Filtered By:
Procedure: Cervical Discectomy

This page shows you your search results in order of relevance. This is page number 5.

Order by Relevance | Date

Total 417 results found since Jan 2013.

Intentional subintimal carotid stenting of internal carotid dissection in a patient with acute ischaemic stroke.
We report the case of a young woman with severe acute ischaemic stroke due to carotid artery dissection and intracranial embolism. After failure of endoluminal crossing of the dissected segment, intentional subintimal crossing with re-entry distally to the dissection was achieved and a stent was deployed. Then, middle cerebral artery thrombectomy was performed achieving good recanalisation. Acute thrombus formed in the bulged segment of the carotid stent and was managed with additional stent placement. The patient had a good clinical recovery. In selected cases, after failure of conventional techniques, subintimal recanali...
Source: Interventional Neuroradiology - November 2, 2016 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Etiologies of internal carotid artery pseudo-occlusions in acute stroke patients: what neurointerventionalists can expect.
Abstract In cases of acute stroke, differentiation between an occluded and a patent internal carotid artery (ICA) is crucial for diagnosis and management. Although computed tomography angiography (CTA) can be highly accurate in defining high-grade stenosis and ICA occlusions, misleading ICA occlusion patterns are not rare in acute stroke patients. We investigated the underlying causes of ICA pseudo-occlusions with CTA with respect to digital subtraction angiography (DSA). 11 out of 72 patients had pseudo-occlusion on CTA. Of these, there were three cases of tandem occlusions accompanying high-grade ICA stenosis, f...
Source: The British Journal of Radiology - December 19, 2016 Category: Radiology Authors: Akpınar S, Gelener P, Yilmaz G Tags: Br J Radiol Source Type: research

Stenting of the cervical internal carotid artery in acute stroke management: The Karolinska experience.
Conclusions Our single-centre retrospective analysis of emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy demonstrated high technical success, reasonable clinical outcomes and acceptable rates of symptomatic intracranial haemorrhage in carefully chosen patients which are triaged interdisciplinary based on clinical and computed tomography imaging criteria. This warrants further study in a randomised prospective trial. PMID: 28304205 [PubMed - in process]
Source: Interventional Neuroradiology - March 20, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Clinical and Imaging Characteristics of Arteriopathy Subtypes in Children with Arterial Ischemic Stroke: Results of the VIPS Study PEDIATRICS
CONCLUSIONS: Childhood arteriopathy subtypes have some typical features that aid diagnosis. Better imaging methods, including vessel wall imaging, are needed for improved classification of focal cerebral arteriopathy of childhood.
Source: American Journal of Neuroradiology - November 15, 2017 Category: Radiology Authors: Wintermark, M., Hills, N. K., DeVeber, G. A., Barkovich, A. J., Bernard, T. J., Friedman, N. R., Mackay, M. T., Kirton, A., Zhu, G., Leiva-Salinas, C., Hou, Q., Fullerton, H. J., the VIPS Investigators Tags: PEDIATRICS Source Type: research

Bilateral vertebral artery dissection and cerebellar stroke: a rare complication of massage.
We describe the case of a 39-year-old male, who presented to our emergency department after a one-day history of headache and vomiting, with associated sudden onset posterior neck pain and cerebellar signs following a massage. Computed tomography angiogram and brain demonstrated bilateral vertebral artery dissection and cerebellar stroke. He was admitted to hospital for monitoring and conservative management with antiplatelet therapy, resulting in a good outcome. This is the first reported case of bilateral vertebral artery dissection and stroke to be associated with massage. This case also suggests, unlike many reports in...
Source: New Zealand Medical Journal - April 5, 2020 Category: General Medicine Tags: N Z Med J Source Type: research

Advances in Management of the Stroke Etiology One-Percenters
AbstractPurpose of ReviewUncommon causes of stroke merit specific attention; when clinicians have less common etiologies of stoke in mind, the diagnosis may come more easily. This is key, as optimal management will in many cases differs significantly from “standard” care.Recent FindingsRandomized controlled trials (RCT) on the best medical therapy in the treatment of cervical artery dissection (CeAD) have demonstrated low rates of ischemia with both antiplatelet and vitamin K antagonism. RCT evidence supports the use of anticoagulation with vitamin K antagonism in “high-risk” patients with antiphospholipid antibody...
Source: Current Neurology and Neuroscience Reports - May 29, 2023 Category: Neuroscience Source Type: research

E-108 Endovascular treatment of patients with acute ischemic stroke due to underlying arterial dissection: a nationwide analysis
ConclusionsDespite a similar prevalence among patients admitted for AIS, CA dissections are associated with a higher rate of endovascular intervention and poorer short-term outcomes compared to VA dissections. This study provides essential epidemiologic and outcome data for the cerebrovascular neurosurgeon.Abstract E-108 Table 1Comparison of clinical characteristics and outcomes among patients presenting with acute ischemic stroke due to carotid or vertebral artery dissections Characteristic Vertebral Artery Dissection, N = 2,562 Carotid Artery Dissection, N = 2,789 p-value1 Age (years), Mean (SD) 53 (17) 57 (17) <0.00...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Brandel, M., McCann, C., Wali, A., Wu, V., Esmail, S., Steinberg, J., Olson, S., Pannell, J., Khalessi, A., Santiago-Dieppa, D. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

