abstract：:We describe the case of a previously well, 73-year-old male patient who presented with a spontaneous high flow, carotico-cavernous fistula, 1 month following an attack of herpes zoster. We postulate that the zoster virus was the underlying cause, given the history and time frame between the preceding shingles and the ...

journal_title：British journal of neurosurgery

authors： Amato-Watkins A,St George EJ,Saxena A,Bhattacharya J

更新日期：2010-06-01 00:00:00

abstract：:The anterior visual pathway (AVP) can be at risk during gamma knife surgery (GKS). There is no standardised published methodology for protecting the AVP. This paper suggests such an approach in relation to the treatment of meningiomas. There were 67 patients with a mean age of 48.8 years and a minimum follow-up of 25 ...

journal_title：British journal of neurosurgery

authors： Ganz JC,El-Shehaby A,Reda WA,Abdelkarim K

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Giant pituitary adenomas (> 4 cm) are a surgical challenge. We present our experiences in surgical management of these tumors in a series of 250 patients. METHODS:Two hundred and fifty patients with giant pituitary adenomas were managed surgically at our center over last 13 years. Majority (92%) of patients...

journal_title：British journal of neurosurgery

authors： Sinha S,Sharma BS

更新日期：2010-02-01 00:00:00

abstract：:Subarachnoid haemorrhage (SAH) of the posterior fossa in cases of acoustic neurinoma is very rare. The authors present the clinical, neuroradiological and histological findings of an acoustic neurinoma presenting with SAH. The literature regarding this subject is reviewed and the pathogenesis of haemorrhage from neuri...

journal_title：British journal of neurosurgery

authors： Gavra M,Thanos L,Pomoni M,Batakis N

更新日期：2010-02-01 00:00:00

abstract：:National guidelines exist for the investigation and early management of head injury. Alcohol-related head injury is relatively common in clinical practice, and intoxicated patients can be difficult to fit into guidelines for imaging. A sequential retrospective study compared imaging findings of alcohol-related injurie...

journal_title：British journal of neurosurgery

authors： Taylor TR,Mhlanga J,Thomas A

更新日期：2009-12-01 00:00:00

abstract：:Traumatic brain injury (TBI) and acute ischaemic stroke are major causes of mortality and morbidity and there is an urgent demand for new neuroprotective strategies following the translational failure of neuroprotective drug trials. Oxygen therapy--especially normobaric, may offer a simple and effective therapeutic st...

journal_title：British journal of neurosurgery

authors： Kumaria A,Tolias CM

更新日期：2009-12-01 00:00:00

abstract：:A true human tail is a rare occurrence and is defined as a caudal, vestigial, midline protrusion with skin covering connective tissue, muscle, vessels and nerves. We report a case of true human tail in a child, which is a very rare happening in humans. ...

journal_title：British journal of neurosurgery

authors： Chauhan SP,Gopal NN,Jain M,Gupta A

更新日期：2009-12-01 00:00:00

abstract：:The primary objective of neurophysiologic monitoring during surgery is to prevent permanent neurological sequelae. We prospectively evaluated whether the combined use of somatosensory- and motor-evoked potential (SEP/MEP) for intramedullary spinal cord tumor (IMSCT) surgery may be beneficial. Combined SEP/MEP monitori...

journal_title：British journal of neurosurgery

authors： Hyun SJ,Rhim SC

更新日期：2009-08-01 00:00:00

abstract：:Venous air embolism (VAE) is a potentially serious complication in neurosurgery. It occurs most commonly during craniotomy in the sitting position. Diagnosis is difficult in awake patients on spontaneous ventilation due to different clinical manifestations. Prompt diagnosis and treatment are essential. We report venou...

journal_title：British journal of neurosurgery

authors： Kumar R,Goyal V,Chauhan RS

更新日期：2009-08-01 00:00:00

abstract：:The transnasal approach is the most utilized approach to the sellar region. This study was conducted to identify an anatomical landmark on the lateral surface of the head that corresponds to the midpoint of the sellar floor at the level of sphenoidal rostrum. This point, lined up with the nostril, simulates the surgic...

journal_title：British journal of neurosurgery

authors： Campero A,Socolovsky M,Torino R,Martins C,Yasuda A,Rhoton AL Jr

更新日期：2009-06-01 00:00:00

abstract：:Herpes virus reactivation is a well-known phenomenon rarely described in neurosurgery. We report a case of type 2 herpes simplex virus reactivation following neurosurgery of the posterior fossa. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis of over 200 x 10(6)/l. Viral reactivation should be consider...

