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【期刊论文】Rerupture of intracranial aneurysms during cerebral angiography
刘玉光, Liu Yuguang, Jia Tao, Liu Meng, Zhu Shugan, Wang Jiangang, Yang Yang, Su Wandong, Wu Chengyuan
Journal of Clinical Neuroscience (2003)10(6), 674-676,-0001,():
-1年11月30日
Summary Three cases of rerupture of intracranial aneurysms during cerebral angiography (RIADCA) between June and September, 2001 are reported. All cases underwent emergency craniotomy and aneurysm clipping. The subarachnoid blood and the extravasating contrast medium were removed intraoperatively as completely as possible. There was no mortality in this series. The incidence, timing, sex, age, inducing factors, risk factors, prevention measures and prognosis are discussed and reviewed in conjunction with the literature.
aneurysm,, angiography,, rerupture,, complication,, rebleeding
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【期刊论文】Neuroendoscopic anatomy and surgery of the cerebellopontine angle
刘玉光, Liu Yuguang MD, Wu Chengyuan MD, Liu Meng MD, Zhu Shugan MD, Su Wandong MD, Li Gang MD, Li Xingang MD
Journal of Clinical Neuroscience (2005)12(3), 256-260,-0001,():
-1年11月30日
Summary To probe the feasibility and utility of neuroendoscopic inspection of the anatomy of the cerebellopontine angle (CPA) and of neuroendoscopic assisted microneurosurgery (NEAMN) for CPA lesions via a retrosigmoid approach, we used retrosigmoid NEAMN in 28 patients with CPA lesions. Prior to this, we undertook anatomical observation of bilateral CPA in two adult cadaver heads using the neuroendoscope. NEAMN tumour resection was performed in eight acoustic neuromas, one meningioma and 14 cholesteatomas and NEAMN vascular decompression was performed in five patients with trigeminal neuralgia. Both the neurovascular structures of the CPA and the ventral surface of the pons, as well as the clivus, can be inspected using the neuroendoscope through a retrosigmoid approach with a 2-3 cm diameter bony opening. Complete excision of the tumour with preservation of the facial nerve was achieved in all eight acoustic neuromas. Likewise, total resection of the tumour was possible in the 14 cholesteatomas and one meningioma. Paroxysmal facial pain resolved after NEAMN vascular decompression in the five patients with trigeminal neuralgia. There were no postoperative complications or deaths in this series. The CPA can be divided into three levels-the cranial, medial, and caudal, and each level contains specific neurovascular structures as seen through the neuroendoscope. Knowledge of these divisions is useful to master the common NEAMN procedures of the CPA. NEAMN for CPA lesions via a retrosigmoid approach is a useful adjunct to standard microneurosurgical techniques effect and may decrease the operative risk.
neuroendoscope,, cerebellopontine angle,, anatomy,, acoustic neuroma,, cholesteatoma,, trigeminal neuralgia
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【期刊论文】Intracranial tumoural haemorrhage-a report of 58 cases
刘玉光, Liu Yuguang, Liu Meng, Zhu Shugan, Jiang Yuquan, Li Gang, Li Xingang, Wu Chengyuan
Journal of Clinical Neuroscience (2002)9(6), 637-639,-0001,():
-1年11月30日
Summary In order to study the computerized tomographic (CT) appearances and clinical characteristics of intracranial tumoural haemorrhage (ITH), we analyzed retrospectively fifty-eight patients with ITH and reviewed the literature. As a result, 91% patients had acute or subacute onset and 26% manifested haemorrhage as their first symptoms. CT scanning indicated that intratumoural bleeding occurred in 23 cases, bleeding into parenchyma 18 cases, subarachnoid space 6 cases, ventricle 3 cases and subdural space 8 cases. Thirty-eight patients had emergency operations and the others had selective operations. Both tumours and haematomas were removed all together in all patients. Fifty-five patients were cured or improved and three died during the perioperative stage in our series. Among the patients with ITH, there were 21 metastatic tumours, 19 gliomas, 10 meningiomas, 6 pituitary adenomas, 1 melanoma and 1 acoustic neurilemoma. The onset of most ITH resembled that of cerebrovascular diseases. The location of ITH and the CT appearances of ITH varied in different cerebral tumours. Radical removal of brain tumours with haemorrhage is an effective treatment for ITH, which can greatly decrease the perioperative mortality rate and improve the prognoses of patients.
intracranial tumoural haemorrhage,, clinical manifestation,, CT
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【期刊论文】Chronic expanding intracerebral hematoma
刘玉光, Liu Yuguang, Zhang Liangwen, Liu Fusheng, Zhu Shugan, Li Xingang, Su Wandong, Wu Chengyuan
Journal of Clinical Neuroscience (2003)10(6), 680-682,-0001,():
-1年11月30日
Summary In order to study the clinical characteristics of chronic expanding intracerebral hematoma (CEICH), we analyzed retrospectively 21 patients with CEICH and reviewed the literature with regard to clinical manifestations, medical imaging features, surgical findings, pathological examinations, diagnoses, treatments and prognoses, etc. All patients recovered well and did not recur 1-2 months after operation, except one, who died of contralateral intracerebral hemorrhage three months later. Patients were followed-up by computerized tomographic (CT) scanning. MRI was useful for the preoperative diagnosis.
chronic expanding intracerebral hematoma,, intracranial hematoma,, treatment,, computerized tomography,, magnetic resonance image
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【期刊论文】Chronic epidural haematoma: a report of 10 cases and review of the literature
刘玉光, Yuguang Liu MD, Yunyan Wang MD, Tao Song MD, Qinglin Zhang MD, Gang Li MD, Shugan Zhu MD, Chengyuan Wu MD, Xingang Li MD, Yi Shao MD
Joumal of Clinical Neuroscience (1999) 6(5),-0001,():
-1年11月30日
Summary Ten cases of chronic epidural haematoma diagnosed between March 1988 and December 1996 are reported. There were eight males and two females ranging in age from 12-48 years. The interval between head injury and the time of diagnosis ranged from 13 days to 3 months with a mean duration of 28 days. There was no mortality or morbidity in this series. The features of chronic epidural haematoma including patient characteristics, time to diagnosis, incidents, pathophysiology, computerized tomographic (CT) scan findings, operative findings, treatment and prognosis are discussed and reviewed in conjunction with the literature.
chronic epidural haematoma,, trauma,, CT scan,, surgery
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