Gamma knife surgery of superficially located meningioma.

Abstract:

OBJECT:The authors analyzed tumor control rates and complications in patients with superficially located meningiomas after gamma knife surgery (GKS). METHODS:Between 1998 and 2003, GKS was performed in 23 patients with 26 lesions in whom follow-up imaging for 1 year or more was available. The male/female ratio was 1:22. The mean age was 59 years. The median tumor volume was 4.7 cm3, and the mean margin dose was 16 Gy at the 50% isodose line. Peritumoral edema was revealed on magnetic resonance (MR) imaging in four patients before GKS. Magnetic resonance imaging and clinical examinations were performed every 6 months after GKS. The mean follow-up duration was 32 months. The tumor shrank in eight cases, was stable in 17, and enlarged in one; thus 25 (95%) of 26 tumors were controlled. A peritumoral high signal on T2-weighted MR images was found in eight lesions and preexisting edema was aggravated in three lesions after GKS. Ten of these 11 patients complained of severe headache, and three patients experienced neurological deficits at the same time after a mean latency of 3 months; however, high signal was not demonstrated on imaging before 6 months on average. Steroid agents, when required, gave relief to all patients. The complication rate was 43% (10 of 23 cases). High signal disappeared in nine patients and decreased in the remaining two. High signal was associated with a high integral dose and a large tumor volume. Tumor shrinkage at the last follow-up examination was more prominent in the patients with symptomatic high signal (p = 0.03). CONCLUSIONS:There was a good tumor control rate with a high complication rate. Longer follow up of more patients is needed. Adjusting the dose-volume relationship should be considered to reduce complications.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Kim DG,Kim ChH,Chung HT,Paek SH,Jeong SS,Han DH,Jung HW

doi

10.3171/jns.2005.102.s_supplement.0255

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

255-8

eissn

0022-3085

issn

1933-0693

journal_volume

102 Suppl

pub_type

杂志文章
  • Cortical plasticity of motor-eloquent areas measured by navigated transcranial magnetic stimulation in patients with glioma.

    abstract::OBJECTIVE The goal of this study was to obtain a better understanding of the mechanisms underlying cerebral plasticity. Coupled with noninvasive detection of its occurrence, such an understanding has huge potential to improve glioma therapy. The authors aimed to demonstrate the frequency of plastic reshaping, find clu...

    journal_title:Journal of neurosurgery

    pub_type: 评论,杂志文章

    doi:10.3171/2016.9.JNS161595

    authors: Conway N,Wildschuetz N,Moser T,Bulubas L,Sollmann N,Tanigawa N,Meyer B,Krieg SM

    更新日期:2017-11-01 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

  • A historical case of beaten-copper cranium.

    abstract::The authors present the oldest historical case of a so-called beaten-copper cranium. The typical pattern was identified on a skull from a child, probably a boy, who died at approximately 6 years of age and was buried in a provisional cemetery used during the siege of Hanau, Germany, in 1635 and 1636. Morphological and...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/ped.2007.106.1.71

    authors: Rühli FJ,Nicklisch N,Alt KW

    更新日期:2007-01-01 00:00:00

  • A randomized placebo-controlled double-blind trial of nimodipine after SAH in monkeys. Part 1: Clinical and radiological findings.

    abstract::The authors have developed a method to induce chronic cerebral vasospasm after subarachnoid hemorrhage (SAH) in monkeys. With microsurgical techniques, 33 monkeys had a frontotemporal craniectomy and unilateral opening of the subarachnoid cisterns. Cerebrospinal fluid was drained and a fresh hematoma, obtained from an...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.6.1167

    authors: Espinosa F,Weir B,Overton T,Castor W,Grace M,Boisvert D

    更新日期:1984-06-01 00:00:00

  • Extramedullary hemangioblastoma of the spinal cord. Case report.

    abstract::A case of hemangioblastoma of the spinal cord is described in which the tumor presented in an intradural extramedullary location. The patient did not have von Hippel-Lindau's disease or metastatic seeding. It is assumed that the tumor arose in the pia, and its direction of growth was purely extramedullary. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.3.0461

    authors: Wisoff HS,Suzuki Y,Llena JF,Fine DI

    更新日期:1978-03-01 00:00:00

  • Hybrid fluorescein-guided surgery for pituitary adenoma resection: a pilot study.

