Disordered cerebro-vascular physiology in aneurysmal subarachnoid haemorrhage.

Abstract:

:The technical problems of surgery for anterior circle aneurysm have in large measure been solved. The problem of reduced perfusion to the brain which characterises the patient with aneurysmal subarachnoid haemorrhage in a poor clinical condition demands more subtle physiological handling. It appears likely that maintenance of an intact cell membrane and blood brain barrier may be aided by the exhibition of pre and post-operative steriods, and that concentration on regional perfusion should be the main aim in post-operative management of such cases. This demands maintenance of adequate blood volume, avoidance of platelet stickiness, and utilisation of the pathological paralysis of autoregulation to improve flow to ischaemic zones by hypertensive agents if necessary. The possibility that early operation with evacuation of blood from the basal cisterns may in the end prevent the vascular damage and disordered vaso-reactivity which encourages the development of transient ischaemic deficits, is a concept which has to be actively pursued. The problem is a continuing one which has bedevilled aneurysm surgery for 25 years, but the omens suggest that a solution is appreciably nearer at hand.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Symon L

doi

10.1007/BF01809133

subject

Has Abstract

pub_date

1978-01-01 00:00:00

pages

7-22

issue

1-3

eissn

0001-6268

issn

0942-0940

journal_volume

41

pub_type

杂志文章
  • The chicken egg and skull model of endoscopic endonasal transsphenoidal surgery improves trainee drilling skills.

    abstract:BACKGROUND:We verified the effectiveness of training in endoscopic endonasal transsphenoidal surgery (eETSS) techniques using chicken eggs and a skull model. METHODS:We verified the area of eggshell removed by drilling when five residents and four experts used the chicken eggs and a skull model. RESULTS:When resident...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-014-2035-7

    authors: Okuda T,Yamashita J,Fujita M,Yoshioka H,Tasaki T,Kato A

    更新日期:2014-07-01 00:00:00

  • Lessons learned by personal failures in aneurysm surgery: what went wrong, and why?

    abstract:PURPOSE:To analyse the intraoperative complications of a single neurosurgeon, with emphasis on devastating intraoperative incidents, and how they possibly could have been avoided. METHODS:All the patients operated upon by the author between 1986 and 2002, i.e. 252 patients with 270 craniotomies for 294 aneurysms, were...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0452-9

    authors: Wester K

    更新日期:2009-09-01 00:00:00

  • A four lumen screwing device for multiparametric brain monitoring.

    abstract::We describe multiparametric monitoring in severe head trauma using a new screwing device. Our aim was to create a screw which would make the implantation of the probes and thus multiparametric monitoring easier. The new screw allows us to implant 3 probes (microdialysis, Paratrend and an intracranial pressure device) ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010070077

    authors: Feuerstein TH,Langemann H,Gratzl O,Mendelowitsch A

    更新日期:2000-01-01 00:00:00

  • Angiographic investigation of cerebral vasospasm in subarachnoid haemorrhage due to arteriovenous malformation.

    abstract::Fifty (50) selected patients with arteriovenous malformation (AVM) with and without subarachnoid haemorrhage (SAH) were investigated, in respect of occurrence and course of the vasospasm. The diameters of the carotid siphon and its main branches were measured and plotted against the time elapsing between the haemorrha...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01435865

    authors: von Holst H,Ericson K,Haberbeck-Modesto M,Steiner L

    更新日期:1988-01-01 00:00:00

  • Vertebral artery injury during foraminal decompression in "low-risk" cervical spine surgery: incidence and management.

    abstract:OBJECTIVES:Vertebral artery injury (VAI) during foraminal decompression in cervical spine surgery in the absence of repositioning or screw stabilization is rare. Without immediate recognition and treatment, it may have disastrous consequences. We aimed to describe the incidence and management of iatrogenic VAI in low-r...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-015-2594-2

    authors: Obermüller T,Wostrack M,Shiban E,Pape H,Harmening K,Friedrich B,Prothmann S,Meyer B,Ringel F

