NeurochirurgiaPub Date : 1993-07-01DOI: 10.1055/s-2008-1053813
S Rossitti, C von Essen, A Roos
{"title":"Lumbar radiculopathy caused by a lost silverclip.","authors":"S Rossitti, C von Essen, A Roos","doi":"10.1055/s-2008-1053813","DOIUrl":"https://doi.org/10.1055/s-2008-1053813","url":null,"abstract":"<p><p>The case of an adult patient with lumbar radiculopathy (L:4) caused by a migrated silverclip, which was probably lost during the successful extirpation of a cerebellar tumor many years before is presented. The clip was removed surgically and the nerve root was submitted to a partial neurolysis. Increased tension in the root due to corrosion of the clip and scar formation is the proposed pathophysiological mechanism in this case.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 4","pages":"135-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053813","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336967","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}
NeurochirurgiaPub Date : 1993-07-01DOI: 10.1055/s-2008-1053811
H Kobayashi, M Hayashi, H Urano, M Hayashi
{"title":"Three-dimensional videomonitor in microsurgery.","authors":"H Kobayashi, M Hayashi, H Urano, M Hayashi","doi":"10.1055/s-2008-1053811","DOIUrl":"https://doi.org/10.1055/s-2008-1053811","url":null,"abstract":"<p><p>The operation microscope was equipped with two small camera heads on both sides, with a 35-mm still camera, and with or without a binocular observer tube. These camera heads were connected with a 3-dimensional (3D) converter. The operator can observe the 3D images of the operation field on a TV monitor through polarization glasses. The microscope with two camera heads is easy to handle because these camera heads are small and light. This is a promising monitoring system for microsurgery.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 4","pages":"129-30"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053811","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336965","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}
NeurochirurgiaPub Date : 1993-07-01DOI: 10.1055/s-2008-1053810
H P Molsen, U Friedrich, A Gräwe, W D Siedschlag, H Winkelmann
{"title":"[Embolization of cerebral arteriovenous malformations--methods and clinical results].","authors":"H P Molsen, U Friedrich, A Gräwe, W D Siedschlag, H Winkelmann","doi":"10.1055/s-2008-1053810","DOIUrl":"https://doi.org/10.1055/s-2008-1053810","url":null,"abstract":"<p><p>Interventional treatment by neuroradiological embolisation of cerebral arteriovenous angiomas has become an alternative to surgical exstirpation especially in problematic localisations and large-size malformations. Clinical results showing a marked reduction in attacks and recurrent haemorrhages, evident from a three-year report on 17 patients, confirm the value of the method even in case of only subtotal occlusion of the malformation.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 4","pages":"123-8"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336964","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}
NeurochirurgiaPub Date : 1993-07-01DOI: 10.1055/s-2008-1053814
A Huber, J Fischer, J Simbrunner
{"title":"[An unusual case of a blow-out fracture. Entrance of a bone fragment into the frontal lobe after a ski accident].","authors":"A Huber, J Fischer, J Simbrunner","doi":"10.1055/s-2008-1053814","DOIUrl":"https://doi.org/10.1055/s-2008-1053814","url":null,"abstract":"<p><p>Due to a ski accident a 16-year old girl suffered from headache, periorbital hematoma and ptosis of the right eyelid. No penetrating injury could be seen, but in the CT scan a blow-out fracture of the orbital roof and floor was verified. Since there was no evident lesion of the eye muscles, an operative indication could only be a neurosurgical one. Because of the traumatic connection between frontal cerebrum and sinus maxillaris we expected a CSF rhinorrhoea, which could not be confirmed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 4","pages":"137-9"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053814","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336791","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}
NeurochirurgiaPub Date : 1993-07-01DOI: 10.1055/s-2008-1053808
C Hojer, W F Haupt
{"title":"[The prognostic value of AEP and SEP values in subarachnoid hemorrhage. An analysis of 64 patients].","authors":"C Hojer, W F Haupt","doi":"10.1055/s-2008-1053808","DOIUrl":"https://doi.org/10.1055/s-2008-1053808","url":null,"abstract":"<p><p>In 64 patients with confirmed subarachnoid haemorrhage the clinical grading according to Hunt and Hess was compared to the initial findings of BAEP und SEP to elicit possible prognostic statements. Clinical and electrodiagnostic findings showed a high correlation. Patients without or with only slight alterations of amplitude and/or latency generally showed a favourable course. Recurrent haemorrhages or internal complications which can be decisive for outcome cannot be predicted by clinical or electrodiagnostic findings. The alterations of BAEP and SEP increase parallel to severity of clinical findings. Bilateral loss of BAEP or SEP indicates poor prognosis. Prognostic statements can be made with certainty only in cases with primary poor clinical condition (Hunt-Hess Grade IV-V) and marked alterations of evoked potentials.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 4","pages":"110-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336962","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}
NeurochirurgiaPub Date : 1993-05-01DOI: 10.1055/s-2008-1053802
