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Vertebral artery dissection after a chiropractor neck manipulation.
This report illustrates the potential hazards associated with neck trauma, including chiropractic manipulation. The vertebral arteries are at risk for aneurysm formation and/or dissection, which can cause acute stroke. PMID: 25552813 [PubMed]
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Jones J, Jones C, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Spontaneous subarachnoid hemorrhage of unknown origin: hospital course and long-term clinical and angiographic follow-up.
CONCLUSIONS Hydrocephalus and delayed cerebral ischemia, while infrequent, do occur in SAH of unknown origin. Long-term neurological outcomes are generally good. A thorough evaluation to rule out an etiology of hemorrhage is necessary; however, imaging beyond 6 weeks from ictus has little utility, and rebleeding is unexpected. PMID: 25526276 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - December 19, 2014 Category: Neurosurgery Authors: Elhadi AM, Zabramski JM, Almefty KK, Mendes GA, Nakaji P, McDougall CG, Albuquerque FC, Preul MC, Spetzler RF Tags: J Neurosurg Source Type: research

Preoperative Prognostic Value of MRI Findings in 108 Patients with Idiopathic Normal Pressure Hydrocephalus FELLOWS' JOURNAL CLUB
CONCLUSIONS: A small callosal angle, wide temporal horns, and occurrence of disproportionately enlarged subarachnoid space hydrocephalus are common in patients with idiopathic normal pressure hydrocephalus and were significant predictors of a positive shunt outcome. These noninvasive and easily assessed radiologic markers could aid in the selection of candidates for shunt surgery.
Source: American Journal of Neuroradiology - December 15, 2014 Category: Radiology Authors: Virhammar, J., Laurell, K., Cesarini, K. G., Larsson, E.- M. Tags: FELLOWS ' JOURNAL CLUB Source Type: research

Symptomatic contralateral subdural hygromas after decompressive craniectomy: plausible causes and management protocols.
CONCLUSIONS Arachnoid tears and blockage of arachnoid villi appear to be the underlying causes of a CLSDC. The absence of sufficient fluid pressure required for CSF absorption after a DC further aggravates such fluid collections. Underlying hydrocephalus may appear as subdural collections in some patients after the DC. Bur hole drainage appears to be only a temporary measure and leads to recurrence of a CLSDC. Therefore, cranioplasty is the definitive treatment for such collections and, if performed early, may even avert CLSDC formation. A temporary ventriculostomy or an external lumbar drainage may be added to aid the cra...
Source: Journal of Neurosurgery - December 12, 2014 Category: Neurosurgery Authors: Salunke P, Garg R, Kapoor A, Chhabra R, Mukherjee KK Tags: J Neurosurg Source Type: research

Increased prevalence of cardiovascular disease in idiopathic normal pressure hydrocephalus patients compared to a population-based cohort from the HUNT3 survey
Conclusions: The data show significantly increased prevalence of cardiovascular disease iNPH patients, which provide evidence that cardiovascular disease is involved as an exposure in the development of iNPH.
Source: Cerebrospinal Fluid Research - August 19, 2014 Category: Neurology Authors: Per EideAre Pripp Source Type: research

Complete spontaneous thrombosis and recanalization of a ruptured posterior cerebral artery aneurysm.
Abstract Complete spontaneous thrombosis followed by recanalization of non-giant aneurysms is a rare event that can be discovered incidentally on advanced neural images. In this case report, the authors described a woman who presented with subarachnoid hemorrhage (SAH) and left posterior cerebral artery (PCA) territory ischemic stroke. Cerebral angiography revealed a left PCA aneurysm at the P1-P2 junction. The patient received conservative treatment and repeated cerebral angiography 4 weeks later demonstrated the disappeared aneurysm. Subsequent magnetic resonance imaging (MRI) and contrast-enhanced computed tomo...
Source: Turkish Neurosurgery - May 27, 2014 Category: Neurosurgery Authors: Wei D, Jingru Z, Cungang F, Yake X, Dongliang W, Zhengmao W, Xinting W, Qingjun Z Tags: Turk Neurosurg Source Type: research

Clipping Versus Coiling for Ruptured Intracranial Aneurysms: A Systematic Review and Meta-Analysis Original Contributions
Conclusions— Coiling yields a better clinical outcome, the benefit being greater in those with a good preoperative grade than those with a poor preoperative grade. However, coiling leads to a greater risk of rebleeding. Well-designed randomized trials with special considerations to the aspect are needed.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Li, H., Pan, R., Wang, H., Rong, X., Yin, Z., Milgrom, D. P., Shi, X., Tang, Y., Peng, Y. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma, Other Stroke Treatment - Surgical Original Contributions Source Type: research

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