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subarachnoid hemorrhage fundus

Muhammad AlMatter, P Bhogal, M Aguilar Pérez, S Schob, V Hellstern, H Bäzner, O Ganslandt, H Henkes
PURPOSE: There is a controversy concerning the risk of rupture of small intracranial aneurysms. We sought to determine the size and morphological features of ruptured intracranial aneurysms. MATERIAL AND METHODS: The hospital files and images from all patients referred during one decade (2007-2016) to a specialized neurovascular center were retrospectively reviewed. Neck diameter, fundus depth and width as well as neck width based on catheter angiography were measured...
October 27, 2017: Clinical Neuroradiology
Chaitanya Godbole, Sanjay Behari, Kamlesh K Bhaisora, Jayesh Sardhara, Arun Srivastava, Anant Mehrotra, Kuntal Kanti Das, Raj Kumar, Awadhesh K Jaiswal
BACKGROUND: Superior hypophyseal artery (SHA) aneurysms form a unique subgroup of paraclinoid aneurysms having a propensity to grow to a large size in the suprasellar region resulting in compression of the optic nerve, chiasma, and/or tract. AIM: A new classification of SHA aneurysms is proposed that helps in identifying the surgical issues encountered during surgical clipping of these medially directed aneurysms located at different segments of the medial surface of the internal carotid artery (ICA)...
May 2017: Neurology India
Gabriel L Pagani-Estévez, John J Chen, James C Watson, Jacqueline A Leavitt
BACKGROUND AND OBJECTIVES: Lumbar epidural blood patch (EBP) is a commonly used procedure to treat postdural puncture headache. We present a case of vision loss immediately following an EBP. CASE REPORT: A 49-year-old woman with idiopathic intracranial hypertension received an EBP for postdural puncture headache at an outside facility without fluoroscopic guidance and in the seated position. The patient experienced syncope during the procedure as 25 mL of autologous blood was rapidly injected...
March 2016: Regional Anesthesia and Pain Medicine
Michael D Greenwood, Shawn C Wilker
PURPOSE: To report a case of central retinal artery occlusion that occurred during cerebral angiography for the treatment of vasospasm secondary to subarachnoid hemorrhage. RESULTS: Examination was notable for 20/Hand Motion vision and an afferent pupillary defect. Fundus examination at the time of the event revealed a cherry red spot typical of central retinal artery occlusion with surrounding edema of the retina and severe attenuation of the arterioles. There were no emboli noted...
2014: Retinal Cases & Brief Reports
A V Sánchez Ferreiro, L Muñoz Bellido
CASE REPORT: We present the case of a 48 year-old man who had a sudden onset of vomiting, headache and loss of consciousness. The visual acuity was severely reduced in the left eye, with a large subhyaloid haemorrhage being observed in the fundus. DISCUSSION: The combination of subarachnoid haemorrhage and a vitreous haemorrhage is called Terson syndrome. The details of the treatment of this case with YAG laser are also discussed.
February 2014: Archivos de la Sociedad Española de Oftalmología
José M González-Darder, Vicent Quilis-Quesada, Fernando Talamantes-Escribá, Laura Botella-Maciá, Francisco Verdú-López
Purpose The study of the clinical, anatomic, imaging, and microsurgical characteristics of the aneurysms of the internal carotid-posterior communicating artery (ICA-PComA) segment and their relationships with the skull base structures. Methods The anatomic relationships of PComA with neurovascular elements and skull base structures were studied in cadavers. The clinical, imaging, and microsurgical findings of 84 microsurgically treated ICA-PComA aneurysms compiled in a prospective database were reviewed...
October 2012: Journal of Neurological Surgery. Part B, Skull Base
Salah G Aoun, Rudy J Rahme, Tarek Y El Ahmadieh, Bernard R Bendok, H Hunt Batjer
The extrusion of the coil complex outside of the aneurysmal dome is thought to be an important mechanism by which the aneurysm neck and fundus recanalize, but the migration of the coil loops and their incorporation inside vital nervous structures has not been clearly described. We reviewed the medical literature on coil extrusion and migration and report a rare case of third nerve palsy due to direct damage caused by coil loop migration that resolved after surgery. A 25-year-old woman presented with subarachnoid hemorrhage and painful left third nerve palsy...
