Abstract:
OBJECTIVE:Localization of internal cranial anatomy based on superficial landmarks is paramount in identifying and avoiding various important structures and, thus, decreasing surgical morbidity. We have studied external skull bony landmarks to facilitate the placement of the initial "strategic" burr hole just inferior and medial to the junction of transverse-sigmoid venous sinuses during standard retrosigmoid craniotomy. METHODS:One hundred adult skulls (200 sides) underwent intracranial drilling of a small hole from the inside surface of the cranium, 5 mm inferior and medial to the border of the transverse sigmoid sinus junction (defined as the ideal location for the center of the strategic burr hole). Localization of this hole from the external surface of the skull was made based on easily identifiable superficial landmarks, including the mastoid process and zygomatic arch. A horizontal line was established parallel to the superior border of the zygomatic arch ("zygomatic line"), and a vertical line was fashioned by connecting the mastoid notch superiorly to the squamosal suture ("mastoid line"). RESULTS:For left sides, 81% of the strategic burr holes were inferior to the zygomatic line and 86% were medial to the mastoid line. For right sides, 91% of the strategic burr holes were inferior to the zygomatic line and 97% were medial to the mastoid line. For left and right sides, the mean distance for the center of the burr holes from the zygomatic line was 4.5 and 7.7 mm, respectively. For left and right sides, the mean distance from the mastoid line was 9.1 and 9.8 mm, respectively. CONCLUSION:Because landmark data in the literature for externally identifying the transverse sigmoid sinus junction is variable, we have attempted to refine this location with the largest sample size to date. These data can assist surgeons to localize the external cranial projection of the area just inferior and medial to the junction between the transverse and sigmoid sinuses when image guidance devices are not available. This localization is important in creation of appropriate size for craniotomy/craniectomy during the posterolateral approaches to the cranial base.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Tubbs RS,Loukas M,Shoja MM,Bellew MP,Cohen-Gadol AAdoi
10.1227/01.NEU.0000341517.65174.63subject
Has Abstractpub_date
2009-12-01 00:00:00pages
37-41; discussion 41issue
6 Suppleissn
0148-396Xissn
1524-4040pii
00006123-200912001-00002journal_volume
65pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE AND IMPORTANCE:Despite development of computer-assisted neurosurgical navigation, learning by dissecting anatomic specimens is still important. CLINICAL PRESENTATION:We describe the processes from preparation of specimens for cranial dissection to documentation of three-dimensional (3-D) stereoscopic picture...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000210247.37628.43
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:The use of bone morphogenetic proteins for fusion augmentation in spine surgery has increased dramatically in recent years. Information is continually emerging regarding the effectiveness and safety profile of these compounds. OBJECTIVE:We have noted an increased incidence in sterile seroma formation and pa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000369517.21018.F2
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:The benefits of intravenous thrombolysis for acute ischemic stroke are still limited. OBJECTIVE:To evaluate the safety and efficacy of double-lumen balloon catheter-based reperfusion therapy with or without intra-arterial thrombolysis for acute occlusion of intracranial arteries. METHODS:Fifty-nine patient...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000380954.29925.CE
更新日期:2010-09-01 00:00:00
abstract::A helpful clinical sign of ruptured cervical disc is pain relief upon arm abduction. When the disease process is spondylosis with foraminal stenosis, changing arm position does not relieve pain. Anatomical considerations are discussed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198711000-00024
更新日期:1987-11-01 00:00:00
abstract::Medical care in developing countries may be improved by various means. Advances in the medical education and training of specialists play an important role in improving health care systems. The results of the efforts of a neurosurgeon from North America who helped establish neurosurgical training in Taiwan are reporte...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1097/00006123-200106000-00035
更新日期:2001-06-01 00:00:00
abstract::A compound of methylcellulose-silicone expanding progressively over a 1-week period by moisture absorption was implanted in the midthoracic epidural space of 17 Sprague Dawley adult rats. When the animals became paraplegic 6.3 +/- 1.6 days later, they were randomized into three groups: untreated control (n = 5), high ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198806010-00005
更新日期:1988-06-01 00:00:00
abstract:BACKGROUND:Neurosurgery, a demanding specialty, involves many microsurgical procedures that require complex skills, including open surgical treatment of intracranial aneurysms. Simulation or practice models may be useful for acquiring these skills before trainees perform surgery on human patients. OBJECTIVE:To describ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000553
更新日期:2014-12-01 00:00:00
abstract::During radiofrequency (RF) heating of trigeminal rootlets, we regularly measured blood pressure rises to 250 to 300 mm Hg, confirming two previous reports. We also found abnormally increased bleeding times in 12% of 127 patients awaiting operation for trigeminal neuralgia. These two facts probably explain 6 fatalities...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198511000-00022
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:Several studies have shown that human gliomas contain a small population of cells with stem cell-like features. It has been proposed that these "cancer stem cells" may be uniquely responsible for glioma formation and recurrence. However, human gliomas also contain an abundance of cells that closely resemble m...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000316019.28421.95
更新日期:2008-02-01 00:00:00
abstract::For several decades, the clinical study of Parkinson's disease has driven an increasingly sophisticated understanding of the dopaminergic system and its complex role in modulating motor behavior. This article reviews salient areas of research in this field, commencing with the molecular biology of the development of t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000249209.11967.CB
更新日期:2007-01-01 00:00:00
