Abstract：
:Venous oxygen saturation at the clinically dominant jugular bulb (SjO2) and that at the confluence of the cerebral sinuses (SccsO2) were compared by direct simultaneous blood sampling of 13 severely head injured patients. The side of dominant jugular bulb (JB) was determined by neck compression test. The right side was chosen if the test was equivocal. In effect, the right side was cannulated in all cases. Subsequent angiography showed that two of the 13 cases were left side dominant. In all, 176 pairs of blood samples were analysed. Correspondence rates (the difference between each pair of blood samples being less than 4% of oxygen saturation) for individual case were good (80-100%) in nine cases including one case with left side dominance. Correspondence rates were moderate in two cases (50 and 56%); the differences were not clinically significant. In the remaining two cases, including one with left side dominance, the correspondence rates were poor (0 and 4%, respectively); SccsO2 was always lower than SjO2; median differences were 13.4 and 23.1%. Ischemia in the cerebral hemispheres would have been underestimated if management were based on SjO2. Monitoring at the dominant JB accurately reflected the global and hemispheric cerebral oxygenation in 11/13 of cases. Monitoring at the non-dominant JB is not recommended.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Lam JM,Chan MS,Poon WSdoi
10.1080/02688699647276subject
Has Abstractpub_date
1996-08-01 00:00:00pages
357-64issue
4eissn
0268-8697issn
1360-046Xjournal_volume
10pub_type
杂志文章abstract：BACKGROUND:Percutaneous balloon compression (PBC) has been widely used in the treatment of trigeminal neuralgia. However, this technique has a steep learning curve and significant complications were reported that were related to foramen ovale puncturing. The aim of this study was to evaluate the clinical results of a s...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1019418
更新日期：2015-01-01 00:00:00
abstract：:Purpose: The purpose of this study was to validate the cauda scale (TCS) in an external population. TCS was proposed as a tool to be used to predict the likelihood of cauda equina compression.Methods: We analysed the presenting condition of consecutive patients attending the emergency department undergoing a magnetic ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2020.1754337
更新日期：2020-08-01 00:00:00
abstract：:Microdialysis enables the chemistry of extracellular fluid in body tissues to be measured. Extracellular proteases such as the cysteine protease, cathepsin S (CatS), are thought to facilitate astrocytoma invasion. Microdialysates obtained from human brain tumours in vivo were subjected to cathepsin S activity and ELIS...
journal_title：British journal of neurosurgery
pub_type： 临床试验,杂志文章
doi：10.1080/02688690701248190
更新日期：2007-04-01 00:00:00
abstract：:The authors report a case of Paget's disease involving the skull with the rare but severe complications of hydrocephalus and syringomyelia related to basilar impression. Complications of Paget's disease of the skull are briefly discussed and current treatment strategies outlined. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/026886902320909178
更新日期：2002-10-01 00:00:00
abstract：INTRODUCTION:The main treatment modalities for single brain metastases are whole brain radiotherapy (WBRT), surgery and stereotactic radiosurgery. Current guidelines recommend complete surgical excision for single cerebral metastases and two randomised controlled trials (RCT) have also found survival benefit of surgery...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2013.771729
更新日期：2013-10-01 00:00:00
abstract：:A 72-year-old woman previously operated for a sphenoid-ridge meningioma, now presented with double vision. Histology showed a secretory meningioma with an epithelial-appearing, malignant component. Malignant transformation in a secretory meningioma is not known. This is the first report of such an occurrence. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690600875432
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:Nowadays the endoscopic endonasal approach is increasingly being used to remove craniopharyngiomas, tuberculum sellae meningiomas and other presellar and parasellar lesions and its value in anterior skull base surgery is undisputed. Herein, we assess the relative advantages, disadvantages and feasibility of ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2018.1480748
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Deep brain stimulation (DBS) lead revision due to suboptimal therapy is common but there is no standardised protocol. We describe a novel technique using iMRI to perform concurrent new Globus Pallidus Internus (GPi) DBS lead implantation and old lead removal in a dystonia patient. Case-description: A 60-year...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2020.1789556
更新日期：2020-07-10 00:00:00
abstract：:This paper describes the use of globus pallidus internus (Gpi) local field potentials recorded through pre-implanted deep brain stimulation (DBS) electrodes on a patient affected by generalized dystonia. The recordings were made both before and after radiofrequency-induced posteroventrolateral bilateral stereotactic p...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1054363
更新日期：2015-01-01 00:00:00
abstract：:Two patients with histologically benign pituitary adenomas subsequently underwent resections of a frontal and a cerebellar tumour each of which had histological appearances identical to those of classic pituitary adenomas. The frontal tumour was immunoreactive for prolactin, and the cerebellar metastasis was immunorea...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699550041584
更新日期：1995-04-01 00:00:00
abstract：:The history of chronic subdural haematoma (CSH), spanning from its possibly earliest beginnings throughout the centuries until the early 1980s, was investigated within the context of four different epochs. In the 'era of uncertainty', successful trephination, the modem method of choice for the treatment of CSH, was de...
