Abstract:
OBJECTIVE:To report a series of patients with aneurysmal subarachnoid hemorrhage (SAH) and associated intracranial hematoma (ICH) who underwent coiling of the aneurysm followed immediately by open surgical decompression with evacuation of the hematoma. METHODS:With the hypothesis that aneurysm coiling before hematoma evacuation may simplify surgery, prospectively collected data at two neurovascular institutions were retrospectively reviewed. Patients with aneurysmal SAH and associated ICH who underwent combined endovascular and open surgery were identified; only cases of coiling before open surgery were analyzed. Relevant information was collected from medical records and imaging studies for analysis. The Glasgow Outcome Scale (GOS) was used to evaluate clinical outcome. RESULTS:There were 30 patients who were treated with endovascular obliteration of aneurysms followed by surgical decompression (9 men and 21 women; mean age 50 years). Patients presented with Hunt and Hess (H&H) grade 3 or higher except for one patient who presented initially with grade 1 and deteriorated to grade 5 after rerupture and before treatment. At discharge, GOS scores were as follows: 1 in 5 patients, 2 in 1 patient, 3 in 22 patients, and 4 in 2 patients. At a mean follow-up of 18 months (range 3-60 months), 28 patients had an outcome that could be evaluated, and GOS scores were as follows: 1 in 6 patients, 3 in 5 patients, 4 in 8 patients, and 5 in 9 patients. One patient required retreatment for aneurysm recurrence; no patient had aneurysm rerupture. CONCLUSIONS:In selected patients with aneurysmal SAH and associated ICH, reasonable outcomes can be achieved using aggressive control of intracranial pressure (ICP) with combined endovascular and open surgical techniques. Endovascular aneurysm obliteration before surgical decompression represents a paradigm in the management of ruptured aneurysms associated with ICH and can transform surgery to a simple decompression. In expert hands, consecutive procedures can be performed rapidly with 60.7% of patients having a favorable outcome (GOS score of 4 or 5) and becoming independent.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Tawk RG,Pandey A,Levy E,Liebman K,Rosenwasser R,Hopkins LN,Veznedaroglu Edoi
10.1016/j.wneu.2010.06.051subject
Has Abstractpub_date
2010-12-01 00:00:00pages
626-31issue
6eissn
1878-8750issn
1878-8769pii
S1878-8750(10)00350-5journal_volume
74pub_type
杂志文章abstract:BACKGROUND:During the past few years, the field of endovascular surgical neuroradiology has been expanding. Neurosurgeons, radiologists, and neurologists are currently being trained. We analyzed data from a national survey of endovascular training programs to assess the current training status and future projections. ...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2010.04.006
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:In academic specialties such as neurosurgery, bibliometrics are often used to guide readers, academic institutes, and researchers to make objective assessment of journals. Recently, new indices have been developed to overcome the shortcomings of the widely used Impact Factor. The objective of our study was t...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.07.144
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Treatment of hydrocephalus related to myelomeningocele (MM) is debated. Endoscopic third ventriculostomy (ETV) has been proposed with contrasting results. We report our experience in the management of hydrocephalus related to MM and the advantages of ETV. MATERIAL AND METHODS:From 1994 to 2012, we treated...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2015.07.071
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Severe traumatic brain injury (TBI) is a major cause of death and disability worldwide. Prospective TBI data from sub-Saharan Africa are sparse. This study examines epidemiology and explores management of patients with severe TBI and adherence to Brain Trauma Foundation Guidelines at a tertiary care referral...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.05.101
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:In acute ischemic stroke with large vessel occlusion, the interaction between the clot retriever and the stent is critical for achieving successful recanalization. The ideal time of stent deployment (dwell time [DT]) to improve revascularization is currently unknown. We systematically analyzed the effect of d...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.10.155
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The nomenclature adopted for endoscopic medial maxillectomies (EMMs) is exceedingly heterogeneous. The aim of this study was to objectively measure surgical exposure in a preclinical anatomic setting to validate a classification for modular EMMs. MATERIALS AND METHODS:Computed tomography was used to scan 6 ...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2016.12.094
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Epidural hematomas (EDHs) involving the venous sinuses are uncommon and carry the risk of hemorrhage or venous infarction. We report the largest case series for superior sagittal sinus- and transverse sinus-related EDHs including surgical and nonsurgical management. We compare our findings to the relevant li...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2020.02.089
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:Although extreme lateral interbody fusion (XLIF) largely provides successful indirect decompression, some patients have recurrent same-level pain and functional disability. Identifying risk factors for this failure would facilitate better patient selection and improve outcomes. The aim of this study is to ide...
journal_title:World neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.wneu.2017.07.045
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:Anterior skull base neoplastic and vascular lesions can receive significant blood supply from the anterior and posterior ethmoidal artery. Although useful in preoperative embolization of middle meningeal artery branches, endovascular techniques for the occlusion of anterior ethmoidal artery expose the parent ...
journal_title:World neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.wneu.2015.06.005
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:White matter volume loss may be an anatomic driver in the development of clinical symptoms in cervical spondylotic myelopathy (CSM). Considerably less attention has been devoted to gray matter (GM) injury. Newly developed atlas-based mapping techniques may allow evaluation of GM cord volume alterations in CS...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2019.10.109
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery. METHODS:A retrospective review was performed of all patients with PD who underwent electi...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.09.028
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To investigate initial pain relief and subsequent recurrence after percutaneous balloon compression (PBC) and describe its association with the nature of trigeminal pain, previous procedures, or other clinical factors. METHODS:A total of 222 patients with medically refractory trigeminal pain treated with PBC...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.03.111
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Spinal tuberculosis is the most common form of tuberculosis affecting bone and often needs surgical treatment. Single anterior, single posterior, and combined anterior and posterior approaches are the 3 most commonly used approaches in surgical treatment. Clinically, the choice of optimal surgical approach r...
journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2020.12.023
更新日期:2020-12-11 00:00:00
abstract:BACKGROUND:Verification of complete occlusion or resection of neurovascular lesions is often performed using intraoperative angiography. Surgery for spinal vascular lesions such as arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs) is typically performed with the patient in the prone position, making ...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2020.01.208
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:To explore the effect and safety of transforaminal percutaneous endoscopic decompression for lower thoracic spinal stenosis. METHODS:We reviewed 6 patients receiving transforaminal percutaneous endoscopic thoracic decompression for sympathetic symptoms in the lower extremities. Pre- and postoperative Frankel...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2019.04.186
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:A small number of reports have described subarachnoid hemorrhage resulting from a ruptured aneurysm embedded within a prolactinoma. To the best of our knowledge, no reports have described an embedded carotid cavernous fistula. We report a patient with carotid cavernous fistula secondary to a ruptured interna...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.11.071
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to evaluate the effect of systemically administrated curcumin on the prevention of peridural fibrotic tissue and adhesion formation in a rat laminectomy model. METHODS:Thirty-two Wistar albino rats were randomly selected and equally divided into 4 groups as follows: negative control ...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2020.09.140
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:The Pipeline Embolization Device (PED) has been increasingly used for the treatment of posterior circulation aneurysms. The purpose of the present study was to examine the clinical and angiographic outcomes of patients with vertebrobasilar aneurysms treated with the PED. METHODS:We performed a retrospective...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.12.116
更新日期:2019-01-03 00:00:00
abstract:OBJECTIVE:Interbody cage implantation during minimally invasive surgery for transforaminal lumbar interbody fusion (MIS TLIF) presents challenges. Expandable cages when collapsed facilitate insertion; subsequent expansion in situ optimizes endplate contact. This report describes clinical and radiographic outcomes of MI...
journal_title:World neurosurgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.wneu.2016.02.075
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:This anatomic study aimed to more precisely locate the bifurcation of the obturator nerve in relationship to the obturator foramen. Such information might improve outcomes in neurotization or other procedures necessitating exposure of the obturator nerve and could increase success rates for obturator nerve b...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2020.03.113
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The magnetic resonance imaging (MRI) sequence used to assess optic canal invasion by tuberculum sella meningiomas (TSMs) is not standardized; both constructive interference steady state (CISS) and postcontrast T1 volume-interpolated breath-hold examination (VIBE) sequences are frequently used. The aim of thi...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2021.01.015
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:A cavernous malformation (CM) with trigeminal neuralgia (TN) is relatively rare. We report a patient who presented with TN caused by a CM in the cerebellopontine angle. CASE DESCRIPTION:A 37-year-old man presented with a history of episodic, shock-like, right facial pain of 2 months' duration. Neurologic ex...
journal_title:World neurosurgery
pub_type:
doi:10.1016/j.wneu.2019.12.167
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Cavum septum pellucidum (CSP), which is often found incidentally in a few populations, occasionally becomes symptomatic if enlarged significantly. Wilson disease (WD) is an uncommon autosomal recessive inborn defect in copper metabolism characterized by abnormal accumulation of copper in various tissues, par...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.06.032
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Various radiologic patterns of posterior reversible encephalopathy syndrome (PRES) have been reported. Among them, PRES involving brainstem, thalamus, or deep white matter and lacking parieto-occipital edema is rare. Although PRES in general has a benign course, PRES-related intracranial hemorrhage has been ...
journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2019.10.196
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Osteoblastoma is a benign bone-forming tumor, sometimes locally invasive, that may involve any bone. The highest incidence is between 20 and 30 years of age, and there are no cases described in the elderly. METHODS:We report a case of an elderly patient with a lesion in the lumbar spine in which osteoblasto...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.01.180
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Microsurgical clipping is regarded as the most durable treatment for cerebral aneurysms. Aneurysm recurrence after clipping is uncommon and is associated with an increased risk of rupture. Reoperation for recurrent cerebral aneurysms is particularly challenging because of adhesions and scaring, and it carrie...
journal_title:World neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.wneu.2016.06.065
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:Spontaneous spinal subdural hematoma (SSSDH) is exceedingly rare, with significant morbidity in most patients. Acute neurologic deficit in the context of a SSSDH is considered a neurosurgical emergency. We performed a literature review and compared the results with our institutional experience to evaluate the...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2020.10.096
更新日期:2020-10-24 00:00:00
abstract:BACKGROUND:Intracranial meningiomas are most common among patients in their fifth to seventh decade of life and rare in children and young adults. They constitute 1.5% of all neoplasms in patients age <20 years, but account for 13.5% of all neoplasms in patients age 20-34 years. They are often associated with hereditar...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.09.161
更新日期:2018-01-01 00:00:00
abstract::Labrune syndrome is a neurologic disorder that manifests as a progressive cerebral degeneration characterized by a radiologic triad of cerebral white matter disease (leukoencephalopathy), intracranial calcification, and cysts. The associated novel genetic mutation in SNORD118 has been recently identified. However, its...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2019.02.008
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Ankylosing spondylitis (AS) is an inflammatory disease that involves above all the spine and the pelvis. In the spine, the inflammatory processes cause the formation of syndesmophytes between the vertebral bodies and the ossification of ligaments, with bony overgrowth. In this setting, dysphagia is a rare bu...
journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2020.04.031
更新日期:2020-07-01 00:00:00