Diagnosis and staging of carpal tunnel syndrome: comparison of magnetic resonance imaging and intra-operative findings.

Abstract:

PURPOSE:In order to determine the reliability of magnetic resonance imaging (MRI) in the diagnosis and staging of carpal tunnel syndrome (CTS), the most common entrapment neuropathy, the following prospective study has been performed. METHODS:We compared clinical and electrophysiological studies in 58 cases of CTS with MRI investigations and confirmed the reliability by exact correspondence with intra-operative findings. RESULTS:Typical MRI characteristics of the median nerve in CTS have been established. There is a significant difference in flattening (p < 0.05), swelling (p < 0.01) and signal intensity (p < 0.05) of the median nerve between early and advanced CTS. Comparison of MRI and intra-operative findings revealed that median nerve compression was diagnosed correctly in 91% of cases. Additional lesions in the carpal tunnel, which are a primary cause of nerve compression, were established by MRI in 25 cases and confirmed by surgery. CONCLUSION:MRI is a reliable diagnostic tool for assessing as well as staging of CTS. Morphological changes following chronic nerve compression can be visualized. It is particularly useful in cases of suspected lesions within the carpal tunnel as a cause of CTS. The information provided may support the choice of adequate treatment modality.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Kleindienst A,Hamm B,Hildebrandt G,Klug N

doi

10.1007/BF01411366

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

228-33

issue

2

eissn

0001-6268

issn

0942-0940

journal_volume

138

pub_type

杂志文章
  • Rupture of intracranial aneurysms and ventricular opacification during carotid angiography.

    abstract::Two cases of rupture of intracranial aneurysms and opacification of the lateral ventricles occurring during carotid angiography are reported and X-rays of the haemorrhage from the aneurysms are presented. Though the possibility of this complications remains a real one, the early use of this valuable procedure should n...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406041

    authors: Gelmers HJ,Simons AJ,Loew F

    更新日期:1984-01-01 00:00:00

  • Treatment and survival of osteosarcoma and Ewing sarcoma of the skull: a SEER database analysis.

    abstract:BACKGROUND:Common primary bone tumors include osteosarcomas (OSC) and Ewing sarcomas (EWS). The skull is a rare site, and literature about their treatment and survival is scarce. Using the Surveillance, Epidemiology, and End Results (SEER) database, this study aims to assess the treatment and survival of skull OSC and ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3754-y

    authors: Martin E,Senders JT,Ter Wengel PV,Smith TR,Broekman MLD

    更新日期:2019-02-01 00:00:00

  • Metal plate fixation after anterior fusion of unstable fracture dislocations of the cervical spine.

    abstract::Unstable fracture dislocations due to torn ligaments, fractures of both articular processes, or detachments of entire vertebral arches from vertebral bodies still pose the problem of fixation after anterior fusion. The application of internal metal plate fixation--using the small AO (ASFI) fragment equipment--is descr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405907

    authors: Herrmann HD

    更新日期:1975-01-01 00:00:00

  • Intra-osseous ultrasound for pedicle screw positioning in the subaxial cervical spine: an experimental study.

    abstract:BACKGROUND:In contrast to other regions of the human spine, dorsal fixation with rods and pedicle screws is comparatively rarely performed in the cervical spine. Although this technique provides a higher mechanical strength than the more frequently used lateral mass screws, many surgeons fear the relatively high rate o...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0447-6

    authors: Kantelhardt SR,Bock HC,Siam L,Larsen J,Burger R,Schillinger W,Bockermann V,Rohde V,Giese A

    更新日期:2010-04-01 00:00:00

  • Cold as a therapeutic agent.

    abstract::The use of cold as a therapeutic agent has a long and colorful history. The Edwin Smith Papyrus, the most ancient medical text known, dated 3500 B.C., made numerous references to the use of cold as therapy. Baron de Larrey, a French army surgeon during Napoleon's Russian campaign, packed the limbs in ice prior to ampu...

    journal_title:Acta neurochirurgica

    pub_type: 历史文章,杂志文章

    doi:10.1007/s00701-006-0747-z

    authors: Wang H,Olivero W,Wang D,Lanzino G

    更新日期:2006-05-01 00:00:00

  • [Contribution to the question of enlargement of cerebral arteriovenous angiomas (author's transl)].

