Acta neurochirurgica
-
Acta neurochirurgica · Jan 2007
Neurochemical monitoring using intracerebral microdialysis during systemic haemorrhage.
Intracerebral microdialysis is a sensitive tool to analyse tissue biochemistry, but the value of this technique to monitor cerebral metabolism during systemic haemorrhage is unknown. The present study was designed to assess changes of intracerebral microdialysis parameters both during systemic haemorrhage and after initiation of therapy. ⋯ In this model of systemic haemorrhage, changes of cerebral energy metabolism detected by intracerebral microdialysis indicated anaerobic glycolysis and degradation of cellular membranes throughout the study period.
-
Acta neurochirurgica · Dec 2006
Comparative StudyMorbidity in 201 patients with small sized meningioma treated by microsurgery.
The management of patients with small, often asymptomatic meningiomas is controversial and includes observation, microsurgery (MS) and stereotactic radiosurgery (SRS). The purpose of this retrospective study was to analyze the morbidity and the extent of removal after MS for small (< or =3 cm) intracranial meningiomas and compare these results to those of SRS reported in the literature. ⋯ MS provides excellent efficacy and morbidity results in groups I and II meningiomas, especially in asymptomatic patients and might therefore be considered the first choice of treatment for these patients. The results of MS in group III were worse than those of SRS reported in the literature.
-
Acta neurochirurgica · Dec 2006
Randomized Controlled Trial Multicenter StudyUnilateral pallidotomy versus bilateral subthalamic nucleus stimulation in Parkinson's disease: one year follow-up of a randomised observer-blind multi centre trial.
To investigate whether STN stimulation is more efficacious than unilateral pallidotomy in advanced Parkinson's disease (PD) one year after surgery. ⋯ Bilateral STN stimulation is more efficacious than unilateral pallidotomy in advanced PD up to one year after surgery.