Update on therapies for acute ischemic stroke.

abstract：:Direct cerebral revascularization is an important procedure in the treatment of certain complex aneurysms and skull base tumors when acute sacrifice of the internal carotid artery is required. It likely remains an appropriate treatment in a small subgroup of patients with cerebral ischemia refractory to maximal medica...

journal_title：Neurosurgical focus

authors： Liu JK,Kan P,Karwande SV,Couldwell WT

更新日期：2003-03-15 00:00:00

abstract：OBJECT:Angiogram-negative subarachnoid hemorrhage (SAH) accounts for 15% of nontraumatic SAH and has been reported with low morbidity and mortality rates. We report on a large series of patients with angiogram-negative SAH who experienced an atypical nonbenign clinical course. METHODS:Between December 2001 and Novembe...

journal_title：Neurosurgical focus

authors： Whiting J,Reavey-Cantwell J,Velat G,Fautheree G,Firment C,Lewis S,Hoh B

更新日期：2009-05-01 00:00:00

abstract：:Stereotactic radiosurgery is an effective management strategy for properly selected patients with arteriovenous malformations (AVMs). However, the risk of postradiosurgical radiation-related injury is higher in patients with large AVMs. Multistaged volumetric management of large AVMs was undertaken to limit the radiat...

journal_title：Neurosurgical focus

authors： AlKhalili K,Chalouhi N,Tjoumakaris S,Rosenwasser R,Jabbour P

更新日期：2014-09-01 00:00:00

abstract：:This is the case of a man in his 40s who suffered sudden collapse into a deep coma as a result of a ruptured arteriovenous malformation (AVM) feeding artery aneurysm within the lateral ventricle. The ruptured aneurysm was successfully treated with Onyx embolization of the feeding pedicle. The AVM and the feeding arter...

journal_title：Neurosurgical focus

authors： Walcott BP,Russin JJ,Babadjouni R,Mack WJ

更新日期：2017-07-01 00:00:00

abstract：:Over the past century pituitary surgery has undergone multiple revolutions in surgical technique and technological advancements that have resulted in what is now recognized as modern transsphenoidal surgery. Although the procedure is well established in the current neurosurgical literature, the historical maze that le...

journal_title：Neurosurgical focus

authors： Gandhi CD,Post KD

更新日期：2001-10-15 00:00:00

abstract：:Genetic alterations in the cells of intradural spinal tumors can have a significant impact on the treatment options, counseling, and prognosis for patients. Although surgery is the primary therapy for most intradural tumors, radiochemothera-peutic modalities and targeted interventions play an ever-evolving role in tre...

journal_title：Neurosurgical focus

authors： Karsy M,Guan J,Sivakumar W,Neil JA,Schmidt MH,Mahan MA

更新日期：2015-08-01 00:00:00

abstract：:The authors detail the life and career of Dr. J. Lawrence Pool, as well as his significant contributions to the field of cerebrovascular neurosurgery. The discipline of cerebrovascular neurosurgery is a young and dynamic field, which underwent rapid and substantial growth during the middle of the twentieth century. As...

journal_title：Neurosurgical focus

authors： Zacharia BE,Mocco J,Komotar RJ,Solomon RA,Quest DO

更新日期：2006-06-15 00:00:00

abstract：OBJECTIVE:Frailty has been recognized as a predictor of adverse surgical outcomes across multiple surgical disciplines, but until now the relationship between frailty and intracranial meningioma surgery has not been studied. The goal of the present study was to determine the relationship between increasing frailty (det...

journal_title：Neurosurgical focus

authors： Theriault BC,Pazniokas J,Adkoli AS,Cho EK,Rao N,Schmidt M,Cole C,Gandhi C,Couldwell WT,Al-Mufti F,Bowers CA

更新日期：2020-10-01 00:00:00

abstract：OBJECT:The authors undertook this study to examine the surgical approaches used to treat posterior petrous bone meningiomas at a single institution and retrospectively evaluate their surgical strategy based on a previously published classification. METHODS:Cases in which craniotomies were performed to treat posterior ...

journal_title：Neurosurgical focus

authors： Roche PH,Lubrano V,Noudel R,Melot A,Régis J

更新日期：2011-05-01 00:00:00

abstract：:In an effort to make thoracic discectomy simple and less invasive while using direct visualization, a 70 degrees -angled lens endoscope has been adopted to visualize the ventral aspect of the spinal cord dura mater during microsurgical thoracic discectomy via a transpedicular approach. The patient is positioned in a 6...

