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https://www.readbyqxmd.com/read/29778996/stent-and-flow-diverter-assisted-treatment-of-acutely-ruptured-brain-aneurysms
#1
José E Cohen, J Moshe Gomori, Ronen R Leker, Sergey Spektor, Hosni Abu El Hassan, Eyal Itshayek
OBJECTIVE: We present our experience with stent techniques in the management of acutely ruptured aneurysms, focusing on aneurysm occlusion rates, intraprocedural complications, and late outcomes. METHODS: We retrospectively reviewed the clinical records of patients treated by stent techniques during the early acute phase of aneurysmal rupture, from June 2011 to June 2016. Patients who underwent stenting for the management of unruptured aneurysms, or in a delayed fashion for a ruptured lesion, were excluded...
May 19, 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29766928/parent-artery-sacrifice-for-ruptured-aneurysms-in-acute-and-chronic-phases-a-systematic-review
#2
REVIEW
Xianli Lv, Wei Li, Huijian Ge, Hengwei Jin, Hongwei He, Chuhan Jiang, Youxiang Li
Background: Experience with respect to parent vessel sacrifice (PVS) for unclippable/uncoilable ruptured aneurysms is limited. Objective: The aim of the present systematic review was to evaluate the risk of PVS for unclippable/uncoilable ruptured aneurysms. Materials and Methods: The PUBMED and SCIENCEDIRECT databases were searched using "parent vessel occlusion OR parent artery occlusion" AND "acute subarachnoid hemorrhage" till December 27, 2015, and 1 journal was searched from November 1995 to April 2016 for relevant results...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29758373/ruptured-vertebral-artery-dissecting-aneurysm-as-a-risk-factor-for-ocular-symptoms-accompanied-with-subarachnoid-hemorrhage
#3
Yosuke Moteki, Yasunari Niimi, Yoshikazu Okada, Takakazu Kawamata
OBJECTIVE: Although ruptured vertebral artery dissecting aneurysms (VADAs) are often associated with ocular symptoms, such as abducent nerve palsy and Terson's syndrome (TS), their frequency and risk factors in comparison with those associated with ruptured aneurysms in other locations have not been reported. METHODS: A total of 343 patients with non-traumatic subarachnoid hemorrhage were treated in our hospital from April 2002 to May 2016, among which 35 (10.2%) had VADA as the origin of hemorrhage...
May 11, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29736426/stent-assisted-treatment-of-ruptured-intracranial-aneurysms-in-the-acute-phase-a-single-center-experience
#4
Michael J Ho, Sophia L Göricke, Petra Mummel, Christoph Mönninghoff, Karsten Wrede, Isabel Wanke
Introduction: The purpose of this study was to analyze the results of patients with ruptured aneurysms who were treated with a specific microstent in the acute phase of subarachnoid hemorrhage. Methods: Data from patients with acutely-ruptured intracranial aneurysm treated with the Neuroform stent in the period between 2003 and 2016 were retrospectively assessed, addressing aneurysm occlusion and clinical outcome with a focus on periprocedural complications. Results: Twenty-nine consecutive patients with ruptured intracranial aneurysms were included in the analysis...
March 2018: ENeurologicalSci
https://www.readbyqxmd.com/read/29730271/intraventricular-extension-of-an-aneurysmal-subarachnoid-hemorrhage-is-an-independent-predictor-of-a-worse-functional-outcome
#5
Mario Zanaty, Daichi Nakagawa, Robert M Starke, Enrique C Leira, Edgar A Samaniego, Waldo R Guerrero, James Torner, Yasunori Nagahama, Olatilewa Awe, Jeremy Greenlee, Joseph S Hudson, Lauren Allan, Reem Elwy, Nohra Chalouhi, Pascal Jabbour, Royce Woodroffe, Anthony Piscopo, David Hasan
OBJECTIVE: The objective of this study is to determine the impact of intraventricular hemorrhage (IVH) on the cognitive prognosis of subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysm, independent of the presence of intraparenchymal hemorrhage, hydrocephalus or vasospasm. PATIENT AND METHODS: A Retrospective review of a prospectively collected database of patients with aneurysmal SAH from July 2009 to November 2016 was performed. Patients were included if they had a saccular aneurysm with a Hunt-Hess grade (HHG) 1-3...
