Surgical Neurology最新文献_第8页

Anterior interosseous syndrome vs flexor pollicis longus tendon rupture: electrodiagnosis or sonography? 前骨间综合征vs拇长屈肌腱断裂:电诊断还是超声检查?

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.07.037

Murat Kara MD, Fevziye Ünsal Malas MD, Bayram Kaymak MD, Levent Özçakar MD

引用次数: 7

Rhabdomyolysis after transnasal repair of anterior basal encephalocele 经鼻修复前基底脑膨出后横纹肌溶解

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.05.015

Jamie J. Van Gompel MD , Yasin A. Khan BSc , Eric L. Bloomfield MD , John F. Pallanch MD , John L.D. Atkinson MD

{"title":"Rhabdomyolysis after transnasal repair of anterior basal encephalocele","authors":"Jamie J. Van Gompel MD , Yasin A. Khan BSc , Eric L. Bloomfield MD , John F. Pallanch MD , John L.D. Atkinson MD","doi":"10.1016/j.surneu.2009.05.015","DOIUrl":"10.1016/j.surneu.2009.05.015","url":null,"abstract":"<div><h3>Background</h3><p>Postoperative Rhabdomyolysis (RM) is rare after neurosurgical procedures. Furthermore, it has not been observed after transnasal approaches. The authors report a case of idiopathic RM occurring after transnasal resection of a sincipital encephalocele.</p></div><div><h3>Case Description</h3><p>A 32-year-old woman underwent a transnasal resection of a sincipital encephalocele after 6 years of intermittent clear nasal drainage. Postoperatively, she experienced severe back pain, peripheral neuropathy, associated with a markedly elevated creatinine kinase, and severe RM. The patient was treated with hydration and forced urine alkalization and treated symptomatically for her pain and neuropathy. She ultimately made a full recovery without complication.</p></div><div><h3>Conclusion</h3><p>Rhabdomyolysis is a rare but known complication of neurosurgical procedures. We report the first known case report of RM after a transnasal procedure. Furthermore, a review of documented postneurosurgical cases of RM is presented and reveals that the causes and risk factors for this complication after neurosurgery are similar to those in other surgical subspecialties.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 757-760"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.05.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309240","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: 4

Cerebral ischemia due to compression of the brain by ossified and hypertrophied muscle used for encephalomyosynangiosis in childhood moyamoya disease 儿童烟雾病的脑肌瘤合并症中，骨化和肥大的肌肉压迫大脑导致脑缺血

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2006.10.076

Hajime Touho MD

{"title":"Cerebral ischemia due to compression of the brain by ossified and hypertrophied muscle used for encephalomyosynangiosis in childhood moyamoya disease","authors":"Hajime Touho MD","doi":"10.1016/j.surneu.2006.10.076","DOIUrl":"10.1016/j.surneu.2006.10.076","url":null,"abstract":"<div><h3>Background</h3><p>Encephalomyosynangiosis is one of the indirect method in which ischemic brain surface is covered by temporal muscle for the treatment of moyamoya disease.</p></div><div><h3>Case Descriptions</h3><p>A 14-year-old girl who had been treated with bilateral STA-MCA anastomosis and EMS in 1999 was admitted on January 5, 2005. She showed transient incomplete palsy on the left side of the face and the ipsilateral upper extremity. On the day of admission, MRIs/MRA and 3-dimensional regional CBF measurement using stable xenon and CT scanning were conducted after performance of plain CT scanning. The MRI and CT studies showed that ossified and hypertrophied temporal muscle used for EMS to the right MCA territory compressed the brain just under the muscle. MRA demonstrated well-developed collaterals to the territories of the bilateral MCAs via the previously performed anastomosis. The CBF studies disclosed a low CBF value just under ossified and hypertrophied muscle used for EMS on the right side. She showed same transient ischemic attacks repetitively after January 5, 2005.</p></div><div><h3>Conclusions</h3><p>The repetitive attacks with the transient motor palsy on her left side was thought to be caused by direct compression of the brain by the ossified and hypertrophied muscle used for EMS and decrease in CBF just under it, and its removal was thought to be the treatment of choices. However, the patient and her parents refused the surgical procedure, and she is treated conservatively at present.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 725-727"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2006.10.076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27074000","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: 11

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.02.016

Gary W. Mathern MD

引用次数: 0

神经系统疾病诊断的解剖学基础，C.D. Alberstone, M.P. Steinmetz, I.M. Najm, E.C. Benzel。Thieme出版社，纽约(2007)，504页;$119.95评级:推荐读者:神经病学，神经外科，ISBN: 9780865779761

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.07.048

James I. Ausman MD, PhD ((Editor))

引用次数: 0

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.07.005

Jamie S. Ullman MD

引用次数: 0

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.05.005

Howard Morgan MD, MA, MS, FACS

引用次数: 0

Intramedullary spinal cysticercosis cured with medical therapy: case report and review of literature 药物治疗髓内脊髓囊虫病1例报告及文献复习

