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Source: World Neurosurgery
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Total 231 results found since Jan 2013.
Plateletpheresis: Nonoperative Management of Symptomatic Carotid Thrombosis in a Patient with Reactive Thrombocytosis
The most common pathology associated with an intraluminal carotid thrombus is underlying atherosclerosis. In rare cases, it may be associated with thrombocytosis. Currently there are no clear recommendations for the treatment of ischemic stroke associated with thrombocytosis. Our present case illustrates the use of plateletpheresis for the acute management of thrombocytosis complicated by an internal carotid artery thrombus resulting in a right middle cerebral artery stroke.
Source: World Neurosurgery - March 16, 2018 Category: Neurosurgery Authors: Raisa C. Mart ínez, Samuel Quaynor, Mohammed Alkhalifah, Fernando D. Goldenberg Tags: Case Report Source Type: research
Prehospital and Intrahospital Temporal Intervals in Patients Requiring Emergent Trauma Craniotomy. A 6-Year Observational Study in a Level 1 Trauma Center
According to level 2 evidence, earlier evacuation of acute subdural or epidural hematomas necessitating surgery is associated with better outcome. Hence, guidelines recommend performing these procedures immediately. Literature on the extent and causes of prehospital and intrahospital intervals in patients with trauma requiring emergent craniotomies is almost completely lacking. Studies delineating and refining the interval before thrombolytic agent administration in ischemic stroke have dramatically reduced the door-to-needle time.
Source: World Neurosurgery - March 13, 2018 Category: Neurosurgery Authors: Philippe De Vloo, Stefaan Nijs, Sandra Verelst, Johannes van Loon, Bart Depreitere Tags: Original Article Source Type: research
Pre-hospital and intra-hospital temporal intervals in patients requiring emergent trauma craniotomy. A 6-year observational study in a level 1 trauma center
According to level 2 evidence, earlier evacuation of acute subdural or epidural hematomas necessitating surgery is associated with better outcome. Hence, guidelines recommend performing these procedures “immediately”. Literature on extent and causes of pre- and intra-hospital intervals in trauma patients requiring emergent craniotomies is almost completely lacking. Studies delineating and refining the interval before thrombolytic agent administration in ischemic stroke have dramatically reduced the “door-to-needle time”.
Source: World Neurosurgery - March 13, 2018 Category: Neurosurgery Authors: Philippe De Vloo, Stefaan Nijs, Sandra Verelst, Johannes van Loon, Bart Depreitere Tags: Original article Source Type: research
Recanalized Left Internal Carotid Artery Bifurcation Aneurysm with Adherent Thrombus at Aneurysm Neck and M1 Origin Diagnosed on 2-Dimensional Angiography —Cause of Embolic Stroke
We report a unique case of recanalized left internal carotid artery aneurysm with thrombus adherent to the aneurysm neck and M1 origin diagnosed on 2-dimensional angiography causing embolic stroke in a 66-year-old female who was successfully treated with stent-assisted coiling. This is important to recognize as a cause of embolic stroke.
Source: World Neurosurgery - March 7, 2018 Category: Neurosurgery Authors: Anshu Mahajan, Gaurav Goel, Biplab Das, Karanjit Singh Narang Tags: Clinical Images Source Type: research
Technical Modification of Amygdalo-Hippocampectomy in Temporal Lobe Epilepsy Surgery to Further Reduce Severe Neurological Complications: A Clinical-Anatomical Study
Temporal lobe resection (TLR) including amygdalohippocampectomy (AHE) is the most frequent performed procedure in epilepsy surgery. Owing to the close anatomic relationship of the mesial temporal structures and the midbrain and choroidal fissure, the incidence of severe complications, such as postoperative stroke, is as high as 2.5%.
Source: World Neurosurgery - March 7, 2018 Category: Neurosurgery Authors: Karl Roessler, Burkhard S. Kasper, Roland Coras, Soheil Arinrad, Michael Scholz, Hajo H. Hamer, Ingmar Bl ümcke, Michael Buchfelder Tags: Original Article Source Type: research
Recanalized Left Internal carotid artery bifurcation aneurysm with adherent thrombus at aneurysm neck and M1 origin diagnosed on 2-Dimensional Angiography - A Cause of Embolic stroke
Source: World Neurosurgery - March 7, 2018 Category: Neurosurgery Authors: Anshu Mahajan, Gaurav Goel, Biplab Das, Karanjit Singh Narang Tags: Clinical Images Source Type: research
Technical modification of amygdalo-hippocampectomy (AHE) in temporal lobe epilepsy surgery to further reduce severe neurological complications. A clinical- anatomical study
Temporal lobe resection (TLR) including amygdalo-hippocampectomy (AHE) is the most frequent performed procedure in epilepsy surgery. Due to close anatomical relationship of the mesial temporal structures and the midbrain and choroidal fissure, the risk of severe complications like postoperative stroke is up to 2.5%.
