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Source: Journal of Neurosurgery

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Total 581 results found since Jan 2013.

Cost-effectiveness analysis of endovascular treatment with or without intravenous thrombolysis in acute ischemic stroke
CONCLUSIONS: EVT alone appears to be more cost-effective compared with EVT and IV r-tPA for the treatment of AIS patients presenting within 4.5 hours of symptom onset.PMID:35901768 | DOI:10.3171/2022.4.JNS22514
Source: Journal of Neurosurgery - July 28, 2022 Category: Neurosurgery Authors: Adnan I Qureshi Yasemin Akinci Wei Huang Muhammad F Ishfaq Ameer E Hassan Farhan Siddiq Camilo R Gomez Source Type: research

Cost-effectiveness of thrombectomy alone versus alteplase before thrombectomy in acute ischemic stroke: results from the DIRECT-MT
CONCLUSIONS: In this economic analysis based on a trial conducted in China, the authors found that EVT alone was not associated with economic dominance over EVT+IVT in patients with anterior circulation large-vessel occlusion.PMID:36790013 | DOI:10.3171/2022.12.JNS221791
Source: Journal of Neurosurgery - February 15, 2023 Category: Neurosurgery Authors: Hongyu Ma Yu Zhou Lan Gao Pei Liu Lei Zhang Pengfei Xing Zifu Li Hongjian Shen Hongjian Zhang Yongxin Zhang Xiaoxi Zhang Weilong Hua Yongwei Zhang Jianmin Liu Congguo Yin Pengfei Yang Direct-MT investigators Source Type: research

Blunt traumatic occlusion of the internal carotid and vertebral arteries.
Conclusions At the authors' institution, traumatic ICA occlusion is rare but associated with a high stroke rate. Robust collateral circulation may mitigate its severity. Embolic monitoring with TCD ultrasonography and prophylactic antiplatelet therapy should be used in all ICA Biffl Grade IV injuries. Unilateral VA Biffl Grade IV injury is the most common type of traumatic occlusion and is associated with significantly less morbidity. Embolic monitoring using TCD and prophylactic antiplatelet therapy do not appear to be beneficial in patients with traumatic VA occlusion. PMID: 24678781 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - March 28, 2014 Category: Neurosurgery Authors: Morton RP, Hanak BW, Levitt MR, Fink KR, Peterson EC, Vilela MD, Kim LJ, Chesnut RM Tags: J Neurosurg Source Type: research

Bypass surgery versus medical treatment for symptomatic moyamoya disease in adults.
CONCLUSIONS During the treatment of symptomatic MMD in adults, bypass surgery reduces stroke recurrence for the hemorrhagic type, but it does not do so for the ischemic type. The best choice of bypass methods in adult patients with MMD is uncertain. In adult ischemic MMD, a prospective randomized study to evaluate the effectiveness and safety of bypass surgery to prevent recurrent stroke is necessary. PMID: 27834597 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 10, 2016 Category: Neurosurgery Authors: Jang DK, Lee KS, Rha HK, Huh PW, Yang JH, Park IS, Ahn JG, Sung JH, Han YM Tags: J Neurosurg Source Type: research

The benefit of radiosurgery for ARUBA-eligible arteriovenous malformations: a practical analysis over an appropriate follow-up period.
CONCLUSIONS After a sensible follow-up period exceeding the latency period, there is a lower rate of stroke/death for patients with treated, unruptured AVMs with SRS than for patients with untreated AVMs. PMID: 28665253 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - June 30, 2017 Category: Neurosurgery Authors: Tonetti DA, Gross BA, Atcheson KM, Jankowitz BT, Kano H, Monaco EA, Niranjan A, Flickinger JC, Lunsford LD Tags: J Neurosurg Source Type: research

Racial phenotypes in moyamoya disease: a comparative analysis of clinical presentation and natural history in a single multiethnic cohort of 250 hemispheres.
CONCLUSIONS: This study suggests a comparatively more progressive course of MMD in Asians. Further studies are required to fully characterize the phenotypic distinctions between different races and underlying pathophysiological mechanisms. PMID: 31585430 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - October 3, 2019 Category: Neurosurgery Authors: Feghali J, Xu R, Yang W, Liew J, Tamargo RJ, Marsh EB, Huang J Tags: J Neurosurg Source Type: research

Morphological characteristics of symptomatic and asymptomatic carotid webs
CONCLUSIONS: Patients with CWs that occupy more than half of the diameter of the carotid bulb lumen and are situated at acute angles relative to the carotid wall are more likely to present with acute ischemic stroke. Additional studies are needed to determine the long-term outcomes of these lesions.PMID:35426815 | DOI:10.3171/2022.2.JNS212310
Source: Journal of Neurosurgery - April 15, 2022 Category: Neurosurgery Authors: Borna Ethan Tabibian Matthew Parr Arsalaan Salehani Anil Mahavadi Sage Rahm Manmeet Kaur Sasha Howell Jesse G Jones Elizabeth Liptrap Mark R Harrigan Source Type: research