Abstract:
BACKGROUND AND AIMS:We have utilized lift-up laminoplasty to treat patients with myelopathy caused by ossification of the posterior longitudinal ligament (OPLL) of the cervical spine. The preliminary surgical outcome with computer-assisted morphological assessment is presented. MATERIAL AND METHODS:The surgical technique of lift-up laminoplasty includes standard posterior exposure of the cervical spine, en-bloc laminectomy, and expansion of the cervical canal by lift-up of the laminae with custom-designed hydroxyapatite laminar spacers and stabilization of the laminae using titanium miniplates. From 1998 to 2003, 10 consecutive patients with cervical myelopathy secondary to OPLL have been treated with this method and comprehensively evaluated. Care was taken to tailor the treatment to individual patients by using different sizes of spacers to adjust the degree of expansion depending on the amount of stenosis of the cervical spine. The degree of expansion of the cervical canal was altered by design, based on the preoperative imaging simulation. RESULTS:Preliminary surgical outcome, evaluated at 6 months after surgery, revealed a significant improvement of neurological function. Image analysis revealed that the cervical canals were significantly expanded, with a mean reduction of 13.1% in the stenosis ratio. Lift-up laminoplasty was effective in the treatment of patients with myelopathy secondary to cervical OPLL, and the amount of expansion could be individually adjusted at the discretion of the surgeon. CONCLUSION:Although analysis with a larger population and a longer follow-up period needs to be undertaken, our method of lift-up laminoplasty appears to be a viable choice among standard posterior cervical approaches for cervical OPLL.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Takami T,Ohata K,Goto T,Nishikawa M,Nishio A,Tsuyuguchi N,Hara Msubject
Has Abstractpub_date
2004-03-01 00:00:00pages
59-63issue
1eissn
0028-3886issn
1998-4022journal_volume
52pub_type
杂志文章相关文献
NEUROLOGY INDIA文献大全abstract:BACKGROUND:Paroxysmal occipital discharges (PODs) demonstrating the phenomena of fixation-off sensitivity have classically been described in childhood epilepsies with occipital paroxysms. AIM:We attempted to delineate the demographic, clinical and imaging characteristics of patients whose interictal electroencephalogr...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.103183
更新日期:2012-09-01 00:00:00
abstract::Reflex epilepsy is the commonest form of epilepsy in which seizures are provoked by specific external stimulus. Photosensitive reflex epilepsy is provoked by environmental flicker stimuli. Video game epilepsy is considered to be its variant or a pattern sensitive epilepsy. The mean age of onset is around puberty and b...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::A rare case of otogenic massive intra-falx empyema is reported. The patient presented with headache, vomiting and left lower limb weakness of 8 months duration. C.T. scan revealed two cavities in the falx. Right fronto-parietal craniectomy and drainage of massive empyema was undertaken through interhemispheric approac...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::Enterogenous cyst is extremely rare in the supratentorial compartment. Two adult patients with histologically variefied supratentorial entrogenous cyst are described. Light microscopy and immunohistochemistry examination revealed the endodermal origin of the cyst. Enterogenous cyst should be considered in the differen...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.72200
更新日期:2010-09-01 00:00:00
abstract::With the aging population in our country, symptomatic osteoporotic compression fractures are increasingly common. Osteolytic compression fractures from spinal metastasis are also becoming more frequently seen because of the longer life expectancy from improvements in chemotherapy. Percutaneous vertebroplasty with PMMA...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.22617
更新日期:2005-12-01 00:00:00
abstract::Visual loss consequent to anterior visual pathway involvement can occur in a variety of clinical settings. In a tropical country like India, apart from the usual suspects, nutritional, infective, and toxic amblyopia have to be considered in the differential diagnosis. The mode of onset (acute/chronic), unilateral vers...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.149370
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION:Rhinocerebral mycosis is a rapidly progressive fatal opportunistic infection, predominantly affecting people in an immunocompromised state. Aggressive surgical therapy, with repeated debridement in combination with intravenous amphotericin B can lead to a high rate of cure. AIM:To determine the predictors...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.35692
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Treatment of brain abscess is still a subject of controversy. Simple therapeutic approaches like twist drill/burr hole aspiration with or without insertion of a drain are also quite effective. There are reports of encouraging results following endoscopic treatment. We are reporting our results of endoscopic ...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.39305
更新日期:2008-01-01 00:00:00
abstract::A histopathologically proven case of cerebral toxoplasmosis in a young HIV positive patient has been presented. The clinical problems in management are highlighted. ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::A Neuroepidemiological survey was carried at Malda district, 350 Km away from Calcutta; exactly at midpoint between Siliguri and Calcutta on a rural population of 37,286 (M 18,057; F 19,229; 1981 Census) under three Gram Panchayat areas with the help of non-professionals like Gram Panchayat members, ICDS workers, mult...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::Facial spasms are of various types. Hemifacial spasm (HFS) is characterized by unilateral tonic-clonic contractions of facial muscles, following a specific pattern of disease progression. It has well-delineated clinical, radiological and electrophysiological features. We have conducted an extensive review of existing ...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.302455
更新日期:2020-11-01 00:00:00
abstract::A case of alexia without agraphia with CT demonstration of the lesion is reported. The various types of occipital alexia and their anatomic bases have been reviewed. ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Neuronal migration disorders are an important differential diagnosis to be considered in the evaluation of intractable epilepsy. Though the underlying causative factors which govern their development are many and varied, genetic factors have been found to be contributory in a few forms of these disorders. An X-linked ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Pain-related studies have mainly been performed through traditional methods, which lack the rigorous analysis of anatomical locations. Functional magnetic resonance imaging (fMRI) is a noninvasive method detecting neural activity, and has the ability to precisely locate related activations in vivo. Moreover,...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.73748
更新日期:2010-11-01 00:00:00
abstract::Early myoclonic encephalopathy (EME) is a rare malignant epileptic syndrome. The erratic myoclonus with or without focal motor seizures, time of onset before 3 months of age, and suppression-burst (SB) pattern in EEG are accepted as the diagnostic criteria for EME. We report a 40-day-old infant with the diagnosis of n...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.16423
更新日期:2005-06-01 00:00:00
abstract::Recurrence of coiled aneurysm usually due to coil compaction is a known phenomenon. Extent of recurrence and its relation to re-bleeding is not known. The authors report a case of spontaneous asymptomatic extrusion of guglielmi detachable coils from the dome of a previously ruptured anterior communicating artery aneur...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.32787
更新日期:2007-04-01 00:00:00
abstract::Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial (K.E.M.) Hospital, Mumbai were inaugurated in 1925. This article traces its illustrious history and of the eminent neurosurgeons who shaped its destiny. ...
