Diagnostic intracranial pressure monitoring and surgical management in idiopathic normal pressure hydrocephalus: a 6-year review of 214 patients.

Abstract:

OBJECTIVE:To review our experience of managing idiopathic normal pressure hydrocephalus (iNPH) during the 6-year period from 2002 to 2007, when intracranial pressure (ICP) monitoring was part of the diagnostic workup. METHODS:The review includes all iNPH patients undergoing diagnostic ICP monitoring during the years 2002 to 2007. Clinical grading was done prospectively using a normal pressure hydrocephalus (NPH) grading scale (scores from 3 to 15). The selection of patients for surgery was based on clinical symptoms, enlarged cerebral ventricles, and findings on ICP monitoring. The median follow-up time was 2 years (range, 0.3-6 years). Both static ICP and pulsatile ICP were analyzed. RESULTS:A total of 214 patients underwent the diagnostic workup, of whom 131 went on to surgery. Although 1 patient died shortly after treatment, 103 of the 130 patients (79%) improved clinically. This improvement lasted throughout the observation period. The static ICP observed during ICP monitoring was a poor predictor of the response to surgery. In contrast, among 109 of 130 patients with increased ICP pulsatility (ie, ICP wave amplitude >4 mm Hg on average and >5 mm Hg in >10% of recording time), 101 (93%) were responders (ie, increase in the NPH score of >2). Correspondingly, only 2 of 21 (10%) without increased ICP pulsatility were responders. Superficial wound infection was the only complication of ICP monitoring and occurred in 4 (2%) patients. CONCLUSION:Surgical results in iNPH were good with almost 80% of patients improving after treatment. The data indicate that improvement after surgery can be anticipated in 9 of 10 iNPH patients with abnormal ICP pulsatility, but in only 1 of 10 with normal ICP pulsatility. Diagnostic ICP monitoring had a low complication rate.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Eide PK,Sorteberg W

doi

10.1227/01.NEU.0000363408.69856.B8

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

80-91

issue

1

eissn

0148-396X

issn

1524-4040

pii

00006123-201001000-00009

journal_volume

66

pub_type

杂志文章,评审
  • Pineoblastoma in adults.

    abstract::This is the first report of a series of adults (> 16 years of age) with pineoblastomas who had their entire neuraxis staged at the time of diagnosis. Between 1975 and 1992, seven men and four women with histologically proven pineoblastomas were evaluated at the University of California, San Francisco. The median age a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199509000-00003

    authors: Chang SM,Lillis-Hearne PK,Larson DA,Wara WM,Bollen AW,Prados MD

    更新日期:1995-09-01 00:00:00

  • Axis fractures.

    abstract:BACKGROUND:Traumatic fractures of the second cervical vertebra are common, representing nearly 20% of all acute cervical spinal fracture-dislocation injuries. They are divided into 3 distinct injury patterns: odontoid fractures, hangman's fracture injuries, and fractures of the axis body, involving all other fracture i...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000366118.21964.A8

    authors: Pryputniewicz DM,Hadley MN

    更新日期:2010-03-01 00:00:00

  • Traumatic anterior atlanto-occipital dislocation.

    abstract::The five cases of atlanto-occipital dislocation reported in the world literature are reviewed, and four additional cases are presented, including two survivors. The pathological anatomy of this potentially catastrophic injury and its management are briefly discussed. Because immediate recognition of the atlanto-occip...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197901000-00004

    authors: Powers B,Miller MD,Kramer RS,Martinez S,Gehweiler JA Jr

    更新日期:1979-01-01 00:00:00

  • A novel technique of odontoidoplasty and C1 arch reconstruction: anatomical and biomechanical basis.

    abstract:BACKGROUND:Transoral odontoidectomy and resection of the anterior C1 arch destabilize the atlantoaxial joint and risk its stability. OBJECTIVE:To preserve stability in such cases we devised and evaluated a proof-of-concept study. The arch and dens were dissected and decompression was performed on cadavers. The dens wa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31820934a9

    authors: Agrawal A,Reyes PM

    更新日期:2011-03-01 00:00:00

  • Treatment of subaxial cervical spinal injuries.

    abstract:UNLABELLED:SUBAXIAL CERVICAL FACET DISLOCATION INJURIES: STANDARDS:There is insufficient evidence to recommend treatment standards. GUIDELINES:There is insufficient evidence to recommend treatment guidelines. OPTIONS:Closed or open reduction of subaxial cervical facet dislocation injuries is recommended. Treatment o...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200203001-00024

    authors: Hadley MN,Walters BC,Grabb PA,Oyesiku NM,Przybylski GJ,Resnick DK,Ryken TC

