Abstract：
:Objective: Contralateral C7 nerve root transfer surgery has been successfully applied to rescue motor function of a hemiplegic upper extremity in patients with central neurological injury. This surgical technique is challenging, and limited anatomical space makes it difficult to manipulate tissues and may lead to higher complication rates. The authors hypothesis a new surgical route in which cervical nerve roots of both donor and recipient sides are exposed from a posterior intradural approach and neurorrhaphy is performed easily and clearly. The feasibility of this operation is tested in a cadaver model. Methods: A fresh cadaver was placed prone. After a standard midline incision and extensive cervical laminectomy, the dura and arachnoid were widely opened, and the spinal nerve roots of C6, C7, and C8 were exposed bilaterally. Nerve grafting was attempted between pairs of donor and recipient nerve roots on contralateral sides of the spinal cord. After completion of neurorrhaphy, the dura was closed. Results: Precise neurorrhaphy could be performed intradurally between posterior and anterior nerve roots of C7 on both sides. Multiple anastomoses of C7 to various nerve roots on the contralateral side could also be performed within the same surgical field with an interposition nerve graft. Conclusion: The posterior intradural repair idea affords many advantages, the pathway is shorter and more straightforward, which provides more access to multiple nerve roots repair in one surgical field, and is more familiar to many neurosurgeons and spine surgeons. It may potentially be adapted for clinical use.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Jiang S,Chen W,Shen YD,Qiu YQ,Yu AP,Xu WDdoi
10.1080/02688697.2018.1552754subject
Has Abstractpub_date
2019-08-01 00:00:00pages
413-417issue
4eissn
0268-8697issn
1360-046Xjournal_volume
33pub_type
杂志文章abstract：BACKGROUND:Determining neurological level of injury (NLI) is of paramount importance after spinal cord injury (SCI), although its accuracy depends upon the reliability of the neurologic examination. Here, we determine if anatomic location of cervical cord injury by MRI (MRI level of injury) can predict NLI in the acute...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1056089
更新日期：2016-01-01 00:00:00
abstract：:A 34-year-old male sustained a unilateral avulsion fracture through the origin of the transverse atlantal ligament following a road traffic accident. This was successfully treated in a rigid neck collar for 8 weeks. Injuries to the transverse atlantal ligament are often associated with significant bony injury and atla...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690400005164
更新日期：2004-08-01 00:00:00
abstract：:OCT4 expresses variably in primary intracranial germinomas. In this study, we tested our hypothesis that such variation of OCT4 is predictive of outcome in primary intracranial germinomas. Thirty-one histologically identified CNS germinoma patients were enrolled in our study. We collected medical data, immunohistochem...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2011.605483
更新日期：2012-04-01 00:00:00
abstract：:We investigated subdural pressure gradients within the operative field of the exposed intact dura in 53 patients with space-occupying lesions during craniotomy. In 37 patients with supratentorial brain tumour paired measurements of subdural pressure were studied in either the same horizontal or vertical plane. In 16 p...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/026886900408414
更新日期：2000-06-01 00:00:00
abstract：:Objective: Delayed cerebral ischemia (DCI) and seizures are dreaded neurological complications following aneurysmal subarachnoid hemorrhage (SAH). They may lead to severe mortality or mobility. Continuous electroencephalography (cEEG) is quite useful for secondary brain injury monitoring. This study aims to assess the...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2019.1630547
更新日期：2020-10-01 00:00:00
abstract：:A theoretical evaluation of the lifetime probabilities of different outcomes in patients with unruptured intracranial aneurysms (UA) has been made using a life table method. The calculations were performed for aneurysm presenting ages from 20 to 70 years of age for men and women assuming an annual risk of aneurysm rup...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698809001009
更新日期：1988-01-01 00:00:00
abstract：:We describe the unique case of a 51-year-old lady who developed a contralateral lumbosacral plexopathy two days after a lumbar microdiscectomy. This is the first report to date of this complication occurring following this procedure. We review the literature regarding lumbosacral plexopathy and discuss the evidence ba...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2018.1429568
