Neurochirurgia最新文献

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[Prevention of thromboembolism complications with low molecular weight heparin in microneurosurgical lumbar intervertebral disk operations]. [微神经外科腰椎间盘手术中低分子肝素预防血栓栓塞并发症]。
Neurochirurgia Pub Date : 1992-01-01 DOI: 10.1055/s-2008-1052235
F J Prestar
{"title":"[Prevention of thromboembolism complications with low molecular weight heparin in microneurosurgical lumbar intervertebral disk operations].","authors":"F J Prestar","doi":"10.1055/s-2008-1052235","DOIUrl":"https://doi.org/10.1055/s-2008-1052235","url":null,"abstract":"<p><p>In a prospective randomized study the effect of low-molecular-weight heparin (one injection of 1500 a PPT-Units/d Mono-Embolex NM) was compared with the effect of unfractionated heparin (5000 IU t.i.d.) in 200 patients undergoing micro-neurosurgical lumbar disc operations. Criteria of evaluation were lethal pulmonary embolisms, clinical signs of pulmonary embolisms, confirmed by radioisotopic lung scans, and major bleeding complications. The present investigation demonstrates, that a single daily subcutaneous injection of Mono-Embolex NM is an effective and well tolerated measure against thrombo-embolic complications, at least equal to the established low dose heparin prophylaxis with 5000 IU t.i.d.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12489541","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: 12
Acute operation on arteriovenous malformation with hematomas--report on six cases. 动静脉畸形伴血肿的急性手术治疗6例报告。
Neurochirurgia Pub Date : 1992-01-01 DOI: 10.1055/s-2008-1052241
W I Steudel, R Lorenz, J Berkefeld
{"title":"Acute operation on arteriovenous malformation with hematomas--report on six cases.","authors":"W I Steudel,&nbsp;R Lorenz,&nbsp;J Berkefeld","doi":"10.1055/s-2008-1052241","DOIUrl":"https://doi.org/10.1055/s-2008-1052241","url":null,"abstract":"<p><p>Six cases with arteriovenous malformations (AVM) and intracerebral hematomas causing coma and tentorial herniation are presented. All patients were operated on acutely: The hematoma and malformation were removed. All patients survived. The acute operation on AVM with hematomas even in comatose patients with tentorial herniation is useful and possibly contributes to reduction of the total mortality.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052241","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737895","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
Bifrontal oligodendroglioma with bilateral symmetrical posterior communicating artery aneurysms. 双额少突胶质细胞瘤伴双侧对称后交通动脉动脉瘤。
Neurochirurgia Pub Date : 1992-01-01 DOI: 10.1055/s-2008-1052240
S N Mathuriya, V K Khosla, A K Banerjee, V K Kak
{"title":"Bifrontal oligodendroglioma with bilateral symmetrical posterior communicating artery aneurysms.","authors":"S N Mathuriya,&nbsp;V K Khosla,&nbsp;A K Banerjee,&nbsp;V K Kak","doi":"10.1055/s-2008-1052240","DOIUrl":"https://doi.org/10.1055/s-2008-1052240","url":null,"abstract":"<p><p>A case of bifrontal oligodendroglioma with bilateral posterior communicating artery aneurysms, one symptomatic and the other incidental, is presented. This is the first instance of such a combination. Clipping of the aneurysm, along with partial tumour excision, was performed at the same sitting, successfully. Literature on this association is reviewed and the pathogenesis is discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737894","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: 5
Supratentorial epidermoid cysts. 幕上表皮样囊肿。
Neurochirurgia Pub Date : 1992-01-01 DOI: 10.1055/s-2008-1052238
P Lunardi, P Missori, F M Gagliardi, A Fortuna
{"title":"Supratentorial epidermoid cysts.","authors":"P Lunardi,&nbsp;P Missori,&nbsp;F M Gagliardi,&nbsp;A Fortuna","doi":"10.1055/s-2008-1052238","DOIUrl":"https://doi.org/10.1055/s-2008-1052238","url":null,"abstract":"The clinical presentations. surgica! treat ment and prognosis of l 9 cases ofepidermoid cysts ofthe cerebellopontine angle are presented.","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"14-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737892","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
Hemispheric supratentorial low-grade astrocytoma. 半球幕上低度星形细胞瘤。
Neurochirurgia Pub Date : 1992-01-01 DOI: 10.1055/s-2008-1052239
E Reichenthal, Z Feldman, M L Cohen, D Loven, G Zucker
{"title":"Hemispheric supratentorial low-grade astrocytoma.","authors":"E Reichenthal,&nbsp;Z Feldman,&nbsp;M L Cohen,&nbsp;D Loven,&nbsp;G Zucker","doi":"10.1055/s-2008-1052239","DOIUrl":"https://doi.org/10.1055/s-2008-1052239","url":null,"abstract":"<p><p>The records of 57 patients who were operated on at the Beilinson Medical Center from 1970 through 1982 for supratentorial low-grade astrocytomas were reviewed. The management of these patients was correlated with survival. Our study demonstrates that a younger age at onset and a negative radionuclide uptake on isotope scan, were the most important factors associated with a better survival rate. Extensive tumor resection combined with radiation therapy also exercised a beneficial effect in prolonging survival.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737893","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
Cystic cerebellar schwannoma. 囊性小脑神经鞘瘤。
Neurochirurgia Pub Date : 1992-01-01 DOI: 10.1055/s-2008-1052242
N Ceviker, K Baykaner, A Turan, R Ergün, H Alp
