Atypical forms of spinal tuberculosis.

Abstract:

:Twenty-three patients with atypical forms of spinal tuberculosis treated between 1975 and 1985, are described. All presented with signs and symptoms of compression of the spinal cord or cauda equina, ranging from paraesthesiae and increasing weakness of extremities to paraplegia and loss of sphincter control. None of them showed visible or palpable spinal deformity nor the typical radiographic appearance of destruction of the intervertebral disc and the two adjoining vertebral bodies. These atypical forms constituted about 12 percent of all the cases of spinal tuberculosis seen (a total of 190 cases); and fell into three well-defined groups: those with the involvement of neural arch only; those with the involvement of a single vertebral body; and, those without bony involvement. The correct surgical approach in these groups was found to be different: spinal cord compression caused by the tuberculous disease of the neural arch was best treated by laminectomy; whereas single vertebral body disease required an anterior or anterolateral approach. Spinal computerized tomography was helpful in defining the extent of disease and planning the surgical approach. Histological confirmation of tuberculosis was obtained in all the cases and acid fast bacilli (A.F.B.) were found in, and cultured from, the biopsy specimens of 18 cases.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Naim-Ur-Rahman,Al-Arabi KM,Khan FA

doi

10.1007/BF01400511

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

26-33

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

88

pub_type

杂志文章
  • A flexible metal ventricular catheter for treatment of complicated and protracted infections of the cerebrospinal fluid spaces: preliminary experiences.

    abstract::In the management of shunt infection, the use of ventricular catheters made of silicone rubber for the temporary external drainage of cerebrospinal fluid (CSF) is general practice. However, the eradication of the primary source of infection may be hindered by the affinity of bacteria to silicone-based material. Compar...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01411122

    authors: Vieweg U,Kaden B,Van Roost D

    更新日期:1996-01-01 00:00:00

  • Criteria for conservative treatment of supratentorial acute subdural haematomas.

    abstract::Without mortality, 31 patients underwent conservative treatment for traumatic supratentorial acute subdural haematoma (SDH). Later on six of them had the haematoma surgically evacuated mainly because of a deterioration of the Glasgow Coma Scale (GCS) scores. It was found that patients with a midline shift of less than...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02307412

    authors: Wong CW

    更新日期:1995-01-01 00:00:00

  • Attenuation of cerebral vasospasm and secondary injury by testosterone following experimental subarachnoid hemorrhage in rabbit.

    abstract:BACKGROUND:The vasodilatator effects of testosterone have been widely studied and demonstrated. Based on previous studies of these vasodilatatory activities, we hypothesized that testosterone might have potential effects on subarachnoid hemorrhage-induced cerebral vasospasm. METHODS:Thirty-two adult male New Zealand w...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-014-2211-9

    authors: Gürer B,Turkoglu E,Kertmen H,Karavelioglu E,Arikok AT,Sekerci Z

    更新日期:2014-11-01 00:00:00

  • Intracerebral haemorrhage occurring at remote site following evacuation of chronic subdural haematoma.

    abstract::We present a patient with an intracerebral haematoma occurring at a remote site following evacuation of a chronic subdural haematoma. Recurrence of the haematoma, infection, seizure, cerebral edema, tension pneumocephalus and failure of the brain to expand due to cerebro-cranial disproportion are the major complicatio...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-008-1512-2

    authors: Dinc C,Iplikcioglu AC,Bikmaz K,Navruz Y

    更新日期:2008-05-01 00:00:00

  • LINAC radiosurgery for glomus jugulare tumors: retrospective - cohort study of 23 patients.

    abstract:BACKGROUND:Glomus jugulare tumors (GJTs) are uncommon and locally disruptive tumors that usually arise within the jugular foramen of the temporal bone. Surgery was the treatment of choice up until recently. In the last decades, however, radiosurgery has surfaced as a promising alternative treatment by providing excelle...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04251-7

    authors: Lior U,Rotem H,Uzi N,Roberto S

    更新日期:2020-04-01 00:00:00

  • Comparison between the C5 or C6-Cz electrode assembly and C3 or C4-Cz assembly for transcranial electric motor activation of muscular response of the contralateral facial nerve.

    abstract:OBJECTIVE:We used an assembly of electrodes C3 and C4-Cz in order to activate the motor cortical area of the corticobulbar tract to elucidate the motor-evoked potential of the contralateral mentalis muscle. METHOD:We compared this setup to that of an assembly with electrodes C5 or C6-Cz using a train of electrical pul...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-012-1505-z

    authors: Verst SM,Chung TM,Sucena AC,Maldaun MV,Aguiar PH

    更新日期:2012-12-01 00:00:00

  • Facial nerve repair and regeneration: an overview of basic principles for neurosurgeons.

