Incision of the anterior petroclinoidal fold during clipping for securing the proximal space of an internal carotid artery –posterior communicating artery aneurysm: a technical note
AbstractSurgical clipping of an internal carotid artery (ICA) –posterior communicating artery (ICPC) aneurysm is often difficult in cases involving limited space to insert a clip at the proximal aneurysm neck hidden by the tent. In such cases, we perform incision of the anterior petroclinoidal fold to secure the proximal space for clip insertion. Between Apr il 2013 and March 2018, we treated 89 ICPC aneurysm cases by clipping. Incision of the anterior petroclinoidal fold was performed in 15 of the 89 cases (16.8%). Fast imaging employing steady-state acquisition (FIESTA) magnetic resonance imaging (MRI) can indicate the locations of the aneurysm and te nt and can help assess the need for tent incision. We widely dissected the distal sylvian fissure and sufficiently exposed around the aneurysmal space. We coagulated and cut the anterior petroclinoidal fold supra between the ICA and proximal neck of the aneurysm using a low-power bipolar system and needles or micro-scissors with care to avoid injury around structures such as the ICA, aneurysm, and oculomotor nerve. When using this strategy, we often select the Yasargil FT717 clip that has a curve along the skull base because of easy insertion. All cases showed complete aneurysm exclusion on th ree-dimensional computed tomography angiography, and there was no cerebral infarction, neurological deficit (such as hemiparesis), or oculomotor nerve palsy. Therefore, our strategy of incision of the anterior petroclinoidal fold d...
Publication date: 15 October 2019Source: Cell Reports, Volume 29, Issue 3Author(s): Sebastian Lobentanzer, Geula Hanin, Jochen Klein, Hermona SoreqSummaryRNA sequencing analyses are often limited to identifying lowest p value transcripts, which does not address polygenic phenomena. To overcome this limitation, we developed an integrative approach that combines large-scale transcriptomic meta-analysis of patient brain tissues with single-cell sequencing data of CNS neurons, short RNA sequencing of human male- and female-originating cell lines, and connectomics of transcription factor and microRNA interactions with perturbed...
This study offers preliminary evidence that immune responsivity to stress induction could serve as a mechanism of treatment for mood disorders in youth, indicating a potential marker for more personalized model of healthcare.
CONCLUSIONS: For most mental disorders, refugees were less likely to be admitted to hospital for suicide attempt or die by suicide compared with Swedish-born individuals. Further research on risk and protective factors for suicide attempt and suicide among refugees with mental disorders is warranted. DECLARATION OF INTEREST: None. PMID: 31608856 [PubMed - as supplied by publisher]
J. Mater. Chem. A, 2019, Accepted Manuscript DOI: 10.1039/C9TA09641H, PaperAmin Rabiei Baboukani, Iman Khakpour, Vadym Drozd, Anis Allagui, Chunlei Wang Black phosphorus (BP) is a two-dimensional material that has gained attention for various applications due to its exceptional physical and chemical properties such as tunable bandgap and high charge carrier... The content of this RSS Feed (c) The Royal Society of Chemistry
ConclusionThe utilization of a stone retrieval basket is a novel and effective method for retrieving a wide based endometrial polyp following incomplete resection with hysteroscopic scissors.
ConclusionThe pinpoint accuracy of the bipolar method allowed for safe and complete dissection.
ConclusionThese modifications to the technique will help shorten operation times and reduce complications of LSC.
Literature review shows increased likelihood of idiopathic PD with previous diagnosis of BD
Conditions: Bipolar I Disorder; Schizophrenia Intervention: Drug: Iloperidone Sponsor: Vanda Pharmaceuticals Recruiting
Conditions: Bipolar Disorder; Substance Use Disorders Interventions: Behavioral: Integrated Treatment Adherence Program for Veterans (ITAP-VA); Behavioral: Safety Assessment and Follow-up Evaluation (SAFE) Sponsor: Providence VA Medical Center Not yet recruiting