Abstract:
BACKGROUND:The lower thoracic spine is a complicated area within the vertebral column because of its anatomic complexity and inaccessibility. A variety of surgical procedures have been applied to access lower thoracic spinal lesions. When hard compressive pathologies are located on the ventral side of the dura, existing surgical approaches have limitations and often have poor outcomes. OBJECTIVE:To describe a new operative technique, modified posterior laminectomy, and report the results of 3 consecutive cases. METHODS:First, posterior decompression was performed by laminectomy. The cutting burr was introduced to make a hole in the lateral vertebral body, and this hole was deepened and extended to make a cavity into the vertebra. Next, ventral dural decompression was performed using a posterior approach with lateral auxiliary ports. A lateral auxiliary port was made about 10 to 12 cm away from the midline and dilated toward the midline in a diagonal fashion. The cutting burr was inserted along the port and used for further drilling out. An opposite port was made, and the same procedure was repeated until both sides were in communication. The compressive lesion was then dissected and removed with minimal retraction of the dural sac. Finally, the corresponding segments were stabilized. RESULTS:Complete removal of the lesion was achieved in all 3 patients without neurological deterioration or surgery-related complications. CONCLUSION:Circumferential decompression through a posterior approach with lateral auxiliary ports is simple and easy to apply with posterior laminectomy. This new operative technique is a safe, effective, and less invasive approach to ventral dural compressive lesions in the lower thoracic region.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Lee SE,Jahng TA,Chung CK,Kim HJdoi
10.1227/NEU.0b013e31823261b0subject
Has Abstractpub_date
2012-06-01 00:00:00pages
221-9issue
2 Suppl Operativeeissn
0148-396Xissn
1524-4040journal_volume
70pub_type
杂志文章,评审相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:Preoperative magnetic resonance imaging (MRI) myelography scans demonstrated a dural defect in a 50-year-old man with an epidural arachnoid cyst who had a 29-year history of untreated weakness and numbness both lower limbs. METHODS:MRI scans showed a dorsal intraspinal extradural cystic lesion at the level f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000232659.56174.28
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Neurofibromas are benign neural sheath tumors arising from intraneural supporting cells. Such tumors are characteristic of neurofibromatosis Type I (von Recklinghausen disease) but also occur sporadically. Vascular involvement by neurofibromata is rare, but has been described in the past in the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000210293.67328.A7
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:The synergistic effect of clonidine with bupivacaine, well established in peripheral nerve blocks, remains controversial in local field block for postoperative analgesia. OBJECTIVE:To investigate the potential analgesic benefit of adding clonidine to bupivacaine during preincisional field block in posterior...
journal_title:Neurosurgery
pub_type: 杂志文章,随机对照试验
doi:10.1093/neuros/nyx313
更新日期:2018-06-01 00:00:00
abstract::The cases of a father and his son who were diagnosed with pathologically confirmed colloid cysts of the third ventricle are presented. The familial occurrence of this tumor is rare and suggests that genetic factors may play a role in its formation. Consistent with the concept that the cyst originates as a developmenta...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199602000-00033
更新日期:1996-02-01 00:00:00
abstract:OBJECTIVE:Ollier disease (OD) and Maffucci syndrome are closely related, very rare syndromes, that are both associated with multiple sites of chondrodysplasia. They differ primarily with the additional association of Maffucci syndrome with vascular abnormalities, including hemangiomas. Both are associated with chondros...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000356984.92242.D5
更新日期:2009-12-01 00:00:00
abstract::This retrospective review of pediatric patients with pituitary tumors causing onset of symptoms by 17 years of age was done to define their pathological distribution, clinical presentation, treatment, and prognosis. Eighteen patients were evaluated and treated from 1979 to 1989. Five had Cushing's disease and 13 had p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199110000-00004
更新日期:1991-10-01 00:00:00
abstract:BACKGROUND:Microsurgical resection of arteriovenous malformations (AVMs) located in the language and motor cortex is associated with the risk of neurological deterioration, yet electrocortical stimulation mapping has not been widely used. OBJECTIVE:To demonstrate the usefulness of intraoperative mapping with language/...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318207a9a7
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:A single-stage combined craniofacial-transfacial approach that exposes the midline cranial base without visible facial incisions is described. METHODS:Between 1992 and 1998, eight patients underwent surgery for five different anterior cranial base pathological findings: four angiofibromas, one mesenchymal ch...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144209.03703.c6
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Haptoglobin (Hp) genotype has been shown to be a predictor of clinical outcomes in subarachnoid hemorrhage. Cerebral salt wasting (CSW) has been suggested to precede the development of symptomatic vasospasm. OBJECTIVE:To determine if Hp genotype was associated with CSW and subsequent vasospasm after aneurys...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001000
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Magnetic resonance with diffusion tensor image (DTI) may be able to estimate trajectories compatible with subcortical tracts close to brain lesions. A limit of DTI is brain shifting (movement of the brain after dural opening and tumor resection). OBJECTIVE:To calculate the brain shift of trajectories compat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31821a8555
更新日期:2011-09-01 00:00:00
abstract::The parameters of hematoporphyrin-derivative (HpD) photocytotoxicity of human glioma cells in cell culture were studied to determine the optimum wavelength and power density of light, to investigate the influence of tissue oxygenation, and to evaluate the role of singlet oxygen and free radicals in producing cell deat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00002
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVE:Hemangioblastomas are the most common primary intra-axial tumors of the adult posterior fossa and the tumors most often associated with von Hippel-Lindau disease. Resection of cerebellar hemangioblastomas involves tumor excision and drainage of associated cysts. The cyst wall is considered devoid of tumor cel...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000333313.33296.02
