Long-term motor outcome analysis using a motor score composite following surgical brachial plexus repair.

Abstract:

OBJECT:Due to the complex and variable nature of brachial plexus injury, outcome analysis can be cumbersome and imprecise. Many scales have been devised, but no single scale is used uniformly. Moreover, despite several studies in which the authors have reported brachial plexus surgical data, no highly predictive clinical model has been defined. METHODS:In this study the authors performed a retrospective analysis of 114 consecutive brachial plexus surgeries performed by the senior author during the past 14 years at St. Louis Children's Hospital. Of these, 63 are included in this study. The authors defined the motor score composite (MSC) and used this novel metric to perform a detailed analysis of their surgical outcomes. The mean MSC was 0.50 preoperatively, 0.71 at 1 year postoperatively, and 0.80 at 2 years postoperatively. By 2 years postoperatively, 89% of the patients attained a good or excellent recovery. Age at surgery, time to visit, location, and severity were predictive of outcome. Using MSC data, the authors developed a prognostic model that enabled the prediction (with 88% accuracy) of surgical outcomes using preoperative variables. CONCLUSIONS:The MSC is an efficient metric for the reporting of data regarding outcomes of brachial plexus injury. It provides information about extent and severity of injury in a single proportion and facilitates complex data analysis. The authors used the MSC model to accurately predict surgical outcome. This metric could have wide applicability for the prediction of postoperative recovery to improve both surgical decision making and family counseling.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Ashley WW Jr,Baty JD,Hollander T,Noetzel MJ,Park TS

doi

10.3171/ped.2007.106.4.276

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

276-81

issue

4 Suppl

eissn

0022-3085

issn

1933-0693

journal_volume

106

pub_type

杂志文章
  • Recurrence and malignant degeneration after resection of adult hemispheric low-grade gliomas.

    abstract:OBJECT:Unlike their malignant counterparts, low-grade gliomas are associated with prolonged survival. However, these tumors have a propensity to progress after resection and ultimately undergo malignant degeneration. The factors associated with recurrence and malignant degeneration remain relatively unknown. The author...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.10.JNS08608

    authors: Chaichana KL,McGirt MJ,Laterra J,Olivi A,Quiñones-Hinojosa A

    更新日期:2010-01-01 00:00:00

  • Phase II study of nimustine, carboplatin, vincristine, and interferon-beta with radiotherapy for glioblastoma multiforme: experience of the Kyoto Neuro-Oncology Group.

    abstract:OBJECT:This Phase II study was performed to determine the safety, tolerability, and efficacy of combining nimustine (ACNU)-carboplatin-vincristine-Interferon-beta (IFNbeta) chemotherapy. METHODS:Ninety-seven patients with Karnofsky Performance Scale scores of 50 or greater were enrolled in the study. Nimustine (60 mg/...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.105.3.385

    authors: Aoki T,Takahashi JA,Ueba T,Oya N,Hiraoka M,Matsui K,Fukui T,Nakashima Y,Ishikawa M,Hashimoto N

    更新日期:2006-09-01 00:00:00

  • Intravenous digital subtraction angiography and duplex ultrasonography in postoperative assessment of carotid endarterectomy.

    abstract::Seventy-four consecutive patients who had undergone carotid endarterectomy procedures were examined with intravenous digital subtraction angiography (IV-DSA) and duplex ultrasonography (DUS) at intervals ranging from 1 to 14 months postoperatively. Ninety-one percent of the DUS and 74% of the DSA images were of diagno...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.66.1.0088

    authors: Pelz D,Rankin RN,Ferguson GG

    更新日期:1987-01-01 00:00:00

  • Rates and predictors of long-term seizure freedom after frontal lobe epilepsy surgery: a systematic review and meta-analysis.

    abstract:OBJECT:Frontal lobe epilepsy (FLE) is the second-most common focal epilepsy syndrome, and seizures are medically refractory in many patients. Although various studies have examined rates and predictors of seizure freedom after resection for FLE, there is significant variability in their results due to patient diversity...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/2012.1.JNS111620

    authors: Englot DJ,Wang DD,Rolston JD,Shih TT,Chang EF

    更新日期:2012-05-01 00:00:00

  • Outcomes and prognostic stratification of patients with recurrent glioblastoma treated with salvage stereotactic radiosurgery.

    abstract:OBJECTIVE:Glioblastoma (GBM) is the most malignant form of astrocytoma. The average survival is 6-10 months in patients with recurrent GBM (rGBM). In this study, the authors evaluated the role of stereotactic radiosurgery (SRS) in patients with rGBMs. METHODS:The authors performed a retrospective review of their brain...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.4.JNS172909

    authors: Sharma M,Schroeder JL,Elson P,Meola A,Barnett GH,Vogelbaum MA,Suh JH,Chao ST,Mohammadi AM,Stevens GHJ,Murphy ES,Angelov L

