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::The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendati...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001432
更新日期:2017-01-01 00:00:00
abstract::As neurological surgery evolved into its own subspecialty early in the 20th century, a need arose to create an environment for communication and education among those surgeons working in this burgeoning surgical discipline. As the socioeconomic climate in health care began to change in the United States, an unforeseen...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1093/neuros/nyw009
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Although real-time localization of gliomas has improved with intraoperative image guidance systems, these tools are limited by brain shift, surgical cavity deformation, and expense. OBJECTIVE:To propose a novel method to perform near-infrared (NIR) imaging during glioma resections based on preclinical and c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001450
更新日期:2016-12-01 00:00:00
abstract:ABBREVIATIONS:LITT, laser interstitial therapyNd:YAG, neodymium-doped yttrium aluminum. ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0000000000001435
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Posttraumatic seizure (PTS) is a significant complication of traumatic brain injury (TBI). OBJECTIVE:To perform a systematic review and meta-analysis to compare levetiracetam with phenytoin for seizure prophylaxis in patients diagnosed with severe TBI. METHODS:An inclusive search of several electronic data...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000001445
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically ha...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001412
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Glioma imaging, used for diagnostics, treatment planning, and follow-up, is currently based on standard magnetic resonance imaging (MRI) modalities (T1 contrast-enhancement for gadolinium-enhancing gliomas and T2 fluid-attenuated inversion recovery hyperintensity for nonenhancing gliomas). The diagnostic acc...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001355
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Nonfunctioning pituitary adenomas (NFPAs) are the most frequent pituitary tumors. Visual symptoms from NFPAs are common and include visual field defects, loss of central vision, and motility problems resulting in diplopia. OBJECTIVE:To create evidence-based guidelines in an attempt to formulate guidance for...
journal_title:Neurosurgery
pub_type: 杂志文章,实务指引,评审
doi:10.1227/NEU.0000000000001388
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Glial fibrillary acidic protein (GFAP) and ubiquitin C-terminal hydrolase-L1 (UCH-L1) are promising biomarkers of traumatic brain injury (TBI). OBJECTIVE:We investigated the relation of the GFAP and UCH-L1 levels to the severity of TBI during the first week after injury. METHODS:Plasma UCH-L1 and GFAP were...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001226
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Improved training in the socioeconomic aspects of medicine is a priority of the Accreditation Council for Graduate Medical Education and the American Board of Neurological Surgeons. There is evidence that young neurosurgeons feel ill equipped in these areas and that additional education would improve patient...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001126
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:There are few objective measures of functional impairment to support clinical decision making in lumbar degenerative disc disease (DDD). OBJECTIVE:We present the validation (and reliability measures) of the Timed Up and Go (TUG) test. METHODS:In a prospective, 2-center study, 253 consecutive patients were ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001195
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The prevalence of hypothalamic-pituitary dysfunction after aneurysmal subarachnoid hemorrhage has not been precisely determined, and conflicting results have been reported in the literature. OBJECTIVE:To perform a systematic review and meta-analysis investigating the prevalence of pituitary insufficiency af...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000001157
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Although transarterial regional hypothermia is an attractive alternative to general hypothermia, its efficacy and underlying mechanisms remain unclear. OBJECTIVE:To confirm transarterial regional hypothermia therapeutic effects on ischemia/reperfusion (I/R) injury and to elucidate the mechanisms responsible...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001088
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Cerebrovascular autoregulation (CA) is an important hemodynamic mechanism that protects the brain against inappropriate fluctuations in cerebral blood flow in the face of changing cerebral perfusion pressure. Temporal CA failure is associated with worse outcomes in various acute neurological diseases. An int...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001192
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:The cervical total disc replacement (cTDR) was developed to treat cervical degenerative disc disease while preserving motion. OBJECTIVE:Cost-effectiveness of this intervention was established by looking at 2-year follow-up, and this update reevaluates our analysis over 5 years. METHODS:Data were derived fr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001208
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Stress-induced cardiomyopathy (SIC) is a poorly understood condition associated with periods of emotional and physical stress. The clinical approaches for management of SIC are supportive and reactive to patient symptoms. OBJECTIVE:To utilize next-generation exome sequencing to define genetic variation asso...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001152
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD). OBJECTIVE:To report our interventional experience in AIS from CAD and to compare it with conservative treatment of CAD with intravenous thrombolysis (IVT) via systematic review. ...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000001072
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Flow diversion is increasingly used to treat intracranial aneurysms. In previous reports, patients were pretreated with aspirin and clopidogrel before the intervention for the prevention of thromboembolic complications. OBJECTIVE:To assess the safety and efficacy of a new protocol for anticoagulation using ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001071
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Stereotactic radiosurgery (SRS) has been performed on patients with cerebral arteriovenous malformations (AVMs) for over 40 years. OBJECTIVE:To evaluate the impact of treatment period on obliteration, intracranial hemorrhage (ICH), and radiation-induced complications (RICs). METHODS:Retrospective compariso...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001085
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Primary leptomeningeal gliomatosis (PLG) is a poorly recognized tumor of the central nervous system. OBJECTIVE:To describe the histopathological, immunohistochemical, and molecular features of PLG. METHODS:Results of our multicentric retrospective study of 6 PLG cases (3 pediatric and 3 adult) were compare...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000001028
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:If patients with idiopathic normal pressure hydrocephalus (INPH) also have depression, this could have important clinical ramifications in assessment and management of their cognitive function and response to shunting. In many dementias, depression is overrepresented, but the prevalence of depression in shun...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000001093
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Revascularization rates with stent retrievers after acute ischemic stroke are 69% to 86%, but favorable clinical outcomes occur in just 43% to 58% of cases. New distal emboli may negatively impact clinical outcomes. OBJECTIVE:To determine the prevalence and angiographic pattern of distal emboli associated w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001135
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Risk factors for poor quality of life (QOL) after subarachnoid hemorrhage (SAH) remain poorly described. OBJECTIVE:To identify the frequency and predictors of poor QOL 1 year after SAH. METHODS:We studied 1-year QOL in a prospectively collected cohort of 1181 consecutively admitted SAH survivors between Ju...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001042
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Robot-assisted stereoelectroencephalography (SEEG) may represent a simplified, precise, and safe alternative to the more traditional SEEG techniques. OBJECTIVE:To report our clinical experience with robotic SEEG implantation and to define its utility in the management of patients with medically refractory e...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001034
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Haptoglobin (Hp) genotype has been shown to be a predictor of clinical outcomes in subarachnoid hemorrhage. Cerebral salt wasting (CSW) has been suggested to precede the development of symptomatic vasospasm. OBJECTIVE:To determine if Hp genotype was associated with CSW and subsequent vasospasm after aneurys...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001000
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Endoscopic third ventriculostomy (ETV) has been used predominantly in the pediatric population in the past. Application in the adult population has been less extensive, even in large neurosurgical centers. To our knowledge, this report is one of the largest adult ETV series reported and has the consistency o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000994
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Awake craniotomy with intraoperative electric stimulation is a reliable method for extensive removal of low-grade gliomas while preserving the functional integrity of eloquent surrounding brain structures. Although fully awake procedures have been proposed, asleep-awake-asleep remains the standard technique....
