Kooperativer Bibliotheksverbund

Berlin Brandenburg

and
and

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Language: English
    In: World Neurosurgery, February 2018, Vol.110, pp.e330-e332
    Description: To treat a 13-year-old boy with a spontaneous vertebrobasilar artery dissecting aneurysm in the extracranial artery, which was only 1 mm away from the initial segment of subclavian artery. A covered stent was inserted to block the artery of the vertebrobasilar artery dissecting aneurysm. The vertebrobasilar artery dissecting aneurysm was successfully treated without complications. The procedure is a fast, reliable, effective, and economical technique, particularly suitable for surgeries in settings with limited resources.
    Keywords: Cervical Artery Dissection ; Neck Pain ; Thunderclap Headache ; Vertebral Artery Aneurysm
    ISSN: 1878-8750
    E-ISSN: 1878-8769
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    Language: English
    In: World Neurosurgery, March 2018, Vol.111, pp.e135-e141
    Description: To investigate the causes of partial remission in patients with basilar invagination (BI) and irreducible atlantoaxial dislocation (IAAD) treated with transoral atlantoaxial reduction plate (TARP) without odontoidectomy and quantify the distance of odontoid descent. Between August 2010 and July 2012, 22 consecutive patients with BI with IAAD who underwent TARP surgery were reviewed. The preoperative and postoperative radiographic parameters were evaluated. Follow-up data and the symptom treatment interval (STI), defined as the interval between the onset of symptoms and surgical treatment, were assessed. Neurological function was evaluated as neurologic improvement, defined as ([Postoperative Japanese Orthopedic Association (JOA) score] − [Preoperative JOA score])/(17 − [Preoperative JOA score]). The patients were assigned to group A (〈50%) or group B (≥50%) based on their level of neurologic improvement. All 22 patients improved clinically to varying degrees. The mean preoperative STI was 105.6 ± 67.6 months for group A and 45.3 ± 46.7 months for group B (  〈 0.05). There were no significant between-group differences in follow-up ( 〉 0.05) or with respect to radiographic parameters ( 〉 0.05). Persistent brainstem compression was observed in 1 patient, whose symptoms were not adequately relieved after revision surgery (transoral odontoidectomy and posterior decompression and fusion). No fixation failure was observed. Descent of the odontoid process is useful for treating basilar invagination. TARP surgery without odontoidectomy may pull the dens caudally and ventrally to achieve sufficient decompression of the spinal cord. Neurologic improvement may be associated with STI.
    Keywords: Basilar Invagination ; Decompression ; Internal Fixation ; Transoral
    ISSN: 1878-8750
    E-ISSN: 1878-8769
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    Language: English
    In: World Neurosurgery, October 2019, Vol.130, pp.165-169
    Description: Ossified chronic subdural hematoma (CSH) associated with neoplasm has rarely been reported in the literature. We describe a patient with ossified CSH and underlying large B-cell lymphoma and discuss the relationship between lymphoma and CSH, emphasizing clinical characteristics, tumorigenic mechanism, and histopathologic analysis. A 46-year-old man with a history of alcohol abuse and a right frontotemporoparietal and left frontal ossified CSH that was diagnosed 2 years previously presented with headache and memory loss over 6 days. The patient was being followed with serial imaging, which showed the static state of the mass and no other lesions 7 months before admission. He underwent right frontotemporoparietal craniectomy to remove the ossified CSH and tumor. When the bone was lifted and the thin dura was opened, a hard, thick, ossified capsule was observed. No apparent tumor invasion was noted in the skull or epidural space. Despite refusing further chemotherapy and radiation therapy, the patient has been disease-free and working for 5 years. Based on reported cases and relevant literature, large B-cell lymphoma may be associated with ossified CSH.
    Keywords: B-Cell Lymphoma ; Chronic Subdural Hematoma ; Epstein-Barr Virus
    ISSN: 1878-8750
    E-ISSN: 1878-8769
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 4
    Language: English
    In: World Neurosurgery, January 2019, Vol.121, pp.28-32
    Description: It was known that a small number of patients could have intracranial aneurysm recurrences after either surgical clipping or endovascular embolization treatment. However, early recurrence within 1 month after the treatment and re-recurrence has rarely been reported before. We report a 46-year-old man with a medical history of smoking and hypertension who was noncompliant with the treatments. He presented to the hospital with right extremity paralysis and aphasia and was found to have a ruptured middle cerebral artery aneurysm. Aneurysm was successfully treated by surgical clipping. Within 1 month after the treatment, the patient had a recurrent aneurysm at the same location and intracranial hemorrhage. The recurrent aneurysm was treated by endovascular embolization. However, during the follow-up visit 8 months after the treatment, angiography showed aneurysm recurrence with proximal vascular stenosis. Re-recurrence of intracranial aneurysm could happen after initial successful treatment with surgical clipping and endovascular embolization. In addition to the patient's medical history and characteristics of the aneurysm, local vascular stenosis might also contribute to its recurrence. Close postoperative follow-up is required for these patients.
    Keywords: Clipping ; Endovascular Embolization ; Intracranial Aneurysm ; Recurrence
    ISSN: 1878-8750
    E-ISSN: 1878-8769
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 5
    Language: English
    In: World Neurosurgery, February 2019, Vol.122, pp.e969-e977
    Description: To examine the subsidence rate in patients undergoing extreme lateral interbody fusion (XLIF) using data from a 2-year retrospective study to assess the effect of supplemental fixation on the stand-alone procedure. Demographic and perioperative data for all patients who underwent XLIF for degenerative lumbar disorders between June 2012 and January 2016 were collected and divided into 4 groups: the stand-alone (SA), lateral fixation, unilateral pedicle screw, and bilateral pedicle screw (BPS) groups. The disk height (DH), lumbar lordotic (LL) angle, and segmental lordotic (SL) angle were measured preoperatively and 3 days, 3 months, 1 year, and 2 years postoperatively. Clinical outcomes were evaluated using Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) scores. Fusion was defined according to computed tomography scan. There were 126 vertebrae in 107 patients treated. SL angle, LL angle, and DH significantly increased postoperatively in all groups. Although the preoperative and 2-year postoperative DHs in the SA group were similar, the other measures showed significant differences from baseline at each follow-up visit. No significant effects on SL angle or DH were found in any of the groups. A significant difference in the LL angle was found in the BPS group compared with the other groups. At the last follow-up, high-grade subsidence was found in 26.89% of all cases, the fusion rate was 85.71%, and the VAS and JOA scores were significantly improved in all groups. Supplemental fixation did not significantly influence cage subsidence or SL angle. Only BPS fixation significantly improved the LL angle. The 2-year fusion rate was satisfactory.
    Keywords: Cage Subsidence ; Fusion ; Internal Fixation ; Xlif
    ISSN: 1878-8750
    E-ISSN: 1878-8769
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. Further information can be found on the KOBV privacy pages