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Source: World Neurosurgery
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Total 231 results found since Jan 2013.
Patterns of Stroke Transfers and Identification of Predictors for Thrombectomy
Inter-hospital transfers for endovascular thrombectomy (EVT) evaluation have increased since the publication of landmark neuroendovascular stroke trials in 2015. The lack of guidelines to select potential EVT candidates prior to transfer can lead to instances where, despite considerable costs and transport risks, transferred patients do not ultimately undergo EVT. Our aim was to characterize the patterns and identify predictors for EVT upon transfer.
Source: World Neurosurgery - October 5, 2018 Category: Neurosurgery Authors: Luciana Catanese, Raghav Gupta, Christoph J. Griessenauer, Justin M. Moore, Nimer Adeeb, Alejandro Enriquez-Marulanda, Abdulrahman Y. Alturki, Luis C. Ascanio, Vasileios Lioutas, Ashkan Shoamanesh, Wendy Cohen, Sandeep Kumar, Magdy Selim, Ajith J. Thomas, Tags: Original article Source Type: research
Objective Pupillometry As an Adjunct to Prediction And Assessment For Oculomotor Nerve Injury And Recovery: Potential for Practical Applications
The pupillary light reflex examination is an intrinsic part of any good neurological exam. It can be affected by injury to the eye itself, the afferent and efferent pathways, and more importantly the brain due to stroke, traumatic brain injury, or toxicity. There has been consistent evidence that automated pupillometry assessment can provide superior accuracy and interrater correlation compared to bedside eye examination. Pupillary indices such as the Neurological Pupil Index (NPI) may also provide the treatment team with several hours of warning prior to the advent of herniation syndromes, or third nerve palsy.
Source: World Neurosurgery - September 26, 2018 Category: Neurosurgery Authors: Salah G. Aoun, Babu G. Welch, Michaela Cortes, Sonja E. Stutzman, Matthew C. MacAllister, Tarek Y. El Ahmadieh, Mohamed Osman, Stephen A. Figueroa, MD; Jonathan A. White, Hunt. H. Batjer, Daiwai M. Olson Tags: Original article Source Type: research
Transradial Mechanical Thrombectomy For Proximal Mca Occlusion In A First Trimester Pregnancy: Case Report And Literature Review
We present a 37-year-old female in the first trimester that developed recurrent proximal middle cerebral artery (MCA) occlusion after previous thrombolysis and underwent MT via transradial access.
Source: World Neurosurgery - September 24, 2018 Category: Neurosurgery Authors: Sumedh S. Shah, Brian M. Snelling, Marie Christine Brunet, Samir Sur, David McCarthy, Alan Stein, Priyank Khandelwal, Robert M. Starke, Eric C. Peterson Tags: Case Report Source Type: research
Surgical thrombectomy combined with bilateral decompressive craniectomy in a desperate case of coma from cerebral venous sinus thrombosis: case report and literature review
Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke. Medical and neurointerventional strategies such as in situ thrombolysis are among the standard therapies. However, these techniques are insufficient when clinical deterioration arises from mass-associated effects and transtentorial herniation, whereupon decompressive hemicraniectomy may be indicated. To the best of our knowledge, the association of open surgical thrombectomy with bilateral decompressive craniectomy has not been reported to date.
Source: World Neurosurgery - September 22, 2018 Category: Neurosurgery Authors: Fran çois Lechanoine, Kévin Janot, Denis Herbreteau, Igor Lima Maldonado, Stéphane Velut Tags: Case Report Source Type: research
In Reply to “Statin Use in Patients Undergoing Carotid Artery Endarterectomy May Significantly Reduce the Occurrence of 30-day Stroke and Myocardial Infarction”
We would like to thank Zheng et al1 for their letter regarding our meta-analysis entitled “Outcome of Carotid Artery Endarterectomy in Statin Users versus Statin-Naïve Patients: A Systematic Review and Meta-Analysis.”2
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Pavlos Texakalidis, Stefanos Giannopoulos, Damianos G. Kokkinidis, Pascal Jabbour, John Reavey-Cantwell, Leonardo Rangel-Castilla Tags: Letter to the Editor Source Type: research
Statin Use in Patients Undergoing Carotid Artery Endarterectomy May Significantly Reduce the Occurrence of 30-Day Stroke and Myocardial Infarction
With great interest, we read the article by Texakalidis et al1 entitled “Outcome of Carotid Artery Endarterectomy in Statin Users versus Statin-Naïve Patients: A Systematic Review and Meta-Analysis” published in a recent issue of WORLD NEUROSURGERY. The authors performed a meta-analysis to determine whether the use of statins is beneficial in patient s undergoing carotid artery endarterectomy (CEA). The study is of profound academic importance, and there are some points we would like to address.
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Feng Zheng, Chuanzhen Qiu, Shaochun Yang, Boris Krischek Tags: Letter to the Editor Source Type: research
Efficacy of Carotid Endarterectomy for Mild ( < 50%) Symptomatic Carotid Stenosis with Unstable Plaque
Carotid endarterectomy (CEA) is known to reduce stroke risk in patients with symptomatic, moderate to severe carotid stenosis, but have no apparent impact in patients with symptomatic, mild (
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Daina Kashiwazaki, Shiraishi Keitaro, Shusuke Yamamoto, Tetsuhiro Kamo, Haruto Uchino, Hisayasu Saito, Naoki Akioka, Naoya Kuwayama, Kyo Noguchi, Satoshi Kuroda Tags: Original article Source Type: research
Association of Cardioembolism and Intracranial Arterial Stenosis with Outcomes of Mechanical Thrombectomy in Acute Ischemic Stroke
To estimate the association of different etiologies of cardioembolism (CE), intracranial arterial stenosis (ICAS) or combination of these conditions with the outcomes of mechanical thrombectomy (MT) in acute ischemic stroke (AIS).
