Neurochirurgia最新文献_第8页

Intracranial hydatid cysts: experience with surgical treatment in 120 patients. 颅内包虫囊肿:120例手术治疗体会。

Neurochirurgia Pub Date : 1992-07-01

O Cataltepe, A Colak, O E Ozcan, T Ozgen, A Erbengi

引用次数: 0

Fibrous dysplasia of the cervical spine with atlanto-axial dislocation. 颈椎纤维发育不良伴寰枢脱位。

Neurochirurgia Pub Date : 1992-07-01 DOI: 10.1055/s-2008-1052263

I Nishiura, T Koyama, S Takayama

引用次数: 16

Gadolinium-DTPA enhancement of dural structures on MRI after surgery. 术后硬脑膜结构的MRI钆- dtpa增强。

Neurochirurgia Pub Date : 1992-07-01 DOI: 10.1055/s-2008-1052260

M Suzuki, T Takashima, M Kadoya, F Ueda, T Yamashima, J Yamashita

引用次数: 2

Metallic fragment embolization to the middle cerebral artery. 金属碎片栓塞到大脑中动脉。

Neurochirurgia Pub Date : 1992-07-01 DOI: 10.1055/s-2008-1052261

D Siccardi, A Primavera, P Tortori-Donati

引用次数: 2

Neurinoma of the facial nerve. 面神经神经瘤。

Neurochirurgia Pub Date : 1992-05-01 DOI: 10.1055/s-2008-1052254

J Hartwein

引用次数: 2

Effect of naloxone on focal cerebral ischemia in cats. 纳洛酮对猫局灶性脑缺血的影响。

Neurochirurgia Pub Date : 1992-05-01 DOI: 10.1055/s-2008-1052250

H Kobayashi, H Ide, M Hayashi

{"title":"Effect of naloxone on focal cerebral ischemia in cats.","authors":"H Kobayashi, H Ide, M Hayashi","doi":"10.1055/s-2008-1052250","DOIUrl":"https://doi.org/10.1055/s-2008-1052250","url":null,"abstract":"We have examined the effects of a single injection of naloxone (5 mg/kg, i.v.) in cats with cerebral ischemia produced by transorbital occlusion of the middle cerebral artery (MCA). Cerebral blood flow (CBF) was measured and the cerebral metabolic rate of oxygen consumption (CMRO2) was estimated based on measurements of arteriovenous (A-V) oxygen difference. Six cats were treated with naloxone 30 minutes after occlusion and 8 were treated 2 hours after occlusion. In 6 control animals, naloxone produced a 10-15% increase in mean arterial blood pressure (MABP), CBF and CMRO2 lasting 30 minutes. MCA occlusion reduced CBF by 70-75% in the ipsilateral MCA territory and by 15% in the contralateral hemisphere. Naloxone increased CBF by 3.5-6% in the ischemic region and 10-22% in the contralateral hemisphere in both treatment groups to the same extent as seen in control animals. There was no significant change in A-V oxygen difference and the estimated increase in CMRO2 of non-ischemic regions of both treatment groups was similar to that of control animals. These effects were transient and lasted 15-60 minutes. We have concluded that naloxone caused a transient increase in cerebral metabolism which equals or exceeds the corresponding increase in CBF. Therefore, naloxone would not be beneficial, and may be detrimental in the treatment of cerebral ischemia.","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 3","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770070","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

Multiple intracranial meningiomas. 多发性颅内脑膜瘤。

Neurochirurgia Pub Date : 1992-05-01 DOI: 10.1055/s-2008-1052256

H Z Gökalp, E Arasil, A Erdoğan, N Egemen, S Naderi

引用次数: 3

[Percutaneous lumbar thermal sympathectomy: method, indications and results]. [经皮腰椎热交感神经切除术:方法、适应症和结果]。

Neurochirurgia Pub Date : 1992-05-01 DOI: 10.1055/s-2008-1052253

A Huber, G Wurm, A Witzmann, J Fischer

引用次数: 4

Cerebral blood flow in patients with a subarachnoid haemorrhage during treatment with tranexamic acid. 氨甲环酸治疗期间蛛网膜下腔出血患者的脑血流。

