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::A randomized clinical trial of 15 patients with acute spinal cord injuries was performed to test the hypothesis that rotating treatment tables prevent deep venous thrombosis in this population. Four of 5 control (nonrotated) patients developed distal and proximal thrombi, assessed by 125I fibrinogen leg scans and impe...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1227/00006123-198705000-00001
更新日期:1987-05-01 00:00:00
abstract::Between July 1975 and July 1985, 20 patients with 24 congenital distal anterior cerebral artery (DACA) aneurysms were admitted to our institution and underwent microsurgical clipping of their aneurysms. This group composes 4% of the 588 aneurysms managed surgically during this period. The clinical presentations includ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198705000-00011
更新日期:1987-05-01 00:00:00
abstract::We report a rare case of meningioangiomatosis unassociated with von Recklinghausen's disease. The patient was a 30-year-old woman with a 25-year history of seizures. The lesion was confined to the right temporal cortex and consisted of a proliferation of angiomatous blood vessels and meningocytic cells. Her seizures h...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198705000-00023
更新日期:1987-05-01 00:00:00
abstract::Spread of spinal cord glioblastoma multiforme to the intracranial compartment is uncommon. This report documents a case of metastatic spread of glioblastoma multiforme from the spinal cord to an intracranial arachnoid cyst. Seeding of the cyst cavity could have occurred by direct permeation of the cyst wall by the neo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198705000-00018
更新日期:1987-05-01 00:00:00
abstract::In 1982, we developed a new coma scale, the Glasgow-Liège scale, which combines the quantified analysis of five brain stem reflexes with the Glasgow methodology. The present study was undertaken to determine to what extent agreement exists among different raters assessing brain stem reflexes (Parameter R) and to compa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198704000-00001
更新日期:1987-04-01 00:00:00
abstract::After radiotherapy, 20 patients, 18 with documented progression of malignant glioma and 2 with Grade II astrocytoma, received a total of 52 courses of intracarotid 1,3-bis-(2-chloroethyl)-1-nitrosourea (BCNU) at a dose of 150 mg/m2 dissolved in 5% dextrose in water. The patients were treated at 6-week intervals for a ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198704000-00012
更新日期:1987-04-01 00:00:00
abstract::An unusual case of a chronic posttraumatic lumbar intradural arachnoid cyst causing compression of the cauda equina is reported. The etiological, pathological, and clinical features are discussed. Emphasis is placed on the importance of a correct interpretation of radiological findings. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198704000-00024
更新日期:1987-04-01 00:00:00
abstract::Treatment of syringomyelia remains a difficult and controversial problem. However, the recent advent of magnetic resonance imaging (MRI) and intraoperative ultrasound allows a more precise approach to the diagnosis and management of this disorder. Experience with 27 cases of syringomyelia has shown that MRI is superio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198704000-00016
更新日期:1987-04-01 00:00:00
abstract::Two patients presented with syringomyelia, each unusual. After neuroradiographic diagnosis with delayed metrizamide computed tomography (CT) or magnetic resonance imaging (MRI), an interesting diagnostic question arose. A percutaneous minidose metrizamide endomyelographic CT (PMDMECT) study clarified each situation an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198703000-00013
更新日期:1987-03-01 00:00:00
abstract::The frequency spectrum of the cerebrospinal fluid (CSF) pulse and the amplitude transfer function between arterial and CSF pressures were measured from the cisterna magna of anesthetized, artificially ventilated cats when the intracranial pressure (ICP) was raised by saline infusion. The spectrum of CSF pulsation was ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198703000-00001
更新日期:1987-03-01 00:00:00
abstract::A patient with air gun bullets in the 3rd ventricle associated with delayed ventricular hemorrhage is presented. Through an anterior transcallosal approach, the surgeon successfully removed the bullets without any significant permanent sequelae. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198702000-00022
更新日期:1987-02-01 00:00:00
abstract::These experiments were done to develop techniques to expose and manipulate the spinal cord in fetal rats, techniques that could be used to study spinal cord regeneration and transplantation. Adequate maternal anesthesia required a mixture of acepromazine-ketamine supplemented by thiopental. Fetal rats were operated on...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198702000-00007
更新日期:1987-02-01 00:00:00
abstract::Intravenously enhanced computed tomography (CT) was used in patients in whom the differential diagnosis between recurrent herniated disc and postoperative scar was considered. Enhanced CT images demonstrated postoperative herniated discs more accurately than clinical criteria, myelography, or plain or postmetrizamide ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198702000-00018
更新日期:1987-02-01 00:00:00
