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126 Couldwell, William T.Simple closure following transsphenoidal surgeryThe most common nonendocrine complication after transsphenoidal surgery is cerebrospinal fluid (CSF) leak. Many neurosurgeons have advocated the routine reconstruction of the floor of the sella turcica using autologous fat, muscle, fascia, and either cartilage or bone after transsphenoidal surgery t...2006
127 Couldwell, William T.Total intravenous anesthesia: advantages for intracranial surgeryAlthough volatile anesthetics have been widely accepted in anesthetic management for neurosurgery, they reduce vascular resistance, resulting in increased cerebral blood flow and increased intracranial pressure (ICP). In patients with elevated ICP who undergo craniotomy, the increase in ICP during s...Anesthesia; Inhalants; Intravenous; Propofol; Intracranial surgery2007
128 Couldwell, William T.; Chin, Steven S.Extranodal NK/T-cell lymphoma presenting as a pituitary massExtranodal NK/T-cell lymphomas are uncommon neoplasms that are highly aggressive and show a strong association with Epstein-Barr virus. They most commonly affect the nasal cavity and paranasal sinuses; manifestation as a primary pituitary tumor has never been described. The authors report a case of ...2007-09
129 Dailey, Andrew T.Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: intractable low-back pain without stenosis or spondylolisthesisStandards. Lumbar fusion is recommended as a treatment for carefully selected patients with disabling lowback pain due to one- or two-level degenerative disease without stenosis or spondylolisthesis. Guidelines. There is insufficient evidence available to support a treatment guideline. Options. An...Fusion; Lumbar spine; Degenerative disease; Low back pain2005
130 Schmidt, Meic H.Titanium cage-assisted polymethylmethacrylate reconstruction for cervical spinal metastasisReconstruction and stabilization of the cervical spine after vertebrectomy is an important goal in the surgical management of spinal metastasis. The authors describe their reconstruction technique using a titanium cage-Silastic tube construct injected with polymethylmethacrylate (PMMA) augmented by...Titanium cage; Cervical spine; Cervical spinal metastasis; Reconstruction; Vertebrectomy; PMMA reconstruction; Silastic tube2005
131 Couldwell, William T.Submandibular-infratemporal interpositional carotid artery bypass for cranial base tumors and giant aneurysmsCerebral revascularization is an important strategy in the surgical management of some complex cranial base tumors and unclippable aneurysms. A highflow bypass may be necessary in planned carotid occlusion or sacrifice. The cervical-to-supraclinoid internal carotid artery bypass or cervical carotid-...Internal carotid artery; Cranial base tumors; Giant aneurysms; Interpositional bypass; Surgical approach; Radial artery; Revascularization; Saphenous vein; Submandibular infratemporal bypass2006
132 Dailey, Andrew T.Vertebral artery injuries associated with cervical spine injuries: a review of the literatureObjective: To determine the incidence of vertebral artery injuries (VAIs) in association with cervical spine trauma and investigate the optimum diagnostic and treatment protocols. Summary of Background Data: VAIs may result from cervical spine trauma and have the potential to cause cerebral, brain...Cervical spine injuries; Literature review2008
133 Couldwell, William T.Irving S. Cooper (1922-1985): a pioneer in functional neurosurgeryIrving S. Cooper (1922-1985), the son of a salesman, worked his way through high school, college, and medical school to become one of the pioneers in functional neurosurgery. He developed several novel techniques for the surgical management of Parkinson's disease and other crippling movement disord...Functional neurosurgery; Cryosurgery; Dystonia; Movement disorder; Parkinson's disease; Thalamotomy; Tremor; Neurosurgical history1998
134 Couldwell, William T.Surgical approaches to petroclival meningiomas Part II: extended approachesIn Part I, the classification, clinical presentation, and upper and midclival surgical approaches were discussed. This lesson covers extended surgical approaches, results, complications, and adjuvant therapy.Petroclival meningiomas; Petroclivus; Surgical approach; Staged surgery; Complications; Adjuvant therapy; Radiosurgery; Resections1994
135 Digre, Kathleen B.; Skuster, Denise Z.Neurologic conditions presenting as psychiatric disorders.Understanding underlying neuroanatomic function helps physicians to localize defects and search for treatable neurologic conditions. Neurologic conditions such as Huntington's chorea, Wilson's disease, Gille de la Tourette syndrome, brain tumors, encephalitis and meningitis, neurodegenerative condit...Psychiatric Diagnosis; Neurologic Disease1992-06-15
136 Couldwell, William T.Thrombosed basilar apex aneurysm presenting as a third ventricular mass and hydrocephalusAneurysms 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
