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


: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 communicating hydrocephalus (CH), 4 cases with CH alone, 3 cases with pseudotumour cerebri (PTC) and a miscellaneous group (4 cases). Initial treatment was varied: resiting the shunt to ventricle or cisterna magna [6], adding an H-V valve [1], syrinx shunting [4] and posterior fossa decompression [3]. Further treatment was required in 6 cases. Secondly, incidence was examined in 87 patients with PTC initially treated either by lumbar SAS shunting [70] or cisterna magna shunting [17]. In the first sub-group, 11 cases (15.7 per cent) developed an ACM, 3 symptomatic (as above) and eight asymptomatic with 1 case also having syringomyelia whereas 1 case occurred in the second group with a questionanably symptomatic ACM. While accurate for symptomatic lesions, these figures are tentative with respect to asymptomatic lesions due to inadequate pre-treatment radiology and detailed MR follow-up. The main conclusions are, first, that the incidence of symptomatic ACM and/or syringomyelia is not high enough to warrant abandoning SAS shunting; second that asymptomatic lesions need not necessarily be treated and third, that when treatment is required, shunt resiting is the first choice.


Acta Neurochir (Wien)


Acta neurochirurgica


Johnston I,Jacobson E,Besser M




Has Abstract


1998-01-01 00:00:00


417-27; discussion 427-8










  • Patients with idiopathic trigeminal neuralgia have a sharper-than-normal trigeminal-pontine angle and trigeminal nerve atrophy.

    abstract:BACKGROUND:Trigeminal neuralgia (TN) is primarily diagnosed by symptoms and patient history. Magnetic resonance (MR) imaging can be helpful in visualizing the neurovascular compression of the trigeminal nerve in TN patients, but the current parameters used as diagnostic markers for TN are less than optimal. The aim of ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ha SM,Kim SH,Yoo EH,Han IB,Shin DA,Cho KG,Chung SS,Park YS

    更新日期:2012-09-01 00:00:00

  • Carpal tunnel syndrome and acromegaly.

    abstract::50 patients with acromegaly and carpal tunnel syndrome have been examined electrophysiologically before and after transnasal operation of the pituitary adenoma. 32 of the 50 patients (64%) had symptoms of carpal tunnel syndrome. 13 of them had neurological deficits. 28 of the examined patients had pathological neurogr...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Baum H,Lüdecke DK,Herrmann HD

    更新日期:1986-01-01 00:00:00

  • Surgery of hydrocephalus: past, present and future.

    abstract::The treatment of hydrocephalus, over the centuries, underwent three stages of evolution. During antiquity, middle ages and Renaissance, hydrocephalus was not understood. Medical treatment was useless; surgery was hopeless. The second stage extends from the XIXth century to the end of the first half of the XXth century...

    journal_title:Acta neurochirurgica

    pub_type: 历史文章,杂志文章,评审


    authors: Hirsch JF

    更新日期:1992-01-01 00:00:00

  • Contribution of neurophysiological guidance to stereotactic posteroventral pallidotomy for Parkinson's disease.

    abstract::The usefulness of microrecording guidance to adequately place pallidotomy lesions is not thoroughly accepted. We have analysed in 23 consecutive Parkinsonian patients the deviation of the first recording track (FRT), which was directed to the theoretical stereotactic target, from the sensorimotor area of the internal ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Molinuevo JL,Valldeoriola F,Rumià J,Nobbe FA,Martínez R,Ferrer E,Tolosa E

    更新日期:1999-01-01 00:00:00

  • Chemokines as markers of local inflammation and angiogenesis in patients with chronic subdural hematoma: a prospective study.

    abstract:OBJECTIVE:The goal of this study was to investigate the chemokines CCL2, CXCL8, CXCL9 and CXCL10 as markers of the inflammatory responses in chronic subdural hematoma (CSDH). METHODS:Samples of peripheral venous blood and CSDH fluid (obtained during surgery) in 76 adult patients were prospectively analyzed. Chemokine ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Stanisic M,Lyngstadaas SP,Pripp AH,Aasen AO,Lindegaard KF,Ivanovic J,Ilstad E,Konglund A,Sandell T,Ellingsen O,Saehle T

