The value of long-term clinical follow-up for cases of spontaneous carotid cavernous fistula.


:To clarify the value of clinical long-term follow-up with radiological examination, ranging from 12 to 63 months (average: 35 months), 18 consecutive patients suffering from spontaneous carotid cavernous fistula (CCF), were studied prospectively. Five aged patients without aggressive symptoms were treated conservatively, and the other 13 underwent transarterial embolization. The radiological follow-up was primarily by magnetic resonance angiography (MRA), performed from 2 to 6 times (average: 4.1 times) during the follow-up period. In three cases, CCFs persisted, but the other fifteen (83%) demonstrated complete cure as defined by long-term follow-up MRA. The three patients with persistent CCFs were comparatively young, less than 60 years old, had no atherosclerotic factors and demonstrated multiple venous drainage routes with cortical venous drainage on angiography. In two of them, the symptoms completely disappeared, and the other had only mild chemosis. However, surprisingly, in two, MRA revealed residual CCF with drainage into only cortical veins through the sphenoparietal sinus, this radiological finding being well known to signify danger. During the follow-up period, central retinal vein thrombosis occurred in two cases. The common point in these cases was that the superior ophthalmic vein was the only venous drainage route. This is also a point requiring care. We therefore emphasize the importance of careful long-term radiological follow-up for spontaneous CCF patients even when their symptoms improve or disappear. MRA is particularly suitable for this purpose and applicable in the out-patient clinic because of its non-invasive nature.


Acta Neurochir (Wien)


Acta neurochirurgica


Kurata A,Miyasaka Y,Kunii M,Nagai S,Ohmomo T,Morishima H,Fujii K,Kan S




Has Abstract


1998-01-01 00:00:00












  • Growth prediction in asymptomatic meningiomas: the utility of the AIMSS score.

    abstract:BACKGROUND:Management of asymptomatic meningiomas represents a challenge due to the absence of a solid consensus on which is the best management strategy. There are various known factors predicting meningiomas growth risk. However, the Asian Intracranial Meningioma Scoring System (AIMSS) is the only described score to ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Brugada-Bellsolà F,Teixidor Rodríguez P,Rodríguez-Hernández A,Garcia-Armengol R,Tardáguila M,González-Crespo A,Domínguez CJ,Rimbau JM

    更新日期:2019-11-01 00:00:00

  • Lumbo-omental shunt for drainage of cerebrospinal fluid--an experimental radionuclide study in dogs. II. Evaluation of transport routes from lumbar subarachnoid space to venous blood.

    abstract::In a series of dogs, the transport routes of intrathecally administered 99Tcm-DTPA from an omental graft to the venous blood were studied by scintillation probes placed over the portal and external jugular veins and by blood samples from the inferior vena cava. It was found early in the course of investigation that a ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Levander B,Asard PE

    更新日期:1978-01-01 00:00:00

  • Lipid peroxide level increase in experimental hydrocephalus.

    abstract::The aetiology of incomplete adrenergic denervation and reduction in the number and caliber of the cerebral vessels in hydrocephalus is still obscure. Stretching of the blood vessels alone is far from explaining these major vascular changes. Previous studies have shown that increased lipid peroxidation produces toxic e...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Caner H,Atasever A,Kilinç K,Durgun B,Peker S,Ozcan OE

    更新日期:1993-01-01 00:00:00

  • Secondary manifestation of medulloblastoma: metastases and local recurrences in 66 patients.

    abstract::Although primary treatment of medulloblastoma is now successful in a high percentage of patients, its secondary manifestations still bear a poor prognosis. Thorough studies of secondary manifestations are therefore pivotal to plan therapeutic approaches for the long-term management of medulloblastoma. Here we describe...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sure U,Bertalanffy H,Isenmann S,Brandner S,Berghorn WJ,Seeger W,Aguzzi A

    更新日期:1995-01-01 00:00:00

  • The acquired Chiari malformation and syringomyelia following spinal CSF drainage: a study of incidence and management.