    更新日期:2018-10-19 00:00:00

  • Relationship of intraoperative electrophysiological criteria to outcome after selective functional posterior rhizotomy.

    abstract::At British Columbia's Children's Hospital, the criteria used in selective functional posterior rhizotomy (SFPR) evolved in three distinct phases. In Phase 1 the electrophysiological criteria for abnormality included a low threshold to a single stimulation, a sustained response to 50-Hz stimulation, and spread outside ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.1.0018

    authors: Steinbok P,Gustavsson B,Kestle JR,Reiner A,Cochrane DD

    更新日期:1995-07-01 00:00:00

  • Access to the brain parenchyma using endovascular techniques and a micro-working channel.

    abstract::OBJECTIVE Several older studies report a low risk for parenchymal access to the CNS by surgical techniques. In more recent studies, including those with post-puncture CT scans, there are indications that the risk of bleeding might approach 8%. New therapies, such as those that use viral vectors, modified mRNA, or cell...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.1.JNS152543

    authors: Lundberg J,Johansson CB,Jonsson S,Holmin S

    更新日期:2017-02-01 00:00:00

  • Giant-cell tumor of the sphenoid bone. Review of 10 cases.

    abstract::Giant-cell tumor rarely affects the sphenoid bone. Ten cases of this tumor seen at the Mayo Clinic are reviewed, bringing the number of cases in the world literature to 31. These tumors, which present in the second and third decades of life and are slightly more frequent in women than in men, may present with various ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.59.2.0322

    authors: Wolfe JT 3rd,Scheithauer BW,Dahlin DC

    更新日期:1983-08-01 00:00:00

  • Anatomic variations of venous sinuses in the region of the torcular Herophili.

    abstract::In this study of 110 cranial cavities from adult cadavers, the superior sagittal sinus was found to divide into two channels. In most cases, the division was associated with a dural partition. Essentially, the variations as observed in this study could be grouped into three types: Type 1 includes those specimens in wh...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.1.0090

    authors: Bisaria KK

    更新日期:1985-01-01 00:00:00

  • Nitrogen mustard, vincristine, procarbazine, and prednisone as adjuvant chemotherapy in the treatment of medulloblastoma. A Pediatric Oncology Group study.

    abstract::In a randomized postoperative trial, adjuvant post-irradiation chemotherapy, consisting of nitrogen mustard, vincristine, procarbazine, and prednisone (MOPP), was tested versus radiation therapy alone for newly diagnosed medulloblastoma in patients between 1 and 21 years of age. Patients treated with irradiation plus ...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3171/jns.1991.74.6.0905

    authors: Krischer JP,Ragab AH,Kun L,Kim TH,Laurent JP,Boyett JM,Cornell CJ,Link M,Luthy AR,Camitta B

    更新日期:1991-06-01 00:00:00

  • Cerebellar astrocytoma: experience with 54 cases surgically treated at the Mayo Clinic, Rochester, Minnesota, from 1978 to 1990.

    abstract::A comprehensive review of the literature has shown that the treatment of choice for cerebellar astrocytomas has primarily been gross-total resection of the mass and gross-total resection of the enhancing portion of pilocytic astrocytomas. Most large scale studies of postresection survival rates of patients with cerebe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.2.0257

    authors: Morreale VM,Ebersold MJ,Quast LM,Parisi JE

    更新日期:1997-08-01 00:00:00

  • Alterations in endothelium-dependent responsiveness of the canine basilar artery subarachnoid hemorrhage.

    abstract::To investigate the alteration of endothelium-dependent responses in chronic vasospasm after subarachnoid hemorrhage (SAH), experiments were carried out in the double-hemorrhage canine model. After the presence of vasospasm was confirmed by cerebral angiography on Days 0 and 7, pharmacological studies on the basilar ar...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.2.0239

    authors: Kim P,Sundt TM Jr,Vanhoutte PM

    更新日期:1988-08-01 00:00:00

  • The clinical significance and optimal timing of postoperative computed tomography following cranial surgery.

    abstract:OBJECT:This study was conducted to evaluate the value of postoperative CT scans in determining the probability of return to the operating room (OR) and the optimal time to obtain such scans to determine the effects of surgery. METHODS:Between January and December 2006 (12 months), all postoperative head CT scans obtai...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.11.JNS081048

    authors: Khaldi A,Prabhu VC,Anderson DE,Origitano TC

    更新日期:2010-11-01 00:00:00

  • Dotlike hemosiderin spots on T2*-weighted magnetic resonance imaging as a predictor of stroke recurrence: a prospective study.