April 30, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29726776/the-25th-anniversary-of-the-retrograde-suction-decompression-technique-dallas-technique-for-the-surgical-management-of-paraclinoid-aneurysms-historical-background-systematic-review-and-pooled-analysis-of-the-literature
#6
Bruno C Flores, Jonathan A White, H Hunt Batjer, Duke S Samson
OBJECTIVE Paraclinoid internal carotid artery (ICA) aneurysms frequently require temporary occlusion to facilitate safe clipping. Brisk retrograde flow through the ophthalmic artery and cavernous ICA branches make simple trapping inadequate to soften the aneurysm. The retrograde suction decompression (RSD), or Dallas RSD, technique was described in 1990 in an attempt to overcome some of those treatment limitations. A frequent criticism of the RSD technique is an allegedly high risk of cervical ICA dissection...
May 4, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29726768/pipeline-embolization-of-posterior-circulation-aneurysms-a-multicenter-study-of-131-aneurysms
#7
Christoph J Griessenauer, Christopher S Ogilvy, Nimer Adeeb, Adam A Dmytriw, Paul M Foreman, Hussain Shallwani, Nicola Limbucci, Salvatore Mangiafico, Ashish Kumar, Caterina Michelozzi, Timo Krings, Vitor Mendes Pereira, Charles C Matouk, Mark R Harrigan, Hakeem J Shakir, Adnan H Siddiqui, Elad I Levy, Leonardo Renieri, Thomas R Marotta, Christophe Cognard, Ajith J Thomas
OBJECTIVE Flow diversion for posterior circulation aneurysms performed using the Pipeline embolization device (PED) constitutes an increasingly common off-label use for otherwise untreatable aneurysms. The safety and efficacy of this treatment modality has not been assessed in a multicenter study. METHODS A retrospective review of prospectively maintained databases at 8 academic institutions was performed for the years 2009 to 2016 to identify patients with posterior circulation aneurysms treated with PED placement...
May 4, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29719844/risk-factors-for-unfavorable-outcome-in-aneurysmal-subarachnoid-hemorrhage-revisited-odds-and-ends
#8
Abdolkarim Rahmanian, Nima Derakhshan, Alireza Mohsenian Sisakht, Najme Karamzade Ziarati, Hadi Raeisi Shahraki, Soheil Motamed
Objectives: To evaluate the odds for unfavorable outcome of each risk factor and a combination of them in patients with aneurysmal subarachnoid hemorrhage (SAH) undergoing surgical clipping in Southern Iran. Methods: A total of 367 patients who were operated between March 2007 and March 2016 due to aneurysmal SAH were analyzed according to patients' factors, aneurysm characteristics and intra-operative data. Correlation between outcomes of patients measured by modified Rankin Scale at 6-months with each factor were analyzed...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29715249/acute-headache-in-the-emergency-department-is-lumbar-puncture-still-necessary-to-rule-out-subarachnoid-hemorrhage
#9
Sarah Steffens, Paula Tucker, Dian Dowling Evans
The purpose of the Research to Practice column is to review current primary journal articles that directly affect the practice of the advanced practice nurse (APN) in the emergency department. This review examines the findings of Carpenter et al. (2016) from their article, "Spontaneous Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis Describing the Diagnostic Accuracy of History, Physical Exam, Imaging, and Lumbar Puncture With an Exploration of Test Thresholds." The authors concluded that although no history or physical examination finding can be used to rule in or rule out spontaneous subarachnoid hemorrhage (SAH), the complaint of neck stiffness can increase the likelihood of SAH...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29709700/epidemiology-of-stroke-findings-from-a-community-based-survey-in-rural-bangladesh
#10
U K Saha, M B Alam, A K M F Rahman, A H M E Hussain, S R Mashreky, G Mandal, Q D Mohammad
OBJECTIVES: This study was designed to determine the epidemiology of stroke in a rural population of Bangladesh. STUDY DESIGN: In a cross-sectional study, we surveyed stroke patients. METHODS: The survey was conducted in a rural community of Bangladesh from January 2016 to June 2016. All community members 15 years and older in a surveillance system were included in this study. The Questionnaire for Verifying Stroke-Free Status was used to screen stroke cases at household level which were again examined by the neurologist for confirmatory diagnosis...