    更新日期:2012-01-01 00:00:00

  • Rathke's cleft cysts: differentiation from other cystic lesions in the pituitary fossa by use of single-shot fast spin-echo diffusion-weighted MR imaging.

    abstract:OBJECTIVE:Rathke's cleft cysts are often difficult to differentiate from other sellar cystic lesions using conventional MR imaging. The purpose of this study was to investigate the usefulness of single-shot fast spin-echo (SSFSE) diffusion-weighted MR imaging (DWI) in the diagnosis of a Rathke's cleft cyst. PATIENTS A...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kunii N,Abe T,Kawamo M,Tanioka D,Izumiyama H,Moritani T

    更新日期:2007-08-01 00:00:00

  • Microbial contamination assessment of cryostored autogenous cranial bone flaps: should bone biopsies or swabs be performed?

    abstract:BACKGROUND:Autogenous cranioplasty infection requiring bone flap removal is under-recognised as a major complication causing significant morbidity. Microbial contamination of stored bone flaps may be a significant contributing factor. Current infection control practices and storage procedures vary. It is not known whet...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bhaskar IP,Inglis TJ,Bowman J,Lee GY

    更新日期:2013-02-01 00:00:00

  • Regional cerebral blood flow after omental transposition to the ischaemic brain in man. A five year follow-up study.

    abstract::Regional cerebral blood flow, recorded by the 133Xenon inhalation method, was measured preoperatively and over a five years postoperative period in six patients with completed stroke and stabilized neurological deficits, who had undergone omental transposition for revascularization of the ischaemic brain. Comparisons ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Goldsmith HS,Bacciu P,Cossu M,Pau A,Rodriguez G,Rosadini G,Ruju P,Sehrbundt Viale E,Turtas S,Viale GL

    更新日期:1990-01-01 00:00:00

  • An analysis of retractions in neurosurgery and allied clinical and basic science specialties.

    abstract:BACKGROUND:As the volume of scientific publications increases, the rate of retraction of published papers is also likely to increase. In the present study, we report the characteristics of retracted papers from clinical neurosurgery and allied clinical and basic science specialties. METHODS:Retracted papers were ident...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Madhugiri VS,Nagella AB,Uppar AM

    更新日期:2021-01-01 00:00:00

  • Gamma knife radiosurgical management of petroclival meningiomas results and indications.

    abstract:BACKGROUND:Surgical treatment of petroclival meningiomas remains challenging. In order to refine indications for the use of stereotactic radiosurgery in the treatment of these tumours, we retrospectively evaluated our experience in this field. METHODS:Thirty-two patients harboring a petroclival meningioma were treated...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Roche PH,Pellet W,Fuentes S,Thomassin JM,Régis J

    更新日期:2003-10-01 00:00:00

  • Obligatory roles of protein kinase C and nitric oxide in the regulation of cerebral vascular tone: an implication of a pathogenesis of vasospasm after subarachnoid haemorrhage.

    abstract::We previously showed that a canine basilar artery manifested tonic and potent, protein kinase C (PKC)-dependent contractions when nitric oxide (NO) was inhibited. We also reported a linear correlation between chronological changes in the angiographic severity of vasospasm, enhanced PKC, and attenuated guanosine, 13',1...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Nishizawa S,Yokota N,Yokoyama T,Uemura K

    更新日期:1998-01-01 00:00:00

  • Decreased inhibitory neuronal activity in patients with frontal lobe brain tumors with seizure presentation: Preliminary study using magnetoencephalography.

    abstract:BACKGROUND:Although 30-50 % of patients with brain tumors experience epileptic seizure as the presenting clinical symptom, and another 10-30 % are at risk for developing epilepsy in the later stages of the disease, the mechanisms of tumor-related epileptogenesis are poorly understood. We used magnetoencephalography (ME...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Chang WS,Kim BS,Jung HH,Kim K,Kwon HC,Lee YH,Chang JW

    更新日期:2013-08-01 00:00:00

  • Controversies in the management of subdural empyema. A study of 41 cases with review of literature.

    abstract::Forty one cases of subdural empyema treated between 1977 and 1988 at the Postgraduate Institute of Medical Education and Research. Chandigarh, have been analysed. The patients ranged from 9 days to 80 years of age. There were 22 children, including 11 infants. Fever, altered sensorium and seizures were the most common...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Pathak A,Sharma BS,Mathuriya SN,Khosla VK,Khandelwal N,Kak VK