    abstract:OBJECT:Microangiopathy associated with hypertension is a notable cause of cerebral small vessel disease (SVD), including deep intracerebral hemorrhage (ICH) and lacunar infarct. Dotlike low-intensity spots (dotlike hemosiderin spots: dotHSs) on T2*-weighted magnetic resonance (MR) images have been histologically diagno...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.2004.101.6.0915

    authors: Imaizumi T,Horita Y,Hashimoto Y,Niwa J

    更新日期:2004-12-01 00:00:00

  • The voice of art and the art of medicine. The 2002 presidential address.

    abstract::Vincent van Gogh's life, letters, and art are the framework for this existential speech about the nature of alienation, as well as its threat to humanity and to the artful practice of medicine. The honest, human voice expressed in van Gogh's art stands in opposition to alienation, which occurs when we divide the world...

    journal_title:Journal of neurosurgery

    pub_type:

    doi:10.3171/jns.2002.97.6.1261

    authors: Pelofsky S,Pelofsky R

    更新日期:2002-12-01 00:00:00

  • Carotid artery end-to-end anastomosis in the rat using the argon laser.

    abstract::Microvascular end-to-end anastomoses of rat common carotid arteries measuring 0.6 to 0.7 mm in diameter were performed using an argon surgical laser system. Vascular bonding with the argon laser was accomplished in all cases. The anastomosed carotid artery segments were evaluated both angiographically and histological...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.63.5.0771

    authors: Pribil S,Powers SK

    更新日期:1985-11-01 00:00:00

  • Reversal of dementia in normotensive hydrocephalus after removal of a cauda equina tumor. Case report.

    abstract::An elderly man presented with signs of normotensive hydrocephalus. Elevated protein content in the spinal fluid led to the diagnosis of an "asymptomatic" cauda equine neurilemoma and its removal. Within 6 weeks the patient's mental status had dramatically improved. Chronic transudation of plasma proteins including fib...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1976.45.1.0104

    authors: Bamford CR,Labadie EL

    更新日期:1976-07-01 00:00:00

  • Surgical outcomes using a medial-to-lateral endonasal endoscopic approach to pituitary adenomas invading the cavernous sinus.

    abstract:OBJECT:This study details the extent of resection and complications associated with endonasal endoscopic surgery for pituitary tumors invading the cavernous sinus (CS) using a moderately aggressive approach to maximize extent of resection through the medial CS wall while minimizing the risk of cranial neuropathy and bl...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.1.JNS131228

    authors: Woodworth GF,Patel KS,Shin B,Burkhardt JK,Tsiouris AJ,McCoul ED,Anand VK,Schwartz TH

    更新日期:2014-05-01 00:00:00

  • Tentorial edge traumatic aneurysm of the superior cerebellar artery. Case report.

    abstract::The authors report an unusual case of a traumatic aneurysm of the right superior cerebellar artery (SCA). A 22-year-old woman presented with continuous headaches that appeared 15 days after she experienced closed head trauma as a result of a cycling accident. Computerized tomography scanning performed 3 months later s...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1997.87.6.0950

    authors: Proust F,Callonec F,Bellow F,Laquerriere A,Hannequin D,Fréger P

    更新日期:1997-12-01 00:00:00

  • Intracranial air on computerized tomography.

    abstract::Intracranial gas may be epidural, subdural, subarachnoid, parenchymal, or intraventricular. Intracranial air can be easily diagnosed and its location correctly assessed by computerized tomography. Potentially serious complications of intracranial air, such as tension pneumocephalus, can be rapidly and accurately ident...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.3.0355

    authors: Osborn AG,Daines JH,Wing SD,Anderson RE

    更新日期:1978-03-01 00:00:00

  • Pain reduction by electrical brain stimulation in man. Part 1: Acute administration in periaqueductal and periventricular sites.

    abstract::Acute studies performed in five patients indicate that electrical stimulation of the brain could be a powerful tool for the reduction or control of intractable pain. While chronic or spontaneous pain could be relieved by stimulation of the periaqueductal gray matter, the accompanying side effects render it impossible ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.47.2.0178

    authors: Richardson DE,Akil H

    更新日期:1977-08-01 00:00:00

  • Survival following gunshot wound of the pons: neuroanatomic considerations. Case report.

    abstract::The successful treatment of a civilian gunshot wound of the vermis and pons is described. A large missile fragment was removed from a depth of 2 cm within the pons at the level of the facial colliculus. Despite initial coma and subsequent irregular respiration with sleep apnea, the patient survived. Neurological, radi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1971.35.3.0342

    authors: Kline DG,LeBlanc HJ

    更新日期:1971-09-01 00:00:00

  • Cerebral protection.

