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Condition: Hemorrhagic Stroke
Procedure: Craniotomy

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Total 276 results found since Jan 2013.

Stroke is not a treatment dilemma for early valve surgery in active infective endocarditis.
CONCLUSION: Surgery for AIE with cerebral septic embolisms can be performed safely, with good early and mid-term follow-up results. When urgent or emergent surgery for AIE is needed, neurologic complications should not be a reason for delay. PMID: 25799711 [PubMed - in process]
Source: Journal of Heart Valve Disease - March 25, 2015 Category: Cardiology Tags: J Heart Valve Dis Source Type: research

Intracerebral hemorrhage: the next frontier for minimally invasive stroke treatment
Great technical, scientific, and clinical advances have been made in the treatment of both emergent large vessel occlusions (ELVOs) and cerebral aneurysms. However, little progress has been made in the management of patients with primary intracerebral hemorrhage (ICH)—the leading cause of hemorrhagic stroke.1 ICH accounts for 10–15% of all strokes and is associated with the highest rates of morbidity and mortality of all stroke subtypes.1 2 Almost half of afflicted patients do not survive and only 20% of survivors are independent at 180 days.3 4 No medical interventions, with the exception of blood pressur...
Source: Journal of NeuroInterventional Surgery - September 12, 2016 Category: Neurosurgery Authors: Fiorella, D., Mocco, J., Arthur, A. Tags: Editor ' s column Source Type: research

Is Prophylactic Anticoagulation for Deep Venous Thrombosis Common Practice After Intracerebral Hemorrhage? Clinical Sciences
Conclusions— Less than 20% of patients with ICH receive anticoagulation for deep venous thrombosis in the United States. When used, the time to initiation is <2 days in less than half of the patients. Further study should focus on understanding variations in practice and emphasize guideline-driven care.
Source: Stroke - January 26, 2015 Category: Neurology Authors: Prabhakaran, S., Herbers, P., Khoury, J., Adeoye, O., Khatri, P., Ferioli, S., Kleindorfer, D. O. Tags: Health policy and outcome research, Deep vein thrombosis, Acute Cerebral Hemorrhage, Other Stroke Treatment - Medical Clinical Sciences Source Type: research

Prophylactic Antiepileptic Drug Use and Outcome in the Ethnic/Racial Variations of Intracerebral Hemorrhage Study Brief Reports
Conclusions— We found no evidence that AED use (predominantly levetiracetam) is independently associated with poor outcome. A prospective study is required to assess for a more modest effect of AED use on outcome after ICH.
Source: Stroke - November 23, 2015 Category: Neurology Authors: Sheth, K. N., Martini, S. R., Moomaw, C. J., Koch, S., Elkind, M. S. V., Sung, G., Kittner, S. J., Frankel, M., Rosand, J., Langefeld, C. D., Comeau, M. E., Waddy, S. P., Osborne, J., Woo, D., for the ERICH Investigators Tags: Cerebrovascular Disease/Stroke, Intracranial Hemorrhage Brief Reports Source Type: research

Stroke and Craniectomy
AbstractNeurosurgical involvement in the care of major stroke complications has yielded striking results in the subtentorial region but equivocal outcomes in the supratentorial compartment. Most neurosurgeons want to see some degree of deterioration before proceeding; thus, timing will be debated. Viewpoints have changed over the years regarding surgical or medical intervention, but in many patients the procedure has not produced a definitive change in outcome other than preventing death from terminal brainstem shift. The introduction of craniectomy (and craniotomy) to treat swollen ischemic brain or intracranial hemorrhag...
Source: Neurocritical Care - December 22, 2017 Category: Neurology Source Type: research

