinct discipline before the turn of the century; achievements were episodic until Anton von Eiselsberg became an enthusiastic surgeon of the central nervous...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1097/00006123-200204000-00033
更新日期:2002-04-01 00:00:00
abstract::The purpose of this study was to determine if the expression of receptor tyrosine kinases would distinguish astrocytosis from astrocytoma. Because the expression of this family of receptor proteins is greater in higher-grade tumors, a graded series of both reactive and neoplastic astrocytic lesions in humans was evalu...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199307000-00017
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVE:To demonstrate that amputees performing "virtual" movements of their amputated limb activate cortical areas previously devoted to their missing limb, we studied amputees with functional magnetic resonance imaging (fMRI) and positron emission tomographic (PET) scans and compared the results with those of norma...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000093424.71086.8f
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:Many children with cerebral palsy have chronic ventriculomegaly as a consequence of perinatal intraventricular hemorrhage or periventricular leukomalacia, without symptoms of hydrocephalus. Children with cerebral palsy who are treated with intrathecal baclofen have a higher rate of cerebrospinal fluid (CSF) l...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144779.32401.a2
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Minimally invasive transforaminal lumbar interbody fusion (TLIF)-or MI-TLIF-has been increasing in prevalence compared with open TLIF (O-TLIF) procedures. The use of MI-TLIF is an evolving technique with conflicting reports in the literature about outcomes. OBJECTIVE:To investigate the impact of MI-TLIF in ...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000000913
更新日期:2015-12-01 00:00:00
abstract::Three-dimensional computed tomographic scanning is a valuable adjunct in the diagnosis and treatment of disease processes involving the spine. We present our experience with this noninvasive radiological diagnostic technique in 32 patients with vertebral column abnormalities ranging from craniovertebral junction disor...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198708000-00009
更新日期:1987-08-01 00:00:00
abstract:BACKGROUND:Symptomatic patients with a brainstem cavernoma are treated surgically with increasing frequency. Generally, the patient's benefit from this difficult surgical intervention is quantified by the assessment of neurological symptoms. OBJECTIVE:To document the beneficial effect of surgery in a larger patient po...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821d31b7
更新日期:2011-09-01 00:00:00
abstract::A compound of methylcellulose-silicone expanding progressively over a 1-week period by moisture absorption was implanted in the midthoracic epidural space of 17 Sprague Dawley adult rats. When the animals became paraplegic 6.3 +/- 1.6 days later, they were randomized into three groups: untreated control (n = 5), high ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198806010-00005
更新日期:1988-06-01 00:00:00
abstract::Two patients presented with syringomyelia, each unusual. After neuroradiographic diagnosis with delayed metrizamide computed tomography (CT) or magnetic resonance imaging (MRI), an interesting diagnostic question arose. A percutaneous minidose metrizamide endomyelographic CT (PMDMECT) study clarified each situation an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198703000-00013
更新日期:1987-03-01 00:00:00
abstract:BACKGROUND:The incidence of traumatic craniocervical artery dissection varies in published trauma series. OBJECTIVE:To determine the frequency of traumatic craniocervical artery injury in polytrauma patients by using standardized whole-body trauma computed tomography with adapted computed tomography angiography of the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821a8701
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To systematically appraise the study design and quality of reporting of randomized controlled trials (RCTs) on neurosurgical procedures and to identify potential defects and biases. METHODS:Randomized controlled trials with at least five patients comparing any neurosurgical procedure against another procedur...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000126873.00845.a7
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:The coexistence of spinal arteriovenous malformation (AVM) with congenital abnormalities is relatively common. However, the association of a spinal AVM and lipoma is rare. We present an adult patient with this combined anomaly and discuss the clinical relevance of this case. CLINICAL PRESENTAT...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000171028.96829.69
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Experimental evidence has indicated the benefit of simvastatin in the treatment of subarachnoid hemorrhage. However, no clinical data are available to answer whether a high-dose regimen is more effective than a normal-dose regimen, even though the biochemical actions and related neuroprotective mechanisms ar...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1227/NEU.0b013e31828ab413
更新日期:2013-05-01 00:00:00
abstract::Both the perforating branches--especially the extracerebral segments--and the arachnoidal anatomy at the level of the posterior communicating artery were studied in 60 human brains previously fixed in formalin. The close relationships between this artery and the oculomotor nerve are described, and it is noted that eac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199005000-00015
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:To study the relationship between the resistance to cerebrospinal fluid (CSF) outflow and cerebral autoregulation. METHODS:We examined 35 patients who presented with ventricular dilation and clinical symptoms of communicating hydrocephalus. For all of these patients, CSF compensatory reserve was investigated...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200203000-00018
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to evaluate the overall treatment efficacy (tumor control, facial nerve function, complications) and quality of life for patients treated primarily for unilateral vestibular schwannomas of 30 mm or less, either by microsurgery or by gamma knife (GK) radiosurgery. The results f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1055/s-2005-916493
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Although most posterior circulation aneurysms are currently treated by endovascular means, some are not amenable to this treatment modality. The narrow working window afforded by the anterolateral and lateral surgical approaches often translates into suboptimal visualization and limited maneuverability. OBJ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000175
更新日期:2014-03-01 00:00:00
abstract::A case of subependymoma of the spinal cord in the cervical region is presented. Our experience with this patient and the seven cases of spinal cord subependymoma previously reported show that this tumor predominates in the cervical region and in males (3:1). Although radical removal is considered the rational goal of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198904000-00024
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVE:A number of publications suggest that there are seasonal influences on the incidence of subarachnoid hemorrhage (SAH). Most series agree on a peak incidence during springtime. Meteorological influences have been assumed to be obvious explanations for seasonal variations. Furthermore, the perceived clustering ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000325864.91584.c7
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Although coiling of intracranial aneurysms is thought to rely on obstruction of blood flow into the aneurysm and induction of intra-aneurysmal thrombosis, little data exist regarding the effect of coil deployment on hemodynamics. OBJECTIVE:To evaluate the effects of simulated coiling of a model aneurysm on ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f9a93b
更新日期:2010-12-01 00:00:00