Predictor and Prognosis of Procedural Rupture during Coil Embolization for Unruptured Intracranial Aneurysm.

Abstract:

OBJECTIVE:The objectives of this study was to determine the incidence and outcomes of procedural rupture (PR) during coil embolization of unruptured intracranial aneurysm (UIA) and to explore potential risk factors. METHODS:This retrospective study evaluated 1038 patients treated with coil embolization between January 2001 and May 2013 in a single tertiary medical institute. PR was defined as evidence of rupture during coil embolization or post procedural imaging. The patient's medical records were reviewed including procedure description, image findings and clinical outcomes. RESULTS:Twelve of 1038 (1.1%) patients showed PR. Points and time of rupture were parent artery rupture during stent delivery (n=2), aneurysm rupture during filling stage (n=9) and unknown (n=1). Two parent artery rupture and one aneurysm neck rupture showed poor clinical outcomes [modified Rankin Scale (mRs) >2] Nine aneurysm dome rupture cases showed favorable outcomes (mRS ≤2). Location (anterior cerebral artery) of aneurysm was associated with high procedural rupture rate (p<0.05). CONCLUSION:The clinical course of a patientwith procedural aneurysm rupture during filling stage seemed benign. Parent artery and aneurysm neck rupture seemed relatively urgent, serious and life threatening. Although the permanent morbidity rate was low, clinicians should pay attention to prevent PR, especially when confronting the anterior cerebral artery aneurysm.

journal_name

J Korean Neurosurg Soc

authors

Lee KM,Jo KI,Jeon P,Kim KH,Kim JS,Hong SC

doi

10.3340/jkns.2016.59.1.6

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

6-10

issue

1

eissn

2005-3711

issn

1598-7876

journal_volume

59

pub_type

杂志文章
  • Rabbit Model for in vivo Study of Intervertebral Disc Degeneration and Regeneration.

    abstract:OBJECTIVE:The purpose of this study is to verify the usefulness of the rabbit model for disc degeneration study. MATERIALS:The L1-L2, L2-L3, L3-L4, or L4-L5 lumbar intervertebral disc (IVD) of 9 mature male New Zealand White rabbits were injured by inserting a 16-gauge needle to a depth of 5 mm in the left anterolater...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.5.327

    authors: Kong MH,Do DH,Miyazaki M,Wei F,Yoon SH,Wang JC

    更新日期:2008-11-01 00:00:00

  • Clinical features and treatment outcome of chordoid meningiomas in a single institute.

    abstract:OBJECTIVE:Meningioma is the second most common primary central nervous system neoplasm. In contrast, chordoid meningioma is rare; due to the paucity of cases, little is known about its clinical features or treatment outcomes. The objectives of this study were to describe the clinical characteristics and outcomes for pa...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2014.56.3.194

    authors: Jee TK,Jo KI,Seol HJ,Kong DS,Lee JI,Shin HJ

    更新日期:2014-09-01 00:00:00

  • Fusiform aneurysm presenting with cervical radiculopathy in ehlers-danlos syndrome.

    abstract::Ehlers-Danlos syndrome (EDS) type IV is characterized by its clinical manifestations, which are easy bruising, thin skin with visible veins, and rupture of arteries, uterus, or intestines. Arterial complications are the leading cause of death in vascular EDS because they are unpredictable and surgical repair is diffic...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.6.528

    authors: Kim HS,Choi CH,Lee TH,Kim SP

    更新日期:2010-12-01 00:00:00

  • A case of broncho-paraspinal fistula induced by metallic devices: delayed complication of thoracic spinal surgery.

    abstract::We present a case report of a 45-year-old woman with spontaneous pneumocephalus accompanied by pneumorrhachis of the thoracic spine, which is a very rare condition generally associated with trauma and thoracic or spinal surgery. The patient had undergone an operation about 10 years earlier to treat a giant cell tumor ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.50.1.64

    authors: Son S,Kang DH,Choi DS,Choi NC

    更新日期:2011-07-01 00:00:00

  • Triggered Electrooculography for Identification of Oculomotor and Abducens Nerves during Skull Base Surgery.

    abstract:Objective:Electrooculography (EOG) records eyeball movements as changes in the potential difference between the negatively charged retina and the positively charged cornea. We aimed to investigate whether reliable EOG waveforms can be evoked by electrical stimulation of the oculomotor and abducens nerves during skull b...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2020.0179

    authors: Jeong HN,Ahn SI,Na M,Yoo J,Kim W,Jung IH,Kang S,Kim SM,Shin HY,Chang JH,Kim EH

