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51 Couldwell, William T.; Harnsberger, H. RicSpontaneous regression of a cystic cavum septum pellucidumA persistent cavum septum pellucidum (CSP) is present in ~0.73% of adults, although its incidence ranges from 0.14 to 18.9% depending on the detection method. Cystic CSP is even rarer. A cyst causing mass within the CSP can obstruct the intraventricular foramen, leading to blockage of CSF flow and p...Cavum septum pellucidum; Cyst; Spontaneous regression; Decompression2006
52 Dailey, Andrew T.Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: injection therapies, low-back pain, and lumbar fusionStandards. Facet injections are not recommended as long-term treatment for chronic low-back pain. Guidelines. There is insufficient evidence to recommend a treatment guideline. Options. The use of lumbar epidural injections or TPIs is not recommended as a treatment option for long-term relief of c...Fusion procedures; Degenerative disease; Lumbar spine; Injection therapies; Low-back pain; Lumbar fusion2005
53 Kestle, John R. W.High incidence of tumor dissemination in myxopapillary ependymoma in pediatric patientsP Myxopapillary ependymomas (MPEs) have historically been thought to be benign tumors occurring most frequently in adults. Only 8 to 20% of these tumors occur in the first two decades of life, making this tumor a rarity in pediatric neurosurgery. Five patients with intraspinal MPEs were treated by t...Myxopapillary ependymoma; Tumor dissemination2005
54 Kestle, John R. W.Significance of bacteriologically positive ventriculoperitoneal shunt components in the absence of other signs of shunt infectionThe purpose of this study was to determine the significance of "asymptomatic bacteriological shunt contamination" (ABSC), defined as a positive bacteriological culture found on a ventricular shunt component in the absence of bacteria in the cerebrospinal fluid (CSF) culture and/or clinical evidence ...Ventricular shunt; Shunt infection; Ventriculoperitoneal shunt; Asymptomatic bacteriological; Shunt contamination1996
55 Kestle, John R. W.Reduction of transfusion rates in the surgical correction of sagittal synostosisObject. As public concern about the risks of blood transfusions increased in the mid-1990s, avoidance of transfusions became a goal of surgery for sagittal synostosis. This study was performed to confirm a hypothesized reduction in transfusion rates in recent years and to identify factors associated...Sagittal synostosis; Sagittal craniosynostosis; Craniectomy; Allogenic blood transfusion; Reduction2002
56 Couldwell, William T.Trends in the neurosurgical workforce in the United States (Neurosurgical workforce trends in the United States)OBJECT: The purpose of this study was to evaluate the US neurosurgery workforce by reviewing journal recruitment advertisements published during the past 10 years. METHODS: The number of available academic and private neurosurgical staff positions was determined based on recruitment advertisements i...Advertising; Internship and Residency; Neurosurgery; Personnel Selection2005-02-01
57 Couldwell, William T.Life-threatening reactions to propofolTo the Editor: Propofol (2,6-diisopropyl phenol; Diprivan; Stuart Pharmaceuticals, Wilmington, DE) has been advocated as a titratable continuous infusion anesthetic agent associated with fast and smooth recovery (2, 7). The anesthetic properties of a smooth induction, short half-life, and rapid eme...Propofol; Diprivan1993
58 Couldwell, William T.William Osler at McGill University: the baby professor and his early contributions to neurosurgeryBetween 1870 and 1884, as both a medical student and a member of the faculty, Sir William Osler performed approximately 1000 postmortem examinations at McGill University in Montreal. He conducted 786 of these examinations during his 7 years (1877-1884) of service as a pathologist at the M were caref...2004-10
59 Kestle, John R. W.Does thalamotomy alter the course of Parkinson's disease?Irving Cooper (3) observed that unilateral Parkinson's disease seemed less likely to progress to the other side of the body after thalamotomy that abolished contralateral tremor and rigidity, an effect that he felt might be the result of either the surgery itself or the slow progression of that par...1996
60 Dailey, Andrew T.Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: lumbar fusion for disc herniation and radiculopathyStandards. There is insufficient evidence to recommend a treatment standard. Guidelines. There is insufficient evidence to recommend a treatment guideline. Options. 1) Lumbar spinal fusion is not recommended as routine treatment following primary disc excision in patients with a herniated lumbar...Fusion; Lumbar spine; Degenerative disease; Lumbar fusion; Disc herniation; Radiculopathy2005
61 Couldwell, William T.Comment on Aydin, K., et al: Localization of cerebrospinal fliud leaks by gadolinium-enhanced magnetic resonance cisternography: a 5-year single-center experienceThe Author's describe the use of intrathecal Gd-enhanced MR cisternography for the definition of cerebrospinal fluid leaks in 51 patients. They were able to identify the site of leak in 43 of 51 patients (84%). Although the technique is not new, most of the previous articles are found in the neuror...Cerebrospinal fluid leaks2007
