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CSF S100B in patients treated by endovascular coiling or surgical clipping after aneurysmal subarachnoid hemorrhage and its correlation to cerebral vasospasm

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Chinese neurosurgical Journal 2017年第4期3卷 192-197页

作者： Ruiyan Li Jianlong Li Qingbin Li Qinghua Yuan Minghui Chen Yan Feng Yongli Li Xiaoyan Lu Zhongfei Hao Mingli Liu Jinquan Cai Chuanlu Jiang Department of Neurosurgery the 2nd Affiliated Hospital of Harbin Medical University (HMU) Harbin 150086 China Department of Neurosurgery the 2nd Affiliated Hospital of Harbin Medical University (HMU) Harbin 150086 ChinaChinese Glioma Cooperative Group (CGCG) Beijing 100050 ChinaArthroplasty Center of Nanfang Hospital Southern Medical UniversityGuangzhou 510515 China Department of Neurology the 2nd Affiliated Hospital of HMU Harbin 150086 China Department of Neurosurgery the 2nd Affiliated Hospital of Harbin Medical University (HMU) Harbin 150086 ChinaNeuroscience InstituteAcademy of Medical Sciences in Heilongjiang Harbin 150086 ChinaChinese Glioma Cooperative Group (CGCG) Beijing 100050 China

Background: Aneurysmal subarachnoid hemorrhage (aSAH) is an acute neurosurgical emergency with a significant fatality rate. In addition to acute brain injury, a considerable part of patients suffering from aSAH develops secondary brain damage such as cerebral vasospasm (CVS). CVS exacerbates the mortality. Therefore, it is urgently needed to find a biomarker, which could predict secondary brain and lead to operation by physicians more promptly. S100B, produced and released by astrocytes, has proven to be an important biomarker for brain ***: In this present study, 51 patients with aSAH were included. Five CSF samples from each patient were obtained via lumbar puncture and were detected using electrochemiluminescence immunoassay (ECLIA).Results: It indicated that S100B had a higher concentration in CSF of patients treated by surgical clipping after aSAH than that treated with endovascular coiling. In addition, the mean CSF S100B level in patients without CVS was much lower compared with patients with CVS. And, the expression of S100B increased along with the Fisher Grade at the same day after aSAH attacked and decreased as time went on. Moreover, the CSF S100B level of different time points and the mean CSF S100B level can predict the risk of ***: These data suggest that CSF S100B can be served as a predictor of CVS, which triggers an immediate management by clinicians to prevent secondary exacerbation.

关键词： Aneurysmal subarachnoid hemorrhage S100B Surgical clipping Endovascular coiling Cerebral vasospasm

急性脊髓损伤患者治疗的临床操作指南:关于MRI基线在临床治疗决策与结果预测中作用的几点建议（英文）

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中华神经外科疾病研究杂志 2017年第6期16卷 529-529页

作者： Fehlings MG Martin AR Tetreault LA Aarabi B Anderson P Arnold PM Brodke D Burns AS Chiba K Dettori JR Furlan JC Hawryluk G Holly LT Howley S Jeji T Kalsi-Ryan S Kotter M Kurpad S Kwon BK Marino RJ Massicotte E Merli G Middleton JW Nakashima H Nagoshi N Palmieri K Singh A Skelly AC Tsai EC Vaccaro A Wilson JR Yee A Harrop JS Toronto Western Hospital University Health Network University of Toronto University College Cork University of Maryland University of Wisconsin University of Kansas Medical Center The University of Kansas University of Utah Toronto Rehabilitation institute University Health Network National Defense Medical College Spectrum Research Inc University of California at Los Angeles Christopher & Dana Reeve Foundation Ontario Neurotrauma Foundation University of Cambridge Medical College of Wisconsin University of British Columbia Thomas Jefferson University Hospital University of Sydney Nagoya University Keio University The University of Kansas Ottawa Hospital Research institute Thomas Jefferson University Li Ka Shing Knowledge institute St. Michael's Hospital Sunnybrook Health Sciences Centre

The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic *** review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI *** on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as " we recommend," whereas a weaker recommendation is indicated by "we suggest." Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) "We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making"(quality of evidence,very low) and(2) "We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome "(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI.

