Seminars in Neurosurgery最新文献

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Contemporary Management of Pituitary Adenomas 当代垂体腺瘤的处理
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2000-9367
C. Heilman, J. Borden, R. Bhadelia
{"title":"Contemporary Management of Pituitary Adenomas","authors":"C. Heilman, J. Borden, R. Bhadelia","doi":"10.1055/s-2000-9367","DOIUrl":"https://doi.org/10.1055/s-2000-9367","url":null,"abstract":"This article reviews several recent advances in the management of pituitary adenomas. The development of dynamic contrast enhanced MRI scanning has enabled the detection of extremely small microadenomas. Wider recognition of the Hook effect has decreased the likelihood of misdiagnosing a prolactin secreting tumor. New therapeutic agents are available for the medical management of hormone secreting adenomas. Endoscopic endonasal pituitary surgery has increasingly been used to decrease the nasal discomfort associated with transseptal surgery. Endoscopic pituitary surgery is reviewed in this article. Finally, the role of radiosurgery in the treatment of pituitary adenomas is presented.","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114159166","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: 0
Clinical Trials for Traumatic Brain Injury: The Road Traveled and Development of New Pathways 创伤性脑损伤的临床试验:走过的道路和新途径的发展
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2003-42769
P. Matz
{"title":"Clinical Trials for Traumatic Brain Injury: The Road Traveled and Development of New Pathways","authors":"P. Matz","doi":"10.1055/s-2003-42769","DOIUrl":"https://doi.org/10.1055/s-2003-42769","url":null,"abstract":".","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124983483","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: 0
Management of Acute Traumatic Brain Injury in the Community Setting 社区环境下急性创伤性脑损伤的处理
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2003-42764
E. Eichbaum
{"title":"Management of Acute Traumatic Brain Injury in the Community Setting","authors":"E. Eichbaum","doi":"10.1055/s-2003-42764","DOIUrl":"https://doi.org/10.1055/s-2003-42764","url":null,"abstract":"Traumatic brain injury (TBI) may be managed clinically in the university or community setting. Traditional reviews regarding clinical management of TBI are often presented from a university viewpoint with the role of neurosurgery and surgery residents and attending staff well defined in the setting of a large, regional hospital. In contrast, community trauma centers are usually smaller and lack neurosurgery and surgical resident staff. In the community, an emergency department physician and/or a trauma surgeon first assesses acute trauma injury. Neurosurgery, orthopedic surgery, and critical care physicians are all utilized on a consultation basis. The overall general guidelines for clinical management of TBI are similar to those used in a university setting. However, the pathways to the end result differ, and this article details these pathways.","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116676037","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: 0
Inflammatory Conditions of the Craniocervical Junction 颅颈交界处的炎症状况
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2002-35810
S. Tuli, Eric J. Woodard
{"title":"Inflammatory Conditions of the Craniocervical Junction","authors":"S. Tuli, Eric J. Woodard","doi":"10.1055/s-2002-35810","DOIUrl":"https://doi.org/10.1055/s-2002-35810","url":null,"abstract":"Inflammatory conditions at the craniocervical junction (CCJ) consist mainly of rheumatic diseases and spondyloarthropathies, with rheumatoid arthritis (RA) representing the predominant example of the former condition. Secondary atlantoaxial subluxation (AAS) is noted in up to 70% of cases of RA, yet neurologic manifestations are not common. Atlantoaxial impaction (AAI) however, a less frequent entity, is associated with potentially grave deficits. All of the seronegative spondyloarthropathies may also have abnormalities at the CCJ. Erosive","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132748338","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: 0
CURRENT ROLE OF ANTERIOR LUMBAR INTERBODY FUSION IN LUMBAR SPINE DISORDERS 腰椎前路椎体间融合术在腰椎疾病中的作用
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2000-13230
Mark McLaughlin1, Regis Haid2, Gerald Rodts2, Jay Miller2
{"title":"CURRENT ROLE OF ANTERIOR LUMBAR INTERBODY FUSION IN LUMBAR SPINE DISORDERS","authors":"Mark McLaughlin1, Regis Haid2, Gerald Rodts2, Jay Miller2","doi":"10.1055/s-2000-13230","DOIUrl":"https://doi.org/10.1055/s-2000-13230","url":null,"abstract":"The number of patients with degenerative disease of the lumbar spine being treated with interbody fusion has increased dramatically over that last decade. A posterior exposure has been the primary approach of choice for neurosurgeons in the past, but, with the introduction of minimally invasive surgery, anterior techniques have become more popular. Although there are risks associated with the anterior technique, the advantages of this method over posterior lumbar interbody fusion are considerable. This article reviews the “mini” open anterior lumbar interbody fusion and emphasizes important lessons we have learned through our experience with our last sixty cases","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123716795","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: 6
Myelomeningocele and Tethered Cord: Caring for an Aging Population 脊髓脊膜膨出和脊髓栓系:老龄人口的护理