    abstract::The growth of a small arteriovenous angioma over a period of almost 18 years in a 20 year old patient has been proved by arteriography. This case is added to 29 cases previously published in the literature. The authors do not readily accept the theory of autochthonous growth, but prefer secondary or "pseudo-growth". I...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405394

    authors: Szepan B

    更新日期:1977-01-01 00:00:00

  • Resection of a posterior fossa arteriovenous malformation complicated by leaked Onyx: a case report and review of literature.

    abstract::Extravasation of Onyx is a rare complication during embolization of arteriovenous malformations (AVM). We present a case of embolization that was complicated by leakage of Onyx into the cerebellum which was later encountered during surgical excision of the AVM. Our goal is to report this rare event and to outline succ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-019-04199-3

    authors: Solli E,Jumah F,Narayan V,Quinoa T,Xiong Z,Gupta G,Alharfoush E,Nanda A

    更新日期:2020-04-01 00:00:00

  • The in-vivo-nerve response to direct low-energy-laser irradiation.

    abstract::To study the in-vivo effects of direct Low-Energy Laser Irradiation (LELI) on the Peripheral Nervous System, the sciatic nerve in rats was surgically exposed, crushed and then subjected to the direct irradiation of either of two continuous-wave HeNe lasers--0.3 mW or 17 mW. We found that the 0.3 mW laser significantly...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01406620

    authors: Rochkind S,Nissan M,Lubart R,Avram J,Bartal A

    更新日期:1988-01-01 00:00:00

  • The endoscopic intraventricular management of pineal cysts: a minimally invasive modus operandi.

    abstract:BACKGROUND:The management of pineal cysts is still debatable, especially for asymptomatic incidental ones. For symptomatic cysts associated with hydrocephalus, the surgical management is mandatory and may include either classical microsurgical approaches to the pineal region or endoscopic trans-ventricular approaches i...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-013-1849-z

    authors: Berhouma M,Ni H,Vallee B

    更新日期:2013-10-01 00:00:00

  • The traumatic dural sinus injury--a clinical study.

    abstract::In a period of 13 years 978 cases of severe head injuries were operated on in our clinic. An analysis of the medical reports includes injuries of the superficial dural sinus (39 cases = 4%): among these injuries of the anterior and central part of the superior sagittal sinus (66 per cent), injuries of the transverse s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01541788

    authors: Meier U,Gärtner F,Knopf W,Klötzer R,Wolf O

    更新日期:1992-01-01 00:00:00

  • Treatment of high numbers of brain metastases with Gamma Knife radiosurgery: a review.

    abstract::Effectiveness of stereotactic radiosurgery (SRS) has been shown in patients with one to four brain metastases. Work has been done to evaluate the role of SRS alone treatment without whole-brain radiation therapy in patients with more than four metastases. A recent multiinstitutional JLGK 0901 prospective study reveale...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s00701-016-2707-6

    authors: Hatiboglu MA,Tuzgen S,Akdur K,Chang EL

    更新日期:2016-04-01 00:00:00

  • Timing of surgery for ruptured supratentorial arteriovenous malformations.

    abstract:BACKGROUND:There are conflicting opinions regarding the optimal waiting time to perform surgery after rupture of supratentorial arteriovenous malformations (AVMs) to achieve the best possible outcome. OBJECTIVE:To analyze factors influencing outcomes for ruptured supratentorial AVMs after surgery, paying particular at...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3315-9

    authors: Hafez A,Oulasvirta E,Koroknay-Pál P,Niemelä M,Hernesniemi J,Laakso A

    更新日期:2017-11-01 00:00:00

  • Intravenous paracetamol for fever control in acute brain injury patients: cerebral and hemodynamic effects.

    abstract:BACKGROUND:Fever occurs frequently in acute brain injury patients, and its occurrence is associated with poorer outcomes. Paracetamol, an antipyretic frequently employed in patients with cerebral damage, may cause hypotension. We evaluated the cerebral and hemodynamic effects of intravenous (IV) paracetamol for the con...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-014-2129-2

    authors: Picetti E,De Angelis A,Villani F,Antonini MV,Rossi I,Servadei F,Caspani ML

    更新日期:2014-10-01 00:00:00

  • Can patients with symptomatic Tarlov cysts be differentiated from patients with specific low back pain based on comprehensive history taking?