    更新日期:1990-01-01 00:00:00

  • "Black bone": the new backbone in CAD/CAM-assisted craniosynostosis surgery?

    abstract:BACKGROUND:Computer-assisted design and manufacturing (CAD/CAM) techniques have been implemented in craniosynostosis surgery to facilitate cranial remodeling. However, until now, computed tomography (CT) scans with ionizing radiation were necessary to plan the procedure and create guiding templates. The purpose of this...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lethaus B,Gruichev D,Gräfe D,Bartella AK,Hahnel S,Yovev T,Pausch NC,Krause M

    更新日期:2020-06-09 00:00:00

  • Urinary incontinence following deep brain stimulation of the pedunculopontine nucleus.

    abstract::Low-frequency deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN) has been reported to improve akinesia and gait difficulties in patients with Parkinson's disease (PD). We report on a patient with PD and L: -dopa refractory gait symptoms who developed detrusor over-activity immediately after right PPN D...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Aviles-Olmos I,Foltynie T,Panicker J,Cowie D,Limousin P,Hariz M,Fowler CJ,Zrinzo L

    更新日期:2011-12-01 00:00:00

  • Superficial radial intraneural ganglion cysts at the wrist.

    abstract::Superficial radial intraneural ganglion cysts are rare. Only nine previous cases have been described. We provide two examples with a wrist joint connection and review the literature to provide further support for the unifying articular (synovial) theory for the pathogenesis and treatment of intraneural ganglia. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Spinner RJ,Mikami Y,Desy NM,Amrami KK,Berger RA

    更新日期:2018-12-01 00:00:00

  • Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review.

    abstract::Symptomatic extracranial vertebral artery (VA) dissection may need surgery. We describe such a case successfully treated with atlantoaxial fusion based on its rare dynamic angiographic findings. A 27-year-old woman suffered from repeated brainstem and cerebellar infarctions from a left extracranial VA dissecting aneur...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Ikeda N,Hayashi H,Goto M,Satoi H,Iwasaki K,Toda H

    更新日期:2016-09-01 00:00:00

  • Clinical and radiological findings in long-term intracranial pressure monitoring.

    abstract:BACKGROUND:Advantages of telemetric devices for long-term intracranial pressure (ICP) measurement have been mentioned several times in the literature. However, descriptions of associated complications are lacking. Therefore, the presented observational study focused on clinical and radiological findings after insertion...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Antes S,Tschan CA,Kunze G,Ewert L,Zimmer A,Halfmann A,Oertel J

    更新日期:2014-05-01 00:00:00

  • Belgian doctors' attitudes on the management of patients in persistent vegetative state (PVS): ethical and regulatory aspects.

    abstract:BACKGROUND:The best care and management of patients in persistent vegetative state (PVS) has been the subject of sustained moral and legal debate for a number of years. However, the views of specialist doctors in Belgium involved in the care for patients in PVS are largely unknown. METHODS:A postal questionnaire was s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Dierickx K,Schotsmans P,Grubb A,Walsh P,Lambe N

    更新日期:1998-01-01 00:00:00

  • Virtual MRI endoscopy: detection of anomalies of the ventricular anatomy and its possible role as a presurgical planning tool for endoscopic third ventriculostomy.

    abstract:BACKGROUND:Many anatomical anomalies have the potential to impair the efficacy of endoscopic third ventriculostomy (ETV) and increase the surgical morbidity. By virtual magnetic resonance imaging (MRI) endoscopy, the real endoscopic view into the ventricular system can be simulated. It was the objective of the present ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Rohde V,Krombach GA,Struffert T,Gilsbach JM

    更新日期:2001-11-01 00:00:00

  • Pyramidal tract lesions in comatose patients.

    abstract::In 197 comatose patients transcranial magnetic evoked potentials were registered to investigate the integrity of the pyramidal tract. Findings were compared to somatosensory, visual and auditory evoked potentials. Preservation, abnormalities and absence of evoked potentials were related to survival and non-survival. T...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Firsching R,Wilhelms S,Hilgers RD

    更新日期:1991-01-01 00:00:00

  • Effect of intracisternal and intravenous calcitonin gene-related peptide on experimental cerebral vasospasm in rabbits.