    更新日期:2020-12-23 00:00:00

  • Surgical treatment of craniovertebral junction instability : clinical outcomes and effectiveness in personal experience.

    abstract:OBJECTIVE:Craniovertebral junction (CVJ) consists of the occipital bone that surrounds the foramen magnum, the atlas and the axis vertebrae. The mortality and morbidity is high for irreducible CVJ lesion with cervico-medullary compression. In a clinical retrospective study, the authors reviewed clinical and radiographi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.48.1.37

    authors: Song GC,Cho KS,Yoo DS,Huh PW,Lee SB

    更新日期:2010-07-01 00:00:00

  • Thoracic intramedullary schwannoma accompanying by extramedullary beads-like daughter schwanommas.

    abstract::Thoracic intramedullary schwannomas are rare spinal cord tumors. Most of these tumors have been reported as a single lesion in the spinal cord. The authors report the first case of intramedullary schwannoma accompanying by extramedullary beads-like daughter masses of the thoracic spine. A 68-year-old male presented wi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.5.302

    authors: Ryu KS,Lee KY,Lee HJ,Park CK

    更新日期:2011-05-01 00:00:00

  • Extended Pneumocephalus after Drainage of Chronic Subdural Hematoma Associated with Intracranial Hypotension : Case Report with Pathophysiologic Consideration.

    abstract::Chronic subdural hematoma (SDH) is a well-known disease entity and is traditionally managed with surgery. However, when associated with spontaneous intracranial hypotension (SIH), the treatment strategy ought to be modified, as classical treatment could lead to unwanted consequences. A 59-year-old man presented with a...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2016.59.1.69

    authors: Shin HS,Lee SH,Ko HC,Koh JS

    更新日期:2016-01-01 00:00:00

  • Development of 'De novo' Aneurysm after Therapeutic Carotid Occlusion.

    abstract::Carotid occlusion is an inevitable therapeutic modality for the treatment of complex aneurysms such as giant, traumatic, and intracavernous aneurysms. Late complications of carotid occlusion include 'de novo' aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. We report a case ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.45.4.236

    authors: Jin SC,Choi CG,Kwon DH

    更新日期:2009-04-01 00:00:00

  • A case of intradural-extramedullary form of primary spinal cysticercosis misdiagnosed as an arachnoid cyst.

    abstract::We describe a rare case of intradural-extramedullary primary spinal cysticercosis. A 42-year-old man visited our institute for lower back pain. He denied having consumed raw meet. Magnetic resonance (MR) images revealed an intradural pure cystic mass at the L3-L4 level. A radiologic diagnosis of spinal arachnoid cyst ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.55.4.226

    authors: Yoo M,Lee CH,Kim KJ,Kim HJ

    更新日期:2014-04-01 00:00:00

  • Lymphomatosis cerebri.

    abstract::Lymphomatosis cerebri is considered a diffuse form of primary central nervous system lymphoma and very rare. It is not well recognized and may be misdiagnosed with infiltrating tumors, degenerative disorders, ischemic diseases, and infectious diseases developed in the brain. Awareness of the possibility of this rare d...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2013.54.5.420

    authors: Choi CY,Lee CH,Joo M

    更新日期:2013-11-01 00:00:00

  • Erratum: interspinous implant with unilateral laminotomy for bilateral decompression of degenerative lumbar spinal stenosis in elderly patients.

    abstract::[This corrects the article on p. 338 in vol. 47, PMID: 20539792.]. ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,已发布勘误

    doi:10.3340/jkns.2010.47.6.480

    authors:

    更新日期:2010-06-01 00:00:00

  • Sixth and twelfth cranial nerve palsies following Basal skull fracture involving clivus and occipital condyle.

    abstract::Oblique basal skull fractures resulting from lateral crushing injuries involving both clivus and occipital condyle are rare due to their deep locations. Furthermore, these fractures may present clinically with multiple cranial nerve injuries because neural exit routes are restricted in this intricate region. The autho...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.51.5.305

    authors: Kim SH,Kim SW

    更新日期:2012-05-01 00:00:00

  • Three-dimensional digital subtraction angiographic evaluation of aneurysm remnants after clip placement.

    abstract:OBJECTIVE:The aneurysm remnants rate was evaluated via three-dimensional digital subtraction angiography (3D-DSA) in the postoperative evaluation of clipped aneurysms. METHODS:Data on surgically clipped aneurysms of anterior circulation obtained via postoperative 3D-DSA from February 2007 to March 2009 were gathered. ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.47.3.185

    authors: Ahn SS,Kim YD

    更新日期:2010-03-01 00:00:00

  • Device for Catheter Placement of External Ventricular Drain.