更新日期：2020-08-01 00:00:00
abstract：:Cerebral syphilitic gumma is extremely rare and easily misdiagnosed. We illustrate a case of a cerebral syphilitic gumma developed in just a few months mimicking a brain tumor in a HIV-negative patient and Treponema pallidum was detected in the cerebral syphilitic gumma. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2016.1173190
更新日期：2017-08-01 00:00:00
abstract：:Oxygen extraction fraction images were superimposed on cerebral blood flow images of positron emission tomography (PET) to depict the so-called misery perfusion area in two patients with moyamoya disease. The superimposed image following extra-intracranial bypass surgery was obtained in one case, which convincingly di...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699844880
更新日期：1998-08-01 00:00:00
abstract：:A retrospective study of the surgical management of 41 cerebellopontine angle (CPA) meningiomas was performed. All patients were treated by a single surgeon (TTK) over a 25 year period (1967-1992). There were 13 males, 28 females with a median age of 53.5 years. The median follow-up after surgery was 9 years (range 2-...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699650040539
更新日期：1996-02-01 00:00:00
abstract：:Purpose: The 2016 WHO tumour classification highlights the role of IDH1/2 gene mutation and 1p/19q co-deletion in classifying grade II/III gliomas. A recent cIMPACT-NOW update proposes the use of the term 'Not Elsewhere Classified' (NEC) for IDH-mutant, non co-deleted tumours. Here we show how the incorporation of ATR...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2019.1600657
更新日期：2019-10-01 00:00:00
abstract：:An adaptation of bungee jumping, 'bungee running', involves participants attempting to run as far as they can whilst connected to an elastic rope which is anchored to a fixed point. Usually considered a safe recreational activity, we report a potentially life-threatening head injury following a bungee running accident...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2011.625508
更新日期：2012-04-01 00:00:00
abstract：:Objective: Meta-analysis to evaluate complications in the use of autogenous bone and bone substitutes and to compare bone substitutes, specifically HA, polyetheretherketone (PEEK) and titanium materials.Methods: Search of PubMed, Cochrane, Embase and Google scholar to identify all citations from 2010 to 2019 reporting...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,meta分析
doi：10.1080/02688697.2020.1742291
更新日期：2020-08-01 00:00:00
abstract：INTRODUCTION:Our aim was to evaluate the routine use of a pedicled nasoseptal flap (NSF) as a primary repair for intra-operative CSF leaks compared with fat/fascia lata graft and lumbar drain insertion by performing a retrospective review of elective patients undergoing primary trans-sphenoidal surgery from January 200...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2013.795525
更新日期：2013-12-01 00:00:00
abstract：:We report a case of plasma cell granuloma which is a rare intracranial tumour showing plasma cell infiltration. It mimics meningioma and solitary plasmacytoma clinically and radiologically. Clinical presentation, diagnostic investigations and management are discussed with a review of the literature. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.1080/02688690050175382
更新日期：2000-10-01 00:00:00
abstract：:We report the case of a young woman who developed brain swelling during an ultrasound-guided craniotomy for tumour. A contralateral acute extradural haematoma was identified with the ultrasound and removed. No cause for the extradural was found. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2010.550964
更新日期：2011-06-01 00:00:00
abstract：:Thoracic complications of ventriculoperitoneal (VP) shunt are very rare. We report an unusual case of VP shunt intrathoracic migration, associated with symptomatic hydrothorax. The patient was successfully managed with revision. We reviewed the 10 cases reported in the literature and discussed the mechanism of shunt-t...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690410001681046
更新日期：2004-04-01 00:00:00
abstract：:Coexistence of cerebral aneurysm and untreated craniopharyngioma is extremely rare. We present an extremely rare case of anterior cerebral artery dissecting aneurysm associated with untreated craniopharyngioma, and discuss the relationship between these two lesions. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2012.701677
更新日期：2013-02-01 00:00:00
abstract：:We present a case of cervical intramedullary sarcoidosis. A 56 year old woman presented with progressive paraesthesia affecting the lower limbs. MRI revealed an intramedullar lesion from C4-C7. A laminectomy and subtotal resection was carried out for this presumed intramedullary tumour. Pathology revealed this to be a...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.1080/02688690400022920