    abstract::We investigated the vasodilatory effect of intracisternal (i.c.) and intravenous (i.v.) administration of calcitonin gene-related peptide (CGRP) on arterial narrowing after experimental subarachnoid hemorrhage (SAH). Forty-one rabbits were divided into five groups: control (normal animals); SAH plus i.c. infusion of v...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Toshima M,Kassell NF,Tanaka Y,Dougherty DA

    更新日期:1992-01-01 00:00:00

  • The incidence and management of the slit ventricle syndrome.

    abstract::The incidence of slit ventricles of shunt treated hydrocephalic children was evaluated in a follow up study of 141 patients. Slit like ventricles on computer tomography was seen in 75 patients (53%). 52 patients (37%) suffered from clinical symptoms corresponding with overdrainage of cerebrospinal fluid. Those 52 pati...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Serlo W,Saukkonen AL,Heikkinen E,von Wendt L

    更新日期:1989-01-01 00:00:00

  • Subtemporal transtentorial resection of cavernous malformations involving the pyramidal tract in the upper pons and mesencephalon.

    abstract:BACKGROUND:Lateral approaches to the brain stem for the resection of the cavernous malformations are preferred in order to avoid the structures within the floor of the fourth ventricle. The entry behind the pyramidal tract (PT) is usually carried out through the posterolateral surface of the brain stem. The more straig...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Steňo J,Bízik I,Steňová J,Timárová G

    更新日期:2011-10-01 00:00:00

  • Open MRI-guided neurosurgery.

    abstract:OBJECTIVES:A number of different image-guided surgical techniques have been developed during the past decade. None of these methods can provide the surgeon with information about the dynamic changes that occur intra-operatively. MATERIAL AND METHOD:The first vertical open 0.5T MRI-scanner for intra-operative MRI-guide...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Seifert V,Zimmermann M,Trantakis C,Vitzthum HE,Kühnel K,Raabe A,Bootz F,Schneider JP,Schmidt F,Dietrich J

    更新日期:1999-01-01 00:00:00

  • Avoidable factors that contribute to complications in the surgical treatment of chronic subdural haematoma.

    abstract::The results of a personal series of 44 consecutive patients undergoing burrhole evacuation and closed system suction drainage for chronic subdural haematoma are presented. 43 patients made a complete recovery and one was left with moderate disability. Contralateral weakness in one patient, recurrence of haematoma in a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Choudhury AR

    更新日期:1994-01-01 00:00:00

  • Timelines and rebleeds in patients admitted into neurosurgical care for aneurysmal subarachnoid haemorrhage.

    abstract:BACKGROUND:Mortality and morbidity of aneurysmal subarachnoid haemorrhage (aSAH) remain high, and prognosis is influenced by multiple non-modifiable factors such as aSAH severity. By analysing the chronology of aSAH management, we aim at identifying modifiable factors with emphasis on the occurrence of rebleeds in a se...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sorteberg A,Romundstad L,Sorteberg W

    更新日期:2021-01-06 00:00:00

  • Postoperative transient neurological symptoms and chronic subdural hematoma after extracranial-intracranial bypass for internal carotid/middle cerebral atherosclerotic steno-occlusive diseases: negative effect on cognitive performance.

    abstract:BACKGROUND:The mechanisms underlying post-extracranial to intracranial (EC-IC) bypass neurocognitive changes are poorly understood. METHODS:Data from 55 patients who underwent a unilateral EC-IC bypass for atherosclerotic internal carotid artery (ICA)/middle cerebral artery (MCA) steno-occlusive disease were retrospec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Inoue T,Ohwaki K,Tamura A,Tsutsumi K,Saito I,Saito N

    更新日期:2016-01-01 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


    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

  • Unexpected death after occipital condylar fracture.

    abstract::We present a rare fatal complication of an occipital condylar fracture. The patient was initially neurologically intact, but showed secondary clinical deterioration. Imaging revealed extensive extra-axial hemorrhage at the craniocervical junction and an acute obstructive hydrocephalus. MR imaging demonstrated a T2 hyp...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bulthuis VJ,Cornips EMJ,Dings J,van Santbrink H,Postma AA

    更新日期:2017-06-01 00:00:00