    abstract:OBJECTIVE:The authors conducted a pilot study on hybrid fluorescein-guided surgery for pituitary adenoma resection and herein describe the feasibility and safety of this technique. METHODS:In this pilot study, the authors included all consecutive patients presenting with pituitary adenomas, functioning and nonfunction...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.1.JNS181512

    authors: Romano-Feinholz S,Alcocer-Barradas V,Benítez-Gasca A,Martínez-de la Maza E,Valencia-Ramos C,Gómez-Amador JL

    更新日期:2019-04-05 00:00:00

  • The use of clip-suture in thoracic sympathectomy. Technical note.

    abstract::A technique is described for using a clip-suture to expedite handling of the divided sympathetic chain in a deep, small upper-thoracic exposure. No late failures were experienced in 23 patients with hyperhydrosis surgically treated using this technique. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.3.0482

    authors: Beatty RA

    更新日期:1994-09-01 00:00:00

  • New data on diastematomyelia.

    abstract::Five cases of diastematomyelia are described and illustrated. These and a further 60 cases from the literature are analyzed. The data corroborate the opinion that early diagnosis and treatment result in a better prognosis. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.51.3.0355

    authors: Kennedy PR

    更新日期:1979-09-01 00:00:00

  • Impact test comparisons of 20th and 21st century American football helmets.

    abstract:OBJECT:Concussion is the signature American football injury of the 21st century. Modern varsity helmets, as compared with vintage leather helmets, or "leatherheads," are widely believed to universally improve protection by reducing head impact doses and head injury risk for the 3 million young football players in the U...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2011.9.JNS111059

    authors: Bartsch A,Benzel E,Miele V,Prakash V

    更新日期:2012-01-01 00:00:00

  • Destructive procedures for control of cancer pain: the case for cordotomy.

    abstract:OBJECT:Historically, destructive procedures for cancer pain were the main line of treatment therapy. However, the use of high-dose opioids has essentially replaced such procedures. Recognition of the limits of medical therapy to treat cancer pain effectively is growing, while conversely, in regions with limited access ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/2010.6.JNS10119

    authors: Raslan AM,Cetas JS,McCartney S,Burchiel KJ

    更新日期:2011-01-01 00:00:00

  • Speech changes induced by deep brain stimulation of the subthalamic nucleus in Parkinson disease: involvement of the dentatorubrothalamic tract.

    abstract::OBJECTIVE Patients with Parkinson disease (PD) who undergo subthalamic nucleus (STN) deep brain stimulation (DBS) often develop a deterioration in speech performance, but there is no clear consensus on the specific effects seen or the mechanism involved and little description of the impact of DBS on conversational spe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.5.JNS16243

    authors: Fenoy AJ,McHenry MA,Schiess MC

    更新日期:2017-06-01 00:00:00

  • Delayed nonhemorrhagic encephalopathy following mild head trauma. Case report.

    abstract::Delayed nonhemorrhagic encephalopathy following mild head trauma is a rare condition with an unknown etiology. The few cases reported in the literature are in young adults, all of them in the era before computerized tomography (CT) became available, and all had a devastating clinical course with multifocal ischemia or...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.4.0608

    authors: Ram Z,Hadani M,Spiegelman R,Tadmor R,Shacked I

    更新日期:1989-10-01 00:00:00

  • Resection and brain brachytherapy with permanent iodine-125 sources for brain metastasis.

    abstract::OBJECTIVE Stereotactic radiosurgery (SRS) with or without whole-brain radiotherapy can be used to achieve local control (> 90%) for small brain metastases after resection. However, many brain metastases are unsuitable for SRS because of their size or previous treatment, and whole-brain radiotherapy is associated with ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.4.JNS152530

    authors: Raleigh DR,Seymour ZA,Tomlin B,Theodosopoulos PV,Berger MS,Aghi MK,Geneser SE,Krishnamurthy D,Fogh SE,Sneed PK,McDermott MW

    更新日期:2017-06-01 00:00:00

  • Congenital ventriculocisternostomy. Case report.

    abstract::A case of congenital ventriculocisternostomy is reported. This infant presented with occipital meningocele. Conray ventriculography demonstrated a spontaneous ventriculocisternostomy and stenosis of the aqueduct. The case is discussed and pertinent literature reviewed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.54.1.0098

    authors: Mann KS,Khosla VK,Gulati DR

    更新日期:1981-01-01 00:00:00

  • A reassessment of vascular endothelial growth factor in central nervous system pathology.

