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Creator | Title | Description | Subject | Date |
276 |
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Couldwell, William T. | Review by Oren N. Gottfried, M.D. and William T. Couldwell, M.D., Ph.D for Neurosurgery Journal Club. (Yadav JS, Wholey MH, Kuntz RE, et al: Protected carotid-artery stenting versus endarterectomy in high-risk patients.) | This is an important study that helps further define a role for carotid stenting as a therapeutic option for atherosclerotic carotid disease. There is a need for a larger-scale multi-centered trial with increased numbers patients and longer follow-up to identify appropriate patients for either endar... | Carotid Stenosis; Endarterectomy, Carotid; Stents | 2005-01-07 |
277 |
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Jaeckle, Kurt A.; Digre, Kathleen B.; Jones, Christopher R.; Bailey, Peter L. | Central neurogenic hyperventilation: pharmacologic intervention with morphine sulfate and correlative analysis of respiratory, sleep, and ocular motor dysfunction. | Central neurogenic hyperventilation (CNH), for which there is no effective therapy, can eventually result in respiratory fatigue and death. This report describes a patient with CNH due to a brainstem anaplastic astrocytoma who also exhibited disturbances of sleep and ocular motor function. The CNH r... | Central Neurogenic H yperventilation; Ocular Motor Dysfunction | 1990-11 |
278 |
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Couldwell, William T. | Posterolateral approach for decompression with anterior and posterior fusion: a less invasive surgical technique for stabilization of the thoracic spine | The goals of surgery in unstable thoracic fractures or tumors involving the thoracic spine are neural decompression, correction of deformity, and stabilization. Several different approaches can be used to achieve these goals. The anterior, combined anterior and posterior, and more recently thoraco... | Decompression; Thoracic spine; Posterolateral approach | 1998 |
279 |
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Couldwell, William T. | Prognostic variables in surgery for skull base meningiomas | The authors have retrospectively analyzed selected surgical and pathological observations made among a group of 20 patients harboring recurrent cranial base meningiomas in an attempt to reveal which factors may be important in predicting tumor recurrence. This cohort was compared with a group of 3... | Skull base; Prognostic factor; Recurrence | 1997 |
280 |
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Schmidt, Meic H. | Cervical spine deformity associated with resection of spinal cord tumors | Postoperative sagittal-plane cervical spine deformities are a concern when laminectomy is performed for tumor resection in the spinal cord. These deformities appear to occur more commonly after resection of intramedullary spinal cord lesions, compared with laminectomy for stenosis caused by degener... | Kyphosis; Cervical deformity; Intramedullary tumor; Laminectomy; Children | 2006 |
281 |
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Couldwell, William T. | Surgical approaches to petroclival meningiomas part I: upper and midclival approaches | Strictly considered, petroclival meningiomas represent only a percentage of the 10% of all intracranial meningiomas that reside in the posterior fossa. Although not statistically frequent, with their location in proximity to cranial nerves, the basilar artery and its perforating branches, and t... | Petroclival meningiomas; Petroclivus; Surgical approach; Upper clivus; Midclivus | 1994 |
282 |
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Kestle, John R. W. | Determining the best cerebrospinal fluid shunt valve design: the pediatric valve design trial | Myriad cerebrospinal fluid shunt valve designs are available (17, IS). None has ever been shown to be superior to another, although claims by neurosurgeons and shunt manufacturers of the merits of particular designs are numerous. Such is the case with two recent shunt valve designs, the Orbis-Sigm... | Pediatric valve design; Shunt valves | 1996 |
283 |
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Dailey, Andrew T. | Pathophysiology of oral pharyngeal apraxia and mutism following posterior fossa tumor resection in children | Mutism following posterior fossa tumor resection in pediatric patients has been previously recognized, although its pathophysiology remains unclear. A review of the available literature reveals 33 individuals with this condition, with only a few adults documented in the population. All of these pati... | Vermis; Posterior fossa tumor; Pediatric patients | 1995 |
284 |
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Kestle, John R. W. | Response to editorial: summer shunting | We thank Dr. Scott for his review and comments about our report of shunt surgery complications in the summer. He makes two very good points. Clearly, different databases are suited for different purposes, and the NIS database used in the study by Smith and colleagues is well suited to evaluating t... | | 2006 |
285 |
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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 |
286 |
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Kestle, John R. W. | Reduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations | The benefits of radiosurgery for cavernous malformations are difficult to assess because of the unclear natural history of this vascular lesion, the inability to image malformation vessels, and the lack of an imaging technique that defines "cure." The authors selected for radiosurgery 47 patients w... | Cavernous malformation; Gamma knife; Stereotactic radiosurgery | 1995 |
287 |
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Dailey, Andrew T. | Risk factors for respiratory failure following operative stabilization of thoracic and lumbar spine fractures | Background: Respiratory failure is a serious complication that can adversely affect the hospital course and survival of multiply injured patients. Some studies have suggested that delayed surgical stabilization of spine fractures may increase the incidence of respiratory complications. However, the... | Respiratory failure; Operative stabilization; Thoracic spine; Lumbar spine | 2006 |
