Filtered By:
Specialty: Neurosurgery
Source: Interdisciplinary Neurosurgery
This page shows you your search results in order of relevance.
Order by Relevance | Date
Total 44 results found since Jan 2013.
Clinical and neuroradiological characteristics of ischemic stroke and subarachnoid hemorrhage in isolated posterior inferior cerebellar artery dissection: Literature review and report of 2 cases
ConclusionPICAD with ischemic stroke is likely under-diagnosed due to the following reasons; 1) patients present with neurological deficits that are non-specific and mild, 2) DSA, which is a gold standard of diagnosing PICAD is not regularly performed in these patients, 3) lack of predisposing factors associated with PICAD in some patients. The mild and non-specific clinical presentation in young adults with PICAD with ischemia probably due to their ability to compensate better given low incidences of other comorbidities. Further investigation regarding the underlying etiology of isolated PICAD, association of proximal PIC...
Source: Interdisciplinary Neurosurgery - July 30, 2019 Category: Neurosurgery Source Type: research
Spontaneous spinal epidural hematoma treated with tissue plasminogen activator mimicking ischemic stroke
ConclusionHemiplegic spontaneous cervical EDH occurs very rarely. It is often misdiagnosed as ischemic stroke and is likely to be administered with thrombolytic agents, making the patient's symptoms worse. Early diagnosis and rapid management of cervical EDH increase the likelihood of complete recovery of the patient's symptoms. Therefore, if there are unilateral weakness and neck pain without cranial nerve dysfunction and there is no evidence of stroke in the brain imaging, spinal EDH should be considered.
Source: Interdisciplinary Neurosurgery - August 20, 2019 Category: Neurosurgery Source Type: research
Differential diagnosis of stroke: Subacute leukoencephalopathy following high-dose methotrexate therapy in a young patient with osteosarcoma
We describe the case of a thirty-year-old man with a subacute leukoencephalopathy following high-dose methotrexate treatment which resembled a stroke in terms of clinical presentation and MR-tomography.
Source: Interdisciplinary Neurosurgery - February 16, 2016 Category: Neurosurgery Source Type: research
Posterior circulation stroke mimicking a pontomedullary brain stem lesion: A case report
We present a patient with a posterior circulation stroke mimicking a left pontomedullary brain stem lesion. Acute onset clinical symptoms relating to the posterior circulation should be adequately investigated including angiography to exclude hypoplastic vertebral artery so as to prevent possible recurrence which may be more challenging with a mortality as high as 80%.
Source: Interdisciplinary Neurosurgery - June 5, 2019 Category: Neurosurgery Source Type: research
Surgical decision-making depending solely on the radiological volume of the ischemic brain can be misleading in the management of patients with malignant stroke
Publication date: June 2020Source: Interdisciplinary Neurosurgery, Volume 20Author(s): Baha Eldin Adam, Emin Mehmet Eminoglu, Zeynep Karaoglu, Naci BalakAbstractRecent studies suggest that a total ischemic brain tissue volume>300 cm3 observed on CT is a significant indicator of an unfavorable outcome with a sensitivity of 100% after DC in patients with malignant ischemic stroke. In this article, we reported a 61-year-old male patient with poor preoperative clinical status and most predictive factors pointed to an unfavorable outcome who nonetheless demonstrated an acceptable functional recovery after DC. On cranial comput...
Source: Interdisciplinary Neurosurgery - January 28, 2020 Category: Neurosurgery Source Type: research
Ischemic stroke as initial manifestation of Takayasu's arteritis
We present a case report where the first clinical manifestation of a large vessel vasculitis occurred within the central nervous system.
Source: Interdisciplinary Neurosurgery - April 10, 2018 Category: Neurosurgery Source Type: research
Subarachnoid hemorrhage in isolated posterior inferior cerebellar artery dissection: Literature review and report of 2 cases
ConclusionPICAD with ischemic stroke is likely under-diagnosed due to the following reasons; 1) patients present with neurological deficits that are non-specific and mild, 2) DSA, which is a gold standard of diagnosing PICAD is not regularly performed in these patients, 3) lack of predisposing factors associated with PICAD in some patients. The mild and non-specific clinical presentation in young adults with PICAD with ischemia probably due to their ability to compensate better given low incidences of other comorbidities. Further investigation regarding the underlying etiology of isolated PICAD, association of proximal PIC...
Source: Interdisciplinary Neurosurgery - July 3, 2019 Category: Neurosurgery Source Type: research
Hospital-based intervention to reduce tPA administration time
ConclusionOur results imply that a change in the protocol (direct administration of tPA in the radiology suite) could improve health outcomes by decreasing the delay in tPA administration.
