How I do it: operative nuances of multiple burr hole surgery for moyamoya disease and syndrome.


BACKGROUND:Burr hole surgery for moyamoya disease and moyamoya syndrome is known to be an effective, versatile, and relatively simple revascularization technique. We will focus on the technical operative aspects of multiple burr hole surgery as we perform it in our center. METHODS:Periosteal flaps are prepared and placed in a burr hole with beveled edge, after opening the dura and arachnoid membrane, in order to facilitate neovascularization into the ischemic cortex. CONCLUSIONS:Burr hole surgery is a versatile treatment modality for moyamoya and moyamoya-like disease. Success can be maximized by having a meticulous operative technique.


Acta Neurochir (Wien)


Acta neurochirurgica


Lavrysen E,Menovsky T




Has Abstract


2019-01-01 00:00:00














  • Bilateral chylothorax following anterior cervical spine surgery.

    abstract::Bilateral chylothorax following anterior cervical spine surgery is very rare. This report documents the first case of chylothorax after anterior cervical spine surgery through a right-side surgical approach. Unidentified chyle leakage can easily remain unrecognized and, thus, is difficult to treat. For early diagnosis...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bae JS,Park JH,Jang IT

    更新日期:2017-10-01 00:00:00

  • Anterior cervical discectomy and fusion: is surgical education safe?

    abstract:BACKGROUND:Operative skills are key to neurosurgical resident training. They should be acquired in a structured manner and preferably starting early in residency. The aim of this study was to test the hypothesis that the outcome and complication rate of anterior cervical discectomy and fusion with or without instrument...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Stienen MN,Joswig H,Jucker D,Hildebrandt G,Schaller K,Gautschi OP

    更新日期:2015-09-01 00:00:00

  • Middle fossa transpetrosal-transtentorial approaches for petroclival meningiomas. Selective pyramid resection and radicality.

    abstract::Forty-two patients with petroclival meningioma were operated upon by the middle fossa transpetrosal-transtentorial approaches since 1977. Half of those showed tumour extension into the middle fossa and one-third in the cavernous sinus. Seventeen (40%) had a large tumour of 40 mm in diameter or larger, and 8 of those h...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kawase T,Shiobara R,Toya S

    更新日期:1994-01-01 00:00:00

  • MRA demonstration of "periarteritis" in Tolosa-Hunt syndrome.

    abstract:BACKGROUND:Modern magnetic resonance imaging (MRI) diagnosis of Tolosa-Hunt syndrome rests upon demonstration of cavernous sinus abnormalities. We present a case of Tolosa-Hunt syndrome who has no abnormal mass lesion in the cavernous sinuses on MRI but with a diagnostic lesion on magnetic resonance angiography (MRA). ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ozawa T,Minakawa T,Saito A,Yoneoka Y,Yoshimura J,Arai H

    更新日期:2001-01-01 00:00:00

  • Herniated nucleus pulposus in isthmic spondylolisthesis: higher incidence of foraminal and extraforaminal types.

    abstract:BACKGROUND:The purpose of this study was to evaluate the pattern of disc herniation and to investigate the associated symptoms in cases of isthmic spondylolisthesis. It is well known that the pathogenesis of degenerative spondylolisthesis associates with disc degeneration, followed by facet laxity and ligamentum flavum...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kim KS,Chin DK,Park JY

    更新日期:2009-11-01 00:00:00

  • The lateral microsurgical approach to the "extracanalicular" lumbar disc herniation. I: A technical note.

    abstract::The main aim in the surgery of the canalicular and extracanalicular lumbar disc herniation is to remove safely the hidden fragment without complete destruction of the normal facet joint, without damage to the nerve root and with minimal compromise of the stability of the spinal column. This report describes a lateral ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Reulen HJ,Pfaundler S,Ebeling U

    更新日期:1987-01-01 00:00:00

  • LINAC radiosurgery for glomus jugulare tumors: retrospective - cohort study of 23 patients.

