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Source: Journal of Neurosurgery
Condition: Hemorrhagic Stroke

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Total 231 results found since Jan 2013.

Periprocedural cerebrovascular complications and 30-day outcomes of endovascular treatment for intracranial vertebral artery dissecting aneurysms
CONCLUSIONS: Hyperlipidemia, IS history, and SAH were independent predictors for overall periprocedural cerebrovascular complications of endovascular treatment for IVADAs, but aneurysmal height was an independent protective factor. SAH and preprocedural mRS score > 2 were independent risk factors for perforator occlusion stroke. Preprocedural mRS score > 2 and periprocedural complications were independent risk factors for 30-day unfavorable clinical outcomes.PMID:36401540 | DOI:10.3171/2022.10.JNS221953
Source: Journal of Neurosurgery - November 19, 2022 Category: Neurosurgery Authors: Jiangli Han Fei Liu Jigang Chen Xin Tong Mingyang Han Fei Peng Hao Niu Lang Liu Aihua Liu Source Type: research

Decompressive craniectomy using gelatin film and future bone flap replacement.
Conclusions Decompressive craniectomy repair using an absorbable gelatin film barrier facilitates subsequent cranioplasty by preventing adhesions between intracranial contents and the overlying galea aponeurotica and temporalis muscle fascia. This technique makes cranioplasty dissection faster and potentially safer, which may improve clinical outcomes. The indications for gelatin film should be expanded to include placement in the epidural space after craniectomy. PMID: 23394343 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - February 8, 2013 Category: Neurosurgery Authors: Oladunjoye AO, Schrot RJ, Zwienenberg-Lee M, Muizelaar JP, Shahlaie K Tags: J Neurosurg Source Type: research

Clinical application of perfusion computed tomography in neurosurgery.
Conclusions Perfusion CT provides quantitative and qualitative data that can add diagnostic and prognostic value in a number of neurosurgical disorders, and also help with clinical decision making. With emerging new technical developments in PCT, such as characterization of blood-brain barrier permeability and whole-brain PCT, this technique is expected to provide more and more insight into the pathophysiology of many neurosurgical conditions. PMID: 24266541 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 22, 2013 Category: Neurosurgery Authors: Huang AP, Tsai JC, Kuo LT, Lee CW, Lai HS, Tsai LK, Huang SJ, Chen CM, Chen YS, Chuang HY, Wintermark M Tags: J Neurosurg Source Type: research

The relationship between ruptured aneurysm location, subarachnoid hemorrhage clot thickness, and incidence of radiographic or symptomatic vasospasm in patients enrolled in a prospective randomized controlled trial.
Conclusions The location of a ruptured aneurysm minimally affects the maximum thickness of the SAH clot but is predictive of symptomatic vasospasm or clinical deterioration from delayed cerebral ischemia in pericallosal aneurysms. The worst 1-year mRS outcomes in this cohort of patients were noted in those with posterior circulation aneurysms or pericallosal artery aneurysms. Patients experiencing stroke had higher mean clot burden. PMID: 24313610 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - December 6, 2013 Category: Neurosurgery Authors: Abla AA, Wilson DA, Williamson RW, Nakaji P, McDougall CG, Zabramski JM, Albuquerque FC, Spetzler RF Tags: J Neurosurg Source Type: research

Outcome in adult patients with hemorrhagic moyamoya disease after combined extracranial-intracranial bypass.
Conclusions Revascularization may provide a benefit over conservative therapy for hemorrhagic MMD patients. The improvement of dilation and branch extension of AChA-PCoA might be correlated with the low rebleeding rate. PMID: 25127415 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 15, 2014 Category: Neurosurgery Authors: Jiang H, Ni W, Xu B, Lei Y, Tian Y, Xu F, Gu Y, Mao Y Tags: J Neurosurg Source Type: research

Timing and nature of in-house postoperative events following uncomplicated elective endovascular aneurysm treatment.
Conclusions The large majority of significant postprocedural events after uncomplicated endovascular aneurysm intervention occur within the first 4 hours; these events become less frequent with increasing time. Transfer to a floor bed after 4-12 hours for further observation is reasonable to consider in some patients. PMID: 25170666 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 29, 2014 Category: Neurosurgery Authors: Arias EJ, Patel B, Cross DT, Moran CJ, Dacey RG, Zipfel GJ, Derdeyn CP Tags: J Neurosurg Source Type: research

