Surgical Neurology最新文献_第9页

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-15 DOI: 10.1016/j.surneu.2009.03.013

Mahmood F. Mafee MD, MPhil, MSc

引用次数: 0

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-10-13 DOI: 10.1016/j.surneu.2009.04.014

Joseph C. Maroon MD

引用次数: 0

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-12-16 DOI: 10.1016/j.surneu.2009.06.019

Moises Gaviria MD

引用次数: 0

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 Epub Date: 2009-11-26 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

A note of respect 尊敬的字条

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-12-16 DOI: 10.1016/j.wneu.2009.09.011

James I. Ausman MD, PhD (Editor)

引用次数: 0

Commentary 评论

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-03-28 DOI: 10.1016/j.surneu.2009.02.018

Frank Van Calenbergh MD

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 Epub Date: 2009-10-08 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

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 Epub Date: 2009-10-13 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

Factors affecting the outcome after treatment for metastatic melanoma to the brain 影响脑转移性黑色素瘤治疗后预后的因素

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-14 DOI: 10.1016/j.surneu.2009.03.005

Christopher J. Carrubba BS, Todd W. Vitaz MD

{"title":"Factors affecting the outcome after treatment for metastatic melanoma to the brain","authors":"Christopher J. Carrubba BS, Todd W. Vitaz MD","doi":"10.1016/j.surneu.2009.03.005","DOIUrl":"10.1016/j.surneu.2009.03.005","url":null,"abstract":"<div><h3>Background</h3><p>Because of the difficulties inherent to the treatment of metastatic melanoma to the brain including high rates of disease progression and local treatment failure, we attempted to determine the prognostic factors that impacted the outcome of these patients, and reviewed patient outcome based on primary treatment with either surgical resection or SRS.</p></div><div><h3>Methods</h3><p>A retrospective review identified 37 patients treated for metastatic melanoma between July 2002 and April 2007. Information was obtained documenting systemic disease, preoperative symptoms, tumor size and location, disease recurrence, primary and secondary treatments, and survival time.</p></div><div><h3>Results</h3><p>Two patients were alive as of March 2008. The median survival time for patients primarily treated with surgical resection was 9.7 months compared to 7.9 months for patients initially treated with SRS. Solitary brain metastases and the absence of both preoperative hemorrhage and lung metastases served as prognostic factors increasing survival in both groups. Four patients undergoing primary treatment with SRS required subsequent surgical intervention secondary to radiation necrosis (3 patients) or local recurrence (1 patient). All 4 had lesions greater than 1.5 cm. For surgical patients, planned postoperative treatment with either radiosurgery or radiation therapy increased survival time to 12.3 months vs 7.3 months.</p></div><div><h3>Conclusions</h3><p>Patients with positive prognostic factors including solitary brain lesions, absence of hemorrhage preoperatively, and absence of lung disease are viable candidates for aggressive, surgical intervention followed by adjuvant therapy with radiosurgery or conventional radiation therapy. Other patients should be considered for more conservative treatment with radiosurgery or other palliative treatments.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 707-711"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309242","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: 8

Psychiatric symptom changes after corticoamygdalohippocampectomy in patients with medial temporal lobe epilepsy through Symptom Checklist 90 Revised 用症状检查表90修订后内侧颞叶癫痫患者皮质杏仁核海马切除术后精神症状的改变

Surgical Neurology Pub Date : 2009-12-01 Epub Date: 2009-07-15 DOI: 10.1016/j.surneu.2009.02.004

Zhang Guangming MD , Zhou Wenjing MD , Chen Guoqiang MD , Zhu Yan MD , Zhang Fuquan MD , Zuo Huancong MD

{"title":"Psychiatric symptom changes after corticoamygdalohippocampectomy in patients with medial temporal lobe epilepsy through Symptom Checklist 90 Revised","authors":"Zhang Guangming MD , Zhou Wenjing MD , Chen Guoqiang MD , Zhu Yan MD , Zhang Fuquan MD , Zuo Huancong MD","doi":"10.1016/j.surneu.2009.02.004","DOIUrl":"10.1016/j.surneu.2009.02.004","url":null,"abstract":"<div><h3>Background</h3><p>Corticoamygdalohippocampectomy (anterior temporal lobe resection plus amygdalohippocampectomy) is common in epilepsy surgery. Pre- and postoperative psychiatric disorders occurred sometimes in patients with refractory medial TLE. We want to know if CAH has an affirmative effect on the psychiatric symptom of patients with medial TLE through a quantitative method.</p></div><div><h3>Methods</h3><p>Sixty-two patients with medial TLE who had CAH accomplished SCL-90-R questionnaires thrice (presurgical and postsurgical 1 and 2 years). Average GSI scores in SCL-90-R were calculated and statistically analyzed.</p></div><div><h3>Results</h3><p>There was no statistical difference in the presurgical average GSI scores between Engel I and Engel II to IV subgroup. Postoperative 1 and 2 years' average GSI scores of Engel II to IV subgroup were both statistically higher than those of Engel I subgroup. There were no statistical differences between other subgroups in different time. Postsurgical 1 and 2 years' average GSI scores of the whole group and Engel I subgroup were statistically lower than those of presurgery. Postoperative 2 years' average GSI scores of the whole group and Engel I subgroup were statistically lower than those of postsurgical 1 year. For Engel II to IV subgroup, there were no statistical differences among the average GSI scores in different time.</p></div><div><h3>Conclusion</h3><p>Corticoamygdalohippocampectomy could improve the psychiatric symptoms of patients with TLE as assessed by the SCL-90-R. This improvement was related to the therapeutic effect and was not related to sex, lateralization, and MRI abnormality.</p></div>","PeriodicalId":22153,"journal":{"name":"Surgical Neurology","volume":"72 6","pages":"Pages 587-591"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.surneu.2009.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28309974","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