Can we now dispense with DSA in the evaluation of aneurysm occlusion even in the most crucial first follow-up after endovascular treatment?

Abstract:

OBJECTIVES:Catheter angiography (DSA) as gold standard for the evaluation of aneurysmal occlusion after coiling has now been largely replaced by MRI or CTA in long term observations. However, the first year after treatment is crucial because most recurrences occur in this time. Until now no guidelines exist concerning the imaging modality to adopt in this period. Aim of the study was to determine whether DSA could also be omitted in the first follow-up examination after coiling due to MRI results. PATIENTS AND METHODS:489 consecutive half-year follow-up examinations consisting of DSA, CE-MRA and TOF-MRA at 1.5 or 3T were reviewed retrospectively. Visualization of residual or recurrent aneurysms in both MRA-techniques was compared to DSA by two experienced readers. RESULTS:Remnants/recurrences could be visualized in at least one of the three techniques in 190 (38.9%) aneurysms. Remnants/recurrences requiring retreatment (n=52) were detectable with at least one of the two MRI-techniques. In three cases (0.6%) remnants/recurrences were only visible on DSA but neither on CE-MRA nor on TOF-MRA. However, they were small (<2mm) and therapy concept did not change. In one case (0.2%) they were only visible on the CE-MRA and TOF-MRA but not on the DSA, in five cases (1%) visible on DSA and TOF-MRA but not on the CE-MRA and in four cases (0.8%) not visible on the TOF-MRA but on both of the other imaging modalities. CONCLUSION:The combination of CE-MRA und TOF-MRA is also an appropriate alternative to DSA concerning the evaluation of residual or recurrent aneurysms in the crucial first follow-up.

journal_name

Clin Neurol Neurosurg

authors

Gramsch C,Zülow S,Nensa F,Maderwald S,Göricke S,Ringelstein A,Müller O,Sure U,Wanke I,Schlamann M

doi

10.1016/j.clineuro.2016.08.005

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

136-42

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(16)30289-X

journal_volume

149

pub_type

杂志文章
  • Surgical outcomes in traumatic brain injuries with bilateral mass occupying lesions. Analysis of prognostic factors.

    abstract:INTRODUCTION:Traumatic brain injury is a silent epidemic with major impacts on national productivity as it affects the economically productive age group. Bilateral injuries are usually severe with no clearly defined predictors of outcome as per current available literature. METHODS:We retrospectively assessed 102 cons...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106017

    authors: Yeole U,Krishnakumar M,Gopalakrishna KN,Sekar A,Sadashiva N,Shukla D

    更新日期:2020-09-01 00:00:00

  • Stereotactic electroencephalography.

    abstract::Stereotactic implantation of depth electrodes for surgical evaluation of drug-resistant epilepsy is the technique of choice in many centers across the world. Historically, the choice of depth versus subdural electrodes has been largely dependent on the training of epileptologists and epilepsy surgeons in light of thei...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2019.105640

    authors: Gholipour T,Koubeissi MZ,Shields DC

    更新日期:2020-02-01 00:00:00

  • Dialysis disequilibrium: another reversible posterior leukoencephalopathy syndrome?

    abstract::Dialysis disequilibrium syndrome is a disorder of the central nervous system in patients on dialysis. The underlying etiology is thought to be primarily due to cerebral edema; however, neuroradiologic findings have not been described previously. We describe a patient who presented with new onset headaches and status e...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(03)00039-8

    authors: Sheth KN,Wu GF,Messé SR,Wolf RL,Kasner SE

    更新日期:2003-09-01 00:00:00

  • Somatosensory and motor evoked potentials during correction surgery of scoliosis in neurologically asymptomatic Chiari malformation-associated scoliosis: A comparison with idiopathic scoliosis.

    abstract:OBJECTIVES:To analyze the somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) in neurologically asymptomatic Chiari malformation-associated scoliosis (CMS) patients with and without syringomyelia as compared with those in idiopathic scoliosis (IS) ones, and to identify whether the deformities have...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105689

    authors: Shi B,Qiu J,Xu L,Li Y,Jiang D,Xia S,Liu Z,Sun X,Shi B,Zhu Z,Qiu Y

    更新日期:2020-04-01 00:00:00

  • Sylvian fissure dermoid cyst with intratumoral hemorrhage: case report.

    abstract::It is rare for a dermoid cyst to develop intratumoral hemorrhage. A 61-year-old woman had a sudden-onset left hemiparesis and slow response to verbal requests for one week when unenhanced computed tomography scanning revealed a mixed iso- and hypo-dense heterogeneous lesion in the right fronto-temporal area. T1-weight...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2004.11.003

    authors: Chen JC,Chen Y,Lin SM,Tseng SH

    更新日期:2005-12-01 00:00:00

  • Spinal cordectomy: A new hope for morbid spinal conditions.

    abstract::A spinal cordectomy is a treatment option for several disorders of the spinal cord like post-traumatic syringomyelia, spinal cord tumor and myelomeningocele. We have done a systematic analysis of all reported cases of spinal cordectomy to investigate the possible outcomes and complications. A PubMed search was perform...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2016.11.003

    authors: Konar SK,Maiti TK,Bir SC,Nanda A

    更新日期:2017-01-01 00:00:00

  • Cerebral venous thrombosis: influence of risk factors and imaging findings on prognosis.