更新日期：2004-12-01 00:00:00
abstract：:Chiari malformations are a pathological continuum of hindbrain maldevelopment and Chiari I malformation (CMI) represents caudal decent of cerebellar tonsils. The surgery aims to relieve tonsillar compression with restoration of the normal cerebrospinal (CSF) flow dynamics. We report the salient features of our surgica...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690801894638
更新日期：2008-06-01 00:00:00
abstract：:Existing techniques for lengthening a peritoneal catheter require a formal laparotomy, and exploration for the catheter which is then extended by the addition of a necessary length. We describe a simplified technique which is quicker and which in co-operative patients can be done under local anaesthesia on an out-pati...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699208995037
更新日期：1992-01-01 00:00:00
abstract：UNLABELLED:Object/Background: Vasospasm is a common cause of mortality and morbidity following rupture of intracranial aneurysm. Hemodynamic therapy instituted in these patients in the past has been replaced by direct manipulation of the spastic vessels by angioplasty and intra-arterial infusion of vasodilators. Howeve...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2016.1161172
更新日期：2016-08-01 00:00:00
abstract：:Cortical thermal clearance was used during surgery for clipping of a giant middle cerebral artery (MCA) aneurysm. During prolonged continuous proximal MCA occlusion thermal clearance remained normal, indicating sufficient collateral blood supply. Postoperatively the patient had no neurological deficit. This monitoring...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699308995097
更新日期：1993-01-01 00:00:00
abstract：:Establishing standardized methods to assess outcome is needed to measure the effectiveness of surgery in relieving symptoms and improving quality of life. We prospectively studied 203 patients undergoing primary lumbar discectomy. Data was collected before surgery, at 3 months postoperatively and at long-term follow-u...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690701477310
更新日期：2007-08-01 00:00:00
abstract：:Purpose: Today, stereotactic surgery (SRS) is among the treatment options for many intracranial lesions including vascular pathologies. One of the most common late complications of SRS is perilesional edema which can be treated with steroids. In addition to steroids, some new medical therapies are being investigated a...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2020.1742294
更新日期：2020-03-27 00:00:00
abstract：:Neuroendoscopy is increasingly used in the management of brain tumours and tumour related hydrocephalus and this study reviews the efficacy of neuroendoscopic interventions in this unit in patients with brain tumours. A series of 87 neuroendoscopic operations carried out in 77 patients with brain tumours over a 6-year...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/0268869021000030276
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Percutaneous balloon compression (PBC) has been widely used in the treatment of trigeminal neuralgia. However, this technique has a steep learning curve and significant complications were reported that were related to foramen ovale puncturing. The aim of this study was to evaluate the clinical results of a s...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1019418
更新日期：2015-01-01 00:00:00
abstract：:A 72-year-old woman previously operated for a sphenoid-ridge meningioma, now presented with double vision. Histology showed a secretory meningioma with an epithelial-appearing, malignant component. Malignant transformation in a secretory meningioma is not known. This is the first report of such an occurrence. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690600875432
更新日期：2006-08-01 00:00:00
abstract：:The authors report the rare and first documented case of concomitant microvascular decompression of trigeminal, facial and glossopharyngeal nerves for the management of intractable to medical therapy acute onset of trigeminal neuralgia, facial paresis and dysphagia after mild head injury. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2013.815327
更新日期：2014-01-01 00:00:00
abstract：:Sixteen patients with surgical infection of the posterior fossa are presented. There were 14 patients with cerebellar abscess, one patient with a solitary posterior fossa subdural empyema, and another with a combined cerebellar abscess and subdural empyema. Two of the cerebellar abscess patients also had supratentoria...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699408995113
更新日期：1994-01-01 00:00:00