    更新日期:2002-03-01 00:00:00

  • Hyperglycemia Aggravates Cerebral Vasospasm after Subarachnoid Hemorrhage in a Rat Model.

    abstract:BACKGROUND:Hyperglycemia is common and showed to be risky for poor prognosis in patients with subarachnoid hemorrhage (SAH). However, the causality and mechanism underlying this observation are not well established. OBJECTIVE:To investigate the relationship between hyperglycemia and cerebral vasospasm with its pathoge...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx016

    authors: Huang YH,Chung CL,Tsai HP,Wu SC,Chang CZ,Chai CY,Lee TC,Kwan AL

    更新日期:2017-05-01 00:00:00

  • Regulated neuronal neuromodulation via spinal cord expression of the gene for the inwardly rectifying potassium channel 2.1 (Kir2.1).

    abstract:BACKGROUND:Neuromodulation is used to restore neural function in disorders that stem from an imbalance in the activity of specific neural networks when they prove refractory to pharmacological therapy. The Kir2.1 gene contributes to stabilizing the resting potential below the threshold of activation of voltage-gated so...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318283f59a

    authors: Boulis NM,Handy CR,Krudy CA,Donnelly EM,Federici T,Franz CK,Barrow EM,Teng Q,Kumar P,Cress D

    更新日期:2013-04-01 00:00:00

  • Repeat transsphenoidal surgery for the treatment of remaining or recurring pituitary tumors in acromegaly.

    abstract:BACKGROUND:Acromegaly is a disorder characterized by hypersecretion of growth hormone caused by a growth hormone-secreting pituitary adenoma. OBJECTIVE:To evaluate the long-term efficacy and safety of repeat transsphenoidal surgery for persistent or recurrent acromegaly. METHODS:We retrospectively reviewed records fo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181ec4379

    authors: Yamada S,Fukuhara N,Oyama K,Takeshita A,Takeuchi Y

    更新日期:2010-10-01 00:00:00

  • Benign recurrence of a pilocytic cerebellar astrocytoma 36 years after radical removal: case report.

    abstract::A benign recurrence of a cerebellar juvenile astrocytoma was found in a 52-year-old woman 36 years after the initial radical removal, which was performed when she was 16 years of age. To our knowledge, this is the third detailed case report of the late benign recurrence of cerebellar astrocytoma after total removal. T...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199104000-00023

    authors: Pagni CA,Giordana MT,Canavero S

    更新日期:1991-04-01 00:00:00

  • Neuronavigational endoscopic endonasal sellar and parasellar surgery using a 2-mm-diameter lens rigid-rod endoscope: a cadaver study.

    abstract:OBJECTIVE:Most of the endoscopes used for endonasal transsphenoidal surgery use 4-mm diameter lenses. The applicability of a newly developed neuroendoscope with a lens diameter of only 2 mm was tested in endonasal transsphenoidal pituitary surgery. METHODS:The newly developed rigid-rod neuroendoscope with a 2-mm lens ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255381.64969.C8

    authors: Di Rocco F,Oi S,Samii A,Paternó V,Feigl GC,Lüdemann W,Samii M

    更新日期:2007-04-01 00:00:00

  • A case of a spinal epidural capillary hemangioma: case report.

    abstract:BACKGROUND AND IMPORTANCE:Spinal hemangiomas usually arise from the vertebral body. Epidural hemangiomas are rare lesions, and most reported cases are cavernous. We report a case of a capillary hemangioma in the thoracic epidural space. CLINICAL PRESENTATION:The 57-year-old male patient initially presented with low th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182093320

    authors: Hasan A,Guiot MC,Torres C,Marcoux J

    更新日期:2011-03-01 00:00:00

  • Prevention of deep venous thrombosis in patients with acute spinal cord injuries: use of rotating treatment tables.

    abstract::A randomized clinical trial of 15 patients with acute spinal cord injuries was performed to test the hypothesis that rotating treatment tables prevent deep venous thrombosis in this population. Four of 5 control (nonrotated) patients developed distal and proximal thrombi, assessed by 125I fibrinogen leg scans and impe...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1227/00006123-198705000-00001

    authors: Becker DM,Gonzalez M,Gentili A,Eismont F,Green BA

    更新日期:1987-05-01 00:00:00

  • Paramedian supracerebellar transtentorial approach for a medial tentorial meningioma with supratentorial extension: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:The choice of surgical approach to treat medial tentorial meningiomas is crucial and sometimes difficult to make. Although the subtemporal approach is most commonly used for lesions that extend mostly supratentorially, it risks injury to the vein of Labbé or the veins coursing along the subtemp...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200112000-00036

    authors: Uchiyama N,Hasegawa M,Kita D,Yamashita J

    更新日期:2001-12-01 00:00:00

  • Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach.

