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 AND IMPORTANCE:Intraventricular hemorrhage related to arteriovenous malformation (AVM) rupture is associated with significant morbidity and mortality. Intraventricular tissue plasminogen activator (tPA) has been used to treat spontaneous intraventricular hemorrhage. We demonstrate the successful application ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31820208a6
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Although various strategies for prevention of brain disease have been implemented, no substance has been found to be advantageous for prophylaxis against brain injury. OBJECTIVE:While previous work in our laboratory and others have shown positive effects using the omega-3 fatty acid docosahexaenoic acid (DH...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181ff692b
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Spinal root avulsion, or section, results in devastating functional sequels. Whereas reconstruction of motor pathways based on neurotization can reduce motor deficit, associated permanent limb anesthesia limits expected benefit. Sensory pathway reconstruction after dorsal root injury is limited by the inabil...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318200512f
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Middle cerebral artery (MCA) aneurysms are often considered unsuitable for endovascular coiling because of unfavorable morphological features. With improvements in endovascular techniques, several series have detailed the results and complications of endovascular treatment of MCA aneurysms. OBJECTIVE:We per...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e318201d7f4
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Large fusiform aneurysms of the distal anterior cerebral territory are extremely rare and can be particularly challenging to treat. The circumferential pathology of fusiform lesions renders stand-alone clip or coil ablation unsatisfactory, and the deep, narrow corridor augments the difficulty ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3182036012
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Although it is thought to be a safe treatment option, the main concerns related to treating vertebral artery ostium (VAO) stenosis with stents have been the rate of restenosis and the uncertain long-term results. OBJECTIVE:To evaluate the angiographic and clinical results of stent placement for atherosclero...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181fc62aa
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:A seasonal and meteorological influence on the incidence of spontaneous subarachnoid hemorrhage (SAH) has been suggested, but a consensus in the literature has yet to emerge. OBJECTIVE:This study examines the impact of weather patterns on the incidence of SAH using a geographically broad analysis of hospita...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181fe23a1
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:The International Study of Intracranial Aneurysms found that for patients with no previous history of subarachnoid hemorrhage, small (< 7 mm) anterior circulation and posterior circulation aneurysms had a 0% and 2.5% risk of subarachnoid hemorrhage over 5 years, respectively. OBJECTIVE:To determine whether ...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0b013e3181ff357c
更新日期:2011-01-01 00:00:00
abstract::Several new markers have shown a capacity to predict the clinicopathological behavior of pituitary neoplasms; these markers have shown potential to correlate with tumor subtype and size and patient age and sex. These various markers are involved in a host of cellular functions, including cell-cycle progression, cell p...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3181faa680
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Although coiling of intracranial aneurysms is thought to rely on obstruction of blood flow into the aneurysm and induction of intra-aneurysmal thrombosis, little data exist regarding the effect of coil deployment on hemodynamics. OBJECTIVE:To evaluate the effects of simulated coiling of a model aneurysm on ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f9a93b
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Although favorable clinical outcomes have been reported for instrumented lumbar interbody fusion (LIF), adjacent segment degeneration (ASD) has been reported as a long-term complication after LIF. OBJECTIVE:To investigate ASD after instrumented LIF performed at a single level and only for the homogeneous di...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f91697
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:It is not completely clear whether there are differences in the evolution of the neuropsychological outcomes between the 2 intervention procedures (surgery and endovascular coiling) used in subarachnoid aneurysmatic hemorrhage. Some studies have investigated this topic but without completely controlling the ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181fa2152
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Of the 170 cases of teratomas in the spinal canal reported in the English literature, only 13 were spinal epidural teratomas (SETs). We present a case of SET, review the characteristics of SETs in comparison with spinal intradural teratomas (SITs), and investigate the pathogenesis of spinal te...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3181f846ca
