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:BACKGROUND:Radiation-induced changes (RICs) are the most common complication of stereotactic radiosurgery (SRS) for brain arteriovenous malformations (AVMs), and they appear as perinidal T2-weighted hyperintensities on magnetic resonance imaging, with or without associated neurological symptoms. OBJECTIVE:To determine...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析
doi:10.1093/neuros/nyx502
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Chordomas are rare but challenging neoplasms involving the skull base. A preoperative grading system will be useful to identify both areas for treatment and risk factors, and correlate to the degree of resection, complications, and recurrence. OBJECTIVE:To propose a new grading system for cranial chordomas ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx423
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Freehand ventricular catheter placement may represent limited accuracy for the surgeon's intent to achieve primary optimal catheter position. OBJECTIVE:To investigate the accuracy of a ventricular catheter guide assisted by a simple mobile health application (mhealth app) in a multicenter, randomized, contr...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/neuros/nyx420
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Machine learning (ML) is a domain of artificial intelligence that allows computer algorithms to learn from experience without being explicitly programmed. OBJECTIVE:To summarize neurosurgical applications of ML where it has been compared to clinical expertise, here referred to as "natural intelligence." ME...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx384
更新日期:2018-08-01 00:00:00
abstract::Intracranial electrical recordings and stimulation of neurosurgical patients have been central to the advancement of human neuroscience. The use of these methods has rapidly expanded over the last decade due to theoretical and technical advances, as well as the growing number of neurosurgical patients undergoing funct...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyx361
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Stereotactic radiosurgery (SRS) is used commonly for patients with brain metastases (BM) to improve intracranial disease control. However, survival of these patients is often dictated by their systemic disease course. The value of SRS becomes less clear in patients with anticipated short survival. OBJECTIVE...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx346
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:In spinal deformity treatment, the increased utilization of 3-column (3CO) osteotomies reflects greater comfort and better training among surgeons. This study aims to evaluate the longitudinal performance and adverse events (complications or revisions) for a multicenter group following a decade of 3CO. OBJE...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1093/neuros/nyx338
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:The synergistic effect of clonidine with bupivacaine, well established in peripheral nerve blocks, remains controversial in local field block for postoperative analgesia. OBJECTIVE:To investigate the potential analgesic benefit of adding clonidine to bupivacaine during preincisional field block in posterior...
journal_title:Neurosurgery
pub_type: 杂志文章,随机对照试验
doi:10.1093/neuros/nyx313
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:While the utilization of neurophysiologic intraoperative monitoring with motor evoked potentials (MEPs) has become widespread in surgery for traumatic spine fractures and spinal cord injury (SCI), clinical validation of its diagnostic and therapeutic benefit has been limited. OBJECTIVE:To describe the use o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx320
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Maximizing extent of resection (EOR) improves outcomes in adults with World Health Organization (WHO) grade II low-grade gliomas (LGG). However, recent studies demonstrate that LGGs bearing a mutation in the isocitrate dehydrogenase 1 (IDH1) gene are a distinct molecular and clinical entity. It remains uncle...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx265
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Current surgical management guidelines for pediatric spondylolisthesis (PS) are reliant on data from single-center cohorts. OBJECTIVE:To analyze national trends and predictors of short-term outcomes in spinal fusion surgery for PS by performing a retrospective cross-sectional analysis of the Kids' Inpatient...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx295
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Spine and nonspine skeletal metastases occur in more than 80% of patients with prostate cancer. OBJECTIVE:To examine the characteristics of the patient population undergoing surgery for the treatment of prostate cancer metastatic to the spine. METHODS:A retrospective chart review was performed on all patie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx292
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Identification of rupture sites in patients with multiple intracranial aneurysms is largely based on aneurysm size, location, and shape. Finding circumferential enhancement along the aneurysm wall (CEAW) on magnetic resonance (MR) vessel wall imaging was recently shown to be indicative of ruptured aneurysm. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx267
