abstract：:This report details the surgical treatment of 44 patients with aneurysms of the vertebral and basilar arteries. Three different surgical approaches were utilized depending on the location of the aneurysm. These were an anterior supratentorial approach, a lateral suboccipital approach, and a combined supratentorial and...

journal_title：Neurosurgery

authors： Solomon RA,Stein BM

更新日期：1988-08-01 00:00:00

abstract：:An 8-year-old boy was treated with irradiation (66 Gy) for a brain stem glioma. Five months after the completion of radiotherapy, magnetic resonance imaging demonstrated apparent tumor progression despite the patient's neurological improvement. The child continued to improve, with subsequent radiographic evidence of t...

journal_title：Neurosurgery

authors： Longee DC,Friedman HS,Djang WT,Halperin E,Schold SC Jr,Oakes WJ

更新日期：1988-08-01 00:00:00

abstract：:We present a case of sciatic neuropathy due to the pyriformis syndrome after operation in the sitting position. Neither sciatic nerve injury nor the pyriformis syndrome has been reported after operation in the sitting position, although a low incidence of common peroneal nerve injury has been reported as a complicatio...

journal_title：Neurosurgery

authors： Brown JA,Braun MA,Namey TC

更新日期：1988-07-01 00:00:00

abstract：:After inoculating 9L glioma cells into the brains or into subcutaneous regions of the back of rats, we investigated splenic natural killer (NK) cell activity for 3 weeks using a 4-hour 51Cr release assay. Only rats with brain tumors showed decreased splenic NK cell activity. The spleens of these rats were morphologica...

journal_title：Neurosurgery

authors： Imaya H,Matsuura H,Kudo M,Nakazawa S

更新日期：1988-07-01 00:00:00

abstract：:We describe a case of spondylotic lumbar spinal stenosis in an infirm elderly patient successfully treated with multilevel laminotomies. This procedure is less stressful to patients than a full laminectomy. In a selected subgroup of patients with "hourglass" spondylotic stenosis, it may provide adequate decompression....

journal_title：Neurosurgery

authors： Aryanpur J,Ducker T

更新日期：1988-07-01 00:00:00

abstract：:A compound of methylcellulose-silicone expanding progressively over a 1-week period by moisture absorption was implanted in the midthoracic epidural space of 17 Sprague Dawley adult rats. When the animals became paraplegic 6.3 +/- 1.6 days later, they were randomized into three groups: untreated control (n = 5), high ...

journal_title：Neurosurgery

authors： Delattre JY,Arbit E,Rosenblum MK,Thaler HT,Lau N,Galicich JH,Posner JB

更新日期：1988-06-01 00:00:00

abstract：:Multiple thoracic disc herniation is rare, and one of the main problems in its treatment has been the lack of accuracy in diagnostic tests. Now, with the advent of computed tomographic scanning with metrizamide in the subarachnoid space, the accuracy has been greatly improved. With computed tomographic scanning, the t...

journal_title：Neurosurgery

authors： Shikata J,Yamamuro T,Iida H,Kashiwagi N

更新日期：1988-06-01 00:00:00

abstract：:The paraclinoid area is investigated anatomically for possible microneurosurgical approaches to the C3 segment of the internal carotid artery and to structures in the vicinity of the anterior siphon knee. Removal of the anterior clinoid process reveals a tight connective tissue ring that fixes the internal carotid art...

journal_title：Neurosurgery

authors： Knosp E,Müller G,Perneczky A

更新日期：1988-05-01 00:00:00

abstract：:Nocardia asteroides is an uncommon human pathogen typically encountered in immunocompromised patients. Primary central nervous system (CNS) nocardiosis is rare and usually manifests as cerebritis or abscesses. The case of a young woman who presented with CNS Nocardia abscesses complicated by an infective middle cerebr...

journal_title：Neurosurgery

authors： Hadley MN,Spetzler RF,Martin NA,Johnson PC

更新日期：1988-05-01 00:00:00

abstract：:Brain stem hemorrhage was first recorded in 1812. Its origin has been the subject of much study and experimentation. We review the studies that stress mechanical forces because dynamic axial distortion of the brain stem is a major factor in the physiology and pathology of the central nervous system. ...

