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301 Kestle, John R. W.; Walker, Marion L.Adjustment and malfunction of a programmable valve after exposure to toy magnetsInadvertent 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
302 Couldwell, William T.Vagus nerve stimulation activates central nervous system structures in epileptic patients during PET H2(15)O blood flow imagingOBJECTIVE: To determine the central areas of activation by vagal nerve stimulation (VNS) in epilepsy. VNS is a promising neurosurgical method for treating patients with partial and secondary generalized epilepsy. The anti-epileptic mechanism of action from VNS is not well understood. METHODS: We p...Epilepsy; Positron emission tomography; Thalamus; Vagus nerve stimulation1996
303 Schmidt, Meic H.Management of brain abscesses associated with halo fixationHalo orthoses are commonly used in the management of a variety of cervical spinal pathological conditions. Although placement of the cranial pins was initially believed to be safe with minimal complications, minor complications related to the cranial pins have the potential to create a setting for ...Cerebral abscess; Cranial pin; Halo orthosis; Halo fixation; Inner table of skull2008
304 Couldwell, William T.Interpositional dural graft technique for the treatment of dural arteriovenous fistulasDural arteriovenous fistulas (dAVFs) are acquired direct arteriovenous shunts that often drain into the dural venous sinus. Treatment options generally involve disrupting the abnormal vascular conduits by using a combination of modalities, including surgical disconnection, radiosurgery, and transar...2007
305 Dailey, Andrew T.Complement depletion reduces macrophage infiltration and activation during Wallerian degeneration and axonal regenerationAfter peripheral nerve injury, macrophages infiltrate the degenerating nerve and participate in the removal of myelin and axonal debris, in Schwann cell proliferation, and in axonal regeneration. In vitro studies have demonstrated the role serum complement plays in both macrophage invasion and activ...1998
306 Schmidt, Meic H.; Apfelbaum, Ronald I.Atlantoaxial transarticular screw fixation: a review of surgical indications, fusion rate, complications, and lessons learned in 191 adult patientsObject. In this, the first of two articles regarding C1-2 transarticular screw fixation, the authors assessed the rate of fusion, surgery-related complications, and lessons learned after C1-2 transarticular screw fixation in an adult patient series. Methods. The authors retrospectively reviewed 191 ...Atlantoaxial junction; Craniocervical junction; Instability; Transarticular screw fixation; Fusion2005
307 Dailey, Andrew T.Intracranial vascular anastomosis using the microanastomotic systemThe authors describe the use of a microanastomotic device to perform intracranial end-to-end vascular anastomoses. Direct end-to-end anastomosis was performed between the superficial temporal artery and branches of the middle cerebral artery (MCA) in three patients. Two patients had moyamoya disease...Microanastomotic system; Intracranial anastomosis; Superficial temporal-middle cerebral artery bypass; Carotid occlusion1998
308 Gottfried, Oren N.; Liu, James K.; Couldwell, William T.Comparison of radiosurgery and conventional surgery for the treatment of Glomus Jugulare tumorsObjective: 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 resu...Glomus Jugulare; Radiosurgery; Radiotherapy; Skull Base; Surgery2004-07-07
309 Couldwell, William T.Photophobia in a blind patient: an alternate visual pathwayPhotophobia is a common neurological and ophthalmological symptom that has been associated with a growing number of neurosurgical conditions, especially compressive lesions. The exact signaling pathways and neurophysiological features of the disorder are not well understood; however, data from mult...2006-11
310 Dailey, Andrew T.Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 4: radiographic assessment of fusionStandards. Static lumbar radiographs are not recommended as a stand-alone means to assess fusion status following lumbar arthrodesis surgery. Guidelines. 1) Lateral flexion and extension radiography is recommended as an adjunct to determine the presence of lumbar fusion postoperatively. The lack ...Lumbar fusion; Lumbar spine; Degenerative disease; Practice guidelines; Radiographic assessment2005
311 Couldwell, William T.Management of pituitary adenomasWe present an overview of the management of pituitary adenomas, with discussions of microanatomy, of diagnostic studies of general neuroendocrine function, and of radiologic evaluation. We discuss the diagnosis of pituitary adenoma and its treatment with sections on null cell, prolactin (PRL)-secre...Pituitary adenoma; Transsphenoidal surgery; Corticotropin; Prolactin; Growth hormone; Transcranial surgery1994
312 Kestle, John R. W.Work hour restrictions: impact on neurosurgical resident training at the University of UtahResident work hour restrictions imposed by the Accreditation Council for Graduate Medical Education became effective on July 1, 2003. To evaluate the effect of these regulations on resident operative experience, we reviewed and compared the surgical experience of junior and senior neurosurgical res...Neurosurgical resident training; Work hour restrictions2006
313 Couldwell, William T.Irving S. Cooper and the early surgical management of movement disordersIrving S. Cooper was a pioneer in the field of functional neurosurgery. During his very productive and controversial career, he proposed the surgical treatment of Parkinson disease (PD) by ligating the anterior choroidal artery to control tremor and rigidity. Subsequently, he developed seminal techn...Functional neurosurgery; Movement disorder; Video2001
314 Dailey, Andrew T.Risk factors for respiratory failure following operative stabilization of thoracic and lumbar spine fracturesBackground: 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 spine2006
315 Kestle, John R. W.Moyamoya phenomenon after radiation for optic gliomaThe 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 glioma1993
316 Couldwell, William T.; Orlandi, Richard R.; Apfelbaum, Ronald I.Novel closure technique for the endonasal transsphenoidal approach: Technical noteTranssphenoidal 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
317 Couldwell, William T.Pituitary apoplexy: diagnosis and managementPituitary 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 surgery2003
318 Dailey, Andrew T.Emergent aneurysm clipping without angiography in the moribund patient with intracerebral hemorrhage: the use of infusion computed tomography scansTHE 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 clipping1993
319 Couldwell, William T.Thrombosed Basilar Apex Aneurysm presenting as a third ventricular mass and hydrocephalus: case report and review of the literatureAneurysms 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 Ventriculostomy2005-04
320 Couldwell, William T.Glioma invasionA 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
321 Dailey, Andrew T.Sciatic nerve sarcoidosis: utility of magnetic resonance peripheral nerve imaging and treatment with radiation therapySarcoidosis 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 therapy2004
322 Couldwell, William T.Surgical outcomes in 118 patients with Rathke cleft cystsObject. 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
323 Kestle, John R. W.Ventriculoperitoneal shunts in children: indications, equipment and techniquesThe 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
324 Kestle, John R. W.Intervertebral disc embolization resulting in spinal cord infarctionA 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; Embolization1989
325 Kestle, John R. W.Role of angiography following aneurysm surgeryThe 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 occlusion1993
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