    更新日期:2015-11-01 00:00:00

  • Follow-up of extended pterional orbital decompression in severe Graves' ophthalmopathy.

    abstract:BACKGROUND:Compressive optic neuropathy (CON) with visual loss is, apart from corneal exposure and disfigurating proptosis, the most serious clinical sign encountered in Graves' ophthalmopathy. However, numerous different approaches and operative techniques have been proposed for orbital decompression, with varying res...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s007010200013

    authors: Korinth MC,Ince A,Banghard W,Gilsbach JM

    更新日期:2002-02-01 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

    doi:10.1007/s00701-007-1179-0

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

    更新日期:2007-01-01 00:00:00

  • Cerebral vasospasm diagnosis by means of angiography and blood velocity measurements.

    abstract::We investigated 76 patients with known subarachnoid haemorrhage (SAH) in order to compare the results of angiography and non-invasive Doppler recordings of cerebral artery blood velocity in the diagnosis of cerebral vasospasm. One radiologist and one neurovascular surgeon assessed angiographic spasm visually on a four...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405268

    authors: Lindegaard KF,Nornes H,Bakke SJ,Sorteberg W,Nakstad P

    更新日期:1989-01-01 00:00:00

  • Chronic adult hydrocephalus due to uncommon causes.

    abstract::The authors report on four unusual cases of chronic adult hydrocephalus extracted from a large personal series of patients with hydrocephalic dementia. A syndrome resembling that of normal pressure hydrocephalus was due to the following aetiologies in these patients: Paget's disease of the skull, unruptured cerebral a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01808923

    authors: Lobato RD,Lamas E,Cordobés F,Muñoz MJ,Roger R

    更新日期:1980-01-01 00:00:00

  • Acute surgery of cerebral aneurysms and prevention of symptomatic vasospasm.

    abstract::A treatment protocol for a controlled open study in patients with subarachnoid haemorrhage (SAH) from cerebral aneurysms is presented, applying acute surgery and pharmacological prevention of symptomatic vasospasm: In patients clinically graded I-III (Hunt and Hess), operation is performed within 48 to 72 hours. After...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01401814

    authors: Auer LM

    更新日期:1983-01-01 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

  • Morphological and haemodynamic aspects of cerebral aneurysms.

    abstract::4 patients with aneurysms of different size and location were examined by cerebral angiography, computed tomography, angio-computed tomography, magnetic resonance imaging and angiography, in order to demonstrate haemodynamic and morphological aspects of cerebral aneurysms. Turbulent flow within aneurysms could be show...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02001461

    authors: Nüssel F,Wegmüller H,Huber P

    更新日期:1993-01-01 00:00:00

  • Co-existence of abdominal aortic aneurysms and intracranial aneurysms.

    abstract::The occurrence of abdominal aortic aneurysms (AAAs) and intracranial aneurysms (IAs) in the same patient and in the same family was studied among 89 patients with AAAs and 485 patients with IAs. Among the AAA-patients two had IAs themselves and five had IAs in the family, whereas three IA-patients had AAAs themselves ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF02076012

    authors: Norrgård O,Angqvist KA,Fodstad H,Forssell A,Lindberg M

    更新日期:1987-01-01 00:00:00

  • Malignancy and viability of intraparenchymal brain tumours: correlation between Gd-DTPA contrast MR images and proliferative potentials.

    abstract::The feasibility of diagnosing the malignancy and viability of intraparenchymal brain tumours using Gd-DTPA, enhanced and unenhanced T1-weighted MRIs was investigated. The relationship between the Gd-DTPA enhancement pattern, the growth fraction (GF) determined by using the anti-bromide-oxyuridine (BrdU) monoclonal ant...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01400619

    authors: Yoshii Y,Komatsu Y,Yamada T,Hyodo A,Nose T,Kobayashi E

    更新日期:1992-01-01 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

  • Intramedullary spinal cord tumour associated with neurofibromatosis type 1.

