Surgical Neurology最新文献

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Clinical evaluation and follow-up outcome of presurgical plan by Dextroscope: a prospective controlled study in patients with skull base tumors 右旋镜手术方案在颅底肿瘤患者中的临床评价及随访结果:一项前瞻性对照研究
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-10-21 DOI: 10.1016/j.surneu.2009.07.040
De L. Yang PhD, MD, Qi W. Xu PhD, MD, Xiao M. Che PhD, MD, Jin S. Wu PhD, MD, Bin Sun PhD, MD
{"title":"Clinical evaluation and follow-up outcome of presurgical plan by Dextroscope: a prospective controlled study in patients with skull base tumors","authors":"De L. Yang PhD, MD,&nbsp;Qi W. Xu PhD, MD,&nbsp;Xiao M. Che PhD, MD,&nbsp;Jin S. Wu PhD, MD,&nbsp;Bin Sun PhD, MD","doi":"10.1016/j.surneu.2009.07.040","DOIUrl":"10.1016/j.surneu.2009.07.040","url":null,"abstract":"<div><h3>Background</h3><p>Patient-specific approach design, comprehensive evaluation on perioperative data, and follow-up of postoperative life quality (KPS) were carried out to evaluate the application of VR technology of Dextroscope in procedures of patients with skull base tumors.</p></div><div><h3>Methods</h3><p>Eighty-four patients with skull base tumors involved in this research were randomized into 2 groups (test group and control group), each with 42 patients. Before operation, image data such as MR, MRA, or CTA of head were collected and imported into the Dextroscope workstation. The detailed preoperative plans were made in the test group, but no Dextroscope plans in control group. The resection rate of tumors, preoperative evaluation including the duration of operation, total blood loss, the postoperative LOS, the number of cases with cerebrovascular injury complications in operation, and postoperative KPS of patients on discharge and the sixth month follow-up in the 2 groups were recorded and compared.</p></div><div><h3>Results</h3><p>The total resection rate of tumors was 83.33% in test group and 71.42% in the control group (<em>P</em> &gt; .05). The total resection rate of meningioma was 86.67% in test group and 76.47% in control group. The total resection rates of trigeminal Schwannoma in the 2 groups were all 100% (<em>P</em> &gt; .05). The duration of operation and the postoperative LOS of each patient were 5.25 ± 0.64 hours and 8.50 ± 1.10 days in the test group and 7.36 ± 0.87 hours and 12.50 ± 1.52 days in the control group, respectively (<em>P</em> &lt; .05). Total blood loss of each patient was 456.75 ± 55.76 mL in the test group and 523.85 ± 66.78 mL in the control group (<em>P</em> &gt; 05). There were 3 cases with complications of cerebral vessels injury in the test group and 7 cases in the control group (<em>P</em> &lt; .05). During follow-up, KPS of patients in the test group on discharge (85.75 ± 9.68) was significantly superior to that in the control group (81.66 ± 9.24; <em>P</em> &lt; .05). The KPS of patients on the sixth-month follow-up in the test group was 92.35 ± 9.95, which was significantly superior to that in the control group (85.6 ± 9.34; <em>P</em> &lt; .05). Karnofsky performance scores of patients in the test group improved significantly from discharge to the sixth month after procedure (<em>P</em> &lt; .05), whereas there were adverse results in the test group (<em>P</em> &lt; .05). The 2 cases with CSF leakage were cured completely.</p></div><div><h3>Conclusion</h3><p>The preoperative plans with VR technology in patients with skull base tumor or CSF leakage operations can help certain the diagnosis, individually locate the position of skull base lesions, and design patient-specific approach, which also facilitate to shorten operation duration and the postoperative LOS, reduce total blood loss and injury of vessels in operation, and improve the postoperative KPS.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 682-689"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.07.040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28454268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 33
Acute surgical removal of low-grade (Spetzler-Martin I-II) bleeding arteriovenous malformations 急性手术切除低级别(Spetzler-Martin I-II)出血动静脉畸形
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-14 DOI: 10.1016/j.surneu.2009.03.035
Giacomo Pavesi MD , Oriela Rustemi MD , Silvia Berlucchi MD , Anna Chiara Frigo MD , Valerio Gerunda RT , Renato Scienza MD
