解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:OBJECTIVE:Multimodal reperfusion therapy (MMRT) has been advocated for the treatment of acute basilar artery occlusion (ABAO). We aimed to identify prognostic factors in patients with ABAO who underwent MMRT. METHODS:Clinical and radiological data from consecutive ABAO patients were analyzed. All patients underwent MM...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.NEU.0000350862.35963.49
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:Balancing the benefits of extensive tumor resection with the consequence of potential postoperative deficits remains a challenge in malignant astrocytoma surgery. Although studies have suggested that increasing extent of resection may benefit survival, the effect of new postoperative deficits on survival rema...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000349763.42238.E9
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:Endovascular treatment of intracranial aneurysms is less invasive than surgical repair but poses a higher risk for aneurysm recurrence, which may necessitate retreatment, thus adding to the long-term risk. Cerebrovascular neurosurgeons from 8 institutions in the United States and Puerto Rico collaborated to a...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000349922.05350.96
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:Recent studies of age-related effects on cognition and performance have raised concerns about the appropriate timing and regulatory surveillance of retirement for surgeons. Little is known about the practice patterns and retirement plans of aging neurosurgeons. Analyses of informed opinions on possible regula...
journal_title:Neurosurgery
pub_type: 共识发展会议,杂志文章
doi:10.1227/01.NEU.0000349932.37540.02
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:Our previous studies demonstrated that simvastatin promotes neurological functional recovery after traumatic brain injury (TBI) in rat; however, the underlying mechanisms remain poorly understood. The purpose of this study was to investigate the anti-inflammatory effect of simvastatin by measuring the level o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000346272.76537.DC
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:This study was conducted to investigate the efficacy of treating central or paramedian disc herniations of the upper lumbar levels, including the thoracolumbar junction, through the oblique paraspinal approach. We published a technical case report on this subject in 2004. METHODS:Nineteen consecutive patient...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000348299.89232.C2
更新日期:2009-07-01 00:00:00
abstract::More than 1000 years ago, Rhazes practiced rudimentary neurology. This monumental physician wrote more than 200 books in his lifetime and died a blind pauper in the 10th century AD. His Kitab al-Hawi (Liber Continens) was one of the most famous and detailed medical texts of the ancient world. Here, we discuss the life...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1227/01.NEU.0000345639.46737.67
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:Hypomania accounts for approximately 4% to 13% of psychotropic adverse events during subthalamic nucleus (STN) deep brain stimulation (DBS) for Parkinson's disease. Diffusion of current into the inferior and medial "limbic" STN is often reported to be the cause. We suggest a different explanation, in which th...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.NEU.0000345631.54446.06
更新日期:2009-06-01 00:00:00
abstract::This article represents the first of a 2-part exploration of quantum dots (Qdots) and their application to neurological surgery. Spanning from materials science to immunology, this initial review traces the marriage of imaging physics to biochemical specificity. Qdot science now stands poised to dramatically advance t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000347889.62762.3F
更新日期:2009-06-01 00:00:00
abstract::The first half of the 20th century witnessed the rapid emergence of neurological surgery as a surgical subspecialty. Only few surgeons made a name for themselves equally in general surgery and neurological surgery. One of them was the Swiss surgeon Theodor Kocher (1841-1917). He was honored with the Nobel Prize for hi...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.NEU.0000344003.72056.7F
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:We examined the incidence of perioperative fever and its relationship to outcome among patients enrolled in the Intraoperative Hypothermia for Aneurysm Surgery Trial. METHODS:One thousand patients with initial World Federation of Neurological Surgeons grades of I to III undergoing clipping of intracranial an...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1227/01.NEU.0000341903.11527.2F
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To examine the anatomy of the infraorbital canal and foramen and the angles at which a radiofrequency probe must be directed to enter the infraorbital foramen and canal, as a guide to performing radiofrequency ablation of the infraorbital nerve in patients with relative or absolute contraindications to lesion...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000336327.10368.79
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:The superior ophthalmic vein (SOV) provides an alternative venous access for the treatment of carotid-cavernous fistulae. Its direct surgical exposure and cannulation can be difficult. This study was performed to identify anatomic landmarks to facilitate localization and exposure of the SOV. METHODS:The vasc...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000340781.34122.A2
