Central European Neurosurgery最新文献_第6页

Position dependent changes of the cerebral venous drainage--implications for the imaging of the cervical spine. 脑静脉引流的位置依赖性改变——对颈椎影像学的影响。

Central European Neurosurgery Pub Date : 2011-02-01 Epub Date: 2010-06-15 DOI: 10.1055/s-0030-1253348

P Niggemann, J Kuchta, D Grosskurth, H-K Beyer, T Krings, M Reinges

{"title":"Position dependent changes of the cerebral venous drainage--implications for the imaging of the cervical spine.","authors":"P Niggemann, J Kuchta, D Grosskurth, H-K Beyer, T Krings, M Reinges","doi":"10.1055/s-0030-1253348","DOIUrl":"https://doi.org/10.1055/s-0030-1253348","url":null,"abstract":"Purpose: This study demonstrates the physiological changes of the cerebral venous outflow routes in healthy humans in the recumbent and the sitting position employing positional MRI.Methods: In five volunteers, the internal jugular veins and the cervical vertebral plexus were analyzed in the supine and sitting position using an open MR system. Axial T2-weighted scans and axial T1-weighted flow sensitive gradient echo sequences were acquired. The findings were compared to previously published anatomic descriptions from cadaver preparations.Results: In the supine position, the internal jugular vein is the main route for the cerebral venous outflow. The mean area was 100 mm (2) (±29 mm (2)) for both sides together. In the sitting position, the jugular vein collapses (mean area: 11 mm (2)±2 mm (2)) and the vertebral venous plexus becomes more prominent.Conclusion: The position dependent changes in cerebral venous outflow can be imaged using positional MRI. The vertebral venous plexuses may mimic pathologies and physicians reading positional MRI images of the cervical spine should be aware of the physiological changes occurring in the erect position.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1253348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29058651","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

Posterior approach for sacrococcygeal posterior meningocele with anterior large mature cystic teratoma. 骶尾骨后脑膜膨出伴前大成熟囊性畸胎瘤的后路入路治疗。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-05-12 DOI: 10.1055/s-0029-1243194

M Kaplan, B Akgun, A Kazez, N Ucler, B Cobanoglu

{"title":"Posterior approach for sacrococcygeal posterior meningocele with anterior large mature cystic teratoma.","authors":"M Kaplan, B Akgun, A Kazez, N Ucler, B Cobanoglu","doi":"10.1055/s-0029-1243194","DOIUrl":"https://doi.org/10.1055/s-0029-1243194","url":null,"abstract":"Kaplan M et al. Posterior Approach for Sacrococcygeal Posterior Meningocele ... Cen Eur Neurosurg 2010; 71: 221 – 223 Posterior Approach for Sacrococcygeal Posterior Meningocele with Anterior Large Mature Cystic Teratoma masses from the sacrococcygeal region revealed the posteriorly located mass to be a meningocele, while the anteriorly located mass was a mature cystic teratoma ( ● ▶ Figs. 5, 6 ). The patient ’ s preand postoperative motor examinations were normal. Because of the large presacral pelvic mass, a preoperative urodynamic evaluation could not be performed. However, results of an urodynamic examination performed three months Introduction & Sacrococcygeal teratoma is one of the most common tumors occurring in newborns and is sometimes associated with abnormalities of the nervous, cardiac, urogenital or musculoskeletal system [2, 7] . However, an association of teratoma and neural tube defects is very rare [3, 4] . Here we present a neonatal case of teratoma which extended anteriorly to the abdominopelvic organs. The teratoma was accompanied by a posterior meningocele in the sacrococcygeal region. On radiological investigation the teratoma appeared to be an anterior meningocele. This type of association has not been reported previously. In addition, we describe our surgical techniques using only a posterior approach.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1243194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28983519","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: 2

Meningiomas involving the sphenoid wing outcome after microsurgical treatment--a clinical review of 73 cases. 涉及蝶翼的脑膜瘤显微外科治疗后的预后——73例临床回顾。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-08-24 DOI: 10.1055/s-0030-1261945