{"title":"Acute surgical removal of low-grade (Spetzler-Martin I-II) bleeding arteriovenous malformations","authors":"Giacomo Pavesi MD ,&nbsp;Oriela Rustemi MD ,&nbsp;Silvia Berlucchi MD ,&nbsp;Anna Chiara Frigo MD ,&nbsp;Valerio Gerunda RT ,&nbsp;Renato Scienza MD","doi":"10.1016/j.surneu.2009.03.035","DOIUrl":"10.1016/j.surneu.2009.03.035","url":null,"abstract":"<div><h3>Background</h3><p>Early surgical removal of cerebral AVMs is a relatively infrequent therapeutic option when dealing with a cerebral hemorrhage caused by AVM rupture: even in the case of low-grade AVMs, delayed treatment is, if possible, preferred because it is considered safer for patients and more comfortable for surgeons. To assess whether acute surgery may be a safe and effective management, we conducted a retrospective analysis of our early surgery strategy for ruptured low-grade AVMs.</p></div><div><h3>Methods</h3><p>We reviewed 27 patients with SM grade I-II AVM treated during 2004 to 2008 in the acute stage of bleeding (within the first 6 days after bleed). All patients showed a cerebral AVM on DSA at admission, and surgical removal was controlled by postoperative angiography. Neurological outcomes were assessed with GOS. The average length of follow-up was 22 months (48-3 months).</p></div><div><h3>Results</h3><p>Before surgery, 16 (59%) patients showed a GCS of 8 or less, 2 of them presenting an acute rebleeding after first hemorrhage. All patients underwent radical AVM surgical removal and hematoma evacuation in a single-stage procedure. Most patients (78%) were operated within the first day of hemorrhage. A favorable functional outcome (GOS: good recovery or moderate disability) was observed in 23 patients (85%). Mortality was 7.4%. Outcome was not significantly correlated with GCS at presentation and with presence of preoperative anisocoria.</p></div><div><h3>Conclusions</h3><p>Early surgery for grade I-II AVMs is a safe and definitive treatment, achieving both immediate cerebral decompression and patient protection against rebleeding, reducing time of hospital stay and allowing a more rapid rehabilitative course whenever necessary.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 662-667"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.03.035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms 单中心应用神经形态支架血管内治疗颅内宽颈动脉瘤的经验
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-14 DOI: 10.1016/j.surneu.2009.03.038
Eduardo Wajnberg MD , Jorge Marcondes de Souza MD, PhD , Edson Marchiori MD, PhD , Emerson L. Gasparetto MD, PhD
{"title":"Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms","authors":"Eduardo Wajnberg MD ,&nbsp;Jorge Marcondes de Souza MD, PhD ,&nbsp;Edson Marchiori MD, PhD ,&nbsp;Emerson L. Gasparetto MD, PhD","doi":"10.1016/j.surneu.2009.03.038","DOIUrl":"10.1016/j.surneu.2009.03.038","url":null,"abstract":"<div><h3>Background</h3><p>Stent-assisted coiling is an accepted endovascular treatment (EVT) for wide-necked intracranial aneurysms. The Neuroform stent (Target Therapeutics, Fremont, Calif) is a flexible nitinol self-expandable stent that was designed to potentially overcome the limitations of balloon expandable coronary stents in the intracranial circulation. The aim of this study was to reenforce the use of this stent for EVT of wide-necked cerebral aneurysms.</p></div><div><h3>Methods</h3><p>Between March 2005 and March 2008, 24 patients harboring wide-necked cerebral aneurysms were treated with stent reconstruction of the aneurysm neck. Inclusion criteria restricted the group to adult patients with wide-necked intracranial aneurysms (ruptured and unruptured lesions). Immediate postprocedure angiography studies were performed to determine successful coil occlusion of the aneurysm as well as patency of the parent vessel. We assessed the clinical history, aneurysm dimensions, and technical detail of the procedures, including any difficulties with stent placement and deployment, degree of aneurysm occlusion, and complications. Clinical outcome was assessed with the Glasgow Outcome Scale (GOS).</p></div><div><h3>Results</h3><p>The stent was easily navigated and precisely positioned in 24 of 26 cases. However, technical difficulties occurred in 9 patients, including difficulties in crossing the stents interstice in 6 cases, inadvertent stent delivery (n = 1), and incapacity of stent delivery (n = 1) and incapacity of crossing the neck (n = 1). These latter 2 cases were classified as failures of the stent-assisted technique. A single procedural complication occurred, involving transient nonocclusive intrastent thrombus formation, which was treated uneventfully with abciximab. Seventeen patients experienced excellent clinical outcomes (GOS 5), with good outcomes (GOS 4) in 5 patients and a poor outcome (GOS 3) in 2 patients. There were no treatment-related deaths or neurologic complications (mean clinical follow-up, 12 months). Angiographic results consisted of 17 complete occlusions, 4 neck remnants, and 3 incomplete occlusions.</p></div><div><h3>Conclusions</h3><p>The Neuroform stent is very useful for EVT of wide-necked intracranial aneurysms because it is easy to navigate and to deploy accurately. In most cases, the stent can be deployed precisely, even in very tortuous carotid siphons. Although in some cases delivery and deployment was challenging, clinically significant complications were not observed.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 612-619"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.03.038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 41