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To analyze the risk factors of worst outcome associated with moderate head injury. METHODS:Data on patients with moderate head injury were collected prospectively in 11 Italian neurosurgical units over a period of 18 months. Patients older than 18 years with blunt head injury and at least one Glasgow Coma Sc...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000340796.18738.F7
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:Surgical treatment of odontoid fractures that do not allow interfragmentary fracture compression involves either posterior atlantoaxial arthrodesis or additional anterior stabilization using a plate construct. The purpose of this study was to determine the clinical and radiographic outcome after anterior plat...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1227/01.NEU.0000339117.60613.8C
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:Patients with partial or complete bilateral vertebral artery occlusion often present with signs and symptoms of transient ischemic attacks or infarction. Advances in phase contrast magnetic resonance imaging have led to noninvasive assessment of volumetric blood flow rates and direction that help in the worku...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000339351.65061.D6
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:Cerebral syphilitic gummata are rare manifestations of tertiary, meningovascular syphilis. No extensive characterization of these lesions has been published recently, and only a few small reviews containing imaging findings have been published to date. To better characterize cerebral gummata, we present a cas...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000337079.12137.89
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:Although endoscopic perforation of the septum pellucidum in obstruction of the foramen of Monro is well known, detailed reports on endoscopic septostomy, including surgical technique and results are lacking in the literature. METHODS:All intracranial endoscopic procedures performed between February 1993 and ...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.NEU.0000338944.42411.67
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:In meningioma surgery, the completeness of resection is of great importance with regard to prognosis and recurrence. This is more difficult in meningiomas en plaque and cranial base meningiomas, which often involve the bone of the cranial base. We present a case in which radioguided resection of a meningioma ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000336309.14805.F5
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:Dural replacements are used in cranial surgery when primary closure of native dura is not possible. The goal is to recreate a watertight barrier to prevent cerebrospinal fluid leakage with few associated complications. We reviewed a single-institution experience with a variety of dural substitutes in posterio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000334414.79963.59
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:The prognosis of giant aneurysms remains poor despite recent advances in microneurosurgery. Thick-walled and partially calcified giant aneurysms with an atheromatic base are difficult to clip safely. Special techniques allowing reshaping of the base and ensuring the stability of clips are often needed. We pre...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000330400.68015.88
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:Pediatric epilepsy surgery candidates with unilateral congenital or early-acquired brain lesions may present with refractory seizures and generalized electroencephalographic features such as electrical status epilepticus in sleep (ESES). The purpose of our study was to review the clinical presentation, neuroi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000336767.14252.76
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To search for correlations between specific anatomic, geometric, and morphological properties of the trigeminal nerve and the success of radiosurgical treatment and elimination of facial hypesthesia as a complication. METHODS:Forty-six patients with at least 6 months of follow-up after CyberKnife (Accuray, I...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000340795.87734.70
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:Gamma knife surgery (GKS) has become established as a minimally invasive treatment modality for patients with vestibular schwannomas. Treatment failure and/or tumor regrowth, however, is occasionally encountered, and microsurgical resection is usually warranted in such cases. The role of repeat GKS in these s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000327692.74477.D5
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The results of the surgical treatment of osteomyelitis with expandable titanium cages and either allograft or autograft are presented. METHODS:Thirty-six patients with vertebral osteomyelitis are presented. There were 7 cervical, 17 thoracic, 4 thoracolumbar (involving T12-L1), 5 lumbar, and 3 lumbosacral (i...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000336332.11957.0B
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Interstitial infusion, a form of local delivery that bypasses the blood-brain barrier, has been shown to afford high regional concentrations of a therapeutic molecule while avoiding systemic exposure. The distribution of monoclonal antibodies administered via interstitial infusion has not been characterized, ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000334052.60634.84