Source: World Neurosurgery - March 7, 2018 Category: Neurosurgery Authors: Karl Roessler, Burkhard S. Kasper, Roland Coras, Soheil Arinrad, Michael Scholz, Hajo H. Hamer, Ingmar Bl ümcke, Michael Buchfelder Tags: Original article Source Type: research
Comparison of Outcomes After Mechanical Thrombectomy Alone or Combined with Intravenous Thrombolysis and Mechanical Thrombectomy for Patients with Acute Ischemic Stroke due to Large Vessel Occlusion
Whether intravenous thrombolysis (IVT) before mechanical thrombectomy (MT) provides additional benefits remains controversial. We aimed to compare clinical and radiologic outcomes between IVT+MT and MT alone groups.
Source: World Neurosurgery - March 3, 2018 Category: Neurosurgery Authors: Jai Ho Choi, Sang Hyuk Im, Ki Jeong Lee, Ja Seong Koo, Bum Soo Kim, Yong Sam Shin Tags: Original Article Source Type: research
Comparison of Outcome After Mechanical Thrombectomy Alone or Combined Intravenous Thrombolysis and Mechanical Thrombectomy for Patients with Acute Ischemic Stroke due to Large Vessel Occlusion
Whether intravenous thrombolysis (IVT) prior to mechanical thrombectomy (MT) provides additional benefits remains controversial. We aimed to compare clinical and radiologic outcomes between IVT+MT and MT alone groups.
Source: World Neurosurgery - March 3, 2018 Category: Neurosurgery Authors: Jai Ho Choi, Sang Hyuk Im, Ki Jeong Lee, Ja Seong Koo, Bum Soo Kim, Yong Sam Shin Source Type: research
Comparison of Outcomes After Mechanical Thrombectomy Alone or Combined with Intravenous Thrombolysis and Mechanical Thrombectomy for Patients with Acute Ischemic Stroke due to Large Vessel Occlusion
Whether intravenous thrombolysis (IVT) before mechanical thrombectomy (MT) provides additional benefits remains controversial. We aimed to compare clinical and radiologic outcomes between IVT+MT and MT alone groups.
Source: World Neurosurgery - March 3, 2018 Category: Neurosurgery Authors: Jai Ho Choi, Sang Hyuk Im, Ki Jeong Lee, Ja Seong Koo, Bum Soo Kim, Yong Sam Shin Tags: Original Article Source Type: research
DEFUSE-3 Trial: Reinforcing Evidence for Extended Endovascular Intervention Time Window for Ischemic Stroke
The incidence of ischemic stroke in the United States is 3.29 per 1000 persons per year, making it the first and fourth greatest causes of disability and mortality, respectively.1 Previous randomized clinical trials (RCTs) investigating acute ischemic stroke (AIS) due to large-vessel occlusion (LVO) have shown that endovascular intervention is clinically beneficial when performed within 6 hours of onset.2-7 A few of these RCTs had perfusion imaging inclusion criteria, showing superior results when compared with similar RCTs without such criteria.
Source: World Neurosurgery - February 17, 2018 Category: Neurosurgery Authors: Dallas L. Sheinberg, David J. McCarthy, Eric C. Peterson, Robert M. Starke Tags: News and Opinion Source Type: research
DEFUSE - 3: Reinforcing evidence for extended endovascular intervention time window for ischemic stroke
Source: World Neurosurgery - February 17, 2018 Category: Neurosurgery Authors: Dallas L. Sheinberg, David J. McCarthy, Eric C. Peterson, Robert M. Starke Source Type: research
Another Endovascular Therapy Strategy for Acute Tandem Occlusion: Protect-Expand-Aspiration-Revascularization-Stent (PEARS) Technique
This study aimed to evaluate the feasibility of the “half” anterograde approach and clinical outcome of treated patients. Revascularization validity of the two “half” anterograde approach with (PEARS technique) or without (plain technique) using an embolic prevention device and aspiration was also compared.
Source: World Neurosurgery - February 17, 2018 Category: Neurosurgery Authors: Ting-Yu Yi, Wen-Huo Chen, Yan-Min Wu, Mei-Fang Zhang, Ding-lai Lin, Xiao-hui Lin Tags: Original article Source Type: research