    abstract:BACKGROUND:Glomus jugulare tumors (GJTs) are uncommon and locally disruptive tumors that usually arise within the jugular foramen of the temporal bone. Surgery was the treatment of choice up until recently. In the last decades, however, radiosurgery has surfaced as a promising alternative treatment by providing excelle...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lior U,Rotem H,Uzi N,Roberto S

    更新日期:2020-04-01 00:00:00

  • Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients.

    abstract:BACKGROUND:We report 24 patients with a traumatic acute subdural haematoma of the posterior fossa managed between 1997 and 1999 at 8 Italian neurosurgical centres. METHOD:Each centre provided data about patients' clinico-radiological findings, management, and outcomes, which were retrospectively reviewed. FINDINGS:A ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,多中心研究


    authors: d'Avella D,Servadei F,Scerrati M,Tomei G,Brambilla G,Massaro F,Stefini R,Cristofori L,Conti A,Cardali S,Tomasello F

    更新日期:2003-12-01 00:00:00

  • Radiosurgery and fractionated radiotherapy for cavernous sinus meningioma: a systematic review and meta-analysis.

    abstract:INTRODUCTION:Radiosurgery (RS) and fractionated radiotherapy (FRT) are part of the therapeutic armamentarium for the management of cavernous sinus meningiomas. We propose a systematic review of the local tumor control and clinical outcomes after monofractionated radiosurgical treatment, including gamma knife radiosurge...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,meta分析


    authors: Leroy HA,Tuleasca C,Reyns N,Levivier M

    更新日期:2018-12-01 00:00:00

  • Red blood cell transfusion in neurosurgery.

    abstract:BACKGROUND:The necessity of red blood cell (RBC) transfusions in neurosurgical procedures is under debate. Although detailed recommendations exist for many other surgical disciplines, there are very limited data on the probability of transfusions during neurosurgical procedures. METHODS:Three-thousand and twenty-six c...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Linsler S,Ketter R,Eichler H,Schwerdtfeger K,Steudel WI,Oertel J

    更新日期:2012-07-01 00:00:00

  • Different types of postoperative diabetes insipidus and the relation to basal and stimulated serum prolactin levels in patients with hypothalamo-hypophyseal tumorous lesions.

    abstract::To evaluate the interrelationships between anterior pituitary function and the antidiuretic system in patients harbouring hypothalamo-hypophyseal tumorous lesions, combined anterior pituitary stimulation tests were performed in the pre (n = 192 patients) and postoperative (n = 151 patients) state. Basal and stimulated...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hildebrandt G,Mueller HW,Stracke H,Rap ZM,Klug N

    更新日期:1990-01-01 00:00:00

  • Reliability of fluorescein-assisted stereotactic brain biopsies in predicting conclusive tissue diagnosis.

    abstract:BACKGROUND:The purpose of this study was to assess the reliability of fluorescein sodium in predicting conclusive tissue diagnosis in stereotactic brain biopsies and to characterize features of contrast-enhancing and non-enhancing MRI lesions associated with fluorescence. METHODS:A total of 19 patients were studied, 1...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Nevzati E,Chatain GP,Hoffman J,Kleinschmidt-DeMasters BK,Lillehei KO,Ormond DR

    更新日期:2020-08-01 00:00:00

  • The pharmacological action of pronase-digested egg albumin upon cerebral hypoxia.

    abstract::The purification of a substance which protects mitochondrial activity against its decay in association with various cerebral pathologies, and the effect of this substance in vitro and in vivo have been mentioned. Defatted egg albumin was hydrolyzed with pronase, and diafiltrated through mesh, to obtain fractions of mo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ishii S,Sato K,Watanabe H,Kobayashi M,Shimizu T

    更新日期:1977-01-01 00:00:00

  • Intraoperative fluorescence diagnosis in the brain: a systematic review and suggestions for future standards on reporting diagnostic accuracy and clinical utility.

    abstract:BACKGROUND:Surgery for gliomas is often confounded by difficulties in distinguishing tumor from surrounding normal brain. For better discrimination, intraoperative optical imaging methods using fluorescent dyes are currently being explored. Understandably, such methods require the demonstration of a high degree of diag...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Stummer W,Koch R,Valle RD,Roberts DW,Sanai N,Kalkanis S,Hadjipanayis CG,Suero Molina E

