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Recurrence of internal carotid artery dissection associated with elongated styloid process: A case report
CONCLUSION: The elongated styloid process may cause recurrent ischemic attacks over a decade due to ICA dissection.PMID:34621588 | PMC:PMC8492427 | DOI:10.25259/SNI_536_2021
Source: Surgical Neurology International - October 8, 2021 Category: Neurosurgery Authors: Shigeomi Yokoya Hidesato Takezawa Hideki Oka Akihiko Hino Source Type: research

E-104 Young man with osteogenesis imperfecta presenting with acute stroke from carotid dissection and subsequent contralateral pseudoaneurysm
ConclusionOsteogenesis imperfecta (OI) has been associated with numerous cerebrovascular conditions including carotid cavernous fistulas, cerebral aneurysms, and carotid dissections with attendant risk of stroke. While our patient was able to be successfully treated for his initial carotid dissection in the acute phase, he was at higher risk for stroke, whereas his subsequent carotid dissection was identified pre-symptomatically and treated electively. Judicious evaluation of patients with OI for cervical carotid dissections is warranted for early identification and treatment.Disclosures A. Mbaluka: None. R. Sanchez-Mejia:...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Mbaluka, A., Sanchez-Mejia, R., Ryan, R. Tags: Electronic poster abstracts Source Type: research

P-039 Flow diverters for treatment of ICA loop dissections or ICA dissections with associated pseudoaneurysm
ConclusionUse of flow diverters, in some cases in conjunction with (carotid) stents, is an effective treatment option for cervical carotid artery dissections, especially loop dissections with or without associated pseudo aneurysms.Disclosures J. Singh: None. A. Kuhn: None. K. de Macedo Rodrigues: None. F. Massari: None. M. Gounis: 1; C; National Institutes of Health (NIH), the United States – Israel Binational Science Foundation, Anaconda, ApicBio, Axovant, Cerenovus, Cook Medical, Gentuity, Imperative Care, InNeuroCo, Magneto, Mic. 2; C; Cerenovus, Imperative Care, phenox, Medtronic Neurovascular, Route 92 Medical, ...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Singh, J., Kuhn, A., de Macedo Rodrigues, K., Massari, F., Gounis, M., Puri, A. Tags: Oral poster abstracts Source Type: research

Fusion for subaxial bow hunter's syndrome results in remote osseous remodeling of the hyperostotic growth responsible for vertebral artery compression
CONCLUSION: This case represents the first publication in the literature of DISH as a causative etiology of BHS and of angiographic data demonstrating resolution of a compressive osseous pathology without direct decompression in BHS.PMID:33880209 | PMC:PMC8053469 | DOI:10.25259/SNI_762_2020
Source: Surgical Neurology International - April 21, 2021 Category: Neurosurgery Authors: Daniel Satoshi Ikeda Charles A Miller Vijay M Ravindra Source Type: research

Microsurgical embolectomy with superficial temporal artery-middle cerebral artery bypass for acute internal carotid artery dissection: A technical case report.
Conclusion: Surgical embolectomy with or without bypass can safely treat acute ischemic stroke due to an ICA dissection that cannot be distinguished between a dissecting occlusion and an embolic occlusion. Thus, it may be considered as an alternative option for patients in whom mechanical thrombectomy has failed or for those who are ineligible for mechanical thrombectomy. PMID: 32874726 [PubMed]
Source: Surgical Neurology International - September 3, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical Technique for Carotid Endarterectomy: Current Methods and Problems.
Authors: Uno M, Takai H, Yagi K, Matsubara S Abstract Over the last 60 years, many reports have investigated carotid endarterectomy (CEA) and techniques have thus changed and improved. In this paper, we review the recent literature regarding operational maneuvers for CEA and discuss future problems for CEA. Longitudinal skin incision is common, but the transverse incision has been reported to offer minimal invasiveness and better cosmetic effects for CEA. Most surgeons currently use microscopy for dissection of the artery and plaque. Although no monitoring technique during CEA has been proven superior, multiple mon...
Source: Neurologia Medico-Chirurgica - August 19, 2020 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research

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