CNS Metastases Neurosurgery in the Aged: Proceedings of the 34th Annual Meeting of the Deutsche Gesellschaft Für Neurochirurgie, Mannheim, April 27-30

ISBN-13: 9783540128328 / Angielski / Miękka / 1984 / 346 str.

W. Piotrowski; Mario Brock; M. Klinger

Opis

The computer tomograms of the brain were investigated in 195 patients in whom a primary carcinoma was known to be present. Metastases of bronchial and mammary carcinomas are most frequent. It is not possible to achieve a definite differentiation of brain metastases from known primary tumors. References 1. Kazner, E. , Wende, S. , Grumme, Th. , Lanksch, W. , Stochdorph, 0. : Computertomographie intrakranieller Tumoren. Berlin, Heidelberg, New York: Springer 1981 2. Nadjmi, M. , Piepgras, U. , Vogelsang, H. : Kranielle Computertomo- graphie. Stuttgart: Thieme 1981 3. Penzholz, H. : Die metastatischen Erkrankungen des Zentralnerven- systems bei besartigen Tumoren. Acta neurochir. Suppl. ~, 1968 4. ZUlch~ K. J. : Pathologische Anatomie der raumbeengenden intra- kraniellen Prozesse. In: Handbuch der Neurochirurgie, Bd. III, Hrsg. Krenkel, W. , Olivecrona, H. , Tennis, W. Berlin: Springer 1956 18 Epileptic Seizures in Brain Metastases B. Neundorfer Klinik fUr Neurologie, Medizinische Hochschule LUbeck, Ratzeburger Allee 160, D-2400 LUbeck 1 Epileptic seizures are a frequent symptem ef intracranial space- eccupying lesiens (4). The reperted frequency in the literature var- ies between 13% and-abeut 50%. This apparent discrepancy can be ex- plained by the different cempesitien ef different series with regard to. the patient's age, turner histelegy and lecatien (4). The mest frequently enceuntered finding in patients with symptematic seizures is a primary brain turner: at the tep ef the list eligedendregliemas, astrecytemas and meningiemas - at the bettem glieblastemas. Brain metastases are also.

Spis treści

CNS Metastases.- Surgical Management of Metastatic Brain Tumors.- Site of the Primary in Intracranial Metastases.- Computer Tomographic Diagnosis of Intracranial Metastases.- Epileptic Seizures in Brain Metastases.- The Primary Symptoms of Intracranial Metastases.- Intracranial Melanomas.- Extradural Spinal Metastases — A Retrospective Study of 197 Patients.- Spinal Metastases as the First Manifestation.- Should Patients with Extradural Spinal Tumors Undergo Operations?.- Posterior Stabilization of the Vertebral Column in Cases of Spinal Metastases.- Paraneoplastic Syndromes of the Central Nervous System.- Tumors in the Central Nervous System in the Presence of Malignant Extracranial Neoplasms.- Radiation Therapy of Metastases of the Brain and Spinal Cord.- Radiotherapy of Cerebral Metastases. CT-Findings and Effects of Radiotherapy.- Comparison of Radiotherapy Alone Compared with Surgery Plus Irradiation in Two Groups of Patients with Brain Metastases.- CT-Stereotaxy for Differential Diagnosis and Radiotherapy of Intracranial Metastases.- Chemotherapy of Brain Metastases.- Chemotherapy of Brain Metastases.- Successful Treatment of Brain Metastases in Breast Cancer Patients by Chemo-Hormono-Therapy.- Neurosurgery in the Aged.- Biological and Medical Aspects of Aging.- Plasticity of the Brain in Old Age.- Neurosurgical Operations in the Elderly: Risks Related to Medical Diseases.- Risks in Anesthesia with Particular Reference to the Elderly Patient.- Cerebro-Spinal Neurosurgery in the Elderly — Thirty Years of Experience in Giessen.- Intracranial Tumors in Advanced Age.- Results of Neurosurgical Treatment in Older Patients with Intracranial and Spinal Tumors. Problems of the Pre-Operative Risks.- Follow-Up of Meningioma Patients Operated on at Higher Age.- Age Distribution, Histological Pattern and Recurrences of Intracranial Meningiomas.- Long-Term Follow-Up After Operations on Intracranial Meningiomas — The Indications for Operation in Old Age.- The Importance of Clinical Follow-Up in Determining the Indications for Operations in Brain Metastases.- Long-Term Follow-Up After Operation on Benign Intraspinal-Extramedullary Tumors in Old Patients.- Cerebral Aneurysms in Elderly Patients.- Aneurysms in Elderly Patients.- Results of Treatment in Chronic Subdural Hematomas.- Chronic Subdural Hematomas Treated by Enlarged Burr-Hole Craniostomy and a Closed Drainage System. Retrospective Study of 120 Patients.- Chronic Subdural Hematoma in Geriatric Patients — Factors Affecting Prognosis.- Sequelae and Prognosis of Cranio-cerebral Trauma in Elderly People.- Extra-dural Hematomas in Elderly. A Statistical Analysis of 58 Cases.- The Significance of Age in the Treatment and Prognosis of Intracerebral Hematomas.- Free Topics.- The Significance of Computer-Assisted Myelography (CAM) in the Diagnosis of Cervical Root Compression Syndromes.- Treatment of Hyper-Reflexive Detrusor Instability by Selective Sacral Nerve Blockade.- Modalities and Prognostic Aspects of SEP. Central Conduction Time in Severe Post-Traumatic Coma.- Brain Stem Auditory Evoked Potentials (BAEP) During and After Posterior Fossa Operations.- The Extent of Disturbed Brain Cell Energy State Under Normoxic Hypocapnia and During Arterial Hypoxia.- Measurement of Local Oxygen Partial Pressure (PO2) of the Brain Cortex in Cases of Brain Tumors.- Anoxic Incubation of Suspended Glial Cells. An In-Vitro Model of Cerebral Anoxia to Study Cytotoxic Brain Edema.- CBF, O2-Tension and 02-Metabolism in Vasogenic Brain Edema and the Effects of Dexamethasone and Nimodipine.- Venous-Neurogenic Regulation of Cerebral Blood Volume.- The Influence of Continuous Compared with Intermittent Increase in ICP on Brain Function. A Contribution to the Study of Barostabilization.- The Control of Increased Intracranial Pressure with Lidocaine.- Mediator Compounds in CSF of Neurosurgical Patients with Raised Intracranial Pressure.- Creatine Kinase Isoenzymes in Serum and CSF After Gradual Experimental Brain Injury. Its Relation to Prognostic Value or to Extent of Brain Damage.- Effects of Sodium Nitroprusside-Induced Deep Arterial Hypotension on Glucose and Energy Metabolism of the Cerebral Cortex of the Rat.- LRH-Induced LH-Secretion via Transventricular Transport (An Experimental and Clinical Study on the Hypothalamo-Adeno-Hypophyseal Regulation).- Immunocytochemical Demonstration of GFAP in Brain Tumor Diagnosis. Possibilities and Limitations.- Morphologic Changes in Brain Tissue Following ultrasonic Aspiration.