Interactive magnetic resonance imaging-guided management of intracranial cystic lesions by using an open magnetic resonance imaging system.

Abstract:

OBJECT:The authors present their experience with neurosurgical procedures requiring real-time imaging feedback such as aspiration of a cystic structure or abscess cavity, decompression of hydrocephalic ventricles, management of arachnoid cysts, and installation of permanent or temporary drainage conduits, in which interactive magnetic resonance (MR) imaging guidance was used to monitor structural alterations associated with the procedure. METHODS:Drainage of eight intraparenchymal brain abscesses in seven patients, decompression of space-occupying cystic or necrotic brain tumors in four patients, and endoscopic management of hydrocephalus associated with arachnoid cysts in three patients were performed using MR imaging-guided frameless stereotaxy in an open-configuration 0.5-tesla superconducting MR imaging system. Intraoperative MR imaging guidance provided accurate information on the course of the surgical procedure and associated intraoperative changes in tissue position, such as the degree of cyst aspiration, the presence or absence of hemorrhage or induced swelling, and changes associated with decompression of adjacent brain parenchyma and the ventricular system. No clinically significant complications were encountered in any patient. There were no targeting errors, and procedural objectives were accomplished in all cases. CONCLUSIONS:Drainage of brain abscesses, punctures of cystic or necrotic intracranial lesions with subsequent aspiration, and management of hydrocephalus can be performed safely and accurately by monitoring the procedure using real-time MR imaging to obtain immediate feedback on associated dynamic tissue changes.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Kollias SS,Bernays RL

doi

10.3171/jns.2001.95.1.0015

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

15-23

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

95

pub_type

杂志文章
  • Vascular corrosion casts mirroring early morphological changes that lead to the formation of saccular cerebral aneurysm: an experimental study in rats.

    abstract:OBJECT:The formation of cerebral aneurysms involves complex processes and little is known about the mechanisms by which they originate, grow, and rupture. The purpose of this study was to identify early ultrastructural morphological changes that lead to the formation of experimental cerebral aneurysms. METHODS:Twenty ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.102.3.0532

    authors: Jamous MA,Nagahiro S,Kitazato KT,Satoh K,Satomi J

    更新日期:2005-03-01 00:00:00

  • Symptomatic contralateral subdural hygromas after decompressive craniectomy: plausible causes and management protocols.

    abstract:OBJECT:Contralateral subdural hygromas are occasionally observed after decompressive craniectomies (DCs). Some of these hygromas are symptomatic, and the etiology and management of these symptomatic contralateral subdural collections (CLDCs) present surgical challenges. The authors share their experience with managing ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS14780

    authors: Salunke P,Garg R,Kapoor A,Chhabra R,Mukherjee KK

    更新日期:2015-03-01 00:00:00

  • Methylprednisolone and neurological function 1 year after spinal cord injury. Results of the National Acute Spinal Cord Injury Study.

    abstract::A multi-center double-blind randomized clinical trial was conducted by the National Acute Spinal Cord Injury Study Group to examine the efficacy of high-dose methylprednisolone (1000-mg bolus and 1000 mg daily thereafter for 10 days) compared with that of a standard dose (100-mg bolus and 100 mg daily for 10 days). No...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3171/jns.1985.63.5.0704

    authors: Bracken MB,Shepard MJ,Hellenbrand KG,Collins WF,Leo LS,Freeman DF,Wagner FC,Flamm ES,Eisenberg HM,Goodman JH

    更新日期:1985-11-01 00:00:00

  • Indications for nonoperative treatment of spinal cord compression due to breast cancer.

    abstract::A retrospective series of 12,478 patients with breast cancer included 2467 patients with spinal metastases. Local treatment was not necessary in 688 patients. Neurological dificit did not develop in 1735 patients who underwent radiotherapy. Forty-four patients developed myelopathy due to spinal cord compression as dem...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.47.5.0653

    authors: Cobb CA 3rd,Leavens ME,Eckles N

    更新日期:1977-11-01 00:00:00

  • Retrograde suction decompression of giant paraclinoidal aneurysms. Technical note.

    abstract::Giant paraclinoidal carotid artery aneurysms frequently require temporary interruption of local circulation to facilitate safe occlusion. Due to brisk retrograde flow through the ophthalmic artery and cavernous branches, simple trapping of the aneurysm by cervical internal carotid artery clamping and intracranial dist...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.73.2.0305

    authors: Batjer HH,Samson DS

    更新日期:1990-08-01 00:00:00

  • Long-term motor outcome analysis using a motor score composite following surgical brachial plexus repair.

