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::Recent advances in electronics and microprocessors have enabled the development of a compact portable cerebral blood flow (CBF) machine capable of being transported to the patient's bedside. We have used such a device, the Novo Cerebrograph 2a, during the past 7 months on a regular basis in the day to day management o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00008
更新日期:1984-10-01 00:00:00
abstract::Magnetic resonance can visualize the vertebral bodies, discs, neural structures, cerebrospinal fluid (CSF), neural foramina, and extradural structures in the sagittal, axial, and coronal planes. The normal nucleus pulposus can be differentiated from the anulus and changes associated with degeneration. Infection, traum...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00022
更新日期:1984-10-01 00:00:00
abstract::Intraventricular tension pneumocephalus is an unusual complication of surgically treated hydrocephalus. This is a life-threatening complication requiring prompt diagnosis and treatment. A case is presented wherein tension pneumocephalus developed as a result of cervicocranial subcutaneous emphysema in the presence of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00016
更新日期:1984-10-01 00:00:00
abstract::The result of 42 blood volume determinations made with autologous red blood cells labeled with chromium-51 are reported. The subjects consisted of 11 control patients and 25 patients with recent subarachnoid hemorrhage (SAH). The mean red blood cell volume (RBCV) and the total blood volume (TBV) for female patients af...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198409000-00010
更新日期:1984-09-01 00:00:00
abstract::A case of spontaneous intracranial hemorrhage associated with a meningioma is presented. Intracranial hemorrhage has been reported to be associated with meningioma in 45 cases. A comprehensive review of the subject is presented. The importance of the diagnosis of associated hemorrhage and subsequent surgical intervent...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198408000-00014
更新日期:1984-08-01 00:00:00
abstract::Intraoperative ultrasound can aid the biopsy of deep intracranial lesions. It is, perhaps, less clear whether ultrasound could be useful in functional neurosurgery, where the target is not abnormal in echogenicity. As an example, we chose to investigate in a dog model the periventricular gray target, which is frequent...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198408000-00002
更新日期:1984-08-01 00:00:00
abstract::A case of choroid plexus papilloma of the cerebellopontine angle that was revealed by a subarachnoid hemorrhage in a 5-year-old boy is presented. Subarachnoid hemorrhage and choroid plexus papilloma in children are discussed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198407000-00023
更新日期:1984-07-01 00:00:00
abstract::A series of 74 cephaloceles (17 cranial meningoceles and 57 meningoencephaloceles) is reported. Infants born with large meningoencephaloceles containing recognizable cerebral tissue usually did badly despite endeavors to conserve brain function by expanding the cranial capacity (5 cases) or decompressing hydrocephalic...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198407000-00005
更新日期:1984-07-01 00:00:00
abstract::We report three cases of the spontaneous resolution of a traumatic chronic epidural hematoma. The patients were young adults with only mild headache after trauma. All patients were treated conservatively because of the very mild symptoms and the time lapse of 1 to 2 weeks between trauma and our unexpected detection of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198407000-00018
更新日期:1984-07-01 00:00:00
abstract::Microfascicular double ligation and interligature heat sealing has been clinically successful in relieving neuroma pain. In rats, we found that this technique had no effect on the abnormal activities (such as mechanosensitivity and spontaneous activity) of single myelinated axons from neuromas or on their conduction v...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198406000-00003
更新日期:1984-06-01 00:00:00
abstract::A case of hemangioma calcificans in the 4th ventricle is reported. Skull x-ray films demonstrated a dense calcification in the posterior fossa. Computed tomography disclosed a hyperdense mass in the 4th ventricle. The clinical picture was of increased intracranial pressure due to obstructive hydrocephalus. An hemangio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198406000-00016
更新日期:1984-06-01 00:00:00
abstract::Extreme lateral disc herniation with compression of the nerve root as it exits through the foramen has been a recognized entity for a number of years. Until recently, this diagnosis was made infrequently except at the time of operation. Reported here are 12 cases of root compression from disc herniation at the level o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198405000-00004
更新日期:1984-05-01 00:00:00
abstract::A case of intracerebellar hematoma in infancy is reported. Although the clinical course and computed tomographic appearances suggested a cerebellar tumor, intraoperative and microscopic investigations demonstrated a chronic expanding hematoma enlarging with repeated hemorrhages inside the capsule. The differential dia...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198405000-00015
更新日期:1984-05-01 00:00:00