    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


    authors: Johnston I,Jacobson E,Besser M

    更新日期:1998-01-01 00:00:00

  • Regional spinal cord blood flow measurements (r.S.C.B.F.) in spinal cord acute compression caused by an epidural balloon.

    abstract::Our study was carried out in 34 rabbits which were divided into three groups (A, B, C). In group A (10 animals), a mid-laminectomy of the first lumbar (L1) vertebra was performed and the circulation in the exposed spinal cord segment was examined using both procedures, the videomicroscopy as well as the r.S.C.B.F. mea...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Karoutas G,Tsitsopoulos P,Taskos N,Karacostas D,Tzotzoras T,Liapis J,Logothetis J

    更新日期:1987-01-01 00:00:00

  • Morphology and immunohistochemistry of a symptomatic septum pellucidum cavum Vergae cyst in man.

    abstract::The cavum septi pellucidi (CSP) and cavum Vergae (CV) are persistent, primitive, or acquired, midline structures of adult human brain. It is customary to distinguish between the non-communicating and the communicating cava, depending on whether the cavum communicates with the cerebral ventricular system or not. Only a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ronsin E,Grosskopf D,Perre J

    更新日期:1997-01-01 00:00:00

  • Early effects of mild brain trauma on the cytoskeletal proteins neurofilament160 and MAP2, and the preventive effects of mexilitine.

    abstract:OBJECTIVE:The aims were to investigate the early effects of graded, closed, mild head injury on neurofilament protein (NF160) and microtubule-associated protein-2 (MAP2) and to examine the levels of lipid peroxidation and the impact of mexilitine, inhibitor of lipid peroxidation, pretreatment on tissue damage. MATERIA...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Caner H,Can A,Atalay B,Erdogan B,Albayrak AH,Kilinc K,Bavbek M,Altinors N

    更新日期:2004-06-01 00:00:00

  • Influence of variation in the catechol-O-methyltransferase gene on the clinical outcome after lumbar spine surgery for one-level symptomatic disc disease: a report on 176 cases.

    abstract:BACKGROUND:This study was aimed at the evaluation of the relationship between genetic polymorphisms of catechol-O-methyltransferase (COMT) (rs4680:A > G-Val158Met, rs6269:A > G, rs4633:C > T, rs4818:C > G) and pain sensitivity after lumbar discectomy. METHODS:All patients had one-level symptomatic disc herniation from...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Rut M,Machoy-Mokrzyńska A,Ręcławowicz D,Słoniewski P,Kurzawski M,Droździk M,Safranow K,Morawska M,Białecka M

    更新日期:2014-02-01 00:00:00

  • Capsule plication as a protective measure against post-operative intracapsular haematoma formation following trans-sphenoidal removal of pituitary macroadenoma.

    abstract:BACKGROUND:Post-operative haematoma and visual deterioration are rare but serious complications after trans-sphenoidal surgery. For more reliable decompression of the optic nerve, we introduce a new technique for volume reduction of the cavity remaining after trans-sphenoidal resection of macroadenomas. TECHNIQUE:Afte...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kitano M,Taneda M

    更新日期:2008-08-01 00:00:00

  • Surgical activity by Spanish Residents in Neurosurgery under the Training Programme in place since 1984 and changes to be implemented under the New Training Programme.

    abstract::The Spanish National Committee for Neurosurgery has recently approved a new training programme which will shortly replace the former programme, which dates from 1984. The object of this report was to evaluate training in neurosurgery in Spain under the extant programme as perceived by the residents themselves. Assessm...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Mateo-Sierra O,Delgado P,Cancela P,Fernández-Carballal C

    更新日期:2005-04-01 00:00:00

  • Long-term outcome of patients suffering from clinical instability after microsurgical treatment of lumbar disc herniation.

    abstract::A total of 39 patients suffering from clinical instability of the lumbar spine after microdiscectomy were evaluated for their long-term outcome. Included there were 21 (54%) male and 18 (46%) female patients with a mean age of 55 years. All had been operated on for a virgin single-level lumbar disc herniation between ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kotilainen E

    更新日期:1998-01-01 00:00:00

  • Trapped fourth ventricle-treatment options and the role of open posterior fenestration in the surgical management.

    abstract:BACKGROUND:Trapped fourth ventricle (TFV) is a rare and difficult to treat condition. Most patients have a past inciting event (infection, IVH, trauma) and history of prior CSF diversion. The symptoms are due to the mass effect on brainstem and cerebellum. Rarely, TFV can also be associated with syrinx formation due to...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Tyagi G,Singh P,Bhat DI,Shukla D,Pruthi N,Devi BI

    更新日期:2020-10-01 00:00:00

  • Surgical treatment of multiple intracranial aneurysms.

