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Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke.
Abstract The authors report a case of an intracranial extravasation during the withdrawal of a Trevo ProVue stent retriever device in a patient being treated for acute ischemic stroke. An 82-year-old woman developed sudden left hemiparesis and aphasia during an urgent cardiac catheterization procedure for a non-ST elevation myocardial infarction. She had a baseline National Institutes of Health Stroke Scale (NIHSS) score of at least 10 and no improvement with intravenous administration of tissue plasminogen activator (tPA). Cerebral angiography was performed with conscious sedation, confirming an occlusion of the ...
Source: Journal of Neurosurgery - June 13, 2014 Category: Neurosurgery Authors: Leishangthem L, Satti SR Tags: J Neurosurg Source Type: research

Quantitative analysis of the effect of institutional case volume on complications after surgical clipping of unruptured aneurysms.
CONCLUSIONS Although the authors confirm that increasing case volume is associated with reduced complications after clipping of UIAs, their results suggest that the relationship between case volume and complications is not necessarily linear. Moreover, these results indicate that the effect of case volume on outcome is most evident between very-low-volume centers relative to centers with a medium-to-high volume. PMID: 28059649 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 5, 2017 Category: Neurosurgery Authors: Rinaldo L, McCutcheon BA, Murphy ME, Shepherd DL, Maloney PR, Kerezoudis P, Bydon M, Lanzino G Tags: J Neurosurg Source Type: research

Decompressive craniectomy using gelatin film and future bone flap replacement.
Conclusions Decompressive craniectomy repair using an absorbable gelatin film barrier facilitates subsequent cranioplasty by preventing adhesions between intracranial contents and the overlying galea aponeurotica and temporalis muscle fascia. This technique makes cranioplasty dissection faster and potentially safer, which may improve clinical outcomes. The indications for gelatin film should be expanded to include placement in the epidural space after craniectomy. PMID: 23394343 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - February 8, 2013 Category: Neurosurgery Authors: Oladunjoye AO, Schrot RJ, Zwienenberg-Lee M, Muizelaar JP, Shahlaie K Tags: J Neurosurg Source Type: research

A multicenter cohort study of early complications after cranioplasty: results of the German Cranial Reconstruction Registry
CONCLUSIONS: The authors have presented class II evidence-based data on surgery-related complications after CP and have identified specific preexisting risk factors. These results may provide additional guidance for optimized treatment of these patients.PMID:34920418 | DOI:10.3171/2021.9.JNS211549
Source: Journal of Neurosurgery - December 17, 2021 Category: Neurosurgery Authors: Thomas Sauvigny Henrik Giese Julius H öhne Karl Michael Schebesch Christian Henker Andreas Strauss Kerim Beseoglu Niklas von Spreckelsen J ürgen A Hampl Jan Walter Christian Ewald Aleksandrs Krigers Ondra Petr Vicki M Butenschoen Sandro M Krieg Christin Source Type: research

Cortical spreading depression occurs during elective neurosurgical procedures.
CONCLUSIONS CSD can occur during elective neurosurgical procedures even in brain regions distant from the immediate operative site. ECoG monitoring with a DC-coupled full-spectrum amplifier seemed to provide the most stable signal despite significant challenges to the operating room environment. CSD may be responsible for some cases of secondary surgical injury. Though further studies on outcome related to the occurrence of these events is needed, efforts to decrease the occurrence of CSD by modification of anesthetic regimen may represent a novel target for study to increase the safety of neurosurgical procedures. PM...
Source: Journal of Neurosurgery - March 11, 2016 Category: Neurosurgery Authors: Carlson AP, William Shuttleworth C, Mead B, Burlbaw B, Krasberg M, Yonas H Tags: J Neurosurg Source Type: research

Adapting the 5-factor modified frailty index for prediction of postprocedural outcome in patients with unruptured aneurysms
CONCLUSIONS: mFI-5 and AmFI-5 represent potential predictors of procedure-related complications in unruptured aneurysm patients. After further validation, integration of these tools into clinical workflows may optimize patients for intervention.PMID:34388727 | DOI:10.3171/2021.2.JNS204420
Source: Journal of Neurosurgery - August 13, 2021 Category: Neurosurgery Authors: James Feghali Abhishek Gami Sarah Rapaport Jaimin Patel Adham M Khalafallah Sakibul Huq Debraj Mukherjee Rafael J Tamargo Judy Huang Source Type: research