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Condition: Hemorrhagic Stroke
Procedure: Craniotomy

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Total 276 results found since Jan 2013.

Hybrid surgery for dural arteriovenous fistula in the neurosurgical hybrid operating suite
This report illustrates the usefulness of the neurosurgical hybrid operating suite for the treatment of difficult dural AVFs.
Source: Journal of NeuroInterventional Surgery - January 13, 2015 Category: Neurosurgery Authors: Shen, S.-C., Tsuei, Y.-S., Chen, W.-H., Shen, C.-C. Tags: Hemorrhagic stroke Electronic pages Source Type: research

Emergent intracranial surgical embolectomy in conjunction with carotid endarterectomy for acute internal carotid artery terminus embolic occlusion and tandem occlusion of the cervical carotid artery due to plaque rupture.
Abstract Acute internal carotid artery (ICA) terminus occlusion is associated with extremely poor functional outcomes or mortality, especially when it is caused by plaque rupture of the cervical ICA with engrafted thrombus that elongates and extends into the ICA terminus. The goal of this study was to evaluate the efficacy and safety of surgical embolectomy in conjunction with carotid endarterectomy (CEA) for acute ICA terminus occlusion associated with cervical plaque rupture resulting in tandem occlusion. A retrospective review of medical records was performed. Clinical and radiographic characteristics were eval...
Source: Journal of Neurosurgery - January 9, 2015 Category: Neurosurgery Authors: Hasegawa H, Inoue T, Tamura A, Saito I Tags: J Neurosurg Source Type: research

O-017 a retrospective case review using the apollo™ system for endoscopic assisted, neuro-navigation guided evacuation of intracerebral hemorrhage
ConclusionPreliminary experience using the Apollo™ System in the evacuation of ICH shows promising results in rapidly reducing overall clot volume with a favorable safety profile and ICU stay compared with historical controls. Further study is required to determine the association between the reduction in clot volume and outcome measures such as length of hospital stay and clinical recovery.Abstract O-017 Figure 1DisclosuresR. Ryan: 2; C; Penumbra, Inc.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Ryan, R. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

Intracerebral hemorrhage with a favorable outcome in a patient with childhood primary angiitis of the central nervous system
We present the case of a boy with cPACNS that previously suffered an ischemic stroke. At the age of 7 years and 10 months, he presented a sudden and severe headache, vomiting and reduction in consciousness level (Glasgow coma scale 7), requiring prompt tracheal intubation. Brain computed tomography demonstrated intraparenchymal hematoma in the right parieto-occipital lobe and a small focus of bleeding in the right frontal lobe, vasogenic edema, herniation of the uncus and a 10mm deviation to the left from the midline. C-reactive protein (9.2mg/dL) and von Willebrand factor (vWF) antigen (202%) were elevated. Decompressive ...
Source: Revista Brasileira de Reumatologia - December 1, 2015 Category: Rheumatology Source Type: research

Increased Resting Energy Expenditure after Endovascular Coiling for Subarachnoid Hemorrhage
Appropriate nutritional care from the acute stage is essential for improved functional outcomes and reduced mortality in patients with subarachnoid hemorrhage (SAH). Although endovascular coiling is increasingly being used as an alternative to neurosurgical clipping and craniotomy for ruptured aneurysms, the resting energy expenditure (REE) of patients treated with this new technique has not been systemically evaluated.
Source: Journal of Stroke and Cerebrovascular Diseases - January 18, 2016 Category: Neurology Authors: Ayano Nagano, Yoshitaka Yamada, Hiroji Miyake, Kazuhisa Domen, Tetsuo Koyama Source Type: research

Cortical spreading depression occurs during elective neurosurgical procedures.
CONCLUSIONS CSD can occur during elective neurosurgical procedures even in brain regions distant from the immediate operative site. ECoG monitoring with a DC-coupled full-spectrum amplifier seemed to provide the most stable signal despite significant challenges to the operating room environment. CSD may be responsible for some cases of secondary surgical injury. Though further studies on outcome related to the occurrence of these events is needed, efforts to decrease the occurrence of CSD by modification of anesthetic regimen may represent a novel target for study to increase the safety of neurosurgical procedures. PM...
Source: Journal of Neurosurgery - March 11, 2016 Category: Neurosurgery Authors: Carlson AP, William Shuttleworth C, Mead B, Burlbaw B, Krasberg M, Yonas H Tags: J Neurosurg Source Type: research

Intraoperative seizures during craniotomy under general anesthesia
An acute symptomatic seizure is a clinical seizure occurring at the time of a systemic insult or in close temporal association with a documented brain insult [1]. Seizures have been reported to occur at the time of focal brain insults including head trauma, ischemic stroke, and intracranial hemorrhage [2] but have not previously been reported as an intraoperative consequence of a neurosurgical procedure. Propofol is commonly used as an anesthetic agent [3] and a treatment for status epilepticus [4], but it has been reported to be a proconvulsant in some cases [5].
Source: Seizure: European Journal of Epilepsy - March 31, 2016 Category: Neurology Authors: John Howe, Xiaoying Lu, Zoe Thompson, Gordon W. Peterson, Travis E. Losey Tags: Short communication Source Type: research

