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151 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
152 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
153 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
154 Kestle, John R. W.Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalusOBJECTIVE: 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 valve1998
155 Digre, Kathleen B.; Blumenthal, Deborah T.; Salzman, Karen L.; Jensen, Randy L.; Dunson, William A.Early pathologic findings and long-term improvement in anti-Ma2-associated encephalitis.A 67-year-old man sequentially developed anti-Ma2-associated paraneoplastic encephalitis (PNE) and contralateral herpes simplex encephalitis (HSE). Brain biopsy 1 month before HSE revealed extensive infiltrates of T cells, B cells, and plasma cells. Most T cells expressed the cytotoxic granule-assoc...Paraneoplastic neurologic disorders; Encephalitis; Neoplasm;Herpes Simplex2006-07-11
156 Couldwell, William T.Fenestration of the oculomotor nerve by a duplicated posterior cerebral artery and aneurysmThe authors report a case of a posterior cerebral artery aneurysm arising from an aberrant arterial branch that was found to be splitting the oculomotor nerve. This 63-year-old man presented with headaches, and CT imaging revealed subarachnoid hemorrhage primarily within the basilar cisterns. Formal...2009-01-01
157 Kestle, John R. W.; Simon, Tamara DanielleInfection rates following initial cerebrospinal fluid shunt placement across pediatric hospitals in the United StatesObject. Reported rates of CSF shunt infection vary widely across studies. The study objective was to determine the CSF shunt infection rates after initial shunt placement at multiple US pediatric hospitals. The authors hypothesized that infection rates between hospitals would vary widely even after ...Shunt placement; Pediatric neurosurgery2009
158 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
159 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
160 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
161 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
162 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
163 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
164 Couldwell, William T.Posterolateral approach for decompression with anterior and posterior fusion: a less invasive surgical technique for stabilization of the thoracic spineThe 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 approach1998
165 Couldwell, William T.Prognostic variables in surgery for skull base meningiomasThe 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; Recurrence1997
166 Couldwell, William T.Giant fusiform aneurysm in an adolescent with PHACES syndrome treated with a high-flow external carotid artery-M3 bypassThe acronym PHACES describes a rare neurocutaneous syndrome that comprises posterior fossa malformations, facial hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, eye abnormalities, and sternal defects. Facial hemangiomas constitute the hallmark of this disorder. Giant ...2007
167 Couldwell, William T.Surgical management of Rathke's cleft cystsRathke's cleft cysts (RCCs) are non-neoplastic cysts that arise from glandular rests of Rathke's cleft in the area of the intermediate lobe of the pituitary gland. Commonly found at autopsy on a microscopic scale, 80% of RCCs occur at the interface between the anterior and posterior lobes of th...Rathke's cleft cyst; Symptomatic; Transnasal-transsphenoidal approach; Transsphenoidal surgery2006
168 Kestle, John R. W.Cerebrospinal fluid shunt technologySince the invention of the first implantable shunt valve by Nulsen and Spitz (12) almost 50 years ago, there has been a remarkable number of ingenious modifications and new designs of shunt equipment to treat pediatric hydrocephalus. These developments were in response to the immediately evident hi...Shunt technology; Valve design2000
169 Kestle, John R. W.Management of shunt infections: a multicenter pilot studyObject. Approximately 10% of cerebrospinal fluid (CSF) shunt operations are associated with infection and require removal or externalization of the shunt, in-hospital treatment with antibiotic agents, and insertion of a new shunt. In a previous survey, the authors identified substantial variation i...Shunt infections; Ventriculoperitoneal shunt; Treatment evaluation2006
170 Dailey, Andrew T.Variations in surgical treatment of cervical facet dislocationsObjective. To explore surgeon preference in the choice of surgical approach in the treatment of traumatic cervical facet dislocations. Summary of Background Data. The choice of surgical approach in the treatment of traumatic cervical dislocations is highly variable and maybe influenced by a vari...Cervical facet dislocations; Spine Trauma Study Group2008
171 Schmidt, Meic H.Repeated operations for infiltrative low-grade gliomas without intervening therapyProgression of infiltrative low-grade gliomas (LGGs) has been reported previously. The limitations of such studies include diverse histological grading systems, intervening therapy, and the lack of histological confirmation of malignant tumor progression. The aim of this study was to determine tumo...Infiltrative low-grade gliomas; LGG; Tumor progression; Repeated operations; Tumor recurrence2003
172 Dailey, Andrew T.Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: assessment of functional outcomeStandards. It is recommended that functional outcome be measured in patients treated for low-back pain due to degenerative disease of the lumbar spine by using reliable, valid, and responsive scales. Examples of these scales in the low-back pain population include the following: The Spinal Stenosi...Lumbar fusion; Lumbar spine; Degenerative disease; Practice guidelines; Treatment outcome; Functional outcome2005
173 Dailey, Andrew T.Modulation of macrophage and microglial responses to axonal injury in the peripheral and central nervous systemsOBJECTIVE: After axonal injury, macrophages rapidly infiltrate and become activated in the mammalian peripheral nervous system (PNS) but not the central nervous system (CNS). We used the dorsal root pathway to study factors that modulate the response of macrophages to degenerating axons in both the ...Axonal injury; Macrophage response; Microglial response; Peripheral nervous system; Lewis rats1999
174 Schmidt, Meic H.Thoracoscopic vertebral body replacement with an expandable cage after ventral spinal canal decompressionOBJECTIVE: Minimally invasive thoracic anterior surgery using a thoracoscopic approach has evolved to include spinal biopsy, debridement, discectomy, decompressive corpectomy, interbody fusions, and internal fixations. Minimal access techniques can potentially decrease surgical access morbidity and...2007-01-01
175 Couldwell, William T.Initial experience related to the use of the Cosman-Roberts-Wells stereotactic instrumentInitial experience with a new arc-radius design of stereotactic frame that interfaced with the existing components of the Brown-Roberts-Wells instrument is reported. Over a 6-month period, 32 procedures were performed on 23 males and nine female patients (mean age 32 years); these included 27 ster...Image-directed stereotaxis; Stereotactic instrument; Cosman-Roberts-Wells stereotaxy1990
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