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Intracranial aneurysm rupture prediction is poor, with only a few risk factors for rupture identified and used in clinical practice. OBJECTIVE:To provide an overview of all the risk factors (including genetic, molecular, morphological, and hemodynamic factors) that have potential for use in clinical practic...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx238
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Two intracranial tumor volume variables have been shown to prognosticate survival of stereotactic-radiosurgery-treated brain metastasis patients: the largest intracranial tumor volume (LITV) and the cumulative intracranial tumor volume (CITV). OBJECTIVE:To determine whether the prognostic value of the Score...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx225
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Occipital lobe epilepsy (OLE) is an uncommon but debilitating focal epilepsy syndrome with seizures often refractory to medical management. While surgical resection has proven a viable treatment, previous studies examining postoperative seizure freedom rates are limited by small sample size and patient heter...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析
doi:10.1093/neuros/nyx158
更新日期:2018-03-01 00:00:00
abstract::Currently, only presumptive diagnosis of chronic traumatic encephalopathy (CTE) can be made in living patients. We present a modality that may be instrumental to the definitive diagnosis of CTE in living patients based on brain autopsy confirmation of [F-18]FDDNP-PET findings in an American football player with CTE. [...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx536
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The goals of treating Koos grade IV vestibular schwannomas are to relieve brainstem compression, preserve or restore neurological function, and achieve long-term tumor control while minimizing tumor- and treatment-related morbidity. OBJECTIVE:To propose a treatment paradigm involving the intentional near-to...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx143
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Elderly patients with glioblastoma have an especially poor prognosis; optimizing their medical and surgical care remains of paramount importance. OBJECTIVE:To investigate patient and treatment characteristics of elderly vs nonelderly patients and develop an algorithm to predict elderly patients' survival. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx148
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Venous thromboembolism is a common complication of traumatic brain injury with an estimated incidence of 25% when chemoprophylaxis is delayed. The timing of initiating prophylaxis is controversial given the concern for hemorrhage expansion. OBJECTIVE:To determine the safety of initiating venous thromboembol...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx164
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:A craniotomy with direct cortical/subcortical stimulation either awake or under general anesthesia (GA) present 2 approaches for removing eloquent region tumors. With a reported higher prevalence of intraoperative seizures occurring during awake resections of perirolandic lesions, oftentimes, surgery under G...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx023
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Frontotemporal craniotomies are commonly performed for a variety of neurosurgical pathologies. Infections related to craniotomies cause significant morbidity. We hypothesized that the risk of cranial surgical site infections (SSIs) may be increased in patients whose frontal sinuses are breached during cranio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx046
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Neurosurgical emergencies are an important cause of disability and mortality. OBJECTIVE:To examine the nationwide burden of neurological conditions requiring emergency neurosurgery. METHODS:The Nationwide Inpatient Sample database (2002-2011) was queried to identify adult patients with a primary discharge ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx055
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Cerebral cavernous malformations (CCM) may lead to repetitive intracerebral hemorrhage. In selected cases, a surgical resection is indicated. OBJECTIVE:To identify magnetic resonance imaging (MRI) features of CCM that correlate with the difficulty of dissection and postoperative outcome. METHODS:This study...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx025
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Long-term remission rates from endoscopic transsphenoidal surgery for acromegaly and their relationship to prognostic indicators of disease aggressiveness are not well documented. OBJECTIVE:To investigate long-term remission rates in patients with acromegaly after endoscopic transsphenoidal surgery, and cor...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx020
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Spinal surgery costs vary significantly across hospitals and regions, but there is insufficient understanding of what drives this variation. OBJECTIVE:To examine the factors underlying the cost variation for lumbar laminectomy/discectomy and lumbar fusions. METHODS:We obtained patient information (age, gen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx047
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Spinal intradural arachnoid cysts are rare causes of radiculopathy or myelopathy. Treatment options include resection, fenestration, or cyst drainage. OBJECTIVE:To classify intradural spinal arachnoid cysts and present results of their treatment. METHODS:Among 1519 patients with spinal space occupying lesi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx050
