Journal of neurosurgery
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Journal of neurosurgery · Sep 1999
Percutaneous transluminal angioplasty for intracranial atherosclerotic lesions: evolution of technique and short-term results.
A retrospective analysis of a 9-year experience with balloon angioplasty for intracranial atherosclerotic stenosis was undertaken with the goals of illustrating development of a safe technique for treatment of intracranial atherosclerotic disease and reporting the immediate results in this series of patients. ⋯ Extremely slow balloon inflation combined with balloon undersizing results in decreased intimal damage, decreased acute platelet/thrombus deposition, and decreased acute closure. This technique sometimes yields suboptimal angiographic results but achieves the clinical goal safely. Intracranial angioplasty can be safely performed using this technique and modern equipment.
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Journal of neurosurgery · Aug 1999
Comment Letter Comparative StudyInternational Subarachnoid Aneurysm Trial.
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Journal of neurosurgery · Aug 1999
Review Case ReportsRosai-Dorfman disease presenting multiple intracranial lesions with unique findings on magnetic resonance imaging. Case report.
Rosai-Dorfman disease (RDD) is a rare idiopathic histoproliferative disease affecting the systemic lymph nodes. Although an extranodal lesion has also been recognized, central nervous system involvement is extremely rare. To the authors' knowledge, only 20 cases of intracranial lesions have been reported previously. ⋯ Radiological examination indicated that the mass was an inflammatory lesion rather than a meningioma. Microscopically the lesion consisted of mixed inflammatory infiltrate with marked emperipolesis, which is characteristic of RDD. A review of the literature and a discussion of the differential diagnosis of this rare lesion are also presented.
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Journal of neurosurgery · Aug 1999
Randomized Controlled Trial Comparative Study Clinical TrialLittle benefit from mild hypothermia therapy for severely head injured patients with low intracranial pressure.
This study was performed to determine whether mild hypothermia therapy is essential for the treatment of severely head injured patients in whom intracranial pressure (ICP) can be maintained below 20 mm Hg by using conventional therapies. ⋯ The authors recommend normothermia therapy for the treatment of severely head injured patients in whom ICP can be maintained at lower than 20 mm Hg by using conventional therapies, because mild hypothermia therapy does not convey any advantage over normothermia therapy in such patients.