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Source: Journal of Stroke and Cerebrovascular Diseases
Procedure: Angiography

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Total 337 results found since Jan 2013.

Painless Hypoglossal Palsy as an Isolated Symptom of Spontaneous Carotid Dissection
We report a case of a 49-year old woman with a left sICAD presenting with isolated ipsilateral hypoglossal palsy as the sole clinical sign. Compared to other cases, local pain was absent and other cranial nerves were not affected. Further, sICAD could not be detected in repeated Doppler-/Duplex-sonography, but magnetic resonance imaging and MR-angiography only.
Source: Journal of Stroke and Cerebrovascular Diseases - May 2, 2014 Category: Neurology Authors: J.M. Hennings, D. Hoehn, E. Schumann-Spaeth, F. Weber Tags: Case Reports Source Type: research

A Simple Score (AVFS) to Identify Spinal Dural Arteriovenous Fistula before Spinal Digital Subtraction Angiography
Background: Spinal dural arteriovenous fistula (SDAVF) is a rare disorder with the presenting of nonspecific clinical symptoms and signs at onset, which can be a challenge to diagnose promptly and leads to the overusing of spinal digital subtraction angiography (SpDSA) in clinical practice. The purpose of this study was to find specific characteristics of SDAVF by comparing the clinical and radiologic data between the SpDSA-identified patients with SDAVF and SpDSA-negative patients, who were suspected with spinal vascular diseases before admission.Methods: From 2006 to 2011, patients presented to Huashan hospital with spin...
Source: Journal of Stroke and Cerebrovascular Diseases - August 8, 2014 Category: Neurology Authors: Wenjie Cao, Lei Huang, Liang Ge, Gang Lu, Xiaolong Zhang, Qiang Dong Tags: Original Articles Source Type: research

Diagnostic Accuracy of a Simple Clinical Score to Screen for Vascular Abnormalities in Patients with Intracerebral Hemorrhage
Conclusions: This simple clinical score can be used immediately on diagnosing an ICH to decide accurately whether to perform an angiographic study or not. Further studies using this simple score should be used to validate it in larger prospective unselected cohorts and consecutive patients.
Source: Journal of Stroke and Cerebrovascular Diseases - August 8, 2014 Category: Neurology Authors: Verónica V. Olavarría, Gonzalo Bustamante, Mirta Javiera López, Pablo M. Lavados Tags: Original Articles Source Type: research

A Case of Bilateral Giant Internal Carotid Artery Aneurysms at the Cavernous Portion Managed by 2-stage Extracranial–Intracranial Bypass with Parent Artery Occlusion: Consideration for Bypass Selection and Timing of Surgeries
In conclusion, high-flow EC-IC bypass with PAO is recommended in the first stage of surgery on a unilaterally symptomatic side to minimize postoperative hemodynamic stress to the contralateral aneurysm. Once the contralateral side becomes symptomatic, second stage EC-IC bypass with PAO, either low-flow or high-flow bypass, is recommended based on the results of balloon test occlusion.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2014 Category: Neurology Authors: Miki Fujimura, Kenichi Sato, Naoto Kimura, Takashi Inoue, Hiroaki Shimizu, Teiji Tominaga Tags: Case Reports Source Type: research

“Contrast-Less” Stent-Assisted Coiling of an A1 Aneurysm
Conclusions: Further development of and experience with this technique is needed to improve its safety and efficacy.
Source: Journal of Stroke and Cerebrovascular Diseases - August 25, 2014 Category: Neurology Authors: Stephan A. Munich, Heike Theessen, Andrew K. Johnson, Demetrius K. Lopes Tags: Original Articles Source Type: research

Subdural and Intracerebral Hemorrhage Caused by Spontaneous Bleeding in the Middle Meningeal Artery after Coil Embolization of a Cerebral Aneurysm
Nontraumatic acute subdural hemorrhage (SDH) with intracerebral hemorrhage (ICH) is rare and is usually caused by severe bleeding from aneurysms or arteriovenous fistulas. We encountered a very rare case of spontaneous bleeding from the middle meningeal artery (MMA), which caused hemorrhage in the temporal lobe and subdural space 2 weeks after coil embolization of an ipsilateral, unruptured internal cerebral artery aneurysm in the cavernous portion. At onset, the distribution of hematoma on a computed tomography scan led us to believe that the treated intracavernous aneurysm could bleed into the intradural space. Emergenc...
Source: Journal of Stroke and Cerebrovascular Diseases - August 18, 2014 Category: Neurology Authors: Shinya Kohyama, Yoshiaki Kakehi, Fumitaka Yamane, Hidetoshi Ooigawa, Hiroki Kurita, Shoichiro Ishihara Tags: Case Reports Source Type: research

Comparison of Carotid and Cerebrovascular Stenosis between Diabetic and Nondiabetic Patients Using Digital Subtraction Angiography
Source: Journal of Stroke and Cerebrovascular Diseases - January 6, 2014 Category: Neurology Authors: Fang Yang, Ling Liu, Weijun Xu, Haibo Liu, Qin Yin, Hua Li, Ruibing Guo, Renliang Zhang, Xinfeng Liu Tags: Original Articles Source Type: research

Utility of 3-dimensional Ultrasound Imaging to Evaluate Carotid Artery Stenosis: Comparison with Magnetic Resonance Angiography
We evaluated the utility of 3-dimensional (3-D) ultrasound imaging for assessment of carotid artery stenosis, as compared with similar assessment via magnetic resonance angiography (MRA).
Source: Journal of Stroke and Cerebrovascular Diseases - October 16, 2014 Category: Neurology Authors: Keiji Igase, Yoshiaki Kumon, Ichiro Matsubara, Masamori Arai, Junji Goishi, Hideaki Watanabe, Takanori Ohnishi, Kazuhiko Sadamoto Source Type: research