journal_title：Neurosurgery

authors： Thompson RK,Salcman M

更新日期：1988-04-01 00:00:00

abstract：:Twenty-one patients with recurrent malignant central nervous system gliomas were treated with a combination of 5-fluorouracil, CCNU, hydroxyurea, and 6-mercaptopurine. Thirteen patients had brain stem gliomas, 3 patients had spinal cord gliomas, 3 patients had thalamic gliomas, and 2 patients had cerebellar astrocytom...

journal_title：Neurosurgery

authors： Rodriguez LA,Prados M,Fulton D,Edwards MS,Silver P,Levin V

更新日期：1988-04-01 00:00:00

abstract：:Spontaneous intracranial hemorrhage (ICH) is a rare but devastating complication in patients with chronic immune thrombocytopenic purpura (ITP). We report four patients with chronic ITP unresponsive to steroid treatment who developed ICH. One patient had systemic lupus erythematosus; in another patient, the ICH origin...

journal_title：Neurosurgery

authors： Brenner B,Guilburd JN,Tatarsky I,Doron Y,Goldsher D

更新日期：1988-04-01 00:00:00

abstract：:A 28-year-old woman with von Recklinghausen's neurofibromatosis (NF-1) had a huge hematoma in the left posterior nuchal region. Carotid and vertebral angiograms revealed marked stenosis at the C3 portion of the left internal carotid artery, slight moyamoya staining, occlusion of the left vertebral artery at the atlas ...

journal_title：Neurosurgery

authors： Sobata E,Ohkuma H,Suzuki S

更新日期：1988-03-01 00:00:00

abstract：:An operative repair technique for crushed sciatic nerve in the rat was used to examine whether removal of the damaged tissue could be better achieved with a low wattage CO2 laser or a blade. This approach was compared to results in rats undergoing conventional end-to-end nerve anastomosis using a microsurgical approac...

journal_title：Neurosurgery

authors： de la Torre JC,Karaca M,Merali Z,Fortin T,Richard M

更新日期：1988-03-01 00:00:00

abstract：:Osteogenesis imperfecta with infantile chronic subdural hematoma is extremely rare and has not been previously described in the literature. Our patient was a baby girl suffering from osteogenesis imperfecta tarda (Type I) who had an acute subdural hematoma at birth and who developed a progressive chronic subdural hema...

journal_title：Neurosurgery

authors： Tokoro K,Nakajima F,Yamataki A

更新日期：1988-03-01 00:00:00

abstract：:A case involving giant and multiple aneurysms of the distal posterior inferior cerebellar artery (PICA) is presented. Of the 130 reported cases of peripheral aneurysms of the PICA, 6 have been described as giant aneurysms and 5 have involved multiple aneurysms located on a single PICA. The occurrence of multiple aneur...

journal_title：Neurosurgery

authors： Dernbach PD,Sila CA,Little JR

更新日期：1988-02-01 00:00:00

abstract：:In a prospective study on the effect of shunting, 22 patients diagnosed as suffering from normal pressure hydrocephalus (NPH) were investigated by means of temporary external lumbar drainage (ELD). Five patients had to be excluded from the study because of complications of ELD or definitive shunting. ELD correctly pre...

journal_title：Neurosurgery

authors： Haan J,Thomeer RT

更新日期：1988-02-01 00:00:00

abstract：:A new technique for the diversion of the peritoneal end of a lumboperitoneal shunt into the right atrium through femoral vein catheterization is presented. As an alternative to a ventriculoatrial shunt, this is a promising technique for the treatment of patients with communicating hydrocephalus when the peritoneal cav...

journal_title：Neurosurgery

authors： Aoki N

更新日期：1988-02-01 00:00:00

abstract：:A case of choroidal epithelial cyst of the prepontine region is reported. The cyst wall was studied using light and electron microscopy. Electron microscopy revealed that the lining of the cyst consisted of a single layer of epithelial cells resting on a basement membrane. The epithelial cells contained numerous club-...

journal_title：Neurosurgery

authors： Fukushima T,Hirakawa T,Tanaka A,Tomonaga M

更新日期：1988-01-01 00:00:00

abstract：:To evaluate the risk of tonsillar herniation, the caudal pole of the cerebellar tonsil in posterior fossa mass lesions and anomalies was investigated with magnetic resonance imaging. The cerebellar tonsil was clearly demonstrated in relation to the surrounding structures on T1-weighted images in the paramedian or midl...