    abstract::Patients with multiple intracranial aneurysms present a great challenge to neurosurgical practice. The presence of one or more additional aneurysms, whether recognized or unrecognized, along with the source of the haemorrhage profoundly changes the outcome. It also alters the timing and strategy of surgery. In this st...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Vajda J,Juhász J,Orosz E,Pásztor E,Tóth S,Horváth M

    更新日期:1986-01-01 00:00:00

  • Primary Ewing's sarcoma: peripheral primitive neuroectodermal tumour of the jugular foramen.

    abstract::We describe an extremely rare example of Ewing's sarcoma (ES)/peripheral primitive neuroectodermal tumour (pPNET) originating from the jugular foramen. The patient was a 10-year-old boy who presented with progressive symptoms due to right lower cranial nerve palsies. Computed tomographic (CT) scan and magnetic resonan...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kobayashi H,Terasaka S,Yamaguchi S,Kubota K,Iwasaki Y

    更新日期:2008-08-01 00:00:00

  • Association of intraneural perineurioma with neurofibromatosis type 2.

    abstract:BACKGROUND:Neurofibromatosis type 2 (NF2) is a genetic disorder characterized by mutations of the NF2 tumor suppressor gene that predisposes patients to develop multiple tumors in the peripheral and central nervous system. The most common neoplasms associated with the disease are schwannomas and meningiomas. Both have ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Pendleton C,Spinner RJ,Dyck PJB,Mauermann ML,Ladak A,Restrepo CE,Baheti S,Klein CJ

    更新日期:2020-08-01 00:00:00

  • Rat middle cerebral artery occlusion using an intraluminal thread technique.

    abstract::A modification of the previous methods of producing cerebral ischaemia in rats (Koizumi et al., Longa et al.), using an intraluminal thread technique, is described. The middle cerebral artery is occluded by introducing a simple 3-0 nylon thread (0.20-0.249 mm in diameter) through the internal carotid artery in the nec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kawamura S,Yasui N,Shirasawa M,Fukasawa H

    更新日期:1991-01-01 00:00:00

  • Diagnostic and therapeutic management of spinal arachnoid cysts.

    abstract:BACKGROUND:The wide variety of intraspinal cystic lesions necessitates different elaborate diagnostic procedures to choose the right therapeutic management in symptomatic patients. Based on the case reports of seven patients with symptomatic spinal arachnoid cysts we discuss the aetiology, diagnostic procedures and the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Krings T,Lukas R,Reul J,Spetzger U,Reinges MH,Gilsbach JM,Thron A

    更新日期:2001-01-01 00:00:00

  • Cerebellar lesions: is there a lateralisation effect on memory deficits?

    abstract:BACKGROUND:Until recently, neurosurgeons eagerly removed cerebellar lesions without consideration of future cognitive impairment that might be caused by the resection. In children, transient cerebellar mutism after resection has lead to a diminished use of midline approaches and vermis transection, as well as reduced r...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: de Ribaupierre S,Ryser C,Villemure JG,Clarke S

    更新日期:2008-06-01 00:00:00

  • A comparison of different grading scales for predicting outcome after subarachnoid haemorrhage.

    abstract:BACKGROUND:Most scales used to assess prognosis after subarachnoid haemorrhage (SAH) are based on the level of consciousness of the patient. Based on information from a logistic regression model, Ogilvy et al. developed a new grading scheme (Massachussetts General Hospital (MGH) Scale) which applied a simple scoring me...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lagares A,Gómez PA,Alen JF,Lobato RD,Rivas JJ,Alday R,Campollo J,de la Camara AG

    更新日期:2005-01-01 00:00:00

  • The combination of semi-sitting position and intraoperative MRI--first report on feasibility.

    abstract:INTRODUCTION:Intraoperative MRI (iMRI) has been established as a routine imaging modality with a remarkable impact on specific neurosurgical procedures. The technological advancement continuously extends the spectrum of iMRI, leading to an increasing number of installations. Yet, procedures in which a semi-sitting posi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Gasser T,Senft C,Rathert J,Friedrich K,Hattingen E,Gerlach R,Seifert V

    更新日期:2010-06-01 00:00:00

  • Absence of apoptosis in somatotropinomas treated with octreotide.

    abstract::Octreotide is a potent agonist of somatostatin that lowers the serum level of growth hormone (GH), and reduces the size of somatotropinomas. However, the detailed mechanism of shrinkage of this tumour is not known. We, therefore, evaluated 11 patients with somatotropinomas who were treated with octreotide 300 microgra...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Saitoh Y,Arita N,Ohnishi T,Ekramullah S,Takemura K,Hayakawa T

