Evidence-based review of primary and secondary ischemic stroke prevention in adults: a neurosurgical perspective.

Abstract:

:In this paper, the authors' aim is to provide an evidence-based review of primary and secondary ischemic stroke prevention guidelines covering most of the common risk factors and stroke etiologies for the practicing neurosurgeon. The key to stroke prevention is in the identification and treatment of the major risk factors for stroke. These include hypertension, heart disease, diabetes mellitus, dyslipidemia, and tobacco smoking. An updated approach to secondary prevention of stroke in the setting of intracranial and extracranial large vessel atherosclerosis and cardioembolism is provided along with a brief overview of pertinent clinical trials. Novel pharmacological options for prevention of cardioembolic strokes, such as new alternatives to warfarin, are addressed with recommendations for interruption of therapy for elective surgical procedures. In addition, the authors have reviewed the anticoagulation guidelines and the risk of thromboembolic complications of such therapies in the perioperative period, which is an invaluable piece of information for neurosurgeons. Less common etiologies such as arterial dissections and patent foramen ovale are also briefly discussed. Finally, the authors have outlined the quality measures in the Medicare Physician Quality Reporting System and essential guidelines for Primary Stroke Center certification, which have implications for day-to-day neurosurgical practice.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Manjila S,Masri T,Shams T,Chowdhry SA,Sila C,Selman WR

doi

10.3171/2011.2.FOCUS1164

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

E1

issue

6

issn

1092-0684

journal_volume

30

pub_type

杂志文章,评审
  • Novel balloon-and-aspiration method for cerebral venous sinus thrombosis: dental-floss technique.

    abstract::Cerebral venous sinus thrombosis is sometimes fatal. The standard treatment for sinus thrombosis is anticoagulation, but endovascular intervention must be considered when medical treatment fails. Mechanical thrombectomy is usually required when a large clot burden exits. Unfortunately, in sinus thrombosis attributable...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.1.FOCUS16519

    authors: Matsuda Y,Okada H,Chung J,Webster Crowley R,Lopes DK

    更新日期:2017-04-01 00:00:00

  • Resection of a cervical dumbbell schwannoma with stabilization through a single stage extended posterior approach.

    abstract::Dumbbell tumors of the cervical spine can present considerable management challenges related to adequate exposure of both intraspinal and paraspinal tumor components, potential injury to the vertebral artery, and spinal stability. This video demonstrates the microsurgical removal of a large cervical dumbbell schwannom...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V3.FOCUS14257

    authors: McCormick PC

    更新日期:2014-09-01 00:00:00

  • Device for intervertebral assisted motion: technique and initial results.

    abstract:OBJECT:The DIAM is a polyester-encased silicone interspinous dynamic stabilization device that can unload the anterior column and reestablish the functional integrity of the posterior column. METHODS:The DIAM was implanted in 104 patients between May 1, 2001 and October 30, 2001. A retrospective evaluation was perform...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,多中心研究

    doi:10.3171/foc.2007.22.1.6

    authors: Taylor J,Pupin P,Delajoux S,Palmer S

    更新日期:2007-01-15 00:00:00

  • Differential angiogenesis function of CCM2 and CCM3 in cerebral cavernous malformations.

    abstract:OBJECT:Loss-of-function mutations in CCM genes are frequently detected in familial cerebral cavernous malformations (CCMs). However, the current functional studies of the CCM genes in vitro have been performed mostly in commercially purchased normal cell lines and the results appeared discrepant. The fact that the cere...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.5.FOCUS1090

    authors: Zhu Y,Wu Q,Xu JF,Miller D,Sandalcioglu IE,Zhang JM,Sure U

    更新日期:2010-09-01 00:00:00

  • A minimally invasive catheter-based ultrasound technology for therapeutic interventions in brain: initial preclinical studies.

    abstract::OBJECTIVE Minimally invasive procedures may allow surgeons to avoid conventional open surgical procedures for certain neurological disorders. This paper describes the iterative process for development of a catheter-based ultrasound thermal therapy applicator. METHODS Using an ultrasound applicator with an array of lon...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.11.FOCUS17631

    authors: Ghoshal G,Gee L,Heffter T,Williams E,Bromfield C,Rund L,Ehrhardt JM,Diederich CJ,Fischer GS,Pilitsis JG,Burdette EC

    更新日期:2018-02-01 00:00:00

  • Microsurgical resection of intramedullary spinal cord cavernous malformation. Operative video and technical nuances.

    abstract::Intramedullary spinal cord cavernous malformations account for approximately 5% of all intraspinal lesions. These lesions can present with either acute neurological compromise secondary to hemorrhage inside the spinal cord, or with chronic progressive myelopathy due to repeated microhemorrhages. Surgical resection of ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V3.FOCUS14155

    authors: Liu JK

    更新日期:2014-09-01 00:00:00

  • Percival Bailey and the classification of brain tumors.