journal_title：Neurosurgery

authors： Ishikawa M,Kikuchi H,Fujisawa I,Yonekawa Y

更新日期：1988-01-01 00:00:00

abstract：:Two cases of Lhermitte-Duclos disease confirmed by biopsy are reported. Review of the 58 published cases shows that the disease can manifest itself only by signs of increased intracranial pressure. Cerebellar symptoms are not constant. Computed tomographic (CT) scans suggest the diagnosis by showing a posterior fossa ...

journal_title：Neurosurgery

authors： Milbouw G,Born JD,Martin D,Collignon J,Hans P,Reznik M,Bonnal J

更新日期：1988-01-01 00:00:00

abstract：:The authors present a patient with a large arteriovenous malformation in the temperoparietooccipital region of the dominant hemisphere that caused seizures, a homonymous hemianopia, and broad neuropsychological disturbances probably caused by a cerebral steal syndrome. There was no history of hemorrhage. Surgical rese...

journal_title：Neurosurgery

authors： von Overbeeke JJ,Bosma NJ,Verdonck AF,von Huffelen AC

更新日期：1987-12-01 00:00:00

abstract：:Two cases of solitary intramedullary spinal cord metastasis treated primarily by surgical excision are presented. It has been generally thought that appropriate management for the rare metastasis within the spinal cord is radiation and corticosteroids. The excellent palliative results obtained in our patients suggest ...

journal_title：Neurosurgery

authors： Findlay JM,Bernstein M,Vanderlinden RG,Resch L

更新日期：1987-12-01 00:00:00

abstract：:In an attempt to eliminate the many negative aspects of conventional extensive laminectomy, we originated in 1981 and have developed a new surgical technique called "suspension laminotomy." A basic principle of this operation is preservation and repair of the soft and bony tissue of the spine with osseous enlargement ...

journal_title：Neurosurgery

authors： Ohmori K,Ishida Y,Suzuki K

更新日期：1987-12-01 00:00:00

abstract：:Eleven cases of cerebral cavernous angiomas (cavernomas) were observed within a period of 3 years. Two patients presented with cerebral hemorrhage, five with epilepsy, three each with a progressive focal neurological deficit, and one with papilledema. The unruptured lesions had a heterogeneous density on computed tomo...

journal_title：Neurosurgery

authors： Steiger HJ,Markwalder TM,Reulen HJ

更新日期：1987-12-01 00:00:00

abstract：:Somatosensory evoked potentials (SEPs) were recorded continuously during aortic occlusion in sheep, with simultaneous measurement of spinal cord blood flow (SCBF) by radiolabeled microspheres. Aortic occlusion was associated with disappearance of the SEPs in seven of nine sheep in 7.8 +/- 4.1 (SD) minutes. SCBF at the...

journal_title：Neurosurgery

authors： Kaplan BJ,Friedman WA,Gravenstein N,Richards R,Davis RF

更新日期：1987-11-01 00:00:00

abstract：:A helpful clinical sign of ruptured cervical disc is pain relief upon arm abduction. When the disease process is spondylosis with foraminal stenosis, changing arm position does not relieve pain. Anatomical considerations are discussed. ...

journal_title：Neurosurgery

authors： Beatty RM,Fowler FD,Hanson EJ Jr

更新日期：1987-11-01 00:00:00

abstract：:A surgical approach to the skull base is described. It allows excellent exposure of the cranial base with minimal brain retraction. Deep lesions can be handled via subfrontal, transsylvian, or subtemporal routes during the same operation. This approach is most suitable for large lesions in the suprasellar, parasellar,...

journal_title：Neurosurgery

authors： Al-Mefty O

更新日期：1987-10-01 00:00:00

abstract：:Thirty-four cases of cerebellar abscess, diagnosed by computed tomographic (CT) scanning, were managed according to a standard protocol during a 4-year period. Triple high dosage intravenous antibiotics were used, open catheter drainage of the abscess was instituted, and external ventricular drainage was added if obvi...

journal_title：Neurosurgery

authors： van Dellen JR,Bullock R,Postma MH

更新日期：1987-10-01 00:00:00

abstract：:The authors describe a new suction device with prehensile properties that has proved itself particularly useful in the removal of certain types of tumor, especially extramedullary. ...