    abstract::To introduce a new device for catheter placement of an external ventricular drain (EVD) of cerebrospinal fluid (CSF). This device was composed of three portions, T-shaped main body, rectangular pillar having a central hole to insert a catheter and an arm pointing the tragus. The main body has a role to direct a ventri...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2016.59.3.322

    authors: Ann JM,Bae HG,Oh JS,Yoon SM

    更新日期:2016-05-01 00:00:00

  • Morphometric Study of the Lumbar Posterior Longitudinal Ligament.

    abstract:Objective:Morphometric data for the lumbar posterior longitudinal ligament (PLL) was investigated to identify whether there is a difference in the morphometry of the PLL of the lumbar spine at each level with respect to the pattern of intervertebral disc displacement. Methods:In 14 formalin-fixed adult cadavers (12 ma...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2017.0257

    authors: Lee SB,Chang JC,Lee GS,Hwang JC,Bae HG,Doh JW

    更新日期:2018-01-01 00:00:00

  • Pre- and Post-Angioplasty Perfusion CT with Acetazolamide Challenge in Patients with Unilateral Cerebrovascular Stenotic Disease.

    abstract:OBJECTIVE:Perfusion computed tomography (PCT) has the ability to measure quantitative value and produce maps of mean transit time (MTT), cerebral blood flow (CBF), and cerebral blood volume (CBV). We assessed cerebral hemodynamics by using these parameters and acetazolamide (ACZ) challenge for pre- and post-procedural ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2013.54.4.280

    authors: You SH,Jo SM,Kim YJ,Lee JH,Jo KD,Park WS

    更新日期:2013-10-01 00:00:00

  • Balloon Kyphoplasty through Extrapedicular Approach in the Treatment of Middle Thoracic Osteoporotic Compression Fracture : T5-T8 Level.

    abstract:OBJECTIVE:Kyphoplasty performed in the middle thoracic spine presents technical challenges that differ from those in the lower thoracic or lumbar region due to small pedicle size and angular severity for thoracic kyphosis. The purpose of this study was to evaluate the efficacy of balloon kyphoplasty through extrapedicu...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2007.42.5.363

    authors: Kim HS,Kim SW,Ju CI

    更新日期:2007-11-01 00:00:00

  • Comparison of Fusion Rate between Demineralized Bone Matrix versus Autograft in Lumbar Fusion : Meta-Analysis.

    abstract::The demineralized bone matrix (DBM) as the bone graft material to increase the fusion rate was widely used in spinal fusion. The current study aimed to compare the fusion rate of DBM to the fusion rate of autograft in lumbar spine fusion via meta-analysis of published literature. After systematic search, comparative s...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2019.0185

    authors: Han S,Park B,Lim JW,Youm JY,Choi SW,Kim DH,Ahn DK

    更新日期:2020-11-01 00:00:00

  • Posterior atalntoaxial fusion with c1 lateral mass screw and c2 pedicle screw supplemented with miniplate fixation for interlaminar fusion : a preliminary report.

    abstract:OBJECTIVE:To investigate the feasibility of C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion to treat various atlantoaxial instabilities. METHODS:After posterior atlantoaxial fixation with lateral mass screw in the atlas and pedicle scre...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.52.2.120

    authors: Yoon SM,Baek JW,Kim DH

    更新日期:2012-08-01 00:00:00

  • Undetermined fibrous tumor with calcification in the cerebellopontine angle.

    abstract::In this report, we introduce an undetermined fibrous tumor with calcification occurring in the cerebellopontine angle (CPA). A 51-year-old woman was admitted with a short history of dizziness. Computed tomography and magnetic resonance images revealed a 2×2×2 cm sized mass at the left CPA which was round and calcified...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.2.173

    authors: Cheon SH,Kang SH,Park KJ,Chung YG

    更新日期:2010-08-01 00:00:00

  • Clinical experience of the dynamic stabilization system for the degenerative spine disease.

    abstract:OBJECTIVE:The aim of the present study was to assess the safety and efficacy of the dynamic stabilization system in the treatment of degenerative spinal diseases. METHODS:The study population included 20 consecutive patients (13 females, 7 males) with a mean age of 61+/-6.98 years (range 46-70) who underwent decompres...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.5.221

    authors: Lee SE,Park SB,Jahng TA,Chung CK,Kim HJ

    更新日期:2008-05-01 00:00:00

  • Cerebral infarction presenting with unilateral isolated foot drop.

