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Source: Journal of Neurosurgery

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Total 581 results found since Jan 2013.

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

Long-term outcomes after conservative and EDAS treatment for 111 elderly patients with moyamoya disease: longitudinal and cross-sectional study
CONCLUSIONS: The postoperative long-term stroke rate among elderly patients with MMD was lower in the EDAS group than in the conservative treatment group. Long-term stroke events were associated with advanced age, aneurysm, and initial ischemia after conservative treatment and only initial hemorrhage after EDAS.PMID:37724788 | DOI:10.3171/2023.7.JNS231060
Source: Journal of Neurosurgery - September 19, 2023 Category: Neurosurgery Authors: Jing-Jie Li Xiao-Peng Wang Qian-Nan Wang Xiang-Yang Bao Qing-Bao Guo Zi-Qing Kong Gan Gao Min-Jie Wang Si-Meng Liu He-Guan Fu Qian Zhang Lian Duan Source Type: research

The natural clinical course of hemodynamically stable adult moyamoya disease.
CONCLUSIONS There was no statistically significant difference in the incidence of stroke in the different clinical groups; clinical status, however, was most severe in patients with hemorrhagic presentation. In patients who experienced stroke during the follow-up period, the stroke type tended to correspond to their initial presentation. Close follow-up is needed in patients with thyroid disease and a family history of MMD. PMID: 25361479 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - October 31, 2014 Category: Neurosurgery Authors: Cho WS, Chung YS, Kim JE, Jeon JP, Son YJ, Bang JS, Kang HS, Sohn CH, Oh CW Tags: J Neurosurg Source Type: research

Submaximal angioplasty for symptomatic intracranial atherosclerosis: a prospective Phase I study.
CONCLUSIONS This study demonstrates the safety of the submaximal angioplasty technique, with no permanent periprocedural complications in 24 treated patients. PMID: 26745485 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 8, 2016 Category: Neurosurgery Authors: Dumont TM, Sonig A, Mokin M, Eller JL, Sorkin GC, Snyder KV, Nelson Hopkins L, Levy EI, Siddiqui AH Tags: J Neurosurg Source Type: research

Association between low levels of serum miR-638 and atherosclerotic plaque vulnerability in patients with high-grade carotid stenosis.
CONCLUSIONS According to this preliminary proof-of-concept study, serum miR-638 might constitute a promising noninvasive biomarker associated with plaque vulnerability and ischemic stroke, particularly in individuals with elevated cardiovascular risk. PMID: 30052155 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - July 27, 2018 Category: Neurosurgery Authors: Luque A, Farwati A, Krupinski J, Aran JM Tags: J Neurosurg Source Type: research

Short- and long-term outcomes of moyamoya patients post-revascularization
CONCLUSIONS: In this large, single-center surgical series, most of the adult and pediatric patients had direct revascularization, with a 4.2% per-bypass-procedure (6.8% per patient) 30-day major stroke risk and a 0.6% per-patient-year long-term stroke risk. The authors identified various risk factors that are highly correlated with postoperative morbidity (age, mMRI score, and HDR score) and are involved in ongoing work to develop the predictive modeling for future patient selection and treatment.PMID:36272120 | DOI:10.3171/2022.8.JNS22336
Source: Journal of Neurosurgery - October 22, 2022 Category: Neurosurgery Authors: Mario Teo Kumar Abhinav Teresa E Bell-Stephens Venkatesh S Madhugiri Eric S Sussman Tej Deepak Azad Rohaid Ali Rogelio Esparza Michael Zhang Gary K Steinberg Source Type: research

Risk of very early recurrent cerebrovascular events in symptomatic carotid artery stenosis.
Conclusions The in-hospital recurrence of cerebrovascular events was quite low, but all recurrent strokes occurred within 72 hours. The risk of stroke associated with a CA intervention performed within the first 48 hours was not increased compared with that for later interventions. This raises the question of the optimal timing of CA intervention in symptomatic CA stenosis. To answer this question, more data are needed, preferably from large randomized trials. PMID: 23971962 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 23, 2013 Category: Neurosurgery Authors: Mono ML, Steiger I, Findling O, Jung S, Reinert M, Galimanis A, Kuhlen D, Beck J, El-Koussy M, Brekenfeld C, Schroth G, Fischer U, Nedeltchev K, Mattle HP, Arnold M Tags: J Neurosurg Source Type: research

Encephaloduroarteriosynangiosis for adult intracranial arterial steno-occlusive disease: long-term single-center experience with 107 operations.
CONCLUSIONS EDAS is well tolerated in adults with MMD and ICASD and improves collateral circulation to territories at risk. The rates of stroke after EDAS are lower than those reported with other treatments, including intensive medical therapy in patients with ICASD. PMID: 26067617 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - June 12, 2015 Category: Neurosurgery Authors: Gonzalez NR, Dusick JR, Connolly M, Bounni F, Martin NA, Van de Wiele B, Liebeskind DS, Saver JL Tags: J Neurosurg Source Type: research

Quantitative analysis of the effect of institutional case volume on complications after surgical clipping of unruptured aneurysms.
CONCLUSIONS Although the authors confirm that increasing case volume is associated with reduced complications after clipping of UIAs, their results suggest that the relationship between case volume and complications is not necessarily linear. Moreover, these results indicate that the effect of case volume on outcome is most evident between very-low-volume centers relative to centers with a medium-to-high volume. PMID: 28059649 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 5, 2017 Category: Neurosurgery Authors: Rinaldo L, McCutcheon BA, Murphy ME, Shepherd DL, Maloney PR, Kerezoudis P, Bydon M, Lanzino G Tags: J Neurosurg Source Type: research