journal_title:Neurology India
pub_type: 历史文章,杂志文章
doi:10.4103/neuroindia.NI_523_17
更新日期:2017-07-01 00:00:00
abstract::The clinical characteristics of aggressive craniocervical junction dural arteriovenous fistula (CCJDAVF) and effect treatment was studied in four patients and all four patients were treated endovascularly with liquid embolic agents. Post-embolization angiography documented complete obliteration in one patient and part...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.93612
更新日期:2012-01-01 00:00:00
abstract::This study comprised of 340 cases of extradural haematomas (EDHs) treated during a period of 10 years (1984-1994) in the division of Neurosurgery, Institute of Medical Sciences, Varanasi. Majority of them were rural patients (55.9 percent). The commonest mode of injury was blunt impact to the head mainly by lathi in r...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::A 3-year-old girl presented with features suggestive of compression of cauda equina. In addition, she had soft, fluctuant gluteal swelling, which on aspiration yielded pus, positive for acid-fast bacilli on staining and culture. She showed significant clinicoradiological improvement following aspiration of pus and ant...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::Women in India are greatly discriminated against if they happen to have epilepsy. Engagements are often cancelled. The parents of epileptic girls have to give heavy dowry at the time of marriage, even if the boy is handicapped. As a result, many girls do not disclose their problem before marriage. They take the medici...
journal_title:Neurology India
pub_type:
doi:
更新日期:2000-06-01 00:00:00
abstract::In this paper we report an 18 year old woman with an intradural extramedullary tuberculoma mimicking en plaque meningioma located in the thoracic region. The patient was operated via thoracic laminoplasty and tumor was totally resected. On the follow-up examination the magnetic resonance imaging demonstrated the total...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.51300
更新日期:2009-03-01 00:00:00
abstract::Lipomatous meningiomas are an uncommon subtype of meningiomas. In the present report, the clinical characteristics, neuroimaing and pathological features of 5 patients (4 males, 1 female; age range, 17-45 years; mean age, 35.2 years) with lipomatous meningioma were analyzed. The neuro-pathological reevaluation of lipo...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.76876
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Idiopathic intracranial hypertension (IIH) is a well described entity in adults. In pediatric age group the presentation of disease can vary depending on the age of patients and is less frequently reported. AIM:The aim of this study is to describe the clinical features, investigations, treatment and outcome...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.121915
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Endoscopic third Ventriculostomy (ETV) is one of the surgical options for obstructive hydrocephalus. There are varying opinions about results of ETV in infants. We are therefore presenting the results of ETV in 54 infants. MATERIALS AND METHODS:A prospective study of 54 infants undergoing ETV in our institu...
journal_title:Neurology India
pub_type: 临床试验,杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract::This report describes the clinical features of a 29 year female presenting with a 3 years history of episodes of cerebellar ataxia, dysarthria and nystagmus lasting 3-5 days, recurring almost every month. Sleep disturbance and buzzing in ears were noted 3-4 days before each episode. No other precipitant factor was pre...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::Spinal muscular atrophy constitutes one of the major disease entities amongst infantile neuro-muscular disorders. On the basis of morphological evidence, it had been suggested that the infantile spinal muscular atrophy (ISMA) is due to maturation arrest of the myofibres at 20 weeks gestation. Therefore, in the present...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::Two hundred and sixty four transsphenoidal procedure for excision for pituitary adenomas were performed in the Christian Medical College Hospital at Vellore between 1983 and 1994. These were reviewed to evaluate the complications and their management. There were four operative deaths (1.5). Major morbidity included ce...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::The services of clinical psychology (neuro) were established in 1969 under the tutelage of Dr. Surya Gupta. The unit has now established itself as a core group in the Neurosciences Centre, providing services to various other departments. The research and clinical services in Clinical Neuropsychology have substantially...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.193822
更新日期:2016-11-01 00:00:00
abstract:Purpose:To evaluate the role of diffusion tensor imaging (DTI) in the differentiation of neoplastic and non-neoplastic brain lesions, on the basis of DTI parameters, fractional anisotropy (FA) and mean diffusivity (MD) from the lesion (L) and the perilesional edema (PE). Material and Methods:Patients with newly diagno...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.246270
更新日期:2018-11-01 00:00:00