    abstract::Throughout his illustrious career, Percival Bailey made numerous contributions to the fields of neurology, neuroanatomy, psychiatry, neuropathology, and, of course, neurosurgery. His expertise, his curiosity about the nervous system, and his desire to examine it from all angles were unique. With the exception of Harve...

    journal_title:Neurosurgical focus

    pub_type: 传,历史文章,杂志文章,评审

    doi:10.3171/foc.2005.18.4.8

    authors: Ferguson S,Lesniak MS

    更新日期:2005-04-15 00:00:00

  • A stepwise illustration of the retrosigmoid approach for resection of a cerebellopontine meningioma.

    abstract::The retrosigmoid approach is a work-horse approach to the cerebellopontine angle (CPA), providing access from the foremen magnum to the tentorium. Indications for this approach are variable such as resection of meningiomas, acoustic neuromas and epidermoid tumors, treatment of vascular lesions of vertebrobasilar syste...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V1.FOCUS13445

    authors: Cıkla U,Kujoth GC,Başkaya MK

    更新日期:2014-01-01 00:00:00

  • Facial nerve outcomes after surgery for large vestibular schwannomas: do surgical approach and extent of resection matter?

    abstract:OBJECT:The object of this study was to evaluate facial nerve outcomes in the surgical treatment of large vestibular schwannomas (VSs; ≥ 2.5 cm maximal or extrameatal cerebellopontine angle diameter) based on both the operative approach and extent of tumor resection. METHODS:A PubMed search was conducted of English lan...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2012.7.FOCUS12199

    authors: Gurgel RK,Dogru S,Amdur RL,Monfared A

    更新日期:2012-09-01 00:00:00

  • Safety of intraparenchymal convection-enhanced delivery of cintredekin besudotox in early-phase studies.

    abstract:OBJECT:Convection-enhanced delivery (CED) is an increasingly used novel local/regional delivery method targeted directly to tissue. It relies on a continuous pressure gradient for distribution of therapeutic agents into the interstitial space, with administration of the infusate over a few days. Cintredekin besudotox (...

    journal_title:Neurosurgical focus

    pub_type: 临床试验,杂志文章

    doi:

    authors: Kunwar S,Chang SM,Prados MD,Berger MS,Sampson JH,Croteau D,Sherman JW,Grahn AY,Shu VS,Dul JL,Husain SR,Joshi BH,Pedain C,Puri RK

    更新日期:2006-04-15 00:00:00

  • Hyperperfusion syndrome following endovascular cerebral revascularization.

    abstract::Endovascular cerebral revascularization is becoming a frequently used alternative to surgery for the treatment of atherosclerotic disease, especially in the intracranial circulation where options are limited. Recent literature regarding the equivalent efficacy of carotid artery stenting and carotid endarterectomy in c...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2009.1.FOCUS08276

    authors: Medel R,Crowley RW,Dumont AS

    更新日期:2009-01-01 00:00:00

  • Socioeconomic restraints and brain tumor surgery in low-income countries.

    abstract::Healthcare spending has become a grave concern to national budgets worldwide, and to a greater extent in low-income countries. Brain tumors are a serious disease that affects a significant percentage of the population, and thus proper allocation of healthcare provisions for these patients to achieve acceptable outcome...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2018.7.FOCUS18258

    authors: Helal AE,Abouzahra H,Fayed AA,Rayan T,Abbassy M

    更新日期:2018-10-01 00:00:00

  • Ophthalmic artery aneurysm treated by surgical clipping and balloon-assisted temporary carotid occlusion.

    abstract::A 29-year-old woman is diagnosed with a large broad-base right ophthalmic artery aneurysm. Despite an intact visual field, she complained of mild right visual blurriness. Between endovascular and surgical treatments, surgery was favored due to her young age. It was decided to perform the surgery with simultaneous endo...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.7.FocusVid.14570

    authors: Dehdashti AR

    更新日期:2015-07-01 00:00:00

  • Selective embolization of ruptured feeding artery aneurysm followed by resection of arteriovenous malformation.

    abstract::This is the case of a man in his 40s who suffered sudden collapse into a deep coma as a result of a ruptured arteriovenous malformation (AVM) feeding artery aneurysm within the lateral ventricle. The ruptured aneurysm was successfully treated with Onyx embolization of the feeding pedicle. The AVM and the feeding arter...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.7.FocusVid.17127

    authors: Walcott BP,Russin JJ,Babadjouni R,Mack WJ

    更新日期:2017-07-01 00:00:00

  • Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction: report of 3 cases.