62 Couldwell, William T.; Apfelbaum, Ronald I.Transoral approach and extended modifications for lesions of the ventral foramen magnum and craniovertebral junctionObjectives: To describe our method of performing the transoral approach and the extended approaches to the ventral foramen magnum and craniovertebral junction and review the technical aspects and operative nuances. Design: Review Results: The transoral approach provides direct midline exposure to a...Craniovertebral junction; Foramen magnum; Skull base surgery; Transoral approach2008
63 Kestle, John R. W.Simple risk predictions for arteriovenous malformation hemorrhageWE PRESENT A simple risk prediction formula for arteriovenous malformation hemorrhage. Natural history studies have shown an annual risk of hemorrhage of 2 to 4% for patients with brain arteriovenous malformations. Although decision analysis programs and biostatistical models are available to predic...Arteriovenous malformation; Hemorrhage risk; Prediction formula1995
64 Couldwell, William T.Cosmetic mastoidectomy for the combined supra/infratentorial transtemporal approachThe authors describe a cosmetic mastoidectomy technique for use when performing a combined supra/ infratentorial craniotomy and transtemporal exposure. The technique involves a single temporal suboccipital bone flap and cosmetic mastoidectomy, removing the outer table of bone for later replacement...Surgical approach; Supratentorial approach; Infratentorial approach; Petroclival meningiomas1993
65 Dailey, Andrew T.Surgical treatment of occipitocervical instabilityOBJECTIVE: Instability of the occipitocervical junction can be a challenging surgical problem because of the unique anatomic and biomechanical characteristics of this region. We review the causes of instability and the development of surgical techniques to stabilize the occipitocervical junction. ...Occipitocervical instability2008
66 Schmidt, Meic H.Thoracoscopic debridement and stabilization of pyogenic vertebral osteomyelitisThe role of surgical debridement and internal fixation in treatment of vertebral osteomyelitis has been evolving. The standard surgical approach to thoracolumbar vertebral osteomyelitis requiring extensive thoracotomy or retroperitoneal exposure carries significant associated morbidity and postoper...2007-01-01
67 Dailey, Andrew T.Pathophysiology of oral pharyngeal apraxia and mutism following posterior fossa tumor resection in childrenMutism 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 patients1995
68 Kestle, John R. W.Response to editorial: summer shuntingWe 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
69 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 casesThe 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 craniotomy2004
70 Kestle, John R. W.Reduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformationsThe 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 radiosurgery1995
71 Dailey, Andrew T.; Brodke, Darrel S.Comparison of computerized tomography and direct visualization in thoracic pedicle screw placementObject. To validate computerized tomography (CT) scanning as a tool to assess the accuracy of thoracic pedicle screw placement, the authors compared its accuracy with that of direct visualization in instrumented cadaveric spine specimens. Methods. A grading scale was devised to score the placement...Computerized tomography; Direct visualization; Thoracic pedicle screw; Pedicle; Thoracic spine2002
72 Schmidt, Meic H.Surgical technique and results of endoscopic anterior spinal canal decompressionObject. Decompression of the spinal canal in the management of thoracolumbar trauma is controversial, but many authors have advocated decompression in patients with severe canal compromise and neurological deficits. Anterior decompression, corpectomy, and fusion have been shown to be more reliable f...Anterior approach; Anterior decompression; Spinal trauma; Endoscopy2005
73 Dailey, Andrew T.Subaxial cervical spine trauma classification: the subaxial injury classification system and case examplesObject. The authors review a novel subaxial cervical trauma classification system and demonstrate its application through a series of cervical trauma cases. Methods. The Spine Trauma Study Group collaborated to create the Subaxial Injury Classification (SLIC) and Severity score. The SLIC system is...Cervical spine trauma; Injury severity score; Spinal cord injury; Subaxial Injury Classification; SLIC; Discoligamentous integrity; Neurological status2008
74 Couldwell, William T.Pituitary apoplexy in the magnetic resonance imaging era: clinical significance of sphenoid sinus mucosal thickeningObject. The authors report their experience with pituitary apoplexy and evaluate the clinical significance of sphenoid sinus mucosal thickening found on magnetic resonance (MR) imaging. Methods. The cases of 28 patients (19 males and nine females) with pituitary apoplexy were reviewed retrospectiv...2006-06
75 Couldwell, William T.Choroid plexus cyst development and growth following ventricular shuntingChoroid plexus cysts are typically incidental, asymptomatic cysts. They have been reported to hemorrhage and grow, causing symptoms of obstruction. However, growth and multiplication has not been reported following ventriculoperitoneal shunting procedures. A 66-year-old woman initially underwent a ...Choroid plexus cyst; Ventriculoperitoneal shunt2008-01
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