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P007/80 Dural arteriovenous fistula presenting as parkinsonism, treated with transvenous embolization across from the contralateral sinus using a coil basket as a wall: A case report
ConclusionParkinsonism and cognitive dysfunction in DAVF is reversible when treated. Therefore, the prompt and exact diagnosis is important.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Lee, J., Yang, J.-C., Hong, C. E., Han, M. H. Tags: 4.3 CASE PROPOSAL - Acute ischemic stroke Source Type: research

Case report: Bilateral sudden deafness in acute middle cerebellar peduncle infarction: central or peripheral?
CONCLUSION: Vertebrobasilar diseases due to atherosclerosis should be routinely considered in middle-aged and elderly patients with vascular risk factors and bilateral hearing loss. Bilateral SSNHL can be a prodrome of acute MCP infarction and it can be peripheral. Brain MRI, brain magnetic resonance angiogram (MRA), brain and neck computed tomography angiography (CTA), BAEP, otoacoustic emissions, and Pure Tone Audiogram help to localize and qualify the diagnosis. Bilateral SSNHL localized to the periphery usually improves better and has a good prognosis. Early detection of hearing loss and intervention can help patients ...
Source: Atherosclerosis - May 22, 2023 Category: Cardiology Authors: Ziyun Yuan Lei Xiang Ran Liu Wei Yue Source Type: research

Endovascular therapy for acute basilar artery occlusion caused by vertebral artery dissection: Case report
We describes a case of basilar artery (BA) occlusion caused by extracranial VAD, in which we used a stent-retriever to achieve thrombectomy in the BA through the contralateral vertebral artery (VA). Patient concerns: A 32-year-old male presented with a sudden-onset headache accompanied by articulation disorder, left-sided weakness, and tinnitus in the left ear. Diagnosis: Digital subtraction angiography showed the V1 to V2 segment dissection of the left VA and occlusion of the BA. Interventions: Thrombectomy was performed through the thinner right VA with three passes of the Solitaire FR device 4 ×â...
Source: Medicine - November 24, 2021 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Carotid-Cavernous Sinus Fistula caused by Persistent Primitive Trigeminal Artery Aneurysm rupture: A case report
Carotid-Cavernous sinus fistula (CCF) caused by a ruptured aneurysm of persistent primitive trigeminal artery (PPTA) is exceptionally rare. Herein, we reported the case of a 64-year-old female who presented with headache, pulsatile tinnitus, and diplopia. Angiography showed a PPTA and CCF. Three-dimensional digital subtraction angiograms revealed a direct shunt between the PPTA aneurysm and the left cavernous sinus. The trigeminal carotid fistula was successfully treated with detachable coils and Onyx, and the PPTA was preserved.
Source: Journal of Stroke and Cerebrovascular Diseases - August 18, 2019 Category: Neurology Authors: Yu Fan, Yuechun LI, Tianyou Zhang, Changchun Jiang, Peng Zhang Tags: Case Report Source Type: research

Neurological Involvement in Primary Systemic Vasculitis
Conclusion Neurological involvement is a common complication of PSV (Table 1), and neurologists play an important role in the identification and diagnosis of PSV patients with otherwise unexplained neurological symptoms as their chief complaint. This article summarizes the neurological manifestations of PSV and hopes to improve neuroscientists' understanding of this broad range of diseases. TABLE 1 Table 1. Common CNS and PNS involvements of primary systemic vasculitis. Author Contributions SZ conceived the article and wrote the manuscript. DY and GT reviewed and edited the manuscript. All authors ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

A rare but morbid neurosurgical target: petrous aneurysms and their endovascular management in the stent/flow diverter era
Conclusions Endovascular treatment of large or symptomatic petrous ICA aneurysms, in the era of flow diversion, is associated with excellent angiographic and clinical outcomes.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Gross, B. A., Moon, K., Ducruet, A. F., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Chapter 46 Vertigo and hearing loss
Publication date: 2016 Source:Handbook of Clinical Neurology, Volume 136 Author(s): David E. Newman-Toker, Charles C. Della Santina, Ari M. Blitz Symptoms referable to disorders affecting the inner ear and vestibulocochlear nerve (eighth cranial nerve) include dizziness, vertigo, tinnitus, and hearing loss, in various combinations. Similar symptoms may occur with involvement of the central nervous system, principally the brainstem and cerebellum, to which the vestibular and auditory systems are connected. Imaging choices should be tailored to patient symptoms and the clinical context. Computed tomography (CT) should b...
Source: Handbook of Clinical Neurology - July 16, 2016 Category: Neurology Source Type: research

Hemorrhagic Stroke and Cerebral Paragonimiasis Brief Reports
Conclusions— Hemorrhagic stroke typically occurred during the acute stage and in the early stages of further Paragonimus migration. Delay of treatment increased the risk of initial and recurrent stroke.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Xia, Y., Ju, Y., Chen, J., You, C. Tags: Acute Cerebral Hemorrhage, Computerized tomography and Magnetic Resonance Imaging, Primary and Secondary Stroke Prevention, Risk Factors for Stroke Brief Reports Source Type: research

Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA/ASA Scientific Statement
Conclusions— CD is an important cause of ischemic stroke in young and middle-aged patients. CD is most prevalent in the upper cervical spine and can involve the internal carotid artery or vertebral artery. Although current biomechanical evidence is insufficient to establish the claim that CMT causes CD, clinical reports suggest that mechanical forces play a role in a considerable number of CDs and most population controlled studies have found an association between CMT and VAD stroke in young patients. Although the incidence of CMT-associated CD in patients who have previously received CMT is not well established, an...
Source: Stroke - September 22, 2014 Category: Neurology Authors: Biller, J., Sacco, R. L., Albuquerque, F. C., Demaerschalk, B. M., Fayad, P., Long, P. H., Noorollah, L. D., Panagos, P. D., Schievink, W. I., Schwartz, N. E., Shuaib, A., Thaler, D. E., Tirschwell, D. L., on behalf of the American Heart Association Strok Tags: AHA Statements and Guidelines AHA/ASA Scientific Statement Source Type: research

Teaching NeuroImages: Carotid-cavernous fistula caused by fibromuscular dysplasia
A 26-year-old woman developed headache, diplopia, and pulsatile tinnitus in 10 days. Neurologic examination revealed limitation of left eye movement, left dilated pupil with optic disc swelling and mild decreased vision, and a bruit over the left superior orbit. Her family history, laboratory data, and cerebral MRI showed normal findings. Cerebral CT angiography suggested left carotid-cavernous fistula (CCF). Follow-up angiography confirmed left CCF (figure 1). Nevertheless, multiple stenoses interspersed with aneurysmal dilation segments of carotid, vertebral, and renal arteries were found (figure 2). A diagnosis of fibro...
Source: Neurology - April 14, 2014 Category: Neurology Authors: Zhang, Y., Zheng, H., Zhou, M., He, L. Tags: Other cerebrovascular disease/ Stroke, Diplopia (double vision) RESIDENT AND FELLOW SECTION Source Type: research

Intracranial Arterial Dissection (P2.013)
CONCLUSIONS:IAD represent a substantial proportion of CAD and may be a frequently underdiagnosed cause of stroke. Intraparenchymal hemorrhage seemed to occur less frequently in our series than previously reported.Study Supported by:Disclosure: Dr. Dossi has nothing to disclose. Dr. Farez has received personal compensation for activities with Merck Serono. Dr. Farez has received research support from Novartis. Dr. Arena has nothing to disclose. Dr. Pujol Lereis has nothing to disclose. Dr. Povedano has nothing to disclose. Dr. Ameriso has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Dossi, D., Farez, M., Arena, J., Pujol Lereis, V., Povedano, G., Ameriso, S. Tags: Cerebrovascular Disease and Interventional Neurology I Source Type: research

45. Patient presenting with transient phosphenes and headache: A case of fibromuscular dysplasia
Fibromuscular dysplasia (FMD), is a nonatherosclerotic, noninflammatory vascular disease commonly affecting the renal, extracranial carotid and vertebral arteries (VA). Etiology remains unknown. Clinical presentation is determined by distribution of arteries affected. Carotid artery involvement is associated with headache, TIA, stroke, pulsatile tinnitus, or may be asymptomatic. Treatment is being recommended in symptomatic cases. A 49-year-old Caucasian woman, was presented to our emergency department for transient phosphenes in right eye, followed by front-temporal headache. Cranial CT was normal, cervical duplex ultraso...
Source: Clinical Neurophysiology - October 21, 2013 Category: Neuroscience Authors: F. Sartucci, E. Giorli, A. Chiti, I. Pesaresi, M. Puglioli, G. Orlandi, U. Bonuccelli Tags: Society Proceedings Source Type: research

Rotational Vertebral Artery Occlusion: Mechanisms and Long-term Outcome Clinical Sciences
Conclusions— RVAO has various patterns of vertebral artery compression, and favorable long-term outcome with conservative treatments. In most patients with RVAO, the symptoms may be ascribed to asymmetrical excitation of the bilateral labyrinth induced by transient ischemia or by disinhibition from inferior cerebellar hypoperfusion. Conservative management might be considered as the first-line treatment of RVAO.
Source: Stroke - June 24, 2013 Category: Neurology Authors: Choi, K.-D., Choi, J.-H., Kim, J.-S., Kim, H. J., Kim, M.-J., Lee, T.-H., Lee, H., Moon, I. S., Oh, H. J., Kim, J.-I. Tags: Angiography Clinical Sciences Source Type: research

Bilateral carotid artery dissection in a severe preeclamptic setting: An unusual cause of postpartum headache.
Abstract A 30-year-old woman with severe preeclampsia presented at 27weeks of amenorrhea with left headache, neck pain, blurred vision and numbness of left hemiface that resolved spontaneously within 2hours. A week later, hypertension remained poorly controlled despite combination of nicardipine and labetalol intravenous therapy; an urgent caesarean section was eventually performed due to onset of HELLP syndrome. At day 5 postpartum, the patient had a Horner syndrome with right ipsilateral disabling tinnitus. A CT-angiography of supra-aortic trunks was performed urgently; it showed a bilateral carotid arterial dis...
Source: Annales Francaises d'Anesthesie et de Reanimation - April 1, 2013 Category: Anesthesiology Authors: Hoffmann C, Augé M, Falzone E, Martel-Jacob S, Mercier FJ Tags: Ann Fr Anesth Reanim Source Type: research