Abstract:
:The purpose of Clinical Problem Solving manuscripts is to present management challenges in an attempt to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic. We describe the case of a patient who presented with recurrent headaches resulting from a nondominant hemisphere parietal arteriovenous malformation. Challenges in prognosis, treatment, and complication management are discussed.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Natarajan SK,Siddiqui AH,Hopkins LN,Boulis NM,Levy EIdoi
10.1227/NEU.0b013e3181ee42e7subject
Has Abstractpub_date
2010-10-01 00:00:00pages
E1181-8issue
4eissn
0148-396Xissn
1524-4040journal_volume
67pub_type
杂志文章,评审相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Advanced cervical spondylosis (CS) can cause structural damage to the spinal cord resulting in long-term neurological impairment including neck pain and motor weakness. We hypothesized long-term structural reorganization within the brain in patients with CS. OBJECTIVE:To explore the associations between cor...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy066
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Recent studies have focused on antiplatelet (AP) use in intracerebral hemorrhage (ICH) patients. Several outcome predictors have been debated, but influences on mortality and outcome still remain controversial, especially for different ICH locations. OBJECTIVE:To investigate the characteristics and function...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182311266
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:The diagnostic value of cine magnetic resonance imaging (CMRI) that visualizes fluid and tissue movement was evaluated in patients with spinal intradural arachnoid cysts, a rare but increasingly detected cause of spinal cord dysfunction. METHODS:Four patients with thoracic spinal intradural arachnoid cysts w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199707000-00020
更新日期:1997-07-01 00:00:00
abstract:BACKGROUND:Falls and postural instability (PI) are major sources of morbidity in Parkinson disease (PD). Deep brain stimulation (DBS) is a major therapy for PD. The effects of DBS on PI and falls remain controversial. OBJECTIVE:To study if DBS worsens PI, validated measures of PI (Timed Up and Go, Berg Balance Scale, ...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1093/neuros/nyx602
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:Transsphenoidal surgery for Cushing's disease from a pituitary adenoma is an effective and safe treatment. Definitive preoperative diagnosis of Cushing's disease caused by a pituitary adenoma is often difficult, particularly in patients with normal imaging studies and a normal sella turcica. We present the ou...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200003000-00005
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND:The cingulum bundle (CB) has long been a target for psychiatric neurosurgical procedures, but with limited understanding of the brain networks being impacted. Recent advances in human tractography could provide a foundation to better understand the effects of neurosurgical interventions on the CB; however, t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz225
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Examining the costs of single- and multilevel anterior cervical discectomy and fusion (ACDF) is important for the identification of cost drivers and potentially reducing patient costs. A novel tool at our institution provides direct costs for the identification of potential drivers. OBJECTIVE:To assess peri...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy126
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Although injury to the lumbar arteries during anterior spinal approaches is often encountered, there are few published articles regarding the relationship between the lumbar arteries and spinal cord ischemia. OBJECTIVE:To examine the morphology of the lumbar arteries and to emphasize their clinical importan...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318205e307
更新日期:2011-03-01 00:00:00
abstract::Cavernous angiomas represent 5 to 12% of spinal vascular malformations and usually are located at the vertebral body level with possible extension into the extradural space. The intradural intramedullary cavernoma occurs in about 3% of cases, whereas extramedullary localization is extremely rare. A new case of an intr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199112000-00023
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:Improved understanding of rod fracture (RF) in adult spinal deformity could be valuable for implant design, surgical planning, and patient counseling. OBJECTIVE:To evaluate symptomatic RF after posterior instrumented fusion for adult spinal deformity. METHODS:A multicenter, retrospective review of RF in ad...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0b013e3182672aab
更新日期:2012-10-01 00:00:00
abstract::The phosphorylation of an M(r) 20,000 myosin light chain (MLC20) promotes the generation of contractile force through actin-myosin adenosine triphosphatase in most agonist-mediated vascular smooth muscle cell contraction. However, the role of calcium-mediated contractile processes in sustained arterial narrowing after...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199506000-00018
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Origination of the temporopolar artery (TPA) from the supraclinoid internal carotid artery (ICA) represents a rare anatomic variation, and the presence of aneurysms at this uncommon site has never before been reported. CLINICAL PRESENTATION:Two patients presented with a sudden onset of headach...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::Since the advent of magnetic resonance imaging, there has been renewed interest in disorders of cortical migration in the cause of focal epilepsy. The function of dysplastic cortex is poorly understood. We report a 46-year-old woman in whom this was assessed by intraoperative stimulation. This left-handed patient had ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199511000-00020
更新日期:1995-11-01 00:00:00
abstract::The incidence of intracerebral hematomas after myocardial infarction increases after thrombolysis. As noted in the case described, clots formed after the administration of thrombolytic agents may remain liquid, and this blood can be drained by a catheter. However, in this case, the patient continued to bleed locally. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199311000-00019