journal_title：Neurosurgery

authors： Cantore G,Ciappetta P

更新日期：1987-10-01 00:00:00

abstract：:Syringomyelia, once regarded as a degenerative disease of adults, is now recognized to be a disorder usually associated with the Chiari malformation and occurring in patients of all ages. We have reviewed 47 patients with syringomyelia treated on the Neurosurgical Service at the Hospital for Sick Children during the y...

journal_title：Neurosurgery

authors： Hoffman HJ,Neill J,Crone KR,Hendrick EB,Humphreys RP

更新日期：1987-09-01 00:00:00

abstract：:We previously described an experimental model for the production of invasive and noninvasive astrocytic series tumors and a semiquantitative assessment of their invasiveness. The tumors are produced by intracerebral inoculation of simian virus 40-transformed cells from four different brain regions. Cells of cerebral c...

journal_title：Neurosurgery

authors： Walsh JW,Zimmer SG,Oeltgen J

更新日期：1987-09-01 00:00:00

abstract：:Harvey Cushing developed an illness in the last months of World War I that made it impossible for him to operate and forced him to bed for over a month. The features of Cushing's malady included symmetrical weakness, numbness, and paresthesias of the hands and feet, areflexia, bilateral facial paresis, diplopia, and f...

journal_title：Neurosurgery

authors： Reich SG

更新日期：1987-08-01 00:00:00

abstract：:In two series of cats, totaling 12 animals, the effect of 1 g of intravenous mannitol per kg over 15 minutes on pial vessels (cranial window technique, multichannel videoangiometry) and intracranial pressure (ICP) was investigated under circumstances of normal ICP and ICP elevated to 20 mm Hg by the cisternal infusion...

journal_title：Neurosurgery

authors： Auer LM,Haselsberger K

更新日期：1987-08-01 00:00:00

abstract：:Three-dimensional computed tomographic scanning is a valuable adjunct in the diagnosis and treatment of disease processes involving the spine. We present our experience with this noninvasive radiological diagnostic technique in 32 patients with vertebral column abnormalities ranging from craniovertebral junction disor...

journal_title：Neurosurgery

authors： Hadley MN,Sonntag VK,Amos MR,Hodak JA,Lopez LJ

更新日期：1987-08-01 00:00:00

abstract：:A case of an intracranial hematoma in a neonate causing the release of free hemoglobin into the plasma is presented. No previous such case has been described. The relationship between hemoglobinemia and the occurrence of acute renal failure in this neonate is discussed, with comments on the possible etiological role o...

journal_title：Neurosurgery

authors： Chovanes GI,Truex RC Jr

更新日期：1987-07-01 00:00:00

abstract：:Eight cases are presented to summarize our experience with patients initially evaluated for the new onset of either seizure activity or focal transient neurological deficits. Each was found to have a normal computed tomographic (CT) scan with and without iodinated contrast infusion. All subsequently returned with a CT...

journal_title：Neurosurgery

authors： Hylton PD,Reichman OH

更新日期：1987-07-01 00:00:00

abstract：:A case of bilateral ophthalmic artery aneurysm of traumatic origin is discussed. The patient presented with progressive loss of vision, memory deficit, and expressive aphasia. A computed tomographic scan revealed enhancing lesions near the region of the optic chiasm. The diagnosis of cerebral aneurysm was confirmed by...

journal_title：Neurosurgery

authors： Hahn YS,McLone DG

更新日期：1987-07-01 00:00:00

abstract：:Normal pressure hydrocephalus (NPH) is generally considered to be a disorder of adult and geriatric patients. We report four patients who are children or young adults with chronic neurological disorders, recent deterioration of their levels of function, normal cerebrospinal fluid (CSF) pressures, and ventricular enlar...

journal_title：Neurosurgery

authors： Barnett GH,Hahn JF,Palmer J

更新日期：1987-06-01 00:00:00

abstract：:With the advent of more sensitive diagnostic techniques, we are encountering an increasing number of young patients harboring cerebral astrocytoma. The great danger in such patients is that the astrocytoma cells will undergo dedifferentiation to a higher state of malignancy. An essential question is whether the use of...

journal_title：Neurosurgery

authors： Morantz RA

更新日期：1987-06-01 00:00:00