September 2013: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Andrew Walkden, Paul Brennan
No abstract text is available yet for this article.
2012: BMJ Case Reports
Li Na Wu, Tao He, Yi Qiao Xing, Yin Shen
PURPOSE: To investigate the incidence and relative factors of Terson's syndrome (TS) in patients with subarachnoid hemorrhage (SAH) in China. MATERIALS AND METHODS: A case series study was conducted from November 2009 to June 2010 on 155 patients (310 eyes) with aneurysmal and traumatic SAH. A thorough, direct funduscopic examination was performed on all participants and the incidence of TS analyzed. Associations between TS and gender, state-of-consciousness, Glasgow Coma Scale (GCS) score, Hunt-Hess grade, anatomical location of ruptured aneurysms, and mortality rates were analyzed...
January 2013: Current Eye Research
Hye-Ran Park, Seok-Mann Yoon, Jai-Joon Shim, Sung-Ho Kim
The waffle-cone technique is a modified stent application technique, which involves protrusion of the distal portion of a stent into an aneurysm fundus to provide neck support for subsequent coiling. The authors report two cases of wide necked basilar bifurcation aneurysms, which were not amenable to stent assisted coiling, that were treated using the waffle-cone technique with a Solitaire AB stent. A 58-year-old woman presented with severe headache. Brain CT showed subarachnoid hemorrhage and angiography demonstrated a ruptured giant basilar bifurcation aneurysm with broad neck, which was treated with a Solitaire AB stent and coils using the waffle-cone technique...
April 2012: Journal of Korean Neurosurgical Society
Masashi Sakamoto, Maho Shibata, Kunio Yokoyama, Hideki Tanabe, Tsunehiko Ikeda, Kimitoshi Nakamura
PURPOSE: To examine the relationship between the extent of subarachnoid hemorrhage and intraocular hemorrhages in patients with subarachnoid hemorrhage. SUBJECTS AND METHOD: A total, of 63 patients (25 men and 38 women, mean age 58 years). The subarachnoid hemorrhage quantity was graded according to the Fisher scale and compared with hemorrhages in the ocular fundus. RESULTS: Either vitreous or preretinal hemorrhages in either one or both eyes (vitreous hemorrhages) were present in 16 patients (25%)...
April 2012: Nippon Ganka Gakkai Zasshi
Tao He, Li-Na Wu, Bin Chen, Yi-qiao Xing
OBJECTIVE: To investigate the incidence and relative factors of Terson syndrome in patients with aneurysmal subarachnoid hemorrhage (SAH). METHODS: A prospective case series study was conducted in 202 eyes of 101 patients with aneurysmal subarachnoid hemorrhage from November 2009 to May 2010. Fundus examination and color fundus photograph under mydriasis were carried out on every patient diagnosed as Terson syndrome with initial direct ophthalmoscopy after their general state was stable...
December 2011: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Claudia Díaz-Olavarrieta, Corina A García-Piña, Arturo Loredo-Abdala, Francisco Paz, Sandra G Garcia, Astrid Schilmann
OBJECTIVES: Determine the prevalence, clinical signs and symptoms, and demographic and family characteristics of children attending a tertiary care hospital in Mexico City, Mexico, to illustrate the characteristics of abusive head trauma among this population. METHODS: This is a cross-sectional descriptive study of infants and children under 5, who suffered head trauma and were admitted to the National Pediatrics Institute in Mexico City, a tertiary care referral center...
November 2011: Child Abuse & Neglect
Amit Agrawal, Anand Kakani, Kaushik Ray
Remote supratentorial hematoma soon after posterior fossa surgery for the removal of a space-occupying lesion is a rare but dramatic and dreaded complication, carrying significant morbidity and mortality. A 47-year-old woman presented with headache of 1-year duration that worsened over last 2 months, progressive ataxia of 2 months' duration, blurring and diminution of vision of 2 months' duration and forgetfulness of 2 months' duration. Fundus showed bilateral papille dema, and visual acuity was 6/9 in both eyes...
