Decision making for patients with multiple brain metastases: radiosurgery, radiotherapy, or resection?

abstract：:Hemivertebrae are a common cause of congenital scoliosis. Depending on their location and the magnitude of the resultant deformity, they may be asymptomatic or require treatment. In the past, treatment has focused on prevention of deformity progression in growing children. Little has been written about congenital scol...

journal_title：Neurosurgical focus

authors： Polly DW Jr,Rosner MK,Monacci W,Moquin RR

更新日期：2003-02-15 00:00:00

abstract：:There is a paucity of surviving texts from ancient and medieval times that can shed light on the early development of spine surgery. Nevertheless, the author reviews many of the available books and fragments and discusses early developments in the field of spine surgery from the point of view of physicians' personalit...

journal_title：Neurosurgical focus

authors： Goodrich JT

更新日期：2004-01-15 00:00:00

abstract：:Several cases of congenital or acquired temporal encephaloceles have been reported in the literature as the causative mechanism of simple and/or complex partial seizures. In this report the authors describe a rare case of spontaneous parietal encephalocele presenting with simple partial seizures and progressively incr...

journal_title：Neurosurgical focus

authors： Fountas KN,Smith JR,Jenkins PD,Murro AM

更新日期：2005-09-15 00:00:00

abstract：:OBJECTIVE The long-term effects on adjacent-segment pathology after nonfusion dynamic stabilization is unclear, and, in particular, changes at the adjacent facet joints have not been reported in a clinical study. This study aims to compare changes in the adjacent facet joints after lumbar spinal surgery. METHODS Patie...

journal_title：Neurosurgical focus

authors： Lee SE,Jahng TA,Kim HJ

更新日期：2016-01-01 00:00:00

abstract：:The authors describe a new piece of equipment that enables simultaneous monitoring of the endoscopic image and unilateral microscopic image; that is, "picture-in-picture" images for endoscope-assisted microsurgery. The system is simple and purely optical, consisting of light-weight semi-rigid fibers and a special adap...

journal_title：Neurosurgical focus

authors： Seki Y,Umezu H,Usui M,Tsumanuma T,Nakatate K

更新日期：1999-04-15 00:00:00

abstract：:Considerable financial and human resources have been directed toward the emerging field of comparative effectiveness research (CER) in the US. Fundamentally, the concept of CER is so logical as to be almost self-evident; namely, that research regarding therapeutic strategies should go beyond efficacy and examine objec...

journal_title：Neurosurgical focus

authors： Marko NF,Weil RJ

更新日期：2012-07-01 00:00:00

abstract：:A case is described of an elderly woman who presented with headaches, hypopituitarism, and visual disturbances and was found to have idiopathic granulomatous hypophysitis, a rare lesion of the pituitary gland. Preoperative magnetic resonance imaging demonstrated a well-circumscribed lesion, which was isointense on bot...

journal_title：Neurosurgical focus

authors： Brisman MH,Morgello S,Silvers A,Klein I,Post KD

更新日期：1996-07-15 00:00:00

abstract：:The histological appearance of a meningioma is an important predictor of tumor behavior and is frequently a factor in decisions concerning therapy. The relationship between histological features and prognosis is formalized in grading schemes such as those published by the World Health Organization (WHO), most recently...

journal_title：Neurosurgical focus

authors： Commins DL,Atkinson RD,Burnett ME

更新日期：2007-01-01 00:00:00

abstract：:Healthcare spending has become a grave concern to national budgets worldwide, and to a greater extent in low-income countries. Brain tumors are a serious disease that affects a significant percentage of the population, and thus proper allocation of healthcare provisions for these patients to achieve acceptable outcome...

journal_title：Neurosurgical focus

authors： Helal AE,Abouzahra H,Fayed AA,Rayan T,Abbassy M

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVE:Advancements in less invasive lateral retropleural/retroperitoneal approaches aim to address the limitation of posterolateral approaches and avoid complications associated with anterior open thoracotomy or thoracoabdominal approaches. METHODS:Consecutive patients treated with a mini-open lateral approach for...

journal_title：Neurosurgical focus

authors： Christiansen PA,Huang S,Smith JS,Shaffrey ME,Uribe JS,Yen CP

更新日期：2020-09-01 00:00:00

abstract：:Drug addiction represents a significant public health concern that has high rates of relapse despite optimal medical therapy and rehabilitation support. New therapies are needed, and deep brain stimulation (DBS) may be an effective treatment. The past 15 years have seen numerous animal DBS studies for addiction to var...

