abstract：:Few data exist regarding the management of severe head injury in non-neurosurgical centres within the UK. We aimed to discover the number of intensive care units admitting head injury patients, the number of patients admitted annually, and the monitoring and treatment methods followed. Questionnaires were sent to the ...

journal_title：British journal of neurosurgery

authors： McKeating EG,Andrews PJ,Tocher JI,Menon DK

更新日期：1998-02-01 00:00:00

abstract：:A patient with a chronic encapsulated intracerebral haematoma presenting with medically intractable epilepsy is described. A tough capsule containing an old haematoma was confirmed surgically, and consisted of dense collagenous tissue with rich neovascularization. The radiological features, aetiology and treatment of ...

journal_title：British journal of neurosurgery

authors： Kurita H,Ichi S,Shiokawa Y

更新日期：1998-02-01 00:00:00

abstract：:Cerebrospinal fluid (CSF) fistulae almost invariably lead to meningitis, even in the absence of other clinically obvious sequelae of the fistula such as a CSF fluid leak. The only effective means of reducing the risk of meningitis is surgical closure of the fistula. If surgery is to be recommended to patients with CSF...

journal_title：British journal of neurosurgery

authors： Hamilton JW,Foy PM,Lesser TH

更新日期：1997-12-01 00:00:00

abstract：:Self-inflicted craniocerebral injuries have been reported exclusively in mentally disturbed patients and criminals. We report a 28-year-old man with a severe mental disorder who initially hammered a nail into his brain and subsequently repeatedly inserted foreign objects into his brain. The literature is reviewed and ...

journal_title：British journal of neurosurgery

authors： Musa BS,Simpson BA,Hatfield RH

更新日期：1997-12-01 00:00:00

abstract：:The aim of this investigation was to determine the prognostic value of coagulation abnormalities in a defined subset of patients with acute head injury. Prothrombin time, accelerated partial thromboplastin time (APTT), thrombin clotting time, fibrinogen assay, platelet count, fibrin degradation products (FDP) were ass...

journal_title：British journal of neurosurgery

authors： Selladurai BM,Vickneswaran M,Duraisamy S,Atan M

更新日期：1997-10-01 00:00:00

abstract：:We describe a case of cranial fascitis presenting as an incidental finding. A 2 1/2-year-old girl had skull radiographs performed after sustaining a minor head injury, which revealed a lytic skull lesion. We describe the salient features of the case and review the current literature of this rare benign inflammatory co...

journal_title：British journal of neurosurgery

authors： Boddie DE,Distante S,Blaiklock CT

更新日期：1997-10-01 00:00:00

abstract：:This paper proposes guidelines for good practice in the management of adults with malignant cerebral glioma. These guidelines were developed by a working group comprising representatives of the medical specialties involved in patient care, specialist nursing staff, purchasers, charitable bodies, and patient and relati...

journal_title：British journal of neurosurgery

authors： Davies E,Hopkins A

更新日期：1997-08-01 00:00:00

abstract：:The objective of this study was to assess the technical feasibility, and the clinical and radiological results of interbody fusion with a carbon fibre cage following anterior cervical discectomy. Nineteen consecutive patients, eight male and 11 female, with an age range from 28 to 75 years (mean 45) underwent anterior...

journal_title：British journal of neurosurgery

authors： Brooke NS,Rorke AW,King AT,Gullan RW

更新日期：1997-06-01 00:00:00

abstract：:We report a case of a giant serpentine aneurysm of the right middle cerebral artery (MCA) that was treated by total excision of the aneurysm with cerebral blood flow control management. Four years later the patient presented with a three month history of headache and angiograms showed a new aneurysm on a different bra...

journal_title：British journal of neurosurgery

authors： Bakaç G,Gholkar A,Mendelow AD

更新日期：1997-06-01 00:00:00

abstract：:We report our experience with five lesions exclusively involving the entire cavernous sinus in which an essentially extradural surgical approach was used. There were two cases of cavernous haemangioma, two cases of meningioma and one case of fungal granuloma. The dural cover of the superior orbital fissure, and mandib...

