Abstract：
:Background: Posterior fossa decompression both with and without duraplasty are accepted treatments for symptomatic adult patients with Chiari Malformations Type 1 (CM-1). There is still debate of the superiority of one technique over the other. The purpose of this study was to determine the clinical and craniometrical imaging outcomes of a series of patients who underwent posterior fossa decompression with duraplasty. Materials and methods: All adult patients with symptomatic CM-1 operated at a single institution with a minimum of 6 months follow-up were enrolled prospectively. Clinical outcomes and craniometrical parameters based upon MR imaging pre- and post-surgery were analyzed. Results: A series of 33 consecutive patients who met the inclusion criteria were enrolled; mean age of 33.93 ± 10 years (range 14-56 years). The most common preoperative complaint was headache. The most common clinical sign was sensory dysfunction which was relieved or improved in 63% of patients. The mean syringomyelia size had a significant reduction after the surgery (p = .01). The mean tonsillar descent also had significant reduction (p = .00). The mean McRae line length before the surgery and after that were 33.4 and 53.1 mm respectively that this change was not statistically significant (p = .42). The odontoid process parameters had no significant changes after surgery. Conclusions: Posterior fossa decompression surgery with duraplasty can improve both clinical and imaging outcomes such as syringomyelia size and tonsillar descent for patients with symptomatic CM-1. However, no significant difference was found in craniometrical parameters before and after the surgery.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Nikoobakht M,Shojaei H,Gerszten PC,Shojaei SF,Mollahoseini R,Azar Mdoi
10.1080/02688697.2019.1617407subject
Has Abstractpub_date
2019-10-01 00:00:00pages
481-485issue
5eissn
0268-8697issn
1360-046Xjournal_volume
33pub_type
杂志文章abstract：:Fifteen patients with simultaneous presentation of meningiomas with other intracranial tumours are reviewed. The associated tumours included a brain metastasis in six cases, glioma in three, pituitary adenoma in two, craniopharyngioma in one,acoustic schwannoma in two and brain lymphoma in one. A correct preoperative ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690500305548
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abstract：:A 46-year old female patient presented with a left-sided superior temporal quadrantanopia due to a recurrent craniopharyngioma. The location of the recurrence was unusual. Imaging showed an enlarged left optic nerve, suggestive of a recurrent intra-optic craniopharyngioma. It was possible to remove the tumour without ...
journal_title：British journal of neurosurgery
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doi：10.1080/02688697.2020.1760207
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abstract：:This report details an additional case of the very rare instance of a respiratory epithelium-lined intracerebral cyst without communication with the ventricular system. Immunohistologic analysis supports an epithelial rather than neuroectodermal origin. Management using endoneurosurgical techniques is described. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698909002838
更新日期：1989-01-01 00:00:00
abstract：:A series of 31 patients harbouring 33 glomus tumours of the skull base were treated by a posterolateral combined otoneurosurgical approach. Seventy-four percent of tumours were totally exercised. Only one case required a 2-staged procedure. Three patients were given postoperative radiotherapy. Twenty-eight patients ha...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698909001022
更新日期：1989-01-01 00:00:00
abstract：:The authors report a case of Paget's disease involving the skull with the rare but severe complications of hydrocephalus and syringomyelia related to basilar impression. Complications of Paget's disease of the skull are briefly discussed and current treatment strategies outlined. ...
journal_title：British journal of neurosurgery
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doi：10.1080/026886902320909178
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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
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abstract：:Venous oxygen saturation at the clinically dominant jugular bulb (SjO2) and that at the confluence of the cerebral sinuses (SccsO2) were compared by direct simultaneous blood sampling of 13 severely head injured patients. The side of dominant jugular bulb (JB) was determined by neck compression test. The right side wa...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699647276
更新日期：1996-08-01 00:00:00
abstract：:A combined approach for microvascular decompression of trigeminal neuralgia is reported. Arachnoid dissection of the cerebellar horizontal fissure (transhorizontal approach) allowed easy identification of the root exit zone of the trigeminal nerve. The superior semilunar lobule was pulled back rostrally so that retrac...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690020005536
更新日期：2000-12-01 00:00:00
abstract：:The aim of this randomized prospective study was to compare the efficacy of endoscopic versus standard microsurgical excision of pituitary adenomas, and to evaluate the merits and demerits of each approach. Twenty patients with a pituitary adenoma were randomly divided into two groups comprising of 10 cases each. Ten ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,随机对照试验
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更新日期：2007-08-01 00:00:00
abstract：:This paper describes the use of globus pallidus internus (Gpi) local field potentials recorded through pre-implanted deep brain stimulation (DBS) electrodes on a patient affected by generalized dystonia. The recordings were made both before and after radiofrequency-induced posteroventrolateral bilateral stereotactic p...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1054363
更新日期：2015-01-01 00:00:00