April 27, 2018: Public Health
https://www.readbyqxmd.com/read/29709077/use-of-platelet-transfusions-prior-to-lumbar-punctures-or-epidural-anaesthesia-for-the-prevention-of-complications-in-people-with-thrombocytopenia
#11
REVIEW
Lise J Estcourt, Reem Malouf, Sally Hopewell, Carolyn Doree, Joost Van Veen
BACKGROUND: People with a low platelet count (thrombocytopenia) often require lumbar punctures or an epidural anaesthetic. Lumbar punctures can be diagnostic (haematological malignancies, subarachnoid haematoma, meningitis) or therapeutic (spinal anaesthetic, administration of chemotherapy). Epidural catheters are placed for administration of epidural anaesthetic. Current practice in many countries is to correct thrombocytopenia with platelet transfusions prior to lumbar punctures and epidural anaesthesia, in order to mitigate the risk of serious procedure-related bleeding...
April 30, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29704122/vasospasm-related-complications-after-subarachnoid-hemorrhage-the-role-of-patients-age-and-sex
#12
Marvin Darkwah Oppong, Antonella Iannaccone, Oliver Gembruch, Daniela Pierscianek, Mehdi Chihi, Philipp Dammann, Angela Köninger, Oliver Müller, Michael Forsting, Ulrich Sure, Ramazan Jabbarli
BACKGROUND: Outcome of aneurysmal subarachnoid hemorrhage (SAH) depends strongly on occurrence of symptomatic vasospasm (SV) leading to delayed cerebral ischemia (DCI). Various demographic, radiographic, and clinical predictors of SV have been reported so far, partially with conflicting results. The aim of this study was to analyze the role of patients' age and sex on SV/DCI risk, especially to identify age and sex-specific risk groups. METHODS: All patients admitted with acute SAH during a 14-year-period ending in 2016 were eligible for this study...
April 27, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29689401/persistent-high-levels-of-mir-502-5p-are-associated-with-poor-neurological-outcome-in-patients-with-aneurysmal-subarachnoid-hemorrhage
#13
Bin Sheng, Xinggen Fang, Cegang Liu, Degang Wu, Dayong Xia, Shanshui Xu, Niansheng Lai
OBJECTIVE: To investigate the temporal changes in miR-502-5p expression after aneurysmal subarachnoid hemorrhage (aSAH) and to find the time to peak level. METHODS: We collected serum from patients with aSAH (n = 129) at various time points (1, 3, 7, and 14 days post-event) and healthy controls (n = 40), at the Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College, from 1 May 2015 to 31 January 2016. We measured expression levels of miR-502-5p by PCR...
April 21, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29687859/clinical-diagnosis-of-cerebral-vasospasm-after-subarachnoid-hemorrhage-by-using-transcranial-doppler-sonography
#14
D-D Li, J-Y Chang, C-X Zhou, J-B Cui
OBJECTIVE: To investigate the diagnosis of cerebral vasospasm (CVS) after subarachnoid hemorrhage (SAH) by transcranial Doppler (TCD) sonography. PATIENTS AND METHODS: 90 patients with SAH admitted to the Department of Neurosurgery of Weifang People's Hospital from January 2016 to December 2016 were selected. TCD and digital subtraction angiography (DSA) were used to diagnose the prevalence of CVS in patients. The severity of disease was evaluated (improved-Fisher grading)...
April 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29644398/stent-placement-in-patients-with-acute-subarachnoid-haemorrhage-when-is-it-justified
#15
Andrew G Murchison, Victoria Young, Tanja Ddjurdjevic, Martino Cellerini, Rufus Corkill, Wilhelm Küker
PURPOSE: Endovascular stents are widely used for the elective treatment of cerebral aneurysms. Acute stenting is performed in the management of dissections, pseudo-aneurysms, broad-based aneurysms or as a 'bail out' measure after coil migration. The purpose of this study is to review the safety of using stents in acute subarachnoid haemorrhage. METHODS: The stent registry of our institution was reviewed for procedures in patients with acute subarachnoid haemorrhage...
