• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Mechanical thrombectomy in basilar artery occlusion: influence of reperfusion on clinical outcome and impact of the first-line strategy (ADAPT vs stent retriever).
CONCLUSIONS Among BAO patients, successful reperfusion is a strong predictor of a 90-day favorable outcome, and the choice of ADAPT as the first-line strategy achieves a significantly higher rate of complete reperfusion with a shorter procedure duration. PMID: 29327997 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 12, 2018 Category: Neurosurgery Authors: Gory B, Mazighi M, Blanc R, Labreuche J, Piotin M, Turjman F, Lapergue B, Endovascular Treatment in Ischemic Stroke (ETIS) Research Investigators 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

The relationship between ruptured aneurysm location, subarachnoid hemorrhage clot thickness, and incidence of radiographic or symptomatic vasospasm in patients enrolled in a prospective randomized controlled trial.
Conclusions The location of a ruptured aneurysm minimally affects the maximum thickness of the SAH clot but is predictive of symptomatic vasospasm or clinical deterioration from delayed cerebral ischemia in pericallosal aneurysms. The worst 1-year mRS outcomes in this cohort of patients were noted in those with posterior circulation aneurysms or pericallosal artery aneurysms. Patients experiencing stroke had higher mean clot burden. PMID: 24313610 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - December 6, 2013 Category: Neurosurgery Authors: Abla AA, Wilson DA, Williamson RW, Nakaji P, McDougall CG, Zabramski JM, Albuquerque FC, Spetzler RF Tags: J Neurosurg Source Type: research

A direct aspiration first-pass technique vs stentriever thrombectomy in emergent large vessel intracranial occlusions.
CONCLUSIONS The present study demonstrates that ADAPT and primary stentriever thrombectomy for acute ischemic stroke due to ELVO are equivalent with respect to the rates of TICI 2b/3 recanalization and 90-day mRS scores. Given the reduced procedural time and time to TICI 2b/3 recanalization with similar functional outcomes, an initial attempt at recanalization with ADAPT may be warranted prior to stentriever thrombectomy. PMID: 28409731 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 14, 2017 Category: Neurosurgery Authors: Stapleton CJ, Leslie-Mazwi TM, Torok CM, Hakimelahi R, Hirsch JA, Yoo AJ, Rabinov JD, Patel AB Tags: J Neurosurg Source Type: research

Long-term functional independence after minimally invasive endoscopic intracerebral hemorrhage evacuation
CONCLUSIONS: In a single-center minimally invasive endoscopic ICH evacuation cohort, NIHSS score on presentation, lack of IVH, and shorter time to evacuation were independently associated with functional independence at 6 months. Factors associated with functional independence may help to better predict populations suitable for minimally invasive endoscopic evacuation and guide protocols for future clinical trials.PMID:35561694 | DOI:10.3171/2022.3.JNS22286
Source: Journal of Neurosurgery - May 13, 2022 Category: Neurosurgery Authors: Muhammad Ali Xiangnan Zhang Luis C Ascanio Zachary Troiani Colton Smith Neha S Dangayach John W Liang Magdy Selim J Mocco Christopher P Kellner Source Type: research

Treatment of moyamoya disease in the adult population with pial synangiosis.
Conclusions Pial synangiosis is a safe and durable method of cerebral revascularization in adult patients with moyamoya and can be considered as a potential treatment option for moyamoya disease in adults. PMID: 24405066 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 3, 2014 Category: Neurosurgery Authors: Lin N, Aronson JP, Manjila S, Smith ER, Scott RM Tags: J Neurosurg Source Type: research

Emergent intracranial surgical embolectomy in conjunction with carotid endarterectomy for acute internal carotid artery terminus embolic occlusion and tandem occlusion of the cervical carotid artery due to plaque rupture.
Abstract Acute internal carotid artery (ICA) terminus occlusion is associated with extremely poor functional outcomes or mortality, especially when it is caused by plaque rupture of the cervical ICA with engrafted thrombus that elongates and extends into the ICA terminus. The goal of this study was to evaluate the efficacy and safety of surgical embolectomy in conjunction with carotid endarterectomy (CEA) for acute ICA terminus occlusion associated with cervical plaque rupture resulting in tandem occlusion. A retrospective review of medical records was performed. Clinical and radiographic characteristics were eval...
Source: Journal of Neurosurgery - January 9, 2015 Category: Neurosurgery Authors: Hasegawa H, Inoue T, Tamura A, Saito I Tags: J Neurosurg Source Type: research

Postoperative hemorrhage during the acute phase after direct or combined revascularization for moyamoya disease: risk factors, prognosis, and literature review.
CONCLUSIONS: Preoperative hypertension, CTP stage > III, and posterior circulation involvement are independent risk factors for postoperative ICH after direct or combined revascularization for MMD. After appropriate perioperative management, postoperative ICH has no significant correlations with the postoperative short-term and long-term neurofunctional status. PMID: 31628285 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - October 17, 2019 Category: Neurosurgery Authors: Chen Y, Ma L, Lu J, Chen X, Ye X, Zhang D, Zhang Y, Wang R, Zhao Y Tags: J Neurosurg Source Type: research