journal_title：British journal of neurosurgery

authors： Goel A

更新日期：1997-04-01 00:00:00

abstract：:We report a case of extensive osteomyelitis of the skull vault from a human bite. The presentation and surgical management of this unusual condition is described. The microbiological findings are comparable to known patterns of infection after human bites. Surgical management and prophylaxis after this injury are disc...

journal_title：British journal of neurosurgery

authors： Phillips NI,Robertson IJ

更新日期：1997-04-01 00:00:00

abstract：:We report three patients treated for cervical radiculopathy by anterior cervical discectomy and BOP grafting. Because of recurrent symptoms re-exploration was carried out 30 months later in the first case, 10 months in second and 8 months in the third case. At reoperation the grafts were disrupted into easily separabl...

journal_title：British journal of neurosurgery

authors： Hafez RF,Crockard HA

更新日期：1997-02-01 00:00:00

abstract：:The Internet is a global computer network which has recently become accessible for many reasons to the general public. The growth in its use for entertainment purposes is now being mirrored by its application to medical interests requiring rapid communication. Neurosurgery as a speciality has a tradition of adapting q...

journal_title：British journal of neurosurgery

authors： Phillips NI

更新日期：1996-12-01 00:00:00

abstract：:We report a 10-year-old boy who presented with a subarachnoid haemorrhage from a ruptured hypoglossal artery aneurysm. The aneurysm was clipped via a transcondylar approach. The embryology, occurrence and the surgical approach to aneurysms at this site are discussed. ...

journal_title：British journal of neurosurgery

authors： Duffill J,Lang DA,Dwyer GN

更新日期：1996-12-01 00:00:00

abstract：:Venous oxygen saturation at the clinically dominant jugular bulb (SjO2) and that at the confluence of the cerebral sinuses (SccsO2) were compared by direct simultaneous blood sampling of 13 severely head injured patients. The side of dominant jugular bulb (JB) was determined by neck compression test. The right side wa...

journal_title：British journal of neurosurgery

authors： Lam JM,Chan MS,Poon WS

更新日期：1996-08-01 00:00:00

abstract：:The case is reported of a 49-year-old man with a giant infratentorial extradural epidermoid tumour, with cervical syringomyelia and hydrocephalus, and partial protrusion of the cerebellar tonsils through the foramen magnum. The patient complained of symptoms of raised intracranial pressure and was admitted to our Depa...

journal_title：British journal of neurosurgery

authors： Sgaramella E,Perria C

更新日期：1996-08-01 00:00:00

abstract：:Side-effects of iohexol myelography were compared after pre-treatment with oral dexamethasone (n = 42) or placebo (n = 44) in a prospective, randomized, double blind, controlled clinical trial. Although myelogram side-effects were commoner in the placebo group, the differences generally did not reach statistical signi...

journal_title：British journal of neurosurgery

authors： Ginsberg L,Caine SE,Valentine AR

更新日期：1996-06-01 00:00:00

abstract：:The terms moyamoya disease, moyamoya syndrome and moyamoya phenomenon can be found dispersed throughout the literature. The diagnostic criteria for moyamoya disease are: (1) stenosis or occlusion of the anterior cerebral, middle cerebral and internal carotid arteries, (2) an abnormal vascular network near these arteri...

journal_title：British journal of neurosurgery

authors： Fodstad H,Bodosi M,Forssell A,Perricone D

更新日期：1996-04-01 00:00:00

abstract：:A retrospective study of the surgical management of 41 cerebellopontine angle (CPA) meningiomas was performed. All patients were treated by a single surgeon (TTK) over a 25 year period (1967-1992). There were 13 males, 28 females with a median age of 53.5 years. The median follow-up after surgery was 9 years (range 2-...

journal_title：British journal of neurosurgery

authors： Thomas NW,King TT

更新日期：1996-02-01 00:00:00

abstract：:We have reviewed the records of 53 patients with visual impairment secondary to pituitary macroadenomas and studied the visual outcome after surgery. After transsphenoidal procedures visual field defects improved in 89% of the patients and visual acuity improved in 82%. There were 13 cases of acute symptomatic intratu...