Challenges managing end‐stage renal disease and kidney transplantation in a child with MTFMT mutation and moyamoya disease
We describe a four‐yr‐old female with features of moyamoya disease referred to our center for kidney transplant evaluation with ESRD secondary to presumed renal dysplasia along with concern for cerebral vascular anomalies. With her constellation of organ involvement, a genetic workup revealed a homozygous, frameshift mutation in the mitochondrial methionyl‐tRNA formyltransferase gene. Given her vascular anomalies and evidence of prior infarcts seen on cerebral imaging, it was felt that her risk of future stroke events was high and that hypotension or intravascular volume depletion would further exacerbate this risk. ...
Source: Pediatric Transplantation - July 7, 2016 Category: Transplant Surgery Authors: Aris Oates, Jessica Brennan, Anne Slavotinek, Adnan Alsadah, Daniel Chow, Marsha M. Lee Tags: Case Report Source Type: research

Challenges managing end ‐stage renal disease and kidney transplantation in a child with MTFMT mutation and moyamoya disease
We describe a four‐yr‐old female with features of moyamoya disease referred to our center for kidney transplant evaluation with ESRD secondary to presumed renal dysplasia along with concern for cerebral vascular anomalies. With her constellation of organ involvement, a genetic workup revealed a homozygous, frameshift mutation in the mitochondrial methionyl‐tRNA formyltransferase gene. Given her vascular anomalies and evidence of prior infarcts seen on cerebral imaging, it was felt that her risk of future stroke events was high and that hypotension or intravascular volume depletion would further exacerbate this risk. ...
Source: Pediatric Transplantation - July 7, 2016 Category: Transplant Surgery Authors: Aris Oates, Jessica Brennan, Anne Slavotinek, Adnan Alsadah, Daniel Chow, Marsha M. Lee Tags: Case Report Source Type: research

Intracerebral hemorrhage with a favorable outcome in a patient with childhood primary angiitis of the central nervous system
We present the case of a boy with cPACNS that previously suffered an ischemic stroke. At the age of 7 years and 10 months, he presented a sudden and severe headache, vomiting and reduction in consciousness level (Glasgow coma scale 7), requiring prompt tracheal intubation. Brain computed tomography demonstrated intraparenchymal hematoma in the right parieto-occipital lobe and a small focus of bleeding in the right frontal lobe, vasogenic edema, herniation of the uncus and a 10 mm deviation to the left from the midline. C-reactive protein (9.2 mg/dL) and von Willebrand factor (vWF) antigen (202%) were elevated. Decompressiv...
Source: Revista Brasileira de Reumatologia - August 22, 2016 Category: Rheumatology Source Type: research

Long-term utility and complication profile of open craniotomy for biopsy in patients with idiopathic encephalitis
Publication date: Available online 12 December 2016 Source:Journal of Clinical Neuroscience Author(s): Kalil G. Abdullah, Yin Li, Prateek Agarwal, Nikhil R. Nayak, Jayesh P. Thawani, Ramani Balu, Timothy H. Lucas Neurosurgeons are often asked to perform open biopsy for diagnosis of encephalitis after medical investigations are non-diagnostic. These patients may be critically ill with multiple comorbidities. Patients and their families often request data regarding the success rates and complication profile of biopsy, but minimal literature exists in this area. Retrospective chart review of all patients undergoing open brai...
Source: Journal of Clinical Neuroscience - December 11, 2016 Category: Neuroscience Source Type: research

Effects of Mannitol 20% on Outcomes in Nontraumatic Intracerebral Hemorrhage.
CONCLUSIONS: Mannitol injection was not effective in reducing hemorrhage size, and its use is not recommended, also, further studies in this field have been proposed. PMID: 28706883 [PubMed]
Source: Biomed Res - July 16, 2017 Category: Research Authors: Aminmansour B, Tabesh H, Rezvani M, Poorjafari H Tags: Adv Biomed Res Source Type: research

Lobar Hemorrhage Induced by Acquired Factor XIII Deficiency in a Patient with Cerebral Amyloid Angiopathy
A 68-year-old man presented with intracranial hemorrhage in the right frontal lobe, which rapidly increased the day after admission. We performed hematoma removal with a biopsy of the cortex around the hematoma. The day after the operation, a subcutaneous hematoma over the craniotomy appeared, and the computed tomography showed a recurrent hemorrhage with an acute subdural hematoma. We were aware of a bleeding tendency, and a detailed hematologic examination by hematologists revealed autoimmune acquired factor XIII deficiency due to an antifactor XIII antibody.
Source: Journal of Stroke and Cerebrovascular Diseases - August 8, 2017 Category: Neurology Authors: Hidetaka Arishima, Hiroyuki Neishi, Ken-ichiro Kikuta, Mihoko Morita, Naoko Hosono, Takahiro Yamauchi, Masayoshi Souri, Akitada Ichinose Tags: Case Studies Source Type: research

Prophylactic Anticonvulsants in Intracerebral Hemorrhage
DiscussionLevetiracetam was routinely prescribed following ICH and was not associated with worse outcomes. Future investigations should examine the effect of prophylactic levetiracetam on cost and neuropsychological outcomes as well as the role of continuous EEG in identifying subclinical seizures.
Source: Neurocritical Care - October 1, 2017 Category: Neurology Source Type: research

Management of concomitant metabolic encephalopathy and meningioma with vasogenic edema and impending herniation.
Conclusions: Management of concomitant metabolic encephalopathy and meningioma with vasogenic edema and impending herniation can be challenging. Correction of the encephalopathy is crucial to minimize perioperative morbidity and mortality. Awareness of metabolic causes of acute decompensation is critical for perioperative management, so a high index of clinical suspicion can make an important timely diagnosis for treatment initiation. Severely hypothyroid patients are sensitive to anesthetic agents and are at a high risk for perioperative complications. Prompt treatment prior to surgical intervention can help minimize peri...
Source: Surgical Neurology International - March 3, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research