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Journal of Vascular and Interventional Neurology

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[This corrects the article on p. 68 in vol. 8, PMID: 26301035.][This corrects the article on p. 37 in vol. 8.].
June 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, Thomas Kohl
No abstract text is available yet for this article.
June 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, Muhammad Shah Miran, Shijing Li, Meijing Jiang
BACKGROUND AND PURPOSE: Data from electroencephalography (EEG) in preterm infants and neonates suggest that electroencephalographic abnormalities are likely present during antepartum period or fetal stage. We describe our initial effort to record fetal EEG with emphasis on technical aspects since such technique has not been developed as a viable and reproducible method. METHODS: The fetal heads were located in two pregnant volunteers (29 years old and 26 years old) with 28 weeks of gestation by ultrasound imaging...
June 2016: Journal of Vascular and Interventional Neurology
Foad Abd-Allah, Tarek Zoheir Tawfik, Reham Mohammed Shamloul, Montasser M Hegazy, Assem Hashad, Ayman Ismail Kamel, Dina Farees, Nevin M Shalaby
BACKGROUND: Patients with transient ischemic attack (TIA) are generally clinically unstable, with fear of developing a handicapping stroke. Identification of those at highest and lowest risk of stroke in the first days and weeks after a TIA would allow appropriate use of worthy secondary prevention strategies. OBJECTIVE: Incorporation of a clinical scoring system, neurovascular imaging, and magnetic resonance-diffusion-weighted imaging (MR-DWI) to help predicting risk of developing an ischemic stroke following a TIA...
June 2016: Journal of Vascular and Interventional Neurology
Gaurav Jindal, Timothy Miller, Moronke Iyohe, Ravi Shivashankar, Vikram Prasad, Dheeraj Gandhi
PURPOSE: The introduction of small, soft, complex-shaped microcoils has helped facilitate the endovascular treatment of small intracranial aneurysms (IAs) over the last several years. Here, we evaluate the initial safety and efficacy of treating small IAs using only Target(®) Ultrasoft(™) coils. MATERIALS AND METHODS: A retrospective review of a prospectively maintained clinical database at a single, high volume, teaching hospital was performed from September 2011 to May 2015...
June 2016: Journal of Vascular and Interventional Neurology
Muhammad Shah Miran, M Fareed K Suri, Mushtaq H Qureshi, Aamir Ahmad, Mariam K Suri, Rabia Basreen, Adnan I Qureshi
BACKGROUND: Syncope is commonly worked up for carotid stenosis, but only rarely attributed to it. Considering paucity of such cases in literature, we report a case and discuss the pathophysiology. DESIGN/METHODS: We report a patient with high-grade bilateral severe internal carotid artery (ICA) stenosis who presented with syncopal episodes in the absence of stroke, orthostatic hypotension, significant cardiovascular disease, or vasovagal etiology. We reviewed all literature pertaining to syncope secondary to carotid stenosis and other cerebrovascular disease...
June 2016: Journal of Vascular and Interventional Neurology
Farnia Feiz, Reyhane Sedghi, Alireza Salehi, Nahid Hatam, Jamshid Bahmei, Afshin Borhani-Haghighi
BACKGROUND: Anticoagulation with adjusted dose warfarin is a well-accepted treatment for the prevention of recurrent stroke in patients with atrial fibrillation. Meanwhile, using bridging therapy with heparin or heparinoids before warfarin for initiation of anticoagulation is a matter of debate. We compared safety, efficacy, and tolerability of low-molecular-weight heparin (LMWH) and unfractionated heparin (UFH) as a bridging method in patients with recent ischemic stroke due to atrial fibrillation...