更新日期:1993-11-01 00:00:00
abstract::Eighteen studies on psychosocial aspects of back pain are reviewed. Among six studies trying to differentiate pain of organic and functional origin, only two studies claim to be able to make such a distinction. Psychological disturbance--studied with a variety of instruments--proved to be an important factor affecting...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:OBJECTIVE:We describe an easy and useful method for treating hemifacial spasm related to the vertebral artery. METHODS:The technique entails the manufacture of a dural belt harvested from the cerebellar convexity dura and a dural bridge made at the petrous dura combined with the use of an aneurysm clip. The dural belt...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199912000-00048
更新日期:1999-12-01 00:00:00
abstract::Invading glioma cells seem to follow distinct anatomic structures within the central nervous system. Tumor cell dissemination may occur along structures, such as the basement membranes of blood vessels or the glial limitans externa, that contain extracellular matrix (ECM) proteins. Frequently, invasive glioma cells ar...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199608000-00001
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:Socioeconomic changes have imposed many administrative demands on neurosurgeons, including managing facilities such as the intensive care unit without absolute authority and maintaining referrals, marketing in an increasingly competitive environment, effecting change within stubborn hospital systems, negotiat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000318180.80040.d0
更新日期:2008-04-01 00:00:00
abstract::A very rare case of Petriellidium boydii pachymeningitis is described. Rarer still is the stabilization of this case for a prolonged period. Miconazole and ketaconazole both seemed useful in the treatment, and their role is discussed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198402000-00019
更新日期:1984-02-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Intraoperative aneurysmal rupture represents a potentially catastrophic event. We describe the use of an intravenous adenosine bolus to induce transient cardiac asystole to control a severe intraoperative aneurysmal rupture. This treatment resulted in a brief period of severe hypotension, which...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200007000-00053
更新日期:2000-07-01 00:00:00
abstract::Transcranial stab wounds are uncommon. Three such cases are presented. The severity of the wounds may vary from innocuous to devastating. Skull films are useful in delineating the depth of penetration. The presence of the knife blade in situ may make the computed tomographic scan impossible to perform or difficult to ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198811000-00022
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the microsurgical results of symptomatic sacral perineurial cysts of 11 patients and to discuss the treatment options of the past 10 years. METHODS:We retrospectively reviewed the records of 11 patients with symptomatic sacral perineurial cysts who underwent microsurg...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000255457.12978.78
更新日期:2007-06-01 00:00:00
abstract::This study evaluated quality of life in 78 patients with closed head injury (CHI) 2 to 4 years postinjury. Using both interview data and mean data from the Sickness Impact Profile questionnaire, impaired quality of life was observed in the areas of psychosocial functioning, social role functioning, leisure activities,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198611000-00004
更新日期:1986-11-01 00:00:00
abstract::We report the metastasis of a rectal carcinoid to the dura mater of the posterior fossa. The clinical presentation was unusual because of a 10-year latent period between resection of the primary rectal tumor and symptoms and signs of the posterior fossa metastasis; the radiological findings were atypical of a metastas...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197910000-00017
更新日期:1979-10-01 00:00:00
abstract::Despite the recent interest in familial cerebral aneurysms, the epidemiology, natural history, pattern of inheritance, screening of asymptomatic relatives, and the search for a biochemical marker remain problematic. To assess these issues, we report the results of our prospective study of 30 patients with 38 aneurysms...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199510000-00005
更新日期:1995-10-01 00:00:00
abstract:STANDARDS:Prophylactic treatment of thromboembolism in patients with severe motor deficits due to spinal cord injury is recommended. The use of low-molecular-weight heparins, rotating beds, adjusted dose heparin, or a combination of modalities is recommended as a prophylactic treatment strategy. Low-dose heparin in com...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-200203001-00014
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Several studies have demonstrated that omitting the routine use of adjuvant whole-brain radiation therapy for patients with newly diagnosed brain metastases may be a reasonable first-line strategy. Retrospective evidence suggests that fractionated stereotactic radiotherapy (fSRT) may have a lower level of to...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000325
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Few reports have been published on ruptured vertebral artery dissecting aneurysms in which the posteroinferior cerebellar artery (PICA) arises from the aneurysm wall, and there is ongoing debate as to the proper management of this type of aneurysm. This article describes two patients. CLINICAL...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Intraventricular hemorrhage related to arteriovenous malformation (AVM) rupture is associated with significant morbidity and mortality. Intraventricular tissue plasminogen activator (tPA) has been used to treat spontaneous intraventricular hemorrhage. We demonstrate the successful application ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31820208a6
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Spinal surgery costs vary significantly across hospitals and regions, but there is insufficient understanding of what drives this variation. OBJECTIVE:To examine the factors underlying the cost variation for lumbar laminectomy/discectomy and lumbar fusions. METHODS:We obtained patient information (age, gen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx047
更新日期:2017-08-01 00:00:00