关键词：神经外科疾病医学研究患者

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID- 19 pandemic

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Stroke & Vascular Neurology 2021年第4期6卷 542-552,I0026-I0032页

作者： Thanh N Nguyen Diogo C Haussen Muhammad M Qureshi Hiroshi Yamagami Toshiyuki Fujinaka Ossama Y Mansour Mohamad Abdalkader Michael Frankel Zhongming Qiu Allan Taylor Pedro Lylyk Omer F Eker Laura Mechtouff Michel Piotin Fabricio Oliveira Lima Francisco Mont'Alverne Wazim Izzath Nobuyuki Sakai Mahmoud Mohammaden Alhamza R Al-Bayati Leonardo Renieri Salvatore Mangiafico David Ozretic Vanessa Chalumeau Saima Ahmad Umair Rashid Syed Irteza Hussain Seby John Emma Griffin John Thornton Jose Antonio Fiorot Rodrigo Rivera Nadia Hammami Anna M Cervantes-Arslanian Hormuzdiyar H Dasenbrock Huynh Le Vu Viet Quy Nguyen Steven Hetts Romain Bourcier Romain Guile Melanie Walker Malveeka Sharma Don Frei Pascal Jabbour Nabeel Herial Fawaz Al-Mufti Atilla Ozcan Ozdemir Ozlem Aykac Dheeraj Gandhi Chandril Chugh Charles Matouk Pascale Lavoie Randall Edgell Andre Beer-Furlan Michael Chen Monika Killer-Oberpfalzer Vitor Mendes Pereira Patrick Nicholson Vikram Huded Nobuyuki Ohara Daisuke Watanabe Dong Hun Shin Pedro SC Magalhaes Raghid Kikano Santiago Ortega-Gutierrez Mudassir Farooqui Amal Abou-Hamden Tatsuo Amano Ryoo Yamamoto Adrienne Weeks Elena A Cora Rotem Sivan-Hoffmann Roberto Crosa Markus Möhlenbruch Simon Nagel Hosam Al-Jehani Sunil A Sheth Victor S Lopez Rivera James E Siegler Achmad Fidaus Sani Ajit S Puri Anna Luisa Kuhn Gianmarco Bernava Paolo Machi Daniel G Abud Octavio M Pontes-Neto Ajay K Wakhloo Barbara Voetsch Eytan Raz Shadi Yaghi Brijesh P Mehta Naoto Kimura Mamoru Murakami Jin Soo Lee Ji Man Hong Robert Fahed Gregory Walker Eiji Hagashi Steve M Cordina Hong Gee Roh Ken Wong Juan F Arenillas Mario Martinez-Galdamez Jordi Blasco Alejandro Rodriguez Vasquez Luisa Fonseca M Luis Silva Teddy Y Wu Simon John Alex Brehm Marios Psychogios William J Mack Matthew Tenser Tatemi Todaka Miki Fujimura Roberta Novakovic Jun Deguchi Yuri Sugiura Hiroshi Tokimura Rakesh Khatri Michael Kelly Lissa Peeling Yuichi Murayama Hugh Stephen Winters Johnny Wong Mohamed Teleb Jeremy Payne Hiroki Fukuda Kosuke Miyake Junsuke Shimbo Yusuke Sug Neurology RadiologyBoston Medical CenterBostonMassachusettsUSA Neurology Marcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA Radiology Radiation OncologyBoston University School of MedicineBostonMassachusettsUSA Neurology National Hospital Organization Osaka National HospitalOsakaJapan Neurosurgery National Hospital Organization Osaka National HospitalOsakaJapan Neurology Alexandria UniversityAlexandriaEgypt Radiology Boston Medical CenterBostonMassachusettsUSA Department of Neurology Xinqiao HospitalChongqingChina Neurosurgery University of Cape TownRondeboschWestern CapeSouth Africa Neurosurgery Interventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina Neuroradiologie Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neurologie Vasculaire Hospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventional Neuroradiology Fondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance Neurology Hospital Geral de FortalezaFortalezaBrazil Interventional Neuroradiology Hospital Geral de FortalezaFortalezaBrazil Neuroradiology Nottingham University Hospitals NHS TrustNottinghamUK Department of Neurosurgery Kobe City Medical Center General HospitalKobeHyogoJapan Interventional Neurovascular Unit University Hospital CareggiFirenzeToscanaItaly Neuroradiology University Hospital Centre ZagrebZagrebCroatia Interventional Neuroradiology Hopital BicetreLe Kremlin-BicetreFrance Stroke and Interventional Neuroradiology Lahore General HospitalLahorePakistan Neurological institute Cleveland Clinic Abu DhabiAbu DhabiUAE Department of Radiology Beaumont HospitalDublinIreland Neurology Stroke UnitHospital-Estadual CentralVitoriaBrazil Neuroradiology Instituto de Neurocirugia Dr AsengoSantiagoChile Interventional Neuroradiology Institut National de NeurologieTunisTunisia Neurology Boston Medical CenterBostonMassachusettsUSA Neurosurgery Boston Medical Center

