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Polunina N.A.

Sklifosovsky Research Institute for Emergency Care

Semenov D.E.

Sechenov First Moscow State Medical University

Orlov E.A.

Sechenov First Moscow State Medical University

Veselkov A.A.

Sechenov First Moscow State Medical University

Galitsky E.V.

I.M. Sechenov First Moscow State Medical University

Grigorievskiy E.D.

Sklifosovsky Research Institute for Emergency Care

Kudashev A.Yu.

Sechenov First Moscow State Medical University

Brain retraction injury

Authors:

Polunina N.A., Semenov D.E., Orlov E.A., Veselkov A.A., Galitsky E.V., Grigorievskiy E.D., Kudashev A.Yu.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(4): 103‑110

Read: 4802 times


To cite this article:

Polunina NA, Semenov DE, Orlov EA, Veselkov AA, Galitsky EV, Grigorievskiy ED, Kudashev AYu. Brain retraction injury. Burdenko's Journal of Neurosurgery. 2021;85(4):103‑110. (In Russ., In Engl.)
https://doi.org/10.17116/neiro202185041103

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References:

  1. Almubarak AO, Alobaid A, Qoqandi O, Bafaquh M. Minimally Invasive Brain Port Approach for Accessing Deep-Seated Lesions Using Simple Syringe. World Neurosurgery. 2018;117:54-61.  https://doi.org/10.1016/j.wneu.2018.05.236
  2. Chaichana KL, Vivas-Buitrago T, Jackson C, Ehresman J, Olivi A, Bettegowda C, Quinones-Hinojosa A. The Radiographic Effects of Surgical Approach and Use of Retractors on the Brain after Anterior Cranial Fossa Meningioma Resection. World Neurosurgery. 2018;112:505-513.  https://doi.org/10.1016/j.wneu.2018.01.069
  3. Dujovny M, Ibe O, Perlin A, Ryder T. Brain retractor systems. Neurological Research. 2010;32(7):675-683.  https://doi.org/10.1179/016164110x12644252260439
  4. Little AS, Liu S, Beeman S, Sankar T, Preul MC, Hu LS, Smith KA, Baxter LC. Brain Retraction and Thickness of Cerebral Neocortex: An Automated Technique for Detecting Retraction-Induced Anatomic Changes Using Magnetic Resonance Imaging. Operative Neurosurgery. 2010;67(3):227-282.  https://doi.org/10.1227/01.neu.0000374699.12150.0
  5. Zhong J, Dujovny M, Perlin AR, Perez-Arjona E, Park HK, Diaz FG. Brain retraction injury. Neurological Research. 2003;25(8):831-838.  https://doi.org/10.1179/016164103771953925
  6. Harada S, Nakamura T. Retraction induced brain edema. Acta Neurochirurgica Supplement. 1994;60:449-51.  https://doi.org/10.1007/978-3-7091-9334-1_123
  7. Lownie S, Wu X, Karlik S, Gelb AW. Brain Retractor Edema during Induced Hypotension: The Effect of the Rate of Return of Blood Pressure. Neurosurgery. 1990;27(6):901-906.  https://doi.org/10.1227/00006123-199012000-00007
  8. Singh H, Patir R, Vaishya S, Miglani R, Kaur A. Syringe Port: A Convenient, Safe, and Cost-Effective Tubular Retractor for Transportal Removal of Deep-Seated Lesions of the Brain. World Neurosurgery. 2018;114:117-120.  https://doi.org/10.1016/j.wneu.2018.03.019
  9. Wang X, Liu Y, Mao Q. Retractorless surgery for third ventricle tumor resection through the transcallosal approach. Clinical Neurology and Neurosurgery. 2017;155:58-62.  https://doi.org/10.1016/j.clineuro.2017.02.018
  10. Yu L-H, Yao P-S, Zheng S-F, Kang D-Z. Retractorless Surgery for Anterior Circulation Aneurysms via a Pterional Keyhole Approach. World Neurosurgery. 2015;84(6):1779-1784. https://doi.org/10.1016/j.wneu.2015.07.055
  11. Assina R, Rubino S, Sarris CE, Gandhi CD, Prestigiacomo CJ. The history of brain retractors throughout the development of neurological surgery. Neurosurgical Focus. 2014;36(4):E8.  https://doi.org/10.3171/2014.2.focus13564
  12. Eichberg DG, Buttrick SS, Sharaf JM, Snelling BM, Shah AH, Ivan ME, Komotar RJ. Use of Tubular Retractor for Resection of Colloid Cysts: Single Surgeon Experience and Review of the Literature. Operative Neurosurgery. 2018;16(5):571-579.  https://doi.org/10.1093/ons/opy249
  13. Otani Y, Kurozumi K, Ishida J, Hiramatsu M, Kameda M, Ichikawa T, Date I. Combination of the tubular retractor and brain spatulas provides an adequate operative field in surgery for deep-seated lesions: Case series and technical note. Surgical Neurology International. 2018;9:220.  https://doi.org/10.4103/sni.sni_62_18