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.06.011

Sarbjit Singh Chhiber MCh , Bikram Singh MD , Payal Bansal MD , Kamal Kumar Pandita MD , Susheel Razdan DM , Jangbahudar Singh MD

引用次数: 33

Alternative option in the treatment of very small ruptured intracranial aneurysms 治疗极小破裂颅内动脉瘤的另一种选择

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.wneu.2009.09.003

Ming-Shiang Yang MD , Ho-Fai Wong MD , Tzu-Hsien Yang MD , Yao-Liang Chen MD , Si-Wa Chan MD , Huey-Jen Lee MD , Yung Wei Tung MD , Chung-Wei Tu MD , Tai-Yi Chen MD

{"title":"Alternative option in the treatment of very small ruptured intracranial aneurysms","authors":"Ming-Shiang Yang MD , Ho-Fai Wong MD , Tzu-Hsien Yang MD , Yao-Liang Chen MD , Si-Wa Chan MD , Huey-Jen Lee MD , Yung Wei Tung MD , Chung-Wei Tu MD , Tai-Yi Chen MD","doi":"10.1016/j.wneu.2009.09.003","DOIUrl":"10.1016/j.wneu.2009.09.003","url":null,"abstract":"<div><h3>Background</h3><p>To evaluate the safety and protective effect of relative undersized coil with loose coil core in the clinical dilemma condition—very small (43.0 mm) ruptured intracranial aneurysm.</p></div><div><h3>Methods</h3><p>We studied 12 patients (4 men, 8 women) who had suffered from acute ruptured small intracranial aneurysms (2-3 mm in size, with SAH presentation). All subjects underwent a single coil embolization procedure. An undersized coil (equivalent to the neck size or 0.5 mm smaller than the aneurysm diameter) was chosen as the embolizer.</p><p>Based on the postembolization angiogram, subjects were divided into 2 groups. One was labeled as the initial complete obliteration group (NR) and the other as the incomplete obliteration group (SR). Fisher exact test and the Wilcoxon rank sum test were used to for statistical analysis.</p></div><div><h3>Results</h3><p>The technical success rate was 100% without any procedure-related complication. The follow-up interval ranged from 6 to 32 months. No episode of rebleeding or coil migration could be defined in the admissive and following period. Loose coil core were seen in all patients. The total recurrent rate was 8.3% (1/12); only one patient suffered from recurrent lesion in SR group.</p></div><div><h3>Conclusion</h3><p>The preliminary result showed that under-sized coil packing with loose coil core could provide the protective effect and prevent from further rebleeding for very small ruptured aneurysms. It should be considered as an alternative option in the treatment of acute ruptured very small aneurysms when other conventional strategies are not feasible.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 ","pages":"Pages S41-S46"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.wneu.2009.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28534048","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: 14

Extracranial-intracranial bypass surgery at high magnification using a new high-resolution operating microscope: technical note 使用新型高分辨率手术显微镜进行高倍率的颅外-颅内搭桥手术:技术说明

Surgical Neurology Pub Date : 2009-12-01 DOI: 10.1016/j.surneu.2009.01.030

Nobuhisa Matsumura MD, Takashi Shibata MD, Kimiko Umemura MD, Seiya Nagao MD, Yukio Horie MD

{"title":"Extracranial-intracranial bypass surgery at high magnification using a new high-resolution operating microscope: technical note","authors":"Nobuhisa Matsumura MD, Takashi Shibata MD, Kimiko Umemura MD, Seiya Nagao MD, Yukio Horie MD","doi":"10.1016/j.surneu.2009.01.030","DOIUrl":"10.1016/j.surneu.2009.01.030","url":null,"abstract":"<div><h3>Background</h3><p>We report a precise technique for EC-IC bypass surgery using a stereoscopic high-resolution microscope at magnifications of 40× and 50×.</p></div><div><h3>Methods</h3><p>A stereoscopic operating microscope (Mitaka MM50 Surgical Microscope; Mitaka Kohoki Co, Tokyo, Japan) was used in STA-MCA anastomosis. This microscope has 2 optical systems, a standard zooming system, a newly developed high-magnification system, and 4 fixed working distances of 200, 250, 300 and 350 mm, with highest magnifications of 50.4× at 200 mm and 40.3× at 250 mm. High resolution is achieved by a new lens design in the optical system, which makes the image of the object very clear at high magnification. The magnification can be changed depending on the circumstances in a given procedure. The STA-MCA anastomoses were performed using this microscope.</p></div><div><h3>Results</h3><p>Very small vessels were observable, and arterial anastomosis could be performed precisely at high magnification. All anastomoses were patent on postoperative angiograms.</p></div><div><h3>Conclusions</h3><p>Use of the new microscope allows visualization and manipulation of small vessels at high magnification and high resolution and may be very useful in EC-IC bypass surgery.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 690-694"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.01.030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28438283","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