journal_title：Neurosurgical focus

authors： Wang TR,Moosa S,Dallapiazza RF,Elias WJ,Lynch WJ

更新日期：2018-08-01 00:00:00

abstract：:Trepanation is the process by which a hole is drilled into the skull, exposing the intracranial contents for either medical or mystical purposes. It represents one of the oldest surgical procedures, and its practice was widespread in many ancient cultures and several parts of the world. Trepanation was used in ancient...

journal_title：Neurosurgical focus

authors： Missios S

更新日期：2007-01-01 00:00:00

abstract：:The authors describe the case of a boy with Muenke syndrome, an autosomal dominant disorder associated with craniosynostosis. The family history was significant for syndromic craniosynostosis in the patient's maternal grandmother, who died in adulthood after a craniofacial reconstruction. The patient, her grandson, un...

journal_title：Neurosurgical focus

authors： Mehta V,Bakhsheshian J,Dorafshar AH,Ahn ES

更新日期：2015-05-01 00:00:00

abstract：:The Pipeline embolization device (PED) has become a very important tool in the treatment of nonruptured cerebral aneurysms. However, a patient's difficult anatomy or vascular stenosis may affect the device delivery. The purpose of this article was to describe an alternate technique for PED deployment when ipsilateral ...

journal_title：Neurosurgical focus

authors： Valle-Giler EP,Atallah E,Tjoumakaris S,Rosenwasser RH,Jabbour P

更新日期：2017-06-01 00:00:00

abstract：:OBJECTIVE Minimally invasive posterior cervical decompression (miPCD) has been described in several case series with promising preliminary results. The object of the current study was to compare the clinical outcomes between patients undergoing miPCD with anterior cervical discectomy and instrumented fusion (ACDFi). M...

journal_title：Neurosurgical focus

authors： Abbas SF,Spurgas MP,Szewczyk BS,Yim B,Ata A,German JW

更新日期：2016-06-01 00:00:00

abstract：OBJECT:It is hypothesized that minimally invasive surgical techniques lead to fewer complications than open surgery for adult spinal deformity (ASD). The goal of this study was to analyze matched patient cohorts in an attempt to isolate the impact of approach on adverse events. METHODS:Two multicenter databases querie...

journal_title：Neurosurgical focus

authors： Uribe JS,Deukmedjian AR,Mummaneni PV,Fu KM,Mundis GM Jr,Okonkwo DO,Kanter AS,Eastlack R,Wang MY,Anand N,Fessler RG,La Marca F,Park P,Lafage V,Deviren V,Bess S,Shaffrey CI,International Spine Study Group.

更新日期：2014-05-01 00:00:00

abstract：:The study of carotid artery occlusive disease interventions can be divided clinically into the treatment of asymptomatic and symptomatic diseases. Clinical trials that have studied or are currently studying asymptomatic disease include: the Carotid Artery Stenosis with Asymptomatic Narrowing Operation Versus Aspirin s...

journal_title：Neurosurgical focus

authors： Brennan JJ,Loftus CM

更新日期：1998-12-15 00:00:00

abstract：:Intraoperative optical imaging (IOI) is a marker-free, contactless, and noninvasive imaging technique that is able to visualize metabolic changes of the brain surface following neuronal activation. Although it has been used in the past mainly for the identification of functional brain areas under general anesthesia, t...

journal_title：Neurosurgical focus

authors： Oelschlägel M,Meyer T,Morgenstern U,Wahl H,Gerber J,Reiß G,Koch E,Steiner G,Kirsch M,Schackert G,Sobottka SB

更新日期：2020-02-01 00:00:00

abstract：OBJECT:Vertebroplasty and kyphoplasty are minimally invasive procedures used to treat persistently symptomatic vertebral compression fractures (VCFs). Both interventions usually involve injection of polymethyl methacrylate (PMMA). The purpose of this technical note was to review the theory and surgical technique for a ...

journal_title：Neurosurgical focus

authors： Lam S,Khoo LT

更新日期：2005-03-15 00:00:00

abstract：:It is not uncommon for a severe traumatic brachial plexus injury to involve all 5 roots, resulting in a flail upper limb. In such cases, surgical reconstruction is often palliative, providing only rudimentary function. Nerve transfers are the mainstay of reconstructive strategies due to the predominance of root avulsi...