Outcomes of early carotid stenting and angioplasty in large-vessel anterior circulation strokes treated with mechanical thrombectomy and intravenous thrombolytics.
Conclusions If indicated, it is reasonable to consider concurrent carotid stenting and/or angioplasty for large-vessel anterior circulation stroke patients treated with mechanical thrombectomy who also receive intravenous thrombolytics. PMID: 29697301 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - April 28, 2018 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Debilitating Headache after an Excited Reaction
​BY GREGORY TAYLOR, DO, & MATTHEW WARPINSKI, DOA 35-year-old man with a history of uncontrolled hypertension and medical noncompliance was brought to the emergency department by EMS complaining of a headache. The family said the patient was watching football and developed an acute headache after he stood up screaming in excitement.His family said he had not taken his blood pressure medication for years. He was afebrile, his blood pressure was 245/129 mm Hg, his respiratory rate was 18 bpm, his heart rate was 68 bpm, and he weighed 340 pounds. The patient was obtunded with a Glasgow Coma Scale score of 4 and was subse...
Source: The Case Files - November 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Management of agitation following aneurysmal subarachnoid hemorrhage: is there a role for Beta-blockers?
Discussion. Antipsychotics and benzodiazepines are often not sufficiently effective in the control of agitation/aggression in patients with traumatic brain injury and similar conditions. Our case report and the literature review including a cochrane review suggests that beta-blockers may be helpful in this situation. PMID: 22937415 [PubMed]
Source: Case Reports in Psychiatry - March 9, 2013 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Cn-15 * adverse effects of bevacizumab in brain tumor patients
CONCLUSION: The range of toxicities was similar to other reports. Interestingly, hypertension was the most common adverse effect and was often not treated. The high incidence of lymphocytopenia may have implications for combination with immunotherapies. These findings underscore the need to develop predictive models to identify patients at high risk for serious treatment-related toxicities.
Source: Neuro-Oncology - November 3, 2014 Category: Cancer & Oncology Authors: Pawar, T., Ladha, H., Mandel, J., Gilbert, M., O'Brien, B., Hamza, M., Armstrong, T. Tags: COMPLICATIONS OF THERAPY AND NEUROTOXICITY Source Type: research

Changes in intracranial pressure gradients between the cerebral hemispheres in patients with intracerebral hematomas in one cerebral hemisphere
Conclusions: BPP sensors should be applied to the injured cerebral hemisphere, because this becomes the source of increased ICP. Hematoma evacuation surgery effectively decreases ICP and eliminates pressure gradients between the two cerebral hemispheres, consequently enabling brain shift correction.
Source: BMC Anesthesiology - December 3, 2014 Category: Anesthesiology Authors: Wusi QiuQizhou JiangGuoming XiaoWeiming WangHong Shen Source Type: research

Indocyanine green visualization of middle meningeal artery before craniotomy during surgical revascularization for moyamoya disease
ConclusionICG videoangiography is a safe and valuable technique to preserve the anterior branch of the MMA during craniotomy for moyamoya disease.
Source: Acta Neurochirurgica - January 2, 2017 Category: Neurosurgery Source Type: research

Comparison of endoscopic evacuation, stereotactic aspiration and craniotomy for the treatment of supratentorial hypertensive intracerebral haemorrhage: study protocol for a randomised controlled trial
Hypertensive intracerebral haemorrhage (HICH) is the most common form of haemorrhagic stroke with the highest morbidity and mortality of all stroke types. The choice of surgical or conservative treatment for p...
Source: Trials - June 28, 2017 Category: General Medicine Authors: Xinghua Xu, Yi Zheng, Xiaolei Chen, Fangye Li, Huaping Zhang and Xin Ge Source Type: research

Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, blinded endpoint phase 3 trial
This study is registered with ClinicalTrials.gov, number NCT01827046.FindingsBetween Dec 30, 2013, and Aug 15, 2017, 506 patients were randomly allocated: 255 (50%) to the MISTIE group and 251 (50%) to standard medical care. 499 patients (n=250 in the MISTIE group; n=249 in the standard medical care group) received treatment and were included in the mITT analysis set. The mITT primary adjusted efficacy analysis estimated that 45% of patients in the MISTIE group and 41% patients in the standard medical care group had achieved an mRS score of 0–3 at 365 days (adjusted risk difference 4% [95% CI −4 to 12]; p=0·33). Sensi...
Source: The Lancet - February 8, 2019 Category: General Medicine Source Type: research

Long-Term Follow-up in Patients with Spontaneous Intracerebral Hemorrhage Treated With or Without Surgical Intervention: a Large-Scale Retrospective Study
AbstractDebates regarding the most beneficial medical or surgical procedures for patients with spontaneous intracerebral hemorrhage (sICH) are still ongoing. We aimed to evaluate the risk of subsequent vascular disease and mortality in patients with sICH treated with and without surgical intervention, in a large-scale Asian population. Patients hospitalized within 2000 to 2013 who were newly diagnosed with sICH were identified using the National Health Insurance Research Database of Taiwan. Neuroendoscopy and craniotomy groups comprised patients who underwent surgical treatment within 1  week, while those in the control g...
Source: Neurotherapeutics - February 20, 2019 Category: Neurology 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