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PURPOSE To determine the safety, in our practice, of allowing patient preference to influence the timing of antiepileptic drug (AED) reduction, once they became seizure-free after anterior temporal lobectomy (ATL). METHODS Thirty patients underwent anterior temporal lobectomy for medically intractable complex partial epilepsy at Loma Linda University… (More)
The authors report a case of cerebral and cerebellar metastatic renal carcinoma with 7-year survival without present evidence of recurrence following excision of both intracranial lesions and the primary lesion (by radical nephrectomy).
Somatosensory evoked potentials and redox (reduction/oxidation ratio) of cytochrome a,a3 were studied simultaneously before, during, and after controlled hypotension used for arteriovenous malformation resection. These studies were also conducted before and after ED-IC (external-internal carotid) bypass procedures for treatment of patients with transient… (More)
Rarely, a lesion simulating a colloid cyst of the third ventricle may present with obstructive hydrocephalus and headache. Experience with an arteriovenous malformation in this location is discussed.
Acute spontaneous cerebellar hemorrhage presenting with ataxia, dysarthria, vomiting, dizziness, and coma is commonly the result of hypertension. Early diagnosis is possible, and appropriate treatment, if timely executed, may be lifesaving.
Fibromuscular dysplasia is a noninflammatory segmental disease of the arteries, of unknown origin. While the renal arteries are most commonly affected, other larger vessels, including the carotid and vertebrals, may be involved. Fibromuscular dysplasia has been implicated as a cause of stroke in adults and (on rare occasions) in children. The classic… (More)
Injury to the spine may be either osseous, neural, or both. The neurological deficit may or may not be a reflection of the severity of the osseous injury. Patients having wide canals are more likely to have less neurological dysfunction than those having narrow canals.
Controlled hypotension is a safe and convenient means of allowing a surgeon to perform intracranial aneurysm, arteriovenous malformation and vascular tumor surgery. The mean arterial pressure between 40 and 60 mmHg induces diminished pulsatile arterial pressure, thus preventing rupture of these abnormal vasculatures. It is still possible to maintain… (More)