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000993
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The Pipeline Embolization Device is a widely utilized flow diverter in the treatment of intracranial aneurysms. OBJECTIVE:To assess the incidence, clinical significance, predictors, and outcomes of in-Pipeline stenosis (IPS). METHODS:Angiographic studies in 139 patients treated between 2011 and 2013 were i...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000908
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Minimally invasive transforaminal lumbar interbody fusion (TLIF)-or MI-TLIF-has been increasing in prevalence compared with open TLIF (O-TLIF) procedures. The use of MI-TLIF is an evolving technique with conflicting reports in the literature about outcomes. OBJECTIVE:To investigate the impact of MI-TLIF in ...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000000913
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Patient-reported experience is often used as a measure for quality of care, but no reports on patient satisfaction after cranial neurosurgery exist. OBJECTIVE:To study the association of overall patient satisfaction and surgical outcome and to evaluate the applicability of overall patient satisfaction as a ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000931
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:The biggest downside of cerebral aneurysm coiling is the high rates of recurrence and retreatments. With the increasing number of aneurysm recurrences after failed coiling procedures, the best retreatment strategy remains unknown. OBJECTIVE:To assess the efficacy and safety of the Pipeline Embolization Devi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000901
更新日期:2015-11-01 00:00:00
abstract::The current neurosurgical goal for patients with malignant gliomas is maximal safe resection of the contrast-enhancing tumor. However, a complete resection of the contrast-enhancing tumor is achieved only in a minority of patients. One reason for this limitation is the difficulty in distinguishing viable tumor from no...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0000000000000929
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Lumbar spinal stenosis can cause symptomatic neurogenic claudication alongside radicular pain and weakness. In appropriately selected patients, surgical intervention has been demonstrated to provide for improvement in pain, disability, and quality of life. This systematic review sought to define the utility ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0000000000000943
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Lumbar spine degenerative pathologies are prevalent in the United States. The health benefit of spine surgery in the elderly has been questioned. OBJECTIVE:To compare effectiveness, morbidity, and quality of care associated with surgical management of degenerative lumbar spinal disorders in elderly vs nonel...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000952
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:There are no established variables that predict the success of curative resective epilepsy surgery in children with tuberous sclerosis complex (TSC). OBJECTIVE:We performed a multicenter observational study to identify preoperative factors associated with seizure outcome in children with TSC undergoing rese...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000000875
更新日期:2015-10-01 00:00:00
abstract::: The US health care system is struggling with rising costs, poor outcomes, waste, and inefficiency. The Patient Protection and Affordable Care Act represents a substantial effort to improve access and emphasizes value-based care. Value in health care has been defined as health outcomes for the patient per dollar spen...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0000000000000879
更新日期:2015-10-01 00:00:00
abstract::Endovascular treatment for acute ischemic stroke has changed remarkably over the past decade. Beginning with IA thrombolytic administration, endovascular strategies have evolved to include aspiration, self-expanding intracranial stents, and now retrievable stents. With the recent publication of 5 randomized, controlle...
journal_title:Neurosurgery
pub_type: 社论
doi:10.1227/NEU.0000000000000828
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:A piezo actuator-driven pulsed water jet (ADPJ) system is a novel surgical instrument that enables dissection of tissue without thermal damage. It can potentially resect intra-axial lesions while preserving neurological function. OBJECTIVE:To report our first experience of applying an ADPJ system to brain a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000867
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Embolization before stereotactic radiosurgery (SRS) for cerebral arteriovenous malformations (AVM) has been shown to negatively affect obliteration rates, but its impact on the risks of radiosurgery-induced complications and latency period hemorrhage is poorly defined. OBJECTIVE:To determine, in a case-cont...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000772
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:There is uncertainty regarding the management of unruptured Spetzler-Martin grade 3 brain arteriovenous malformations (SMG3 ubAVM). OBJECTIVE:To analyze our series of patients treated by surgery. METHODS:A single-surgeon database of consecutively enrolled bAVMs (between 1989 and 2014) was analyzed. Adverse...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000774
更新日期:2015-09-01 00:00:00