S Honig, C Trantakis, B Frerich, I Sterker, R-D Kortmann, J Meixensberger

引用次数: 38

A rare case of occipital neuralgia secondary to ball bullet gunshot wound. 球子弹伤继发枕骨神经痛一例。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-03-08 DOI: 10.1055/s-0030-1247563

M Kutlay, B Cemil, S Kaya, K Topuz, M N Demircan

{"title":"A rare case of occipital neuralgia secondary to ball bullet gunshot wound.","authors":"M Kutlay, B Cemil, S Kaya, K Topuz, M N Demircan","doi":"10.1055/s-0030-1247563","DOIUrl":"https://doi.org/10.1055/s-0030-1247563","url":null,"abstract":"Kutlay M et al. A Rare Case of Occipital Neuralgia ... Cen Eur Neurosurg 2010; 71: 224 – 226 Introduction ▼ Occipital neuralgia (ON) is a rare cause of headache characterized by severe episodes of lancinating pain within the distribution of the greater and lesser occipital nerves [17] . This paroxysmal jabbing pain may be associated with aching in the greater or lesser occipital nerve distributions between paroxysms. Often there is tenderness over the nerve and sometimes there can be diminished sensation or dysesthesia in the distribution of the nerve [12] . Although specifi c causes such as whiplash injury, prior skull base surgery, rheumatoid arthritis, nerve entrapment by hypertrophied atlantoaxial ligaments, compression of the greater occipital nerve by an anomalous ectatic vertebral artery, and degenerative C1-C2 arthrosis are reported, the majority of cases are idiopathic [8, 11] . A wide variety of treatments have been tried, including cervical collars, transcutaneous nerve stimulation [15] , analgesics and antimigraine drugs [9, 18] , occipital nerve block with or without glucocorticoid injection, chemical or radio-frequency occipital nerve ablation [19] , atlantoaxial arthrodesis, and dorsal cervical rhizotomy [16] , all with variable degrees of success. We describe a unique case who presented with occipital neuralgia after being shot by a ball bullet (BB) which was accidentally fi red from a BB gun close to the face.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1247563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28762667","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: 2

Risk management in the treatment of malignant gliomas with BCNU wafer implants. BCNU晶圆植入治疗恶性胶质瘤的风险管理。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-01-08 DOI: 10.1055/s-0029-1242775

A Giese, H C Bock, S R Kantelhardt, V Rohde

引用次数: 33

Magnetic resonance imaging of rare intracranial neoplasms--role of the in vivo 1 h spectroscopy in the radiological differential diagnostics. 罕见颅内肿瘤的磁共振成像——体内1h光谱在放射学鉴别诊断中的作用。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-11-16 DOI: 10.1055/s-0030-1261947

J Fortuniak, D J Jaskólski, L Stefańczyk, M Zawirski, W Gajewicz

{"title":"Magnetic resonance imaging of rare intracranial neoplasms--role of the in vivo 1 h spectroscopy in the radiological differential diagnostics.","authors":"J Fortuniak, D J Jaskólski, L Stefańczyk, M Zawirski, W Gajewicz","doi":"10.1055/s-0030-1261947","DOIUrl":"https://doi.org/10.1055/s-0030-1261947","url":null,"abstract":"Background: The object of this study was to evaluate the usefulness of magnetic resonance (MR) spectroscopy in differentiating rare intracranial tumours in adult patients. Review of the literature on results of MR spectroscopy in these lesions is also included.Material and method: 89 patients with brain tumours were evaluated preoperatively with in vivo 1.5 T MR spectroscopy (according to eTumour study requirements). 8 of them were diagnosed as having very rare neoplasms: haemangiopericytoma (2), lymphoma (2), plexus papilloma (2), chondroma (1) and purkinjoma (1). Spectra of these tumours were compared to spectra of common brain tumours that could resemble these lesions.Results: MR spectroscopy enabled discrimination between meningiomas and haemangiopericytomas, meningiomas and lymphomas, and purkinjomas or chondromas and other brain tumours. The method was unreliable in distinguishing between glioblastomas and lymphomas.Conclusion: The small number of patients made statistical analysis impossible. However, at present, it seems that neuroradiological diagnosis should not rely on MR spectroscopy alone.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1261947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29473767","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