June 2016: Journal of Vascular and Interventional Neurology
Fawaz Al-Mufti, Nicholas Morris, Shouri Lahiri, William Roth, Jens Witsch, Iona Machado, Sachin Agarwal, Soojin Park, Philip M Meyers, E Sander Connolly, Jan Claassen
INTRODUCTION: Intra-aortic counterpulsation balloon pumps (IABPs) have been widely used to augment hemodynamics in critically ill patients with cardiogenic shock and have recently been proposed as a management strategy for subarachnoid hemorrhage (SAH) patients with neurogenic stress cardiomyopathy (NSC). Prior case series have described the use of IABP as a means to manage cardiogenic shock in this patient population; however, we sought to describe our experience with IABP as a means to wean vasopressor requirement while augmenting hemodynamics and maintaining pressures at goal...
June 2016: Journal of Vascular and Interventional Neurology
Björn Scheef, Mohamed Al-Khaled
BACKGROUND: Transient ischemic attack (TIA) management requires a cardiac evaluation with a Holter electrocardiogram (ECG), preferably a long-term (24 h) electrocardiogram (LT-ECG), to detect atrial fibrillation (AF), which places patients at higher risk of cerebrovascular events. The aim of this study was to determine the frequency of AF using ECG and LT-ECG in patients with tissue-based TIA. METHODS: During a three-year period (starting in 2011), all consecutive patients with tissue-based TIA (no evidence of infarction by brain imaging) were included and prospectively evaluated...
June 2016: Journal of Vascular and Interventional Neurology
Syed Saad Mahmood, Sunil Manjila, Gagandeep Singh, Andrew R Xavier
BACKGROUND AND PURPOSE: Transesophageal echocardiography (TEE) is a relatively safe imaging modality used to visualize intracardiac thrombus. SUMMARY OF CASE: We report on a unique, fatal complication during TEE of embolization of a pre-existing "smoking" left atrial thrombus causing acute bilateral internal carotid occlusion, confirmed on angiogram. CONCLUSIONS: Patients with history of lung pathology, such as COPD, who experience retching and cough during transesophageal echocardiography may be more susceptible to embolization of pre-existing thrombi...
June 2016: Journal of Vascular and Interventional Neurology
Sunil Manjila, Kunal Kumar, Ashish Kulhari, Gagandeep Singh, Richard S Jung, Robert W Tarr, Nicholas C Bambakidis
The external carotid artery's lingual branch to retromandibular venous fistula following a carotid endarterectomy has not been reported earlier in literature. We report a unique case of an 87-year-old man who had a right-sided carotid endarterectomy in 2009 and presented four years later with complaints of fullness and discomfort in the area of right parotid gland with associated pulsatile tinnitus. A computed tomography (CT) scan of the neck revealed a deep portion of the right parotid gland having abnormal aneurysmal dilatation of a vascular structure, which appeared to be an arteriovenous fistula between branches of right external carotid artery and the retromandibular vein...
June 2016: Journal of Vascular and Interventional Neurology
Ashish Kulhari, Sunil Manjila, Gagandeep Singh, Kunal Kumar, Robert W Tarr, Nicholas Bambakidis
The authors present a unique case of intracranial lipoma in the interpeduncular cistern associated with proximal P1 segment fenestration. This patient is a 20-year-old male with extensive psychiatric history and complaints of recent auditory hallucinations. Cranial magnetic resonance imaging (MRI) (T1, T2, and FLAIR) showed a hyperintense lesion in the left aspect of interpeduncular cistern with a prominent flow void within the hyperintense lesion suggestive of a combined vascular-lipomatous lesion. Computed tomography (CT) angiography showed a high-riding large tortuous P1 segment on the left side with proximal fenestration, the ectatic posteromedial limb harboring a fusiform dilated segment...
June 2016: Journal of Vascular and Interventional Neurology
Mark R Villwock, David J Padalino, Raghu Ramaswamy, Eric M Deshaies
BACKGROUND: The future of neuroendovascular treatment for intracranial atherosclerotic disease (ICAD) has been debated since the results of SAMMPRIS reflected poor outcomes following endovascular therapy. There is currently a large spectrum of current management strategies. We compared historical outcomes of patients with ICAD and stroke that were treated with angioplasty-alone versus stent placement. METHODS: We extracted a population from the Nationwide Inpatient Sample (NIS) (2005-2011) and the National Inpatient Sample (NIS) (2012) composed of patients with ICAD and infarction that were admitted nonelectively and received endovascular revascularization...
