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A Right Middle Cerebral Artery Infarct After Frontal Eosinophilic Granuloma Resection in an 8-Year-Old Boy with Factor V Leiden.
We describe an 8-year-old boy diagnosed with primary eosinophilic granuloma (EG) of the frontal bone. After excision of the EG, the postoperative course was eventful. The patient had an acute right middle cerebral artery (MCA) infarct and had been comatose with a diminished Glasgow Coma Scale (GCS) score of 5. Urgent decompressive hemicraniectomy with duraplasty was performed. The postoperative course after the second operation was uneventful. Hematological tests revealed a diagnosis of factor V Leiden. The patient was discharged with left hemiparesis and GCS of 15. To the best of our knowledge, no such clinical picture of...
Source: Turkish Neurosurgery - October 10, 2015 Category: Neurosurgery Authors: Cakir E, Arslan E, Yazar U, Reis GP Tags: Turk Neurosurg Source Type: research

Emergency Superficial Temporal Artery to Middle Cerebral Artery Bypass After Intravenous Administration of Tissue Plasminogen Activator for Stroke.
We described three cases of emergency superficial temporal artery to middle cerebral artery bypass performed within 24 hours of IVtPA administration, and discussed the safety of such procedures. We believe that superficial temporal artery to middle cerebral artery bypass can be safely performed even within 24 hours after IVtPA administration. PMID: 26242342 [PubMed - in process]
Source: Turkish Neurosurgery - August 7, 2015 Category: Neurosurgery Authors: Takeuchi S, Wada K, Arimoto H, Kumagai K, Osada H, Otani N, Mori K Tags: Turk Neurosurg Source Type: research

Complete spontaneous thrombosis and recanalization of a ruptured posterior cerebral artery aneurysm.
Abstract Complete spontaneous thrombosis followed by recanalization of non-giant aneurysms is a rare event that can be discovered incidentally on advanced neural images. In this case report, the authors described a woman who presented with subarachnoid hemorrhage (SAH) and left posterior cerebral artery (PCA) territory ischemic stroke. Cerebral angiography revealed a left PCA aneurysm at the P1-P2 junction. The patient received conservative treatment and repeated cerebral angiography 4 weeks later demonstrated the disappeared aneurysm. Subsequent magnetic resonance imaging (MRI) and contrast-enhanced computed tomo...
Source: Turkish Neurosurgery - May 27, 2014 Category: Neurosurgery Authors: Wei D, Jingru Z, Cungang F, Yake X, Dongliang W, Zhengmao W, Xinting W, Qingjun Z Tags: Turk Neurosurg Source Type: research