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Creator | Title | Description | Subject | Date |
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Kestle, John R. W.; Walker, Marion L. | Adjustment and malfunction of a programmable valve after exposure to toy magnets | Inadvertent adjustments and malfunctions of programmable valves have been reported in cases in which patients have encountered powerful electromagnetic fields such as those involved in magnetic resonance imaging, but the effects of small magnetic fields are not well known. The authors present a ca... | | 2004 |
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Schmidt, Meic H. | Cavernous hemangioma of the skull presenting with subdural hematoma | Cavernous hemangioma of the calvaria is a very rare disease, and patients usually present with headaches or a visible skull deformity. Few reports of patients presenting with intradiploic or epidural hemorrhages are found in the literature. No case of an intradural hemorrhage from a cavernous hemang... | Calvaria; Cavernous hemangioma | 2004 |
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Couldwell, William T. | Comparison of radiosurgery and conventional surgery for the treatment of glomus jugulare tumors | Object. The optimal management of glomus jugulare tumors remains controversial. Available treatments were once associated with poor outcomes and significant complication rates. Advances in skull base surgery and the delivery of radiation therapy by stereotactic radiosurgery have improved the results... | | 2004 |
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Kestle, John R. W.; Brockmeyer, Douglas Lee | Complications of intracranial pressure monitoring in children with head trauma | Object. Intracranial pressure (ICP) monitoring has become routine in the management of patients with traumatic brain injury (TBI). Many surgeons prefer to use external ventricular drains (EVDs) over fiberoptic monitors to measure ICP because of the added benefit of cerebrospinal fluid drainage. The ... | Head trauma; Ventriculostomy; External ventricular drain; Monitoring; Fiberoptic monitor | 2004 |
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Kestle, John R. W.; MacDonald, Joel D.; Couldwell, William T. | Efficacy of multiple intraarterial papaverine infusions for improvement in cerebral circulation time in patients with recurrent cerebral vasospasm | Object. Cerebral vasospasm that is caused by aneurysmal subarachnoid hemorrhage and that is refractory to maximal medical management can be treated with selective intraarterial papaverine infusions. The effects of single papaverine treatments on cerebral circulation time are well known. The purpose ... | Cerebral vasospasm; Intraarterial papaverine infusions | 2004 |
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Couldwell, William T.; Schloesser, Peter E. | Hemorrhage from moyamoya-like vessels associated with a cerebral arteriovenous malformation | The authors describe a case of subarachnoid hemorrhage from moyamoya-like vessels associated with an arteriovenous malformation (AVM) in a 44-year-old Hispanic man who presented with severe headache. The AVM was located in the left parietal lobe and the ipsilateral middle cerebral artery was occlude... | Moyamoya-like vessels; Arteriovenous malformation; Ischemia MeSH: Arteriovenous malformations | 2004 |
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Kestle, John R. W.; Townsend, Jeannette J.; Brockmeyer, Douglas Lee | Juvenile pilocytic astrocytoma of the brainstem in children | Object. In reports involving the operative treatment of brainstem tumors, multiple histological types are often grouped together. To determine prognosis after resection, histology-specific data may be helpful. Methods. Twenty-eight patients with juvenile pilocytic astrocytoma (JPA) of the brainste... | Juvenile pilocytic astrocytoma; JPA; Brainstem tumors; Resection | 2004 |
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Kestle, John R. W.; MacDonald, Joel D.; Schmidt, Richard H. | Marked reduction of cerebral vasospasm with lumbar drainage of cerebrospinal fluid after subarachnoid hemorrhage | Object. Cerebral vasospasm after subarachnoid hemorrhage (SAH) continues to be a major source of morbidity in patients despite significant clinical and basic science research. Efforts to prevent vasospasm by removing spasmogens from the subarachnoid space have produced mixed results. The authors hyp... | Cerebral vasospasm; Lumbar drainage | 2004 |
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Couldwell, William T. | Medical and surgical management of microprolactinoma | A recent report by Colao et al. [1] indicates that a significant proportion of patients harboring prolactinomas treated with cabergoline will have persistence of remission of hyperprolactinemia following withdrawal of the drug. The prolactin and tumor control rates in the study suggest that medical ... | Microprolactinoma; Prolactinoma; Cabergolene | 2004 |