    abstract::The facial nerve may be damaged by trauma, surgical manipulation, inflammation or neoplastic disease. Current techniques for repair and regeneration of the damaged nerve produce suboptimal results. This review outlines the current knowledge of experimental facial nerve regeneration in vitro and in vivo to provide an i...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s007010170114

    authors: Choi D,Dunn LT

    更新日期:2001-01-01 00:00:00

  • Predictors of work status and quality of life 9-13 years after aneurysmal subarachnoid hemorrahage.

    abstract:BACKGROUND:Aneurysmal subarachnoid hemorrhage (SAH) causes long-term psychosocial impairments even in patients who regain functional independence. Little is known about predictors of these impairments. We studied how early clinical data and neuropsychological results predict work status and health-related quality of li...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-012-1417-y

    authors: Vilkki J,Juvela S,Malmivaara K,Siironen J,Hernesniemi J

    更新日期:2012-08-01 00:00:00

  • Convection-enhanced delivery of a hydrophilic nitrosourea ameliorates deficits and suppresses tumor growth in experimental spinal cord glioma models.

    abstract:BACKGROUND:Convection-enhanced delivery (CED) is a technique allowing local infusion of therapeutic agents into the central nervous system, circumventing the blood-brain or spinal cord barrier. OBJECTIVE:To evaluate the utility of nimustine hydrochloride (ACNU) CED in controlling tumor progression in an experimental s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3123-2

    authors: Ogita S,Endo T,Sugiyama S,Saito R,Inoue T,Sumiyoshi A,Nonaka H,Kawashima R,Sonoda Y,Tominaga T

    更新日期:2017-05-01 00:00:00

  • Association of cerebral arteriovenous malformation and cerebral aneurysm. Diagnosis and management.

    abstract::Between 1979 and 1989, 7 patients were admitted, with cerebral arteriovenous malformations (AVM) and associated aneurysms (7% of the AVM patients and 2% of the aneurysm patients admitted during the same period). 6 of these patients were admitted because of an intracranial haemorrhage (in 3 of them the AVM, angiographi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405792

    authors: Deruty R,Mottolese C,Soustiel JF,Pelissou-Guyotat I

    更新日期:1990-01-01 00:00:00

  • Symmetrical bilateral low-density lesions in the areas of supply by Heubner's arteries after aneurysm surgery.

    abstract::Three patients with symmetrical bilateral low-density areas which were the perfusion territories of Heubner's arteries are reported. The infarctions were demonstrated on computed tomography after aneurysm surgery. Two of them had an anterior communicating artery aneurysm and the other one had multiple aneurysms of bot...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01418830

    authors: Fukamachi A,Horikoshi T,Nagaseki Y,Sasaki H,Nukui H

    更新日期:1987-01-01 00:00:00

  • Influence of variation in the catechol-O-methyltransferase gene on the clinical outcome after lumbar spine surgery for one-level symptomatic disc disease: a report on 176 cases.

    abstract:BACKGROUND:This study was aimed at the evaluation of the relationship between genetic polymorphisms of catechol-O-methyltransferase (COMT) (rs4680:A > G-Val158Met, rs6269:A > G, rs4633:C > T, rs4818:C > G) and pain sensitivity after lumbar discectomy. METHODS:All patients had one-level symptomatic disc herniation from...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1895-6

    authors: Rut M,Machoy-Mokrzyńska A,Ręcławowicz D,Słoniewski P,Kurzawski M,Droździk M,Safranow K,Morawska M,Białecka M

    更新日期:2014-02-01 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

    doi:10.1007/s00701-009-0279-4

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

    更新日期:2009-05-01 00:00:00

  • Quality of postoperative course in children: endoscopic endonasal surgery versus sublabial microsurgery.

    abstract:BACKGROUND:The practice of endoscopic endonasal surgery is still limited in children because of the relative rarity of sellar lesions in the paediatric population. However, such an approach is increasingly reported in the literature as an alternative option to standard sublabial microsurgery, and its surgical results a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-010-0929-6

    authors: Massimi L,Rigante M,D'Angelo L,Paternoster G,Leonardi P,Paludetti G,Di Rocco C

    更新日期:2011-04-01 00:00:00

  • Anterior cervical discectomy and fusion: is surgical education safe?

