Pub Date : 2021-08-01DOI: 10.1097/01.CNE.0000853952.70207.23
P. Minetos, Brian A. Karamian, D. Reiter, Aditya Thandoni, Jennifer Z. Mao, S. DiMaria, A. Vaccaro
Supplemental Digital Content is Available in the Text.
补充数字内容可在文本中获得。
{"title":"Treatment of Epidural Abscesses in Neuro-Intact Patients","authors":"P. Minetos, Brian A. Karamian, D. Reiter, Aditya Thandoni, Jennifer Z. Mao, S. DiMaria, A. Vaccaro","doi":"10.1097/01.CNE.0000853952.70207.23","DOIUrl":"https://doi.org/10.1097/01.CNE.0000853952.70207.23","url":null,"abstract":"Supplemental Digital Content is Available in the Text.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"44 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42785939","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}
Pub Date : 2021-05-30DOI: 10.1097/01.CNE.0000827500.28940.55
O. Adogwa, J. O’toole
with pain, mechanical instability, and neurologic complications that may adversely affect a patient’s activities of daily living and quality of life. In some cases, surgery is the preferred treatment modality. When surgical excision is planned, preoperative embolization of spinal tumors helps to reduce intraoperative blood loss, making surgery safer. In addition, in patients with poor functional reserve or unresectable tumors, preoperative embolization can be used to palliate pain and improve neurologic symptoms. Before performing spinal tumor embolization, detailed knowledge of the spinal vascular anatomy, indications, contraindications, and potential complications is required.
{"title":"Preoperative Embolization in Surgical Management of Hypervascular Spinal Column Tumors","authors":"O. Adogwa, J. O’toole","doi":"10.1097/01.CNE.0000827500.28940.55","DOIUrl":"https://doi.org/10.1097/01.CNE.0000827500.28940.55","url":null,"abstract":"with pain, mechanical instability, and neurologic complications that may adversely affect a patient’s activities of daily living and quality of life. In some cases, surgery is the preferred treatment modality. When surgical excision is planned, preoperative embolization of spinal tumors helps to reduce intraoperative blood loss, making surgery safer. In addition, in patients with poor functional reserve or unresectable tumors, preoperative embolization can be used to palliate pain and improve neurologic symptoms. Before performing spinal tumor embolization, detailed knowledge of the spinal vascular anatomy, indications, contraindications, and potential complications is required.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"43 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42553225","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}
Pub Date : 2021-05-15DOI: 10.1097/01.cne.0000822736.17201.44
Jaafar Basma, A. Krisht
The extended retrosigmoid craniotomy is an approach designed to gain maximal access to the cerebellopontine angle and petroclival region. The approach is characterized by the extension of the well-known retrosigmoid craniotomy by skeletonization of the sigmoid and transverse sinus and the option of a mastoidectomy. It can be employed for extraaxial lesions in the cerebellopontine angle and intraaxial lesions arising along the petrosal surface of the cerebellum, cerebellar peduncles, or brainstem.
{"title":"The Extended Retrosigmoid Approach","authors":"Jaafar Basma, A. Krisht","doi":"10.1097/01.cne.0000822736.17201.44","DOIUrl":"https://doi.org/10.1097/01.cne.0000822736.17201.44","url":null,"abstract":"The extended retrosigmoid craniotomy is an approach designed to gain maximal access to the cerebellopontine angle and petroclival region. The approach is characterized by the extension of the well-known retrosigmoid craniotomy by skeletonization of the sigmoid and transverse sinus and the option of a mastoidectomy. It can be employed for extraaxial lesions in the cerebellopontine angle and intraaxial lesions arising along the petrosal surface of the cerebellum, cerebellar peduncles, or brainstem.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46209293","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}
Pub Date : 2021-03-15DOI: 10.1097/01.cne.0000802700.24257.6b
A. Krisht
{"title":"The Transsphenoidal Approach and Its Variants: Part I","authors":"A. Krisht","doi":"10.1097/01.cne.0000802700.24257.6b","DOIUrl":"https://doi.org/10.1097/01.cne.0000802700.24257.6b","url":null,"abstract":"","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41866267","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}
Pub Date : 2021-02-28DOI: 10.1097/01.CNE.0000797288.22618.cd
Julie Mayeku, M. Lopez-Gonzalez
The beginnings of middle fossa surgery date back from the late 19th century with the extradural subtemporal approach for trigeminal neuralgia by Krause and Hartley, as well as Ernst von Bergmenn for temporal bone infections. In 1904, RH Parry reported the first vestibular nerve resection through the middle fossa, and in 1961, House reported the first approach for vestibular schwannoma and later popularized for other pathologies in the cerebellopontine angle. This led to subsequent development in middle fossa surgery.