Background During the COVID-19 pandemic,decreased volumes of stroke admissions and mechanical thrombectomy were *** study’s objective was to examine whether subarachnoid haemorrhage(SAH)hospitalisations and ruptured aneurysm coiling interventions demonstrated similar *** We conducted a cross-sectional,retrospective,observational study across 6 continents,37 countries and 140 comprehensive stroke *** with the diagnosis of SAH,aneurysmal SAH,ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases,10th Revision,*** 3-month cumulative volume,monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before(1 year and immediately before)and during the pandemic,defined as 1 March-31 May *** prior 1-year control period(1 March-31 May 2019)was obtained to account for seasonal *** There was a significant decline in SAH hospitalisations,with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic,representing a relative decline of 22.5%(95%CI−24.3%to−20.7%,p<0.0001).Embolisation of ruptured aneurysms declined with 1170-1035 procedures,respectively,representing an 11.5%(95%CI−13.5%to−9.8%,p=0.002)relative *** analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations,a 24.9%relative decline(95%CI−28.0%to−22.1%,p<0.0001).A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1%(95%CI 32.3%to 50.6%,p=0.008)despite a decrease in SAH admissions in this *** There was a relative decrease in the volume of SAH hospitalisations,aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 *** findings in SAH are consistent with a decrease in other emergencies,such as stroke and myocardial infarction.

关键词： diagnosis representing subarachnoid

Anaplastic pleomorphic xanthoastrocytoma with disseminated growth pattern at the time of diagnosis as well as after treatment:case report and review of literature

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Chinese neurosurgical Journal 2017年第4期3卷 238-242页

作者： Meng Zhu Chen Zhang Kai Zhao Leilei Wang Jian Sun Yugong Feng Weicheng Yao Shizhu Yu Cuiyun Sun Xuejun Yang Department of Neurosurgery Affiliated Hospital of Qingdao UniversityShandong 266003 People's Republic of ChinaDepartment of NeurosurgeryTianjin Medical University General Hospital Tianjin 300052 People's Republic of China Department of Neurosurgery Tianjin Medical University General Hospital Tianjin 300052 People's Republic of China Department of Neurosurgery Affiliated Hospital of Logistics University of People's Armed Police Force Tianjin 300052 People's Republic of China Department of Neurosurgery Cangzhou Central Hospital Hebei 061001 People's Republic of China Department of Neurosurgery Affiliated Hospital of Qingdao UniversityShandong 266003 People's Republic of China Department of Neuropathology Tianjin Neurological Institute Tianjin Medical University General Hospital Tianjin 300052 People's Republic of China

Background:Pleomorphic xanthoastrocytoma (PXA) is usually considered a relatively benign and localized entity. However, cases of PXA with anaplastic features have been reported in recent years. Anaplastic pleomorphic xanthoastrocytoma has been added to the 2016 WHO classification of CNS tumors as a distinct entity. Case presentation:We describe a rare case of PXA with dissemination, both at the time of diagnosis and after treatment. The 20-year-old male presented with signs of high intracranial pressure and sudden-onset transient seizures. Imaging examinations showed diffuse lesions widely distributed in the left hemisphere, and on histopathological examination, he was diagnosed with anaplastic PXA. The patient underwent surgical treatment and adjuvant concurrent chemoradiation. Follow-up MRI revealed early recurrence and distant spread of the tumor. Conclusions:Anaplastic PXA usually has unique characteristics, including dissemination, early recurrence, and chemoresistance. A strategy based on early diagnosis and aggressive treatment is warranted. However, sufficiently powered studies are required to generate evidence-based guidelines.

关键词： Anaplastic pleomorphic xanthoastrocytoma Dissemination Treatment

轻度脑损伤患者的加拿大头部CT准则和新奥尔良标准之比较

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世界核心医学期刊文摘(神经病学分册) 2006年第2期 1-3页

作者： StiellI.G. ClementC.M. RoweB.H. 郭俊 Clinical Epidemiology Unit F657 Ottawa Health Research Institute 1053 Carling Ave Ottawa Ont. K1Y 4E9 Canada.Dr