    abstract:BACKGROUND:Tarlov cysts (TCs) are expanded nerve root sheaths that occur near the dorsal root ganglion and result from increased intraspinal hydrostatic pressure. TCs most frequently affect the lumbosacral plexus and therefore may cause specific symptoms such as perineal pain and neurogenic bladder, bowel, and sphincte...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3494-z

    authors: Hulens MA,Dankaerts W,Rasschaert R,Bruyninckx F,Willaert ML,Vereecke C,Vansant G

    更新日期:2018-04-01 00:00:00

  • Dumbbell-shaped hypoglossal neurinoma: surgical removal via a dorsolateral transcondylar approach. A case report and review of the literature.

    abstract::A case of dumbbell-shaped hypoglossal neurinoma with intra- and extracranial extension is reported. The tumour was surgically completely removed in a one-stage operation via a dorsolateral sub-occipital transcondylar approach. Clinical presentation and the role of high-resolution CT-scan, MRI and angio-MRI in diagnosi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审

    doi:10.1007/s007010050185

    authors: Spinnato S,Talacchi A,Musumeci A,Turazzi S,Bricolo A

    更新日期:1998-01-01 00:00:00

  • Mononostril endoscopic endonasal approach for pituitary surgery.

    abstract:BACKGROUND:Most surgical teams currently consider that endoscopy has become the "gold standard" technique for the transsphenoidal approach to pituitary surgery. Pituitary adenomas are commonly benign tumours and should benefit from the least invasive approach. METHOD:In Foch Hospital, from 2006 to 2020, 2835 patients ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-020-04542-z

    authors: Baussart B,Declerck A,Gaillard S

    更新日期:2020-08-29 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

  • "Dirty coagulation" technique as an alternative to microclips for control of bleeding from deep feeders during brain arteriovenous malformation surgery.

    abstract:BACKGROUND:Meticulous haemostasis is one of the most important factors during microneurosurgical resection of brain arteriovenous malformation (AVM). Controlling major arterial feeders and draining veins with clips and bipolar coagulation are well-established techniques, while managing with bleeding from deep tiny vess...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-017-3138-8

    authors: Kozyrev DA,Thiarawat P,Jahromi BR,Intarakhao P,Choque-Velasquez J,Hijazy F,Teo MK,Hernesniemi J

    更新日期:2017-05-01 00:00:00

  • Multilocular lesions in the therapy of cerebral palsy.

    abstract::The cerebral pareses occurring in early childhood or produced subsequently by trauma or spontaneous cerebral haemorrhages, present a heterogenous symptomatic picture. In the forefront we find the spastic pareses associated with extra-pyramidal motor hyperkinesia (athetosis, dystonia, ballism). 36 C.P.-patients were su...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/978-3-7091-8482-0_2

    authors: Mundinger F,Ostertag C

    更新日期:1977-01-01 00:00:00

  • Immunopathological significance of IgG in meningioma in relation to the pseudopsammoma bodies.

    abstract::We described two histochemical patterns of IgG deposits in meningioma and discussed the pathogenesis of IgG deposits. In meningioma with pseudopsammoma bodies, IgG was secreted from tumour cells which differentiated to secretory epithelial cells, and was found to deposit in the pseudopsammoma bodies. However, in menin...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01809239

    authors: Kuratsu J,Matsukado Y,Hattori R,Nagahiro S

    更新日期:1985-01-01 00:00:00

  • Characteristics and management of ruptured distal middle cerebral artery aneurysms.

    abstract:OBJECTIVE:Distal middle cerebral artery (dMCA) aneurysms are very rare with a reported frequency of 2-6%. Typically, patients with ruptured distal MCA aneurysms have poor clinical outcomes because often there is both a subarachnoid haemorrhage (SAH) and an intracerebral haematoma (ICH). The goals of this study were to ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-007-1061-5

    authors: Joo SP,Kim TS,Choi JW,Lee JK,Kim YS,Moon KS,Kim JH,Kim SH

    更新日期:2007-01-01 00:00:00

  • Association of cerebral arteriovenous malformation and cerebral aneurysm. Diagnosis and management.

    abstract::Between 1979 and 1989, 7 patients were admitted, with cerebral arteriovenous malformations (AVM) and associated aneurysms (7% of the AVM patients and 2% of the aneurysm patients admitted during the same period). 6 of these patients were admitted because of an intracranial haemorrhage (in 3 of them the AVM, angiographi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01405792

    authors: Deruty R,Mottolese C,Soustiel JF,Pelissou-Guyotat I

    更新日期:1990-01-01 00:00:00

  • The stimulation of vascular smooth muscle oxidative metabolism by CSF from subarachnoid haemorrhage patients increases with Fisher and WFNS grades.