137 Couldwell, William T.Petroclival meningiomas: surgical experience in 109 casesThe surgical removal of petroclival meningiomas has historically been associated with a high incidence of morbidity and mortality. The 109 consecutive patients included in the present retrospective study represent a combined series of tumors operated on by the four authors during a period from 1980 ...Petroclival meningiomas; Clivus; Brain neoplasm; Petrous bone; Posterior fossa; Skull base tumor1996
138 Couldwell, William T.Pituitary gland metastasis from adenocarcinoma of the prostateA case of prostatic carcinoma metastasis to the pituitary gland is reported. The presentation and rarity of such a lesion is addressed. The literature review yielded only isolated case reports of symptomatic brain metastases unassociated with bone disease from adenocarcinoma of the prostate. The man...Prostate; Pituitary gland; Adenocarcinoma; Metastasis; Transsphenoidal surgery1989
139 Couldwell, William T.Hearing restoration after resection of an intracanalicular vestibular schwannoma: a role for emergency surgery?Patients with vestibular schwannomas (VSs) most commonly present with sensorineural hearing loss, which is often insidious or gradual. Up to 26% of patients may present with sudden hearing loss, however, which poses an important surgical challenge. Sudden hearing loss has been attributed to spasm or...Vestibular schwannoma; Hearing preservation2002
140 Couldwell, William T.Far Lateral Transcondylar Approach for Resection of Neurenteric Cysts of the Cervicomedullary Junction (Far-lateral transcondylar approach: surgical technique and its application in neurenteric cysts of the cervicomedullary junction. Report of two cases.)Neurenteric cysts are rare benign lesions of the central nervous system that are lined by endodermal cell-derived epithelium. Although they occur mostly in the spine, they can occur intracranially, most often in the posterior fossa. Neurenteric cysts that are located in the anterior cervicomedullary...Cervical Vertebrae; Medulla Oblongata; Neural Tube Defects; Neurosurgical Procedure2005-08-15
141 Dailey, Andrew T.; Brodke, Darrel S.Dynamic cervical plates: biomechanical evaluation of load sharing and stiffnessStudy Design. An in vitro biomechanical study using a simulated cervical corpectomy model to compare the load-sharing properties and stiffnesses of two static and two dynamic cervical plates. Objectives. To evaluate the load-sharing properties of the instrumentation with a full-length graft and...In vitro biomechanical study; Cervical corpectomy; Cervical plates2001
142 Couldwell, William T.Ganglion cyst of the temporomandibular joint with intracranial extension in a patient presenting with seventh cranial nerve palsyGanglion cysts arising from the temporomandibular joint are rare entities that often present with swelling and minimal to no pain in the preauricular region. To the Author's? knowledge, a temporomandibular joint ganglion cyst occurring with acute facial nerve palsy and intracranial extension has ne...2012
143 Couldwell, William T.Metastatic melanoma to the pituitary glandMetastasis to the pituitary gland is unusual, and occurs most often in patients with carcinomas of the breast or lung. Despite its propensity for spread to the brain, metastatic melanoma has rarely been described within the sella. Methods: We report two cases of malignant melanoma pathologically co...2007
144 Schmidt, Meic H.Frameless stereotactic image-guided C1-C2 transarticular screw fixation for atlantoaxial instability: review of 20 patientsAtlantoaxial instability can result from trauma, rheumatoid arthritis, congenital malformation, or tumor invasion. The goal of treatment is stabilization of the C1-C2 complex to prevent neurologic and neurovascular compromise. First described in 1987 by Magerl and Seemann, C1-C2 transarticular screw...Transarticular screws; Atlantoaxial instability; Frameless stereotaxy; Cervical spine; Surgical navigation; Trajectory planning2005
145 Schmidt, Meic H.; Kestle, John R. W.Treatment of metastatic spinal epidural disease: a review of the literatureObject. Spinal cord compression is one of the most dreaded complications of metastatic cancer. It can lead to a number of sequelae, including pain, spinal instability, neurological deficits, and a reduction in the patient's quality of life. Except in selected circumstances, treatment is palliative. ...Spinal cord compression; Metastasis; Radiation therapy; Stereotactic radiosurgery2003
146 Kestle, John R. W.Relationship of intraoperative electrophysiological criteria to outcome after selective functional posterior rhizotomyAt British Columbia's Children's Hospital, the criteria used in selective functional posterior rhizotomy (SFPR) evolved in three distinct phases. In Phase 1 the electrophysiological criteria for abnormality included a low threshold to a single stimulation, a sustained response to 50-Hz stimulation, ...Selective posterior rhizotomy; Electrophysiological criteria; Intraoperative electrical stimulation1995
147 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
148 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
149 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
150 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
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