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Hyperglycemia is common and showed to be risky for poor prognosis in patients with subarachnoid hemorrhage (SAH). However, the causality and mechanism underlying this observation are not well established. OBJECTIVE:To investigate the relationship between hyperglycemia and cerebral vasospasm with its pathoge...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx016
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Biophysical modeling of glioma is gaining more interest for clinical practice. The most popular model describes aggressivity of tumor cells by two parameters: net proliferation rate (ρ) and propensity to migrate (D). The ratio ρ/D, which can be estimated from a single preoperative magnetic resonance imaging ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw186
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Intrawound vancomycin powder has been studied extensively in spinal fusion surgeries and been found to reduce rates of surgical site infections (SSIs) significantly. Despite its success in spinal surgeries, topical vancomycin has not been extensively studied with respect to cranial neurosurgery. OBJECTIVE:T...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw127
更新日期:2017-05-01 00:00:00
abstract::Neurosurgery is experiencing a period of acute change driven by 2 forces: (1) the perception that the healthcare system in the United States is wasteful and that patients are receiving low "value" care, (2) the belief that quality and long-term outcomes can be measured accurately. We believe 3 important shifts will em...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyx008
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Extent of resection (EOR) correlates with glioblastoma outcomes. Resectability and EOR depend on anatomical, clinical, and surgeon factors. Resectability likely influences outcome in and of itself, but an accurate measurement of resectability remains elusive. An understanding of resectability and the factors...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001374
更新日期:2017-04-01 00:00:00
abstract::Neurosurgery in Uganda was virtually non-existent up until late 1960s. This changed when Dr. Jovan Kiryabwire spearheaded development of a neurosurgical unit at Mulago Hospital in Kampala. His work ethic and vision set the stage for rapid expansion of neurosurgical care in Uganda.At the beginning of the 2000s, Uganda ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw159
更新日期:2017-04-01 00:00:00
abstract::Surgery for spinal metastases remains the mainstay treatment for pain, instability, and neurological deterioration due to tumor infiltration of the spine. However, several new therapies are emerging which may improve outcomes further, and in some cases even replace the need for surgery. We now have a better understand...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyw084
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Over the last several decades, significant advances have occurred in the assessment and management of spinal deformity. OBJECTIVE:The primary focus of this narrative review is on recent advances in adult thoracic, thoracolumbar, and lumbar deformities, with additional discussions of advances in cervical def...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyw048
更新日期:2017-03-01 00:00:00
abstract::Lumbar degenerative scoliosis is a relatively common problem, and is being treated more frequently due to the confluence of an aging population and an increased capacity and willingness to manage difficult problems in older patients. Lumbar degenerative scoliosis is a complex pathology as it often involves the interse...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw094
更新日期:2017-03-01 00:00:00
abstract:Background and importance:Lesions in the corticospinal tract above the decussation at the medullary pyramids almost universally produce contralateral deficits. Rare cases of supratentorial lesions causing ipsilateral motor deficits have been reported previously, but only ever found secondary to stroke or congenital pyr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw074
更新日期:2017-03-01 00:00:00
abstract:Background:Using diffusion tensor imaging (DTI) in neurosurgical planning allows identification of white matter tracts and has been associated with a reduction in postoperative functional deficits. Objective:This study explores the relationship between the lesion-to-tract distance (LTD) and postoperative morbidity and...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyw040
更新日期:2017-02-01 00:00:00
abstract:Background and importance:Pilocytic astrocytoma (PA) is among the most common of the central nervous system gliomas in the pediatric population; however, it is uncommon in adults. PAs of the spinal cord in adults are even rarer, with only a few cases found in the literature. We report here the first case in the literat...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyw029
更新日期:2017-02-01 00:00:00
abstract:Background:Blister aneurysms of the supraclinoid internal carotid artery (ICA) are challenging lesions with high intraoperative rupture rates and significant morbidity. An optimal treatment strategy for these aneurysms has not been established. Objective:To analyze treatment strategy, operative techniques, and outcome...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001259
更新日期:2017-02-01 00:00:00