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Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

Surgical revascularization for quasi-moyamoya disease associated with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome: a case report and literature review
Nagoya J Med Sci. 2023 Feb;85(1):141-149. doi: 10.18999/nagjms.85.1.141.ABSTRACTPOEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare multisystem disease characterized by plasma cell dyscrasia and overproduction of vascular endothelial growth factor, which is related to disease activity. Recent treatment strategies have improved survival of patients suffering from this disorder; however, ischemic stroke remains a poor prognostic factor. POEMS patients with ischemic stroke frequently develop cerebral large artery stenosis/occlusion, followed by progressive stroke. P...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Jun-Ichi Koyama Yusuke Takahashi Nagaaki Katoh Mai Iwaya Yu Fujii Toshihiro Ogiwara Tetsuyoshi Horiuchi Source Type: research

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