Mononostril endoscopic endonasal approach for pituitary surgery.


BACKGROUND:Most surgical teams currently consider that endoscopy has become the "gold standard" technique for the transsphenoidal approach to pituitary surgery. Pituitary adenomas are commonly benign tumours and should benefit from the least invasive approach. METHOD:In Foch Hospital, from 2006 to 2020, 2835 patients with pituitary adenomas were treated with a mononostril endoscopic endonasal approach. Here we describe the fine details of the nasal, sphenoidal and sellar steps of this technique. CONCLUSION:Complete preservation of the nasal corridor, luxation of the nasal septum and tailored sellar bone resection are essential for safe resection of pituitary adenomas.


Acta Neurochir (Wien)


Acta neurochirurgica


Baussart B,Declerck A,Gaillard S




Has Abstract


2020-08-29 00:00:00








  • Orbital pain and unruptured carotid-posterior communicating artery aneurysms: the role of sensory fibers of the third cranial nerve.

    abstract::Intact aneurysms of the carotid siphon at the point of take-off of the posterior communicating artery may exhibit orbital pain, whether associated with oculomotor palsy or not as a warning symptom prior to rupture. In order to explain this symptom the hypothesis of a sensory pathway within the third cranial nerve, whi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lanzino G,Andreoli A,Tognetti F,Limoni P,Calbucci F,Bortolami R,Lucchi ML,Callegari E,Testa C

    更新日期:1993-01-01 00:00:00

  • Bilateral intra-orbital ophthalmic artery aneurysms.

    abstract:CLINICAL DETAILS:A 52-year-old man presented with neck pain, nausea and vomiting (Hunt-Hess grade 1). CT scan showed subarachnoid hemorrhage. Cerebral angiography showed multiple arterial aneurysms (right communicating posterior, right anterior choroid, left pericallosal, intraorbital ophthalmic bilaterally). All aneur...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sabatino G,Albanese A,Di Muro L,Marchese E

    更新日期:2009-07-01 00:00:00

  • Effects of cerebral perfusion pressure and increased fraction of inspired oxygen on brain tissue oxygen, lactate and glucose in patients with severe head injury.

    abstract:OBJECTIVE:The purpose of the study was to measure the effects of increased inspired oxygen on patients suffering severe head injury and consequent influences on the correlations between CPP and brain tissue oxygen (PtiO2) and the effects on brain microdialysate glucose and lactate. METHODS:In a prospective, observatio...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Reinert M,Barth A,Rothen HU,Schaller B,Takala J,Seiler RW

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  • The arcade of Struthers: an anatomical study.

    abstract:BACKGROUND:The arcade of Struthers has been described as possible cause of compression of the ulnar nerve but several authors and our own experience have doubt cast on its existence. We, therefore, performed an anatomical study to determine whether or not the arcade of Struthers exists. METHODS:Ten arms from fresh fro...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bartels RH,Grotenhuis JA,Kauer JM

    更新日期:2003-04-01 00:00:00

  • Lumbar disc herniation associated with separation of the posterior ring apophysis: analysis of five surgical cases and review of the literature.

    abstract:BACKGROUND:Separation of the posterior ring apophysis of an adjacent vertebral body can sometimes accompany lumbar intervertebral disc herniation. The condition can be both difficult to detect in conventional radiographs and is somewhat controversial to treat. Although there is general agreement on the frequent need fo...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章


    authors: Asazuma T,Nobuta M,Sato M,Yamagishi M,Fujikawa K

    更新日期:2003-06-01 00:00:00

  • [Pulmonary changes in cranio-cerebral injuries and respiration with high oxygen concentrations].

    abstract::In 131 cases of craniocerebral trauma it was shown in what respect definite changes in the lungs, demonstrated by clinical course, radiographs and blood gas analyses, occurred in proportion to the severity of the trauma. The causes of these changes were considered and the possibility of complicating the course of the ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


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    更新日期:1976-01-01 00:00:00

  • Frameless stereotactic guided neurosurgery: clinical experience with an infrared based pointer device navigation system.

