摘要
Objective To investigate and evaluate the effectiveness ofneuroendoscopic therapy on patients with cerebral hemispheres convex arachnoid cysts.Methods Thirteen patients with cerebral hemispheres convex arachnoid cysts (close to lateral ventricle or cistern),admitted to and accepted endoscopic cystoventriculostomy or cystocisternotomyin our hospital from September 2007 to July 2011,were chosen in our study; their clinical data,including clinical and neuroradiological presentations,surgical indications,surgical techniques,complications,and clinical and neuroradiological follow-up results,were retrospectively analyzed.Results The cysts were reduced in size in all 13 patients (100％).The symptoms disappeared in 9 and improved in 4 after the operation,with a clinical improvement rate reaching 100％.One patient had asymptomatic subdural hydroma after the operation.Conclusion Endoscopic fenestration is an effective treatment for patients with cerebral hemispheres convex arachnoid cysts close to lateral ventricle or cistern,and can be the first surgical choice for these cysts.
摘要
<p><b>OBJECTIVE</b>To investigate and evaluate the effectiveness of neuroendoscopic therapy for arachnoid cysts of middle cranial fossa.</p><p><b>METHODS</b>From January 2004 to June 2009, 32 patients with arachnoid cysts of middle cranial fossa who were treated with endoscopic cystocisternal fenestration were retrospectively analyzed. There were 21 male patients and 11 female patients, aged from 6 months to 39 years. The clinical and neuroradiological presentation, indications, surgical technique, complications, and clinical and neuroradiological follow-up were analyzed.</p><p><b>RESULTS</b>The cysts were reduced in size in 20 patients and completely disappeared in 4 patients. For the 27 patients with symptoms before operation, the symptoms disappeared in 8 cases and improved in 17 cases after operation. There were asymptomatic subdural hydroma in 4 patients, intracranial infection and incision cerebro-spinal fluid leakage in 1 patient respectively. The complication incidence rate was 18.8%.</p><p><b>CONCLUSIONS</b>Endoscopic fenestration is an effective treatment for symptomatic arachnoid cysts of middle cranial fossa and could be performed as the first surgical choice for these patients.</p>
Subject(s)
Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Male , Young Adult , Arachnoid Cysts , General Surgery , Cranial Fossa, Middle , Endoscopy , Methods , Follow-Up Studies , Retrospective Studies , Treatment Outcome摘要
<p><b>BACKGROUND</b>Over-expression of epidermal growth factor receptor (EGFR) is thought to be related to cell proliferation, invasion, metastasis, resistance to chemoradiotherapy and poor prognosis of various human cancers. Forty percent to fifty percent of glioblastoma multiforme (GBM) possess deregulated EGFR, which may contribute to the aggressive and refractory course of GBM. Therefore, blockade of EGFR signal transduction may be a promising treatment strategy for GBM.</p><p><b>METHODS</b>MTT assay, cell growth curve assay and tumor xenograft model were used to evaluate the antitumor activity of F90 against SHG-44 in vitro and in vivo. Western blot assay was applied to evaluate the expression of p-EGFR, p-ERK1, p-JNK, p-P38, Bcl2 and P53 proteins.</p><p><b>RESULTS</b>F90 inhibited the cell proliferation in a dose-dependent manner in vitro. The growth of SHG-44 tumor xenografts was suppressed by F90 at a high dose level (100 mg x kg(-1) x d(-1)). Phosphorylation of EGFR and activated downstream signaling proteins, such as ERK1, JNK and P38, were found to be depressed after incubation with F90 for 48 hours in vitro. Down-regulated Bcl2 protein and up-regulated P53 protein were also observed.</p><p><b>CONCLUSIONS</b>The results demonstrate that F90 is effective in inhibiting the proliferation of SHG-44 cells in vitro and tumor growth in vivo, suggesting that F90 may be a new therapeutic option for treatment of GBM.</p>
Subject(s)
Animals , Humans , Mice , Antineoplastic Agents , Pharmacology , Cell Line, Tumor , Cell Proliferation , Glioblastoma , Drug Therapy , Pathology , MAP Kinase Signaling System , Mice, Inbred BALB C , Phosphorylation , Protein Kinase Inhibitors , Pharmacology , Proto-Oncogene Proteins c-bcl-2 , Quinazolines , Pharmacology , ErbB Receptors , Metabolism , Tumor Suppressor Protein p53摘要
<p><b>OBJECTIVE</b>To investigate the application of the island flap based on the postfemur neurocutaneous nutrient vessel.</p><p><b>METHODS</b>The flap was designed and applied to repair the defects in the gluteal, popliteal fossa or the bilateral postfemur areas. A total of 11 cases (12 defects) were treated with this method. The size of the defects ranged from 4.0 cm x 7.8 cm to 8.3 cm x 16.6 cm.</p><p><b>RESULTS</b>Of the 12 defects, 9 achieved complete success. Epidermal necrosis occurred in the distal part of the flap in 3 defects owing to venous stasis, which were cured with skin grafting. Postoperative follow-up for 8-19 months showed that the appearance, texture, and function of the flap were satisfactory.</p><p><b>CONCLUSIONS</b>The advantages of the flap lie in the reliable blood supply, constant anatomy, and without sacrificing a major artery. The key points for the flap survival are utilizing the "Superficial vein-nutrient vessel of the cutaneous nerve system" and retaining a comet tail-shaped soft-tissue pedicle in the flap creation.</p>