中窝手术的起源可以追溯到19世纪末，Krause和Hartley采用颞下硬膜外入路治疗三叉神经痛，Ernst von Bergmen采用颞骨感染。1904年，RH Parry报道了第一次通过中窝切除前庭神经，1961年，House报道了第一种治疗前庭神经鞘瘤的方法，后来推广用于桥小脑角的其他病变。这导致了随后中窝手术的发展。
{"title":"Pros and Cons of Various Approaches to the Middle Fossa","authors":"Julie Mayeku, M. Lopez-Gonzalez","doi":"10.1097/01.CNE.0000797288.22618.cd","DOIUrl":"https://doi.org/10.1097/01.CNE.0000797288.22618.cd","url":null,"abstract":"The beginnings of middle fossa surgery date back from the late 19th century with the extradural subtemporal approach for trigeminal neuralgia by Krause and Hartley, as well as Ernst von Bergmenn for temporal bone infections. In 1904, RH Parry reported the first vestibular nerve resection through the middle fossa, and in 1961, House reported the first approach for vestibular schwannoma and later popularized for other pathologies in the cerebellopontine angle. This led to subsequent development in middle fossa surgery.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":" ","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45928225","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}
Pub Date : 2021-02-15DOI: 10.1097/01.CNE.0000884792.35006.54
Craig A. Tork, F. Cloran
Supplemental Digital Content is Available in the Text. Diffusion-weighted imaging (DWI) is a powerful tool in MRI of the brain. DWI assesses the ability of water molecules to freely move within tissues through Brownian motion. Water that is extracellular has rapid diffusivity, whereas water within an intracellular compartment has decreased diffusivity. DWI assesses the ease with which these water molecules diffuse from the intracellular to extracellular compartments and out of the region of interest through phase and refocusing gradients, and imaging will demonstrate a hyperintense signal when the molecules are unable to freely diffuse.
{"title":"Cortical Restricted Diffusion From Arrest to Mad Cow: A Clinicoradiologic Approach","authors":"Craig A. Tork, F. Cloran","doi":"10.1097/01.CNE.0000884792.35006.54","DOIUrl":"https://doi.org/10.1097/01.CNE.0000884792.35006.54","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Diffusion-weighted imaging (DWI) is a powerful tool in MRI of the brain. DWI assesses the ability of water molecules to freely move within tissues through Brownian motion. Water that is extracellular has rapid diffusivity, whereas water within an intracellular compartment has decreased diffusivity. DWI assesses the ease with which these water molecules diffuse from the intracellular to extracellular compartments and out of the region of interest through phase and refocusing gradients, and imaging will demonstrate a hyperintense signal when the molecules are unable to freely diffuse.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"44 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43814104","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}
Pub Date : 2021-02-15DOI: 10.1097/01.cne.0000767096.59507.83
Nickalus R. Khan, J. Morcos
The continuing education activity in Contemporary Neurosurgery
当代神经外科的继续教育活动
{"title":"Cerebral Revascularization Surgery: Surgical Indications and Strategies","authors":"Nickalus R. Khan, J. Morcos","doi":"10.1097/01.cne.0000767096.59507.83","DOIUrl":"https://doi.org/10.1097/01.cne.0000767096.59507.83","url":null,"abstract":"The continuing education activity in Contemporary Neurosurgery","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43960762","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}
Pub Date : 2021-01-30DOI: 10.1097/01.cne.0000755960.12017.e9
S. Sayyahmelli, Sara Sayyahmelli, I. Aydin, M. Başkaya
