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       \u003Cjats:p>Thirteen patients harboring large petroclival meningiomas are reported. The evolution of the petrosal approach is discussed, and modifications for improvement in surgical technique are described. There was no mortality in this series, and total removal was achieved in all but two patients. Morbidity included cranial nerve deficit, pulmonary embolism, and hemiparesis. (Neurosurgery 22:510-517, 1988)\u003C\u002Fjats:p>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\n               \u003Cjats:p>Bài báo ghi nhận 13 bệnh nhân mắc u meningioma lớn ở vùng đá. Sự phát triển của phương pháp tiếp cận vùng đá được thảo luận, và các cải tiến trong kỹ thuật phẫu thuật được mô tả. Trong loạt bệnh nhân này không có trường hợp tử vong nào, và việc loại bỏ hoàn toàn khối u đã đạt được ở tất cả trừ hai bệnh nhân. Biến chứng bao gồm suy giảm thần kinh sọ, thuyên tắc phổi, và liệt nửa người. 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thích tủy sống, phẫu thuật lưng hông, cơn đau mạn tính, thử nghiệm ngẫu nhiên, cột sống thắt lưng cùng",{"VOID":1173},"W2184889174",{"EN":1175,"VI":1176},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\n               \u003Cjats:sec>\n                  \u003Cjats:title>OBJECTIVE:\u003C\u002Fjats:title>\n                  \u003Cjats:p>Persistent or recurrent radicular pain after lumbosacral spine surgery is often associated with nerve root compression and is treated by repeated operation or, as a last resort, by spinal cord stimulation (SCS). We conducted a prospective, randomized, controlled trial to test our hypothesis that SCS is more likely than reoperation to result in a successful outcome by standard measures of pain relief and treatment outcome, including subsequent use of health care resources.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>\n               \u003Cjats:sec>\n                  \u003Cjats:title>METHODS:\u003C\u002Fjats:title>\n                  \u003Cjats:p>For an average of 3 years postoperatively, disinterested third-party interviewers followed 50 patients selected for reoperation by standard criteria and randomized to SCS or reoperation. If the results of the randomized treatment were unsatisfactory, patients could cross over to the alternative. Success was based on self-reported pain relief and patient satisfaction. Crossover to the alternative procedure was an outcome measure. Use of analgesics, activities of daily living, and work status were self-reported.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>\n               \u003Cjats:sec>\n                  \u003Cjats:title>RESULTS:\u003C\u002Fjats:title>\n                  \u003Cjats:p>Among 45 patients (90%) available for follow-up, SCS was more successful than reoperation (9 of 19 patients versus 3 of 26 patients, P < 0.01). Patients initially randomized to SCS were significantly less likely to cross over than were those randomized to reoperation (5 of 24 patients versus 14 of 26 patients, P = 0.02). Patients randomized to reoperation required increased opiate analgesics significantly more often than those randomized to SCS (P < 0.025). Other measures of activities of daily living and work status did not differ significantly.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>\n               \u003Cjats:sec>\n                  \u003Cjats:title>CONCLUSION:\u003C\u002Fjats:title>\n                  \u003Cjats:p>SCS is more effective than reoperation as a treatment for persistent radicular pain after lumbosacral spine surgery, and in the great majority of patients, it obviates the need for reoperation.