    更新日期:2019-10-01 00:00:00

  • Clinical article: mortality associated with severe head injury in the elderly.

    abstract:BACKGROUND:Age is an important factor in determining prognosis following severe head injury (SHI), although mortality in patients > or =65 years is poorly reported. The aim of this study was to document mortality in patients with SHI > or =65 years. METHODS:A retrospective analysis of prospectively collected data from...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Patel HC,Bouamra O,Woodford M,Yates DW,Lecky FE

    更新日期:2010-08-01 00:00:00

  • Near-infrared indocyanine green videoangiography versus microvascular Doppler sonography in aneurysm surgery.

    abstract:INTRODUCTION:The quality of surgical treatment of intracranial aneurysms is determined by complete aneurysm occlusion and restoration of flow in the parent, branching and perforating vessels. In postoperative digital subtraction angiography (DSA), unexpected aneurysm residuals and vessel occlusions are frequently detec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Fischer G,Stadie A,Oertel JM

    更新日期:2010-09-01 00:00:00

  • Posterolateral approach to tumours of the dorsolumbar spine.

    abstract::The authors outline the possible approaches to vertebromedullary tumours of the thoraco-lumbar spine using unilateral or bilateral transverso-arthro-pediculectomy and corporectomy. In a personal series of 20 cases. The technique and indications are described and the results. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lesoin F,Rousseaux M,Lozes G,Villette L,Clarisse J,Pruvo JP,Jomin M

    更新日期:1986-01-01 00:00:00

  • Effect of weekend admission on in-hospital mortality and functional outcomes for patients with acute subarachnoid haemorrhage (SAH).

    abstract:BACKGROUND:Aneurysmal subarachnoid haemorrhage (aSAH) is an acute cerebrovascular event with high socioeconomic impact as it tends to affect younger patients. The recent NCEPOD study looking into management of aSAH has recommended that neurovascular units in the United Kingdom should aim to secure cerebral aneurysms wi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Deshmukh H,Hinkley M,Dulhanty L,Patel HC,Galea JP

    更新日期:2016-05-01 00:00:00

  • Transcranial Doppler-determined pulsatility index in the evaluation of endoscopic third ventriculostomy (preliminary data).

    abstract:OBJECTIVE:Endoscopic 3rd ventriculostomy has become the method of choice in the management of occlusive hydrocephalus. The treatment is accompanied by significantly less peri-operative complications than the cerebrospinal fluid shunting procedures previously employed. Close surveillance of patients, however, is necessa...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Vajda Z,Büki A,Vetö F,Horváth Z,Sándor J,Dóczi T

    更新日期:1999-01-01 00:00:00

  • Aneurysms of the vertebro-basilar junction area: preliminary experience in endovascular and surgical management.

    abstract::Aneurysms of the vertebro-basilar junction area have been considered the most difficult to be surgically treated because of their deep location, the proximity of the brain stem and the cranial nerves. However, at present, new endovascular techniques and new transbasal surgical approaches offer valuable management stra...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Collice M,Arena O,D'Aliberti G,Todaro C,Branca V,Boccardi E,Versari PP,Bizzozero L,Talamonti G

    更新日期:1997-01-01 00:00:00

  • Malignant glioma: its initial presentation as intracranial haemorrhage.

    abstract::Malignant glioma presenting as an intracerebral haematoma is very rare. Two patients having malignant gliomas, initially presenting as intraparenchymal haematomas, are discussed. One patient survived, but the other patient rapidly deteriorated and died. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Richardson RR,Siqueira EB,Cerullo LJ

    更新日期:1979-01-01 00:00:00

  • Surgery for syringomyelia: an analysis based on 163 surgical cases.

    abstract:OBJECT:The authors analyzed the cases of 163 patients with syringomyelia to assess the appropriate surgical procedure. METHODS:Depending on the aetiological factors and treatment considerations the series was classified into three groups. Group I were cases where there was no definite demonstrable aetiological factor;...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Goel A,Desai K

    更新日期:2000-01-01 00:00:00

  • Spasm of the ophthalmic artery in a case of posttraumatic amaurosis. Case report.

