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Considerations in Applying a New Stent Retriever in Pediatric Endovascular Cerebral Thrombectomy for Acute Ischemic Stroke
We report on the successful application in pediatric stroke of a newer-generation, smaller stent retriever, designed to be delivered through relatively smaller and more navigable microcatheters than the prior generation of this device.Pediatr Neurosurg
Source: Pediatric Neurosurgery - May 24, 2016 Category: Neurosurgery Source Type: research

A Rare Cause of Juvenile Stroke: Extracranial Carotid Artery Aneurysm with Venous Complete Reconstruction of the Carotid Bifurcation
Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Notwithstanding the widespread use of endovascular techniques, surgical reconstruction by means of a bifurcated venous bypass graft should be applied in younger patients. In this way, it is possible to avoid major concerns about the development of long-term intrastent restenosis, and also to spare the external carotid artery which repre...
Source: Pediatric Neurosurgery - April 25, 2018 Category: Neurosurgery Source Type: research

Successful Endovascular Management of Massive Pansinus Thrombosis: Case Report and Review of Literature
We present the case of a 9-day-old infant, who presented in coma and was treated successfully with a combination of mechanical thrombectomy using the MindFrame System via the right jugular vein, local infusion of recombinant tissue plasminogen activator and abciximab, as well as anticoagulation. In this case, aggressive thrombectomy and thrombolysis achieved complete neurologic restoration safely and quickly.Pediatr Neurosurg
Source: Pediatric Neurosurgery - August 31, 2016 Category: Neurosurgery Source Type: research

A Case of a 4-Year-Old Female with a Primary Spinal Malignancy Presenting with Froin's Syndrome
We report the case of a 4-year-old female with a primary extradural intramedullary atypical teratoid/rhabdoid tumor (AT/RT) leading to a middle cerebral artery (MCA) infarct and Froin's syndrome. She presented with a 6-pound weight loss over the previous week, as well as a decreased urinary output and an altered mental status. She underwent a brain MRI that revealed a left MCA infarct, mild ventriculomegaly, and bilateral internal carotid artery, M1, and A1 stenosis. An external ventricular drain (EVD) was placed due to increased intracranial pressure. Cerebrospinal fluid (CSF) was analyzed via lumbar puncture that reveale...
Source: Pediatric Neurosurgery - November 1, 2017 Category: Neurosurgery Source Type: research

Flow-Mediated Dilatation of the Brachial Artery for Assessing Endothelial Dysfunction in Children with Moyamoya Disease
Conclusion: FMD of the brachial artery may not be enough for determining endothelial dysfunction under general anesthesia in children with moyamoya disease.Pediatr Neurosurg
Source: Pediatric Neurosurgery - August 11, 2020 Category: Neurosurgery Source Type: research

Do Direct Bypasses Really Resolve Capillary Vessels in Moyamoya Disease? Delayed Hemorrhage Potentially Relevant to Direct Bypasses: A Pathological Investigation
Conclusion: There is no doubt that direct bypasses prevent further ischemic stroke by improving cerebral blood flow. However, they may result in failure in reducing the load of moyamoya vessels, albeit decreasing the potential risk of hemorrhagic strokes.Pediatr Neurosurg
Source: Pediatric Neurosurgery - October 8, 2020 Category: Neurosurgery Source Type: research

Pediatric Stroke Associated with Rete Middle Cerebral Artery
Pediatr Neurosurg
Source: Pediatric Neurosurgery - October 12, 2020 Category: Neurosurgery Source Type: research

Fatal Cerebral Vasospasm following a < b > < i > Haemophilus influenzae < /i > < /b > Meningitis in a Young Child with Ventriculoperitoneal Shunt
Conclusions: We aim to alert for the possible critical condition caused byH. influenzae. It is essential to treat the underlying illness, despite the presence of a VPS. Surgical implant tends to be overlooked by other subspecialists. Being vaccinated toH. influenzae does not protect from different subtypes like non-typeableH. influenzae. The cause of vasospasm remains unclear.Pediatr Neurosurg
Source: Pediatric Neurosurgery - January 28, 2021 Category: Neurosurgery Source Type: research

Early Outcomes and Complications of Endovascular Treatment of Cerebral Arteriovenous Malformations in Pediatric Patients
Discussion: This single-surgeon single-center experience suggests that endovascular treatment is a safe and efficient treatment for pediatric AVMs. Pediatric prognostic scores for a suitable selection of candidates are needed. Further studies are required to validate these results.Pediatr Neurosurg
Source: Pediatric Neurosurgery - February 18, 2021 Category: Neurosurgery Source Type: research

Attacked and Shaken by a Dog: A Cause of Traumatic Brain and Carotid Injury in an Infant
Conclusion: Large animal attacks are a rare cause of PTCAD but may be due to the mechanism of shaking during the attack. We propose either CTA or MRA be considered as part of the initial workup in cases where an infant is attacked by a dog or other large animals, preventing delay of treatment.Pediatr Neurosurg
Source: Pediatric Neurosurgery - March 1, 2021 Category: Neurosurgery Source Type: research

The Use of Intraoperative Neuronavigation to Identify Transdural Collaterals in Moyamoya Vasculopathy: a Simple Way to Make it Safer
Conclusion With the use of intraoperative neuronavigation, the STA, MMA and their main branches, as well as their relationship to the bone, can be identified and preserved. This approach can help i n preventing undesirable injury to TC during surgery, and may potentially prevent peri-opertaive stroke in patients with moyamoya vasculopathy undergoing revascularization surgery.
Source: Pediatric Neurosurgery - June 13, 2022 Category: Neurosurgery Source Type: research

Use of Intraoperative Neuronavigation to Identify Transdural Collaterals in Moyamoya Vasculopathy: A Simple Way to Make It Safer
Conclusion: With the use of intraoperative neuronavigation, the STA, MMA, and their main branches, as well as their relationship to the bone, can be identified and preserved. This approach can help in preventing undesirable injury to TC during surgery and may potentially prevent perioperative stroke in patients with moyamoya vasculopathy undergoing revascularization surgery.
Source: Pediatric Neurosurgery - June 13, 2022 Category: Neurosurgery Source Type: research

Use of the Posterior Auricular Artery for Indirect Bypass in Moyamoya: A Pediatric Case Series
Conclusion: The PAA is a viable option for use as a donor artery in EDAS for the treatment of moyamoya in children and adolescents
Source: Pediatric Neurosurgery - February 21, 2023 Category: Neurosurgery Source Type: research