abstract：:Epidermoid tumours are rare intracranial tumours. They are commonly found in the cerebellopontine angle and the suprasellar region. However, they are also known to occur in other locations. Anterior interhemispheric fissure epidermoid cysts are rarer still, and calcification among epidermoids is considered unusual and...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690802109812
更新日期：2009-02-01 00:00:00
abstract：:We report four cases of the use of peroperative cortical mapping during craniotomy under local anaesthesia to define the relationship between the glioma and speech and somatosensory cortex. This enabled a radical subtotal (two cases) or an apparent total (two cases) excision of the tumour close to the somatosensory an...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699209002913
更新日期：1992-01-01 00:00:00
abstract：:The transnasal approach is the most utilized approach to the sellar region. This study was conducted to identify an anatomical landmark on the lateral surface of the head that corresponds to the midpoint of the sellar floor at the level of sphenoidal rostrum. This point, lined up with the nostril, simulates the surgic...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690802630056
更新日期：2009-06-01 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：:Gliomatosis cerebri (GC), which mainly consists of oligodendroglial tumour cells, is rare and six cases have been documented to date. We present a new case of oligodendroglial gliomatosis cerebri with a favourable response to combination treatment using surgery, radiotherapy and chemotherapy. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.1080/02688690410001732823
更新日期：2004-06-01 00:00:00
abstract：:Purpose: To investigate the incidence and risk factors of postoperative dysphagia after anterior cervical decompression and fusion (ACDF) in terms of demographic, procedural and anaesthetic perspectives.Materials and methods: Medical records and radiologic data of patients who underwent anterior cervical surgery perfo...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2020.1757037
更新日期：2020-08-01 00:00:00
abstract：:We report a case of a giant serpentine aneurysm of the right middle cerebral artery (MCA) that was treated by total excision of the aneurysm with cerebral blood flow control management. Four years later the patient presented with a three month history of headache and angiograms showed a new aneurysm on a different bra...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699746384
更新日期：1997-06-01 00:00:00
abstract：:CT images of an 18-year-old woman who had sustained head trauma after a motor vehicle accident are presented demonstrating the iatrogenic intracranial placement of a nasopharyngeal airway. Treatment required a decompressive craniectomy, removal of the nasopharyngeal airway under direct vision, and duraplasty. The pati...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1133804
更新日期：2016-08-01 00:00:00
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journal_title：British journal of neurosurgery
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journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698709023774
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journal_title：British journal of neurosurgery
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doi：10.1080/02688690701649488
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journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699309023812
更新日期：1993-01-01 00:00:00
abstract：:Non-traumatic 'spontaneous' CSF fistulae are uncommon. The clinical features of 23 patients treated for non-traumatic CSF fistulae are presented. Twenty of these patients had normal CSF pressure and six developed meningitis. Surgical repair of these fistulae is recommended in order to reduce the risk of meningitis. Fo...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699109005187
更新日期：1991-01-01 00:00:00
abstract：:Rupture of cerebral aneurysm during CT angiogram is a rare occurrence. Here we present such a case where an aneurysmal re-rupture during CT angiogram was demonstrated. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2011.584984
更新日期：2011-12-01 00:00:00
abstract：:We report a series of 14 patients who underwent partial or complete trigeminal nerve root section for chronic unremitting migrainous neuralgia. They had all suffered attacks with severe pain for over 18 months without remission (mean duration 5.5 years). Symptoms were refractory to extended medical intervention and ha...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699308995070
更新日期：1993-01-01 00:00:00
abstract：:Primary melanocytic tumors of the central nervous system (CNS) are rare lesions, but primary sellar tumors are rarer. Only 10 cases have been reported, and they are often misdiagnosed as pituitary macroadenoma. We report the case of a 54-year-old Chinese man who developed progressive bitemporal hemianopsia and visual ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.3109/02688697.2014.967752
更新日期：2015-04-01 00:00:00
abstract：:Microvascular decompression (MVD) is now recognized as an effective operation for the cure of trigeminal neuralgia (TN), and is far superior to the other surgical procedures utilized in the treatment of TN. TN is common in the elderly, but there is debate concerning MVD in 'elderly' patients. Some clinicians have a po...
journal_title：British journal of neurosurgery
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journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
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更新日期：2004-12-01 00:00:00
abstract：OBJECTIVE:Evidence suggests that reduction of nitric oxide (NO) bioavailability due to oxidative stress plays a central role in the pathophysiology of cerebral vasospasm after subarachnoid haemorrhage (SAH). To prevent SAH-induced cerebral vasospasm, therefore we used nebivolol hydrochloride as a NO-mediated vasodilato...
journal_title：British journal of neurosurgery
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doi：10.1080/02688697.2017.1297367
更新日期：2017-08-01 00:00:00