June 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, Asif A Khan, Ahmed A Malik, Mohammad Rauf Afzal, Nabeel A Herial, Mushtaq H Qureshi, M Fareed K Suri
BACKGROUND: Lumbar catheter placement under fluoroscopic guidance may reduce the rate of technical failures and associated complications seen with insertion guided by manually palpable landmarks. METHODS: We reviewed our experience with 43 attempted lumbar catheter placements using paramedian approach under fluoroscopic guidance and ascertained rates of technical success, and clinical events. RESULTS: Among the 43 patients, 18, 1, and 1 patients were on aspirin (with dipyrimadole in 2), clopidogrel, and combination of both, respectively...
January 2016: Journal of Vascular and Interventional Neurology
Raghav Govindarajan, Efrain Salgado
Herpes simplex encephalitis is an acute/subacute illness that causes both general and focal signs of cerebral dysfunction with fever, headache, and confusion as cardinal features. Recurrent herpes simplex meningitis, also known as Mollaret's meningitis, is another manifestation of central nervous system herpetic infection with recurrent episodes of fever, headache, and nuchal rigidity associated with cerebrospinal fluid (CSF) evidence of active herpes simplex infection. Bell's palsy is yet another manifestation of a herpes virus infection in at least some reported cases documented by CSF analysis...
January 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, WeiGang Xiao
BACKGROUND: We report the technical aspects of lumbar subcutaneous cerebrospinal fluid (CSF) shunt for temporary CSF drainage that may be an alternative strategy to lumbar catheter placement with external drainage system. CASE DESCRIPTION: A 7 years and nine-month old boy with developmental delay, intermittent episodes of agitation, and combination of myoclonic and generalized tonic clonic seizures, associated with communicating hydrocephalus was evaluated. A temporary CSF drainage trial was contemplated to determine whether a permanent CSF shunt would be beneficial...
January 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, Jan Degenhardt, Roland Axt-Fliedner, Thomas Kohl
Choroid plexus cysts have been infrequently reported with chromosomal abnormalities.Isolated choroid plexus cysts in a monozygotic twin pair hints to a genetically determined pathway as a possible cause.
January 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, Mushtaq H Qureshi, Iryna Lobanova, Asif Bashir, Asif A Khan, Stephen M Bologna, Michelle Peterson, M Fareed K Suri
No abstract text is available yet for this article.
January 2016: Journal of Vascular and Interventional Neurology
Hesham T Ghonim, Sumedh S Shah, John W Thompson, Sudheer Ambekar, Eric C Peterson, Mohamed Samy Elhammady
BACKGROUND: Despite advances in the management of subarachnoid hemorrhage, a considerable proportion of patients are still left with severe and disabling long-term consequences. Unfortunately, there are limited therapeutic options to counteract the sequelae following the initial insult. The role of stem cells has been studied in the treatment of various diseases. The goal of this study was to provide a literature review regarding the potential advantages of stem-cell therapy to counteract or minimize the sequelae of aneurysmal subarachnoid hemorrhage...
January 2016: Journal of Vascular and Interventional Neurology
Adnan I Qureshi, Morad Chughtai, Asif A Khan, M Fareed K Suri, Gregory T Sherr
BACKGROUND: We report two procedures using a stent-assisted microsurgical clip placement to treat complex intracranial aneurysms originating from supraclinoid segment of the internal carotid artery. CASE DESCRIPTIONS: In both procedures, primary clip placement was considered technically difficult due to either complex morphology or inferior protrusion of aneurysm fundus within the interclinoid space. A nitinol self-expanding stent was placed across the neck of the aneurysm either preoperatively or intraoperatively...
January 2016: Journal of Vascular and Interventional Neurology
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