    更新日期:1997-01-01 00:00:00

  • About a very rare variation of the course and width of the vertebral arteries and the hypoglossal nerve.

    abstract::Described are: 1. A very thin intracisternal part of the vertebral artery (0.9 mm). 2. A very rare course of the vertebral artery (dorsal to the hypoglossal nerve). 3. Rare anastomoses between the vertebral artery and the PICA. 4. A rare upwards coiling of the PICA and 5. The origin and prevertebral course of the vert...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lang J

    更新日期:1990-01-01 00:00:00

  • Serial transcranial Doppler measurements in traumatic brain injury with special focus on the early posttraumatic period.

    abstract:BACKGROUND:Cerebral ischemia is considered a key factor in the development of secondary damage after Traumatic Brain Injury (TBI). Studies on Cerebral Blood Flow (CBF) have documented decreased flow in over 50% of patients with TBI, studied in the acute phase. Transcranial Doppler (TCD) sonography is a non-invasive tec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: van Santbrink H,Schouten JW,Steyerberg EW,Avezaat CJ,Maas AI

    更新日期:2002-11-01 00:00:00

  • Local coagulofibrinolysis in the postsurgical recovery of patients with chronic subdural haematoma.

    abstract::Postoperative recovery of patients with chronic subdural haematoma (CSH) was investigated by comparing pre- and postoperative coagulant and fibrinolytic activity in the haematoma contents of 15 patients with SCH. Patients in this study were treated draining the haematoma cavity without irrigation, a procedure dubbed t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Matsumoto M,Sakata Y,Yamazaki T,Endo G,Ohishi H,Takasu N

    更新日期:1999-01-01 00:00:00

  • Versatile intraoperative MRI in neurosurgery and radiology.

    abstract:BACKGROUND:Several models for the application of intra-operative magnetic resonance imaging (IMRI) have recently been reported, most of them unique. Two fundamental issues need to be addressed: optimal use of the scanner to ensure a wide base for research, development and clinical application, and an organisational mod...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Yrjänä SK,Katisko JP,Ojala RO,Tervonen O,Schiffbauer H,Koivukangas J

    更新日期:2002-03-01 00:00:00

  • MRA demonstration of "periarteritis" in Tolosa-Hunt syndrome.

    abstract:BACKGROUND:Modern magnetic resonance imaging (MRI) diagnosis of Tolosa-Hunt syndrome rests upon demonstration of cavernous sinus abnormalities. We present a case of Tolosa-Hunt syndrome who has no abnormal mass lesion in the cavernous sinuses on MRI but with a diagnostic lesion on magnetic resonance angiography (MRA). ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ozawa T,Minakawa T,Saito A,Yoneoka Y,Yoshimura J,Arai H

    更新日期:2001-01-01 00:00:00

  • Adult occurrence of medulloblastoma.

    abstract::We analyze a series of 44 medulloblastomas in patients aged 20 and older, listed in the Connecticut Tumor Registry. Average age was 34.1 years. Incidence was 0.058 per 100,000 per year. Headache and ataxia were the most frequent presenting complaints. Findings at diagnosis most often were papilloedema, cranial nerve p...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Farwell JR,Flannery JT

    更新日期:1987-01-01 00:00:00

  • Primary intraspinal cervical melanoma.

    abstract::A case of primary intraspinal melanoma is presented. This is a very rarely observed lesion, as only 37 cases have been described up to now. Patient presenting with signs and symptoms of spinal cord compression after MRI and spinal angiography was operated upon. Total removal of an intraspinal cervical tumour was perfo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bidziński J,Kroh H,Leszczyk C,Bojarski P

    更新日期:2000-01-01 00:00:00

  • The value of short-term pain relief in predicting the 1-month outcome of 'indirect' cervical epidural steroid injections.

    abstract:BACKGROUND:Clinical management after epidural steroid injections (ESI) of patients with radiculopathy secondary to a cervical disc herniation (CDH) is uncertain. This study aims to determine whether short-term arm pain alleviation following computed tomography-guided 'indirect' cervical ESI can predict the 1-month outc...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Joswig H,Neff A,Ruppert C,Hildebrandt G,Stienen MN

    更新日期:2017-02-01 00:00:00