    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

    authors: Cadoux-Hudson TA,Pyne GJ,Domingo Z,Clark JF

    更新日期:2001-01-01 00:00:00

  • Treatment of patients with ruptured aneurysm by neurosurgeons that perform both open surgical and endovascular techniques is safe and effective: results of a single centre in Europe.

    abstract::In Europe only few neurosurgeons are trained in both open surgical clipping as well as in endovascular techniques for treatment of intracranial aneurysms. To investigate the safety and efficacy of performing both techniques we, two dual trained neurosurgeons, analyzed our results in repairing ruptured intracranial ane...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-014-2101-1

    authors: de Vries J,Boogaarts HD

    更新日期:2014-07-01 00:00:00

  • Ultrastructural study of rabbit sciatic nerve regeneration following experimental excisional transection and autograft reconstruction.

    abstract::This experimental study presents the ultrastructure of regenerating sciatic nerve of the rabbit, after transection and immediate end to end anastomosis, using perineural fascicular nerve autograft, in a sterile environment. Twenty-four hours, 1, 2, and 6 weeks after the anastomosis, the treated sciatic nerves were exp...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01456115

    authors: Achparaki-Alvanou A,Manthos A,Kontopoulos V,Kerameos-Foroglou C,Foroglou G

    更新日期:1987-01-01 00:00:00

  • Treatment of cavernous malformations in supratentorial eloquent areas: experience after 10 years of patient-tailored surgical protocol.

    abstract:BACKGROUND:Eloquent area surgery has become safer with the development of intraoperative neurophysiological monitoring and brain mapping techniques. However, the usefulness of intraoperative electric brain stimulation techniques applied to the management and surgical treatment of cavernous malformations in supratentori...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3644-3

    authors: Sanmillan JL,Lopez-Ojeda P,Fernández-Conejero I,Fernández-Coello A,Plans G,Ali-Ciurana Y,Gabarrós A

    更新日期:2018-10-01 00:00:00

  • Incidence and clinical relevance of cage subsidence in anterior cervical discectomy and fusion: a systematic review.

    abstract:BACKGROUND:The placement of intervertebral cages in anterior cervical discectomy (ACDF) supposedly maintains foraminal height. The most commonly reported cage-related complication is subsidence, although it is unknown whether a correlation between subsidence and clinical outcome exists. AIM:To assess the incidence and...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-018-3490-3

    authors: Noordhoek I,Koning MT,Jacobs WCH,Vleggeert-Lankamp CLA

    更新日期:2018-04-01 00:00:00

  • Thoracic myelocystoceles--two variants.

    abstract::Myelocystoceles are rare lesions. Rarer still are thoracic myelocystoceles. Two patients with thoracic myelocystoceles are being reported. The first patient presented with swelling in the thoracic region with paraplegia and incontinence. MR with MR myelography revealed the malformation to be a thoracic myelocystocele....

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-006-0734-4

    authors: Muthukumar N

    更新日期:2006-07-01 00:00:00

  • Persistent vegetative state after multiple trauma. A clinicopathologic study.

    abstract::The clinico-pathological findings are reported in a case with persistent vegetative state after multiple cerebral lesions. The lesions are small in size, and are situated at different levels of the CNS, some of them being important in the maintenance of wakefulness and motor initiative. The differential diagnosis and ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/BF01411190

    authors: Arseni C,Nereanţiu F,Carp N

    更新日期:1981-01-01 00:00:00

  • The Janus face of thromboprophylaxis in patients with high risk for both thrombosis and bleeding during intracranial surgery: report of five exemplary cases.

    abstract:BACKGROUND:The antithrombotic agents are usually interrupted in fear of bleeding complications before neurosurgery. However, the optimal schematic regimen of substitutive medication to prevent thromboembolic events after surgery is unsettled. METHODS:We report five complex neurosurgical cases with high risk for thromb...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章

    doi:10.1007/s00701-009-0419-x

    authors: Niemi T,Silvasti-Lundell M,Armstrong E,Hernesniemi J

    更新日期:2009-10-01 00:00:00