journal_title：British journal of neurosurgery

authors： Ihekwaba UK,Battersby RD

更新日期：2009-06-01 00:00:00

abstract：:Neurosurgical registrars are frequently called upon by A&E staff and physicians to interpret emergency head CT (computed tomography) scans out of hours. This appears to reflect the reduced threshold for scanning patients and the nonavailability of a radiologist to report these scans. This study was undertaken to asses...

journal_title：British journal of neurosurgery

authors： Mukerji N,Cahill J,Paluzzi A,Holliman D,Dambatta S,Kane PJ

更新日期：2009-04-01 00:00:00

abstract：:Intracranial tuberculoma represents the most common mass lesion in neurotuberculosis. We report an unusual case of tuberculoma with haemorrhage presenting clinically as a cerebellar haemorrhage. Cranial CT scan revealed a peripherally enhancing cerebellar mass with haemorrhage and obstructive hydrocephalus, requiring ...

journal_title：British journal of neurosurgery

authors： Ranjan M,Saritha A,Mahadevan A,Shankar SK,Sampath S

更新日期：2009-04-01 00:00:00

abstract：:Despite advances in understanding, monitoring, and treatment, the outcome of patients with refractory brain oedema (RBE) remains poor. The concept of wide bone removal for treatment of RBE has been recognized since the nineteenth century. Bifrontal decompressive craniectomy (BDC) is performed as last resort treatment ...

journal_title：British journal of neurosurgery

authors： Elwatidy S

更新日期：2009-02-01 00:00:00

abstract：:The debate regarding whether to perform an interbody fusion after anterior cervical discectomy (ACD) has been going on for the last 50 years. Several prospective randomized clinical trials have been performed to evaluate the clinical outcome following anterior cervical discectomy with and without interbody fusion. Non...

journal_title：British journal of neurosurgery

authors： Konduru S,Findlay G

更新日期：2009-02-01 00:00:00

abstract：:Epidermoid tumours are rare intracranial tumours. They are commonly found in the cerebellopontine angle and the suprasellar region. However, they are also known to occur in other locations. Anterior interhemispheric fissure epidermoid cysts are rarer still, and calcification among epidermoids is considered unusual and...

journal_title：British journal of neurosurgery

authors： Praveen KS,Devi BI

更新日期：2009-02-01 00:00:00

abstract：:Survivors of head injury are often left with varying degrees of disability and complex and varied needs, necessitating prolonged periods of rehabilitation and continuing care. Advances have been made in the acute management of these patients, but continuing management in terms of rehabilitation remains deficient with ...

journal_title：British journal of neurosurgery

authors： Seeley HM,Kirker S,Harkin C,Dias C,Richards H,Pickard JD,Hutchinson PJ

更新日期：2009-01-01 00:00:00

abstract：:In this study we present the population-based patient material with spontaneous SAH, treated in our Neurosurgical unit during the 10 years (1997-2006) after the introduction of endovascular treatment of aneurysms (EVT) in our hospital. All patients that had a spontaneous SAH and a potential to survive were admitted. T...

journal_title：British journal of neurosurgery

authors： Ronne-Engström E,Enblad P,Gál G,Norbäck O,Ryttlefors M,Cesarini KG,Bolander H,Tovi M,Persson L

更新日期：2009-01-01 00:00:00

abstract：:Silver-Russell syndrome is a rare genetically heterogeneous disorder in which patients demonstrate intrauterine and postnatal growth retardation, triangular facies, excessive sweating during early childhood, late closure of the anterior fontanelle and skeletal asymmetry. An association with malignancy exists and only ...

journal_title：British journal of neurosurgery

authors： Fenton E,Refai D,See W,Rawluk DJ

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:Gross congenital lesions of the nervous system are obvious at birth and usually present early for management and corrective surgery. However in tropical and developing nations, late presentations are common. AIMS:To determine the factors responsible for very late presentations of gross congenital lesions. ...

journal_title：British journal of neurosurgery

authors： Komolafe EO,Komolafe MA,Adeolu AA

更新日期：2008-12-01 00:00:00

abstract：:The endoscopic technique is increasingly being used for the resection of pituitary adenomas. Its efficacy and safety have been generally accepted, but its impact on the quality of life of the patients treated has not been previously addressed. Most of the studies assessing the quality of life after long-term cure of p...