journal_title：Neurosurgical focus

authors： Jho HD

更新日期：1998-02-15 00:00:00

abstract：:Incidental findings pose considerable management dilemmas for the treating physician and psychological burden for the respective patient. With an aging population, more patients will be diagnosed with asymptomatic internal carotid artery stenosis. Patients will have to be counseled with regard to treatment options acc...

journal_title：Neurosurgical focus

authors： Taussky P,Hanel RA,Meyer FB

更新日期：2011-12-01 00:00:00

abstract：:Craniosynostosis is the premature fusion of one or more cranial sutures. When a cranial suture fuses prematurely, skull growth is altered and the head takes on a characteristic pathological shape determined by the suture(s) that fuses. Numerous treatment options have been proposed, but until recently there were no par...

journal_title：Neurosurgical focus

authors： Szpalski C,Weichman K,Sagebin F,Warren SM

更新日期：2011-08-01 00:00:00

abstract：:The authors present three cases of iatrogenic paracervical abscesses caused by infiltration therapy of pain medications used in conservative treatment in patients with chronic cervicobrachialgia. All three patients had received this therapy several times before presenting with clinical signs of a local infection. The ...

journal_title：Neurosurgical focus

authors： Schütze M,Piek J

更新日期：2004-12-15 00:00:00

abstract：OBJECT:The goal of this study was to evaluate the definition of treatment-resistant depression (TRD), review the literature regarding deep brain stimulation (DBS) for TRD, and identify potential anatomical and functional targets for future widespread clinical application. METHODS:A comprehensive literature review was ...

journal_title：Neurosurgical focus

authors： Hauptman JS,DeSalles AA,Espinoza R,Sedrak M,Ishida W

更新日期：2008-01-01 00:00:00

abstract：:Spine surgery carries an inherent risk of damage to critical neural structures. Intraoperative neurophysiological monitoring (IONM) is frequently used to improve the safety of spine surgery by providing real-time assessment of neural structures at risk. Evidence-based guidelines for safe and efficacious use of IONM ar...

journal_title：Neurosurgical focus

authors： Lall RR,Lall RR,Hauptman JS,Munoz C,Cybulski GR,Koski T,Ganju A,Fessler RG,Smith ZA

更新日期：2012-11-01 00:00:00

abstract：:Neuroimaging is an indispensable tool in the workup and management of patients with neurological disorders. Arterial spin labeling (ASL) is an imaging modality that permits the examination of blood flow and perfusion without the need for contrast injection. Noninvasive in nature, ASL provides a feasible alternative to...

journal_title：Neurosurgical focus

authors： Soldozy S,Galindo J,Snyder H,Ali Y,Norat P,Yağmurlu K,Sokolowski JD,Sharifi K,Tvrdik P,Park MS,Kalani MYS

更新日期：2019-12-01 00:00:00

abstract：:Anterior screw fixation of Type II odontoid fractures provides immediate stabilization of the cervical spine while preserving C1-2 motion. This technique has a high fusion rate, but can be technically challenging. The authors identify key points that should be taken into account to maximize the chance for a favorable ...

journal_title：Neurosurgical focus

authors： Mazur MD,Mumert ML,Bisson EF,Schmidt MH

更新日期：2011-10-01 00:00:00

abstract：OBJECTIVE:Acute traumatic subdural hematoma (atSDH) can be a life-threatening neurosurgical emergency that necessitates immediate evacuation. The elderly population can be particularly vulnerable to tearing bridging veins. The aim of this study was to evaluate inpatient morbidity and mortality, as well as predictors of...

journal_title：Neurosurgical focus

authors： Kerezoudis P,Goyal A,Puffer RC,Parney IF,Meyer FB,Bydon M

更新日期：2020-10-01 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：:Tumor-associated epilepsy is an important contributor to morbidity in patients with brain tumors. Proposed pathophysiological mechanisms to explain these effects range from neuronal and glial dysfunction to deranged vascular homeostasis, to ionic and pH changes. Perilesional tissue alterations play a vital role in the...

journal_title：Neurosurgical focus

authors： Rajneesh KF,Binder DK

更新日期：2009-08-01 00:00:00

abstract：OBJECTIVE:In addition to the rising burden of surgical disease globally, infrastructure and human resources for health remain a great challenge for low- and middle-income countries, especially in Uganda. In this study, the authors aim to explore the trends of neurosurgical care at a regional referral hospital in Uganda...

