Treatment of raised intracranial pressure following traumatic brain injury
This article reviews six recent papers that have examined alternative methods of treating elevated ICP. The first two papers consider a new and controversial alternative to cerebral perfusion pressure (CPP) management, which involves mild hypotension coupled with pre-capil-lary vasoconstriction using dihydro-ergotamine. The authors claim success with this treatment, and although the patient numbers are small, there is no evidence that they fare any less well than patients treated with conventional techniques. The third and fourth papers consider hypertonic saline (FITS) as a possible osmotic treatment for raised ICP. The t...
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Papers reviewed in this issue
(Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Publications scanned for pertinent articles
(Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Anterior cervical discectomy for one- and two-level cervical disc disease: the controversy surrounding the question of whether to fuse, plate, or both
In conclusion, a general statement regarding the optimal surgical treatment for cervical disc herniations using anterior approaches is difficult to make with this limited review. Surgeons’ experience and familiarity with a particular approach are probably the most important factors in ensuring successful outcomes. (Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Prerequisites for fetal neurosurgery: management of central nervous system anomalies toward the 21st century
Abstract
With the dramatic technical advances in neuroimaging, it has become possible to diagnose central nervous system (CNS) anomalies in the fetus in utero with more precise morphological analysis. A new technique, high-resolution magnetic resonance (MR) imaging using heavily T2-weighted fast spin echo sequences, has been reported to solve motion artifact of the fetus. However, it has also been recognized that the morphological fetal CNS findings detected in early development are not always the final features: occasionally they may not be determined in diagnosis and may change developmentally or chro...
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Interstitial irradiation with stereotactically implanted I-125 seeds for the treatment of cerebral glioma
Abstract
Owing to its low rate of side effects and its high efficacy, interstitial irradiation with low-activity seeds should be the first therapeutic step in small (maximal diameter 40 mm), well-circumscribed, lowgrade gliomas affecting the brain stem, other midline structures, or eloquent cerebral areas. In anaplastic gliomas, a therapeutic schedule using low-activity seeds and combining interstitial irradiation with radiotherapy (reduced boost dose of 1530 Gy) seems to be more effective than interstitial irradiation alone. Compared with interstitial irradiation with high-activity seeds, this combined...
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
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(Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
A review of dural substitutes used in neurosurgery
This article reviews the literature regarding the features, advantages, and related complications of different dural substitutes. (Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Endovascular treatment of intracranial aneurysms: saccular aneurysms and posttraumatic pseudoaneurysms
Abstract
The endovascular treatment of intracranial aneurysms is gaining a definite place in neurosurgery. This is particularly true for using the Guglielmi detachable coil (GDC). “Endovascular treatment or direct surgery?” is a common discussion nowadays. The following papers raise some important issues with respect to this argument. This review also includes several papers that deal with posttraumatic pseudo aneurysms. One of the papers clearly suggests that endovascular treatment could also play an important role in treatment treating pseudoaneurysms. (Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Treatment of raised intracranial pressure following traumatic brain injury
This article reviews six recent papers that have examined alternative methods of treating elevated ICP. The first two papers consider a new and controversial alternative to cerebral perfusion pressure (CPP) management, which involves mild hypotension coupled with pre-capil-lary vasoconstriction using dihydro-ergotamine. The authors claim success with this treatment, and although the patient numbers are small, there is no evidence that they fare any less well than patients treated with conventional techniques. The third and fourth papers consider hypertonic saline (FITS) as a possible osmotic treatment for raised ICP. The t...
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Papers reviewed in this issue
(Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
Publications scanned for pertinent articles
(Source: Critical Reviews in Neurosurgery)
Source: Critical Reviews in Neurosurgery - April 1, 1999 Category: Neurosurgery Source Type: research