    abstract::Weakness of the dorsiflexor muscles of the ankle or toe, referred to as foot drop, is a relatively common presentation. In most cases, foot drop is caused by a lower motor neuron disease such as peroneal peripheral neuropathy, L4-5 radiculopathic sciatic neuropathy, or polyneuropathy. Although upper motor neuron lesio...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.56.3.254

    authors: Kim KW,Park JS,Koh EJ,Lee JM

    更新日期:2014-09-01 00:00:00

  • Staging in vestibular schwannoma surgery: a modified technique.

    abstract::The authors herein propose the staged excision as a novel strategy to preserve facial nerve and minimize complication during microsurgery of large vestibular schwannoma (VS). At the first stage, for reducing mass effect on the brain stem and cerebellum, subtotal tumor resection was performed via a retrosigmoid craniot...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2008.43.1.57

    authors: Kim E,Nam SI

    更新日期:2008-01-01 00:00:00

  • Retrospective analysis on 76 cases of cerebral arteriovenous malformations treated by gamma knife radiosurgery.

    abstract:OBJECTIVE:Outcome of gamma knife radiosurgery (GKS) in the consecutive 100 cases with cerebral arteriovenous malformations (AVMs) was analyzed. METHODS:Data from initial 100 patients treated with GKS in the authors' institute were reviewed retrospectively. Spetzler-Martin grade at diagnosis were I in 18 patients, II i...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.6.265

    authors: Choe JG,Im YS,Kim JS,Hong SC,Shin HJ,Lee JI

    更新日期:2008-06-01 00:00:00

  • The Risk Factors for Hydrocephalus and Subdural Hygroma after Decompressive Craniectomy in Head Injured Patients.

    abstract:OBJECTIVE:The present study aims to investigate 1) the risk factors for hydrocephalus and subdural hygroma (SDG) occurring after decompressive craniectomy (DC), and 2) the association between the type of SDG and hydrocephalus. METHODS:We retrospectively reviewed the clinical and radiological features of 92 patients wh...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.3.254

    authors: Ki HJ,Lee HJ,Lee HJ,Yi JS,Yang JH,Lee IW

    更新日期:2015-09-01 00:00:00

  • The influence of pituitary adenoma size on vision and visual outcomes after trans-sphenoidal adenectomy: a report of 78 cases.

    abstract:OBJECTIVE:The aims of this study were to investigate the quantitative relationship between pituitary macroadenoma size and degree of visual impairment, and assess visual improvement after surgical resection of the tumor. METHODS:The medical records of patients with pituitary adenoma, who had undergone trans-sphenoidal...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.57.1.23

    authors: Ho RW,Huang HM,Ho JT

    更新日期:2015-01-01 00:00:00

  • Spinal schwannoma; analysis of 40 cases.

    abstract:OBJECTIVE:This study is to report our experience of 40 cases of spinal schwannoma. METHODS:From 1995 to 2006, medical records were retrospectively reviewed in 40 cases of spinal schwannoma. RESULTS:We treated 40 spinal schwannomas in 38 (22 male and 16 female) patients. The mean age was 50.2. Four cases were sited in...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.3.135

    authors: Jeon JH,Hwang HS,Jeong JH,Park SH,Moon JG,Kim CH

    更新日期:2008-03-01 00:00:00

  • Angiographic and Clinical Factors Related with Good Functional Outcome after Mechanical Thrombectomy in Acute Cerebral Artery Occlusion.

    abstract:OBJECTIVE:The aim of this study is to investigate good prognostic factors for an acute occlusion of a major cerebral artery using mechanical thrombectomy. METHODS:Between January 2013 to December 2014, 37 consecutive patients with acute occlusion of a major cerebral artery treated by mechanical thrombectomy with stent...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.3.192

    authors: Park JH,Han YM,Jang KS,Yoon WS,Jang DK,Park SK

    更新日期:2015-09-01 00:00:00

  • The role of f-fluorodeoxyglucose positron emission tomography in the treatment of brain abscess.

    abstract:OBJECTIVE:The purpose of this study was to evaluate whether (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET) can be used to assess the therapeutic response of brain abscess. METHODS:A study was conducted on 10 consecutive patients with brain abscess. Magnetic resonance imaging (MRI) with diffuse-weighte...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.49.5.278

    authors: Park SH,Lee SW,Kang DH,Hwang JH,Sung JK,Hwang SK

    更新日期:2011-05-01 00:00:00