journal_title：British journal of neurosurgery
pub_type： 传,历史文章,杂志文章
doi：10.1080/02688690410001660418
更新日期：2004-02-01 00:00:00
abstract：:Twenty-four patients with intractable partial epilepsy underwent surgery between 1969 and 1988. Localization was by non-invasive means using scalp EEG and CT. In 12 cases the focus was temporal and in eight frontal. Craniotomy was undertaken with intraoperative electrocorticography (ECoG). Ten cases had a standard tem...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：:The incidence of haemorrhagic complications of intracranial pressure monitoring (ICPM) has previously been reported. However, in these studies, the techniques employed to access the inside of the cranium varied. While 3-mm essentially blind 'twistdrill' craniostomies have been used, their role has been limited for fea...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690220148897
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:Hypertensive spontaneous intracerebral hemorrhages (ICH) cause significant morbidity and mortality. In this study, we aimed to investigate the association between calcium level at admission and outcome in hypertensive ICH patients. METHODS:658 hypertensive ICH patients were enrolled from January 2...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2019.1571162
更新日期：2019-04-01 00:00:00
abstract：:A selected series of 14 patients with lumbar disc prolapse causing sciatica have been operated successfully with outpatient (daycase) surgery. Postoperative pain has been much less than expected. This form of surgery has proved very acceptable to patients and to their family doctors. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698709034346
更新日期：1987-01-01 00:00:00
abstract：:The debate regarding whether to perform an interbody fusion after anterior cervical discectomy (ACD) has been going on for the last 50 years. Several prospective randomized clinical trials have been performed to evaluate the clinical outcome following anterior cervical discectomy with and without interbody fusion. Non...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690802610249
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:Bilateral anterior cingulotomy is a palliative procedure occasionally used for cancer pain, and human studies suggest anterior cingulate cortex is active in dyspnoeic states. OBJECTIVES:A case of debilitating thoracic wall pain due to malignant mesothelioma relieved by bilateral anterior cingulotomy is desc...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2013.857006
更新日期：2014-08-01 00:00:00
abstract：:Background: When treating intracranial aneurysms with open microsurgery, rare cases arise in which an ipsilateral approach leads to poor visualization, lack of proximal control, or potential damage to nearby vital structures due to the anatomy of the aneurysm. Case Description: We describe a patient with a small, unru...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2019.1648754
更新日期：2019-07-31 00:00:00
abstract：:We report the first case of primary central nervous system lymphoma (PCNSL) developing in a patient with rheumatoid arthritis (RA) undergoing low-dose methotrexate therapy (LD-MTX). The characteristic clinical management and course in our experience of the present case illustrate the important points about PCNSL in me...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2013.798857
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVES:There is a dearth of comparative outcome data on vertebroplasty for the treatment of vertebral compression fractures (VCF) according to vertebral level, the number of levels and aetiology. The aim of this study was to investigate the improvement of pain and function following vertebroplasty for a heterogeneo...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1096901
更新日期：2016-01-01 00:00:00
abstract：:A combined approach for microvascular decompression of trigeminal neuralgia is reported. Arachnoid dissection of the cerebellar horizontal fissure (transhorizontal approach) allowed easy identification of the root exit zone of the trigeminal nerve. The superior semilunar lobule was pulled back rostrally so that retrac...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690020005536
更新日期：2000-12-01 00:00:00
abstract：:The use of the flexible neuroendoscope and laser fenestration in the surgical management of a symptomatic cyst of cavum septum pellucidum is reported. Successful communication was established between the cyst cavity and the lateral ventricles using this technique. Satisfactory clinical and radiological improvement as ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699550041179
更新日期：1995-01-01 00:00:00
abstract：:A subgaleal collection of blood or cerebrospinal fluid (CSF) is commonly encountered after craniotomy. In spite of the placement of subgaleal drains by many neurosurgeons, a collection at this site is frequent and occasionally can result in complications. 'Tenting' scalp stitches are described. Three to four (or more)...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699209023795
更新日期：1992-01-01 00:00:00
abstract：:The authors present a 37-year-old lady with symptoms and signs suggestive of benign intracranial hypertension (BIH). Routine CT and MRI scans were normal. Further investigations were performed with magnetic resonance venography (MRV) and cerebral venography. These revealed obstruction of the right transverse sinus wit...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690310001627821
更新日期：2003-12-01 00:00:00
abstract：:CT images of an 18-year-old woman who had sustained head trauma after a motor vehicle accident are presented demonstrating the iatrogenic intracranial placement of a nasopharyngeal airway. Treatment required a decompressive craniectomy, removal of the nasopharyngeal airway under direct vision, and duraplasty. The pati...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2015.1133804
更新日期：2016-08-01 00:00:00
abstract：:CNS lymphoma involving the trigeminal nerve is a rare condition which presents as a cavernous sinus lesion. It may mimic the radiological appearance of other lesions, and biopsy is essential before considering empirical radiotherapy for lesions in this region. We report the radiological, histopathological and operativ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2013.835374
更新日期：2014-04-01 00:00:00
abstract：:Purpose: Ossification of ligamentum flavum (OLF) is an infrequent cause of thoracic spinal stenosis, mostly found in Japan and other East Asian countries, and uncommon in other populations. The incidence of dural ossification (DO) ranges from 11-62%. None of the previously described imaging findings can accurately dia...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2019.1670333
更新日期：2020-12-01 00:00:00
abstract：:A retrospective study was performed to evaluate the rate of infection in free and osteoplastic bone flaps after craniotomy. Two hundred and two craniotomies were performed in 98 cases of tumour, 35 cases of trauma and 69 cases of vascular disease. The overall incidence of infection was 6.4% (13 cases). The infectious ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699008993798
更新日期：1990-01-01 00:00:00
abstract：:There are two reported cases of ependymomas arising in the pituitary fossa; one in a human, the other in a horse. Both died during their stay in hospital. The case presented here is the first published case of a patient who is well 3 months after surgery. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.1080/026886901750353764
更新日期：2001-06-01 00:00:00
abstract：OBJECTIVE:The determination of language lateralisation is important for patients with medically intractable epilepsy or a brain tumour near the language areas to avoid the risk of post-surgical language deficits. The aim of this study was to evaluate the clinical usefulness of near-infrared spectroscopy (NIRS) to ident...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2010.505986
更新日期：2011-04-01 00:00:00