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Couldwell, William T. | Neurosurgical implications of allergic fungal sinusitis | Object. Allergic fungal sinusitis (AFS) is a form of paranasal mycosis that often involves bone destruction and extension into the orbit and anterior skull base. Treatment consists of surgical extirpation and a course of corticosteroids. Despite frequent intracranial involvement, AFS is rarely repor... | | 2004 |
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Couldwell, William T.; Orlandi, Richard R.; Apfelbaum, Ronald I. | Novel closure technique for the endonasal transsphenoidal approach: Technical note | Transsphenoidal microsurgery has been the standard approach to sellar lesions since the repopularization of the technique with modifications by Dott, Guiot, and Hardy. The endonasal transseptal transsphenoidal approach, as introduced by Hirsch, is still commonly used by pituitary surgeons to remove ... | | 2004 |
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Couldwell, William T. | Porous polyethylene implant for cranioplasty and skull base reconstruction | Object. Cranial reconstruction after skull base surgery is important for restoration of function and cosmesis. The authors describe their experience with the Medpor porous polyethylene implant for cosmetic cranioplasty and reconstruction after skull base surgery. Methods. Medpor, a biocompatible i... | | 2004 |
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Couldwell, William T.; MacDonald, Joel D. | Revision of vagal nerve stimulator electrodes: technical approach | Purpose To demonstrate the feasibility of complete removal of the vagal nerve stimulator electrode using microsurgical technique. Methods Operative databases at the University of Utah (1995 through 2002), Westchester Medical Center (1995 through 2001), and University of Arizona Health Sciences Ce... | Vagal nerve stimulation; Helical electrode; Electrode revision | 2004 |
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Schmidt, Meic H. | Role of thoracoscopic spinal surgery in the management of pyogenic vertebral osteomyelitis | Study Design. Case report, operative technique. Objectives. Vertebral osteomyelitis is frequently associated with elderly and debilitated patients who have significant medical comorbidities. If surgical debridement is contemplated, an open anterior approach like a thoracotomy can be associated with... | Thoracoscopic spinal surgery; Pyogenic vertebral osteomyelitis | 2004 |
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Dailey, Andrew T. | Sciatic nerve sarcoidosis: utility of magnetic resonance peripheral nerve imaging and treatment with radiation therapy | Sarcoidosis may involve both the central and peripheral nervous system, although peripheral nerve manifestations are usually seen late in the disease. In this report, the authors describe a case of sarcoidosis in a 22-year-old woman who presented with a foot drop. Although results of conventional lu... | Peripheral nerve imaging; Radiation therapy | 2004 |
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Schmidt, Meic H. | Spinal epidural lipomatosis: a review of its causes and recommendations for treatment | Spinal epidural lipomatosis is most commonly observed in patients receiving long-term exogenous steroid therapy, but can also be seen in patients with endogenous steroid overproduction, obesity, or idiopathic disease. With this condition, there is hypertrophy of the epidural adipose tissue, causing ... | Spinal epidural lipomatosis; Steroid; Hypertrophy; Adipose tissue | 2004 |
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Couldwell, William T.; House, Paul A.; Salzman, Karen L.; Osborne, Anne G.; MacDonald, Joel D.; Jensen, Randy L. | Surgical considerations regarding giant dilations of the perivascular spaces | Object. Dilations of brain perivascular spaces (PVSs), also known as Virchow-Robin spaces, are routinely identified on magnetic resonance imaging studies of the brain and recognized as benign normal variants. Giant dilations occur only rarely and can be easily misdiagnosed as central nervous system ... | | 2004 |
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Schmidt, Meic H. | Syndrome of inappropriate secretion of antidiuretic hormone and hyponatremia after spinal surgery | Hyponatremia caused by an inappropriately high level of antidiuretic hormone secretion after spinal surgery is an uncommon and self-limiting phenomenon that resolves within 2 or 3 weeks. During the early postoperative period, the patient's urine output and serum level of sodium should be monitored ... | Syndrome of inappropriate antidiuretic hormone secretion; SIADH; Hyponatremia; Spinal surger | 2004 |
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Couldwell, William T.; Apfelbaum, Ronald I. | Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases | The traditional boundaries of the transsphenoidal approach may be expanded to include the region from the cribriform plate of the anterior cranial base to the inferior clivus in the anteroposterior plane, and laterally to expose the cavernous cranial nerves and the optic canal. We review our combin... | Transsphenoidal surgery; Chordoma; Craniopharyngioma; Intracranial neoplasm; Meningioma; Pituitary adenoma; Sella turcica; Transsphenoidal craniotomy | 2004 |