Abstract：
:The results of a personal series of 44 consecutive patients undergoing burrhole evacuation and closed system suction drainage for chronic subdural haematoma are presented. 43 patients made a complete recovery and one was left with moderate disability. Contralateral weakness in one patient, recurrence of haematoma in another, and a new contralateral haematoma in a third were the only complications. The operative procedures responsible for the rather low complication rate in this series are described. It is concluded that to avoid complications following surgical treatment of chronic subdural haematoma, attention must be paid to the following factors: evacuation of the haematoma through two burrholes overlying the subdural collection; attention to ensure free communication through the subdural space between the two burrholes; identification and opening of additional loculations overlying the cortex; irrigation of the subdural space to ensure as complete an evacuation of the subdural collection as possible and the use of closed system suction drainage, nursing the patient flat, and intravenous hydration of the patient for three days. In addition, in patients with coagulopathy, correction of these disorders before surgery is most essential.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Choudhury ARdoi
10.1007/BF01400867subject
Has Abstractpub_date
1994-01-01 00:00:00pages
15-9issue
1-2eissn
0001-6268issn
0942-0940journal_volume
129pub_type
杂志文章abstract：:Modern neuro-imaging techniques have significantly increased the accuracy of stereotactic procedures and have thereby generated a renewed interest in guided brain surgery. This paper describes the neuroradiological aspects of stereotaxic target calculation (x-, y-, z- coordinates) using the Riechert-Mundinger (Fisher)...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01400713
更新日期：1993-01-01 00:00:00
abstract：:The authors describe a case of accidental electrocution from a high voltage current in a young worker, who was struck by the electric shock in the mid-occipital region. The case is especially interesting due to the improbability of anyone surviving after receiving a shock of more than 1000 V., and to the development o...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01402395
更新日期：1986-01-01 00:00:00
abstract：:The oxyhaemoglobin, methaemoglobin and bilirubin concentrations were determined in subdural haematomas and cerebrospinal fluid from 18 patients. The total haem derivative concentration ranged from 55 mumol/l to 13.9 mmol/l in the haematomas and from 0.1 mumol/l to 8.2 mumol/l in the cerebrospinal fluid. Bilirubin was ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01790770
更新日期：1988-01-01 00:00:00
abstract：:When operating on a child with a large myelomeningocele and kyphosis, coverage with skin of high quality and a supporting layer of subcutaneous tissue can be difficult. The dermal circulation in the newborn is finite and an extensive mobilisation of the skin is a risky venture. Between 1988 and 2003 five children with...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-005-0704-2
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVE:This project aimed to prepare a self complete patient satisfaction survey for patients who have undergone surgery for trigeminal neuralgia and then assess its reproducibility, validity and acceptability in one centre. METHODS:The questionnaire, for initial use in patients who had undergone posterior fossa su...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-005-0575-6
更新日期：2005-09-01 00:00:00
abstract：:The purpose of this paper is to present an in vitro method for examining cerebral vasospasm after subarachnoid haemorrhage (SAH) which correlates to the patients' condition. The O2 consumption of the porcine carotid artery was monitored, using an oxygen electrode, after exposure to cerebrospinal fluid (CSF) from patie...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010170140
更新日期：2001-01-01 00:00:00
abstract：:We present a case of recurrent metastatic brain tumour spread across a cranial fixation device. ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-007-1369-9
更新日期：2007-12-01 00:00:00
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
更新日期：1983-01-01 00:00:00
abstract：PURPOSE:We aim to analyse the relationship between the quality of information during the decision-making process regarding surgery to treat high-grade gliomas and the level of anxiety of the patients. METHODS:This is a transversal, descriptive and correlational study on 26 patients with a clinical and radiological dia...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-009-0195-7
更新日期：2009-04-01 00:00:00
abstract：:Early diagnosis of thoracic disc herniations has become more common with the advent of spinal magnetic resonance imaging (MRI). This early diagnosis combined with choosing the optimal surgical approach, to ensure adequate decompression without excessive cord and root manipulation, will achieve the optimum results. It ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01402509
更新日期：1991-01-01 00:00:00
abstract：:Arachnoid cysts are frequent anomalies of the CNS. They are benign lesions within the arachnoid membrane and have been reported to occur in virtually all locations where arachnoid is present. An intraventricular location, however, is rare and occurrence within the fourth ventricle is particularly uncommon. The first r...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
doi：10.1007/s00701-009-0309-2
更新日期：2010-01-01 00:00:00
abstract：:Malignant glioma presenting as an intracerebral haematoma is very rare. Two patients having malignant gliomas, initially presenting as intraparenchymal haematomas, are discussed. One patient survived, but the other patient rapidly deteriorated and died. ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01407682
更新日期：1979-01-01 00:00:00
abstract：BACKGROUND:In this article, we present our experience with such operations performed under local anaesthesia. METHODS:From January 1997 to November 2007, there were 387 patients operated on for asymptomatic carotid stenosis. Patient data were retrospectively evaluated. Thirty-day neurological morbidity and mortality f...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-010-0806-3
更新日期：2011-02-01 00:00:00
abstract：:For treatment of spasmodic torticollis (s.T.) microsurgical decompression of the intraspinal-intracranial portion of the accessory nerve (a.N.) has been performed in 11 patients with proved neurogenic lesions of the accessory nerve-dependent muscles. Neurogenic lesions were discovered by meticulous electromyographic (...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01406346