288 |
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Kestle, John R. W. | Moyamoya phenomenon after radiation for optic glioma | The role of radiotherapy in the management of patients with optic pathway glioma is controversial. In a series of patients with optic pathway glioma treated at The Hospital for Sick Children in Toronto, five children were encountered who developed moyamoya phenomenon after radiotherapy. A retrospec... | Optic pathway glioma | 1993 |
289 |
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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 |
290 |
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Couldwell, William T. | Pituitary apoplexy: diagnosis and management | Pituitary apoplexy, an uncommon complication of pituitary adenomas, was first decribed in 1898 when pearce Bailey reported hemorrhage into a pituitary adenoma in a 50 year old man with acromegaly. The patient presented with sudden onset of headache, nausea, vomiting, fever, oculomotor palsies, and v... | Pituitary Apoplexy; Pituitary adenoma; Transsphenoidal surgery | 2003 |
291 |
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Dailey, Andrew T. | Emergent aneurysm clipping without angiography in the moribund patient with intracerebral hemorrhage: the use of infusion computed tomography scans | THE AUTHORS REPORT their experience with 25 patients (mean age, 44.3 ± 12.1 years) with an intracerebral hematoma (ICH) from a ruptured aneurysm who were emergently operated on without angiography. Instead, preoperative high-resolution infusion computed tomography (CT) scans were used to identify... | Ruptured aneurysms; Computed tomography; Infusion computed tomography; Aneurysm clipping | 1993 |
292 |
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Couldwell, William T. | Thrombosed Basilar Apex Aneurysm presenting as a third ventricular mass and hydrocephalus: case report and review of the literature | Aneurysms presenting as third ventricular masses are uncommon; most are giant aneurysms arising from the basilar apex. We present a case of a thrombosed basilar apex aneurysm presenting as a third ventricular mass and hydrocephalus in a 55-year-old man. The case is unique in the literature as the an... | Basilar Apex Aneurysm; Ventricular Mass; Third Ventriculostomy | 2005-04 |
293 |
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Couldwell, William T. | Glioma invasion | A characteristic pathological feature of malignant glioma cells is their ability to extensively invade surrounding brain parenchyma-particularly along white matter tracts- thus rendering focal therapies incapable of controlling tumor growth and resulting in inevitable recurrence. In this regard, ... | | 2001 |
294 |
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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 |
295 |
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Couldwell, William T. | Surgical outcomes in 118 patients with Rathke cleft cysts | Object. Microscopic Rathke cleft cysts are a common incidental autopsy finding, but some Rathke cleft cysts can become sufficiently large to cause visual impairment, hypothalamic-pituitary dysfunction, and headaches. In this study patients were evaluated pre- and postoperatively to ascertain the cli... | | 2005-02 |
296 |
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Kestle, John R. W. | Ventriculoperitoneal shunts in children: indications, equipment and techniques | The decision to implant a ventriculoperitoneal shunt in a child with ventriculomegaly should not be taken lightly. Once a shunt has been implanted, it is very difficult to determine that it is no longer necessary, and therefore the initial decision is very important. Sometimes the need is obvious, s... | | 2008 |
297 |
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Kestle, John R. W. | Intervertebral disc embolization resulting in spinal cord infarction | A case of spinal cord infarction resulting from embolization of fibrocartilaginous intervertebral disc material is presented. Cases from the literature are reviewed and the theories of pathogenesis are discussed. In all reported cases the diagnosis was not made until postmortem examination. | Spinal cord infarction; Nucleus pulposus; Intervertebral disc; Embolization | 1989 |
298 |
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Kestle, John R. W. | Role of angiography following aneurysm surgery | The postoperative angiograms in 66 patients who underwent craniotomy for clipping of 78 cerebral aneurysms were reviewed. Indications for urgent postoperative angiography included neurological deficit or repeat subarachnoid hemorrhage. Routine postoperative angiograms were carried out in the remai... | Postoperative angiography; Aneurysm rest; Cerebral angiography; Vascular occlusion | 1993 |
299 |
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Kestle, John R. W. | Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus | OBJECTIVE: Forty percent of standard cerebrospinal fluid shunts implanted for the treatment of pediatric hydrocephalus fail within the first year. Two new shunt valves designed to limit excess flow, particularly in upright positions, were studied to compare treatment failure rates with those for st... | Shunt failure; Valve design; Orbis-Sigma valve; Delta valve | 1998 |
300 |
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Garber, Sarah | Spinal arteriovenous fistulas in children with hereditary hemorrhagic telangiectasia: report of 2 cases | Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant angiodysplasia with high penetrance and variable expression. The manifestations of HHT are often age related, and spinal arteriovenous fistula (AVF) may be the initial presentation of HHT in young children. Because spinal AVFs are... | | 2012-01-01 |