    abstract::Overexpression of vascular endothelial growth factor (VEGF) is associated with several central nervous system (CNS) diseases and abnormalities, and is often postulated as a causative factor and promising therapeutic target in these settings. The authors' goal was to reassess the contribution of VEGF to the biology and...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2005.103.5.0853

    authors: Merrill MJ,Oldfield EH

    更新日期:2005-11-01 00:00:00

  • Intraoperative evaluation of cerebral hemodynamics using directional Doppler technique. Part 2: Saccular aneurysms.

    abstract::The use of a pulsed echo Doppler technique during procedures for occlusion of intracranial aneurysms is described. Saccular aneurysms can be located with reference to probe position and depth setting. Tracings of intra-aneurysmal flow are presented, and the characteristic flow pattern is disucssed. Special emphasis ha...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.50.5.0570

    authors: Nornes H,Grip A,Wikeby P

    更新日期:1979-05-01 00:00:00

  • Long-term intrathecal baclofen infusion for treatment of spasticity.

    abstract::Seven patients with spasticity of spinal cord origin have been maintained for up to 2 years with continuous spinal intrathecal infusion of baclofen. Prior to treatment, all of the patients had severe rigidity in their lower limbs and most had frequent and extensive spontaneous spasms, all of which greatly interfered w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.66.2.0181

    authors: Penn RD,Kroin JS

    更新日期:1987-02-01 00:00:00

  • Gamma knife surgery for cancer pain-pituitary gland-stalk ablation: a multicenter prospective protocol since 2002.

    abstract:OBJECT:The authors have treated intractable pain, particularly cancer pain related to bone metastasis, with various protocols. Cancer pain has been treated by gamma knife radiosurgery (GKS), targeted to the pituitary gland-stalk, as an alternative new pain control method. The purpose of this study was to investigate a ...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.3171/jns.2002.97.supplement

    authors: Hayashi M,Taira T,Chernov M,Fukuoka S,Liscak R,Yu CP,Ho RT,Regis J,Katayama Y,Kawakami Y,Hori T

    更新日期:2002-12-01 00:00:00

  • CSF dynamics and pressure-volume relationships in communicating hydrocephalus.

    abstract::Twenty-nine patients consecutively admitted with a diagnosis of communicating hydrocephalus underwent continuous intracranial pressure (ICP) monitoring; pressure-volume studies; and measurement of resistance to outflow of cerebrospinal fluid (Rout). The two latter calculations were made by the bolus injection and pres...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.64.1.0045

    authors: Kosteljanetz M

    更新日期:1986-01-01 00:00:00

  • Outcome following aneurysm wrapping: a 10-year follow-up review of clipped and wrapped aneurysms.

    abstract::One hundred and eighty-one patients with single aneurysms involving the anterior circulation were treated either by wrapping (60 cases) or clipping (121 cases), and 96.1% of them were followed for 10 years. The rate of early rebleeding (less than 6 months) from wrapped aneurysms was 8.6% (confidence interval 1.4% to 1...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.70.6.0841

    authors: Todd NV,Tocher JL,Jones PA,Miller JD

    更新日期:1989-06-01 00:00:00

  • Treatment of autochthonous rat brain tumors with fractionated radiotherapy. The effects of graded radiation doses and of combined therapy with BCNU or steroids.

    abstract::The avian sarcoma virus-induced glioma model in rats was used to evaluate radiation dose response (survival curves), giving fractionated treatments to the whole head. Groups of 14 to 20 rats received total doses of 2300, 4600, or 5750 rads over 2, 4, or 5 weeks, respectively. Median group survival times were compared ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.1.0068

    authors: Steinbok P,Mahaley MS Jr,U R,Varia MA,Lipper S,Mahaley J,Dalzell JG,Bigner DD

    更新日期:1980-07-01 00:00:00

  • The effects of mechanical immobilization on sutural development in the growing rabbit.

    abstract::Methyl-2-cyanoacrylate was used to mechanically immobilize the coronal suture unilaterally in a series of New Zealand white rabbits at varying ages. The animals were separated into groups; some were sacrificed at 30 day and some at 60 days postoperatively. Amalgam markers were placed in the parietal and frontal bones ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.6.0794

    authors: Foley WJ,Kokich VG

    更新日期:1980-12-01 00:00:00

  • Effect of phenytoin and corticosteroids on seizures and lipid peroxidation in experimental posttraumatic epilepsy.

