CNS Metastases Neurosurgery in the Aged: Proceedings of the 34th Annual Meeting of the Deutsche Gesellschaft für Neurochirurgie, Mannheim, April 27-30, 1983 (Advances in Neurosurgery, 12)

Distribution rights for Japan: Nankodo Co., Ltd., Tokyo Front Matter....Pages I-XIV Front Matter....Pages 1-1 Surgical Management of Metastatic Brain Tumors....Pages 3-9 Site of the Primary in Intracranial Metastases....Pages 10-14 Computer Tomographic Diagnosis of Intracranial Metastases....Pages 15-18 Epileptic Seizures in Brain Metastases....Pages 19-24 The Primary Symptoms of Intracranial Metastases....Pages 25-29 Intracranial Melanomas....Pages 30-35 Extradural Spinal Metastases — A Retrospective Study of 197 Patients....Pages 36-43 Spinal Metastases as the First Manifestation....Pages 44-46 Should Patients with Extradural Spinal Tumors Undergo Operations?....Pages 47-50 Posterior Stabilization of the Vertebral Column in Cases of Spinal Metastases....Pages 51-57 Paraneoplastic Syndromes of the Central Nervous System....Pages 58-61 Tumors in the Central Nervous System in the Presence of Malignant Extracranial Neoplasms....Pages 62-67 Radiation Therapy of Metastases of the Brain and Spinal Cord....Pages 68-72 Radiotherapy of Cerebral Metastases. CT-Findings and Effects of Radiotherapy....Pages 73-78 Comparison of Radiotherapy Alone Compared with Surgery Plus Irradiation in Two Groups of Patient with Brain Metastases....Pages 79-86 CT-Stereotaxy for Differential Diagnosis and Radiotherapy of Intracranial Metastases....Pages 87-89 Chemotherapy of Brain Metastases....Pages 90-93 Chemotherapy of Brain Metastases....Pages 94-98 Successful Treatment of Brain Metastases in Breast Cancer Patients by Chemo-Hormono-Therapy....Pages 99-101 Front Matter....Pages 103-103 Biological and Medical Aspects of Aging....Pages 105-108 Front Matter....Pages 103-103 Plasticity of the Brain in Old Age....Pages 109-116 Neurosurgical Operations in the Elderly: Risks Related to Medical Diseases....Pages 117-121 Risk in Anesthesia with Particular Reference to the Elderly Patient....Pages 122-127 Cerebro-Spinal Neurosurgery in the Elderly — Thirty Years of Experience in Giessen....Pages 128-144 Intracranial Tumors in Advanced Age....Pages 145-149 Results of Neurosurgical Treatment in Older Patients with Intracranial and Spinal Tumors. Problems of the Pre-Operative Risks....Pages 150-154 Follow-Up of Meningioma Patients Operated on at Higher Age....Pages 155-158 Age Distribution, Histological Pattern and Recurrences of Intracranial Meningiomas....Pages 159-163 Long-Term Follow-Up After Operations on Intracranial Meningiomas — The Indications for Operation in Old Age....Pages 164-171 The Importance of Clinical Follow-Up in Determining the Indications for Operations in Brain Metastases....Pages 172-176 Long-Term Follow-Up After Operation on Benign Intraspinal — Extramedullary Tumors in Old Patients....Pages 177-179 Cerebral Aneurysms in Elderly Patients....Pages 180-186 Aneurysms in Elderly Patients....Pages 187-191 Results of Treatment in Chronic Subdural Hematomas....Pages 192-197 Chronic Subdural Hematomas Treated by Enlarged Burr-Hole Craniostomy and a Closed Drainage System. Retrospective Study of 120 Patients....Pages 198-203 Chronic Subdural Hematoma in Geriatric Patients — Factors Affecting Prognosis....Pages 204-211 Sequelae and Prognosis of Craniocerebral Trauma in Elderly People....Pages 212-217 Extradural Hematomas in Elderly. A Statistical Analysis of 58 Cases....Pages 218-223 The Significance of Age in the Treatment and Prognosis of Intracerebral Hematomas....Pages 224-228 Front Matter....Pages 229-229 The Significance of Computer-Assisted Myelography (CAM) in the Diagnosis of Cervical Root Compression Syndromes....Pages 231-235 Front Matter....Pages 229-229 Treatment of Hyper-Reflexive Detrusor Instability by Selective Sacral Nerve Blockade....Pages 236-241 Modalities and Prognostic Aspects of SEP. Central Conduction Time in Severe Post-Traumatic Coma....Pages 242-246 Brain-Stem Auditory Evoked Potentials (BAEP) During and After Posterior Fossa Operations....Pages 247-252 The Extent of Disturbed Brain Cell Energy State Under Normoxic Hypocapnia and During Arterial Hypoxia....Pages 253-262 Measurement of Local Oxygen Partial Pressure (PO 2 ) of the Brain Cortex in Cases of Brain Tumors....Pages 263-270 Anoxic Incubation of Suspended Glial Cells. An In-Vitro Model of Cerebral Anoxia to Study Cytotoxic Brain Edema....Pages 271-273 CBF, O 2 -Tension and O 2 -Metabolism in Vasogenic Brain Edema and the Effects of Dexamethasone and Nimodipine....Pages 274-280 Venous-Neurogenic Regulation of Cerebral Blood Volume....Pages 281-287 The Influence of Continuous Compared with Intermittent Increase in ICP on Brain Function. A Contribution to the Study of Barostabilization....Pages 288-296 The Control of Increased Intracranial Pressure with Lidocaine....Pages 297-301 Mediator Compounds in CSF of Neurosurgical Patients with Raised Intracranial Pressure....Pages 302-306 Creatine Kinase Isoenzymes in Serum and CSF After Graudal Experimental Brain Injury. Its Relation to Prognostic Value or to Extent of Brain Demage....Pages 307-313 Effects of Sodium Nitroprusside-Induced Deep Arterial Hypotension on Glucose and Energy Metabolism of the Cerebral Cortex of the Rat....Pages 314-320 LRH-Induced LH-Secretion via Transventricular Transport (An Experimantal and Clinical Study on Hypothalamo-Adeno-Hypophyseal Regulation)....Pages 321-328 Immunocytochemical Demonstration of GFAP in Brain Tumor Diagnosis. Possibilities and Limitations....Pages 329-331 Morphologic Changes in Brain Tissue Following Ultrasonic Aspiration....Pages 332-337 Back Matter....Pages 338-346 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