    abstract:OBJECT:Due to the complex and variable nature of brachial plexus injury, outcome analysis can be cumbersome and imprecise. Many scales have been devised, but no single scale is used uniformly. Moreover, despite several studies in which the authors have reported brachial plexus surgical data, no highly predictive clinic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2007.106.4.276

    authors: Ashley WW Jr,Baty JD,Hollander T,Noetzel MJ,Park TS

    更新日期:2007-04-01 00:00:00

  • Biomechanical properties of expander compared with conventional screws.

    abstract:OBJECT:A pullout strength biomechanical study was performed in 20 fresh swine vertebral bodies in which titanium expander (Group 1) and conventional screws (Group 2) were placed. METHODS:The screws were inserted into the anterosuperior portion of the anterior spine, and assessment was performed after application of lo...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2002.97.3.0346

    authors: Rassi-Neto A,Shimano A

    更新日期:2002-10-01 00:00:00

  • Dorsal root entry zone lesions for the treatment of post-herpetic neuralgia.

    abstract::Post-herpetic pain was treated in 12 patients using dorsal root entry zone ( DREZ ) lesions. All patients had failed to receive adequate pain relief from conservative therapy consisting of transcutaneous nerve stimulation, carbamazepine, and/or amitriptyline. Dorsal root entry zone lesions were made to include the inv...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.6.1258

    authors: Friedman AH,Nashold BS Jr,Ovelmen-Levitt J

    更新日期:1984-06-01 00:00:00

  • Incidence and predictors of 30-day readmission for patients discharged home after craniotomy for malignant supratentorial tumors in California (1995-2010).

    abstract:OBJECT:Hospital readmission within 30 days of discharge is a major contributor to the high cost of health care in the US and is also a major indicator of patient care quality. The purpose of this study was to investigate the incidence, causes, and predictors of 30-day readmission following craniotomy for malignant supr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.1.JNS131264

    authors: Marcus LP,McCutcheon BA,Noorbakhsh A,Parina RP,Gonda DD,Chen C,Chang DC,Carter BS

    更新日期:2014-05-01 00:00:00

  • Atlantooccipital instability. Case report.

    abstract::A patient is presented who had neck pain and transient episodes of visual-field defect followed by unconsciousness when he hyperextended his neck. Radiographic examination revealed atlantooccipital instability on flexion and extension views. Treatment by fusion of the occiput to C-2 resulted in relief of symptoms. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.4.0636

    authors: Finney HL,Roberts TS

    更新日期:1978-04-01 00:00:00

  • MicroRNA and gene expression changes in unruptured human cerebral aneurysms.

    abstract::OBJECTIVE The molecular mechanisms behind cerebral aneurysm formation and rupture remain poorly understood. In the past decade, microRNAs (miRNAs) have been shown to be key regulators in a host of biological processes. They are noncoding RNA molecules, approximately 21 nucleotides long, that posttranscriptionally inhi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.11.JNS151841

    authors: Bekelis K,Kerley-Hamilton JS,Teegarden A,Tomlinson CR,Kuintzle R,Simmons N,Singer RJ,Roberts DW,Kellis M,Hendrix DA

    更新日期:2016-12-01 00:00:00

  • Long-term natural history of hemorrhagic moyamoya disease in 42 patients.

    abstract:OBJECT:The purpose of this study was to delineate the long-term natural history of hemorrhagic moyamoya disease (MMD). METHODS:A retrospective review was conducted among 42 patients suffering from hemorrhagic MMD who had been treated conservatively without bypass surgery. The group included four patients who had under...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.6.0976

    authors: Kobayashi E,Saeki N,Oishi H,Hirai S,Yamaura A

    更新日期:2000-12-01 00:00:00

  • Hospital volume and 1-year mortality after treatment of intracranial aneurysms: a study based on patient registries in Scandinavia.

    abstract:OBJECT:The object of this study was to examine the relationship between hospital volume and long-term mortality after treatment of intracranial aneurysms. METHODS:The authors identified patients treated for intracranial aneurysms between 2002 and 2010 from patient registries of Denmark, Norway, and Sweden, and linked ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.12.JNS142106

    authors: Lindekleiv H,Mathiesen EB,Førde OH,Wilsgaard T,Ingebrigtsen T

    更新日期:2015-09-01 00:00:00

  • Calcified cervical intervertebral discs in children. Report of three cases.