journal_title：British journal of neurosurgery

authors： Karabatsou K,O'Kelly C,Ganna A,Dehdashti AR,Gentili F

更新日期：2008-10-01 00:00:00

abstract：:Selecting patients who will benefit from a permanent CSF diversion procedure in benign intracranial hypertension (BIH) or communicating hydrocephalus due to normal pressure hydrocephalus (NPH) has inherent problems. The percutaneous introduction of a lumbar subcutaneous shunt (LSS) under local anaesthesia facilitates ...

journal_title：British journal of neurosurgery

authors： Ushewokunze S,Haja Mydin HN,Prasad R,Mendelow AD

更新日期：2008-10-01 00:00:00

abstract：:Infantile myofibromatosis (IM) is a rare pathological entity characterized by solitary or multiple nodular skin, soft tissues or bony lesions. Craniovertebral (CV) junction lesions are rare. We report the successful management of a solitary IM involving the posterior elements of the CV junction in a 6-month-old child....

journal_title：British journal of neurosurgery

authors： Sinha AK,Jesudason EC,Mallucci CL,Losty PD,Kokai G,Pizer BL

更新日期：2008-08-01 00:00:00

abstract：:Continuous infusion of intrathecal baclofen (ITB) via a subcutaneously implanted pump has developed over the last 20 years as a powerful tool in the management of spasticity in various adult and paediatric neurological conditions. Acting more focally on spinal GABA receptors, ITB causes fewer systemic side effects tha...

journal_title：British journal of neurosurgery

authors： Brennan PM,Whittle IR

更新日期：2008-08-01 00:00:00

abstract：:In vestibular schwannomas (VS), the tumour size, as well as the size of the cystic component, have a considerable bearing on the outcome. This study addresses the differences between the cystic and solid variants of giant vestibular schwannomas. The study included 62 patients with giant VSs, of which 40 were solid and...

journal_title：British journal of neurosurgery

authors： Mehrotra N,Behari S,Pal L,Banerji D,Sahu RN,Jain VK

更新日期：2008-08-01 00:00:00

abstract：:Chiari malformations are a pathological continuum of hindbrain maldevelopment and Chiari I malformation (CMI) represents caudal decent of cerebellar tonsils. The surgery aims to relieve tonsillar compression with restoration of the normal cerebrospinal (CSF) flow dynamics. We report the salient features of our surgica...

journal_title：British journal of neurosurgery

authors： Kumar R,Kalra SK,Vaid VK,Mahapatra AK

更新日期：2008-06-01 00:00:00

abstract：:We present a series of eight patients undergoing circumferential neural decompression and stabilization of the thoracolumbar spine via a single midline posterior approach, with complete vertebrectomy for a variety of indications. Four had primary tumours, two secondary tumours, one patient had tuberculosis and one had...

journal_title：British journal of neurosurgery

authors： Crocker M,James G,Ibrahim A,Thomas N,Chitnavis B

更新日期：2008-04-01 00:00:00

abstract：:Spontaneous intracranial hypotension (SIH) is an uncommon clinical entity that is often diagnosed after a delay, or it is misdiagnosed due to the variety of clinical presentations and the associated radiological findings. We present here a case of SIH associated with chronic subdural haematoma (SDH) and subarachnoid h...

journal_title：British journal of neurosurgery

authors： Joo WI,Lee KJ,Rha HK,Park HK,Chough JK

更新日期：2008-04-01 00:00:00

abstract：:Endovascular treatment of ruptured intracranial aneurysms increasingly supersedes surgical repair. This study focuses on the management and results in 109 individuals treated surgically when both treatment modalities were available. The management principles were immediate identification of the origin of haemorrhage, ...

journal_title：British journal of neurosurgery

authors： Sorteberg W,Slettebø H,Eide PK,Stubhaug A,Sorteberg A

更新日期：2008-02-01 00:00:00

abstract：:The goal of this study was to assess the diagnostic accuracy of 16-row multislice computed tomography angiography (CTA) compared with digital subtraction angiography (DSA) in the detection of aneurysm remnants and arterial patency after clipping of intracranial aneurysms. Thirty-seven consecutive patients with 40 clip...

journal_title：British journal of neurosurgery

authors： Chen W,Yang Y,Qiu J,Peng Y,Xing W

更新日期：2008-02-01 00:00:00

abstract：:Cerebellar haemangioblastomas commonly arise in patients with von Hippel - Lindau disease. We present the case of a 47-year-old male who has successfully undergone 10 separate procedures for symptomatic cerebellar haemangioblastomas. To our knowledge, this case is unique with respect to the frequency of symptomatic re...