    abstract::An extensive and segmental spasm of the ophthalmic artery has been demonstrated angiographically a few hours after a car accident in a case with posttraumatic amaurosis. The possibility of a correlation between ophthalmic artery spasm and posttraumatic amaurosis has been discussed. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Brihaye J,Van-Geertruyden MB,Jeanmart L

    更新日期:1976-01-01 00:00:00

  • An isotope agarose assay for rapid testing of the sensitivity of glioma biopsies to chemotherapeutic drugs and biological response modifiers. Effects of BCNU, vincristine, lymphokines and the recombinant agents interferon alpha 2c, interferon gamma and tu

    abstract::A method based on growth of cells from glioma biopsies in a triple layer agarose system has been used to test the sensitivity of the tumour cells to different chemotherapeutic and immunotherapeutic agents. A special agarose that could be melted at 65 degrees C, enabled registration of proliferation by an easy and prec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Unsgaard G,Helseth E,Vik R,Dalen A

    更新日期:1988-01-01 00:00:00

  • Behçet's disease, associated with subarachnoidal heamorrhage due to intracranial aneurysm.

    abstract::Behçet's disease is an unusual medical condition in central Europe and North America, however more common in Turkey and Japan. It was originally described in Turkey, characterized by recurrent oral ulcers, genital ulcers and also uveitis. A variety of vascular lesions such as venous occlusions, arterial aneurysms and ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Zsigmond P,Bobinski L,Boström S

    更新日期:2005-05-01 00:00:00

  • Cerebellar lesions: is there a lateralisation effect on memory deficits?

    abstract:BACKGROUND:Until recently, neurosurgeons eagerly removed cerebellar lesions without consideration of future cognitive impairment that might be caused by the resection. In children, transient cerebellar mutism after resection has lead to a diminished use of midline approaches and vermis transection, as well as reduced r...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: de Ribaupierre S,Ryser C,Villemure JG,Clarke S

    更新日期:2008-06-01 00:00:00

  • Home telemonitoring of intracranial pressure.

    abstract:BACKGROUND:As technical progress advances, telemonitoring has become an important part of patient care in many areas of medical treatment. However, distanced surveillance of intracranial pressure (ICP) could not be established so far. With the recent introduction of a telemetric ICP measurement probe, new possibilities...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Tschan CA,Velazquez Sanchez VF,Heckelmann M,Antes S

    更新日期:2019-08-01 00:00:00

  • Near-infrared indocyanine green videoangiography for assessment of carotid endarterectomy.

    abstract:BACKGROUND:Intraoperative fluorescence angiography with indocyanine green (ICG) as a tracer has recently been introduced as a novel technique for neurosurgery. We evaluated the feasibility and efficacy of near-infrared (NIR) indocyanine green (ICG) videoangiography for patients undergoing carotid endarterectomy (CEA). ...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章


    authors: Haga S,Nagata S,Uka A,Akagi Y,Hamada Y,Shono T

    更新日期:2011-08-01 00:00:00

  • The complications and the position of the Codman MicroSensor™ ICP device: an analysis of 549 patients and 650 Sensors.

    abstract:BACKGROUND:Complications of and insertion depth of the Codman MicroSensor ICP monitoring device (CMS) is not well studied. OBJECTIVE:To study complications and the insertion depth of the CMS in a clinical setting. METHODS:We identified all patients who had their intracranial pressure (ICP) monitored using a CMS devic...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Koskinen LO,Grayson D,Olivecrona M

    更新日期:2013-11-01 00:00:00

  • Timing of surgery for ruptured supratentorial arteriovenous malformations.

    abstract:BACKGROUND:There are conflicting opinions regarding the optimal waiting time to perform surgery after rupture of supratentorial arteriovenous malformations (AVMs) to achieve the best possible outcome. OBJECTIVE:To analyze factors influencing outcomes for ruptured supratentorial AVMs after surgery, paying particular at...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hafez A,Oulasvirta E,Koroknay-Pál P,Niemelä M,Hernesniemi J,Laakso A

    更新日期:2017-11-01 00:00:00