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\n               \u003Cjats:sec>\n                  \u003Cjats:title>MỤC TIÊU:\u003C\u002Fjats:title>\n                  \u003Cjats:p>Cơn đau rễ thần kinh kéo dài hoặc tái phát sau phẫu thuật cột sống thắt lưng cùng thường liên quan đến sự chèn ép rễ thần kinh và thường được điều trị bằng phẫu thuật lặp lại hoặc, như phương án cuối cùng, bằng kích thích tủy sống (SCS). Chúng tôi đã tiến hành một thử nghiệm có kiểm soát, ngẫu nhiên, nhằm kiểm tra giả thuyết của chúng tôi rằng SCS có khả năng mang lại kết quả thành công cao hơn so với phẫu thuật lặp lại theo các tiêu chí tiêu chuẩn về giảm đau và kết quả điều trị, bao gồm cả việc sử dụng tài nguyên chăm sóc sức khỏe sau đó.",{"EN":1178,"VI":1179},"Spinal Cord Stimulation versus Repeated Lumbosacral Spine Surgery for Chronic Pain: A Randomized, Controlled Trial","Kích thích tủy sống so với phẫu thuật lưng hông lặp lại cho cơn đau mạn tính: Một thử nghiệm ngẫu nhiên, có kiểm soát",{"VOID":1181},"15617591",{"VOID":1183},"10.1227\u002F01.neu.0000144839.65524.e0",[231],[1021],"http:\u002F\u002Fjournals.lww.com\u002F10.1227\u002F01.NEU.0000144839.65524.E0",[1188,1223,1250,1287],{"id":1189,"sortIndex":24,"researcher":23,"roles":1190,"affiliations":1191,"properties":1216,"displayName":1220,"givenName":23,"familyName":23},"fd8468c8-d17b-4dd8-acf1-686edf89c9d9",[],[1192,1200,1208],{"id":1193,"sortIndex":24,"affiliation":1194,"properties":23},"fbef7d50-5c08-43f8-99de-dc9227b61584",{"id":1193,"createTime":23,"updateTime":23,"relativeEntities":1195,"slug":23,"properties":1196,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":1199,"statistic":23},[],{"title":1197},{"EN":1198},"Department of Biostatistics, Johns Hopkins University School of Medicine, Baltimore, Maryland (Piantadosi)",[],{"id":1201,"sortIndex":109,"affiliation":1202,"properties":23},"7d5a70bc-9a02-4864-8305-631899e6c675",{"id":1201,"createTime":23,"updateTime":23,"relativeEntities":1203,"slug":23,"properties":1204,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":1207,"statistic":23},[],{"title":1205},{"EN":1206},"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Kidd)",[],{"id":1209,"sortIndex":110,"affiliation":1210,"properties":23},"a31662bc-64fa-48a4-85e3-ccc846dd03a7",{"id":1209,"createTime":23,"updateTime":23,"relativeEntities":1211,"slug":23,"properties":1212,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":1215,"statistic":23},[],{"title":1213},{"EN":1214},"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (North)",[],{"orcid":1217,"title":1219,"openalex":1221},{"VOID":1218},"https:\u002F\u002Forcid.org\u002F0000-0002-7360-3641",{"EN":1220},"Richard B. 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10.1093\u002Fneurosurgery\u002F24.CN_suppl_1.270",{"doi":2318},"10.1093\u002Fneurosurgery\u002F24.CN_suppl_1.270",{"id":23,"text":2320,"url":23,"identifiers":2321},"Friedman, 1995, Idiopathic normal pressure hydrocephalus: A revisionist interpretation, R I Med, 78, 38",{},{"id":23,"text":2323,"url":23,"identifiers":2324},"Gjerris, 1989, Resistance to cerebrospinal fluid outflow in patients with normal pressure hydrocephalus, Outflow of Cerebrospinal Fluid, 329",{},{"id":23,"text":2326,"url":23,"identifiers":2327},"Graff-Radford, 1989, Variables predicting surgical outcome in symptomatic hydrocephalus in the elderly, Neurology, 39, 1601, 10.1212\u002FWNL.39.12.1601",{"doi":2328},"10.1212\u002FWNL.39.12.1601",{"id":23,"text":2330,"url":23,"identifiers":2331},"Haan, 1987, Falling spells in normal pressure hydrocephalus: A favourable prognostic sign?, Eur Neurol, 27, 216, 10.1159\u002F000116159",{"doi":2332},"10.1159\u002F000116159",{"id":23,"text":2334,"url":23,"identifiers":2335},"Hakim, 1965, The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure: Observations on cerebrospinal fluid dynamics, J