Stroke Due To Extracranial Internal Carotid Artery Dissection After Roller Coaster Rides In A 4-Year-Old Boy (P7.343)
CONCLUSIONS: To our knowledge this is the youngest patient with stroke secondary to ICA dissection following roller-coaster rides. Although the exact mechanism of injury leading to ICA dissection in the setting of sudden linear acceleration, deceleration and rotational forces such as those experienced while riding a roller coaster is not fully understood, these injuries have been attributed to brief sustained excessive gravitational forces likely augmented among predisposed individuals. Children may be at higher risk due to the immature anatomy of their cervical spine. Alterations to roller coaster ride dynamics and use of...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Nouh, A., Vela-Duarte, D., Grobelny, T., Hoganson, G., Pasquale, D., Biller, J. Tags: Child Neurology and Developmental Neurology VI Source Type: research

Clinical import of Horner syndrome in internal carotid and vertebral artery dissection
Conclusion: In patients with ICAD, HS is an easily assessable marker that might indicate a more benign clinical course. HS had no prognostic meaning in patients with VAD.
Source: Neurology - May 5, 2014 Category: Neurology Authors: Lyrer, P. A., Brandt, T., Metso, T. M., Metso, A. J., Kloss, M., Debette, S., Leys, D., Caso, V., Pezzini, A., Bonati, L. H., Thijs, V., Bersano, A., Touze, E., Gensicke, H., Martin, J. J., Lichy, C., Tatlisumak, T., Engelter, S. T., Grond-Ginsbach, C., F Tags: Stroke in young adults, Carotid artery dissection ARTICLE Source Type: research

Case Misclassification in Studies of Spinal Manipulation and Arterial Dissection
Background: Spinal manipulation has been associated with cervical arterial dissection and stroke but a causal relationship has been questioned by population-based studies. Earlier studies identified cases using International Classification of Diseases Ninth Revision (ICD-9) codes specific to anatomic stroke location rather than stroke etiology. We hypothesize that case misclassification occurred in these previous studies and an underestimation of the strength of the association. We also predicted that case misclassification would differ by patient age.Methods: We identified cases in the Veterans Health Administration datab...
Source: Journal of Stroke and Cerebrovascular Diseases - September 1, 2014 Category: Neurology Authors: Xuemei Cai, Ali Razmara, Jessica K. Paulus, Karen Switkowski, Pari J. Fariborz, Sergey D. Goryachev, Leonard D'Avolio, Edward Feldmann, David E. Thaler Tags: Original Articles Source Type: research

Endovascular management and outcome of acute middle cerebral artery stroke in the setting of spontaneous carotid dissection (P1.012)
Conclusion: This study provides additional evidence that endovascular management of carotid artery dissection in acute middle cerebral artery is effective and safe to maintain distal revascularization. Revascularization can be achieved with a combination of stenting, large catheter mediated angioplasty and thrombectomy. Further studies are warranted to investigate the role of endovascular recanalization for this stroke subtypeDisclosure: Dr. Gulati has nothing to disclose. Dr. Aghaebrahim has nothing to disclose. Dr. Ducruet has nothing to disclose. Dr. Jankowitz has nothing to disclose. Dr. Jovin has received personal com...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Gulati, D., Aghaebrahim, A., Ducruet, A., Jankowitz, B., Jovin, T., Jadhav, A. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research

Sensitivity to acute cerebral ischemic injury in migraineurs: A retrospective case-control study
Conclusions: This case-control study supports the hypothesis that a history of migraine, particularly with aura, is associated with a no-mismatch pattern during acute ischemic stroke, consistent with data obtained in migraine mutant mice.
Source: Neurology - November 30, 2015 Category: Neurology Authors: Mawet, J., Eikermann-Haerter, K., Park, K.-Y., Helenius, J., Daneshmand, A., Pearlman, L., Avery, R., Negro, A., Velioglu, M., Arsava, E. M., Ay, H., Ayata, C. Tags: Migraine, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Intraarterial Treatment for Acute Ischemic Stroke: Analysis of Outcomes of Dissection vs. Non-Dissection Mechanism in 445 patients (P4.380)
Conclusions: Intraarterial treatment appears to be as safe and effective when used in patients with ischemic stroke due to CAD as in AIS patients with other causes. Following the major advances in IAT for AIS in the general population, IAT should be considered in patients with AIS due to a CAD.Disclosure: Dr. Jensen has nothing to disclose. Dr. Salottolo has nothing to disclose. Dr. McCarthy has nothing to disclose. Dr. Loy has nothing to disclose. Dr. Frei has received personal compensation for activities with Microvention, Covidien, Stryker, Siemens, and Penumbra as a consultant. Dr. Wagner has received personal compensa...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jensen, J., Salottolo, K., McCarthy, K., Loy, D., Frei, D., Wagner, J., Whaley, M., Bar-Or, D. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

Mid-cervical flame-shaped pseudo-occlusion: diagnostic performance of mid-cervical flame-shaped extracranial internal carotid artery sign on computed tomographic angiography in hyperacute ischemic stroke
ConclusionThe mid-cervical flame-shaped extracranial ICA sign may suggest the presence of isolated intracranial ICA occlusion and allow reliable exclusion of tandem extracranial-intracranial ICA occlusion in hyperacute ischemic stroke setting.
Source: Neuroradiology - August 7, 2017 Category: Radiology Source Type: research

ASA: Flu-Like Illness Linked to Increased Risk for Stroke
WEDNESDAY, Jan. 30, 2019 -- Influenza-like illness (ILI) is associated with an increased risk for ischemic stroke and cervical artery dissection (CeAD), according to two studies presented at the American Stroke Association International Stroke...
Source: Drugs.com - Pharma News - January 30, 2019 Category: Pharmaceuticals Source Type: news