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2002-35248
L. Moores, Jonathan E. Martin
{"title":"Myelomeningocele and Tethered Cord: Caring for an Aging Population","authors":"L. Moores, Jonathan E. Martin","doi":"10.1055/s-2002-35248","DOIUrl":"https://doi.org/10.1055/s-2002-35248","url":null,"abstract":"Neurosurgeons outside pediatric centers are sometimes called upon to treat patients with spinal dysraphism. Children with spinal dysraphism are living longer. Upon entering adulthood they often become ineligible for care in pediatric facilities having a robust resource base focused on management of this complex multiorgan-system disease. Additionally, a percentage of patients will present in adulthood with spinal cord tethering of various etiologies. There is very limited data to recommend that adults should be followed in a multidisciplinary spina bifida clinic. There is even less data to suggest whether this care should be provided in the adult or the pediatric setting. We will discuss the pediatric model and its implications relevant to adults with spinal dysraphism. We feel that adults with complex spinal dysraphism should be followed in a multidisciplinary spina bifida clinic.","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114066779","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: 0
The Classification of Pituitary Tumors: An Update 垂体肿瘤的分类:最新进展
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2001-33618
Sylvia Asa1,3,5, Shereen Ezzat2,4,5
{"title":"The Classification of Pituitary Tumors: An Update","authors":"Sylvia Asa1,3,5, Shereen Ezzat2,4,5","doi":"10.1055/s-2001-33618","DOIUrl":"https://doi.org/10.1055/s-2001-33618","url":null,"abstract":"The classification of pituitary tumors includes the large group of common pituitary adenomas, the rare pituitary carcinoma, craniopharyngiomas, and various other primary and secondary neoplasms that arise in the region of the sella turcica. In addition, there is a group of tumorlike lesions that can mimic pituitary tumors, including cysts, inflammatory conditions, and hyperplasias. The understanding of pituitary adenoma cyto-differentiation has been greatly enhanced by the identification of transcription factors that regulate cell differentiation in this gland; these factors provide novel tools for tumor classification and diagnosis. The pathologist plays an important role in identifying the morphologic features of pituitary lesions to ensure appropriate classification and clinico-pathological correlations that will determine patient management.","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123885684","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: 1
C2 Trauma C2创伤
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2002-35814
R. Austin, J. Alexander
{"title":"C2 Trauma","authors":"R. Austin, J. Alexander","doi":"10.1055/s-2002-35814","DOIUrl":"https://doi.org/10.1055/s-2002-35814","url":null,"abstract":"Traumatic fractures of the axis account for 17 to 25% of cervical fractures. A comprehensive review of contemporary literature was undertaken with emphasis on traumatic C2 fracture categorization, causative biomechanical mechanisms, and current treat-ment options. Initial clinical and radiographic algorithms are discussed with reference to recently available guidelines. Anomalous anatomy is discussed as well as the special considerations given to both pediatric and elderly patients with C2 injuries.","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125382814","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: 0
Principles of Nerve Regeneration and Surgical Repair 神经再生与外科修复原理
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/S-2001-13001
R. Midha, M. Mackay
{"title":"Principles of Nerve Regeneration and Surgical Repair","authors":"R. Midha, M. Mackay","doi":"10.1055/S-2001-13001","DOIUrl":"https://doi.org/10.1055/S-2001-13001","url":null,"abstract":"","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115952155","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: 6
Carotid Dissection: A Clinical Review 颈动脉夹层:临床回顾
Seminars in Neurosurgery Pub Date : 1900-01-01 DOI: 10.1055/s-2002-39820
Jonathan Martin, R. Armonda
{"title":"Carotid Dissection: A Clinical Review","authors":"Jonathan Martin, R. Armonda","doi":"10.1055/s-2002-39820","DOIUrl":"https://doi.org/10.1055/s-2002-39820","url":null,"abstract":"Carotid artery dissection (CD) is an unusual pathological entity capable of producing devastating neurological deficits in affected patients. Symptoms include one or more of the clinical triad of headaches, oculosympathetic dysfunction, and retinal or cerebral ischemia. Cerebral angiography remains the gold standard for the diagnosis of carotid dissection. However, magnetic resonance angiography (MRA) and computed tomographic angiography (CTA) are emerging as both sensitive and specific modalities for the diagnosis of carotid artery disease. Management of CD remains controversial; the efficacy of anticoagulation, the current standard of care for initial management of CD, has not been demonstrated in a clinical trial. The authors review management options to include anticoagulation, antiplatelet agents, endovascular stenting, and surgical management of carotid dissection.","PeriodicalId":287382,"journal":{"name":"Seminars in Neurosurgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122825158","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: 0
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