Surgical removal of spinal mass lesions with open door laminoplasty. 开窗椎板成形术切除脊柱肿块病变。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-05-10 DOI: 10.1055/s-0030-1249044

A C Iplikcioglu, M A Hatiboglu, E Ozek, C Dinc, M Erdal

{"title":"Surgical removal of spinal mass lesions with open door laminoplasty.","authors":"A C Iplikcioglu, M A Hatiboglu, E Ozek, C Dinc, M Erdal","doi":"10.1055/s-0030-1249044","DOIUrl":"https://doi.org/10.1055/s-0030-1249044","url":null,"abstract":"Objective: The open door laminoplasty technique has been previously used to treat cervical spondylotic myelopathy. We adapted this technique for the removal of spinal tumors all along the spinal axis.Methods: Between January 2002 and January 2003, 17 patients with various intraspinal lesions underwent open door laminoplasty. The thoracal level was involved in 10 cases, the cervical level in 3 patients and the lumbar level in 4. Location of the tumor was intradural-intramedullary in 7, intradural-extramedullary in 6 and extradural in 4 patients. The histological diagnoses were 4 astrocytomas, 2 meningiomas, 3 neurinomas, 2 ependymomas and one case each with Ewing's sarcoma, metastasis, abcess, hemangioblastoma, arachnoid cyst and lipoma.Results: All lesions were exposed using the open door laminoplasty technique and were successfully removed for intraspinal mass lesions. An average of 3.7 level laminoplasty was performed. Neither spinal malalignment on the coronal plane nor displacement of bone flap (laminoplasty flap) were observed on postoperative CT and MR examinations. No complications due to laminoplasty were encountered. The mean follow-up was 30 months (range 22-48 months).Conclusion: Open door laminoplasty is a simple procedure and has two main advantages over the classical laminectomy procedure; a lower incidence of spinal deformities with or without neurological deficits and an absence of epidural scar tissue. This procedure can be used in all spinal cases with intraspinal mass lesions.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1249044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28978669","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

Posterior fossa extradural haematomas. 后窝硬膜外血肿。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-04-26 DOI: 10.1055/s-0030-1249046

V Balik, H Lehto, D Hoza, I Sulla, J Hernesniemi

{"title":"Posterior fossa extradural haematomas.","authors":"V Balik, H Lehto, D Hoza, I Sulla, J Hernesniemi","doi":"10.1055/s-0030-1249046","DOIUrl":"https://doi.org/10.1055/s-0030-1249046","url":null,"abstract":"Background: Posttraumatic epidural haematoma (EDH) of the temporal region is the most common site of supratentorial extradural bleeding; other locations are considered atypical. We reviewed 24 patients with EDH located in the posterior cranial fossa (PFEDH) treated at two neurosurgical centres between January 2000 and November 2006.Material and methods: In the retrospective study we analysed gender and age distribution, type of injury, clinical presentation, Glasgow Coma Scale (GCS) score on admission, radiological images, interval between trauma and surgery, and outcome.Results: 24 patients with PFEDH constituted 11.5% of 209 surgically treated individuals with EDH. The best outcomes were obtained by patients with GCS scores of 15-14 on admission. Patients in the fourth to seventh decade of life had less favourable outcomes than younger ones. More than half of the patients with PFEDH had associated intradural lesions. Only patients with concomitant brain contusion had a more favourable recovery. The 3 worst levels on the Glasgow Outcome Scale (GOS) were observed in patients suffering from subdural or intracerebral haematoma, or both, associated with the PFEDHs. The majority of patients with concurrent lesions and supratentorial extension of the haemorrhage were in the subgroup undergoing craniotomy between 24 and 72 h after injury. Patients treated in this time interval also had the most unfavourable outcomes. A classical lucid interval was observed only in one patient. The mortality rate in the series was 4.2%.Conclusion: The most significant factors influencing outcome in our patients were GCS on admission, age, and associated intradural lesions.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1249046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28946750","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: 30