Context: Current use of cranial computed tomography (CT) for minor head injury is increasing rapidly, highly variable, and inefficient. The Canadian CT Head Rule (CCHR) and New Orleans Criteria (NOC) are previously developed clinical decision rules to guide CT use for patients with minor head injury and with Glasgow Coma Scale (GCS) scores of 13 to 15 for the CCHR and a score of 15 for the NOC. However, uncertainty about the clinical performance of these rules exists. Objective: To compare the clinical performance of these 2 decision rules for detecting the need for neurosurgical intervention and clinically important brain injury. Design, Setting, and Patients: In a prospective cohort study ( June 2000-December 2002) that included 9 emergency departments in large Canadian community and university hospitals, the CCHR was evaluated in a convenience sample of 2707 adults who presented to the emergency department with blunt head trauma resulting in witnessed loss of consciousness, disorientation, or definite amnesia and a GCS score of 13 to 15. The CCHR and NOC were compared in a subgroup of 1822 adults with minor head injury and GCS score of 15. Main Outcome Measures: neurosurgical intervention and clinically important brain injury evaluated by CT and a structured follow up telephone interview. Results: Among 1822 patients with GCS score of 15, 8 (0.4%) required neurosurgical intervention and 97 (5.3%) had clinically important brain injury. The NOC and the CCHR both had 100%sensitivity but the CCHR was more specific (76.3%vs 12.1%, P neurosurgical intervention. For clinically important brain injury, the CCHR and the NOC had similar sensitivity (100%vs 100%; 95%confidence interval [CI], 96% -100%) but the CCHR was more specific (50.6%vs 12.7%,P < .001), and would result in lower CT rates (52.1%vs 88.0%, P < .001).The κvalues for physician interpretation of the rules, CCHR vs NOC, were 0.85 vs 0.47. Physicians misinterpreted the rules as n

关键词：脑损伤 CCH OC 患者神经手术头部解剖部位 GCS 加拿大北美洲 CT

Latent brain infection with Moraxella osloensis as a possible cause of cerebral gliomatosis type 2:A case report

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World Journal of Clinical Oncology 2020年第12期11卷 1064-1069页

作者： Tadej Strojnik Rajko Kavalar Kristina Gornik-Kramberger Maja Rupnik Slavica Lorencic Robnik MaraPopovic Tomaz Velnar Department of Neurosurgery University Medical Centre MariborMaribor SI-2000Slovenia Faculty of Medicine University of MariborMaribor SI-2000Slovenia Department of Pathology University Medical Centre MariborMaribor SI-2000Slovenia National Laboratory for Health Environment and FoodMaribor SI-2000Slovenia institute of Pathology Faculty of MedicineUniversity of LjubljanaLjubljana 1000Slovenia Department of Neurosurgery University Medical Centre LjubljanaLjubljana 1000Slovenia

BACKGROUND The gram-negative aerobic bacterium Moraxella osloensis is an opportunistic pathogen in brain *** SUMMARY The gram-negative aerobic bacterium Moraxella osloensis was isolated from a patient’s brain tissue during a stereotactic *** This is the first report of a brain tissue infection with Moraxella osloensis possibly causing brain gliomatosis.

关键词： Moraxella osloensis Brain infection Cerebral gliomatosis stereotactic brain biopsy Case report

The diagnosis and treatment strategy of occipital skull mass in hemophilic patients: a rare case report and literature review

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Chinese neurosurgical Journal 2019年第3期5卷 177-181页

作者： Qingyuan Liu Jun Wu Chunde Li Shuo Wang Department of Neurosurgery Beijing Tiantan HospitalCapital Medical UniversityNo.119South4th Ring West RoadFengtai DistrictBeijing100070China China National Clinical Research Center for Neurological Diseases BeijingPeople's Republic of China Center of Stroke Beijing Institute for Brain DisordersBeijingPeople's Republic of China

Cranial hemophilic pseudotumor (cHPT) is a very rare disease, which is easy to misdiagnose. It is also difficult to manage such patients. We reported the first case of occipital cHPT. Case presentation: Here, we presented a rare case of an occipital bone mass in a 3-year-old boy who was diagnosed with hemophilia A. The mass was misdiagnosed as an aneurysmal bone cyst by pathological examination. After resection, the patient underwent one-stage cranioplasty. However, the patient was admitted again for hematoma caused by an invasive procedure. A second surgery and one-stage cranioplasty were performed at the same time. A follow-up 3 months after discharging showed the patient was uneventful, and the titanium mesh was well fixed. Conclusion: The diagnosis of cHPT requires the combining of history, radiological examination, and pathological examination. Resection is the best choice for symptomatic cHPT. Replacement treatment and less invasive treatment can make perioperative management safer. One-stage cranioplasty for resection of an occipital cHPT can improve the quality of life.