    abstract:BACKGROUND:Operative skills are key to neurosurgical resident training. They should be acquired in a structured manner and preferably starting early in residency. The aim of this study was to test the hypothesis that the outcome and complication rate of anterior cervical discectomy and fusion with or without instrument...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-015-2396-6

    authors: Stienen MN,Joswig H,Jucker D,Hildebrandt G,Schaller K,Gautschi OP

    更新日期:2015-09-01 00:00:00

  • Epidemiology of traumatic brain injury in Europe.

    abstract:BACKGROUND:Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incid...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00701-015-2512-7

    authors: Peeters W,van den Brande R,Polinder S,Brazinova A,Steyerberg EW,Lingsma HF,Maas AI

    更新日期:2015-10-01 00:00:00

  • Impairment of CO2 reactivity in severe head injury patients: an investigation using thermal diffusion method.

    abstract::For measurement of the cerebral blood flow (CBF) the thermal diffusion method is quite convenient and allows the chronological measurement of CBF and CO2 reactivity of cerebral vessels. We investigated the CO2 reactivity of fifteen head injury patients. The results showed that in head injury cases, the disturbance of ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01842829

    authors: Tenjin H,Yamaki T,Nakagawa Y,Kuboyama T,Ebisu T,Kobori N,Ueda S,Mizukawa N

    更新日期:1990-01-01 00:00:00

  • Risk factors for the association of intracranial and aortic aneurysms.

    abstract::This study investigated the association of intracranial aneurysms and abdominal aortic aneurysms to elucidate the incidence and independent risk factors for this association. Ultrasonography of the abdominal aorta was performed in 181 patients with 224 intracranial aneurysms. Six patients had suffered subarachnoid hae...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-1077-x

    authors: Miyazawa N,Akiyama I,Yamagata Z

    更新日期:2007-03-01 00:00:00

  • Navigation-assisted transsphenoidal deflation of a detachable balloon in the cavernous sinus after embolization of a direct carotid-cavernous fistula.

    abstract::We describe a case of transsphenoidal deflation of a detachable balloon after embolization of a carotid-cavernous fistula (CCF). The patient developed complete third and sixth nerve palsies immediately after detachable balloon embolization of the CCF, which was considered to be caused by cavernous sinus (CS) compressi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-1072-2

    authors: Jung JY,Kim SH,Kim DJ,Kim DI

    更新日期:2007-02-01 00:00:00

  • Giant intracranial aneurysm of the anterior communicating artery treated by direct surgery using A3-A3 side-to-side anastomosis and A3-RA graft-STA anastomosis.

    abstract::We describe a giant aneurysm of the anterior communicating artery (ACoA) which was treated with a STA-RA graft-A3 bonnet bypass and A3-A3 side-to-side anastomosis. A giant and partially thrombosed ACoA aneurysm was partially coated 3 years before his current presentation, its gradual increase producing visual field di...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0685-1

    authors: Kim K,Mizunari T,Mizutani N,Kobayashi S,Takizawa K,Kamiyama H,Murai Y,Teramoto A

    更新日期:2006-03-01 00:00:00

  • The effect of Nicorandil on chronic cerebral vasospasm.

    abstract::The present study is aimed at examining the therapeutic effect of Nicorandil on chronic vasospasm using beagle dogs subjected to a "two-haemorrhage" insult, as well as its dilatory effect on the PDA [phorbol-12,13 diacetate]-induced contraction of the canine basilar artery. 1. A total of 12 animals of either sex, weig...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01476428

    authors: Matsui T,Nagafuji T,Tsutsumi K,Uchida H,Miyauchi T,Asano T

    更新日期:1994-01-01 00:00:00

  • Intracranial stenting after tumor exeresis complicated by delayed kinking of the middle cerebral artery.

    abstract::During intracranial tumor resection, the delayed kinking of a major encased vessel has never been described in literature. We present a case which required urgent endovascular treatment performed through a stent positioning. A patient was hospitalized with symptomatic sphenoid meningioma in the left middle cranial fos...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-019-03822-7

    authors: Simonato D,Gabrieli JD,Cester G,Della Puppa A,Causin F

    更新日期:2019-03-01 00:00:00

  • Value of transcranial Doppler ultrasonography in the diagnosis and follow-up of carotid-cavernous fistulae.