Source: World Neurosurgery - September 19, 2018 Category: Neurosurgery Authors: Yiming Deng, Baixue Jia, Xiaochuan Huo, Ya Peng, Yibin Cao, Shengli Chen, Meng Zhang, Changchun Jiang, Xiaoxiang Peng, Cunfeng Song, Liping Wei, Qiyi Zhu, Zaiyu Guo, Li Liu, Hang Lin, Hua Yang, Wei Wu, Hui Liang, Anding Xu, Kangning Chen, David S. Liebesk Tags: Original article Source Type: research
Combining investigation of imaging markers (island sign and blend sign) and clinical factors in predicting hematoma expansion of intracerebral hemorrhage in the basal ganglia
Intracerebral hemorrhage (ICH) is the most difficult treatable form of stroke that accounts for about 10% to 30% of all strokes worldwide. Hematoma expansion (HE), which occurs in one third of ICH patients, is strongly predictive of worse prognosis and potentially preventable if high-risk patients are identified in the early phase of ICH. We summarized data from recent studies on HE prediction and classified those potential indicators into two categories: (i) clinical& laboratory; (ii) radio-graphic.
Source: World Neurosurgery - September 7, 2018 Category: Neurosurgery Authors: Yong-Wei Huang, Ming-Fei Yang Tags: Original article Source Type: research
Novel indirect revascularization technique with preservation of temporal muscle function for Moyamoya disease encephalo-duro-fascio-arterio-pericranial-synangiosis: A case series and technical note
Direct and/or indirect bypass surgery is the established approach for preventing stroke in patients with Moyamoya disease. However, conventional indirect revascularization, including encephalo-myo-synangiosis, have some disadvantages associated with the mass effect of the temporal muscle under the bone flap and post-surgical depression in the temporal region. We devised a novel indirect revascularization method, using only the temporal fascia, to address the aforementioned disadvantages.
Source: World Neurosurgery - September 6, 2018 Category: Neurosurgery Authors: Kei Noguchi, Takachika Aoki, Kimihiko Orito, Soushou Kajiwara, Kana Fujimori, Motohiro Morioka Tags: Technical Note Source Type: research
Endovascular Therapy Strategy for Acute Embolic Tandem Occlusion: the Pass-thrombectomy-protective thrombectomy (Double PT) Technique
This study aimed to evaluate the feasibility of the pass-thrombectomy-protective thrombectomy (double PT) technique and the clinical outcome of treated patients.
Source: World Neurosurgery - August 24, 2018 Category: Neurosurgery Authors: Wen-Huo Chen, Ting-Yu Yi, Yan-Min Wu, Mei-Fang Zhang, Ding-lai Lin, Xiao-hui Lin Tags: Original article Source Type: research
Clinical outcome after mechanical thrombectomy in diabetic patients with major ischemic stroke of the anterior cerebral circulation
This study aims to provide a comprehensive analysis of factors associated with unfavorable outcome in DP receiving MT for stroke of the anterior circulation.
Source: World Neurosurgery - August 16, 2018 Category: Neurosurgery Authors: Jan Borggrefe, Berit Gl ück, Volker Maus, Oezgur Onur, Nuran Abdullayev, Utako Barnikol, Christoph Kabbasch, Gereon Rudolf Fink, Anastasios Mpotsaris Tags: Original article Source Type: research
Clinical Outcome After Mechanical Thrombectomy in Patients with Diabetes with Major Ischemic Stroke of the Anterior Circulation
This study aims to provide a comprehensive analysis of factors associated with unfavorable outcome in DP receiving MT for stroke of the anterior circulation.
Source: World Neurosurgery - August 16, 2018 Category: Neurosurgery Authors: Jan Borggrefe, Berit Gl ück, Volker Maus, Özgür Onur, Nuran Abdullayev, Utako Barnikol, Christoph Kabbasch, Gereon Rudolf Fink, Anastasios Mpotsaris Tags: Original Article Source Type: research
Final Infarct Volume of < 10 cm3 is a Strong Predictor of Return to Home in Nonagenarians Undergoing Mechanical Thrombectomy
Although elderly patients have generally worse outcomes after acute ischemic stroke, they may derive significant incremental benefit from thrombectomy as compared with medical management. Although several case series for octogenarians have been reported, data for nonagenarians are scarce.
Source: World Neurosurgery - August 10, 2018 Category: Neurosurgery Authors: Daniel A. Tonetti, Bradley A. Gross, Shashvat M. Desai, Ashutosh P. Jadhav, Brian T. Jankowitz, Tudor G. Jovin Tags: Original Article Source Type: research
Functional Independence After Stroke Thrombectomy Using Thrombolysis in Cerebral Infarction Grade 2c, A New Aim of Successful Revascularization
Within the thrombolysis in cerebral infarction (TICI) classification, TICI 2b has been historically considered successful recanalization. However, TICI 2b may result in worse functional outcomes as compared to TICI 3 or a proposed TICI 2c revascularization grade. The purpose of this study was to evaluate differences in functional independence at 90 days between the TICI 2b, 2c, and 3 grades.
Source: World Neurosurgery - August 10, 2018 Category: Neurosurgery Authors: Varun Naragum, Gaurav Jindal, Timothy Miller, Matt Kole, Ravi Shivashankar, Jose G. Merino, John Cole, Rong Chen, Nathan Kohler, Dheeraj Gandhi Tags: Original article Source Type: research