    abstract::OBJECTIVE In this study the authors describe the technical considerations and feasibility of transforaminal discectomy and foraminoplasty for the treatment of lumbar radiculopathy in patients who have herniated discs at the thoracolumbar junction. METHODS After institutional review board approval, charts from 3 consec...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.10.FOCUS15372

    authors: Telfeian AE,Jasper GP,Oyelese AA,Gokaslan ZL

    更新日期:2016-02-01 00:00:00

  • Operative intracranial infection following craniotomy.

    abstract:OBJECT:Postoperative infection after cranial surgery is a serious complication that requires immediate recognition and treatment. In certain cases such as postoperative meningitis, the patient can be treated with antibiotics only. In cases that involve a bone flap infection, subdural empyema, or cerebral abscess, howev...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/FOC/2008/24/6/E10

    authors: Dashti SR,Baharvahdat H,Spetzler RF,Sauvageau E,Chang SW,Stiefel MF,Park MS,Bambakidis NC

    更新日期:2008-01-01 00:00:00

  • Complications in adult spinal deformity surgery: an analysis of minimally invasive, hybrid, and open surgical techniques.

    abstract:OBJECT:It is hypothesized that minimally invasive surgical techniques lead to fewer complications than open surgery for adult spinal deformity (ASD). The goal of this study was to analyze matched patient cohorts in an attempt to isolate the impact of approach on adverse events. METHODS:Two multicenter databases querie...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.3.FOCUS13534

    authors: Uribe JS,Deukmedjian AR,Mummaneni PV,Fu KM,Mundis GM Jr,Okonkwo DO,Kanter AS,Eastlack R,Wang MY,Anand N,Fessler RG,La Marca F,Park P,Lafage V,Deviren V,Bess S,Shaffrey CI,International Spine Study Group.

    更新日期:2014-05-01 00:00:00

  • Cavernoma-related epilepsy in cavernous malformations located within the temporal lobe: surgical management and seizure outcome.

    abstract:OBJECTIVE:Cavernoma-related epilepsy (CRE) is a frequent symptom in patients with cerebral cavernous malformations (CCMs). Reports on surgical management and seizure outcome of epileptogenic CCM often focus on intracranial cavernoma in general. Therefore, data on CCMs within the temporal lobe are scarce. The authors th...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2020.1.FOCUS19920

    authors: Schuss P,Marx J,Borger V,Brandecker S,Güresir Á,Hadjiathanasiou A,Hamed M,Schneider M,Surges R,Vatter H,Güresir E

    更新日期:2020-04-01 00:00:00

  • Intraoperative monitoring of cerebral blood flow by laser speckle contrast analysis.

    abstract:OBJECT:Currently, reliable low-cost and noninvasive techniques to assess cerebral perfusion in the operating room are not available. The authors report on their first clinical experience with laser speckle contrast analysis (LASCA) as a complementary imaging tool for the noninvasive and dynamic assessment of cerebral b...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2009.8.FOCUS09148

    authors: Hecht N,Woitzik J,Dreier JP,Vajkoczy P

    更新日期:2009-10-01 00:00:00

  • Ipsilateral hemiparesis: the forgotten history of this paradoxical neurological sign.

    abstract:OBJECTIVE:Establishing the neurological localization doctrine for the contralateral hemispheric control of motor functions in the second half of the 19th century, researchers faced the challenge of recognizing false localizing signs, in particular paradoxical or ipsilateral hemiparesis (IH). Despite tremendous progress...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章

    doi:10.3171/2019.6.FOCUS19337

    authors: Carrasco-Moro R,Castro-Dufourny I,Martínez-San Millán JS,Cabañes-Martínez L,Pascual JM

    更新日期:2019-09-01 00:00:00

  • Spontaneous motor cortex encephalocele presenting with simple partial seizures and progressive hemiparesis. Case report and review of the literature.

    abstract::Several cases of congenital or acquired temporal encephaloceles have been reported in the literature as the causative mechanism of simple and/or complex partial seizures. In this report the authors describe a rare case of spontaneous parietal encephalocele presenting with simple partial seizures and progressively incr...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2005.19.3.11

    authors: Fountas KN,Smith JR,Jenkins PD,Murro AM

    更新日期:2005-09-15 00:00:00

  • Robotic versus fluoroscopy-guided pedicle screw insertion for metastatic spinal disease: a matched-cohort comparison.

