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Neurochirurgia最新文献

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Cavernous hemangioma in the cavernous sinus. 海绵窦的海绵状血管瘤。
Neurochirurgia Pub Date : 1993-05-01 DOI: 10.1055/s-2008-1053804
Y Goto, K Yamabe, Y Aiko, C Kuromatsu, M Fukui
{"title":"Cavernous hemangioma in the cavernous sinus.","authors":"Y Goto,&nbsp;K Yamabe,&nbsp;Y Aiko,&nbsp;C Kuromatsu,&nbsp;M Fukui","doi":"10.1055/s-2008-1053804","DOIUrl":"https://doi.org/10.1055/s-2008-1053804","url":null,"abstract":"<p><p>Cavernous hemangioma, a rare vascular hamartoma, in the cavernous sinus is described in this report. This case showed a slowly progressive course, which first involved the right optic nerve, followed by the left optic nerve, and then the right oculomotor, trochlear, abducens, and trigeminal nerves. Cavernous hemangioma should be suspected in the case of mass in the cavernous sinus with a very slowly progressive course. MRI is very useful to help diagnose this hemangioma.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"93-5"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053804","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307283","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
[The hypoglossal channel and its contents in the posterolateral access to the petroclival area]. 舌下通道及其后外侧通向岩斜坡区的内容物。
Neurochirurgia Pub Date : 1993-05-01 DOI: 10.1055/s-2008-1053800
J Lang, G Hornung
{"title":"[The hypoglossal channel and its contents in the posterolateral access to the petroclival area].","authors":"J Lang,&nbsp;G Hornung","doi":"10.1055/s-2008-1053800","DOIUrl":"https://doi.org/10.1055/s-2008-1053800","url":null,"abstract":"<p><p>Measurements of the hypoglossal canal: The midpoint of the inner orifice of the hypoglossal canal is on average somewhat over 26 mm away from the opisthion. The distances of the canal centre come to approximately 30 mm, those of the outer canal orifice to 34 mm. The distance of the intracranial pores from each other amounts to 28 xmm. The medial portal for the extracranial pore is on an average 33 mm away from the portal of the opposite side, the lateral 40 mm from the lateral portal of the opposite side. The intracranial pore of the canal for the XII. nerve is situated on an average 13 mm in front of the posterior rim of the occipital condyle, the midpoint of the canal is 15.85 mm in front of this measuring zone, and the exit of the canal 19 mm. Some differences between the sexes and measurements of the postnatal increase of these distances have been included in this investigation. The diagnostic and surgical importance of the hypoglossal canal are discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 3","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"1993-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053800","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19307279","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: 15
[Value of neuroradiologic procedures in preoperative assessment of cervical myelopathy]. [神经影像学检查在颈椎病术前评估中的价值]。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053796
P Pedrosa, A Frydrych, M Knauth
{"title":"[Value of neuroradiologic procedures in preoperative assessment of cervical myelopathy].","authors":"P Pedrosa,&nbsp;A Frydrych,&nbsp;M Knauth","doi":"10.1055/s-2008-1053796","DOIUrl":"https://doi.org/10.1055/s-2008-1053796","url":null,"abstract":"<p><p>The diagnostic value of computed tomography (CT), myelography, myelo-CT and magnetic resonance imaging (MRI) was retrospectively investigated in 94 patients in whom Cloward's operation had been performed due to symptoms of cervical myelopathy (CM). In 55 patients with \"classical\" cervical spondylotic myelopathy all investigated diagnostic procedures demonstrated a comparably high degree of sensitivity and specificity, thus proving comparable for diagnosing pathological alterations of the cervical spine. In 39 patients with CM as a consequence of an acute cervical disk prolapse, however, MRI was superior and offered the highest diagnostic accuracy. The following general diagnostic strategy in patients with CM can be suggested: Conventional plain film radiography of the cervical spine, axial CT of the involved segments and MRI of the cervical spine in sagittal and transversal orientation, using T1 and T2 weighted pulse sequences. The combined use of these techniques allows the exact evaluation of any relevant structure alterations of the cervical spine that determine differential therapeutic approaches.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053796","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467038","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
