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Source: World Neurosurgery

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Total 231 results found since Jan 2013.

Letter to the Editor Regarding “Endovascular Thrombectomy Alone versus Combined with Intravenous Thrombolysis”
We read with great interest the systematic review and meta-analysis by Phan et  al.1 We commend them on conducting one of the first reviews reevaluating the role for tissue-plasminogen activator (tPA) in acute ischemic stroke mechanical thrombectomy candidates with large-vessel occlusion, a timely and controversial topic2 that they extensively analyze. However, we would like to highlight a few points regarding study selection that are important for the reader to consider when interpreting the results.
Source: World Neurosurgery - April 26, 2018 Category: Neurosurgery Authors: Rakan Bokhari, Saleh Baeesa, Khalid Bajunaid, Oliver Lasry Tags: Letter to the Editor Source Type: research

Early prediction of poor outcome despite successful recanalization after endovascular treatment for anterior large vessel occlusion stroke
This study aimed to develop a scale to predict poor outcome early despite SR after endovascular treatment (EVT) for candidates identified using current guidelines.
Source: World Neurosurgery - April 16, 2018 Category: Neurosurgery Authors: Huaiming Wang, Meng Zhang, Yonggang Hao, Wenjie Zi, Dong Yang, Zhiming Zhou, Yu Geng, Zhen Wang, Hua Li, Gelin Xu, Graeme J. Hankey, Yunyun Xiong, Xinfeng Liu Tags: Original article Source Type: research

A “crick” in the neck followed by massage offered him a stroke: An uncommon case of vertebral artery dissection
We present an unusual case of vertebral artery dissection in a 30-year-old male patient following an episode of neck massage. He developed headache, nausea, vomiting, blurred vision, diplopia, dizziness, and ataxia following the procedure. We also discuss a review of the pathology, diagnosis, symptomatology, treatment, prognosis, and occurrence of this rare entity.
Source: World Neurosurgery - April 10, 2018 Category: Neurosurgery Authors: Gautam Dutta, Anita Jagetia, Arvind K. Srivastava, Daljit Singh, Hukum Singh, Ravindra K. Saran Tags: Case Report Source Type: research

“Crick” in Neck Followed by Massage Led to Stroke: Uncommon Case of Vertebral Artery Dissection
Vertebral artery dissection (VAD) is an important cause of stroke in young and a known complication of spinal manipulation procedures, although dissection following neck massage has rarely been reported in literature. Head and neck massage by improperly trained salon employees is very popular and widely practiced in developing countries like India. In the present report we present a case of VAD following neck massage.
Source: World Neurosurgery - April 10, 2018 Category: Neurosurgery Authors: Gautam Dutta, Anita Jagetia, Arvind Kumar Srivastava, Daljit Singh, Hukum Singh, Ravindra Kumar Saran Tags: Case Report Source Type: research

Stent-Retriever Thrombectomy Across the Circle of Willis
Endovascular thrombectomy has become the gold standard for acute ischemic stroke intervention in appropriate patients. Occasionally, thrombectomy through the standard craniocervical artery related to the affected territory is not technically feasible due to patient specific anatomical issues.
Source: World Neurosurgery - April 6, 2018 Category: Neurosurgery Authors: Jonathan A. Grossberg, Diogo C. Haussen, Mehdi Bouslama, Raul G. Nogueira Tags: Technical Note Source Type: research

Stent-Retriever Thrombectomy Across Circle of Willis
Endovascular thrombectomy has become the gold standard for acute ischemic stroke intervention in appropriate patients. Occasionally, thrombectomy through the standard craniocervical artery related to the affected territory is not technically feasible due to patient-specific anatomic issues.
Source: World Neurosurgery - April 6, 2018 Category: Neurosurgery Authors: Jonathan A. Grossberg, Diogo C. Haussen, Mehdi Bouslama, Raul G. Nogueira Tags: Technical Note Source Type: research

Strokectomy and Extensive Cerebrospinal Fluid Drainage for the Treatment of Space-Occupying Cerebellar Ischemic Stroke
Cerebellar ischemia may lead to space-occupying edema, resulting in potentially fatal complications. Different surgical procedures are available to create space for the swollen ischemic brain; however, the type and timing of surgical treatments remain topics of debate in the literature. Here we report a case series of patients treated with a unilateral craniotomy to perform a cerebellar strokectomy and extensive cerebrospinal fluid (CSF) drainage without osteodural posterior fossa decompression.
Source: World Neurosurgery - April 3, 2018 Category: Neurosurgery Authors: Fulvio Tartara, Daniele Bongetta, Elena Virginia Colombo, Carlo Bortolotti, Marco Cenzato, Ermanno Giombelli, Paolo Gaetani, Francesco Zenga, Giulia Pilloni, Alfonso Ciccone, Maria Sessa Tags: Original Article Source Type: research

Rare Event Captured with Intracranial Pressure Monitor: Malignant Spike in Intracranial Pressure During Delayed Chest Closure in Heart-Transplant Patient with Ischemic Stroke
Patients with open chest wounds, either related to trauma or cardiothoracic procedures, are subjected to significant physiologic alterations when undergoing chest wound closure. Sudden increased intrathoracic pressure at closure decreases venous return from the brain to the heart; consequently the total blood volume in the ridged skull increases, resulting in increased intracranial pressure (ICP). Patients with intact cerebrovascular autoregulation can compensate for these sudden changes by adjusting cerebral blood flow to maintain physiologic ICP.
Source: World Neurosurgery - March 26, 2018 Category: Neurosurgery Authors: Katherine Berry, Evan M. Luther, Timur Urakov, Malcolm Ross Bullock Tags: Case Report Source Type: research

Rare event captured with an ICP monitor: malignant spike in intracranial pressure during delayed chest closure in heart-transplant patient with an ischemic stroke
Source: World Neurosurgery - March 26, 2018 Category: Neurosurgery Authors: Katherine Berry, Evan M. Luther, Timur Urakov, Ross Bullock Tags: Case Report Source Type: research

Association between blood glucose and functional outcome in intracerebral hemorrhage: a systematic review and meta-analysis
Intracerebral hemorrhage (ICH) is a devastating subtype of stroke. Patients with ICH have poor functional outcome. The association between blood glucose and functional outcome in ICH is still unclear. This systematic review and meta-analysis was aimed to investigate the association between blood glucose and functional outcome in ICH.
Source: World Neurosurgery - March 16, 2018 Category: Neurosurgery Authors: Jun Zheng, Zhiyuan Yu, Lu Ma, Rui Guo, Sen Lin, Chao You, Hao Li Tags: Original article Source Type: research

Association Between Blood Glucose and Functional Outcome in Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis
Intracerebral hemorrhage (ICH) is a devastating subtype of stroke. Patients with ICH have poor functional outcomes. The association between blood glucose level and functional outcome in ICH remains unclear. This systematic review and meta-analysis aimed to investigate the association between blood glucose level and functional outcomes in patients with ICH.
Source: World Neurosurgery - March 16, 2018 Category: Neurosurgery Authors: Jun Zheng, Zhiyuan Yu, Lu Ma, Rui Guo, Sen Lin, Chao You, Hao Li Tags: Original Article Source Type: research