abstract::This study investigated the natural course of functional recovery of the vascular endothelium and smooth muscle after clipping injury of the rat carotid artery. Vascular injury was induced by clipping the right carotid arteries of Wistar rats. The contractile response to KCl, serotonin (5-hydroxytryptamine), and norep...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1993-01-01 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::Selected commercially designated temporary clips (Acland, Biemer, Kleinert-Kutz, Variangle, and Yasargil) were applied for 1 hour to rat common carotid arteries. Scanning electron and light microscopic studies revealed varying degrees of endothelial damage. The authors believe that further improvements are needed in t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197910000-00009
更新日期:1979-10-01 00:00:00
abstract:OBJECTIVE:To quantitate the relief of intractable cancer pain by the use of intraventricular morphine administration. METHODS:Intraventricular morphine administration was performed through an Ommaya reservoir. An initial dose of 0.25 mg of morphine sulfate per 24 hours was administered to all of the patients. This dos...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199607000-00012
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The goals of treating Koos grade IV vestibular schwannomas are to relieve brainstem compression, preserve or restore neurological function, and achieve long-term tumor control while minimizing tumor- and treatment-related morbidity. OBJECTIVE:To propose a treatment paradigm involving the intentional near-to...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx143
更新日期:2018-02-01 00:00:00
abstract::The results of magnetic resonance (MR) evaluation in 18 patients with common neurosurgical problems, including cerebrovascular lesions, intracranial tumors, and craniovertebral junction pathological conditions, are presented. The results are compared with those of routine diagnostic studies. Overall, MR imaging was eq...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract:OBJECTIVE:Spine deformities, notably scoliosis, are known to occur in conjunction with syringomyelia. This study aims to analyze the effect of laminectomies performed in the course of treatment of syringomyelia. It examines the incidence, severity, and type of spine deformity as it relates to the extent and location of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000279971.87437.1F
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Comminuted sacral fractures present significant challenges for operative management. Open and percutaneous sacroiliac screws have been used for stabilization but carry not insignificant rates of complications, including wound infection for the former and malposition and neurological injury for...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31826cdfd7
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The Thoracolumbar Injury Classification and Severity Score (TLICS) has been shown to be a valid tool for assessing the need for surgical intervention in adult patients. There is limited insight into its usefulness in children. OBJECTIVE:To assess the validity of the TLICS system in pediatric patients. METH...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy408
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Pernkopf's atlas of Anatomy contains anatomical plates with detailed images of the peripheral nerves. Its use is controversial due to the author's association with the "Third Reich" and the potential depiction of victims of the Holocaust. The ethical implications of using this atlas for informing surgical pl...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1093/neuros/nyy159
更新日期:2019-02-01 00:00:00
abstract::We present a case of a patient with two preexisting Silastic syringosubarachnoid shunt catheters who developed Enterobacter meningitis. The infection was treated successfully with systemic and intrathecal antibiotics without removal of the catheters. With careful sequential clinical and laboratory monitoring, even thi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198508000-00015
更新日期:1985-08-01 00:00:00
abstract::Cell therapy has been widely recognized as a promising strategy to enhance recovery in stroke survivors. However, despite an abundance of encouraging preclinical data, successful clinical translation remains elusive. As the field continues to advance, it is important to reexamine prior clinical trials in the context o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa531
更新日期:2020-12-28 00:00:00
abstract:OBJECTIVE:Spontaneous intraparenchymal hemorrhage is extremely rare in full-term newborns. Reports to date have been limited to descriptions of individual cases, small groups within larger studies of intracranial hemorrhage, and one series of four patients. Structural lesions are rarely identified, and the majority of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200105000-00015
更新日期:2001-05-01 00:00:00
abstract::A case of a bacterial abscess developing in the sphenoid sinus 2 weeks after transsphenoidal surgery is presented. Although abscesses within the sella turcica have been reported as rare complications of transsphenoidal surgery, this is the first reported case of the postoperative formation of an abscess of the sphenoi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199101000-00022
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To determine the clinical presentation, imaging characteristics, microscopic and ultrastructural characteristics, and treatment outcomes of patients with clinically silent pituitary corticotroph adenomas. METHODS:All silent corticotroph adenomas diagnosed at the Mayo Clinic during the years 1975 through 1997...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200009000-00039
更新日期:2000-09-01 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::The authors examined the psychosocial sequelae of head trauma at 1 month after injury in a group of 102 adult head-injured patients representing a broad range of severity of trauma. One hundred two control subjects selected from friends of the head-injured patients were used for comparison purposes. Outcome was determ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198404000-00001
更新日期:1984-04-01 00:00:00
abstract::Neurosurgery as a specialty medical field is new in Jordan. This article documents the history, current status, and projected future of neurosurgery in Jordan. Resident training is also highlighted, and challenges for the future of the profession are presented. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199807000-00086
更新日期:1998-07-01 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::This investigation attempts to determine whether increased survival time seen when the F98 glioma model is treated with boron neutron capture therapy (BNCT) is a result of inhibition of tumor growth caused by radiation-induced alterations in endothelial cells and normal tissue components. This indirect effect of radia...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199009000-00007
更新日期:1990-09-01 00:00:00