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Hemifacial spasm (HFS) is a benign, chronic, involuntary movement of the muscles involved in facial expressions that typically begins in the orbicularis oculi and spreads to the other expression muscles over several years. OBJECTIVE:To clarify the effectiveness of intraoperative electromyogram during microv...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f74120
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:For the prevention of postoperative CSF fistula a better understanding of origins and risk factors is necessary. OBJECTIVE:To identify the petrous bone air cell volume as a risk factor for developing CSF fistula, we performed a retrospective analysis. METHODS:From 2000 to 2007 519 patients had a retrosigmo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f88884
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Deep brain stimulation (DBS) is commonly used in the treatment of movement disorders such as Parkinson disease (PD), dystonia, and other tremors. OBJECTIVE:To examine systematic errors in image-guided DBS electrode placement and to explore a calibration strategy for stereotactic targeting. METHODS:Pre- and...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f7422a
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Although waterjet dissection has been well evaluated in intracranial pathologies, little is known of its qualities in peripheral nerve surgery. Theoretically, the precise dissection qualities could support the separation of nerves from adjacent tissues and improve the preservation of nerve integrity in perip...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181f9b0c8
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Elective stenting for intracranial stenosis is under study as an effective means of reducing stroke risk. At most institutions, these procedures are performed and monitored after the induction of general anesthesia. OBJECTIVE:To report our success with elective intracranial stenting and angioplasty performe...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181efbcac
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Treatment of giant cerebral arteriovenous malformations (AVMs) remains a challenge. OBJECTIVE:To propose hypofractionated stereotactic radiotherapy (HSRT) as a part of staged treatment, and evaluate its effect by analyzing AVM volume changes. METHODS:From 2001 to 2007, 20 AVMs larger than 5 cm were treated...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181efbaef
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Rugby is characterized by high-speed collisions among the players that predispose them to injuries, particularly to the head, neck, and spine. OBJECTIVE:To evaluate the effectiveness of current neurological injury prevention strategies in rugby union. METHODS:Systematic review in May 2010. We assessed the ...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0b013e3181f209f1
更新日期:2010-11-01 00:00:00
abstract::The purpose of Clinical Problem Solving manuscripts is to present management challenges in an attempt to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic. We describe the case of a patient who presente...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3181ee42e7
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Rotational vertebral artery syndrome (RVAS) is a rare entity about which previously published studies are mostly limited to individual case reports. OBJECTIVE:To report our decade-long experience with this syndrome in 9 patients with compression ranging from the occiput to C6. METHODS:We utilized a posteri...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181ee36db
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Acromegaly is a disorder characterized by hypersecretion of growth hormone caused by a growth hormone-secreting pituitary adenoma. OBJECTIVE:To evaluate the long-term efficacy and safety of repeat transsphenoidal surgery for persistent or recurrent acromegaly. METHODS:We retrospectively reviewed records fo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3181ec4379
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:Our goal was to increase the safety of anterior cervical discectomy, a routine surgery performed by neurosurgeons worldwide, in the face of vertebral artery (VA) anomalies. CLINICAL PRESENTATION:A 59-year-old woman had an intraoperative injury of the left VA during elective anterior cervical discectomy and f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000374858.18717.33
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Although originally isolated from the bone marrow, mesenchymal stem cells (MSCs) have recently been detected in other tissues. However, little is known about MSCs in the brain. OBJECTIVE:To determine the extent to which cells with the features of MSCs exist in normal brain tissue and to determine the locati...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000377859.06219.78
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Previous studies have shown that subthalamic nucleus (STN) deep brain stimulation (DBS) improves tremor in Parkinson disease (PD). However, the patients included in those studies were unselected for tremor severity. OBJECTIVE:We specifically assessed the effect of STN DBS on tremor in selected PD patients w...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000374850.98949.D4
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:An alternative route must be used for atlantoaxial arthrodesis to avoid the risks of transoral route or when posterior approaches are contraindicated. OBJECTIVE:To assess relevant quantitative anatomic parameters for C1-C2 anterolateral transarticular fixation and to demonstrate the nuances of an anterolate...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383134.47267.0F