    abstract::We investigated the characteristic features of intramedullary spinal cord tumour associated with neurofibromatosis type 1 (NF-1). We have experienced 44 cases of pathologically confirmed intramedullary spinal cord tumour. Diagnosis of NF-1 was done according to the criteria set by the National Institute of Health Cons...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/BF01411560

    authors: Yagi T,Ohata K,Haque M,Hakuba A

    更新日期:1997-01-01 00:00:00

  • Grading and outcome prediction of cases of aneurysmal subarachnoid haemorrhage by bedside xenon cerebral blood flowmetry.

    abstract::Ninety-six patients with aneurysmal subarachnoid haemorrhage underwent serial measurement of regional cerebral blood flow throughout the period of their treatment over the period of 5 years (1983 to 1988). A portable bedside xenon cerebral blood flow machine was used in this study and the initial slope index (ISI) val...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01407659

    authors: Kotb MM,Symon L,Compton J,Rosenstein J,Jabre A

    更新日期:1991-01-01 00:00:00

  • Ventriculo-subgaleal shunt: evaluation by computed tomography.

    abstract::Ventriculo-subgaleal shunting was used for temporary decompression of hypertensive hydrocephalus. Pre- and post-shunt computed tomography was utilized in five cases as a method for detecting complications and determining shunt function. A clear-cut clinical improvement and stabilization followed the subgaleal diversio...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01808925

    authors: Drapkin AJ,Levine ME,Yang WC

    更新日期:1980-01-01 00:00:00

  • Arachnoid cysts of the middle cranial fossa accompanied by subdural effusions--experience with 60 consecutive cases.

    abstract:BACKGROUND:Subdural effusions (SDEs) can complicate arachnoid cysts of the middle cranial fossa (ACMFs). While there is a consensus that at least in adults asymptomatic ACMFs should not be operated, those with concomitant subdural and/or intracystic effusions are clinically apparent in the majority of cases and should ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-010-0820-5

    authors: Sprung C,Armbruster B,Koeppen D,Cabraja M

    更新日期:2011-01-01 00:00:00

  • Multiple intradural extramedullary tumours presenting with paraplegia after trauma.

    abstract::Intraspinal nerve-sheath tumours are generally slow growing and are diagnosed after causing symptoms such as back pain and progressive neurological symptoms. We present a rare example of multiple schwannomas located in the thoracolumbar spine in a previously asymptomatic patient who developed severe neurological defic...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0239-z

    authors: Sharifi G,Mortaz M,Parsaei B

    更新日期:2009-06-01 00:00:00

  • Gorham's disease of skull base and cervical spine--confusing picture in a two year old.

    abstract::The unusual presentation of Gorham's disease of skull base and cervical spine in a two-year-old female child with radiological signs mimicking those of raised intracranial pressure is discussed. The differential diagnosis consists of skull base tumours, meningitis, osteomyelitis of the base of skull, congenital hydroc...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0806-x

    authors: Girn HR,Towns G,Chumas P,Holland P,Chakrabarty A

    更新日期:2006-08-01 00:00:00

  • Atorvastatin preconditioning attenuates the production of endothelin-1 and prevents experimental vasospasm in rats.

    abstract:OBJECTIVE:Induced endothelin-1 (ET-1) production and decreased nitric oxide synthase (NOS) bioavailability have been found in aneurysmal subarachnoid hemorrhage (SAH). Atorvastatin is recognized to have pleiotropic effects including increasing NOS bioavailability as well as reducing inflammation and oxidative damage ot...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-010-0652-3

    authors: Chang CZ,Wu SC,Lin CL,Hwang SL,Howng SL,Kwan AL

    更新日期:2010-08-01 00:00:00

  • Hair-sparing technique using absorbable intradermal barbed suture versus traditional closure methods in supratentorial craniotomies for tumor.

    abstract:BACKGROUND:Hair-sparing techniques in cranial neurosurgery have gained traction in recent years and previous studies have shown no difference in infection rates, yet limited data exists evaluating the specific closure techniques utilized during hair-sparing craniotomies. Therefore, it was the intention of this study to...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04239-3

    authors: Luther E,Berry K,McCarthy D,Sandhu J,Mayrand R,Guerrero C,Eichberg DG,Buttrick S,Shah A,Richardson AM,Komotar R,Ivan M