abstract::The authors examined the psychosocial sequelae of head trauma at 1 month after injury in a group of 102 adult head-injured patients representing a broad range of severity of trauma. One hundred two control subjects selected from friends of the head-injured patients were used for comparison purposes. Outcome was determ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198404000-00001
更新日期:1984-04-01 00:00:00
abstract::This report describes the successful removal of a ruptured dominant hemisphere arteriovenous malformation that arose in the region of the basal ganglia and was supplied by the lenticulostriate arteries. Obliteration of the lesion was accomplished by a transcerebral approach from above, utilizing the preexisting hemato...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::An evoked potentials (EPs) paradigm that has been effective in demonstrating asymmetries in hemispheric activation during cognitive tasks was used to assess cerebral reorganization for language in recovered aphasics. Cortical click EPs were recorded bilaterally in normal volunteers, recovered aphasics who had sustaine...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198404000-00004
更新日期:1984-04-01 00:00:00
abstract::We report the clinical features, radiological studies, operative management, and follow-up data in a series of 27 patients with tentorial meningiomas. Headache and extremity or gait ataxia were the most common presenting symptoms. Signs of elevated intracranial pressure and cranial nerve, pyramidal, or cerebellar defi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198403000-00002
更新日期:1984-03-01 00:00:00
abstract::Three cases of intracranial meningioma unmasked by elective general anesthesia are reported. In each case, the meningioma was either asymptomatic or so subtly symptomatic that no suspicion of intracranial tumor had been entertained preoperatively. Each patient presented with failure to wake up after routine general an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198403000-00012
更新日期:1984-03-01 00:00:00
abstract::A very rare case of Petriellidium boydii pachymeningitis is described. Rarer still is the stabilization of this case for a prolonged period. Miconazole and ketaconazole both seemed useful in the treatment, and their role is discussed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198402000-00019
更新日期:1984-02-01 00:00:00
abstract::One hundred fifteen burr hole defects were filled with sterilized human cadaver skull in 45 patients ranging in age between 10 and 88 years. One to 6 allogeneic skull discs per patient were placed in all areas of the calvaria. The length of postoperative observation ranges between 6 months and 5 years. No instances of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198402000-00011
更新日期:1984-02-01 00:00:00
abstract::Since 1978, the authors have treated 11 patients with lesions of the ventral thoracic spine via a transpleural anterolateral approach. Each of the patients presented with pain and paraparesis, 8 had sensory dysfunction, and 6 had demonstrated sphincteric disturbances. All 11 had radiographic confirmation of anterior c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198401000-00007
更新日期:1984-01-01 00:00:00
abstract::Intracranial gliomas are found in association with von Recklinghausen's neurofibromatosis. However, few truly neonatal lesions have been identified and studied. This case report concerns a 4-month-old child who was found to have a massive thalamic glioma of moderate grade. Four paternal generations had suffered from d...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198312000-00014
更新日期:1983-12-01 00:00:00
abstract::Four cases of intracerebral hemorrhage remote from the site of the initial neurosurgical procedure are presented. Two of the four patients had preoperative hypertension. Possible mechanisms are discussed, and labile hypertension and unstable blood pressure during the perisurgical period may be contributory. Clinical a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198312000-00008
更新日期:1983-12-01 00:00:00
abstract::The authors discuss the indications for both elective and emergency carotid endarterectomy. Reports on the surgical treatment of asymptomatic bruit and contralateral carotid stenosis are reviewed. The results of endarterectomy for symptomatic carotid disease, including transient ischemic attacks, acute neurological de...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/00006123-198312000-00021
更新日期:1983-12-01 00:00:00
abstract::Seventy-one patients with minor head injury were given extensive neuropsychological evaluations 3 months after injury. A significant percentage of the patients demonstrated cognitive impairment, which seemed essentially unrelated to the length of unconsciousness or of posttraumatic amnesia. Impaired patients evidenced...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198311000-00008
更新日期:1983-11-01 00:00:00
abstract::The occurrence of a brain stem neoplasm in three adults previously treated for an adult Arnold-Chiari malformation is reported. The diagnosis of adult Arnold-Chiari malformation had been confirmed by angiography and computed tomographic scanning. All patients were treated with a combination of ventricular shunts and p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198310000-00001
更新日期:1983-10-01 00:00:00
abstract::Review of 1105 records patients with penetrating craniocerebral injuries incurred in the Korean War revealed 163 cases with air sinus wounds, an incidence of 14.8%. The characteristics of these wounds and their surgical management have been described. Foremost among the complications of air sinus wounds are the develo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198310000-00005