abstract::The authors describe the technique of magnetic stimulation from a pulsed induction coil (4.0 T) and the enhanced (5-fold) electromyogram response from hyperthenar muscles obtained when electric and magnetic stimuli are applied simultaneously. The enhancement results have been confirmed for central brain vertex stimula...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198701000-00025
更新日期:1987-01-01 00:00:00
abstract::Motor evoked potentials (MEPs) to scalp stimulation have been obtained in 45 control patients and in 70 patients with neurological diseases. Optimal responses were obtained through a pericranial cathode consisting of 6 to 12 regularly spaced, interconnected pericranial cathodal discs whose resistance was carefully bal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198701000-00035
更新日期:1987-01-01 00:00:00
abstract::Intracranial hemorrhage during pregnancy is rare. The authors present a case of moyamoya disease associated with pregnancy. A 32-year-old woman who was at 32 weeks of gestation experienced sudden severe headache followed by loss of consciousness. Computed tomography revealed an intracerebral hematoma in the left tempo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198701000-00009
更新日期:1987-01-01 00:00:00
abstract::We previously reported that high dose naloxone (10 mg/kg) failed to promote recovery of motor function after a static load injury of the spinal cord in rats. In the present experiments, using the more traditional dynamic weight drop model, we tested megadose naloxone administered by the intraperitoneal route in 23 rat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198612000-00005
更新日期:1986-12-01 00:00:00
abstract::Ten cases of posterior cerebral artery (PCA) aneurysm are presented. There were 13 aneurysms in the 10 patients: 6 saccular, 5 fusiform, 1 broad-based, and 1 giant fusiform serpentine aneurysm. Eight patients underwent operation: clipping for 2 saccular aneurysms, trapping for 1 saccular and 3 fusiform aneurysms, and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198612000-00017
更新日期:1986-12-01 00:00:00
abstract::This study evaluated quality of life in 78 patients with closed head injury (CHI) 2 to 4 years postinjury. Using both interview data and mean data from the Sickness Impact Profile questionnaire, impaired quality of life was observed in the areas of psychosocial functioning, social role functioning, leisure activities,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198611000-00004
更新日期:1986-11-01 00:00:00
abstract::Thirty-five patients with complete myelopathies secondary to cervical spine fractures from C-4 to C-7 underwent spinal decompressions and fusions between 1975 and 1981. Twenty-five of these patients underwent simultaneous nerve root decompressions, 23 with an accompanying anterior decompression and fusion and 2 with a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198611000-00015
更新日期:1986-11-01 00:00:00
abstract::The parameters of hematoporphyrin-derivative (HpD) photocytotoxicity of human glioma cells in cell culture were studied to determine the optimum wavelength and power density of light, to investigate the influence of tissue oxygenation, and to evaluate the role of singlet oxygen and free radicals in producing cell deat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00002
更新日期:1986-10-01 00:00:00
abstract::From December 1981 through August 1984, 24 patients with spinal cord compression syndrome due to epidural neoplasms were evaluated for radiotherapy with clinical examination, radiographs of the spine, and myelography. All plain films were reviewed, and mock radiotherapy fields designed using specific criteria for marg...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00018
更新日期:1986-10-01 00:00:00
abstract::Nine millilitres of preclotted autologous blood was injected into the ventricles of 10 adult mongrel dogs (control dogs) to create subtotal ventricular casts with solid clots. The neurological status and systemic fibrinolytic profiles were closely monitored, and the changes in clot and ventricular volumes were measure...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00010
更新日期:1986-10-01 00:00:00
abstract::We present two cases of false aneurysm after carotid endarterectomy with primary arteriotomy closure. In both cases, infection appeared to be the precipitating cause. Both lesions were repaired with a saphenous vein patch graft, but infection in one patient persisted, and recurrence of a false aneurysm required ligati...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198609000-00014
更新日期:1986-09-01 00:00:00
abstract::Regional brain tissue catecholamine concentrations were measured in 5 control rats and in 10 rats 72 hours after experimental subarachnoid hemorrhage (SAH). Catecholamine levels were determined in the cerebral hemispheres, brain stem, and cerebellum of each animal using a radioenzymatic assay. Three days after SAH, th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198609000-00005
更新日期:1986-09-01 00:00:00
abstract::A case of ruptured distal anterior cerebral artery aneurysm associated with neurogenic pulmonary edema is presented. It is suggested that this association should not be accepted as a "taboo" for radical intervention followed by a proper management of ventilation with positive end-expiratory pressure to maintain the an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198608000-00025
更新日期:1986-08-01 00:00:00
abstract::Premature closure of the metopic suture results in a deformity ranging from a minor variation to a severe cosmetic deformity. The three principal abnormalities comprising metopic synostosis are trigonocephaly secondary to the restriction of growth of both frontal bones, deficient lateral supraorbital rims, and hypotel...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198608000-00008