    更新日期:2020-04-01 00:00:00

  • The role of Gamma Knife radiosurgery in the treatment of pineal parenchymal tumours.

    abstract:OBJECT:The aim of this study was to document the possible role of Gamma Knife radiosurgery, suitable for the treatment of deep and well limited tumors, in the management of pineal parenchymal tumors (PPT). POPULATION AND METHODS:We reviewed retrospectively a series of 13 patients with PPT treated by Gamma Knife radios...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-005-0626-z

    authors: Reyns N,Hayashi M,Chinot O,Manera L,Péragut JC,Blond S,Régis J

    更新日期:2006-01-01 00:00:00

  • Does time from diagnostic CT until surgical evacuation affect outcome in patients with chronic subdural hematoma?

    abstract:BACKGROUND:Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. Patients diagnosed with CSDH's are often planned for subacute surgery. This means that time from diagnostic CT scan until actual surgery might often be prolonged. There are no previous studies that highlight the effect of de...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3620-y

    authors: Zolfaghari S,Ståhl N,Nittby Redebrandt H

    更新日期:2018-09-01 00:00:00

  • Cervical cord compression and severe hydrocephalus in a child with Saudi variant of multiple sulfatase deficiency. Report of case.

    abstract::We report a 2.5-year-old boy with Saudi variant of multiple sulfatase deficiency (MSD or Austin's disease). He presented with the features of cervical cord compression and a severe form of hydrocephalus. The former was due to a thickened posterior arch of the atlas and the latter from a narrow foramen magnum and menin...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01401468

    authors: al-Moutaery KR,Choudhury AR,Hassanen MO

    更新日期:1994-01-01 00:00:00

  • Role of antithrombotic therapy in the risk of hematoma recurrence and thromboembolism after chronic subdural hematoma evacuation: a population-based consecutive cohort study.

    abstract:OBJECTIVE:To establish the risk of recurrence in patients with chronic subdural hematoma (cSDH) on antithrombotic treatment (AT, i.e., antiplatelets and anticoagulants). Secondary end points were perioperative morbidity and mortality between groups (AT vs. no-AT group) and exploration if timing of resumption of AT trea...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3330-x

    authors: Fornebo I,Sjåvik K,Alibeck M,Kristiansson H,Ståhl F,Förander P,Jakola AS,Bartek J Jr

    更新日期:2017-11-01 00:00:00

  • Histological change in permanently clipped or ligated cerebral arterial wall. Part I. An experimental study in dogs.

    abstract::In this paper, we discuss the results of a study by light microscope of the effect of permanent clipping or ligation on the intracranial arteries of 38 operation dogs and 7 control dogs. The findings obtained are: 1. In the cerebral arterial circle, necrosis could easily result from ordinary clipping or ligation becau...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405851

    authors: Ebina K,Iwabuchi T,Suzuki S

    更新日期:1982-01-01 00:00:00

  • Carpal tunnel syndrome and acromegaly.

    abstract::50 patients with acromegaly and carpal tunnel syndrome have been examined electrophysiologically before and after transnasal operation of the pituitary adenoma. 32 of the 50 patients (64%) had symptoms of carpal tunnel syndrome. 13 of them had neurological deficits. 28 of the examined patients had pathological neurogr...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF01420508

    authors: Baum H,Lüdecke DK,Herrmann HD

    更新日期:1986-01-01 00:00:00

  • Neurophysiologic monitoring in posterior fossa surgery. I. Technical principles, applicability and limitations.

    abstract::In 135 cases of posterior fossa surgery almost exclusively in the cerebellopontine angle (CPA) intraoperative monitoring of brain-stem acoustic evoked potentials (BAEP) and partly somatosensory evoked potentials (SEP) was performed. The series consisted of 20 microvascular decompressions, 63 acoustic neurinomas, 7 vas...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01407170

    authors: Schramm J,Watanabe E,Strauss C,Fahlbusch R

    更新日期:1989-01-01 00:00:00