Classification of frontal fossa fractures associated with cerebrospinal fluid rhinorrhea, pneumocephalus or meningitis. Indications and time for surgical treatment. 额窝骨折合并脑脊液鼻漏、脑气或脑膜炎的分类。手术治疗的适应症和时间。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053794
D Vranković, K Glavina
{"title":"Classification of frontal fossa fractures associated with cerebrospinal fluid rhinorrhea, pneumocephalus or meningitis. Indications and time for surgical treatment.","authors":"D Vranković,&nbsp;K Glavina","doi":"10.1055/s-2008-1053794","DOIUrl":"https://doi.org/10.1055/s-2008-1053794","url":null,"abstract":"Summary The classiflcation of auterior fossa frac tures with their sequelae: ccrcbrospinal fluid (CSF) rht norrboa. pneumocephalus. 01' menlngitls is prcsented. This classification is based on live selecüon critcria which are discussed in this paper. This classiflcation re sulted in the table of Indicnticns for operative treat ment. according to which the appropriate time for oper ation in urgent cases is immediately, in cases with abso lute indication 5 to 6 days after the injurv, in lang-last ing csr rhinorrhea ur pneumoceph ulus 10 days after the onset. in intermittent or delayed rhinorrhea and /or pneumoeephalus as soon as these signs occur; und in cases of mcnlngitls soon nftcr recovery. This study is based Oll the analysis of 52 consecutive surgtcally treated cases. eolleeted frum 1984 up tu December 1989.","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467036","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
[Whiplash trauma of the cervical spine from the neurosurgical, traumatologic and psychologic viewpoint]. [从神经外科、创伤学和心理学角度探讨颈椎鞭伤]。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053795
A Huber, H Beran, J Trenkler, A Hager, A Witzmann, J Fischer
{"title":"[Whiplash trauma of the cervical spine from the neurosurgical, traumatologic and psychologic viewpoint].","authors":"A Huber,&nbsp;H Beran,&nbsp;J Trenkler,&nbsp;A Hager,&nbsp;A Witzmann,&nbsp;J Fischer","doi":"10.1055/s-2008-1053795","DOIUrl":"https://doi.org/10.1055/s-2008-1053795","url":null,"abstract":"<p><p>Since the early 50's, whiplash injury has been a subject of intensive study in order to find out the genesis of this disease. Unfortunately, most of the studies were planned retrospectively and were based on inhomogeneous groups of patients. In our prospective study, we tried to keep the patient group homogeneous. 62 patients were examined neurologically and radiologically immediately after the accident. Furthermore, they underwent a psychological test, the so-called Freiburg personality profile. 6 months later the patients were checked again. On the basis on our findings, the suspected psychological influence has to be confirmed. Preexisting degenerative lesions of the cervical spine, also, are undoubtedly prognostic for longer-lasting symptoms.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"51-5"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467037","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
Spinal extradural angiolipoma: case report and literature review. 脊髓硬膜外血管脂肪瘤1例报告并文献复习。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053797
R Michilli, P Tzonos, J R Iglesias-Rozas
{"title":"Spinal extradural angiolipoma: case report and literature review.","authors":"R Michilli,&nbsp;P Tzonos,&nbsp;J R Iglesias-Rozas","doi":"10.1055/s-2008-1053797","DOIUrl":"https://doi.org/10.1055/s-2008-1053797","url":null,"abstract":"<p><p>A case report of a 12-year-old child with a spinal extradural angiolipoma is presented. The tumor was totally removed and a good recovery was obtained. In a review of 43 previous cases, the clinical, radiological, and histological features of the tumor are discussed. It is stressed that spinal angiolipomas and spinal lipomas have to be considered as two different clinicopathological entities in order to ensure adequate treatment and prognosis.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"63-5"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053797","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467039","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