关键词： Hemophilic pseudotumor Perioperative management Diagnosis strategy Replacement treatment One-stage cranioplasty

Diffuse intrinsic pontine glioma:current insights and future directions

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Chinese neurosurgical Journal 2021年第4期7卷 289-299页

作者： Dilakshan Srikanthan Michael S.Taccone Randy Van Ommeren Joji Ishida Stacey L.Krumholtz James T.Rutka Cell Biology Program The Hospital for Sick Children686 Bay StTorontoON M5G 0A4Canada The Arthur and Sonia Labatt Brain Tumour Research Centre The Hospital for Sick Children686 Bay StTorontoON M5G 0A4Canada Department of Laboratory Medicine and Pathobiology University of TorontoTorontoONCanada Division of Neurosurgery Department of SurgeryThe Ottawa HospitalOttawaONCanada Developmental and Stem Cell Biology Program The Hospital for Sick Children686 Bay StTorontoON M5G 0A4Canada institute of Medical Sciences University of TorontoTorontoONCanada Division of Neurosurgery Department of SurgeryThe Hospital for Sick ChildrenSuite 1503555University AvenueTorontoON M5G 1X8Canada

Diffuse intrinsic pontine glioma(DIPG)is a lethal pediatric brain tumor and the leading cause of brain tumor–related death in *** several clinical trials over the past few decades have led to no significant improvements in outcome,the current standard of care remains fractionated focal *** to the recent increase in stereotactic biopsies,tumor tissue availabilities have enabled our advancement of the genomic and molecular characterization of this lethal *** groups have identified key histone gene mutations,genetic drivers,and methylation changes in DIPG,providing us with new insights into DIPG ***,there has been increased development of in vitro and in vivo models of DIPG which have the capacity to unveil novel therapies and strategies for drug *** review outlines the clinical characteristics,genetic landscape,models,and current treatments and hopes to shed light on novel therapeutic avenues and challenges that remain.

关键词： Diffuse intrinsic pontine glioma Molecular genetics Neuro-oncology Therapeutics Disease models Pediatrics Neurosurgery

Polymyxin for the treatment of intracranial infections of extensively drug-resistant bacteria in children after neurosurgical operation

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World Journal of Pediatrics 2020年第5期16卷 528-532页

作者： Jing Ye Lin-Hua Tan Zhi-Peng Shen Yun-Song Yu Deng-Ming Lai Jie Fan Qiang Shu Department of Surgical ICU Children's HospitalZhejiang University School of MedicineNational Clinical Research Center For Child HealthHangzhou 310052China Department of Neurosurgery Children's HospitalZhejiang University School of MedicineNational Clinical Research Center For Child HealthHangzhou 310052China Department of Infectious Diseases Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310003China Department of Neonatal Surgery Children's HospitalZhejiang University School of MedicineNational Clinical Research Center For Child HealthHangzhouZhejiangChina Department of Surgery University of Pittsburgh School of MedicinePittsburghPAUSA Research and Development Veterans Affairs Pittsburgh Healthcare SystemPittsburghPAUSA McGowan institute for Regenerative Medicine University of PittsburghPittsburghPAUSA Department of Thoracic and Cardiovascular Surgery Children's HospitalZhejiang University School of MedicineNational Clinical Research Center For Child HealthNo.3333 Bin-Sheng RoadBin-Jiang DistrictHangzhou 310052China

Background Increased meningitis caused by extensively drug-resistant bacillary presents a significant challenge in antibiotic *** aim of our study was to evaluate the efficacy and safety of polymyxin in the treatment of post-neurosurgical meningitis due to the extensively drug-resistant bacillary in *** We performed a retrospective study on post-neurosurgical meningitis caused by the extensively drug-resistant bacillary in children,who were treated with polymyxin for≥3 *** Among five post-neurosurgical meningitis cases that were included,the children were infected by Acinetobacter baumannii(n=3),Klebsiella pneumonia(n=l),and Pseudomonas aeruginosa(n=1).The drug susceptibility test showed that they were extensively drug-resistant *** patients received intravenous polymyxin *** children received intravenous combined with intraventricular injection of polymyxin *** patient infected by Klebsiella pneumonia eventually died of septic *** serious adverse effects of polymyxin were *** Polymyxin is a safe and effective therapy for post-neurosurgical,multidrug-resistant bacillary meningitis in children.

关键词： Drug resistance Meningitis neurosurgical procedures Polymyxin