    abstract::The introduction of transcranial Doppler ultrasonography (TCD) has made it possible to examine blood flow characteristics in carotid-cavernous sinus fistulae (CCSF) in a noninvasive, relatively simple, and reliable way. This study investigated the usefulness of TCD in the diagnosis and follow-up of various CCSF subtyp...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章

    doi:10.1007/s007010100022

    authors: Kiliç T,Elmaci I,Bayri Y,Pamir MN,Erzen C

    更新日期:2001-12-01 00:00:00

  • Low anterior interhemispheric approach--a narrow corridor to aneurysms of the anterior communicating artery.

    abstract:BACKGROUND:Many approaches for clipping anterior communicating artery (ACoA) aneurysms are reported in the literature. We describe here a new approach called "low anterior interhemispheric approach" for clipping of ACoA aneurysms. MATERIALS AND METHODS:A low anterior interhemispheric approach utilizing a unilateral fr...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章

    doi:10.1007/s007010170018

    authors: El-Noamany H,Nakagawa F,Hongo K,Kakizawa Y,Kobayashi S

    更新日期:2001-09-01 00:00:00

  • Versatile intraoperative MRI in neurosurgery and radiology.

    abstract:BACKGROUND:Several models for the application of intra-operative magnetic resonance imaging (IMRI) have recently been reported, most of them unique. Two fundamental issues need to be addressed: optimal use of the scanner to ensure a wide base for research, development and clinical application, and an organisational mod...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010200035

    authors: Yrjänä SK,Katisko JP,Ojala RO,Tervonen O,Schiffbauer H,Koivukangas J

    更新日期:2002-03-01 00:00:00

  • Melanotic neuroectodermal tumor of infancy (MNT1) arising in the skull. Short review of two cases.

    abstract:INTRODUCTION:Melanotic neuroectodermal tumor of infancy (MNT1) is a rare congenital pigmented neoplasm of neural crest origin, locally aggressive, and rapidly growing that develops during the first year of life. It most commonly arises from the maxilla, the cranial vault, and the mandible. Early diagnosis and radical s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,随机对照试验,评审

    doi:10.1007/s00701-009-0472-5

    authors: Lambropoulos V,Neofytou A,Sfougaris D,Mouravas V,Petropoulos A

    更新日期:2010-05-01 00:00:00

  • Medroxyprogesterone acetate, enoxaparin and pentoxyfylline cause alterations in lipid peroxidation, paraoxonase (PON1) activities and homocysteine levels in the acute oxidative stress in an experimental model of spinal cord injury.

    abstract:BACKGROUND:Effects of medroxyprogesterone acetate, enoxaparin and pentoxyfylline on lipid peroxidation, antioxidant defence system, paraoxonase activities, and homocysteine levels in an experimental model of spinal cord injury were investigated. METHOD:Sixty-three male albino Wistar rats were anaesthetized by 400 mg/k...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-002-0999-1

    authors: Topsakal C,Kilic N,Erol FS,Kaplan M,Akdemir I,Tiftikci M,Gursu F

    更新日期:2002-10-01 00:00:00

  • Reliability of fluorescein-assisted stereotactic brain biopsies in predicting conclusive tissue diagnosis.

    abstract:BACKGROUND:The purpose of this study was to assess the reliability of fluorescein sodium in predicting conclusive tissue diagnosis in stereotactic brain biopsies and to characterize features of contrast-enhancing and non-enhancing MRI lesions associated with fluorescence. METHODS:A total of 19 patients were studied, 1...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04318-5

    authors: Nevzati E,Chatain GP,Hoffman J,Kleinschmidt-DeMasters BK,Lillehei KO,Ormond DR

    更新日期:2020-08-01 00:00:00

  • Facial motor function monitored by hand held calipers versus computer-assisted photography.

    abstract:BACKGROUND:It is essential to have easy to use, reliable tools to assess and compare facial function for clinical records, audit and research purposes. In this study, two different techniques were examined, Hand held calipers (HHC, as described by Burres), and computerised analysis of digital photographs (CAOP) using A...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-0904-4

    authors: Clapham L,Bottoms S,Mehta R,Davis A

    更新日期:2006-12-01 00:00:00

  • The value of electrostimulation in epileptic focus localization.

    abstract::The ES is a non-physiological stimulus of the brain. However it represents an important and indispensable part of stero-EEG investigation since it is an easily adjustable method, capable of inducing typical electro-clinical seizures. From the clinical and electrical responses elicited by ES and from the data of the st...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/978-3-7091-8444-8_4

    authors: Gombi R,Velok G,Hullay J

    更新日期:1976-01-01 00:00:00