journal_title：British journal of neurosurgery

authors： Newman S,Wasserberg J

更新日期：2008-02-01 00:00:00

abstract：:Deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN) has recently been shown to effectively ameliorate medically intractable axial symptoms of Parkinson's disease (PD). The effects of DBS are not limited to the targeted structure, but will affect the distributed anatomical networks to which the target st...

journal_title：British journal of neurosurgery

authors： Aravamuthan BR,Stein JF,Aziz TZ

更新日期：2008-01-01 00:00:00

abstract：:The empty sella syndrome is usually associated with normal pituitary function. If dysfunction is present, this is commonly hypofunction. Hyperfunctioning microadenomas have been described in the presence of the empty sella syndrome. We present the first reported cases of a microadenoma invading the clivus associated w...

journal_title：British journal of neurosurgery

authors： Coulson CJ,Siddiq MA,Johnson AP

更新日期：2007-12-01 00:00:00

abstract：AIM:To investigate inefficiencies during patients' stay in neurosurgical beds. METHODS:A prospective audit of neurosurgical inpatients was conducted over approximately 2 months. We recorded the causes and duration of inappropriate delays, defined as actions requiring more that 24 h from initiation until completion. R...

journal_title：British journal of neurosurgery

authors： Chelvarajah R,Lee JK,Chandrasekaran S,Bavetta S

更新日期：2007-12-01 00:00:00

abstract：:The aim of this randomized prospective study was to compare the efficacy of endoscopic versus standard microsurgical excision of pituitary adenomas, and to evaluate the merits and demerits of each approach. Twenty patients with a pituitary adenoma were randomly divided into two groups comprising of 10 cases each. Ten ...

journal_title：British journal of neurosurgery

authors： Jain AK,Gupta AK,Pathak A,Bhansali A,Bapuraj JR

更新日期：2007-08-01 00:00:00

abstract：:Establishing standardized methods to assess outcome is needed to measure the effectiveness of surgery in relieving symptoms and improving quality of life. We prospectively studied 203 patients undergoing primary lumbar discectomy. Data was collected before surgery, at 3 months postoperatively and at long-term follow-u...

journal_title：British journal of neurosurgery

authors： Guilfoyle MR,Ganesan D,Seeley H,Laing RJ

更新日期：2007-08-01 00:00:00

abstract：:During microvascular decompression procedure for trigeminal neuralgia, surgical attention is mainly focused at the neurovascular conflict at trigeminal root entry zone. However, many major complications of this surgery are often related to venous structures in the posterior fossa, including the venous sinuses and the ...

journal_title：British journal of neurosurgery

authors： Choudhari KA

更新日期：2007-06-01 00:00:00

abstract：:Microdialysis enables the chemistry of extracellular fluid in body tissues to be measured. Extracellular proteases such as the cysteine protease, cathepsin S (CatS), are thought to facilitate astrocytoma invasion. Microdialysates obtained from human brain tumours in vivo were subjected to cathepsin S activity and ELIS...

journal_title：British journal of neurosurgery

authors： Flannery T,McConnell RS,McQuaid S,McGregor G,Mirakhur M,Martin L,Scott C,Burden R,Walker B,McGoohan C,Johnston PG

更新日期：2007-04-01 00:00:00

abstract：:Use of transcranial Doppler (TCD) to diagnose vasospasm has been criticised. We examined reproducibility of TCD middle cerebral artery (MCA) velocity measurements. Thirty-six healthy adult volunteers were recruited. Four operators, two experienced and two inexperienced, participated. MCA velocity was measured twice by...

journal_title：British journal of neurosurgery

authors： McMahon CJ,McDermott P,Horsfall D,Selvarajah JR,King AT,Vail A

更新日期：2007-02-01 00:00:00

abstract：:Knowledge of post-traumatic cerebral haemodynamic disturbances might be beneficial for predicting the management outcome when measuring the basal cerebral arteries blood flow velocity by ultrasonic transcranial Doppler device immediately after severe head injury. Thirty patients who sustained severe brain injury under...

journal_title：British journal of neurosurgery

authors： Splavski B,Radanović B,Vranković D,Has B,Muzević D,Janculjak D,Legcević J

更新日期：2006-12-01 00:00:00