更新日期：1981-01-01 00:00:00
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
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:The use of endoscopes in transnasal surgery offers increased visualization. To minimize rhinological morbidity without restriction in manipulation, we introduced the mononostril transethmoidal-paraseptal approach. METHODS:The aim of the transethmoidal-paraseptal approach is to create sufficient space within...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-017-3075-6
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:A small subset of patients with adult Chiari I malformation without basilar invagination (BI) and instability show ventral cervicomedullary distortion/compression and have symptoms pertaining to that. The cause of this ventral compression remains speculative. Additionally, it is unclear if these patients wou...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-011-1215-y
更新日期：2012-01-01 00:00:00
abstract：:Fifty-one cases of posterior fossa haemangioblastoma have been seen in our department over a period of 23 years. Seven cases were associated with spinal cord lesions and one with a supratentorial lesion. There were 22 cases of Lindau's disease (43%). The onset was earlier and recurrences commoner than in isolated case...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF02112026
更新日期：1993-01-01 00:00:00
abstract：:Incomplete cerebral ischaemia of 10 to 60 minutes duration was performed by reducing the perfusion pressure of completely isolated canine heads at brain temperatures of 37 and 32 degrees C. Complete cerebral ischaemia of the same duration was performed by complete stopping of the perfusion. The latency of recovery of ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF02074501
更新日期：1982-01-01 00:00:00
abstract：:The results of electro-oculographic recordings made after caloric vestibular stimulation (C.O.G.) in severe head injured patients are discussed. It was found that: 1. The C.O.G. correlates with the state of consciousness of the patients. 2. The rate of improvement of the C.O.G. correlates with the rate of the clinical...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01405860
更新日期：1976-01-01 00:00:00
abstract：:The findings of computerized tomography and clinical features were studied in 19 patients with traumatic intraventricular haemorrhage. Blood was found in various portion of the ventricles. Main sites of the blood was as follows: around the foramen of Monro, 6 patients; in the body and occipital horn of the lateral ven...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01404144
更新日期：1987-01-01 00:00:00
abstract：BACKGROUND:Minimally invasive surgical approaches still provide limited exposure. Access to the L2-L5 intervertebral discs during a single procedure is challenging and often requires repositioning of the patient and adopting an alternative approach. OBJECTIVES:Investigate the windows to the L2-L5 intervertebral discs ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-018-3621-x
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Cerebrospinal fluid (CSF) shunting is a highly effective treatment for idiopathic normal pressure hydrocephalus (iNPH). However, secondary deterioration can occur at a later time. Thus, the current study aimed to evaluate the incidence rate and causes of secondary deterioration. METHODS:A retrospective anal...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-020-04475-7
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Lateral approaches to the brain stem for the resection of the cavernous malformations are preferred in order to avoid the structures within the floor of the fourth ventricle. The entry behind the pyramidal tract (PT) is usually carried out through the posterolateral surface of the brain stem. The more straig...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-011-1123-1
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Lumbar microendoscopic discectomy (MED) is a minimally invasive transmuscular approach that combines standard lumbar microsurgical techniques with endoscopy. MED advantages include reduced tissue trauma, direct visualization of the nerve root and disc disease, and allowing bony decompression in cases with sp...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-016-2743-2
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Burr hole surgery for moyamoya disease and moyamoya syndrome is known to be an effective, versatile, and relatively simple revascularization technique. We will focus on the technical operative aspects of multiple burr hole surgery as we perform it in our center. METHODS:Periosteal flaps are prepared and pla...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-018-3743-1
更新日期：2019-01-01 00:00:00
abstract：:Acute tumor hemorrhage occurring during stereotactic radiosurgery (SRS) for a metastatic lesion, or in the immediate post-treatment period, is believed to be extremely rare. The potential risk of hemorrhage related to SRS procedures in patients with metastatic brain tumors is not yet clearly understood. This case repo...
journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
doi：10.1007/s00701-012-1447-5
更新日期：2012-09-01 00:00:00
abstract：:Firstly, 14 patients are described who developed either an acquired Chiari malformation (ACM) alone (7 cases) or ACM and syringomyelia (7 cases) after lumbar subarachnoid space (SAS) shunting or in one case, epidural anaesthesia with SAS penetration. Four groups are considered: 3 cases with craniofacial dysostosis and...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s007010050119
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Microvascular decompression (MVD) for hemifacial spasm (HFS) has been popular, but it may take enough time to master this special operative technique and procedure. This may induce uneven distribution of the number of MVD operations in each institute, possibly resulting in an overall unsatisfactory quality o...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-013-1724-y
更新日期：2013-09-01 00:00:00
abstract：:In spite of the recent advances in neuroradiology including the CT scan and the spin-echo-magnetic resonance (MR), accurate diagnosis of arteriovenous malformations (AVMs) involving the spinal cord is still based on selective angiography. This last procedure is invasive and needs to be repeated during the follow up. P...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01476287
更新日期：1993-01-01 00:00:00