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research
Intracranial mechanical thrombectomy without extracranial revascularization for a tandem occlusion with robust Circle of Willis: case report
Publication date: Available online 4 October 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Mateja de Leonni Stanonik, Christopher Sy, Cameron McDougall, Lee Birnbaum, Justin MascitelliAbstractA 59-year-old male presented with a severe left middle cerebral artery (MCA) syndrome, a National Institutes of Health Stroke Scale (NIHSS) of 17, and was last known well 26 hours prior. Computed tomography angiography (CTA) of the head demonstrated a tandem extracranial ICA and intracranial ICA/MCA occlusion. Computed tomography perfusion (CTP) demonstrated a large mismatch. The patient underwent a mechanical thrombectomy usin...
Source: Interdisciplinary Neurosurgery - October 4, 2019 Category: Neurosurgery Source Type: research
Management of patients with isolated acute cervical carotid artery occlusion and normal neurological exam: Technical note and case series
ConclusionCerebral perfusion imaging of patients presenting with normal neurological exam after experiencing neurological deficits is warranted to help identify patients at risk for stroke due to collateral failure. These patients should be monitored in the ICU for neurologic deterioration and given the option of intervention if mismatch is noted on CT perfusion imaging. Perfusion studies identifying penumbra and delayed MTT ≥ 200% or Tmax > 6 s are indicators for possible collateral failure. In patients undergoing intervention, we suggest a technique using proximal flow arrest to minimize risk of shower emboli...
Source: Interdisciplinary Neurosurgery - November 2, 2019 Category: Neurosurgery Source Type: research
Endovascular thrombectomy and left atrial appendage evaluation for recurrent cerebral embolism case with atrial fibrillation early after administration of intravenous tissue plasminogen activator
ConclusionsAttention should be paid to ischemic stroke recurrence as a complication of IV t-PA, and preparation for mechanical thrombectomy is warranted. Further study of the left atrial appendage is needed to clarify the mechanisms of onset.
Source: Interdisciplinary Neurosurgery - November 9, 2019 Category: Neurosurgery Source Type: research
Early open surgery for the accidental insertion of a hemodialysis catheter into the carotid artery: a case report
Publication date: Available online 13 October 2014 Source:Interdisciplinary Neurosurgery Author(s): Yosuke Moteki , Koji Yamaguchi , Akitsugu Kawashima , Shinsuke Sato , Yoshikazu Okada Insertion of a hemodialysis catheter into the internal jugular vein is a commonly performed procedure for intermittent hemodialysis. However, arterial misplacement of the hemodialysis catheter can occur and lead to serious complications, such as major stroke due to intra-arterial thrombus. Here, we report a case in which open surgery was performed to avoid major stroke following the accidental insertion of a hemodialysis catheter into the...
Source: Interdisciplinary Neurosurgery - November 3, 2014 Category: Neurosurgery Source Type: research
Vascular injury outcomes with screening implementation
This study aims to look at the incidence of BCVI 2years before the guidelines were put into place and then 2years after. A total of 11,005 trauma patients presented during our study period. 98 patients were determined to have BCVI and met inclusion criteria: 21 in the Control group and 77 in the Screening group. A total of 16 deaths and 14 strokes were recorded in the study population. The odds of patients in the Screening group dying were 29% lower than that of a patient in the Control group [OR: 0.71, (95% CI: 0.20–2.50); p =0.59], after adjusting for ISS. The odds of developing a stroke in the Screening group were 69%...
Source: Interdisciplinary Neurosurgery - April 19, 2017 Category: Neurosurgery Source Type: research
Management of ruptured hidden mirror intracranial aneurysm during mechanical thrombectomy
Publication date: Available online 7 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Kamil Zeleňák, Martin Vorčák, Ján Sýkora, Zuzana Trabalková, Jana Zeleňáková, Ema Kantorová, Vladimír NosáľAbstractA 55-year-old woman with acute ischaemic stroke was referred for endovascular treatment after unsuccessful intravenous thrombolysis. Her initial National Institutes of Health Stroke Score (NIHSS) was 20. The right carotid artery stenting was performed because of the inappropriate result of angioplasty of the right internal carotid artery stenosis at origin, followed by recanalization of right intern...
Source: Interdisciplinary Neurosurgery - February 8, 2019 Category: Neurosurgery Source Type: research
Transient ischemic attack post craniectomy: A case report and review of sinking skin flap syndrome
Publication date: Available online 4 December 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Zhihui Deng, John DavisAbstractThere is evidence of disrupted cerebral blood flow in patients with a skull defect due to decompressive craniectomy though the pathophysiologic mechanism is yet to be established. Here we report on a patient who suffered one episode of transient ischemic attack (TIA) when developing early stage sinking skin flap syndrome (SSFS) post decompressive craniectomy due to a severe traumatic brain injury. This case report of TIA as a clinical presentation of SSFS indicating a potentially increased risk ...
Source: Interdisciplinary Neurosurgery - December 5, 2019 Category: Neurosurgery Source Type: research