    abstract::Calcified cervical intervertebral discs in children are manifestations of an uncommon, distinct disease of unknown cause. Acute symptoms are usually followed by a benign course of spontaneous recovery, frequently culminating in resorption of the calcium. Rarely herniation of the disc may cause neurological complicatio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.46.2.0233

    authors: Smith RA,Vohman MD,Dimon JH 3rd,Averett JE Jr,Milsap JH Jr

    更新日期:1977-02-01 00:00:00

  • Implanted continuous epidural morphine infusion system. Preliminary report.

    abstract::A number of reports have shown that epidural or intrathecal administration of morphine provides pain relief. Since February, 1981, the authors have used an implantable pump and epidural catheter for continuous epidural morphine infusion in patients with chronic pain. This system has functioned well, without respirator...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.6.0803

    authors: Harbaugh RE,Coombs DW,Saunders RL,Gaylor M,Pageau M

    更新日期:1982-06-01 00:00:00

  • Effect of clot removal on cerebral vasospasm.

    abstract::The effect of clot removal on cerebral vasospasm was studied in 104 patients with aneurysmal subarachnoid hemorrhage (SAH). The series included patients who fulfilled all of the following criteria: operation was performed by Day 3 after the ictus; the patient's preoperative clinical grade was between Grades I and IV; ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.72.2.0224

    authors: Inagawa T,Yamamoto M,Kamiya K

    更新日期:1990-02-01 00:00:00

  • Selective peripheral denervation for spasmodic torticollis: 13-year experience with 155 patients.

    abstract:OBJECT:Botulinum toxin injections are the best therapeutic option in patients with spasmodic torticollis. Although a small number of patients do not benefit from such therapy, the majority respond well but may develop antibodies to the toxin after repeated applications. In those termed primary nonresponders, no improve...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2002.97.2.0207

    authors: Braun V,Richter HP

    更新日期:2002-09-01 00:00:00

  • Disc herniation at T1-2. Report of four cases and literature review.

    abstract::In preparing this paper, the authors reviewed their experiences with four cases of T1-2 disc herniation as well as the medical literature on the subject. Intervertebral thoracic disc herniations are uncommon and high thoracic disc herniations are rare. In the upper third of the thoracic spine, T1-2 is the most common ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1998.88.1.0148

    authors: Morgan H,Abood C

    更新日期:1998-01-01 00:00:00

  • Effects of recombinant human tumor necrosis factor on rodent gliomas and normal brain.

    abstract::In a study examining the possible therapeutic effects of recombinant human tumor necrosis factor-alpha (rHuTNF-alpha) on malignant gliomas without expression of tumor necrosis factor (TNF)-receptors, RG-2 glioma cells were tested in vitro as well as in a rat experimental glioma model. A growth inhibition assay reveale...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.75.4.0597

    authors: Kiwit JC,Schmitz KH,Daum L,Reifenberger G,Roosen N

    更新日期:1991-10-01 00:00:00

  • Early detection of delayed traumatic intracranial hematomas using near-infrared spectroscopy.

    abstract::Delayed intracranial hematomas are an important treatable cause of secondary brain injury in patients with head trauma. Early identification and treatment of these lesions, which appear or enlarge after the initial computerized tomography (CT) scan, may improve neurological outcome. Serial examinations using near-infr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.3.0438

    authors: Gopinath SP,Robertson CS,Contant CF,Narayan RK,Grossman RG,Chance B

    更新日期:1995-09-01 00:00:00

  • Anterior surgery for cervical disc disease. Part 2: Treatment of cervical spondylotic myelopathy in 32 cases.

    abstract::The results of anterior cervical surgery for treatment of cervical spondylotic myelopathy (CSM) are assessed 1 to 7 years postoperatively in 32 patients. At follow-up review, 50% were improved after surgery and 50% were unimproved or had deteriorated in spite of surgery. The results could not be statistically linked t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.1.0012

    authors: Lunsford LD,Bissonette DJ,Zorub DS

    更新日期:1980-07-01 00:00:00

  • Ventriculovesical shunt. Technical note.

    abstract::A patient is reported whose hydrocephalus was controlled by diverting the ventricular cerebrospinal fluid directly into the urinary bladder. This drainage route may have a useful place in the management of the adult pressure-sensitive patient whose more conventional shunt requires frequent revision for repeated obstru...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.6.0858

    authors: West CG

    更新日期:1980-12-01 00:00:00

  • Toxoplasmosis of the conus medullaris in a patient with hemophilia A-associated AIDS. Case report.