Predominance of neurologic diseases in international aeromedical transportation 国际航空医疗运输中神经系统疾病的优势
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-08-06 DOI: 10.1016/j.surneu.2009.04.021
Wan-Lin Chen MD , Yu-Ming Lin MD , Hong-Ping Ma MD , Wen-Ta Chiu MD, PhD , Shin-Han Tsai MD, PhD
{"title":"Predominance of neurologic diseases in international aeromedical transportation","authors":"Wan-Lin Chen MD ,&nbsp;Yu-Ming Lin MD ,&nbsp;Hong-Ping Ma MD ,&nbsp;Wen-Ta Chiu MD, PhD ,&nbsp;Shin-Han Tsai MD, PhD","doi":"10.1016/j.surneu.2009.04.021","DOIUrl":"10.1016/j.surneu.2009.04.021","url":null,"abstract":"<div><h3>Background</h3><p>International travel industry in Taiwan is expanding. The number of people traveling abroad was approximately 480 000 people in 1980; 2 940 000 in 1990; 7 320 000 in 2000, and in 2007, it has reached 8 960 000, which was more than one third of total population. Air medical transportation will be necessary when local medical facilities do not approximate the international standards. No previous study on epidemiology in Taiwan on patients received international medical repatriation. This is the first report to discuss the epidemiology of Taiwan's international aeromedical transportation and its focus on neurologic diseases.</p></div><div><h3>Method</h3><p>Retrospective analysis of all international aeromedical transports on Taiwanese patients from October 2005 to September 2007 was performed. All materials were collected from the databank of International SOS, Taipei. The data were analyzed with Microsoft Excel and SPSS v. 11.0 software (SPSS, Chicago, Ill).</p></div><div><h3>Results</h3><p>A total of 416 patients were transported. Excluding expatriates transported outbound and 2-stage inbound transports, the Taiwanese patient number with international aeromedical transport was 379; 51 by air ambulance and 328 commercially. There were 271 male (72%) and 108 female patients (18%). Of the 379 patients, 178 (47%) were neurologic diseases. Two hundred ninety-five (78%) patients were transported from China. Patient transports peaked in autumn by 105 (28%). Of all 33 ventilated patients, 12 (36%) were neurologic diseases. In-flight complications occurred in 10% of neurologic and 2% of nonneurologic cases. No in-flight mortality occurred in both groups.</p></div><div><h3>Conclusion</h3><p>Neurologic diseases comprise most of the Taiwanese patients that requires medical transportation. With relatively suboptimal medical standard and high medical expenses in China, patients with neurologic conditions need timely and safe aeromedical transport than those with other diseases. Transport of patients with neurologic diseases, either by air ambulance or commercial flights, can only be safely performed by well-trained medical escorts and comprehensive logistic arrangements.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 ","pages":"Pages S47-S49"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.04.021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40020075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Posterior fossa intracranial inflammatory pseudotumor: a case report and literature review 后窝颅内炎性假瘤1例并文献复习
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-15 DOI: 10.1016/j.surneu.2009.01.029
Yu-Jun Lin MD , Tzu-Ming Yang MD , Jui-Wei Lin MD , Ming-Ze Song MD , Tao-Chen Lee MD
{"title":"Posterior fossa intracranial inflammatory pseudotumor: a case report and literature review","authors":"Yu-Jun Lin MD ,&nbsp;Tzu-Ming Yang MD ,&nbsp;Jui-Wei Lin MD ,&nbsp;Ming-Ze Song MD ,&nbsp;Tao-Chen Lee MD","doi":"10.1016/j.surneu.2009.01.029","DOIUrl":"10.1016/j.surneu.2009.01.029","url":null,"abstract":"<div><h3>Background</h3><p>Intracranial inflammatory pseudotumors are rare. This study describes an intracranial inflammatory pseudotumor at the left cerebellopontine angle. It is the second documented posterior fossa intracranial inflammatory pseudotumor, and it was treated by surgery and radiotherapy.