Neurol Sci, 2, 307, 10.1016\u002F0022-510X(65)90016-X",{"doi":2336},"10.1016\u002F0022-510X(65)90016-X",{"id":23,"text":2338,"url":23,"identifiers":2339},"Hebb, 2001, Idiopathic normal pressure hydrocephalus: A systematic review of diagnosis and outcome, Neurosurgery, 49, 1166",{},{"id":23,"text":2341,"url":23,"identifiers":2342},"Jonas, 1975, Neurogenic bladder in normal pressure hydrocephalus, Urology, 5, 44, 10.1016\u002F0090-4295(75)90300-3",{"doi":2343},"10.1016\u002F0090-4295(75)90300-3",{"id":23,"text":2345,"url":23,"identifiers":2346},"Knutsson, 1985, Gait apraxia in normal-pressure hydrocephalus: Patterns of movement and muscle activation, Neurology, 35, 155, 10.1212\u002FWNL.35.2.155",{"doi":2347},"10.1212\u002FWNL.35.2.155",{"id":23,"text":2349,"url":23,"identifiers":2350},"Krauss, 1997, Movement disorders in adult hydrocephalus, Mov Disord, 12, 53, 10.1002\u002Fmds.870120110",{"doi":2351},"10.1002\u002Fmds.870120110",{"id":23,"text":2353,"url":23,"identifiers":2354},"Lying-Tunell, 1979, Psychotic symptoms in normal-pressure hydrocephalus, Acta Psychiatr Scand, 59, 415, 10.1111\u002Fj.1600-0447.1979.tb04483.x",{"doi":2355},"10.1111\u002Fj.1600-0447.1979.tb04483.x",{"id":23,"text":2357,"url":23,"identifiers":2358},"McIntyre, 1990, Shoplifting associated with normal-pressure hydrocephalus: Report of a case, J Geriatr Psychiatry Neurol, 3, 229, 10.1177\u002F089198879000300409",{"doi":2359},"10.1177\u002F089198879000300409",{"id":23,"text":2361,"url":23,"identifiers":2362},"McKhann, 1984, Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group under the auspice of Department of Health and Human Services Task Force on Alzheimer's Disease, Neurology, 34, 939, 10.1212\u002FWNL.34.7.939",{"doi":2363},"10.1212\u002FWNL.34.7.939",{"id":23,"text":2365,"url":23,"identifiers":2366},"Merten, 1999, Neuropsychology of normal pressure hydrocephalus [in German], Nervenarzt, 70, 496, 10.1007\u002Fs001150050471",{"doi":2367},"10.1007\u002Fs001150050471",{"id":23,"text":2369,"url":23,"identifiers":2370},"Mulrow, 1987, The value of clinical findings in the detection of normal pressure hydrocephalus, J Gerontol, 42, 277, 10.1093\u002Fgeronj\u002F42.3.277",{"doi":2371},"10.1093\u002Fgeronj\u002F42.3.277",{"id":23,"text":2373,"url":23,"identifiers":2374},"Munari, 1977, Restructuring the sleep of a patient with NPH (normal pressure hydrocephalus) after ventricular CSF shunt [in Italian], Riv Neurol, 47, 259",{},{"id":23,"text":2376,"url":23,"identifiers":2377},"Mysiw, 1990, Relationship of new-onset systemic hypertension and normal pressure hydrocephalus, Brain Inj, 4, 233, 10.3109\u002F02699059009026172",{"doi":2378},"10.3109\u002F02699059009026172",{"id":23,"text":2380,"url":23,"identifiers":2381},"Oi, 2000, Pathophysiology of long-standing overt ventriculomegaly in adults, J Neurosurg, 92, 933, 10.3171\u002Fjns.2000.92.6.0933",{"doi":2382},"10.3171\u002Fjns.2000.92.6.0933",{"id":23,"text":2384,"url":23,"identifiers":2385},"Ojemann, 1969, Further experiences with the syndrome of normal pressure hydrocephalus, J Neurosurg, 31, 279, 10.3171\u002Fjns.1969.31.3.0279",{"doi":2386},"10.3171\u002Fjns.1969.31.3.0279",{"id":23,"text":2388,"url":23,"identifiers":2389},"Petersen, 1985, Surgical treatment of idiopathic hydrocephalus in elderly patients, Neurology, 35, 307, 10.1212\u002FWNL.35.3.307",{"doi":2390},"10.1212\u002FWNL.35.3.307",{"id":23,"text":2392,"url":23,"identifiers":2393},"Pinner, 1997, Psychiatric manifestations of normal-pressure hydrocephalus: A short review and unusual case, Int Psychogeriatr, 9, 465, 10.1017\u002FS1041610297004602",{"doi":2394},"10.1017\u002FS1041610297004602",{"id":23,"text":2396,"url":23,"identifiers":2397},"Price, 1977, Psychiatric and behavioral manifestations of