Complications following cranioplasty: incidence and predictors in 348 cases.
CONCLUSIONS The authors' goal was to provide the neurosurgeon with predictors of morbidity and mortality that could be incorporated in the clinical decision-making algorithm. Control of a patient's risk factors and early recognition of complications may help practitioners avoid the exhaustive list of complications. PMID: 25768830 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - March 13, 2015 Category: Neurosurgery Authors: Zanaty M, Chalouhi N, Starke RM, Clark SW, Bovenzi CD, Saigh M, Schwartz E, Kunkel ES, Efthimiadis-Budike AS, Jabbour P, Dalyai R, Rosenwasser RH, Tjoumakaris SI Tags: J Neurosurg Source Type: research

Contemporary carotid imaging: from degree of stenosis to plaque vulnerability.
Abstract Carotid artery stenosis is a well-established risk factor of ischemic stroke, contributing to up to 10%-20% of strokes or transient ischemic attacks. Many clinical trials over the last 20 years have used measurements of carotid artery stenosis as a means to risk stratify patients. However, with improvements in vascular imaging techniques such as CT angiography and MR angiography, ultrasonography, and PET/CT, it is now possible to risk stratify patients, not just on the degree of carotid artery stenosis but also on how vulnerable the plaque is to rupture, resulting in ischemic stroke. These imaging techniq...
Source: Journal of Neurosurgery - July 31, 2015 Category: Neurosurgery Authors: Brinjikji W, Huston J, Rabinstein AA, Kim GM, Lerman A, Lanzino G Tags: J Neurosurg Source Type: research

Age-related outcomes following intracranial aneurysm treatment with the Pipeline Embolization Device: a subgroup analysis of the IntrePED registry.
CONCLUSIONS Increasing age is associated with higher neurological morbidity and mortality after Pipeline embolization of intracranial aneurysms. However, the overall complication rates of PED treatment in this group of highly selected elderly patients (> 70 years) were acceptably low, suggesting that age alone should not be considered an exclusion criterion when considering treatment of intracranial aneurysms with the PED. PMID: 26544776 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 6, 2015 Category: Neurosurgery Authors: Brinjikji W, Kallmes DF, Cloft HJ, Lanzino G Tags: J Neurosurg Source Type: research

The safety of Pipeline flow diversion in fusiform vertebrobasilar aneurysms: a consecutive case series with longer-term follow-up from a single US center.
CONCLUSIONS Flow diversion with selective adjunctive techniques is evolving to become a safer treatment option for posterior circulation aneurysms. This is the longest clinical follow-up duration reported for a single-center experience of flow-diversion treatment of these aneurysms. PMID: 26654175 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - December 11, 2015 Category: Neurosurgery Authors: Natarajan SK, Lin N, Sonig A, Rai AT, Carpenter JS, Levy EI, Siddiqui AH Tags: J Neurosurg Source Type: research

A direct aspiration first-pass technique vs stentriever thrombectomy in emergent large vessel intracranial occlusions.
CONCLUSIONS The present study demonstrates that ADAPT and primary stentriever thrombectomy for acute ischemic stroke due to ELVO are equivalent with respect to the rates of TICI 2b/3 recanalization and 90-day mRS scores. Given the reduced procedural time and time to TICI 2b/3 recanalization with similar functional outcomes, an initial attempt at recanalization with ADAPT may be warranted prior to stentriever thrombectomy. PMID: 28409731 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 14, 2017 Category: Neurosurgery Authors: Stapleton CJ, Leslie-Mazwi TM, Torok CM, Hakimelahi R, Hirsch JA, Yoo AJ, Rabinov JD, Patel AB Tags: J Neurosurg Source Type: research

Effects of different surgical modalities on the clinical outcome of patients with moyamoya disease: a prospective cohort study.
CONCLUSIONS CB and DB are more effective at preventing recurrent ischemic strokes than IB. However, there is no evidence that these 3 surgical modalities demonstrate significant differences in preventing recurrent hemorrhage. PMID: 28686113 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - July 7, 2017 Category: Neurosurgery Authors: Deng X, Gao F, Zhang D, Zhang Y, Wang R, Wang S, Cao Y, Zhao Y, Pan Y, Ye X, Liu X, Zhang Q, Wang J, Yang Z, Zhao M, Zhao J Tags: J Neurosurg Source Type: research