Elevated premorbid body mass index is not associated with poor neurological outcome in the subacute state after aneurysmal subarachnoid hemorrhage. 动脉瘤性蛛网膜下腔出血后亚急性状态下，病前体重指数升高与神经预后不良无关。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2010-04-06 DOI: 10.1055/s-0030-1249043

S M Kagerbauer, D M Kemptner, C P Schepp, S Bele, R-D Rothörl, A T Brawanski, K-M Schebesch

{"title":"Elevated premorbid body mass index is not associated with poor neurological outcome in the subacute state after aneurysmal subarachnoid hemorrhage.","authors":"S M Kagerbauer, D M Kemptner, C P Schepp, S Bele, R-D Rothörl, A T Brawanski, K-M Schebesch","doi":"10.1055/s-0030-1249043","DOIUrl":"https://doi.org/10.1055/s-0030-1249043","url":null,"abstract":"Background: An elevated body mass index (BMI) is suggested to be a risk factor for a poor outcome after intracranial aneurysm rupture and is considered to be associated with cerebral infarction in patients with aneurysmal subarachnoid hemorrhage (SAH). The aim of this study was to analyze the association between permorbid BMI and neurological outcome.Methods: In this retrospective study, the patients' BMI at the time of their admission to hospital was correlated to their neurological outcome as measured by the Glasgow outcome score after two weeks and two months of treatment.Results: In contrast to other studies, there were no significant correlations between premorbid BMI and neurological outcome, shunt requirement, tracheotomy requirement and duration of stay on the intensive care unit (ICU).Conclusions: Overweight patients have no higher risk of a poor neurological outcome after aneurysmal SAH if premorbid risk factors such as hypertension and hyperglycemia are carefully modified throughout the period of critical care.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1249043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28908176","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: 21

Lumbar arachnoiditis and thecaloscopy: brief review and proposed treatment algorithm. 腰椎蛛网膜炎和输卵管镜检查:简要回顾和建议的治疗方法。

Central European Neurosurgery Pub Date : 2010-11-01 Epub Date: 2009-12-21 DOI: 10.1055/s-0029-1243201

A Di Ieva, G Barolat, M Tschabitscher, E Rognone, E Aimar, P Gaetani, F Tancioni, M Lorenzetti, F M Crotti, R Rodriguez Baena, J P Warnke

{"title":"Lumbar arachnoiditis and thecaloscopy: brief review and proposed treatment algorithm.","authors":"A Di Ieva, G Barolat, M Tschabitscher, E Rognone, E Aimar, P Gaetani, F Tancioni, M Lorenzetti, F M Crotti, R Rodriguez Baena, J P Warnke","doi":"10.1055/s-0029-1243201","DOIUrl":"https://doi.org/10.1055/s-0029-1243201","url":null,"abstract":"The term arachnoiditis describes the inflammation of the meninges and subarachnoid spaces. Lumbar arachnoiditis is characterized by obliterated nerve root sleeves and the adherence of nerve roots to each other in the proximity of the cauda equina, and may be secondary to infectious diseases or tumors, iatrogenic (subsequent to spinal surgery) or idiopathic. It is not very clearly defined epidemiologically or clinically, and various theories regarding its pathophysiology have been proposed; furthermore, its treatment is difficult because there is a lack of evidence-based diagnostic and therapeutic gold standards. Thecaloscopy has been recently described as a novel technique for retrograde transcutaneous neuroendoscopic inspection of the subarachnoid structures of the lumbar thecal sac; it has also been suggested for the treatment of lumbar arachnoiditis. We here review the most modern techniques for the treatment of this disease such as thecaloscopy and neurostimulation.","PeriodicalId":51241,"journal":{"name":"Central European Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0029-1243201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28608175","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: 21