Characteristics of Changes in Intrathecal Baclofen Dosage over Time due to Causative Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2022-0359. Online ahead of print.ABSTRACTIntrathecal baclofen (ITB) therapy effectively treats spasticity caused by brain or spinal cord lesions. However, only a few studies compare the course of treatment for different diseases. We investigated the change in daily dose of baclofen per year and its associated adverse events in patients presenting with the three most common etiologies at our institute: hereditary spastic paraplegia, cerebral palsy, and spinal cord injury. The ITB pumps were implanted from July 2007 to August 2019, with a mean follow-up period of 70 ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yuki Kimoto Satoru Oshino Naoki Tani Koichi Hosomi Hui Ming Khoo Yuya Fujita Shimpei Miura Takamitsu Iwata Takuto Emura Takahiro Matsuhashi Yuji Onoda Takamasa Ishiuchi Takufumi Yanagisawa Masayuki Hirata Haruhiko Kishima Source Type: research

Six-month Outcomes after PulseRider- and Conventional Single Stent-assisted Embolization for Bifurcation Aneurysms: A Propensity-adjusted Comparison
This study aimed to compare the six-month outcomes of PulseRider and single stent-assisted embolization for intracranial unruptured WNBAs using propensity score adjustment. Between February 2012 and October 2021, 46 unruptured WNBAs (34 basilar and 12 middle cerebral arteries) smaller than 10 mm in diameter were treated with PulseRider-assisted embolization (n = 17) or single stent-assisted embolization (n = 29). The immediate and six-month outcomes were compared using inverse probability of treatment weighting analysis. The immediate adequate occlusion rates for the PulseRider- and single stent-assisted embolization were ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Shunsuke Omodaka Yasushi Matsumoto Takeshi Fujimori Hiroyuki Sakata Kenichi Sato Kuniyasu Niizuma Hidenori Endo Teiji Tominaga Source Type: research

Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2023-0070. Online ahead of print.ABSTRACTThere have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease wh...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Takeshi Shimizu Shingo Toyota Motohide Takahara Kazuhiro Touhara Tatsuya Hagioka Yuhei Hoshikuma Takamune Achiha Tomoaki Murakami Maki Kobayashi Haruhiko Kishima Source Type: research

Evaluation of Venous Structures that Are Involved in Transsylvian Approach Using 3D Rotational Venography
In this study, we investigated the venous structures that are involved in the TS approach using three-dimensional (3D) rotational venography (3D-RV) and evaluated the effectiveness of this method for presurgical simulation. Patients who underwent 3D-RV between August 2018 and June 2020 were involved in this retrospective study. The 3D-RV and partial maximum intensity projection images with a thickness of 5 mm were computationally reconstructed. The venous structures were subdivided into the following three portions according to the anatomic location: superficial, intermediate, and basal portions. In the superficial portion...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yoshiro Ito Hisayuki Hosoo Masayuki Sato Aiki Marushima Mikito Hayakawa Yuji Matsumaru Eiichi Ishikawa Source Type: research

Characteristics of Changes in Intrathecal Baclofen Dosage over Time due to Causative Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2022-0359. Online ahead of print.ABSTRACTIntrathecal baclofen (ITB) therapy effectively treats spasticity caused by brain or spinal cord lesions. However, only a few studies compare the course of treatment for different diseases. We investigated the change in daily dose of baclofen per year and its associated adverse events in patients presenting with the three most common etiologies at our institute: hereditary spastic paraplegia, cerebral palsy, and spinal cord injury. The ITB pumps were implanted from July 2007 to August 2019, with a mean follow-up period of 70 ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yuki Kimoto Satoru Oshino Naoki Tani Koichi Hosomi Hui Ming Khoo Yuya Fujita Shimpei Miura Takamitsu Iwata Takuto Emura Takahiro Matsuhashi Yuji Onoda Takamasa Ishiuchi Takufumi Yanagisawa Masayuki Hirata Haruhiko Kishima Source Type: research

