Zentralblatt für Neurochirurgie
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Zentralbl. Neurochir. · Jan 2002
[Analysis of factors affecting the prognosis of vertebral metastases].
The goal of this study was to evaluate factors for the prognosis of patients with metastatic spinal tumors. 139 patients with vertebral metastases were studied. The modified Tokuhashi Score (a preoperative score composed of six parameters) and single factors were analysed with statistical methods. ⋯ Regarding the logistic regression, primary tumor, age, sex and Karnofsky Index were identified as prognostic factors for survival time. This trial could demonstrate that the Tokuhashi Score is a successful predicting tool for the assessment of prognosis of patients with vertebral metastases.
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Zentralbl. Neurochir. · Feb 2001
Historical ArticleTrepanations from the early medieval period of southwestern Germany--indications, complications and outcome.
Of the 384 skulls from the early medieval period, 8 (2.1%) exhibited trepanations. Three skulls showed trepanations in the proximity of fractures. ⋯ Seven skulls showed clear evidence of healing and survival after trepanation. The mortality and infection rates for trepanation were low during the 6th to 8th centuries in southwestern Germany.
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Zentralbl. Neurochir. · Jan 2001
Case ReportsTrigeminal neuralgia caused by contralateral cerebellopontine angle meningioma - case report.
A large meningioma located in the cerebellopontine angle was an unusual cause for contralateral trigeminal neuralgia. The mass effect displaced the basilar artery affecting the contralateral trigeminal nerve in vicinity of the brain stem. After radical microsurgical removal ot the tumour, the trigeminal neuralgia completely disappeared.
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Zentralbl. Neurochir. · Jan 2001
Case Reports[Delayed traumatic CSF-fistulas: a retrospective analysis].
Immediate posttraumatic CSF-fistulas are a well known entity after severe head injury. Delayed onset of rhinorrhea is considered to be rare. In the last 5 years 7 patients were treated in our department, who developed rhinorrhea 2-25 years after trauma. ⋯ Treatment consisted in reconstruction of anterior skull base with a pedicled galeal-pericranial flap via a bifrontal craniotomy and went out without any complications. Delayed rhinorrhea after severe head injury is not a rare curiosity. In cases of bony defects after head injury reconstruction of anterior skull base is recommended to prevent episodes of recurrent meningitis.
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The publication of this issue of the Zentralblatt für Neurochirurgie is an important moment in the journal's history: The members of the editorial board will hand over their responsibility. During the past decade of trusting editorial teamwork, the fruitful cooperation of the journal and the German Society of Neurosurgery has been successfully established and developed. ⋯ J. Schramm MD, Bonn, and a new Board.