H Z Gökalp, E Arasil, Y Kanpolat, A Erdogan, H Deda, A Unlü
{"title":"Medulloblastomas.","authors":"H Z Gökalp, E Arasil, Y Kanpolat, A Erdogan, H Deda, A Unlü","doi":"10.1055/s-2008-1053802","DOIUrl":"https://doi.org/10.1055/s-2008-1053802","url":null,"abstract":"<p><p>81 patients with biopsy proven medulloblastoma with a mean age of 11.4 years were reviewed. Total removal of the tumour was accomplished in 18 cases (22.2%), subtotal removal in 55 cases (67.9%) and biopsy alone in 8 cases (9.9%). 34 patients (27.5%) had a recurrence of the tumour and 8 patients underwent a second posterior fossa exploration at the time of recurrence. In patients with total resection, five-year survival was 27.7%. With partial resection, five-year survival decreased to 14.5%. In patients with radiotherapy chemotherapy, 21.4% survived 5 years after treatment but this rate decreased to 18.4% in patients treated with radiotherapy only. The surgical mortality rate was 12.3%.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"87-9"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053802","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307281","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}
NeurochirurgiaPub Date : 1993-05-01DOI: 10.1055/s-2008-1053806
B Kaden, G Stoltenburg-Didinger, S Patt
{"title":"Venous angioma with papillary endothelial hyperplasia in the superior orbital fissure.","authors":"B Kaden, G Stoltenburg-Didinger, S Patt","doi":"10.1055/s-2008-1053806","DOIUrl":"https://doi.org/10.1055/s-2008-1053806","url":null,"abstract":"<p><p>We present the case of a 27-year-old woman with a vascular malformation localized in the superior orbital fissure. Histological diagnosis was that of a venous angioma with papillary endothelial hyperplasia. The lesion was removed completely via an intradural approach to the superior orbital fissure with subsequent recovery of the neurological deficits. To the best of our knowledge, no such case has been reported so far in the literature. The radiological, intraoperative, and histopathological findings are presented and discussed with respect to the literature.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"101-3"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307278","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}
NeurochirurgiaPub Date : 1993-05-01DOI: 10.1055/s-2008-1053805
W M Rambo, R K Simpson
{"title":"Carotid-cavernous sinus fistula complicating shotgun injuries to the head.","authors":"W M Rambo, R K Simpson","doi":"10.1055/s-2008-1053805","DOIUrl":"https://doi.org/10.1055/s-2008-1053805","url":null,"abstract":"<p><p>Two cases of carotid artery injury due to shotgun blast are presented, one of which resulted in a carotid-cavernous sinus fistula. The diagnosis, natural history, and treatment of this condition is discussed, with emphasis on patient management.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307284","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}
NeurochirurgiaPub Date : 1993-05-01DOI: 10.1055/s-2008-1053803
I Mohsenipour, E Deusch, M Ortler, A Pallua
{"title":"[Meningiomas of the cerebellopontile angle].","authors":"I Mohsenipour, E Deusch, M Ortler, A Pallua","doi":"10.1055/s-2008-1053803","DOIUrl":"https://doi.org/10.1055/s-2008-1053803","url":null,"abstract":"<p><p>Meningiomas of the cerebellopontine angle are the second most frequent type of tumours in that region and constitute more than one-third to one-half of all meningiomas of the posterior cranial fossa. On account of their vulnerable position in relation to the cranial nerves and due to the lack of available space, good postoperative results and a minimum of cranial neurological deficits can be achieved only if they are identified well in time and surgically removed. Basing on case histories and follow-ups of 15 selected patients, preoperative and postoperative symptoms of meningiomas of the cerebellopontine angle are discussed, possible misinterpretations pointed out and recommendations worked out to achieve an early clarification or surgical treatment.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"90-2"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307282","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}
NeurochirurgiaPub Date : 1993-05-01DOI: 10.1055/s-2008-1053801
H Bertalanffy, S Bechtel, W Seeger
{"title":"Regional exposure of cerebral convexity lesions.","authors":"H Bertalanffy, S Bechtel, W Seeger","doi":"10.1055/s-2008-1053801","DOIUrl":"https://doi.org/10.1055/s-2008-1053801","url":null,"abstract":"<p><p>The utility and reliability of a simple technique for the localization of cerebral convexity lesions are retrospectively analyzed in 83 intracranial procedures. The technique is based on data obtained from preoperative computed tomography (CT) scans, and on a few anthropological landmarks which usually can be identified on both the patient's head and skull radiograms. This method allowed precise placement of small craniotomy flaps (3 to 7 cm in diameter) in 94% of the patients studied. In the remaining, localization errors were corrected either by enlarging the craniotomy opening (3 cases), or by rescanning during the operative procedure (2 cases). Due to its technical simplicity and reliability in the vast majority of cases, the bony landmark method constitutes a recommendable alternative for the localization of convexity lesions, being particularly useful when highly sophisticated equipment is not available.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"81-6"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307280","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}