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Distal migration of the flow-redirection endoluminal device immediately after treatment: A case report and literature review
CONCLUSION: Distal migration of an FD in an acute setting, including the FRED, may occur even following appropriate placement. In-stent thrombosis can cause distal stent migration and thromboembolic stroke.PMID:35399895 | PMC:PMC8986641 | DOI:10.25259/SNI_1279_2021
Source: Surgical Neurology International - April 11, 2022 Category: Neurosurgery Authors: Yasuhiko Nariai Tomoji Takigawa Akio Hyodo Kensuke Suzuki Source Type: research

Verbal and memory deficits caused by aphasic status epilepticus after resection of a left temporal lobe glioma
CONCLUSION: Prolonged ASE can induce verbal and memory deficits. Early intervention with intravenous anesthetics is required to obtain a favorable neurological prognosis.PMID:34992930 | PMC:PMC8720448 | DOI:10.25259/SNI_1120_2021
Source: Surgical Neurology International - January 7, 2022 Category: Neurosurgery Authors: Misaki Kamogawa Naoki Ikegaya Yohei Miyake Takahiro Hayashi Hidetoshi Murata Kensuke Tateishi Tetsuya Yamamoto Source Type: research

Monitored anesthesia care during mechanical thrombectomy for stroke: need for data-driven and individualized decisions
Conclusions Our study showed that the overall rate of conversion from MAC to GA during MT was low (1.6%) and, while higher in posterior circulation strokes, it was not predicted by either hemispheric dominance or stroke severity. Caution should be given before changing clinical practice during moments of crisis.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Nogueira, R. G., Mohammaden, M. H., Moran, T. P., Whalin, M. K., Gershon, R. Y., Al-Bayati, A. R. R., Ratcliff, J., Pisani, L., Liberato, B., Bhatt, N., Frankel, M. R., Haussen, D. C. Tags: Ischemic stroke, COVID-19 Source Type: research

The anesthetic approach for endovascular recanalization therapy depends on the lesion site in acute ischemic stroke
ConclusionsThe VLSM analysis showed associations between GA and ischemic lesions in the left hemispheric middle cerebral artery territory and posterior circulation areas including the thalamus that are known to cause neurologic deficits, such as aphasia or compromised vigilance, in AIS-patients with EVT. Our data suggest that higher disability, clinical impairment due to neurological deficits like aphasia, or reduced alertness of affected patients may influence the physician ’s decision on using GA in EVT.
Source: Neuroradiology - July 10, 2021 Category: Radiology Source Type: research

Site of Occlusion May Influence Decision to Perform Thrombectomy Under General Anesthesia or Conscious Sedation
Background: Although mechanical thrombectomy has become the standard of care for large-vessel occlusion, the role of conscious sedation versus general anesthesia (GA) with intubation during thrombectomy remains controversial. Aphasia may increase patient agitation or apparent uncooperativeness/confusion and thereby lead to higher use of GA. The purpose of this study was to identify risk factors for GA and determine if the side of vessel occlusion potentially impacts GA rates. Materials and Methods: Patients who underwent mechanical thrombectomy of the middle cerebral artery (MCA) for acute ischemic stroke at our...
Source: Journal of Neurosurgical Anesthesiology - March 11, 2021 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Letter to the Editor: Pneumocephalus: Is the needle size significant?
Discussion. Pneumocephalus is defined by two mechanisms: a ball-valve and an inverted bottle concept.1 The ball-valve type implies positive pressure events, such as coughing or valsalva maneuvers, that prevent air escape. Tension pneumocephalus is included in this mechanism, causing a parenchymal mass effect. The inverted bottle theory includes a negative intracranial pressure gradient following cerebrospinal fluid drainage, relieved by air influx. A small pneumocephalus is usually sealed by blood clots or granulation, allowing spontaneous reabsorption and resolution.[1] Otherwise, the lateral positioning of a patient duri...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Assessment Tools CNS Infections Current Issue Letters to the Editor Neurologic Systems and Symptoms Neurology Stroke Traumatic Brain Injury epidural needle size Pneumocephalus spinal tap Source Type: research

Unexpected Findings in a Man with a Repaired Type A Aortic Dissection and a New Stroke
A 67-YEAR-OLD, 82-kg, 175cm man presented to the authors ’ institution for evaluation of new right-sided facial droop, dysarthria, and expressive aphasia. The patient reported that he had been in his usual state of health the previous evening, but awoke the morning of admission with slurred speech. He called his daughter who confirmed his symptoms and t ransported him to the emergency department. He denied fever, chills, malaise, weight loss, confusion, memory deficits, and other neurological symptoms.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 10, 2018 Category: Anesthesiology Authors: Paul S. Pagel, Wayne A. Hendrix, Michael T. Cain, Ahmed K.Y. Ali, Gina Muscato, Charan Mungara, Chris Rokkas Tags: Diagnostic Dilemma Source Type: research

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