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Types of intraparenchymal hematoma as a predictor after revascularization in patients with anterior circulation acute ischemic stroke
CONCLUSION: Parenchymal hematoma was a predictor of poor outcomes. In particular, the absence of the anterior communicating artery on pre procedural time-of-flight magnetic resonance angiography is a potential risk factor for parenchymal hematoma after revascularization for anterior circulation acute ischemic stroke.PMID:33880207 | PMC:PMC8053447 | DOI:10.25259/SNI_792_2020
Source: Surgical Neurology International - April 21, 2021 Category: Neurosurgery Authors: Yusuke Morinaga Kouhei Nii Yusuke Takemura Hayatsura Hanada Kimiya Sakamoto Yoko Hirata Ritsurou Inoue Jun Tsugawa Satoshi Kimura Kanako Kurihara Yuji Tateishi Toshio Higashi Source Type: research

A spontaneous cervical epidural hematoma mimicking a stroke - A case report.
Conclusion: tPA treatment is frequently used as first-line therapy for acute ischemic stroke. Therefore, physicians should be aware of the potential for the SCEH in patients presenting with hemiparesis, as tPA administration may increase cervical hematoma leading to clinical deterioration. With this case, we intended to warn about SCEH as a rare but possible entity, since its early recognition and prompt clinical intervention may improve neurological outcomes. PMID: 32637210 [PubMed]
Source: Surgical Neurology International - July 10, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Middle cerebral artery fusiform aneurysm presented with stroke and delayed subarachnoid hemorrhage trapping, thrombectomy, and bypass.
CONCLUSION: Our case describes a complex aneurysm treatment that consisted of aneurysm trapping, thrombus removal and an STA-M3 MCA branch bypass creation for the protection of the patent M3 insular MCA branch and prevention of further ischemia. This procedure rewarded us with an excellent clinical result. PMID: 27127709 [PubMed]
Source: Surgical Neurology International - April 30, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pituitary apoplexy causing acute ischemic stroke: Which treatment should be given priority.
Conclusion: Direct compression of ICA is rare complication of pituitary apoplexy, which caused cerebral ischemia. Conventional angiography should be necessary for accurate diagnosis and prompt surgical decompression should be the treatment of choice. PMID: 32494388 [PubMed]
Source: Surgical Neurology International - June 6, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intracranial varix of the transverse-sigmoid dural arteriovenous fistula mimicking a ruptured middle cerebral artery aneurysm: A case report
CONCLUSION: This case is very instructive and clinicians should keep in mind that detailed neurological and radiological examinations are essential in obtaining an accurate diagnosis, especially if the bleeding source is similar in shape and location to common lesions (such as a cerebral aneurysm).PMID:35399877 | PMC:PMC8986638 | DOI:10.25259/SNI_79_2022
Source: Surgical Neurology International - April 11, 2022 Category: Neurosurgery Authors: Kuniyuki Onuma Kiyoyuki Yanaka Atsushi Tsukada Kazuhiro Nakamura Yuji Matsumaru Eiichi Ishikawa Source Type: research

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