    abstract::Cerebral protection from an ischemic/hypoxic insult implies that tissue injury can be controlled or even prevented by certain therapeutic maneuvers. For example, physiological thresholds may be altered so that tissue vulnerability to the insult is reduced, or the intensity of an insult may be blunted by enhancing brai...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1986.65.5.0579

    authors: Hoff JT

    更新日期:1986-11-01 00:00:00

  • Safety of perioperative minidose heparin in patients undergoing brain tumor surgery: a prospective, randomized, double-blind study.

    abstract:OBJECT:Thromboembolic phenomena (TEPs) continue to be a significant source of morbidity and mortality in patients undergoing neurosurgery. Although the efficacy of low-dose heparin in preventing TEPs in neurosurgical patients is well established, neurosurgeons are reluctant to use it perioperatively because of concern ...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3171/jns.2001.94.6.0918

    authors: Constantini S,Kanner A,Friedman A,Shoshan Y,Israel Z,Ashkenazi E,Gertel M,Even A,Shevach Y,Shalit M,Umansky F,Rappaport ZH

    更新日期:2001-06-01 00:00:00

  • Radiotherapy and CCNU in the treatment of high-grade supratentorial astrocytomas.

    abstract::Forty-one consecutive patients with supratentorial primary brain tumors (38 Grade III and IV astrocytomas, one giant-cell astrocytoma, and two cases with insufficient tissue for diagnosis) were randomly allocated within 2 weeks of surgery to one of three therapeutic groups. Group 1 (15 patients) received radiation the...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3171/jns.1976.45.2.0129

    authors: Weir B,Band P,Urtasun R,Blain G,Mclean D,Wilson F,Mielke B,Grace M

    更新日期:1976-08-01 00:00:00

  • A randomized comparison of intra-arterial versus intravenous BCNU, with or without intravenous 5-fluorouracil, for newly diagnosed patients with malignant glioma.

    abstract::This Phase III trial tested the efficacy and safety of intra-arterial 1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU) for the treatment of newly resected malignant glioma, comparing intra-arterial BCNU and intravenous BCNU (200 mg/sq m every 8 weeks), each regimen without or with intravenous 5-fluorouracil (1 gm/sq m thre...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.3171/jns.1992.76.5.0772

    authors: Shapiro WR,Green SB,Burger PC,Selker RG,VanGilder JC,Robertson JT,Mealey J Jr,Ransohff J,Mahaley MS Jr

    更新日期:1992-05-01 00:00:00

  • New York City at the dawn of neurological surgery.

    abstract::Although there are many cities that can claim to have been the incubator of modern neurological surgery, the rise of this surgical subspecialty in New York City in the late 19th and early 20th century mirrors what was occurring around the world. The first confirmed brain tumor operation in the US was performed there i...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/2015.7.JNS15732

    authors: Solomon RA

    更新日期:2016-11-01 00:00:00

  • Enhancing nerve regeneration across a silicone tube conduit by using interposed short-segment nerve grafts.

    abstract::Isolated nerve segments may inherently contain all of the necessary factors required to support regeneration within a silicone tube conduit placed across a nerve gap. Thirty-six adult Lewis rats each weighing approximately 250 g were randomized into three groups. A sciatic nerve gap (13-15 mm in length) was bridged by...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.6.0887

    authors: Francel PC,Francel TJ,Mackinnon SE,Hertl C

    更新日期:1997-12-01 00:00:00

  • Percutaneous biopsy of lesions in the cavernous sinus region through the foramen ovale: diagnostic accuracy and limits in 50 patients.

    abstract:OBJECT:The cavernous sinus and surrounding regions-specifically the Meckel cave, posterior sector of the cavernous sinus itself, and the upper part of the petroclival region-are the location of a large variety of lesions that require individual consideration regarding treatment strategy. These regions may be reached fo...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.10.JNS11783

    authors: Messerer M,Dubourg J,Saint-Pierre G,Jouanneau E,Sindou M

    更新日期:2012-02-01 00:00:00

  • Posterior cervical fusion in chidren.

    abstract::Six cases of posterior cervical fusion with rib grafts in children are reported. Four of the children had sustained cervical spine injuries in accidents, and two had congenital absence of the odontoid. Three-level fusions (C1-3) were done in four children, and four-level fusions (C1-4) in two. One child died of unrela...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1976.45.2.0211

    authors: McWhorter JM,Alexander E,Davis CH,Kelly L

    更新日期:1976-08-01 00:00:00