{"title":"Cystic cerebellar schwannoma.","authors":"N Ceviker,&nbsp;K Baykaner,&nbsp;A Turan,&nbsp;R Ergün,&nbsp;H Alp","doi":"10.1055/s-2008-1052242","DOIUrl":"https://doi.org/10.1055/s-2008-1052242","url":null,"abstract":"Neurochi rurgia 35 (1992) 31-32 © Georg Thieme Verlag Stuttgart· New York A suboecipita l cra niotomy wlth Cl lamin ectomy was performed on Septembe r 1, 1983. A weil clrcumsc ribed cystic mass wlth neither infiltration to the adjacent tissues nor relation with cra nial nerves was observed . First. a yellow viscous fluid was aspirated from the cystic str uctures and then the tum oral mass was totaUy removed from the left cerebellar hemisph ere. Postoperative eourse was uneventful. A computerized tomographie sean , taken 4 years later, revealed no patholcgtca l sign and the patie nt did not have any neurological defieit.","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"31-2"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052242","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737896","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
Intraosseous neurilemmoma of skull--single case report. 颅骨骨内神经鞘瘤- 1例报告。
Neurochirurgia Pub Date : 1991-11-01 DOI: 10.1055/s-2008-1052085
J Schiffer, R Reif, E Lahat, A Bar-Iojai, R Starinski
{"title":"Intraosseous neurilemmoma of skull--single case report.","authors":"J Schiffer,&nbsp;R Reif,&nbsp;E Lahat,&nbsp;A Bar-Iojai,&nbsp;R Starinski","doi":"10.1055/s-2008-1052085","DOIUrl":"https://doi.org/10.1055/s-2008-1052085","url":null,"abstract":"<p><p>Intraosseous neurilemmoma is a rare benign tumour of the bone with characteristic radiological and histological features. The most common places of this tumor are mandible, sacrum and vertebral bodies. A case of a not previously reported location of this tumor in the vault of the skull is presented.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"34 6","pages":"178-9"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12937600","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
Short term volume effects of a hypertonic saline bolus during neurosurgery. 神经外科手术中高渗生理盐水的短期体积效应。
Neurochirurgia Pub Date : 1991-11-01 DOI: 10.1055/s-2008-1052081
S Henschen, M W Busse, S Zisowsky, B Panning, S Piepenbrock, R H Staffensky
{"title":"Short term volume effects of a hypertonic saline bolus during neurosurgery.","authors":"S Henschen,&nbsp;M W Busse,&nbsp;S Zisowsky,&nbsp;B Panning,&nbsp;S Piepenbrock,&nbsp;R H Staffensky","doi":"10.1055/s-2008-1052081","DOIUrl":"https://doi.org/10.1055/s-2008-1052081","url":null,"abstract":"<p><p>Intracranial hypertension which does not respond to customary hyperosmotic agents may successfully be treated with hypertonic saline. The absence of diuresis and the maintainance of intravascular volume are supposed to be the main advantages of hypertonic sodium chloride. Volume overload and toxic hyperosmolality from frequent application of such solutions are possible disadvantages. The presented experiments checked the time course of intravascular volume shifts after a 100 ml 1-molar saline bolus in 14 patients during neurosurgery using plasma protein concentration changes. An initial intravascular volume expansion of about 270 ml remained quite unchanged for the first 8 minutes, followed by a nearly linear decrease. Extrapolation of the curves demonstrated that the preinfusion state would have been reached after about 20 minutes. Osmolality remained increased by about 4 mosmol/kg 15 min after the bolus. Thus it appears that repetitive infusion of these amounts of hypertonic saline will cause no serious volume overload if 30 minutes intervals are kept, but osmolality should be checked before each bolus.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"34 6","pages":"163-5"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12937596","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
Primary calvarial ectopic meningiomas. 原发性头颅异位脑膜瘤。
Neurochirurgia Pub Date : 1991-11-01 DOI: 10.1055/s-2008-1052084
A Kulali, R Ilçayto, O Rahmanli
{"title":"Primary calvarial ectopic meningiomas.","authors":"A Kulali,&nbsp;R Ilçayto,&nbsp;O Rahmanli","doi":"10.1055/s-2008-1052084","DOIUrl":"https://doi.org/10.1055/s-2008-1052084","url":null,"abstract":"<p><p>Meningiomas should be considered as a possible diagnosis when dealing with tumors of the head and neck, even though these lesions may be located outside the cranial cavity. We report three patients who harbored primary ectopic epidural meningioma arising in the right occipital, parietal and left frontal region protruding extracranially through destructed calvarium and also developing intracranially without dural involvement. The diagnostic value of CT scan is emphasized and the relevant literature on ectopic meningioma is reviewed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"34 6","pages":"174-7"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12937599","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: 24
A wooden foreign body penetrating the superior orbital fissure. 穿透眶上裂的木质异物。
Neurochirurgia Pub Date : 1991-11-01 DOI: 10.1055/s-2008-1053489
J Zentner, W Hassler, D Petersen
{"title":"A wooden foreign body penetrating the superior orbital fissure.","authors":"J Zentner,&nbsp;W Hassler,&nbsp;D Petersen","doi":"10.1055/s-2008-1053489","DOIUrl":"https://doi.org/10.1055/s-2008-1053489","url":null,"abstract":"<p><p>The case of a 12-year-old patient with a wooden foreign body which had penetrated the superior orbital fissure is presented. Using a transethmoidal approach, only some splinters lying in the periorbital soft tissue were removed. The patient became febrile, indicating an infectious complication due to a retained foreign body. This was confirmed by CT scan and MRI demonstrating a main splinter in the superior orbital fissure. Total removal of the wood was achieved via a pterional extradural approach. The difficulties of identifying wooden foreign bodies as well as the topographical problems involved with the approach to the superior orbital fissure are discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"34 6","pages":"188-90"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053489","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12938890","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: 43
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