    abstract:OBJECTIVE:We analyzed a consecutive series of patients operated for a foramen magnum (FM) meningioma located on the ventral aspect of the medulla oblongata via a posterolateral suboccipital retrocondylar approach with regard to long-term surgical outcome. METHODS:Clinical data in a consecutive series of 25 patients ex...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000245629.77968.37

    authors: Bassiouni H,Ntoukas V,Asgari S,Sandalcioglu EI,Stolke D,Seifert V

    更新日期:2006-12-01 00:00:00

  • The Use of the Pipeline Embolization Device in the Management of Recurrent Previously Coiled Cerebral Aneurysms.

    abstract:BACKGROUND:The biggest downside of cerebral aneurysm coiling is the high rates of recurrence and retreatments. With the increasing number of aneurysm recurrences after failed coiling procedures, the best retreatment strategy remains unknown. OBJECTIVE:To assess the efficacy and safety of the Pipeline Embolization Devi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000901

    authors: Daou B,Starke RM,Chalouhi N,Tjoumakaris S,Khoury J,Hasan D,Rosenwasser RH,Jabbour PM

    更新日期:2015-11-01 00:00:00

  • Anesthesia for endovascular neurosurgery.

    abstract::Endovascular neurosurgical procedures are complex, requiring significant planning, foresight, and coordination. The neuroanesthetist is an integral part of these procedures, organizing efforts of the technicians and nurses and responding to the needs of the neurointerventionalist. The purpose of this article is to rev...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000237337.38375.90

    authors: Armonda RA,Vo AH,Dunford J,Bell RS

    更新日期:2006-11-01 00:00:00

  • External ventricular drainage in the management of posterior fossa tumors in children and adolescents.

    abstract::External ventricular drainage (EVD) was used before and after posterior fossa operations in 62 children and adolescents. In all cases, the removal of the tumor (midline in 47 and laternal in 15) was attempted; total removal was achieved in 41. The overall mortality was 6.5% (4 patients). Only 25% of the survivors need...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Papo I,Caruselli G,Luongo A

    更新日期:1982-01-01 00:00:00

  • Stereotactic radiotherapy for trigeminal schwannomas.

    abstract:BACKGROUND:Data on radiotherapy for trigeminal schwannomas (TSs) and comparison of stereotactic radiosurgery (SRS) with fractionated stereotactic radiotherapy (FSRT) are limited. OBJECTIVE:We present a large retrospective review of our institutional experience treating TSs with SRS and FSRT. We also describe a flare p...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/NEU.0b013e318256bbc5

    authors: Champ CE,Mishra MV,Shi W,Siglin J,Werner-Wasik M,Andrews DW,Evans JJ

    更新日期:2012-08-01 00:00:00

  • Meningiomas of the internal auditory canal.

    abstract:OBJECTIVE:Meningiomas arising primarily within the internal auditory canal (IAC) are notably rare. By far the most common tumors that are encountered in this region are neuromas. We report a series of eight patients with meningiomas of the IAC, analyzing the clinical presentations, surgical management strategies, and c...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000126887.55995.e7

    authors: Nakamura M,Roser F,Mirzai S,Matthies C,Vorkapic P,Samii M

    更新日期:2004-07-01 00:00:00

  • The morning visit by Oliver Wendell Holmes, Sr., M.D.

    abstract::Today, physicians in general and neurosurgeons in particular practice in an era of fundamental change in Medicine from a profession to an industry. This change has produced erosion in the very personal physician-patient relationship. "The Morning Visit" is a poem written by Oliver Wendell Holmes, Sr., M.D., a 19th cen...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000351280.04013.65

    authors: Ciric IS

    更新日期:2009-10-01 00:00:00

  • Petroclival meningiomas: multimodality treatment and outcomes at long-term follow-up.

    abstract:OBJECTIVE:To evaluate patients' clinical outcome, survival, and performance status, at the long-term follow-up evaluation after aggressive microsurgical resection of petroclival meningiomas. METHODS:During a 13-year period (1991-2004), 150 patients underwent 207 operative procedures for resection of petroclival mening...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255472.52882.D6

    authors: Natarajan SK,Sekhar LN,Schessel D,Morita A

    更新日期:2007-06-01 00:00:00

  • Biomechanical comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion by finite element analysis.

    abstract:BACKGROUND:The transforaminal lumbar interbody fusion (TLIF) procedure may reduce many of the risks and limitations associated with posterior lumbar interbody fusion (PLIF). However, little is known about the biomechanical difference between PLIF and TLIF. OBJECTIVE:To determine the biomechanical difference between PL...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182742a69

    authors: Xu H,Tang H,Guan X,Jiang F,Xu N,Ju W,Zhu X,Zhang X,Zhang Q,Li M

    更新日期:2013-03-01 00:00:00

  • Thoracoscopically guided transaxillary resection of adjoining intercostal plexiform neurofibromas: review of mosaicism in neurofibromatosis: technical note.