Middle cerebral artery aneurysm developing apparently de novo. 大脑中动脉瘤明显是新生的。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053799
Z Kotwica
{"title":"Middle cerebral artery aneurysm developing apparently de novo.","authors":"Z Kotwica","doi":"10.1055/s-2008-1053799","DOIUrl":"https://doi.org/10.1055/s-2008-1053799","url":null,"abstract":"<p><p>The author reports a patient with a fatal subarachnoid and intracerebral hemorrhage from a middle cerebral artery aneurysm, which apparently developed de novo. 18 years before, the patient was operated for an anterior communicating artery aneurysm and, during this procedure, an anterior cerebral artery was ligated. Hemodynamic disturbances due to anterior artery occlusion are suggested as the cause of new aneurysm formation.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"70-2"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467041","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
Peracute surgery of aneurysms with intracerebral hematomas. 脑内血肿伴动脉瘤的过急性手术。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053793
L Russegger, K Twerdy
{"title":"Peracute surgery of aneurysms with intracerebral hematomas.","authors":"L Russegger,&nbsp;K Twerdy","doi":"10.1055/s-2008-1053793","DOIUrl":"https://doi.org/10.1055/s-2008-1053793","url":null,"abstract":"<p><p>Out of a series of 252 patients who underwent aneurysm surgery, 19 (7.5%) were operated on in a \"peracute stage\" in the poor grades Hunt & Hess IV (n = 11), IV-V (n = 2), and V (n = 6). All patients suffered from large aneurysmal intracerebral hematomas which were evacuated after decompressive craniotomies, all aneurysms (ACA: n = 1, ACoA: n = 4, MCA: n = 12, ICA: n = 2) could be clipped. 4 patients died within the first 3 postoperative days, 6 patients reached a poor result remaining in an apallic syndrome or a state of high invalidity, 8 obtained a fair result with personal autonomity, and 1 patient recovered completely. Although this kind of aneurysm bleeding is combined with high mortality and morbidity, we nevertheless emphasize its surgical treatment as soon as possible because of the lack of other efficient therapeutical procedures.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467035","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
Ventral brain stem schwannoma at the entry zone of the hypoglossal nerve. 腹侧脑干神经鞘瘤位于舌下神经入口区。
Neurochirurgia Pub Date : 1993-03-01 DOI: 10.1055/s-2008-1053798
J K Krauss, H Bertalanffy, K Schwechheimer, A Müller, W Seeger
{"title":"Ventral brain stem schwannoma at the entry zone of the hypoglossal nerve.","authors":"J K Krauss,&nbsp;H Bertalanffy,&nbsp;K Schwechheimer,&nbsp;A Müller,&nbsp;W Seeger","doi":"10.1055/s-2008-1053798","DOIUrl":"https://doi.org/10.1055/s-2008-1053798","url":null,"abstract":"<p><p>The unusual case of a ventral brain stem schwannoma located at the entry zone of the hypoglossal nerve in a 49-year-old woman is reported. The diagnosis of a schwannoma was confirmed histologically after partial tumor resection via the dorsolateral, suboccipital, transcondylar approach. Hypotheses for the pathogenesis of intramedullary schwannomas are discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 2","pages":"66-9"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467040","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
[Neuralgia of the glossopharyngeal nerve with syncope attacks]. [伴有晕厥发作的舌咽神经神经痛]。
Neurochirurgia Pub Date : 1993-01-01 DOI: 10.1055/s-2008-1052284
J Fischer, H Hiertz, G Wurm, W Wies
{"title":"[Neuralgia of the glossopharyngeal nerve with syncope attacks].","authors":"J Fischer,&nbsp;H Hiertz,&nbsp;G Wurm,&nbsp;W Wies","doi":"10.1055/s-2008-1052284","DOIUrl":"https://doi.org/10.1055/s-2008-1052284","url":null,"abstract":"<p><p>The anatomical viewpoints of nervus IX and its surrounding structures are explained. The authors report on one case of symptomatology of glossopharyngeal neuralgia combined with cardiac arrests. Finally, pathogenesis and surgical treatment of glossopharyngeal neuralgia are discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"14-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430711","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
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