</p></div><div><h3>Case Description</h3><p>A 49-year-old man presented with dizziness for 3 months and mild hoarseness for 1 month. Brain CT detected an intracranial tumor at the left cerebellopontine angle. Magnetic resonance imaging revealed a 3.6-cm heterogeneously enhancing mass. Suboccipital craniectomy with ventriculostomy was performed. The mass was well defined with a smooth surface, enclosed the low cranial nerves, and adhered to the dura matter. Pathologic examination revealed fibrous collagenous stroma with dense infiltrates of small lymphocytes and uninucleated histiocytes. Immunopositivity for T-200 and CD-68 was noted. Special staining for mycobacteria and fungus was negative. Serologic tests were positive for EBEA-Ab, EBNA-Ab, and EB-VCA-IgG. An inflammatory pseudotumor was diagnosed. Local recurrence was found 6 months later with a left oculomotor nerve palsy. Whole-brain irradiation with a total dose of 1200 cGy in 6 fractionations was done. Remission was found in follow-up neuroimages, and no recurrence was noted in 2 years' follow-up.</p></div><div><h3>Conclusion</h3><p>Based on serologic findings and a literature review, the pathogenetic mechanism of this rare intracranial tumor is believed to be chronic reactive EBV infection. We propose that radiotherapy may be the best treatment option in the case of local recurrent intracranial inflammatory pseudotumors.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 712-716"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.01.029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Systemic and local reactions of a water-soluble copolymer bone on a bony defect of rabbit model 水溶性共聚物骨在兔骨缺损模型上的全身和局部反应
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-08-07 DOI: 10.1016/j.surneu.2009.06.007
Tao-Chen Lee MD , Nyuk-Kong Chang DVM , Feng-Wen Su MD , Yu-Lin Yang PhD , Thung-Ming Su MD , Yu-Jun Lin MD , Wan-Ching Lin BS , Hsiu-Yu Huang MD
{"title":"Systemic and local reactions of a water-soluble copolymer bone on a bony defect of rabbit model","authors":"Tao-Chen Lee MD ,&nbsp;Nyuk-Kong Chang DVM ,&nbsp;Feng-Wen Su MD ,&nbsp;Yu-Lin Yang PhD ,&nbsp;Thung-Ming Su MD ,&nbsp;Yu-Jun Lin MD ,&nbsp;Wan-Ching Lin BS ,&nbsp;Hsiu-Yu Huang MD","doi":"10.1016/j.surneu.2009.06.007","DOIUrl":"10.1016/j.surneu.2009.06.007","url":null,"abstract":"<div><h3>Background</h3><p>Ostene®, a synthetic water-soluble bone hemostatic agent, is commercially available. In the current study, we evaluated the systemic and local effects of this copolymer in a rabbit model.</p></div><div><h3>Methods</h3><p>Eighteen rabbits underwent creation of a bony defect at right iliac crest. These rabbits were then evenly divided into 3 groups. In group 1, the defect surfaces were treated with bone wax; in group 2, the defect surfaces were treated with Ostene®; in group 3, the defect surfaces were not treated with anything. Then, the animals underwent blood examinations, including WBC count, CRP, and ESR at 0, 1, 3, and 6 weeks, and were killed at 6 weeks for histologic examination. Another 6 rabbits (group 4) underwent the same surgical treatment of group 2 animals but had blood examinations of BUN and creatinine.</p></div><div><h3>Results</h3><p>The blood examinations showed that the WBC count, CRP, and ESR of all the animals in the first 3 groups were within normal limits in the postoperative periods. Microscopic examinations demonstrated residual bone wax and fibrotic tissue at the defect surfaces in group 1 animals. However, there was no Ostene® at the defect surfaces in group 2 animals. The groups 2 and 3 animals showed no fibrotic tissue at the defect surfaces. The group 4 animals showed normal serum levels of BUN and creatinine in the postoperative periods.</p></div><div><h3>Conclusion</h3><p>Ostene® is absorbable and induces no systemic inflammation (including acute renal damage) and local inflammation in animal bodies.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 ","pages":"Pages S75-S79"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.06.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40021327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Preparing the ethical future of deep brain stimulation 为深部脑刺激的伦理未来做准备
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-15 DOI: 10.1016/j.surneu.2009.03.029
Emily Bell PhD , Ghislaine Mathieu MA , Eric Racine PhD
{"title":"Preparing the ethical future of deep brain stimulation","authors":"Emily Bell PhD ,&nbsp;Ghislaine Mathieu MA ,&nbsp;Eric Racine PhD","doi":"10.1016/j.surneu.2009.03.029","DOIUrl":"10.1016/j.surneu.2009.03.029","url":null,"abstract":"<div><h3>Background</h3><p>Deep brain stimulation is an approved and effective neurosurgical intervention for motor disorders such as PD and ET. Deep brain stimulation may also be effective in treating a number of psychiatric disorders, including treatment refractory depression and OCD. Although DBS is a widely accepted therapy in motor disorders, it remains an invasive and expensive procedure. The ethical and social challenges of DBS need further examination, and discussion and emerging applications of DBS in psychiatry may also complicate the ethical landscape of DBS.