Abstract:
BACKGROUND:Temporal lobe arteriovenous malformations (AVMs) represent a subgroup of intracranial AVMs with particular characteristics and management issues. OBJECTIVE:To characterize the surgical outcomes of temporal lobe AVMs with emphasis on visual field deficits (VFDs) and seizures. METHODS:Between 1992 and 2008, 29 patients were operated on for temporal lobe AVMs. Patient data were retrospectively collected and analyzed. RESULTS:Twelve of 29 patients (41.4%) presented with seizures and 4 (13.7%) presented with VFDs. Postoperatively, 6 patients (24%) showed new VFDs and 2 improved, with a rate of preservation of full visual fields of 84%. Larger AVMs (> 3 cm) were significantly associated with postoperative VFD (P = .008). Epilepsy outcomes assessed by the Engel scale were as follows: 9 patients (75%) were in class I (seizure free), 1 patient (8.3%) was in class III, and 2 patients (16.6%) were in class IV (no change or worsening). Postoperative modified Rankin Scale outcomes were excellent (grade 0-1) in 18 patients, good (grade 2) in 7, and poor (grade 3-4) in 4. Older age at diagnosis correlated with a worse functional outcome (Spearman ρ = 0.369; P = .049). AVMs were totally removed in 27 of 29 patients (93.1%). Complete surgical excision was confirmed with angiography. Two patients needed reoperation for AVM remnant. Three patients had persistent hemiparesis (10.3% permanent morbidity). There was no mortality. CONCLUSION:Seizure control is usually underappreciated in the surgical management of AVMs. However, in temporal lobe AVMs, good outcomes with low morbidity and good visual field preservation can be accomplished.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Lopez-Ojeda P,Labib M,Burneo J,Lownie SPdoi
10.1227/NEU.0000000000000122subject
Has Abstractpub_date
2013-11-01 00:00:00pages
854-62; discussion 862; quiz 862issue
5eissn
0148-396Xissn
1524-4040journal_volume
73pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract::Multiple thoracic disc herniation is rare, and one of the main problems in its treatment has been the lack of accuracy in diagnostic tests. Now, with the advent of computed tomographic scanning with metrizamide in the subarachnoid space, the accuracy has been greatly improved. With computed tomographic scanning, the t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198806010-00016
更新日期:1988-06-01 00:00:00
abstract:OBJECTIVE:Percutaneous endoscopic transforaminal discectomy is often used as a minimally invasive procedure for lumbar disc herniation. However, a transforaminal approach posts limitations at the L5-S1 level owing to anatomic constraints, such as a high iliac crest or small intervertebral foramen and especially for mig...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000192713.95921.4a
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Minimal clinically important difference (MCID) is determined when a patient or physician defines the minimal change that outweighs the costs and untoward effects of a treatment. These measurements are "anchored" to validated quality-of-life instruments or physician-rated, disease-activity indices. To capture...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa490
更新日期:2020-12-28 00:00:00
abstract:BACKGROUND:Neonatal germinal matrix hemorrhage/intraventricular hemorrhage is common and often results in hydrocephalus. The pathogenesis of posthemorrhagic hydrocephalus is not fully understood. OBJECTIVE:To explore the potential role of hemoglobin and iron released after hemorrhage. METHODS:Artificial cerebrospinal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000524
更新日期:2014-12-01 00:00:00
abstract::The author looks back on his more than 70 years of familiarity with Americans involved in warfare, noting their loyal support for our country's objectives. Drawing on the Einstein equation, his own visits to Hiroshima and Nagasaki, and current literature, he, as a physician, belatedly concurs with those who look on th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198304000-00001
更新日期:1983-04-01 00:00:00
abstract:OBJECTIVE:The development of delayed ischemia caused by cerebral vasospasm remains a common cause of morbidity and mortality after aneurysmal subarachnoid hemorrhage. Preliminary studies suggest that 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) may decrease the risk of vasospasm, but additional ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000316009.19012.e3
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:A variety of imaging strategies may be used to derive reliable stereotactic coordinates when performing deep brain stimulation lead implants. No single technique has yet proved optimal. OBJECTIVE:To compare the relative accuracy of stereotactic coordinates for the subthalamic nucleus (STN) derived either fr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318222ae33
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:Gamma knife surgery (GKS) has become established as a minimally invasive treatment modality for patients with vestibular schwannomas. Treatment failure and/or tumor regrowth, however, is occasionally encountered, and microsurgical resection is usually warranted in such cases. The role of repeat GKS in these s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000327692.74477.D5
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Glioblastoma (GBM) is the most common malignant brain tumor in adult patients. Tumor recurrence commonly occurs around the resection cavity, especially after subtotal resection (STR). Consequently, the extent of resection correlates with overall survival (OS), suggesting that depletion of postoperative tumor...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy156
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:Endovascular treatment of intracranial aneurysms is less invasive than surgical repair but poses a higher risk for aneurysm recurrence, which may necessitate retreatment, thus adding to the long-term risk. Cerebrovascular neurosurgeons from 8 institutions in the United States and Puerto Rico collaborated to a...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000349922.05350.96
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Stereotactic radiosurgery (SRS) is used commonly for patients with brain metastases (BM) to improve intracranial disease control. However, survival of these patients is often dictated by their systemic disease course. The value of SRS becomes less clear in patients with anticipated short survival. OBJECTIVE...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx346
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Transcranial Doppler (TCD) ultrasonography is an important tool for noninvasive detection and monitoring of vasospasm and other pathological conditions of the intracranial vessels. OBJECTIVE:To demonstrate that image-guided TCD allows rapid identification and blood-flow analysis of specific sections of the ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821553b2
