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A useful diagnostic method to reduce the in-hospital time delay for mechanical thrombectomy: volume perfusion computed tomography with added vessel reconstruction.
CONCLUSIONS Compared with CTA, VPCTA significantly reduced the in-hospital time delay during the prethrombectomy period. PMID: 29652229 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 13, 2018 Category: Neurosurgery Authors: Yi HJ, Sung JH, Lee DH, Yang SH, Hong JT Tags: J Neurosurg Source Type: research

Blunt cerebrovascular injuries in severe traumatic brain injury: incidence, risk factors, and evolution.
CONCLUSIONS Blunt cerebrovascular injuries are frequent after severe TBI (incidence 9.2%). The main risk factors are high-velocity lesions and injuries near cervical arteries. PMID: 27471889 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - July 28, 2016 Category: Neurosurgery Authors: Esnault P, Cardinale M, Boret H, D'Aranda E, Montcriol A, Bordes J, Prunet B, Joubert C, Dagain A, Goutorbe P, Kaiser E, Meaudre E Tags: J Neurosurg Source Type: research

Impact of subclinical coronary artery disease on the clinical outcomes of carotid endarterectomy.
CONCLUSIONS Patients with subclinical CAD can undergo CEA with acceptable short- and long-term outcomes provided they receive selective coronary revascularization and optimal perioperative medical treatment. PMID: 27257829 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - June 2, 2016 Category: Neurosurgery Authors: Kwon H, Moon DH, Han Y, Lee JY, Kwon SU, Kang DW, Choo SJ, Kwon TW, Kim MJ, Cho YP Tags: J Neurosurg Source Type: research

Clinical utility of a screening protocol for blunt cerebrovascular injury using computed tomography angiography.
CONCLUSIONS The results of this study suggest that a CTA screening protocol for BCVI may be of clinical benefit with possible reduction in ischemic complications. The treatment of BCVI with antiplatelet agents appears to be safe. PMID: 27104846 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 21, 2016 Category: Neurosurgery Authors: Tso MK, Lee MM, Ball CG, Morrish WF, Mitha AP, Kirkpatrick AW, Wong JH Tags: J Neurosurg Source Type: research

Molsidomine for the prevention of vasospasm-related delayed ischemic neurological deficits and delayed brain infarction and the improvement of clinical outcome after subarachnoid hemorrhage: a single-center clinical observational study.
CONCLUSIONS In this post hoc analysis, patients with CVS who were treated with intravenous molsidomine had a significant improvement in clinical outcome and less cerebral infarction. Molsidomine offers a promising therapeutic option in patients with severe SAH and CVS and should be assessed in a prospective study. PMID: 26162034 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - July 10, 2015 Category: Neurosurgery Authors: Ehlert A, Schmidt C, Wölfer J, Manthei G, Jacobs AH, Brüning R, Heindel W, Ringelstein EB, Stummer W, Pluta RM, Hesselmann V Tags: J Neurosurg Source Type: research

Outcome in adult patients with hemorrhagic moyamoya disease after combined extracranial-intracranial bypass.
Conclusions Revascularization may provide a benefit over conservative therapy for hemorrhagic MMD patients. The improvement of dilation and branch extension of AChA-PCoA might be correlated with the low rebleeding rate. PMID: 25127415 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 15, 2014 Category: Neurosurgery Authors: Jiang H, Ni W, Xu B, Lei Y, Tian Y, Xu F, Gu Y, Mao Y Tags: J Neurosurg Source Type: research

Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke.
Abstract The authors report a case of an intracranial extravasation during the withdrawal of a Trevo ProVue stent retriever device in a patient being treated for acute ischemic stroke. An 82-year-old woman developed sudden left hemiparesis and aphasia during an urgent cardiac catheterization procedure for a non-ST elevation myocardial infarction. She had a baseline National Institutes of Health Stroke Scale (NIHSS) score of at least 10 and no improvement with intravenous administration of tissue plasminogen activator (tPA). Cerebral angiography was performed with conscious sedation, confirming an occlusion of the ...
Source: Journal of Neurosurgery - June 13, 2014 Category: Neurosurgery Authors: Leishangthem L, Satti SR Tags: J Neurosurg Source Type: research

Risk factors indicating the need for cranial CT scans in elderly patients with head trauma: an Austrian trial and comparison with the Canadian CT Head Rule.
Conclusions The use of the suggested parameters proved to be superior in the detection of high-risk patients who sustained a mild head trauma compared with the CCHR rules. Further validation of these results in a multicenter setting is needed. Clinical trial registration no.: NCT00451789 ( ClinicalTrials.gov .). PMID: 24313609 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - December 6, 2013 Category: Neurosurgery Authors: Wolf H, Machold W, Frantal S, Kecht M, Pajenda G, Leitgeb J, Widhalm H, Hajdu S, Sarahrudi K Tags: J Neurosurg Source Type: research

Clinical application of perfusion computed tomography in neurosurgery.
Conclusions Perfusion CT provides quantitative and qualitative data that can add diagnostic and prognostic value in a number of neurosurgical disorders, and also help with clinical decision making. With emerging new technical developments in PCT, such as characterization of blood-brain barrier permeability and whole-brain PCT, this technique is expected to provide more and more insight into the pathophysiology of many neurosurgical conditions. PMID: 24266541 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 22, 2013 Category: Neurosurgery Authors: Huang AP, Tsai JC, Kuo LT, Lee CW, Lai HS, Tsai LK, Huang SJ, Chen CM, Chen YS, Chuang HY, Wintermark M Tags: J Neurosurg Source Type: research

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