normal pressure hydrocephalus: A case report and brief review, J Nerv Ment Dis, 164, 51, 10.1097\u002F00005053-197701000-00009",{"doi":2398},"10.1097\u002F00005053-197701000-00009",{"id":23,"text":2400,"url":23,"identifiers":2401},"Rosen, 1976, Depression and normal pressure hydrocephalus: A dilemma in neuropsychiatric differential diagnosis, J Nerv Ment Dis, 163, 35, 10.1097\u002F00005053-197607000-00005",{"doi":2402},"10.1097\u002F00005053-197607000-00005",{"id":23,"text":2404,"url":23,"identifiers":2405},"Schneider, 1996, Mood cycles associated with normal pressure hydrocephalus, Am J Psychiatry, 153, 1366, 10.1176\u002Fajp.153.10.1366",{"doi":2406},"10.1176\u002Fajp.153.10.1366",{"id":23,"text":2408,"url":23,"identifiers":2409},"Stolze, 2000, Gait analysis in idiopathic normal pressure hydrocephalus: Which parameters respond to the CSF tap test?, Clin Neurophysiol, 111, 1678, 10.1016\u002FS1388-2457(00)00362-X",{"doi":2410},"10.1016\u002FS1388-2457(00)00362-X",{"id":23,"text":2412,"url":23,"identifiers":2413},"Stolze, 2001, Comparative analysis of the gait disorder of normal pressure hydrocephalus and Parkinson's disease, J Neurol Neurosurg Psychiatry, 70, 289, 10.1136\u002Fjnnp.70.3.289",{"doi":2414},"10.1136\u002Fjnnp.70.3.289",{"id":23,"text":2416,"url":23,"identifiers":2417},"Sudarsky, 1987, Gait disorder in late-life hydrocephalus, Arch Neurol, 44, 263, 10.1001\u002Farchneur.1987.00520150019012",{"doi":2418},"10.1001\u002Farchneur.1987.00520150019012",{"id":23,"text":2420,"url":23,"identifiers":2421},"Suzuki, 2000, Chronic hydrocephalus presenting with bilateral ptosis after minor head injury: Case report, Neurosurgery, 47, 977, 10.1097\u002F00006123-200010000-00038",{"doi":2422},"10.1097\u002F00006123-200010000-00038",{"id":23,"text":2424,"url":23,"identifiers":2425},"Vanneste, 1993, Shunting normal pressure hydrocephalus: The predictive value of combined clinical and CT data, J Neurol Neurosurg Psychiatry, 56, 251, 10.1136\u002Fjnnp.56.3.251",{"doi":2426},"10.1136\u002Fjnnp.56.3.251",{"id":23,"text":2428,"url":23,"identifiers":2429},"Walchenbach, 2002, The value of temporary external lumbar CSF drainage in predicting the outcome of shunting on normal pressure hydrocephalus, J Neurol Neurosurg Psychiatry, 72, 503",{},{"id":23,"text":2431,"url":23,"identifiers":2432},"Yoshino, 1999, Syndrome of inappropriate secretion of antidiuretic hormone associated with idiopathic normal pressure hydrocephalus, Intern Med, 38, 290, 10.2169\u002Finternalmedicine.38.290",{"doi":2433},"10.2169\u002Finternalmedicine.38.290",{"id":23,"text":2435,"url":23,"identifiers":2436},"Zaaroor, 1997, Motor evoked potentials in the preoperative and postoperative assessment of normal pressure hydrocephalus, J Neurol Neurosurg Psychiatry, 62, 517, 10.1136\u002Fjnnp.62.5.517",{"doi":2437},"10.1136\u002Fjnnp.62.5.517",{"id":2439,"createTime":2440,"updateTime":2440,"relativeEntities":2441,"slug":2442,"properties":2443,"entityType":227,"verifyStatus":228,"verifyTime":2440,"verifyNote":229,"languages":2456,"translateLanguages":23,"viewCount":24,"primaryUrl":2457,"fullTextUrl":23,"authors":2458,"publicationType":302,"publisherRelationship":2493,"citationCount":2546,"citationInfo":2547,"publishDate":1380,"publishYear":659,"citationAnalyzeStatus":22,"lastCitationAnalyze":23,"indexDatabases":2553,"openAccess":23,"references":2554,"isForceReanalyzing":529},"5d7c076f-c6db-4460-8c21-0946f8560f82","2025-02-08T22:19:52.238+00:00",[],"Implanted-Ventricular-Shunts-in-the-United-States-The-Billion-dollar-a-year-Cost-of-Hydrocephalus-Treatment",{"openalex":2444,"mag":2446,"abstract":2448,"title":2450,"pm":2452,"doi":2454},{"VOID":2445},"W2160409715",{"VOID":2447},"2160409715",{"EN":2449},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\n               \u003Cjats:sec>\n                  \u003Cjats:title>OBJECTIVE:\u003C\u002Fjats:title>\n                  \u003Cjats:p>To characterize admissions related to ventricular shunts in the year 2000 in terms of diagnoses, procedures, socioeconomic status, and other related data.