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:Cognitive decline occurs in 25% of patients after carotid endarterectomy (CEA). Elevated serum concentrations of S-100B and neuron-specific enolase (NSE) occur after stroke, and serum S-100B levels at 24 hours are associated with clinical outcome after both stroke and CEA. We hypothesized that we could detect...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000093493.16850.11
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:An excruciating headache of instantaneous onset is known as a thunderclap headache. A subarachnoid hemorrhage is the prototypical cause, but other serious disorders may also present with a thunderclap headache, including cerebral venous sinus thrombosis, carotid artery dissection, and pituitary apoplexy. We r...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200103000-00009
更新日期:2001-03-01 00:00:00
abstract::The first half of the 20th century witnessed the rapid emergence of neurological surgery as a surgical subspecialty. Only few surgeons made a name for themselves equally in general surgery and neurological surgery. One of them was the Swiss surgeon Theodor Kocher (1841-1917). He was honored with the Nobel Prize for hi...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.NEU.0000344003.72056.7F
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:In recent years, stereotactic radiosurgery has been growing in popularity as a treatment modality for metastatic disease to the brain. The technique has advantages of reduced cost and low morbidity compared with open surgical treatment. Furthermore, it avoids the potential cognitive side effects of fractionat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200008000-00003
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:As brain temperature is reported to be extensively higher than core body temperature in traumatic brain injury (TBI) patients, posttraumatic hyperthermia is of particular relevance in the injured brain. OBJECTIVE:To study the influence of prophylactic normothermia on brain temperature and the temperature gr...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/NEU.0b013e318208f5fb
更新日期:2011-04-01 00:00:00
abstract::Intraventricular tension pneumocephalus is an unusual complication of surgically treated hydrocephalus. This is a life-threatening complication requiring prompt diagnosis and treatment. A case is presented wherein tension pneumocephalus developed as a result of cervicocranial subcutaneous emphysema in the presence of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00016
更新日期:1984-10-01 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::The source of bleeding remains obscure in most cases of subarachnoid hemorrhage (SAH) with a negative angiogram. From January 1, 1989, to July 1, 1993, 40 patients were admitted to the Massachusetts General Hospital with angiogram-negative SAH; 9 of these patients underwent surgical exploration. In seven of these expl...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199507000-00007
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:Nerve transfers in cases of brachial plexus traction injuries with avulsion of spinal nerve roots or irreparable proximal lesions of spinal nerves have been attempted using a variety of donor nerves. The purpose of this study was to analyze the results of nerve transfers to the musculocutaneous and axillary n...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::Endovascular neurosurgical procedures are complex, requiring significant planning, foresight, and coordination. The neuroanesthetist is an integral part of these procedures, organizing efforts of the technicians and nurses and responding to the needs of the neurointerventionalist. The purpose of this article is to rev...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000237337.38375.90
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:A unique case of spontaneous pneumocephalus is described. It appeared a few years after the uneventful introduction of a cerebrospinal fluid shunt and was probably attributable to a defect of the posterior mastoid plate. CLINICAL PRESENTATION:A 65-year-old man presented with a subacute onset o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-200004000-00048
更新日期:2000-04-01 00:00:00
abstract::Although the prognoses of children with medulloblastoma have improved dramatically over the last several decades, the reported survival for very young children with this tumor remains poor. We undertook a retrospective review of patients less than 36 months of age at the time of the diagnosis of a medulloblastoma who ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract:OBJECTIVE:To review our experience of managing idiopathic normal pressure hydrocephalus (iNPH) during the 6-year period from 2002 to 2007, when intracranial pressure (ICP) monitoring was part of the diagnostic workup. METHODS:The review includes all iNPH patients undergoing diagnostic ICP monitoring during the years 2...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000363408.69856.B8
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:Acquired immunity has been demonstrated in Fischer rats bearing syngeneic 9L tumors after herpes simplex virus (HSV) thymidine kinase (TK) gene transfection and ganciclovir treatment. The nature of this immunity in rats and its relevance to the HSV TK/ganciclovir protocol for human subjects remain to be deter...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200109000-00028
更新日期:2001-09-01 00:00:00
abstract::An extremely rare case of a basioccipital meningocele causing obstruction of the upper airway in a neonate is described. A transoral approach was used to remove the meningocele and repair the dural fistula. Bilateral posterior lateral pharyngeal releasing incisions were made to allow mucosal and muscle coverage over t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198909000-00027
更新日期:1989-09-01 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::Animal bite is a common cause of craniofacial injuries in children. Whereas scalp lacerations from animal bites are often extensive and severe, only four instances of compound depressed skull fractures from animal bites have been reported. A case of a dog bite to the head of an infant is presented to point out the pot...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198110000-00015
更新日期:1981-10-01 00:00:00
abstract:BACKGROUND:Spinal cord cavernous malformations (CMs) are associated with 2 types of angiographically occult "cryptic venous anomalies," which differ in location with respect to the spinal cord. The anatomic distinction between superficial and intramedullary is important in that the latter heighten the risks of CM resec...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31825d8f9a
更新日期:2012-09-01 00:00:00