journal_title：Neurosurgical focus

authors： Abdelgadir J,Elahi C,Corley J,Wall KC,Najjuma JN,Muhindo A,Nickenig Vissoci JR,Haglund MM,Kitya D

更新日期：2018-10-01 00:00:00

abstract：:The author addresses the issue of neurofibroma classification and implications for treatment. He emphasizes the importance of understanding that not all neurofibromas are the same and that the key differences between the types of neurofibromas involve which portions of the nerve sheath contribute to the distinctive be...

journal_title：Neurosurgical focus

authors： Riccardi VM

更新日期：2007-06-15 00:00:00

abstract：:Spinal laser interstitial thermal therapy has been developed as a minimally invasive modality to treat epidural spinal tumors percutaneously. The safe and effective use of this technology requires meticulous preoperative trajectory planning and an intraoperative workflow incorporating navigation and MR thermography. I...

journal_title：Neurosurgical focus

authors： Moussazadeh N,Evans LT,Grasu R,Rhines LD,Tatsui CE

更新日期：2018-04-01 00:00:00

abstract：:Cervical dural arteriovenous fistulas (dAVFs) are a rare cause of intracranial subarachnoid hemorrhage (SAH) but should be considered when other sources are not found. Subarachnoid hemorrhage caused by dAVF is thought to occur as a result of venous hypertension in most cases. The clinical presentation, acute onset of ...

journal_title：Neurosurgical focus

authors： Fassett DR,Rammos SK,Patel P,Parikh H,Couldwell WT

更新日期：2009-01-01 00:00:00

abstract：OBJECT:Tethering of the spinal cord has been a recognized cause of neurological symptoms in pediatric patients and is increasingly being recognized as a cause of symptoms in adults as well. The pathophysiology surrounding spinal cord tethering has begun to be understood in the pediatric population but is still unclear ...

journal_title：Neurosurgical focus

authors： Stetler WR Jr,Park P,Sullivan S

更新日期：2010-07-01 00:00:00

abstract：OBJECT:Simultaneous endoscopic third ventriculostomy (ETV) and tumor biopsy is a widely accepted therapeutic and diagnostic procedure for patients with noncommunicating hydrocephalus secondary to a pineal region tumor. Multiple approaches have been advocated, including the use of a steerable fiberoptic or rigid lens en...

journal_title：Neurosurgical focus

authors： Morgenstern PF,Osbun N,Schwartz TH,Greenfield JP,Tsiouris AJ,Souweidane MM

更新日期：2011-04-01 00:00:00

abstract：:Sacral chordomas are relatively rare, locally invasive, malignant neoplasms. Although metastasis is infrequent at presentation, the prognosis for patients with chordoma of the sacrum is reported to be poor and attributable in most cases to intralesional resection. The value of adjuvant treatment is uncertain, and rese...

journal_title：Neurosurgical focus

authors： Fourney DR,Gokaslan ZL

更新日期：2003-08-15 00:00:00

abstract：:OBJECTIVEPapers from 2002 to 2017 have highlighted consistent unique socioeconomic challenges and opportunities facing military neurosurgeons. Here, the authors focus on the reserve military neurosurgeon who carries the dual mission of both civilian and military responsibilities.METHODSSurvey solicitation of current a...

journal_title：Neurosurgical focus

authors： Menger R,Mundell BF,Robbins JW,Letarte P,Bell R,in conjunction with Council of State Neurosurgical Societies and AANS\/CNS Joint Committee of Military Neurosurgeons.

更新日期：2018-12-01 00:00:00

abstract：:In this article, the author provides a brief description of the role of hypoxia in the tumorigenesis of gliomas and suggests potential ways of exploiting this role to design treatment modalities. Tumor hypoxia predicts the likelihood of metastases, tumor recurrence, resistance to chemotherapy and radiation therapy, in...

journal_title：Neurosurgical focus

authors： Jensen RL

更新日期：2006-04-15 00:00:00

abstract：OBJECT:Lamotrigine is an antiepileptic drug that inhibits presynaptic voltage-gated sodium channels and reduces the presynaptic release of glutamate in pathological states. Neuroprotective effects of this drug have already been demonstrated in cerebral ischemia models. The aim of the present study was to determine the ...

journal_title：Neurosurgical focus

authors： Tufan K,Oztanir N,Ofluoglu E,Ozogul C,Uzum N,Dursun A,Pasaoglu H,Pasaoglu A

更新日期：2008-01-01 00:00:00