Neurosurgical Focus

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Practice parameters for the management of single brain metastasis
Neurosurgical Focus - Tập 9 Số 6 - Trang 1-9 - 2000
Jack Rock, John A. Washington, Lawrence D. Recht, Megan Bernstein, Raymond Sawaya, Tom Mikkelsen, Jay S. Loeffler
Object In January 1998 the Guidelines and Outcomes Committee of the American Association of Neurological Surgeons (AANS) issued a charge for the development of evidence-based practice parameters focusing on the treatment of patients with single metastasis to the brain. The charge was imposed in response to the significant controversy surrounding questions relating to the optimal management strateg... hiện toàn bộ
Psychosurgery, ethics, and media: a history of Walter Freeman and the lobotomy
Neurosurgical Focus - Tập 43 Số 3 - Trang E6 - 2017
James P. Caruso, Jason P. Sheehan
At the peak of his career, Walter J. Freeman II was a celebrated physician and scientist. He served as the first chairman of the Department of Neurology at George Washington University and was a tireless advocate of surgical treatment for mental illness. His eccentric appearance, engaging personality during interviews, and theatrical demonstrations of his surgical techniques gained him substantial... hiện toàn bộ
Intracranial hypotension syndrome: a comprehensive review
Neurosurgical Focus - Tập 15 Số 6 - Trang 1-8 - 2003
Michael J. Paldino, Alon Y. Mogilner, Michael Tenner
Intracranial hypotension may have variable clinical presentations, but has a rather uniform component of postural headache among its symptomatology. Its symptoms are explainable given the effects of the hypotension and attempts within the craniospinal axis to maintain volume homeostasis in the face of cerebrospinal fluid leakage (Monro–Kellie hypothesis). The imaging corollaries of the consequence... hiện toàn bộ
Indications for and benefits of lumbar facet joint block: analysis of 230 consecutive patients
Neurosurgical Focus - Tập 13 Số 2 - Trang 1-5 - 2002
Alan Bani, Uwe Spetzger, Joachim M. Gilsbach
Object The authors evaluated the effectiveness of using a facet joint block with local anesthetic agents and or steroid medication for the treatment of low-back pain in a medium-sized series of patients. Methods Over a period of 4 years, the authors performed 715 facet joint injections in 230 patients with variable-length histories of low-back pain. The main parameter for the success or failure of... hiện toàn bộ
Discography interpretation and techniques in the lumbar spine
Neurosurgical Focus - Tập 13 Số 2 - Trang 1-8 - 2002
Frank J. Tomecek, Christy Anthony, Chris Boxell, Jennifer R. Warren
The authors provide an indepth analysis of discography, a provocative diagnostic tool to determine the origin of low-back pain. Injecting the intervertebral disc with radiopaque dye provides physicians with several useful pieces of information. First, the modality provides radiographic evaluation of the integrity of the nucleus pulposus and anular rings to determine tears or other lesions that cou... hiện toàn bộ
Intraoperative electrical stimulation in awake craniotomy: methodological aspects of current practice
Neurosurgical Focus - Tập 28 Số 2 - Trang E7 - 2010
Andrea Szelényi, Lorenzo Bello, Hugues Duffau, Enrica Fava, Guenther C. Feigl, Miroslav Galanda, Georg Neuloh, Francesco Signorelli, Francesco Sala
There is increasing evidence that the extent of tumor removal in low-grade glioma surgery is related to patient survival time. Thus, the goal of resecting the largest amount of tumor possible without leading to permanent neurological sequelae is a challenge for the neurosurgeon. Electrical stimulation of the brain to detect cortical and axonal areas involved in motor, language, and cognitive funct... hiện toàn bộ
Jugular foramen tumors: diagnosis and treatment
Neurosurgical Focus - Tập 17 Số 2 - Trang 31-40 - 2004
Ricardo Ramina, João J. Maniglia, Yvens Barbosa Fernandes, Jorge Rizzato Paschoal, Leopoldo Nizan Pfeilsticker, Maurício Coelho Neto, Guilherme Borges
Object Jugular foramen tumors are rare skull base lesions that present diagnostic and complex management problems. The purpose of this study was to evaluate a series of patients with jugular foramen tumors who were surgically treated in the past 16 years, and to analyze the surgical technique, complications, and outcomes. Methods The authors retrospectively studied 102 patients with jugular forame... hiện toàn bộ
The basic science of glomus jugulare tumors
Neurosurgical Focus - Tập 17 Số 2 - Trang 6-11 - 2004
Jason Heth
Glomus tumors are a fascinating group of lesions. It is a challenge for neurosurgeons and otolaryngologists to resect them completely with minimal morbidity. Laboratory researchers have discovered extremely interesting genetic and molecular biology factors involved in the development and growth of glomus tumors. In this article the author reviews the genetics, protein mutations, angiogenesis and a... hiện toàn bộ
Novel placement of cortical bone trajectory screws in previously instrumented pedicles for adjacent-segment lumbar disease using CT image-guided navigation
Neurosurgical Focus - Tập 36 Số 3 - Trang E9 - 2014
Analiz Rodriguez, Matthew T. Neal, Ann Liu, Aravind Somasundaram, Wesley Hsu, Charles L. Branch
Object Symptomatic adjacent-segment lumbar disease (ASLD) after lumbar fusion often requires subsequent surgical intervention. The authors report utilizing cortical bone trajectory (CBT) pedicle screw fixation with intraoperative CT (O-arm) image-guided navigation to stabilize spinal levels in patients with symptomatic ASLD. This unique technique results in the placement of 2 screws in the same pe... hiện toàn bộ
Ankylosing spondylitis and spinal cord injury: origin, incidence, management, and avoidance
Neurosurgical Focus - Tập 24 Số 1 - Trang E12 - 2008
W. Bradley Jacobs, Michael G. Fehlings
✓ Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease that primarily affects the vertebral column and sacroiliac joints. Over time, the disease process promotes extensive remodeling of the spinal axis via ligamentous ossification, vertebral joint fusion, osteoporosis, and kyphosis. These pathological changes result in a weakened vertebral column with increased susceptibility to... hiện toàn bộ
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