Collateral Flow and Brain Changes on Computed Tomography Angiography Predict Infarct Volume on Early Diffusion-weighted Imaging
We investigated whether a computed tomography (CT)–based score could predict a large infarct (≥80 mL) on early diffusion-weighted magnetic resonance imaging (DWI).
Source: Journal of Stroke and Cerebrovascular Diseases - October 16, 2014 Category: Neurology Authors: Junya Aoki, Yohei Tateishi, Christopher L. Cummings, Esteban Cheng-Ching, Paul Ruggieri, Muhammad Shazam Hussain, Ken Uchino Source Type: research

Long-term Magnetic Resonance Angiography Follow-up for Recanalized Vessels after Mechanical Thrombectomy
Mechanical thrombectomy is an effective revascularization therapy for acute intracranial large vessel occlusion. We retrospectively evaluated magnetic resonance angiography (MRA) follow-up data to assess the long-term patency of recanalized vessels after mechanical thrombectomy.
Source: Journal of Stroke and Cerebrovascular Diseases - October 15, 2014 Category: Neurology Authors: Yukiko Enomoto, Shinichi Yoshimura, Yusuke Egashira, Toshinori Takagi, Masanori Tsujimoto, Toru Iwama Source Type: research

Multidetector Computed Tomography Angiography to Detect the Cause of Multiple Brain Infarctions
Multidetector computed tomography angiography (MDCTA) is useful to inspect cardiovascular pathologic changes with minimal invasiveness. Here we evaluated the usefulness of MDCTA to determine the cause of acute multiple brain infarction (AMBI).
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2014 Category: Neurology Authors: Sanami Kawada, Toshikazu Hamaguchi, Michio Kitayama, Takaki Imamura, Manabu Ohno, Kenichi Kashihara, Kouichiro Iwasaki Source Type: research

Cervical Spinal Epidural Arteriovenous Fistula with Coexisting Spinal Anterior Spinal Artery Aneurysm Presenting as Subarachnoid Hemorrhage—Case Report
Hemorrhagic presentation of spinal epidural arteriovenous fistulas (AVFs) is rare in patients with cervical spinal vascular lesions. The present report describes a patient with cervical spine epidural AVFs associated with anterior spinal artery aneurysm at the same vertebral level presenting with subarachnoid hemorrhage. A 54-year-old man presented with sudden onset of headache. Computed tomography of the head showed subarachnoid hemorrhage. Diagnostic angiography revealed an epidural AVF located at the C1-2 level that was fed mainly by the dorsal somatic branches of the segmental arteries from the radicular artery and anterior spinal artery.
Source: Journal of Stroke and Cerebrovascular Diseases - October 2, 2014 Category: Neurology Authors: Ichiro Nakagawa, Hun-Soo Park, Yasuo Hironaka, Takeshi Wada, Kimihiko Kichikawa, Hiroyuki Nakase Tags: Case Report Source Type: research

Growing Dissecting Aneurysm of Basilar Trunk Treated with Stent-assisted Coiling
Growing basilar dissecting aneurysm is a scarce but increasingly recognized entity, accounting for a significant risk of death and disability. Controversy exists regarding the optimal management. A 61-year-old man presented with dysarthria and left hemiparesis attributable to a basilar trunk dissecting aneurysm. Antiplatelet therapy was instituted, and the patient's clinical condition markedly improved. However, he developed severe headache, dysarthria, and left hemiparesis 35 days later. Angiography revealed significant enlargement of the aneurysm, and stent-assisted coiling was then uneventfully performed.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2014 Category: Neurology Authors: Chao Fu, Conghai Zhao, Hang Zhao, Dongyuan Li, Weidong Yu Tags: Case Report Source Type: research

Spontaneous Closure of a Dural Arteriovenous Fistula Immediately after Cerebral Angiography Using a Gadolinium Contrast Agent
Gadolinium (Gd) contrast agents have been used instead of iodinated contrast agents in patients in whom iodine is contraindicated, but cerebral angiography of a dural arteriovenous fistula (dAVF) using a Gd contrast agent has not previously been reported. We recently performed cerebral angiography using a Gd contrast agent in a patient with an anterior condylar confluence dAVF who was allergic to iodine. To our surprise, there was spontaneous closure of the dAVF immediately after angiography. We now report what we believe is the first such case report.
Source: Journal of Stroke and Cerebrovascular Diseases - September 14, 2014 Category: Neurology Authors: Kiyoshi Tsuji, Nobuhiro Nakagawa, Norihito Fukawa, Amami Kato Tags: Case Report Source Type: research

Bilateral Asymmetrical Asterixis as Limb-shaking Transient Ischemic Attack in Bilateral Carotid Stenosis
Asterixis as limb-shaking transient ischemic attack (TIA) is rare and poorly understood. Bilateral asymmetrical asterixis as limb-shaking TIA has not been reported in carotid stenosis. A 69-year-old gentleman presented with a TIA episode (dysarthria, right-arm weakness, and numbness). Bilateral asterixis was observed and was more severe on the right side. No prior infarcts were noted in the thalamus. Liver function was normal. A computerized tomography angiogram revealed 85%stenosis of the right internal carotid artery (ICA) and 65% stenosis of the left ICA.
Source: Journal of Stroke and Cerebrovascular Diseases - November 8, 2014 Category: Neurology Authors: Shaida Khan, Eric Chang, Georgia Saniuk, Ty Shang Tags: Case Report Source Type: research