journal_title：British journal of neurosurgery

authors： Peter M,De Tribolet N

更新日期：1995-04-01 00:00:00

abstract：:Two patients with histologically benign pituitary adenomas subsequently underwent resections of a frontal and a cerebellar tumour each of which had histological appearances identical to those of classic pituitary adenomas. The frontal tumour was immunoreactive for prolactin, and the cerebellar metastasis was immunorea...

journal_title：British journal of neurosurgery

authors： O'Brien DP,Phillips JP,Rawluk DR,Farrell MA

更新日期：1995-04-01 00:00:00

abstract：:Since 1976, 133 patients treated by posterior fossa microvascular decompression (MVD) for trigeminal neuralgia (TN) have been followed-up prospectively to determine the incidence of recurrent TN. The follow-up period was between 6 months and 15 years, with 60 patients having been follow-up for more than 5 years. Of th...

journal_title：British journal of neurosurgery

authors： Mendoza N,Illingworth RD

更新日期：1995-01-01 00:00:00

abstract：:Twenty-four patients with intractable partial epilepsy underwent surgery between 1969 and 1988. Localization was by non-invasive means using scalp EEG and CT. In 12 cases the focus was temporal and in eight frontal. Craniotomy was undertaken with intraoperative electrocorticography (ECoG). Ten cases had a standard tem...

journal_title：British journal of neurosurgery

authors： Davies KG,Weeks RD

更新日期：1995-01-01 00:00:00

abstract：:We have studied 139 cases of intracranial germ cell tumours up to the beginning of 1993, 63.3% of which showed monotypic histological patterns and 36.7% were shown to be mixed tumours. All these cases underwent surgery followed by radiation and/or chemotherapy. All cases of choriocarcinoma died within 2 years. Cases o...

journal_title：British journal of neurosurgery

authors： Sano K

更新日期：1995-01-01 00:00:00

abstract：:Endosaccular packing of inoperable aneurysms with electrolytic platinum coils was performed in 50 patients. Complete embolization of the aneurysms was achieved in 100% of small, 95% of large and 85% of giant aneurysms, with combined procedural and periprocedural morbidity and mortality rates of 6 and 4%, respectively....

journal_title：British journal of neurosurgery

authors： Byrne JV,Adams CB,Kerr RS,Molyneux AJ

更新日期：1995-01-01 00:00:00

abstract：:Two case reports illustrate a long vascular pedicle cranial bone flap. A split or full thickness skull bone flap is based on the pericranium layer. The temporalis muscle with its overlying fascial layers and vascular pedicles form the base of this flap and assure its adequate vascularization. The technique and its use...

journal_title：British journal of neurosurgery

authors： Goel A

更新日期：1995-01-01 00:00:00

abstract：:Twenty patients with aneurysms were studied with transcranial Doppler before, during and after endovascular treatment with Guglielmi detachable coils. Catheterization of the anterior circulation decreased middle cerebral artery velocities by 15-20%. Inserting coils into the aneurysms increased pulsatility indices mode...

journal_title：British journal of neurosurgery

authors： Rowe JG,Byrne JV,Molyneux A,Rajagopalan B

更新日期：1995-01-01 00:00:00

abstract：:Oral contraceptives have been implicated in the pathogenesis of dural venous thrombosis. No similar association has been confirmed between postmenopausal hormone replacement therapy and cerebral venous thrombosis, although one previous report in the literature has identified such a case. We present a further case of t...

journal_title：British journal of neurosurgery

authors： Strachan R,Hughes D,Cowie R

更新日期：1995-01-01 00:00:00

abstract：:A subdural empyema with a Salmonella species as the likely causative organism is presented. We believe that this is the first reported case of such an infection in an HIV positive patient. The difficulties in treatment and diagnosis are discussed. ...

journal_title：British journal of neurosurgery

authors： J Parker S P Harland A S Protheroe P

更新日期：1995-01-01 00:00:00

abstract：:Two cases with a unique association of Rathke's cleft cysts and a growth hormone-secreting pituitary adenoma in the same tumour tissue are reported. The embryological pathogenesis, diagnostic evaluation and treatment of these lesions are discussed. ...