July 2010: Journal of Surgical Technique and Case Report
Kiarash Golshani, Andrew Ferrell, Ali Zomorodi, Tony P Smith, Gavin W Britz
BACKGROUND: Technical advancements have significantly improved surgical and endovascular treatment of cerebral aneurysms. In this paper, we review the literature with regard to treatment of one of the most common intra-cranial aneurysms encountered by neurosurgeons and interventional radiologists. CONCLUSIONS: Anterior clinoidectomy, temporary clipping, adenosine-induced cardiac arrest, and intraoperative angiography are useful adjuncts during surgical clipping of these aneurysms...
2010: Surgical Neurology International
Roberto Jose Diaz, John H Wong
OBJECT: Our experience in Calgary was reviewed to determine the safety and clinical effectiveness of coiling in patients with high-grade aneurysmal subarachnoid hemorrhage (SAH). METHODS: Patients with Hunt-Hess grades IV and V aneurysmal subarachnoid hemorrhage who underwent endovascular coiling between January 1999 and April 2009 at Foothills Medical Centre, Calgary, Alberta, Canada were reviewed. The primary outcome measure was the Modified Rankin Score after at least six months...
January 2011: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
Iwona Obuchowska, Jan Kochanowicz, Zofia Mariak, Zenon Mariak
PURPOSE: To evaluate frequency and type of early changes in the visual system connected with brain's aneurysm rupture. MATERIAL AND METHODS: 45 patient, 34 women and 11 men, with subarachnoid hemorrhage (SAH) after brain's aneurysm rupture were enclosed in this study. To identify aneurysm, cerebral angiography as well as CT or MR angiography were applied. Conventional ophthalmologic examination and Doppler sonography of the retrobulbar vessels were performed in all patients before and two or three days after neurosurgical procedure...
2010: Klinika Oczna
J M González-Darder, P González-López, L Botella-Maciá
Clinical and imaging findings of a series of 14 internal carotid artery bifurcation aneurysms microsurgically treated are presented. A total of 10 lesions were diagnosed before rupture and 4 patients presented with subarachnoidal hemorrhage and frontobasal intracerebral bleeding. Diagnosis was done using neuroimaging (CT scan, angio-CT-3D, angio-MRI, angiography) but patients with ruptured aneurysms were treated with the sole information provided by the angio-CT-3D. The average fundus size was 8.4mm (3-13.3) and the average neck size was 6...
June 2010: Neurocirugía
Masashi Sakamoto, Kimitoshi Nakamura, Maho Shibata, Kunio Yokoyama, Mitsuru Matsuki, Tsunehiko Ikeda
BACKGROUND: The mechanism of Terson's syndrome is controversial. Here we report magnetic resonance (MR) imaging findings of Terson's syndrome that may help clarify the mechanism responsible for vitreous hemorrhage. CASE: A 49-year-old man suffered from subarachnoid hemorrhage with bilateral intraocular hemorrhage. Fundus examination revealed sub-internal limiting membrane and retinal hemorrhages in both eyes. MR images were recorded after the neurosurgery. CONCLUSION: The vitreous hemorrhage may be caused by a large amount of blood, originally formed by Terson's syndrome, entering the subarachnoid space around the optic nerve and from there infiltrating the intraocular space through the perivascular space around the central retinal vessels within the optic nerve...
March 2010: Japanese Journal of Ophthalmology
T Arun Babu, C Venkatesh, S Mahadevan
A 35-day-old male infant with presumed shaken baby syndrome is reported. This first born child to mother educated upto middle school and father tailor by occupation was brought from a remote village 180 kms away from JIPMER. Poor feeding, focal clonic seizures were the initial symptoms. The fundus examination revealed fresh preretinal and vitreous hemorrhages. CT Brain showed right sided subdural hemorrhage with subarachnoid extension and midline shift. He had a normal platelet count and coagulation profile...
September 2009: Indian Journal of Pediatrics
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