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>\n               \u003Cjats:sec>\n                  \u003Cjats:title>METHODS:\u003C\u002Fjats:title>\n                  \u003Cjats:p>The Nationwide Inpatient Sample database (year 2000) was analyzed retrospectively. We reviewed 7.45 million patient admissions for primary International Classification of Diseases, 9th Revision, procedure codes 023 to 0243 (ventricular shunts to peritoneal, atrial, pleural, and urinary systems for initial placement, revision, and removal); admissions listing ventriculostomy placement (code 022) were excluded from analysis.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>\n               \u003Cjats:sec>\n                  \u003Cjats:title>RESULTS:\u003C\u002Fjats:title>\n                  \u003Cjats:p>Five thousand five hundred seventy-four admissions were identified. Admission sources primarily were routine (58.8%) and the emergency department (32.4%). Admission types primarily were elective (43.3%), emergent (33.2%), and urgent (21.9%). The top three primary diagnoses treated were shunt malfunction (40.7%), noncommunicating hydrocephalus (16.6%), and communicating hydrocephalus (13.2%). Shunt infection was the primary diagnosis in 7.2% of admissions. Age frequency of admissions was nonparametric, being highest for infants; the average stay was 8.4 ± 0.2 days (standard error range, 0–243 d). The most common procedures were ventriculoperitoneal shunt placement (43.4%) and ventricular shunt replacement (42.8%); ventricular shunt removal occurred in 7.3% of admissions, whereas ventricle-to-thorax (0.6%), ventricle-to-circulatory system (0.5%), and ventricle-to-urinary system (0.05%) shunts were rare. Average cost was $35,816 ± $810 (standard error range, $137–$814,748). Primary payers primarily were private insurers (43.8%), Medicare (26.0%), and Medicaid (24.5%). Disposition mainly was routine (78.4%, with home health care in 6.5%), and inpatient mortality was 2.7%. There was no socioeconomic disproportion in treatment with respect to average household income.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>\n               \u003Cjats:sec>\n                  \u003Cjats:title>CONCLUSION:\u003C\u002Fjats:title>\n                  \u003Cjats:p>Ventricular shunts as primary procedures constitute a significant medical and economic problem.\u003C\u002Fjats:p>\n               \u003C\u002Fjats:sec>",{"EN":2451},"Implanted Ventricular Shunts in the United States: The Billion-dollar-a-year Cost of Hydrocephalus Treatment",{"VOID":2453},"15617596",{"VOID":2455},"10.1227\u002F01.neu.0000146206.40375.41",[231],"http:\u002F\u002Fjournals.lww.com\u002F10.1227\u002F01.NEU.0000146206.40375.41",[2459,2476],{"id":2460,"sortIndex":24,"researcher":23,"roles":2461,"affiliations":2462,"properties":2471,"displayName":2473,"givenName":23,"familyName":23},"62bd4d77-5e6d-4d93-b580-37cad22c3079",[],[2463],{"id":2464,"sortIndex":24,"affiliation":2465,"properties":23},"64b1e78b-8e9e-4581-a5db-5375470092ab",{"id":2464,"createTime":23,"updateTime":23,"relativeEntities":2466,"slug":23,"properties":2467,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":2470,"statistic":23},[],{"title":2468},{"EN":2469},"Department of Neurosurgery, Louisiana State University Health Sciences Center at Shreveport, Shreveport, Louisiana",[],{"title":2472,"openalex":2474},{"EN":2473},"Ravish V. 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