Historical Perspective The supracerebellar infratentorial approach was first used by Stein in the 1970s for accessing pineal region tumors. The SCTT, as a supratentorial extension of this approach, was first described by Yaşargil and Voigt in 1976, to remove a cavernous malformation in the posterior parahippocampal gyrus without injuring the optic radiation. Later, Yaşargil used this approach in 2 patients with parahippocampal dysplasia, and in 1 patient with an oligodendroglioma. Yonekawa et al. rejuvenated the SCTT to access the posterior mediobasal region, while avoiding retraction or transgression of the parenchyma in the temporal or occipital lobes, for 16 patients with neoplastic or vascular lesions. Yaşargil developed the idea of a paramedian SCTT for selective amygdalohippocampectomy, where his main concern was the potential difficulty of removing the amygdala and piriform cortex. Since these seminal descriptions of the SCTT, many other reports have described its application for the management of multiple pathologies including intraand extra-axial tumors, vascular malformations, aneurysms, and hippocampal sclerosis.
{"title":"Supracerebellar Transtentorial Approach: Anatomic Description, Operative Technique, and Clinical Applications","authors":"S. Sayyahmelli, Sara Sayyahmelli, I. Aydin, M. Başkaya","doi":"10.1097/01.cne.0000755960.12017.e9","DOIUrl":"https://doi.org/10.1097/01.cne.0000755960.12017.e9","url":null,"abstract":"Historical Perspective The supracerebellar infratentorial approach was first used by Stein in the 1970s for accessing pineal region tumors. The SCTT, as a supratentorial extension of this approach, was first described by Yaşargil and Voigt in 1976, to remove a cavernous malformation in the posterior parahippocampal gyrus without injuring the optic radiation. Later, Yaşargil used this approach in 2 patients with parahippocampal dysplasia, and in 1 patient with an oligodendroglioma. Yonekawa et al. rejuvenated the SCTT to access the posterior mediobasal region, while avoiding retraction or transgression of the parenchyma in the temporal or occipital lobes, for 16 patients with neoplastic or vascular lesions. Yaşargil developed the idea of a paramedian SCTT for selective amygdalohippocampectomy, where his main concern was the potential difficulty of removing the amygdala and piriform cortex. Since these seminal descriptions of the SCTT, many other reports have described its application for the management of multiple pathologies including intraand extra-axial tumors, vascular malformations, aneurysms, and hippocampal sclerosis.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"43 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2021-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48749599","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}
Pub Date : 2021-01-01DOI: 10.1097/01.CNE.0000884408.73028.de
M.R. Povlow, F. Cloran, L. Bui-mansfield
Supplemental Digital Content is Available in the Text. The use of CT for the evaluation of head injuries and mental status changes is common. Radiologists must have a reliable system for evaluating a head CT scan, which will improve diagnostic accuracy and speed of interpretation. This article discusses a systematic approach to head CT interpretation and review some of the common pathologies seen in clinical practice.
{"title":"From Outside to Inside: A Systematic Approach to the Head CT From the Emergency Department","authors":"M.R. Povlow, F. Cloran, L. Bui-mansfield","doi":"10.1097/01.CNE.0000884408.73028.de","DOIUrl":"https://doi.org/10.1097/01.CNE.0000884408.73028.de","url":null,"abstract":"Supplemental Digital Content is Available in the Text. The use of CT for the evaluation of head injuries and mental status changes is common. Radiologists must have a reliable system for evaluating a head CT scan, which will improve diagnostic accuracy and speed of interpretation. This article discusses a systematic approach to head CT interpretation and review some of the common pathologies seen in clinical practice.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":" ","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45983871","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}
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