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Just a graze?
In conclusion, when approaching a patient with head injury and one or more cranial nerve palsies, it is important to consider cephalic tetanus. Figure 1 Axial CT head shows a large subcutaneous haematoma overlying the right frontal convexity with locules of gas and a 3mm metallic density at its inferior aspect, possibly representing a foreign body.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Doshi, A., Dahdalleh, D., Warrell, C., Kullmann, D. Tags: Immunology (including allergy), Cranial nerves, Drugs: CNS (not psychiatric), Neurological injury, Stroke, Trauma CNS / PNS, Hypertension, Trauma, Injury Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), Source Type: research

Midbrain and bilateral paramedian thalamic stroke due to artery of Percheron occlusion
Conclusion Bilateral thalamic stroke due to artery of Percheron occlusion is a rare presentation of stroke, which can be overlooked in routine CT scan. If diagnosed, it requires further evaluation for stroke risk factors, especially cardiovascular disorders associated with increased embolic risk.
Source: Polish Journal of Neurology and Neurosurgery - January 26, 2016 Category: Neurosurgery Source Type: research

A simple score to predict atherosclerotic or embolic intracranial large-vessel occlusion stroke before endovascular treatment
CONCLUSIONS: The atrial fibrillation-blood pressure-clinical neurological deficit-computed tomography hyperdense sign-diabetes mellitus (ABC2D) score can be used to identify atherosclerotic or embolic etiology of patients with ILVOS who require emergency endovascular treatment.PMID:35303701 | DOI:10.3171/2022.1.JNS212924
Source: Journal of Neurosurgery - March 18, 2022 Category: Neurosurgery Authors: Geng Liao Zhenyu Zhang Tao-Hsin Tung Yuemei He Linhui Hu Xiong Zhang Hai Chen Jinbo Huang Weijie Du Chaomao Li Zhi Yang Yong Cai Hanxiang Liang Source Type: research

P-024 Balloon guide catheter use for stroke intervention: does the access site matter?
ConclusionsPatients treated with MT via TFA or sTRA had similar angiographic and clinical outcomes, differing only in the rate of crossover from one approach to another.Abstract P-024 Table 1TFA and sTRA Variable RadialN=30 FemoralN=63 P-value Age; mean (SD) 70.9 (13.9) 72.7 (11.4) 0.504 Women, n (%) 13 (43.3) 35 (55.6) 0.375 Diabetes, n (%) 7 (23.3) 18 (28.6) 0.629 Hypertension, n (%) 22 (73.3) 52 (82.5) 0.409 Hyperlipidemia, n (%) 18 (60) 30 (47.6) 0.278 Atrial fibrillation, n (%) 13 (43.3) 24 (38.1) 0.656 NIHSS at admission; mean (SD) 15 (8) 16 (6) 0.131 Intravenous alteplase, n (%) 10 (33.3) 20 (31.7) 1 ICA occlusion,...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Waqas, M., Monteiro, A., Cappuzzo, J., Dossani, R., Almayman, F., Metcalf-Doetsch, W., Snyder, K., Davies, J., Siddiqui, A., Levy, E. Tags: SNIS 19th annual meeting oral poster abstracts Source Type: research

Cerebral Arterial Stenosis in Patients with Spontaneous Intracerebral Hemorrhage.
CONCLUSION: 19.2% of patients with spontaneous ICH had ICAS, but the prevalence of ECAS was relatively lower (7.2%) compared with ICAS. Aging and diabetes were independent factors for the presence of ICAS, whereas aging, hypertension, and diabetes were factors for the cerebral arterial stenosis. PMID: 28881113 [PubMed]
Source: Journal of Korean Neurosurgical Society - September 9, 2017 Category: Neurosurgery Tags: J Korean Neurosurg Soc Source Type: research

E-023 Predictors of outcomes in tandem anterior circulation occlusions following mechanical thrombectomy
In this study, we present outcomes of patients undergoing tandem mechanical thrombectomy. We demonstrate that stenting is associated with improved final reperfusion, but increased odds of asymptomatic ICH. Additional clinical trials should be performed to optimize the procedure and improve patient outcomes.Disclosures J. Catapano: None. D. Farhadi: None. A. Naik: None. S. Koester: None. E. Winkler: None. V. Srinivasan: None. K. Karahalios: None. J. Rulney: None. S. Desai: None. A. Jadhav: None. F. Albuquerque: None. A. Ducruet: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Catapano, J., Farhadi, D., Naik, A., Koester, S., Winkler, E., Srinivasan, V., Karahalios, K., Rulney, J., Desai, S., Jadhav, A., Albuquerque, F., Ducruet, A. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

E-164 Symptomatic developmental venous anomaly thrombosis associated with covid-19 infection
We describe a milder case of DVA thrombosis in the setting of COVID-19 infection presenting with unilateral hemiparesis requiring medical management alone. A 41-year-old female with hypertension who presented with left hemiparesis. Non-contrast computed tomography (CT) of head revealed linear calcifications in the right centrum semiovale consistent with DVA. Magnetic resonance imaging (MRI) revealed an acute ischemic stroke in the right corona radiata adjacent to the vascular abnormality. Extensive workup for other causes of ischemic stroke was unrevealing. Cerebral angiography ruled out arteriovenous shunting and did not ...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Eby, B., Khasawneh, M. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

Successful outcome after traumatic rupture and secondary thrombosis of the superior sagittal sinus
A 15-year-old adolescent was admitted to the emergency department after a car accident because of severe traumatic brain injury. Upon arrival, he was sedated and intubated because of a Glasgow Coma Scale score below 8. He had isocoria with reactive pupils. An occipital puncture wound (diameter 2 cm) was profusely bleeding. His blood pressure was 85/45 mm Hg. Laboratory values identified a haemoglobin level of 4.6 mmol/l. A CT scan of the brain demonstrated a comminuted-depressed fracture of the parietal bone in the midline with a rupture of the superior sagittal sinus (SSS) and secondary thrombosis (fig...
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 2, 2013 Category: Neurosurgery Authors: Oudeman, E. A., De Witt Hamer, P. C. Tags: Coma and raised intracranial pressure, Neuroimaging, Neurological injury, Stroke, Trauma CNS / PNS, Hypertension, Radiology, Drugs: musculoskeletal and joint diseases, Radiology (diagnostics), Trauma, Injury Neurological pictures Source Type: research

Symptomatic and silent cerebral infarction following surgical clipping of unruptured intracranial aneurysms: incidence, risk factors, and clinical outcome
In conclusion, the incidence of CI following clipping of UIAs was not low. Larger aneurysm size and history of hypertension were independent risk factors. Postoperative symptomatic str oke correlated with an extremely high risk of disability. Silent CI was seemingly nondisabling, but the possible cognitive consequence is pending.
Source: Neurosurgical Review - October 5, 2017 Category: Neurosurgery Source Type: research