journal_title：Neurosurgical focus

authors： Bhatia A,Doshi P,Koul A,Shah V,Brown JM,Salama M

更新日期：2017-07-01 00:00:00

abstract：:Lumbar discectomy is the most common surgical procedure performed in neurosurgery clinics. Such a large number of procedures underscore not only the prevalence of conditions such as intervertebral disc herniation, but also the strong belief of surgeons that the operation does provide benefits to patients suffering fro...

journal_title：Neurosurgical focus

authors： Erman T,Tuna M,Göçer AI,Idan F,Akgül E,Zorludemir S

更新日期：2001-11-15 00:00:00

abstract：:Primary leiomyosarcoma of the central nervous system is rare and has been described both de novo and following temporally remote radiotherapy for a different unrelated malignancy. The authors report the case of a 42-year-old man in whom 60Co radiation treatment had been performed for an unknown primary mass in the bra...

journal_title：Neurosurgical focus

authors： Yeh DJ,Hessler RB,Lee MR

更新日期：2002-06-15 00:00:00

abstract：:The best management strategy for symptomatic vertebrobasilar ischemia is currently not well-defined. Noninvasive Optimal Vessel Analysis (NOVA, VasSol, Inc.) is computer software that, using quantitative magnetic resonance (MR) angiography technology, represents the only commercially available means of noninvasively m...

journal_title：Neurosurgical focus

authors： Brisman JL

更新日期：2008-01-01 00:00:00

abstract：OBJECT:The authors undertook a study to compare two intraoperative imaging modalities, low-field magnetic resonance (MR) imaging and a prototype of a three-dimensional (3D)-navigated ultrasonography in terms of imaging quality in lesion detection and intraoperative resection control. METHODS:Low-field MR imaging was u...

journal_title：Neurosurgical focus

authors： Tronnier VM,Bonsanto MM,Staubert A,Knauth M,Kunze S,Wirtz CR

更新日期：2001-02-15 00:00:00

abstract：:Revision spinal surgery is usually indicated in cases of persistent or recurrent symptoms related to neural compression, spinal deformity, or construct failure. An understanding of fundamental biomechanical principles of both spinal decompression and reconstructive strategies is essential to avoid unnecessary subseque...

journal_title：Neurosurgical focus

authors： Schlenk RP,Stewart T,Benzel EC

更新日期：2003-09-15 00:00:00

abstract：OBJECT:An experimental study was performed to determine the biomechanical end-mounting configurations that replicate in vivo physiological motion of the cervical spine in a multiple-level human cadaveric model. The vertebral motion response for the modified testing protocol was compared to in vivo motion data and tradi...

journal_title：Neurosurgical focus

authors： DiAngelo DJ,Foley KT

更新日期：2004-09-15 00:00:00

abstract：:Object In the last decade the indications for the endoscopic endonasal approach have been progressively expanded to include lesions that have not been traditionally considered amenable to resection through the transsphenoidal route. In this study, the authors analyze their experience with hypothalamic gliomas treated ...

journal_title：Neurosurgical focus

authors： Zoli M,Mazzatenta D,Valluzzi A,Marucci G,Acciarri N,Pasquini E,Frank G

更新日期：2014-01-01 00:00:00

abstract：:Arteriovenous malformation (AVM) presenting with epilepsy significantly impacts patient quality of life, and it should be considered very much a seizure disorder. Although hemorrhage prevention is the primary treatment aim of AVM surgery, seizure control should also be at the forefront of therapeutic management. Sever...

journal_title：Neurosurgical focus

authors： Soldozy S,Norat P,Yağmurlu K,Sokolowski JD,Sharifi KA,Tvrdik P,Park MS,Kalani MYS

更新日期：2020-04-01 00:00:00

abstract：:Lumbosacral interbody fusion may be indicated to treat degenerative disc disease at L5-S1, instability or spondylolisthesis at that level, and severe neural foraminal stenosis resulting from loss of disc space height. In addition, L5-S1 interbody fusion may provide anterior support to a long posterior fusion construct...

journal_title：Neurosurgical focus

authors： Issack PS,Kotwal SY,Boachie-Adjei O

更新日期：2014-05-01 00:00:00

abstract：:Deep brain stimulation (DBS) has a record of safety and efficacy for an expanding range of indications. Recently,the Food and Drug Administration provided approval through a Humanitarian Device Exemption for DBS of the globus pallidus internus and subthalamic nucleus for the treatment of dystonia. There is increasing ...

journal_title：Neurosurgical focus

authors： Montgomery EB Jr

更新日期：2004-07-15 00:00:00