April 11, 2018: Neuroradiology
https://www.readbyqxmd.com/read/29626682/patterns-predictors-and-outcomes-of-post-procedure-delayed-hemorrhage-following-flow-diversion-for-intracranial-aneurysm-treatment
#16
A C White, D A Kumpe, C D Roark, D E Case, J Seinfeld
PURPOSE: To evaluate patterns, predictors, and outcomes of post procedure delayed hemorrhage (PPDH) following flow diversion therapy for intracranial aneurysm. METHODS: 50 patients with 52 aneurysms were treated from 2012-2016 with the Pipeline Embolization Device (PED; Medtronic, Minneapolis, MN). PED placement was performed as a standalone therapy or with adjunctive coil embolization. Patients underwent dual antiplatelet therapy (DAT) for 6 months following treatment...
April 4, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29604997/clinical-characteristics-of-spirocerca-lupi-migration-in-the-spinal-cord
#17
Orit Chai, Einat Yas, Ori Brenner, Alicia Rojas, Lilach Konstantin, Sigal Klainbart, Merav H Shamir
Spirocerca lupi is a nematode infecting dogs mostly in tropical and subtropical areas. Although its typical target is the esophageal wall, aberrant migration is not uncommon, including migration of unknown incidence into the spinal cord. While successful treatment of intraspinal S. lupi (ISSL) infection depends on early diagnosis, tools for definitive ante-mortem diagnosis are unavailable. We therefore aimed at characterizing clinical signs and clinical pathology findings of ISSL in dogs. For that, we analyzed medical records of dogs hospitalized in 2005-2016 presenting with neurological signs consistent with ISSL, which were diagnosed definitively post-mortem...
April 15, 2018: Veterinary Parasitology
https://www.readbyqxmd.com/read/29599633/the-factors-associated-with-outcomes-in-surgically-managed-ruptured-cerebral-aneurysm
#18
Lai Chuang Chee, Johari Adnan Siregar, Abdul Rahman Izani Ghani, Zamzuri Idris, Noor Azman A Rahman Mohd
Background: Ruptured cerebral aneurysm is a life-threatening condition that requires urgent medical attention. In Malaysia, a prospective study by the Umum Sarawak Hospital, Neurosurgical Center, in the year 2000-2002 revealed an average of two cases of intracranial aneurysms per month with an operative mortality of 20% and management mortality of 25%. Failure to diagnose, delay in admission to a neurosurgical centre, and lack of facilities could have led to the poor surgical outcome in these patients...
February 2018: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/29594703/risk-factors-for-shunt-dependency-in-patients-suffering-from-spontaneous-non-aneurysmal-subarachnoid-hemorrhage
#19
Patrick Schuss, Alexis Hadjiathanasiou, Simon Brandecker, Christian Wispel, Valeri Borger, Ági Güresir, Hartmut Vatter, Erdem Güresir
Patients presenting with spontaneous, non-aneurysmal subarachnoid hemorrhage (SAH) achieve better outcomes compared to patients with aneurysmal SAH. Nevertheless, some patients develop shunt-dependent hydrocephalus during treatment course. We therefore analyzed our neurovascular database to identify factors determining shunt dependency after non-aneurysmal SAH. From 2006 to 2016, 131 patients suffering from spontaneous, non-aneurysmal SAH were admitted to our department. Patients were stratified according to the distribution of cisternal blood into patients with perimesencephalic SAH (pSAH) versus non-perimesencephalic SAH (npSAH)...
March 29, 2018: Neurosurgical Review
https://www.readbyqxmd.com/read/29548966/significant-injury-of-the-mammillothalamic-tract-without-injury-of-the-corticospinal-tract-after-aneurysmal-subarachnoid-hemorrhage-a-retrospective-diffusion-tensor-imaging-study
#20
Rami Darwazeh, Miao Wei, Jianjun Zhong, Zhaosi Zhang, Fajin Lv, Mazhar Darwazeh, Yi Guo, Yi Yan, Samer S Hoz, Xiaochuan Sun
OBJECTIVE: Little is known about the pathophysiological mechanisms of white matter injury after aneurysmal subarachnoid hemorrhage (aSAH). The purpose of this study is to investigate whether mammillothalamic tract (MTT) or corticospinal tract (CST) is more affected by aSAH in the same patients with good-outcome (Grade 5 on Glasgow Outcome Scale (GOS) at 3 months) using diffusion tensor imaging (DTI). METHODS: Between June 2013 to September 2016, 21 good-outcome patients with aSAH and 21 sex-and age-matched normal healthy control participants were recruited...
March 13, 2018: World Neurosurgery
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