    abstract:OBJECTIVE AND IMPORTANCE:The present article describes a rare presentation of Type I neurofibromatosis (NFI) involving adjoining intercostal plexiform neurofibromas, as well as the novel use of thoracoscopy to guide surgical resection. This presentation highlights the manner in which NFI may affect selective regions of...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000176707.44598.53

    authors: Salazar F,Machado A,Murthy S,Boulis NM

    更新日期:2005-10-01 00:00:00

  • Occipital sinus pericranii superseding both jugular veins: description of two rare pediatric cases.

    abstract:BACKGROUND AND IMPORTANCE:The extracranial venous drainage of the brain is provided mainly by the jugular veins with the variable participation of extrajugular pathways. CLINICAL PRESENTATION:Two cases of occipital sinus pericranii (SP) were observed. A 6-year-old girl presented with a progressively enlarging occipita...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31828baab4

    authors: Frassanito P,Massimi L,Tamburrini G,Caldarelli M,Pedicelli A,Di Rocco C

    更新日期:2013-06-01 00:00:00

  • Comparative cost-effectiveness analysis of sacral anterior root stimulation for rehabilitation of bladder dysfunction in spinal cord injured patients.

    abstract:BACKGROUND:Urinary disorders account for 10% of deaths in patients with complete spinal cord injury. Sacral anterior root stimulation (SARS) may be a valuable therapeutic option to restore complete and voluntary micturition (CVM), but questions on its cost-effectiveness remain. OBJECTIVE:To evaluate the cost-effective...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1227/NEU.0000000000000033

    authors: Bénard A,Verpillot E,Grandoulier AS,Perrouin-Verbe B,Chêne G,Vignes JR,French Study Group on SARS.

    更新日期:2013-10-01 00:00:00

  • The genesis and significance of delayed traumatic intracerebral hematoma.

    abstract::During a 34-month period, 12 cases of delayed traumatic intracerebral hematoma (DTICH) were diagnosed among 162 consecutive prospectively studied patients admitted to the Medical College of Virginia with severe closed head injuries. All patients were unresponsive to command and unable to utter formed words at the time...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Gudeman SK,Kishore PR,Miller JD,Girevendulis AK,Lipper MH,Becker DP

    更新日期:1979-09-01 00:00:00

  • Dorsal brain stem lipomas: case report.

    abstract::Intracranial lipomas are uncommon and rarely symptomatic lesions accounting for 0.06 to 0.46% of intracranial lesions. The management of symptomatic dorsal brain stem lipomas was once limited to cerebrospinal fluid diversion, but with recent advances in microsurgery, they now may be directly treated. We report three p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199605000-00035

    authors: Baeesa SS,Higgins MJ,Ventureyra EC

    更新日期:1996-05-01 00:00:00

  • Failure of extracranial-intracranial arterial bypass in acute middle cerebral artery occlusion: case report.

    abstract::Extracranial-intracranial arterial bypass procedures provide important augmentation of collateral circulation to cortical areas rendered potentially ischemic by therapeutic occlusion of major branches of the circle of Willis. Although the case studies reported to date in general reflect positively on this use of the b...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Samson DS,Neuwelt EA,Beyer CW,Ditmore QM

    更新日期:1980-02-01 00:00:00

  • "Target bypass": a method for preoperative targeting of a recipient artery in superficial temporal artery-to-middle cerebral artery anastomoses.

    abstract:OBJECTIVE:To introduce a method for preoperative targeting of a proper recipient artery in superficial temporal artery-to-middle cerebral artery anastomosis. METHODS:Six operations for superficial temporal artery-to-middle cerebral artery anastomosis in four patients with moyamoya disease or moyamoya-like disease and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000232775.06672.F4

    authors: Kikuta K,Takagi Y,Fushimi Y,Ishizu K,Okada T,Hanakawa T,Miki Y,Fukuyama H,Nozaki K,Hashimoto N

    更新日期:2006-10-01 00:00:00

  • iPod touch-assisted instrumentation of the spine: a technical report.

    abstract:BACKGROUND:Instrumentation of the spine depends on choosing the correct insertion angles to implant screws. Although modern image guidance facilitates precise instrumentation of the spine, the equipment is costly and availability is limited. Although most surgeons use lateral fluoroscopy to guide instrumentation in the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000023

    authors: Jost GF,Bisson EF,Schmidt MH

    更新日期:2013-12-01 00:00:00