    abstract:PURPOSE:To investigate imaging findings, risk factors and outcome in patients with cerebral venous thrombosis (CVT). METHODS:Records of all patients with diagnosis of CVT between 1992 and 2002 were reviewed. Patients with CNS infection and with CVT secondary to invasive procedures were excluded. Inherited and acquired...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2004.10.004

    authors: Appenzeller S,Zeller CB,Annichino-Bizzachi JM,Costallat LT,Deus-Silva L,Voetsch B,Faria AV,Zanardi VA,Damasceno BP,Cendes F

    更新日期:2005-08-01 00:00:00

  • Cognitive and functional impairments in ischemic stroke patients with concurrent small vessel and large artery disease.

    abstract:BACKGROUND AND PURPOSE:Concurrent small vessel, intracranial and extracranial large artery disease (SLAD) is common in Asian but its impact on cognitive and functional outcomes is unclear. We aimed to evaluate the clinical, cognitive and functional outcomes in ischemic stroke patients with SLAD. METHODS:Chinese ischem...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.04.001

    authors: Man BL,Fu YP,Wong A,Chan YY,Lam W,Hui AC,Leung WH,Mok V,Wong KS

    更新日期:2011-10-01 00:00:00

  • Outcome measures reflecting patient satisfaction following decompression surgery for lumbar spinal stenosis: Comparison of major outcome measures.

    abstract:OBJECTIVE:Decompression surgery is the standard treatment for lumbar spinal stenosis (LSS); however, despite the good clinical outcomes reported for this procedure, a relatively high dissatisfaction rate has been reported. We hypothesized that the previously used outcome measures do not accurately reflect patient satis...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105710

    authors: Ogura Y,Kobayashi Y,Kitagawa T,Yonezawa Y,Takahashi Y,Yoshida K,Yasuda A,Shinozaki Y,Ogawa J

    更新日期:2020-04-01 00:00:00

  • Comparison of two surgeries in treatment of severe kyphotic deformity caused by ankylosing spondylitis: Transpedicular bivertebrae wedge osteotomy versus one-stage interrupted two-level transpedicular wedge osteotomy.

    abstract:OBJECTIVE:To explore a simple and effective surgery for correcting severe kyphotic deformity caused by ankylosing spondylitis (AS). MATERIALS AND METHODS:From January 2003 to December 2009, we respectively reviewed 32 patients with severe spinal kyphosis caused by AS with at least 2-year follow-up. Patients were divid...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2015.09.011

    authors: Zhao Y,Xu H,Zhang Y,Wang Z,Zhang X,Wang Y

    更新日期:2015-12-01 00:00:00

  • A missed diagnosis: acute encephalopathy with biphasic seizures and late reduced diffusion.

    abstract::Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) is a very rare encephalopathy subtype which is characterized by biphasic seizures and disturbance of consciousness in the acute stage followed in the subacute stage by restricted diffusion in the subcortical white matter and finally resultin...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 信件

    doi:10.1016/j.clineuro.2014.08.038

    authors: Bekci T,Aslan K,Bilgici MC,Onaral CS,Yosma E

    更新日期:2014-12-01 00:00:00

  • Neurotuberculosis: a review.

    abstract::Tuberculosis is still a major cause of serious illness in many parts of the world. CNS involvement has frequently been found secondary to tuberculosis elsewhere in the body, particularly the lungs. The disease manifests itself as meningitis, tuberculoma and/or spinal tuberculosis. The presence of tuberculosis elsewher...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/0303-8467(92)90014-t

    authors: al-Deeb SM,Yaqub BA,Sharif HS,Motaery KR

    更新日期:1992-01-01 00:00:00

  • Manifestations of Neuro-Behcet's disease. Report of two cases and review of the literature.

    abstract::Behcet's disease (BD) is a rare condition, more commonly seen in Turkey, the Middle East, the Mediterranean, and the Far Eastern countries. It is a multifaced disease involving the central nervous system (CNS), skin, joints, intestines and blood vessels. CNS involvement occurs in 10-25% of the patients with BD. We rep...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2004.07.002

    authors: Ho CL,Deruytter MJ

    更新日期:2005-06-01 00:00:00

  • Migrainous infarction with appearance of laminar necrosis on MRI.

    abstract::Although there is accepted criteria for migrainous infarction, the pathophysiology of this disease process remains poorly defined. Delineation of MRI characteristics of migrainous infarction may improve our understanding of the pathophysiology, diagnosis, and prognosis of this disorder. We present a case of a migraino...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2007.04.005

    authors: Liang Y,Scott TF

    更新日期:2007-09-01 00:00:00

  • Role of the ketogenic diet in acute neurological diseases.

    abstract::The current review outlines the role of ketogenic diet (KD) in the management of acute neurological conditions namely traumatic brain injury, ischemic stroke, status epilepticus and primary aggressive brain tumor. An overview of the scientific literature- both clinical and pre-clinical studies is presented along with ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2020.105727

    authors: Arora N,Mehta TR

    更新日期:2020-05-01 00:00:00

  • Split cord malformation in adults: Literature review and classification.