</p></div><div><h3>Methods</h3><p>To identify and characterize current and emerging issues in the use of DBS, we reviewed the neurosurgical literature on DBS as well as the interdisciplinary medical ethics and relevant psychological and sociological literatures. We also consulted the USPTO database, FDA regulations and report decisions, and the business reports of key DBS manufacturers.</p></div><div><h3>Results</h3><p>Important ethical and social challenges exist in the current and extending practice of DBS, notably in patient selection, informed consent, resource allocation, and in public understanding. These challenges are likely to be amplified if emerging uses of DBS in psychiatry are approved.</p></div><div><h3>Conclusions</h3><p>Our review of ethical and social issues related to DBS highlights that several significant challenges, although not insurmountable, need much closer attention. A combination of approaches previously used in neuroethics, such as expert consensus workshops to establish ethical guidelines and public engagement to improve public understanding, may be fruitful to explore.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 577-586"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.03.029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 147
Dermoid tumor with diastematobulbia 皮样瘤伴胫外凸
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-15 DOI: 10.1016/j.surneu.2009.03.036
Krishna Prabhu MCh , Roy Thomas Daniel MCh , Sunithi Mani MD , Ari G. Chacko MCh
{"title":"Dermoid tumor with diastematobulbia","authors":"Krishna Prabhu MCh ,&nbsp;Roy Thomas Daniel MCh ,&nbsp;Sunithi Mani MD ,&nbsp;Ari G. Chacko MCh","doi":"10.1016/j.surneu.2009.03.036","DOIUrl":"10.1016/j.surneu.2009.03.036","url":null,"abstract":"<div><h3>Background</h3><p>Dermoid tumors are rare congenital lesions and account for 0.2% to 1.8% of all intracranial tumors. Dermoid tumor with diastematobulbia is very rare.</p></div><div><h3>Case description</h3><p>We report a dermoid tumor in an adult female with an unusual location and morphology. The lesion had 2 major components with different material within the cysts. The posterior part of the dermoid had presented on the floor of the fourth ventricle and had split the pons into 2 distinct halves. The anterior part of the lesion was situated in the prepontine cistern and encircling the anterior half of the brainstem. The lesion was radically excised, and the postoperative images showed return of the 2 halves of the pons to appose each other in the midline.</p></div><div><h3>Conclusion</h3><p>This case report demonstrates the anatomical peculiarities of this extremely unusual presentation of a dermoid cyst with diastematobulbia. Total excision of the lesion through a dorsal approach resulted in a good outcome.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 717-721"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.03.036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Distal intracranial catheterization of patients with tortuous vascular anatomy using a new hybrid guide catheter 一种新型混合式导尿管在血管解剖扭曲患者远端颅内置管中的应用
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-15 DOI: 10.1016/j.surneu.2009.03.016
Scott D. Simon MD , Arthur J. Ulm MD , Antonio Russo MD , Erminia Albanese MD , Robert A. Mericle MD
{"title":"Distal intracranial catheterization of patients with tortuous vascular anatomy using a new hybrid guide catheter","authors":"Scott D. Simon MD ,&nbsp;Arthur J. Ulm MD ,&nbsp;Antonio Russo MD ,&nbsp;Erminia Albanese MD ,&nbsp;Robert A. Mericle MD","doi":"10.1016/j.surneu.2009.03.016","DOIUrl":"10.1016/j.surneu.2009.03.016","url":null,"abstract":"<div><h3>Background</h3><p>A hybrid guide catheter mates the traditional strong guide catheter with a thin, soft distal tip, allowing placement further into the distal cervical or proximal cranial circulation.</p></div><div><h3>Case Description</h3><p>We present 5 cases in which traditional guide catheters were unable to successfully navigate tortuous anatomy or provide stable support for intervention.</p></div><div><h3>Conclusion</h3><p>Hybrid guide catheters provided safe, stable support for successful treatment. Hybrid guide catheters allow for treatment for patients who previously were not candidates for neuroendovascular surgery.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 737-740"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.03.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9161475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
A note of appreciation to the editorial board 给编委会的一封感谢信
Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-12-16 DOI: 10.1016/j.wneu.2009.09.012
James I. Ausman MD, PhD (Editor)
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