  14. Wu R. Investigation on the Effects of Brain Retraction on Local Cerebral Metabolism Utilizing Microdialysis. Clinical Medicine Research. 2016;5(4):77.  https://doi.org/10.11648/j.cmr.20160504.13
  15. Rosenhorn J, Diemer NH. Reduction of Regional Cerebral Blood Flow during Brain Retraction Pressure in the Rat. Journal of Neurosurgery. 1982;56(6):826-829.  https://doi.org/10.3171/jns.1982.56.6.0826
  16. Rosenhorn J, Diemer NH. The Risk of Cerebral Damage during Graded Brain Retractor Pressure in Rats. Journal of Neurosurgery. 1985;53(4):8.  https://doi.org/10.3171/jns.1985.63.4.0608
  17. Xu W, Mellegard P, Ungerstedt U, Nordstrom CH. Local changes in cerebral energy metabolism due to brain retraction during routine neurosurgical procedures. Acta Neurochirurgica. 2002;144(7):679-683.  https://doi.org/10.1007/s00701-002-0946-1
  18. Hongo K, Kobayashi S, Yokoh A, Sugita K. Monitoring retraction pressure on the brain. An experimental and clinical study. Journal of Neurosurgery. 1987;66(2):270-275.  https://doi.org/10.3171/jns.1987.66.2.0270
  19. Chierto E, Simon A, Castoldi F, Meffre D, Cristinziano G, Sapone F, Carrete A, Borderie D, Etienne F, Rannou F, Morrison B, Massaad C, Jafarian-Tehrani M. Mechanical Stretch of High Magnitude Provokes Axonal Injury, Elongation of Paranodal Junctions, and Signaling Alterations in Oligodendrocytes. Molecular Neurobiology. 2018;56(6):4231-4248. https://doi.org/10.1007/s12035-018-1372-6
  20. Krayenbühl N, Oinas M, Erdem E, Krisht AF. The Impact of Minimizing Brain Retraction in Aneurysm Surgery: Evaluation Using Magnetic Resonance Imaging. Neurosurgery. 2011;69(2):344-348.  https://doi.org/10.1227/neu.0b013e31821819a0
  21. Andrews RJ, Muto RP. Retraction brain ischaemia: cerebral blood flow, evoked potentials, hypotension and hyperventilation in a new animal model. Neurological Research. 1992;14(1):12-18.  https://doi.org/10.1080/01616412.1992.11740004
  22. Bennett MH, Albin MS, Bunegin L, Dujovny M, Hellstrom H, Jannetta PJ. Evoked potential changes during brain retraction in dogs. Stroke. 1997;8(4):487-492.  https://doi.org/10.1161/01.str.8.4.487
  23. Laha RK, Dujovny M, Rao S, Barrionuevo PJ, Bunegin L, Hellstrom HR, Albin MS, Taylor FH. Cerebellar retraction: significance and sequelae. Surgical Neurology. 1979;12(3):209-215. 
  24. Krylov VV, Godkov IM. Brain retraction injury after operation performed for clipping of cerebral aneurysms. Nejrohirurgiya. 2009;1:23-30. (In Russ.).
  25. Bander ED, Jones SH, Kovanlikaya I, Schwartz TH. Utility of tubular retractors to minimize surgical brain injury in the removal of deep intraparenchymal lesions: a quantitative analysis of FLAIR hyperintensity and apparent diffusion coefficient maps. Journal of Neurosurgery. 2016;124(4):1053-1060. https://doi.org/10.3171/2015.4.jns142576
  26. Recinos PF, Raza SM, Jallo GI, Recinos VR. Use of a minimally invasive tubular retraction system for deep-seated tumors in pediatric patients. Journal of Neurosurgery: Pediatrics. 2011;7(5):516-521.  https://doi.org/10.3171/2011.2.peds10515
  27. Jo KI, Chung SB, Jo KW, Kong DS, Seol HJ, Shin HJ. Microsurgical resection of deep-seated lesions using transparent tubular retractor: pediatric case series. Child’s Nervous System. 2011;27(11):1989-1994. https://doi.org/10.1007/s00381-011-1529-3
  28. Zammar SG, Cappelli J, Zacharia BE. Utility of Tubular Retractors Augmented with Intraoperative Ultrasound in the Resection of Deep-seated Brain Lesions: Technical Note. Cureus. 2019;11(3):e4272. https://doi.org/10.7759/cureus.4272
  29. Eibach S, Zovickian J, Fan G, Pan D. Less Traumatic Technique to Access Deep Brain Lesions with the «Doigt-De-Dieu». Neurosurgical Imaging Techniques. 2016;1:17-25. 
  30. Almenawer SA, Crevier L, Murty N, Kassam A, Reddy K. Minimal access to deep intracranial lesions using a serial dilatation technique. Neurosurgical Review. 2012;36(2):321-330.  https://doi.org/10.1007/s10143-012-0442-x
  31. Kashimura H, Ogasawara K, Kubo Y, Kakino S, Sasoh M, Takahashi H, Suzuki K, Ogawa A. Brain Retraction Technique Using Gelatin Sponge in the Subtemporal Approach. Neurologia Medico-Chirurgica. 2008;48(3):143-146.  https://doi.org/10.2176/nmc.48.143

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