    abstract::An infrared based frameless stereotactic navigation device (Easy Guide Neuro) was investigated for its clinical applicability, registration/application accuracy and limitations in a standard operating room set-up. In a five-month period 40 frameless stereotactic procedures (23 female, 17 male, mean age 46.4, yrs range...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Roessler K,Ungersboeck K,Dietrich W,Aichholzer M,Hittmeir K,Matula C,Czech T,Koos WT

    更新日期:1997-01-01 00:00:00

  • Outcomes of multilobar resections for epilepsy in Sweden 1990-2013: a national population-based study.

    abstract:BACKGROUND:Reports on outcome after multilobar resection (MLR) are scarce and most are retrospective single-centre studies or case studies with few patients. The aim of this study is to present seizure and complication outcomes 2 years after MLR in a prospective population-based series. METHOD:The Swedish National Epi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Nilsson DT,Malmgren K,Flink R,Rydenhag B

    更新日期:2016-06-01 00:00:00

  • Hans Brun: a Swiss pioneer in the surgery of the spinal cord, brain and herniated lumbar disc.

    abstract:INTRODUCTION:Toward the end of the nineteenth century, it was Gowers, Horsley and Macewen who first reported successful surgical procedures for the treatment of subdural extramedullary tumors. Following this, Church and Eisendrath as well as Putnam and Warren reported unsuccessful attempts to treat subpial spinal patho...

    journal_title:Acta neurochirurgica

    pub_type: 传,历史文章,杂志文章


    authors: Hildebrandt G,Stienen MN,Surbeck W,Tröhler U

    更新日期:2014-11-01 00:00:00

  • Surgical results of intracranial ruptured aneurysms in the acute stage.

    abstract::To evaluate the operative mortality and morbidity of definitive intracranial microsurgical aneurysm obliteration as a function of timing of early operative intervention and as a function of clinical condition at the acute state, we retrospectively review 164 consecutive patients who underwent surgery within 72 hours f...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hotta T,Tokuda S,Nishiya M,Tanaka Y,Nakamura J

    更新日期:1982-01-01 00:00:00

  • Changes in vascular responses of the basilar artery to acetylcholine and endothelin-1 in an experimental rabbit vasospasm model.

    abstract:BACKGROUND:This study aimed to clarify the characteristics of the basilar arteries of rabbits two and seven days after subarachnoid haemorrhage (SAH) and to investigate the influence of hypoxia on vascular responses to acetylcholine and endothelin-1. METHODS:Thirty four New Zealand white rabbits were divided into 3 gr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kim CY,Paek SH,Seo BG,Kim JH,Han DH

    更新日期:2003-07-01 00:00:00

  • Transparent equine collagen biomatrix as dural repair. A prospective clinical study.

    abstract:AIM:Numerous materials have been used to replace defects in the dura mater as result of neurosurgical and spinal procedures. Tissudura is a biomatrix made of cross-linked equine collagen fibrils, mainly of the interstitial type I. The specially engineered dura-like layered structure provides a non porous primary water ...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Gazzeri R,Neroni M,Alfieri A,Galarza M,Faiola A,Esposito S,Giordano M

    更新日期:2009-05-01 00:00:00

  • Internal fixation for osteomyelitis of cervical spine: the issue of persistence of culture positive infection around the implants.

    abstract:BACKGROUND:We describe the management of osteomyelitis of the cervical spine, utilizing internal fixation with subsequent removal and culture of the implants. Four out of five patients had evidence of bacterial colonisation in close proximity to the internal fixation device. METHODS:Five consecutive patients (all fema...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Shad A,Shariff S,Fairbank J,Byren I,Teddy PJ,Cadoux-Hudson TA

    更新日期:2003-11-01 00:00:00

  • The value of image coregistration during stereotactic radiosurgery.

    abstract:BACKGROUND:Coregistration of any neuroimaging studies into treatment planning for stereotactic radiosurgery became easily applicable using the Leksell Gamma Knife 4C, a new model of gamma knife. The authors investigated the advantage of this image processing. METHOD:Since installation of the Leksell Gamma Knife 4C at ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Koga T,Maruyama K,Igaki H,Tago M,Saito N