    abstract::OBJECTIVE Robot-guided pedicle screw placement is an established technique for the placement of pedicle screws. However, most studies have focused on degenerative disease. In this paper, the authors focus on metastatic spinal disease, which is associated with osteolysis. The associated lack of dense bone may potential...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.3.FOCUS1710

    authors: Solomiichuk V,Fleischhammer J,Molliqaj G,Warda J,Alaid A,von Eckardstein K,Schaller K,Tessitore E,Rohde V,Schatlo B

    更新日期:2017-05-01 00:00:00

  • Review of meningioma histopathology.

    abstract::The histological appearance of a meningioma is an important predictor of tumor behavior and is frequently a factor in decisions concerning therapy. The relationship between histological features and prognosis is formalized in grading schemes such as those published by the World Health Organization (WHO), most recently...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC-07/10/E3

    authors: Commins DL,Atkinson RD,Burnett ME

    更新日期:2007-01-01 00:00:00

  • Clinical considerations in the management of asymptomatic carotid artery stenosis.

    abstract::Incidental findings pose considerable management dilemmas for the treating physician and psychological burden for the respective patient. With an aging population, more patients will be diagnosed with asymptomatic internal carotid artery stenosis. Patients will have to be counseled with regard to treatment options acc...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2011.9.FOCUS11222

    authors: Taussky P,Hanel RA,Meyer FB

    更新日期:2011-12-01 00:00:00

  • In vivo visualization of GL261-luc2 mouse glioma cells by use of Alexa Fluor-labeled TRP-2 antibodies.

    abstract:OBJECT:For patients with glioblastoma multiforme, median survival time is approximately 14 months. Longer progression-free and overall survival times correlate with gross-total resection of tumor. The ability to identify tumor cells intraoperatively could result in an increased percentage of tumor resected and thus inc...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2013.12.FOCUS13488

    authors: Fenton KE,Martirosyan NL,Abdelwahab MG,Coons SW,Preul MC,Scheck AC

    更新日期:2014-02-01 00:00:00

  • Vascular architecture mapping for early detection of glioblastoma recurrence.

    abstract:OBJECTIVE:Treatment failure and inevitable tumor recurrence are the main reasons for the poor prognosis of glioblastoma (GB). Gross-total resection at repeat craniotomy for GB recurrence improves patient overall survival but requires early and reliable detection. It is known, however, that even advanced MRI approaches ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2019.9.FOCUS19613

    authors: Stadlbauer A,Eyüpoglu I,Buchfelder M,Dörfler A,Zimmermann M,Heinz G,Oberndorfer S

    更新日期:2019-12-01 00:00:00

  • Four-level minimally invasive lateral interbody fusion for treatment of degenerative scoliosis.

    abstract::The benefits of anterior interbody arthrodesis in deformity surgery are well known and include load sharing and increased fusion rates. A minimally invasive lateral transpsoas approach to the anterior lumbar spine is a promising alternative to traditional interbody techniques for the treatment of adult degenerative sc...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2013.V2.FOCUS13198

    authors: Amin BY,Mummaneni PV,Ibrahim T,Zouzias A,Uribe J

    更新日期:2013-07-01 00:00:00

  • 5-ALA-induced fluorescence as a marker for diagnostic tissue in stereotactic biopsies of intracranial lymphomas: experience in 41 patients.

    abstract::OBJECTIVE Stereotactic needle biopsies are usually performed for histopathological confirmation of intracranial lymphomas to guide adequate treatment. During biopsy, intraoperative histopathology is an effective tool to avoid acquisition of nondiagnostic samples. In the last years, 5-aminolevulinic acid (5-ALA)-induce...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2018.3.FOCUS1859

    authors: Kiesel B,Millesi M,Woehrer A,Furtner J,Bavand A,Roetzer T,Mischkulnig M,Wolfsberger S,Preusser M,Knosp E,Widhalm G

    更新日期:2018-06-01 00:00:00

  • The history of military cranioplasty.

    abstract::There is evidence that the neurosurgical procedure of cranioplasty is as ancient as its better-known counterpart, trephination. With origins in pre-Incan Peru, cranioplasty remains an important reconstructive procedure for modern craniofacial surgery teams to master. Solutions to the often challenging problem of repai...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章,评审

    doi:10.3171/2014.1.FOCUS13504

    authors: Bonfield CM,Kumar AR,Gerszten PC

    更新日期:2014-04-01 00:00:00

  • Prevalence of cervical spinal injury in trauma.

    abstract:OBJECT:Diagnosis of cervical spinal injury (CSI) is an essential aspect of the trauma evaluation. This task is especially difficult in patients who are not clinically able to be evaluated (unevaluable) because of distracting painful injuries, intoxication, or concomitant head injury. For this population, the appropriat...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC.2008.25.11.E10

    authors: Milby AH,Halpern CH,Guo W,Stein SC

    更新日期:2008-01-01 00:00:00