Neurochirurgia Pub Date : 1992-05-01 DOI: 10.1055/s-2008-1052251

S A Tsementzis, C H Meyer, E R Hitchcock

{"title":"Cerebral blood flow in patients with a subarachnoid haemorrhage during treatment with tranexamic acid.","authors":"S A Tsementzis, C H Meyer, E R Hitchcock","doi":"10.1055/s-2008-1052251","DOIUrl":"https://doi.org/10.1055/s-2008-1052251","url":null,"abstract":"Many clinicians currently use antifibrinolytic therapy (AFT) routinely in the management of subarachnoid haemorrhage (SAH). Many others do not, either because they remain unconvinced that AFT reduces the risk of rebleeding, or that the medication itself causes serious complications and in particular cerebral ischaemia. Nineteen randomly selected patients were studied, 9 receiving tranexamic acid (9 g a day) and the remaining 10 placebo, with SAH confirmed by CT scanning and by lumbar puncture. There was no difference between the active and placebo group regarding the age, sex, clinical grade, CT scan and angiographic appearance. The intravenous Xe133 technique was used for serial determinations of hemispheral cerebral blood flow. The cerebral blood flow remained stable during the first week following subarachnoid haemorrhage, and then fell progressively, reaching its bottom level by the end of the second week. The cerebral blood flow levelled out during the third week at the end of which a sharp elevation, well above the first week's post-subarachnoid haemorrhage level, was noted. This rebound rise of cerebral blood flow was observed for both cerebral hemispheres. Cerebral flow was greatest in the contralateral (to side of ruptured aneurysm) brain hemisphere save for the peak observed during the first week post-subarachnoid haemorrhage. The difference between the ipsi- and contralateral hemispheres was most pronounced in patients receiving active treatment. Analysis of variance showed that cerebral blood flow was reduced by the active treatment and especially more so on the ipsilateral side with the ruptured aneurysm. The usefulness of AFT should therefore be reconsidered.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 3","pages":"74-8"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770071","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: 20

[Follow-up of spondylodiscitis following intervertebral disk operation--on the etiology, therapy and prevention]. 【椎间盘手术后椎间盘炎的随访——病因、治疗及预防】。

Neurochirurgia Pub Date : 1992-05-01 DOI: 10.1055/s-2008-1052252

P Gruss, H Tannenbaum, B Ott-Tannenbaum, R Megele, J Tasler, A Spohr, G Gerhart, S Gussmann

{"title":"[Follow-up of spondylodiscitis following intervertebral disk operation--on the etiology, therapy and prevention].","authors":"P Gruss, H Tannenbaum, B Ott-Tannenbaum, R Megele, J Tasler, A Spohr, G Gerhart, S Gussmann","doi":"10.1055/s-2008-1052252","DOIUrl":"https://doi.org/10.1055/s-2008-1052252","url":null,"abstract":"Operations on lumbar disc prolapses are the most frequent operations in German neurosurgery divisions. After such operations, spondylodiscitis is a dreaded complication which is sometimes difficult to diagnose. Treatment of spondylodiscitis is always protracted and a burden for doctors and patients. Hence, it appears worthwhile to present a further report on discitis and spondylodiscitis, infections of the intervertebral space and the surrounding tissues after disk operations. Various clinical pictures are described: septic progress forms with neurological disorders and the necessity of open wound treatment as well as clinical pictures without septic signs with good recovery after immobilisation and antibiotic treatment. In two cases, CT-guided puncture of purulent suppuration with identification of the causative organisms and specific antibiotic treatment was possible. All patients had a relatively good result: pareses and/or bladder/rectal disorders disappeared completely in every case. The causes of discitis are discussed. The condition arises when nosocomial microorganisms, or very frequently even harmless skin bacteria, enter the wound. A large number of operations are carried out under pressure of time and under hectic conditions, as well as in a confined space in operation theatres which are too warm; these factors increase the susceptibility to infection. However, the resistance of the patient to infection is also weakened after longterm prior antiinflammatory treatment and a stay in hospital before the operation. Besides appropria to treatment of the infection (immobilisation, wound treatment, antibiotic therapy), psychological management of the patient is an important component of therapy.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 3","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052252","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770072","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