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Tuberculum sellae meningiomas frequently extend into the optic canals. OBJECTIVE:To emphasize the high frequency of optic canal (OC) involvement in tuberculum sellae meningiomas; the importance of opening the OC and of removing tumor within the canal; and the effect of this maneuver on visual outcome, recur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383153.75695.24
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:The benefits of intravenous thrombolysis for acute ischemic stroke are still limited. OBJECTIVE:To evaluate the safety and efficacy of double-lumen balloon catheter-based reperfusion therapy with or without intra-arterial thrombolysis for acute occlusion of intracranial arteries. METHODS:Fifty-nine patient...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000380954.29925.CE
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Indocyanine green (ICG) fluorescence videography has been recently applied to the neurosurgical field, mostly in the management of cerebral aneurysms, but has had limited description in the subspecialty of spine or oncological neurosurgery. We describe a novel application of this previously de...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383876.72704.7B
更新日期:2010-09-01 00:00:00
abstract::Esmail Jorjani was a prominent Persian physician of the 11th and 12th centuries. We present Jorjani's descriptions of probable trigeminal neuralgia, hemifacial spasm, and Bell's palsy. Additionally, on the basis of our translations of his original text, we believe that Jorjani may have been the first to implicate an a...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/01.NEU.0000372088.18260.B1
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To assess the impact of vasospasm on costs, length of stay, and mortality among inpatients with aneurysmal subarachnoid hemorrhage. METHODS:We combined hospital accounting and physician billing data for a consecutive cohort of 198 patients who underwent surgical clipping or endovascular coiling for subarachn...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371980.08391.71
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Functional neuronavigation with intraoperative 3-dimensional (3D) ultrasound may facilitate safer brain lesion resections than conventional neuronavigation. OBJECTIVE:In this study, functional magnetic resonance imaging (fMRI) and diffusion tensor tractography (DTT) were used to map eloquent areas. We asses...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371731.20246.AC
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:Cerebral autoregulation maintains a relatively stable cerebral blood flow over a range of perfusion pressures. During exercise, regional cerebral blood flow may be elevated in particular areas of the brain. This case report presents the impact of aerobic exercise on intracranially measured pressure and brain ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371976.21043.C8
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Pediatric aneurysms are rare and complex to treat. Long-term angiographic and clinical data after microsurgical or endovascular therapies are lacking. OBJECTIVE:To study the clinical and radiographic outcomes in aneurysms in pediatric patients treated with microsurgery. METHODS:Between 1989 and 2005, 48 pa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371727.71991.64
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the reclosure-promoting capacity of a neural stem cell line (F3) and a human bone marrow stem cell line (B10) injected into the amniotic cavity of spinal open neural tube defects (ONTDs) of chick embryos of Hamburger and Hamilton stage 18 or 19. METHODS:Fifteen chick embryos that survived the pro...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371048.76494.0F
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To determine whether the use of a specific shape and a navigating method of microcatheters are suitable for placement at paraclinoid aneurysms. METHODS:The clinical data from 122 patients with 132 paraclinoid aneurysms that underwent endovascular treatments during a 2.5-year period were retrospectively revie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000370891.67129.2F
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:We report the first example of an anaplastic meningioma arising from an intracranial arachnoid cyst and discuss the diagnostic challenges of this case, including the useful role of genetic markers. CLINICAL PRESENTATION:A 72-year-old man presented with transient episodes of expressive dysphasi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000370013.55369.92
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Heat transfer from bipolar tips to adjacent tissue presents a risk of thermal injury during spine surgery. OBJECTIVE:The present study was designed to determine wither bipolar forceps using a novel heat pipe thermal regulation technology resulted in decreased collateral thermal injury of adjacent tissue com...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000370246.82005.6f
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:Deep brain stimulation (DBS) has become routine for the treatment of Parkinson's disease and essential tremor. Because both of these disorders are common in patients older than the age of 60, neurosurgeons are likely to encounter increasing numbers of patients who require DBS surgery but who already have anot...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000369646.01287.42
更新日期:2010-06-01 00:00:00