更新日期:1983-10-01 00:00:00
abstract::An unusual case of malignant intracranial meningioma is presented. The operative management was complicated by the abrupt development of fulminant brain edema and herniation. The tumor contained areas of extramedullary hematopoiesis, a finding not previously reported. Various pathogenetic mechanisms involved in intrad...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198310000-00020
更新日期:1983-10-01 00:00:00
abstract::The operative and histopathological findings in 31 cases of intracranial meningioma after preoperative embolization with Gelfoam and/or lyophilized dura mater are reported. Removal of the tumor after embolization was facilitated in those meningiomas fed exclusively or mainly by branches of the external carotid artery ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198309000-00008
更新日期:1983-09-01 00:00:00
abstract::We have reviewed our experience with gangliogliomas treated in the post-computed tomography (CT) era at the Children's Hospital of Philadelphia. Of 234 newly histologically verified neoplasms seen at our institution since 1975, 10 (4.3%) were gangliogliomas of the cerebral hemispheres. The presenting complaint was sei...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198308000-00003
更新日期:1983-08-01 00:00:00
abstract::In our studies of the pathogenesis of cerebral vasospasm, we have been emphasizing that microthrombosis may play an important role in the induction of cerebral ischemic symptoms or cerebral infarction. In this report, multiple microthrombi are demonstrated histologically to be a major cause of cerebral infarction in t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198308000-00018
更新日期:1983-08-01 00:00:00
abstract::Fourteen patients with acoustic neurinomas varying in size from 7 to 30 mm were treated by stereotactic radiosurgery and then were followed for 4 years. The tumors of eight patients decreased 1 to 10 mm in diameter, no change was found in two, and the tumor increased slightly in three patients. Loss of the ability to ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198307000-00003
更新日期:1983-07-01 00:00:00
abstract::Hydrocephalus without ventriculomegaly and pseudotumor cerebri may present special problems in its treatment. Lumboperitoneal shunting, although frequently effective, is not successful in all cases. A lumbar subarachnoid to venous shunt is described as an alternative to lumboperitoneal shunting. A case illustrating it...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198307000-00015
更新日期:1983-07-01 00:00:00
abstract::Fetal visualization in utero can be routinely accomplished using noninvasive ultrasound techniques that do not administer ionizing radiation. Image resolution with real time sonography is sufficient to demonstrate details of possible congenital central nervous system malformations before delivery. The case reported il...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198306000-00016
更新日期:1983-06-01 00:00:00
abstract::The objectives of this study were to evaluate the use of brain stem auditory evoked potentials (BAEPs) in 10 adult patients with vascular disorders of the posterior circulation that were treated surgically and to compare the BAEPs with the neurological findings. The vascular lesions included basilar artery stenosis in...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198305000-00003
更新日期:1983-05-01 00:00:00
abstract::Stereo depth electroencephalography (EEG) is of proven benefit in lateralizing and localizing seizure origin in select cases of epilepsy. There are potential hazards and technical considerations inherent with depth EEG, however, that have limited the general applicability of this technique. A new depth EEG electrode w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198305000-00015
更新日期:1983-05-01 00:00:00
abstract::The author looks back on his more than 70 years of familiarity with Americans involved in warfare, noting their loyal support for our country's objectives. Drawing on the Einstein equation, his own visits to Hiroshima and Nagasaki, and current literature, he, as a physician, belatedly concurs with those who look on th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198304000-00001
更新日期:1983-04-01 00:00:00
abstract::Traumatic paraplegia in children is uncommon and, in almost half of these injuries, no contiguous fracture or dislocation of the spine is found. This report presents eight such cases, three in detail. Most of the children were injured in motor vehicle accidents and sustained thoracic level injuries with a permanent lo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198304000-00012
更新日期:1983-04-01 00:00:00
abstract::A prototype Brown-Roberts-Welles stereotactic instrument has been used as both a diagnostic and a therapeutic surgical adjunct in cases of intracranial mass lesions. Eighty-three procedures (142 point placements) required computerized guidance stereotaxy. The unit accomplished point intracranial access with an accurac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198303000-00005
更新日期:1983-03-01 00:00:00
abstract::The problem of gastric secretory and mucosal injury response was evaluated in 19 patients who had suffered a severe head injury. Fifteen of 19 patients had some evidence of gastrointestinal hemorrhage. In 7 cases, this was marked. The mean volume of gastric secretions ranged from 36.4 ml/hour on Day 1 to 47.6 ml/hour ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198302000-00007
更新日期:1983-02-01 00:00:00