Six-month Outcomes after PulseRider- and Conventional Single Stent-assisted Embolization for Bifurcation Aneurysms: A Propensity-adjusted Comparison
This study aimed to compare the six-month outcomes of PulseRider and single stent-assisted embolization for intracranial unruptured WNBAs using propensity score adjustment. Between February 2012 and October 2021, 46 unruptured WNBAs (34 basilar and 12 middle cerebral arteries) smaller than 10 mm in diameter were treated with PulseRider-assisted embolization (n = 17) or single stent-assisted embolization (n = 29). The immediate and six-month outcomes were compared using inverse probability of treatment weighting analysis. The immediate adequate occlusion rates for the PulseRider- and single stent-assisted embolization were ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Shunsuke Omodaka Yasushi Matsumoto Takeshi Fujimori Hiroyuki Sakata Kenichi Sato Kuniyasu Niizuma Hidenori Endo Teiji Tominaga Source Type: research

Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2023-0070. Online ahead of print.ABSTRACTThere have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease wh...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Takeshi Shimizu Shingo Toyota Motohide Takahara Kazuhiro Touhara Tatsuya Hagioka Yuhei Hoshikuma Takamune Achiha Tomoaki Murakami Maki Kobayashi Haruhiko Kishima Source Type: research

Evaluation of Venous Structures that Are Involved in Transsylvian Approach Using 3D Rotational Venography
In this study, we investigated the venous structures that are involved in the TS approach using three-dimensional (3D) rotational venography (3D-RV) and evaluated the effectiveness of this method for presurgical simulation. Patients who underwent 3D-RV between August 2018 and June 2020 were involved in this retrospective study. The 3D-RV and partial maximum intensity projection images with a thickness of 5 mm were computationally reconstructed. The venous structures were subdivided into the following three portions according to the anatomic location: superficial, intermediate, and basal portions. In the superficial portion...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yoshiro Ito Hisayuki Hosoo Masayuki Sato Aiki Marushima Mikito Hayakawa Yuji Matsumaru Eiichi Ishikawa Source Type: research

Characteristics of Changes in Intrathecal Baclofen Dosage over Time due to Causative Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2022-0359. Online ahead of print.ABSTRACTIntrathecal baclofen (ITB) therapy effectively treats spasticity caused by brain or spinal cord lesions. However, only a few studies compare the course of treatment for different diseases. We investigated the change in daily dose of baclofen per year and its associated adverse events in patients presenting with the three most common etiologies at our institute: hereditary spastic paraplegia, cerebral palsy, and spinal cord injury. The ITB pumps were implanted from July 2007 to August 2019, with a mean follow-up period of 70 ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yuki Kimoto Satoru Oshino Naoki Tani Koichi Hosomi Hui Ming Khoo Yuya Fujita Shimpei Miura Takamitsu Iwata Takuto Emura Takahiro Matsuhashi Yuji Onoda Takamasa Ishiuchi Takufumi Yanagisawa Masayuki Hirata Haruhiko Kishima Source Type: research

Six-month Outcomes after PulseRider- and Conventional Single Stent-assisted Embolization for Bifurcation Aneurysms: A Propensity-adjusted Comparison
This study aimed to compare the six-month outcomes of PulseRider and single stent-assisted embolization for intracranial unruptured WNBAs using propensity score adjustment. Between February 2012 and October 2021, 46 unruptured WNBAs (34 basilar and 12 middle cerebral arteries) smaller than 10 mm in diameter were treated with PulseRider-assisted embolization (n = 17) or single stent-assisted embolization (n = 29). The immediate and six-month outcomes were compared using inverse probability of treatment weighting analysis. The immediate adequate occlusion rates for the PulseRider- and single stent-assisted embolization were ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Shunsuke Omodaka Yasushi Matsumoto Takeshi Fujimori Hiroyuki Sakata Kenichi Sato Kuniyasu Niizuma Hidenori Endo Teiji Tominaga Source Type: research

Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2023-0070. Online ahead of print.ABSTRACTThere have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease wh...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Takeshi Shimizu Shingo Toyota Motohide Takahara Kazuhiro Touhara Tatsuya Hagioka Yuhei Hoshikuma Takamune Achiha Tomoaki Murakami Maki Kobayashi Haruhiko Kishima Source Type: research

Evaluation of Venous Structures that Are Involved in Transsylvian Approach Using 3D Rotational Venography
In this study, we investigated the venous structures that are involved in the TS approach using three-dimensional (3D) rotational venography (3D-RV) and evaluated the effectiveness of this method for presurgical simulation. Patients who underwent 3D-RV between August 2018 and June 2020 were involved in this retrospective study. The 3D-RV and partial maximum intensity projection images with a thickness of 5 mm were computationally reconstructed. The venous structures were subdivided into the following three portions according to the anatomic location: superficial, intermediate, and basal portions. In the superficial portion...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yoshiro Ito Hisayuki Hosoo Masayuki Sato Aiki Marushima Mikito Hayakawa Yuji Matsumaru Eiichi Ishikawa Source Type: research

Characteristics of Changes in Intrathecal Baclofen Dosage over Time due to Causative Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2022-0359. Online ahead of print.ABSTRACTIntrathecal baclofen (ITB) therapy effectively treats spasticity caused by brain or spinal cord lesions. However, only a few studies compare the course of treatment for different diseases. We investigated the change in daily dose of baclofen per year and its associated adverse events in patients presenting with the three most common etiologies at our institute: hereditary spastic paraplegia, cerebral palsy, and spinal cord injury. The ITB pumps were implanted from July 2007 to August 2019, with a mean follow-up period of 70 ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Yuki Kimoto Satoru Oshino Naoki Tani Koichi Hosomi Hui Ming Khoo Yuya Fujita Shimpei Miura Takamitsu Iwata Takuto Emura Takahiro Matsuhashi Yuji Onoda Takamasa Ishiuchi Takufumi Yanagisawa Masayuki Hirata Haruhiko Kishima Source Type: research

Six-month Outcomes after PulseRider- and Conventional Single Stent-assisted Embolization for Bifurcation Aneurysms: A Propensity-adjusted Comparison
This study aimed to compare the six-month outcomes of PulseRider and single stent-assisted embolization for intracranial unruptured WNBAs using propensity score adjustment. Between February 2012 and October 2021, 46 unruptured WNBAs (34 basilar and 12 middle cerebral arteries) smaller than 10 mm in diameter were treated with PulseRider-assisted embolization (n = 17) or single stent-assisted embolization (n = 29). The immediate and six-month outcomes were compared using inverse probability of treatment weighting analysis. The immediate adequate occlusion rates for the PulseRider- and single stent-assisted embolization were ...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Shunsuke Omodaka Yasushi Matsumoto Takeshi Fujimori Hiroyuki Sakata Kenichi Sato Kuniyasu Niizuma Hidenori Endo Teiji Tominaga Source Type: research

Long-term Patency of Retrograde Bypass Using a Distal Stump of the Parietal Superficial Temporal Artery for Moyamoya Disease
Neurol Med Chir (Tokyo). 2023 Sep 23. doi: 10.2176/jns-nmc.2023-0070. Online ahead of print.ABSTRACTThere have been a number of anastomosis methods of bypass techniques reported for moyamoya disease. However, there are yet no randomized controlled trials conducted on the anastomosis method. Retrograde blood flow of the superficial temporal artery (STA) may be used as one of the donor options. Here, we examined the tolerability of retrograde bypass using a distal stump of the parietal STA (dsPSTA). Anastomosis between the dsPSTA and middle cerebral artery (MCA) was performed for consecutive patients with moyamoya disease wh...
Source: Neurologia Medico-Chirurgica - September 24, 2023 Category: Neurosurgery Authors: Takeshi Shimizu Shingo Toyota Motohide Takahara Kazuhiro Touhara Tatsuya Hagioka Yuhei Hoshikuma Takamune Achiha Tomoaki Murakami Maki Kobayashi Haruhiko Kishima Source Type: research