更新日期:1986-08-01 00:00:00
abstract::An 8-year-old boy presented in coma and was found to have a massive posterior fossa hemorrhage on computed tomographic scan. Autopsy disclosed a large cerebellar hematoma within a mixed glioma containing both juvenile pilocytic astrocytoma and oligodendroglioma. It is postulated that the hemorrhage originated from the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198608000-00019
更新日期:1986-08-01 00:00:00
abstract::A case of hemipontine hematoma from the rupture of a cryptic vascular malformation presenting as a cerebellopontine angle tumor is reported. The clinical features of and surgical approaches to partial pontine hematomas are briefly reviewed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198607000-00023
更新日期:1986-07-01 00:00:00
abstract::A patient with Charcot's disease of the lumbar spine presented with weakness of one extremity. Myelographic and x-ray film studies indicated stenosis and compression due to degenerative changes. Although decompression and fusion were considered, computed tomographic scans indicated the wide extent and location of the ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198607000-00017
更新日期:1986-07-01 00:00:00
abstract::Although thrombocytopenia occurs in approximately 10% of medical patients who receive heparin, this complication has not been described in neurosurgical patients. We report the clinical course of two patients who in the immediate postoperative period developed heparin-associated thrombocytopenia that resulted in signi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198607000-00010
更新日期:1986-07-01 00:00:00
abstract::This report describes a computed tomography-based computer-assisted stereotactic technique for performing 3rd ventriculostomy. The procedure has been performed on seven patients with acquired obstructive hydrocephalus of various etiologies. None of these patients have yet required shunting. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198606000-00021
更新日期:1986-06-01 00:00:00
abstract::An animal model was developed for studying the pharmacokinetics of antibiotics administered intraventricularly in hydrocephalus. Obstructive hydrocephalus was consistently produced in craniectomized adult rats by injecting kaolin into the cisterna magna. After induction of hydrocephalus, vancomycin was injected into t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198606000-00008
更新日期:1986-06-01 00:00:00
abstract::Metastatic lesions to the midbrain are rare. They are found in 1 to 3% of autopsy series of solitary brain metastases. The consensus of opinion in the current literature is that they are inoperable lesions and should be treated by radiation therapy alone. This is the first case report of a completely excised metastati...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198606000-00022
更新日期:1986-06-01 00:00:00
abstract::The extent of treatment for the victims of gunshot wounds to the brain remains quite controversial, particularly when these patients present with extensive neurological dysfunction. We propose guidelines regarding the degree and aggressiveness of therapy. The factors that seem to have a significant impact on the patie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198605000-00003
更新日期:1986-05-01 00:00:00
abstract::Intervertebral disc space infection can be a serious and disabling complication of any procedure that affords entry for bacteria into the susceptible disc space. Most disc space infections occur after cervical or lumbar laminectomies. Discitis has been reported after myelography, lumbar puncture, paravertebral injecti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198605000-00017
更新日期:1986-05-01 00:00:00
abstract::Hemorrhagic infarction after vasospasm is a rare condition in patients with aneurysmal subarachnoid hemorrhage (SAH). Induced hypertensive therapy is used for patients with vasospasm, but this treatment has a risk of inducing hemorrhagic infarction. A total of 221 patients whose first computed tomographic (CT) scans w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198604000-00004
更新日期:1986-04-01 00:00:00
abstract::We report a case of hyponatremia associated with volume depletion after pituitary exploration and biopsy. The presence of clinical dehydration precluded diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone. The absence of a hypoadrenal state and the patient's response to volume reexpansion were...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198604000-00015
更新日期:1986-04-01 00:00:00
abstract::The neurosurgical role in rehabilitation rehabilitation was studied. Over a 5-year period, 850 individuals were referred to a rehabilitation center after initial acute care. Surgery was indicated for 66 patients. There were 28 quadriplegic or paraplegic individuals with intractable spasticity. Percutaneous radiofreque...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198603000-00009
更新日期:1986-03-01 00:00:00
abstract::Pyogenic brain stem abscess is rare. A case of spontaneous abscess of the medulla oblongata is reported in which the diagnosis was made preoperatively by computed tomography. Surgical drainage resulted in good functional recovery and radiological resolution of the lesion. This is the first reported case of survival in...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198603000-00024
更新日期:1986-03-01 00:00:00