    abstract::Toxoplasma gondii has been reported to be the most common cause of focal brain lesions in patients with acquired immunodeficiency syndrome (AIDS). A case of intramedullary toxoplasmosis of the conus medullaris is reported in a patient with hemophilia A-associated AIDS. The diagnosis is discussed, with particular empha...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.73.6.0951

    authors: Kayser C,Campbell R,Sartorious C,Bartlett M

    更新日期:1990-12-01 00:00:00

  • Relationship between patient safety indicator events and comprehensive stroke center volume status in the treatment of unruptured cerebral aneurysms.

    abstract::OBJECTIVE The Agency of Healthcare Research and Quality (AHRQ) has defined Patient Safety Indicators (PSIs) for assessments in quality of inpatient care. The hypothesis of this study is that, in the treatment of unruptured cerebral aneurysms (UCAs), PSI events are less likely to occur in hospitals meeting the volume t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.5.JNS162778

    authors: Washington CW,Taylor LI,Dambrino RJ,Clark PR,Zipfel GJ

    更新日期:2018-08-01 00:00:00

  • Consistency of interictal and ictal onset localization using magnetoencephalography in patients with partial epilepsy.

    abstract:OBJECT:The aim of this study was to evaluate the spatial accuracy of interictal magnetoencephalography (MEG) in localizing the primary epileptogenic focus in comparison with alternative MEG-derived estimates such as ictal onset recording or sensory mapping of the periphery where seizures manifest. METHODS:During this ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.98.4.0837

    authors: Tang L,Mantle M,Ferrari P,Schiffbauer H,Rowley HA,Barbaro NM,Berger MS,Roberts TP

    更新日期:2003-04-01 00:00:00

  • Embolization of incidental cerebral aneurysms by using the Guglielmi detachable coil system.

    abstract:OBJECT:Guglielmi detachable coil (GDC) technology is a valuable therapeutic alternative to the surgical treatment of ruptured or incidental intracranial aneurysms. The authors describe their technical and clinical experience in the use of the GDC technique in patients who underwent endovascular occlusion for the treatm...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.90.2.0207

    authors: Murayama Y,Viñuela F,Duckwiler GR,Gobin YP,Guglielmi G

    更新日期:1999-02-01 00:00:00

  • Floating C-shaped orbital osteotomy for orbital rim advancement in craniosynostosis: preliminary report.

    abstract::A method of lateral orbital rim advancement is described for periorbital deformities associated with coronal and metopic synostosis in infants. The technique offers the advantages of a smooth lateral rim contour and improvement in accompanying malar recession. In 13 patients with follow-up periods of up to 2 years fol...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.72.1.0022

    authors: Persing JA,Jane JA,Park TS,Edgerton MT,Delashaw JB

    更新日期:1990-01-01 00:00:00

  • Postirradiation sarcomatous transformation of a pituitary adenoma: a combined pituitary tumor. Case report.

    abstract::A case is reported in which a fibrosarcoma developed 20 years after irradiation of a pituitary chromophobe adenoma. This rare lesion, like most of the other documented postirradiation pituitary sarcomas, was a combination of fibrosarcoma and pituitary adenoma. These lesions tend to behave in a characteristic fashion, ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.2.0283

    authors: Pieterse S,Dinning TA,Blumbergs PC

    更新日期:1982-02-01 00:00:00

  • Placental alkaline phosphatase as a tumor marker for primary intracranial germinoma.

    abstract::A sensitive enzyme-linked immunosorbent assay (ELISA) was used in a retrospective study of placental alkaline phosphatase (PLAP) levels in serum, cerebrospinal fluid (CSF), and intratumoral cyst fluid in primary intracranial germinoma. The ELISA showed no cross-reactivity with intestinal alkaline phosphatase except in...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.68.5.0710

    authors: Shinoda J,Yamada H,Sakai N,Ando T,Hirata T,Miwa Y

    更新日期:1988-05-01 00:00:00

  • A physical simulator for endoscopic endonasal drilling techniques: technical note.

    abstract::In this paper, the authors present a physical model developed to teach surgeons the requisite drilling techniques when using an endoscopic endonasal approach (EEA) to the skull base. EEA is increasingly used for treating pathologies of the ventral and ventrolateral cranial base. Endonasal drilling is a unique skill in...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.3.JNS1552

    authors: Tai BL,Wang AC,Joseph JR,Wang PI,Sullivan SE,McKean EL,Shih AJ,Rooney DM

    更新日期:2016-03-01 00:00:00