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)
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)
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)
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.
Direct surgical intervention of arteriorvenous malformations (AVMs) in functional areas has been accepted as a standard mode of treatment. However, safe and successful intervention requires that such factors as exact location, size, vascular supply, and drainage be considered. Importantly, surgical techniques must be individualized to each patient, based on… (More)
(1) Adequately extensive production of 5-gram analgesia is essential for satisfactory control of pain. (2) 87% of the 95 cases which underwent Gasserian ganglion coagulation have obtained satisfactory control of tic pain. (3) Another 6% of the cases could have satisfactory control with repeated coagulation, judged by the extent of analgesia after the first… (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.
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).