    更新日期:2009-05-01 00:00:00

  • Resection of the suprameatal tubercle in microvascular decompression for trigeminal neuralgia.

    abstract:BACKGROUND:The suprameatal tubercle (SMT) may obscure the neurovascular compression (NVC) in microvascular decompression (MVD) for trigeminal neuralgia (TGN). The aim of this study is to address the necessity of resecting SMT in MVD for TGN. METHODS:We retrospectively analyzed radiological findings of 461 MVDs in pati...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Inoue T,Goto Y,Prasetya M,Fukushima T

    更新日期:2020-05-01 00:00:00

  • Vein of Galen aneurysmal malformations. Report of 36 cases managed between 1982 and 1988.

    abstract::The authors report a series of 36 vein of Galen aneurysmal malformations (VGM) diagnosed in the paediatric (78%) and adult (22%) populations that were referred to them for therapeutic management between 1982 and 1988. The clinical signs leading to the diagnosis were variable: 36% of systemic manifestations, 22% of neu...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lasjaunias P,Rodesch G,Terbrugge K,Pruvost P,Devictor D,Comoy J,Landrieu P

    更新日期:1989-01-01 00:00:00

  • Imaging of human brain tumor tissue by near-infrared laser coherence tomography.

    abstract:INTRODUCTION:Intraoperative detection of residual tumor remains an important challenge in surgery to treat gliomas. New developments in optical techniques offer non-invasive high-resolution imaging that may integrate well into the workflow of neurosurgical operations. Using an intracranial glioma model, we have recentl...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Böhringer HJ,Lankenau E,Stellmacher F,Reusche E,Hüttmann G,Giese A

    更新日期:2009-05-01 00:00:00

  • Phase shift and correlation coefficient measurement of cerebral autoregulation during deep breathing in traumatic brain injury (TBI).

    abstract:BACKGROUND:Impairment of cerebral autoregulation is known to adversely affect outcome following traumatic brain injury (TBI). The phase shift (PS) method of cerebral autoregulation (CA) assessment describes the time lag between fluctuations in arterial blood pressure (ABP) and cerebral blood flow velocity (CBFV) in the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lewis PM,Rosenfeld JV,Diehl RR,Mehdorn HM,Lang EW

    更新日期:2008-02-01 00:00:00

  • Diagnostic approach in instability and irritative state of a "lumbar motion segment" following disc surgery--failed back surgery syndrome.

    abstract::A diagnostic protocol for patients with suspected instability and irritative state of a "lumbar motion segment" following lumbar disc surgery is presented and the results of internal fixation are analyzed. In this group of patients the clinical picture and physical signs may be quite distinct and suggestive of instabi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Markwalder TM,Reulen HJ

    更新日期:1989-01-01 00:00:00

  • Clinical application of event related potentials in patients with brain tumours and traumatic head injuries.

    abstract::Event related potential recording and psychometric evaluation of cognitive impairment were carried out on 21 patients with brain tumours, 21 patients with severe head injuries and 24 controls. The tumour and trauma patients who met the psychometric inclusion criteria for dementia, but not the non-demented patients, ha...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Olbrich HM,Nau HE,Zerbin D,Lanczos L,Lodemann E,Engelmeier MP,Grote W

    更新日期:1986-01-01 00:00:00

  • Bilateral internal carotid artery thrombosis after closed head injury.

    abstract::A case of bilateral internal carotid artery thrombosis after blunt injury to the head in a 54 years old male is described. The literature is reviewed and comment is made on the causes. Unilateral thrombosis of the internal carotid artery after closed or blunt injury to the head and neck is well known but not common. T...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Robinson RG,Gwynne JF

    更新日期:1978-01-01 00:00:00

  • Intraoperative facial nerve monitoring (IFNM) predicts facial nerve outcome after resection of vestibular schwannoma.

    abstract::Intraoperative facial nerve monitoring (IFNM) is a suitable technique for intraoperative facial nerve identification and dissection, especially in large vestibular schwannomas (VS) (acoustic neuroma). To evaluate its feasibility for estimating functional nerve outcome after VS resection 60 patients underwent surgery u...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sobottka SB,Schackert G,May SA,Wiegleb M,Reiss G

