Journal of neurosurgery
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Journal of neurosurgery · Aug 2001
Factors in the natural history of chronic subdural hematomas that influence their postoperative recurrence.
Factors affecting the postoperative recurrence of chronic subdural hematomas (CSDHs) have not been sufficiently investigated. The authors have attempted to determine features of CSDHs that are associated with a high or low recurrence rate on the basis of the natural history of these lesions and their intracranial extension. ⋯ Classification of CSDHs according to the internal architecture and intracranial extension may be useful for predicting the risk of postoperative recurrence.
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Journal of neurosurgery · Aug 2001
Biography Historical ArticleNo ordinary time, no ordinary men: the relationship between Harvey Cushing and Franklin D. Roosevelt, 1928-1939.
The authors elucidate the strong personal relationship that developed between Dr. Harvey Cushing and Franklin Delano Roosevelt (FDR) from 1928 to 1939, as manifested in their frequent letters to each other. ⋯ Through his correspondence with FDR, Cushing was able to affect several medical issues of the period. The relationship of these two individuals is set within the historical, social, and political contexts of the times.
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Journal of neurosurgery · Jul 2001
Case ReportsAnomalous vertebral artery-induced cervical cord compression causing severe nape pain. Case report.
The authors describe a very rare case of cervical cord compression caused by anomalous bilateral vertebral arteries (VAs). A 65-year-old woman had been suffering from intractable nape pain and torticollis. ⋯ Microvascular decompressive surgery was successfully performed. Neuroradiological and intraoperative findings are presented.
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The authors sought to analyze prospectively the outcome of surgery for complex spinal deformity in the pediatric and young adult populations. ⋯ Compared with other major neurosurgical operations, segmental instrumentation for pediatric and adolescent spinal deformity is a safe procedure with minimal morbidity and there is a low risk of needing to use allogeneic blood products.
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Journal of neurosurgery · Jul 2001
Review Case ReportsTarlov cysts: a study of 10 cases with review of the literature.
Tarlov or perineurial cysts are lesions of the nerve root most often found in the sacral region. Although there is agreement that asymptomatic Tarlov cysts should be followed, it is still debated whether patients with symptomatic Tarlov cysts should be treated surgically. The authors assessed the outcome and efficacy of cyst wall resection in 10 patients with symptomatic Tarlov cysts. The medical literature is reviewed, theories of origin are evaluated, and suggestions as to their cause and pathogenesis are offered. ⋯ Large cysts (> 1.5 cm) and the presence of associated radicular symptoms strongly correlate with excellent outcome. Tarlov cysts may result from increased hydrostatic pressure and trauma.