    abstract::Head trauma, intracerebral hematoma formation, and hemorrhagic cerebral infarction cause extravasation of the intravascular contents, red blood cell (RBC) hemolysis, hemosiderin deposition within the neuropil, and an increased incidence of epilepsy. Reports conflict regarding the efficacy of the administration of prop...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.3.0467

    authors: Willmore LJ,Triggs WJ

    更新日期:1984-03-01 00:00:00

  • Founder of modern hydrocephalus diagnosis and therapy: Walter Dandy at the Johns Hopkins Hospital.

    abstract::Because of his exceptional and pioneering contributions to the understanding and treatment of neurosurgical conditions, Walter Dandy is considered to be one of the founders of both neurosurgery and neuroradiology. In the field of hydrocephalus, Dandy developed revolutionary research models, imaging modalities, and ope...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.4.JNS172316

    authors: Blitz AM,Ahmed AK,Rigamonti D

    更新日期:2018-10-01 00:00:00

  • Post-craniotomy wound infection caused by Pseudallescheria boydii. Case report.

    abstract::The authors describe the first reported case of post-craniotomy wound infection due to Pseudallescheria boydii. The patient was a 24-year-old man who sustained a direct blunt injury to the calvaria, resulting in a large subdural hematoma that was surgically evacuated. Subsequently, the surgical wound became infected w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.64.1.0153

    authors: Lazarus HS,Myers JP,Brocker RJ

    更新日期:1986-01-01 00:00:00

  • Surgical implications of the thickened pituitary stalk accompanied by central diabetes insipidus.

    abstract:OBJECT:The authors discuss the indications for and timing of a diagnostic neurosurgical procedure in children with diabetes insipidus (DI) and a thickened pituitary stalk (TPS) on magnetic resonance (MR) imaging. METHODS:Seven children with a TPS who presented with DI eventually underwent surgery for diagnostic purpos...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2005.103.2.0142

    authors: Beni-Adani L,Sainte-Rose C,Zerah M,Brunelle F,Constantini S,Renier D,Lellouch-Tubiana A,Leger J,Pierre-Kahn A

    更新日期:2005-08-01 00:00:00

  • Reduced expression of the transporter associated with antigen processing 1 molecule in malignant glioma cells, and its restoration by interferon-gamma and -beta.

    abstract:OBJECT:It remains unclear whether malignant glioma cells can deliver tumor antigens efficiently to major histocompatibility complex (MHC) Class I molecules. To elucidate the mechanism of antigen presentation in malignant gliomas, the authors examined the expression of the transporter associated with antigen processing ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.104.2.264

    authors: Satoh E,Mabuchi T,Satoh H,Asahara T,Nukui H,Naganuma H

    更新日期:2006-02-01 00:00:00

  • Vicryl (polyglactin 910) mesh as a dural substitute in the presence of pia arachnoid injury.

    abstract::Previously presented data showed that Vicryl mesh was a potentially effective dural grafting material. It is easily handled, relatively inexpensive, absorbed over time, and elicits a minimal inflammatory response. The present experimental project was conducted to investigate the effectiveness of a tightly woven versio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.1.0124

    authors: Nussbaum CE,Maurer PK,McDonald JV

    更新日期:1989-07-01 00:00:00

  • Treatment of blunt injury to the carotid artery by using endovascular stents: an early experience.

    abstract::Identification of blunt carotid injury prior to the development of ischemic symptoms requires aggressive screening of patients at risk. The treatment of these lesions has centered around long-term anticoagulation therapy. However, studies have revealed that many of these lesions persist despite medical treatment, as d...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.6.0825

    authors: Duke BJ,Ryu RK,Coldwell DM,Brega KE

    更新日期:1997-12-01 00:00:00

  • Titanium dural clip testing. Technical note.

    abstract::Spinal dural lacerations can be a difficult part of spinal surgery. A dural tear can result in complications that include meningitis and pseudocyst formation. Appropriate treatment for these tears is generally suturing, using 4.0, 5.0, or 6.0 suture. For successful closure of dural lacerations, the authors have collab...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.6.0947

    authors: Levy DI,Sonntag VK

    更新日期:1994-12-01 00:00:00