NDLI: Prognostic factors associated with perioperative ischemic complications in adult-onset moyamoya disease.

Please wait, while we are loading the content...

Year: 2017 Volume: 159

Year: 2016 Volume: 158

Year: 2015 Volume: 157

Year: 2014 Volume: 156

Year: 2013 Volume: 155

Year: 2012 Volume: 154

Year: 2011 Volume: 153

Year: 2010 Volume: 152

Year: 2010 Volume: 152 Issue: 12

Year: 2010 Volume: 152 Issue: 11

Year: 2010 Volume: 152 Issue: 10

Year: 2010 Volume: 152 Issue: 9

Year: 2010 Volume: 152 Issue: 8

Year: 2010 Volume: 152 Issue: 7

Lectin-like oxidized low-density lipoprotein receptor 1 and matrix metalloproteinase expression in ruptured and unruptured multiple dissections of distal middle cerebral artery: case report.

The transclival endoscopic endonasal approach (EEA) for prepontine neuroenteric cysts: report of two cases.

Pulsatile wall movement of spinal arachnoid cyst deteriorates spinal cord symptoms: report of three cases.

Synovial cyst that compressed the peroneal nerve: case report.

Monitoring of motor and somatosensory systems in a 26-week pregnant woman.

The perioperative use of oral anticoagulants during surgical procedures for carpal tunnel syndrome. A preliminary study.

The retrogasserian zone versus dorsal root entry zone: comparison of two targeting techniques of gamma knife radiosurgery for trigeminal neuralgia.

Cervical kyphosis with myelopathy and anomalous vertebral artery entry at C7 treated with pedicle screw and rod fixation.

Non-dysraphic intradural spinal cord lipoma: case series, literature review and guidelines for management.

Discography for disc cysts is obsolete.

Inadequate criteria for defining 'Atypical solitary fibrous tumour' as a new entity.

Efficacy and safety of postoperative early mobilization for chronic subdural hematoma in elderly patients.

Early infarction detected by diffusion-weighted imaging in patients with subarachnoid hemorrhage.

Paediatric and adult vascular intracranial complications of sickle-cell disease.

Analysis of MGMT promoter methylation status on intraoperative fresh tissue section from frameless neuronavigation needle biopsy: a preliminary study of ten patients.

Implementation of the European Working Time Directive in neurosurgery reduces continuity of care and training opportunities.

Prognostic factors associated with perioperative ischemic complications in adult-onset moyamoya disease.

The diagnostic value of surface-stained ground sections for pathohistological evaluation of coil-embolized aneurysms.

Multiple cranial neuropathy as the initial presentation of metastatic prostate adenocarcinoma: case report and review of literature.

Surgery for cervical disc disease. Why go for the worst solution?

Favourable long-term clinical outcome after anterior cervical discectomy. A study on a series of 125 patients undergoing surgery a mean of 11 years earlier.

Eosinophilic granuloma of spine in adults: a report of 30 cases and outcome.

Magnetic resonance angiography, digital subtraction angiography and Doppler ultrasonography in detection of carotid artery stenosis: a comparison with findings from histological specimens.

Clinical management of petroclival meningiomas and the eternal quest for preservation of quality of life: personal experiences over a period of 20 years.

Mechanisms of cerebellar tonsil herniation in patients with Chiari malformations as guide to clinical management.

Surgical results and complications in a series of 71 consecutive cervical spondylotic corpectomies.

Year: 2010 Volume: 152 Issue: 6

Year: 2010 Volume: 152 Issue: 5

Year: 2010 Volume: 152 Issue: 4

Year: 2010 Volume: 152 Issue: 3

Year: 2010 Volume: 152 Issue: 2

Year: 2010 Volume: 152 Issue: 1

Year: 2009 Volume: 151

Year: 2008 Volume: 150

Prognostic factors associated with perioperative ischemic complications in adult-onset moyamoya disease.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hyun, Seung-Jae Kim, Jong-Soo Hong, Seung-Chyul
Description	Author Affiliation: Hyun SJ ( Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.)
Abstract	BACKGROUND: To clarify the risk factors associated with perioperative ischemic complications in adult-onset moyamoya disease. MATERIAL AND METHODS: The incidence and causes of perioperative ischemic complications in adult-onset moyamoya disease were retrospectively examined by reviewing 165 surgically treated adult patients. Two hundred forty-six revascularization procedures were performed in these patients. RESULTS: There were 19 (7.7%) perioperative ischemic complications (four infarctions with neurological sequelae and 15 reversible ischemic neurological deficits with a new lesion). The complications occurred in the initially affected hemispheres in 17 (89.4%) of the 19 ischemic complications, regardless of the side of the operation. Multiple ischemic episodes (defined as over four-symptom episodes before treatment), the presence of a preoperative low density area (LDA) on computed tomographic (CT) scanning, and a high signal intensity on diffusion-weighted magnetic resonance (MR) imaging were significantly correlated with perioperative ischemic complications (p < 0.05, p < 0.05, and p < 0.01, respectively). Non-surgical hemodynamic risk factors, i.e., hypercapnia, hypocapnia, or hypotension/hypovolemia, were noted in all of the 19 cases. None of the surgical factors evaluated were associated with the complications identified. CONCLUSIONS: Avoidance of non-surgical hemodynamic risk factors as well as maintaining vital collateral vessels is essential for the prevention of perioperative hemodynamic brain damage in patients with adult-onset moyamoya disease. In addition, very close monitoring of the perioperative care of patients with preoperative multiple ischemic episodes and an LDA or high signal intensity on preoperative CT or diffusion-weighted MR imaging is extremely important.
File Format	HTM / HTML
ISSN	00016268
Issue Number	7
Volume Number	152
e-ISSN	09420940
Journal	Acta Neurochirurgica
Language	English
Publisher	Springer
Publisher Date	2010-07-01
Publisher Place	Austria
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Brain Ischemia Adverse Effects Complications Humans Middle Aged Risk Factors Male Discipline Neurosurgery Brain Infarction Journal Article Physiopathology Young Adult Pathology Etiology Surgery Vascular Surgical Procedures Adult Female Moyamoya Disease Postoperative Complications Methods
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

Central Library (ISO-9001:2015 Certified)
Indian Institute of Technology Kharagpur
Kharagpur, West Bengal, India | PIN - 721302

See location in the Map
03222 282435
Mail: support@ndl.gov.in

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in