journal_title：British journal of neurosurgery

authors： Nishio S Fujiwara T Morioka M Fukui S

更新日期：1995-01-01 00:00:00

abstract：:Between March 1989 and December 1993, 101 patients with inoperable arteriovenous malformations (AVMs) and seven patients with inoperable angiographically occult malformations (AOVMs) have been treated with stereotactic multiple arc radiotherapy (SMART). All patients (excluding one patient with a brain stem AOVM) were ...

journal_title：British journal of neurosurgery

authors： Sebag-Montefiore DJ,Doughty D,Biggs D,Plowman PN

更新日期：1995-01-01 00:00:00

abstract：:The use of the flexible neuroendoscope and laser fenestration in the surgical management of a symptomatic cyst of cavum septum pellucidum is reported. Successful communication was established between the cyst cavity and the lateral ventricles using this technique. Satisfactory clinical and radiological improvement as ...

journal_title：British journal of neurosurgery

authors： Jackowski A,Kulshresta M,Sgouros S

更新日期：1995-01-01 00:00:00

abstract：:Sixteen patients with surgical infection of the posterior fossa are presented. There were 14 patients with cerebellar abscess, one patient with a solitary posterior fossa subdural empyema, and another with a combined cerebellar abscess and subdural empyema. Two of the cerebellar abscess patients also had supratentoria...

journal_title：British journal of neurosurgery

authors： Brydon HL,Hardwidge C

更新日期：1994-01-01 00:00:00

abstract：:Two patients presented with nocardial brain abscesses, one as secondary to overwhelming pulmonary infection following a thoracic empyema, the second as a primary abscess. Both patients had immunopression. Such an infection should be considered early in any patient who is immunocompromised. ...

journal_title：British journal of neurosurgery

authors： Buxton N,McIntosh J

更新日期：1994-01-01 00:00:00

abstract：:A 48-year-old man with a cystic craniopharyngioma developed hypersomnia, personality changes, memory impairment and thermal dysfunction following intracystic administration of bleomycin through an Ommaya reservoir after partial removal of the tumour. The patient's neurological deterioration was thought to be related t...

journal_title：British journal of neurosurgery

authors： Haisa T,Ueki K,Yoshida S

更新日期：1994-01-01 00:00:00

abstract：:A case is presented of a 35-year-old man, who suffered intermittent hydrocephalic attacks due to a large subependymoma arising within the left lateral ventricle. The sparse literature on this rare tumour is reviewed. ...

journal_title：British journal of neurosurgery

authors： Iqbal Z,Sutcliffe JC

更新日期：1994-01-01 00:00:00

abstract：:Modern cancer therapy has improved the prognosis for several tumour types. This, however, does not apply to the largest group of brain tumours, the malignant astrocytomas grades III-IV. Hence, there is need for new ideas to improve treatment. Ca2+ and the Ca(2+)-binding protein calmodulin have been shown to be involve...

journal_title：British journal of neurosurgery

authors： Aas AT,Brun A,Pero RW,Salford LG

更新日期：1994-01-01 00:00:00

abstract：:A patient with von Recklinghausen's disease presented with a right sixth nerve palsy. Investigations demonstrated unilateral dolichoectasia of the intracranial carotid artery and sphenoid wing dysplasia. This case demonstrates an association not previously documented, that of unilateral fusiform dilatation of the caro...

journal_title：British journal of neurosurgery

authors： Steel TR,Bentivoglio PB,Garrick R

更新日期：1994-01-01 00:00:00

abstract：:Drug resistance in many cancers outside the CNS has been associated with over-expression of the multidrug resistance gene (MDR1), which codes for the transmembrane efflux pump P-glycoprotein (Pgp). To determine whether tumours of the neuroaxis over-express MDR1 and to identify the site of Pgp expression we examined 50...

journal_title：British journal of neurosurgery

authors： Billson AL,Palmer JB,Walker DA,Lowe J

更新日期：1994-01-01 00:00:00

abstract：:A process has been developed by which ventriculoperitoneal hydrocephalus shunts, which are prone to bacterial colonisation, can be impregnated with antimicrobials in order to confer antibacterial activity. Concern that their use might be associated with an increased risk of postoperative seizures has been addressed he...

journal_title：British journal of neurosurgery

authors： Abed WT,Alavijeh MS,Bayston R,Shorvon SD,Patsalos PN

更新日期：1994-01-01 00:00:00