更新日期:2008-06-01 00:00:00
abstract::While the efficacy of Intravenous tissue plasminogen activator (tPA) is well established, its impact on large vessel occlusion (LVO) is controversial. Whether IV tPA should be bypassed in favor of endovascular thrombectomy (MT) will be addressed. Compelling evidence exists to suggest tPA administration might be bypass...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz083
更新日期:2019-07-01 00:00:00
abstract::An alcoholic man who was admitted with an acute onset of neck pain and confusion was diagnosed as suffering from a subarachnoid hemorrhage after rupture of an anterior communicating artery aneurysm. Additionally, he showed a bilateral 6th nerve palsy of variable extent. The postoperative course was complicated by pulm...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199304000-00028
更新日期:1993-04-01 00:00:00
abstract:OBJECTIVE:Interstitial infusion, a form of local delivery that bypasses the blood-brain barrier, has been shown to afford high regional concentrations of a therapeutic molecule while avoiding systemic exposure. The distribution of monoclonal antibodies administered via interstitial infusion has not been characterized, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000334052.60634.84
更新日期:2008-12-01 00:00:00
abstract::A case of tumoral calcium pyrophosphate dihydrate crystal deposition disease involving the upper cervical spine is reported. It presented clinically, radiographically, and by preliminary intraoperative pathological evaluation as a possible malignant soft tissue tumor. An aggressive resection of the lesion was performe...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199508000-00023
更新日期:1995-08-01 00:00:00
abstract::A 60-year-old woman presented with a history of headache and rapidly progressive complete bilateral ophthalmoplegia. Her endocrine function was normal. Radiographic studies revealed signs of diffuse destruction of the sella turcica by a tumor without suprasellar extension. Biopsies of the lesion within the sphenoid si...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:To assess whether the development of delayed ischemic deficits (DIDs) after aneurysmal subarachnoid hemorrhage can be predicted using transcranial Doppler ultrasonography and the transient hyperemic response test (THRT). METHODS:An increase in the middle cerebral artery peak flow velocity (FV) of more than 9...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200010000-00004
更新日期:2000-10-01 00:00:00
abstract::Reliable Assessment of the probability that a head injury patient harbors a surgical intracranial lesion is critical to both triage and treatment. The authors analyzed data from 608 patients with severe head injuries (Glasgow Coma Scale score, < or = 8) in the Traumatic Coma Data Bank to assess the reliability of pupi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199405000-00008
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:Major steps in the evolution of advanced neurosurgical techniques include microneurosurgery, neuroendoscopy and its minimally invasive variations, neuronavigation, and advanced intraoperative imaging. With traditional neuroendoscopic techniques (e.g., freehand endoscopy or the use of mechanical arms), definit...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-12-01 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: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:BACKGROUND:Achieving seizure control in patients with low-grade temporal lobe gliomas or glioneuronal tumors remains highly underappreciated, because seizures are the most frequent presenting symptom and significantly impact patient quality-of-life. OBJECTIVE:To assess how the extent of temporal lobe resection influen...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e31823c3a30
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:We report the initial results of a pilot clinical trial exploring the safety and feasibility of the first real-time magnetic resonance-guided laser-induced thermal therapy of treatment-resistant focal metastatic intracranial tumors. METHODS:Patients with resistant metastatic intracranial tumors who had previ...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000335007.07381.df
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:Nonvestibular schwannomas are uncommon tumors of the brain. Trigeminal nerve schwannomas are the most common of this group, followed by glossopharyngeal, vagal, facial, accessory, hypoglossal, oculomotor, trochlear, and abducens nerve schwannomas, in descending order of frequency. We present a series of nonve...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200203000-00002
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury (TBI) is a risk factor for Alzheimer disease (AD), a neurocognitive disorder with similar cellular abnormalities. We recently discovered a small molecule (Peptide 6) corresponding to an active region of human ciliary neurotrophic factor, with neurogenic and neurotrophic properties in m...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000577
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:To review a single-institution's 12-year experience of treating malignant gliomas with linear accelerator-based radiosurgery. METHODS:One hundred patients were treated for malignant gliomas at the University of Florida between May 1, 1989, and June 12, 2002. Patient variables were entered into a radiosurgery...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000170560.13251.99
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Flow diversion with the pipeline embolization device (PED) is an emerging endovascular technology allowing curative embolization of very large and giant intracranial aneurysms. Many patients with these complex aneurysms are older. The presence of a tortuous type III aortic arch reduces the cha...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31827e0d67
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Although there are several large-species animal models for saccular aneurysms, there is a need for a simple, reproducible saccular aneurysm model in mice. OBJECTIVE:To develop a murine saccular aneurysm model, which replicates key characteristics that occur in the formation of human cerebral aneurysms. MET...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000365616.46414.2B
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Craniopagus parasiticus is an extremely rare condition. The first attempt to separate such twins was performed in the Dominican Republic in 2004. The infant died 7 hours after surgery. The aim of this report is to present a case in which surgical separation was successfully performed on February 18, 2005. In ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000245587.23710.A6
更新日期:2006-11-01 00:00:00