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To analyze the incidence and impact of an intracerebral hematoma (ICH) on treatment and outcome in patients with aneurysmal subarachnoid hemorrhage. METHODS:Data of 585 consecutive patients with subarachnoid hemorrhage from June 1999 to December 2005 were prospectively entered in a database. ICH was diagnose...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000335170.76722.B9
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:Currently, because of the precision of stereotactic radiosurgery, radiation can now be delivered by techniques that shape the radiation beam to the tissue target for a variety of clinical applications. This avoids unnecessary and potentially damaging irradiation of surrounding tissues inherent in conventional...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000330404.37092.3E
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:Stereotactic radiosurgery is a commonly used treatment method in the management of metastatic brain tumors. When lesions enlarge after radiosurgery, it may represent tumor regrowth, radiation necrosis, or both. The purpose of this study was to determine whether standard magnetic resonance imaging (MRI) sequen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000333263.31870.31
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:We hypothesized that structural details that have not been described previously would be revealed in cerebral cavernous malformations (CCM) through the use of high-field magnetic resonance and confocal microscopy. The structural details of CCMs excised from patients were sought by examination with high-field ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000325490.80694.A2
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:It remains unknown whether the extent of surgical resection affects survival or disease progression in patients with supratentorial low-grade gliomas. METHODS:We conducted a retrospective cohort study (n = 170) between 1996 and 2007 at a single institution to determine whether increasing extent of surgical r...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000325729.41085.73
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Hemifacial spasm caused by a cerebellopontine angle lipoma is extremely rare. We describe a patient with left-sided hemifacial spasm caused by vascular compression of the facial and vestibulocochlear cranial nerves by the anteroinferior cerebellar artery embedded within a cerebellopontine angle lipoma. CLINI...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000325734.30302.97
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Deep-seated supratentorial intraparenchymal and intraventricular brain lesions can be difficult to access without causing significant trauma to the overlying cortex and intervening white matter tracts. Traditional brain retractors use multiple blades, which do not exert pressure in an equally distributed fash...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000334741.61745.72
更新日期:2008-10-01 00:00:00
abstract::THE DIRECT ENDONASAL transsphenoidal approach to the sella with the operating microscope was initially described more than 20 years ago. Herein, we describe the technique, its evolution, and lessons learned over a 10-year period for treating pituitary adenomas and other parasellar pathology. From July 1998 to January ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000327025.03975.BA
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000316425.21752.E2
更新日期:2008-10-01 00:00:00
abstract::The Harvard Neurosurgical Service at Brigham and Women's Hospital and Children's Hospital Boston has a distinguished history, beginning in 1912 when Dr. Harvey Cushing became surgeon-in-chief at the Peter Bent Brigham Hospital. After Cushing left in 1932, the Children's Hospital had a dominant role, with the creation ...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1227/01.NEU.0000325262.13402.38
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this investigation was to determine whether clinical speech deficits after brain injury are associated with functional speech reorganization. METHODS:Across an 18-year interval, 11 patients with mild-to-moderate speech deficits underwent language mapping as part of their treatment for intracta...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000324725.84854.04
更新日期:2008-09-01 00:00:00
abstract::THE IDEAL GRAFT material to promote spinal fusion should possess osteoconductive, osteoinductive, and osteogenic properties. Although autogenous bone graft has all three qualities and is the standard for comparison, research has focused on finding alternatives that have similar efficacy but not the morbidities associa...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000324990.04818.13
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:The posterior meningeal artery (PMA) normally arises from the vertebral artery; however, its origin varies considerably as the result of its embryological development. This gains clinical significance when associated with vascular pathology. CLINICAL PRESENTATION:A 65-year-old man presented to his local hosp...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000325256.72308.AF
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:In this literature review, the authors analyze data from previously published studies that evaluated neutral upright spinal alignment (NUSA) from the occiput to the pelvis in asymptomatic individuals. Based on the data for NUSA in asymptomatic volunteers, a new classification is proposed for spinal deformity....
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000313120.81565.D7
更新日期:2008-09-01 00:00:00