    更新日期:1998-01-01 00:00:00

  • Single metastases in the brain: late results in 325 cases.

    abstract::The authors report on the results obtained on a series of 325 patients operated on for single brain metastasis at the Institute of Neurosurgery of the University of Rome during the period 1951-1979. After analyzing the results vis-à-vis the site of the brain metastasis, the site of the primitive tumour and the surgica...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Gagliardi FM,Mercuri S

    更新日期:1983-01-01 00:00:00

  • Radial oxygen gradients over rat cortex arterioles.

    abstract:PURPOSE:We present the results of the visualisation of radial oxygen gradients in rats' cortices and their potential use in neurocritical management. METHODS:PO₂ maps of the cortex of ten sedated, intubated and controlled ventilated Wistar rats were obtained with a camera (SensiMOD, PCO, Kelheim, Germany). Those pictu...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Galler M,Moritz S,Liebsch G,Woertgen C,Brawanski A,Warnat J

    更新日期:2010-12-01 00:00:00

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    abstract::In anaesthetized artificially ventilated dogs, the effect of graded arterial hypoxaemia on cerebral blood flow (CBF) and on the oxidative carbohydrate metabolism of the brain was tested. It is shown that the hypoxic vasodilatory influence on cerebral vessels is present even at moderate systemic hypoxaemia, provide tha...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hamer J,Hoyer S,Alberti E,Weinhardt F

    更新日期:1976-01-01 00:00:00

  • Pertreatment radiation induced oedema causing acute hydrocephalus after radiosurgery for multiple cerebellar metastases.

    abstract:BACKGROUND:Most complications of radiosurgery occur after 6-12 months and some long term complications up to after 5-10 years. Although severe, immediate side effects are rare, we report a patient who shows that this possibility should be taken into account when large volumes are treated especially in the posterior fos...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Wolff R,Karlsson B,Dettmann E,Böttcher HD,Seifert V

    更新日期:2003-08-01 00:00:00

  • Sources of residuals after endoscopic transsphenoidal surgery for large and giant pituitary adenomas.

    abstract:BACKGROUND:Giant and large pituitary adenomas (PA) constitute a specific subset of PAs, with gross total resection (GTR) rates frequently not exceeding 50%. Both an anatomical inaccessibility and an inadequate tumor visualization are thought to play a role. This study analyzes risk factors for postoperative residuals a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Peto I,Abou-Al-Shaar H,White TG,Abunimer AM,Kwan K,Zavadskiy G,Wagner K,Black K,Eisenberg M,Bruni M,Dehdashti AR

    更新日期:2020-10-01 00:00:00

  • The influence of histology on the response of brain metastases to gamma knife radiosurgery: a propensity score-matched study.

    abstract:BACKGROUND:In terms of response to fractionated radiotherapy, metastatic brain tumors of certain origins are considered radioresistant. OBJECTIVE:To determine the influence of "radioresistant" histology on outcomes of brain metastases treated with radiosurgery. METHODS:Between 2001 and 2017, 121 patients with brain m...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kim KH,Lee MH,Cho KR,Choi JW,Kong DS,Seol HJ,Nam DH,Lee JI

    更新日期:2018-12-01 00:00:00

  • Treatment of vestibular schwannomas. Why, when and how?

    abstract::Sporadic vestibular schwannoma (VS) causes unilateral hearing loss, tinnitus, vertigo and unsteadiness. In many cases, the tumour size may remain unchanged for many years following diagnosis, which is typically made by MRI. In the majority of cases the tumour is small, leaving the clinician and patient with the option...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Myrseth E,Pedersen PH,Møller P,Lund-Johansen M

    更新日期:2007-01-01 00:00:00

  • Metal plate fixation after anterior fusion of unstable fracture dislocations of the cervical spine.

    abstract::Unstable fracture dislocations due to torn ligaments, fractures of both articular processes, or detachments of entire vertebral arches from vertebral bodies still pose the problem of fixation after anterior fusion. The application of internal metal plate fixation--using the small AO (ASFI) fragment equipment--is descr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Herrmann HD

    更新日期:1975-01-01 00:00:00