    abstract::The objective of this study was to summarize the available literature describing the presentation, diagnostic evaluation, and management for adults with Type 1 and Type 2 split spinal cord malformations. A review of the literature was performed using the CINAHL, PubMed, Embase, and Web of Science database, alongside a...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2020.105733

    authors: Karim Ahmed A,Howell EP,Harward S,Sankey EW,Ehresman J,Schilling A,Wang T,Pennington Z,Gray L,Sciubba DM,Goodwin CR

    更新日期:2020-06-01 00:00:00

  • Factors influencing the symmetry of Parkinson's disease symptoms.

    abstract:INTRODUCTION:The presence of asymmetry in symptoms and clinical signs favours the diagnosis of Parkinson's disease (PD). The aim of this study is to analyse this symptom asymmetry as a function of different variables and compare it with other parkinsonisms. MATERIALS AND METHODS:201 Patients with PD were studied. The ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.12.017

    authors: Gómez-Esteban JC,Tijero B,Ciordia R,Berganzo K,Somme J,Lezcano E,Zarranz JJ

    更新日期:2010-05-01 00:00:00

  • Progressive multifocal leukoencephalopathy developing in advanced pulmonal sarcoidosis.

    abstract::Coincidence of pulmonal sarcoidosis and progressive multifocal leukoencephalopathy (PML) rarely occurs. So far an entire course has been recorded in only very few cases. We demonstrate the case of a 49-year-old male developing an infratentorial localized PML in the setting of advanced pulmonal sarcoidosis. PML was not...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2007.05.009

    authors: Völker HU,Kraft K,Arnold E,Steinhoff S,Kolios G,Sommer S

    更新日期:2007-09-01 00:00:00

  • External ventricular drain placement in the intensive care unit versus operating room: evaluation of complications and accuracy.

    abstract:OBJECTIVE:External ventricular drain (EVD) placement is a common neurosurgical procedure performed in both the intensive care unit (ICU) and operating room (OR). The optimal setting for EVD placement in regard to safety and accuracy of placement is poorly defined. METHODS:A retrospective chart review was performed on ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.09.026

    authors: Foreman PM,Hendrix P,Griessenauer CJ,Schmalz PG,Harrigan MR

    更新日期:2015-01-01 00:00:00

  • Clinical variability of neuroacanthocytosis syndromes-a series of six patients with long follow-up.

    abstract:OBJECTIVE:To provide clinical clues to differential diagnosis in patients with chorea and other movement disorders with blood acanthocytes. METHODS:We present a long-term video accompanied follow-up of six Caucasian patients with neuroacanthocytosis from several centers, three diagnosed with chorea-acanthocytosis (ChA...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.05.028

    authors: Dulski J,Sołtan W,Schinwelski M,Rudzińska M,Wójcik-Pędziwiatr M,Wictor L,Schön F,Puschmann A,Klempíř J,Tilley L,Roth J,Tacik P,Fujioka S,Drozdowski W,Sitek EJ,Wszolek Z,Sławek J

    更新日期:2016-08-01 00:00:00

  • Locked-in syndrome. Case and literature review.

    abstract::A case of locked-in syndrome is described and the literature is reviewed. The disorder consists of quadriplegia and mutism with preserved consciousness. The only remaining voluntary movements are usually vertical eye movements and eyelid blinking. Most cases are caused by basilar artery occlusion resulting in a brains...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/0303-8467(84)90289-0

    authors: Virgile RS

    更新日期:1984-01-01 00:00:00

  • High long-term symptomatic recurrence rates after Chiari-1 decompression without dural opening: a single center experience.

    abstract:OBJECTIVE:We evaluated long-term outcomes of posterior fossa decompression (PFD) without duroplasty in consecutive patients with newly diagnosed Chiari-1 malformation. METHODS:We searched the institutional database for all adult patients who underwent Chiari decompression between 1995 and 2007. PFD was offered to all ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.12.016

    authors: Krishna V,McLawhorn M,Kosnik-Infinger L,Patel S

    更新日期:2014-03-01 00:00:00

  • Socioeconomic and demographic disparities of moyamoya disease in the United States.

    abstract:OBJECTIVES:Although stroke incidence is inversely associated with socioeconomic status, whether similar disparities exist with moyamoya disease (MMD) is unknown. Determining the socioeconomic and demographic factors involved in MMD will provide better direction in elucidating the etiology or addressing healthcare inequ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105719

    authors: Ghaffari-Rafi A,Ghaffari-Rafi S,Leon-Rojas J

    更新日期:2020-05-01 00:00:00

  • The role of diffusion tensor imaging and dynamic susceptibility perfusion MRI in the evaluation of meningioma grade and subtype.

    abstract:PURPOSE:We prospectively investigated the relationship between diffusion tensor imaging (DTI), dynamic susceptibility perfusion (DSP) MRI metrics and grade, subtype and Ki-67 labelling index of meningiomas. MATERIALS AND ΜETHODS: Thirty-nine patients operated for meningioma were included in the study. DTI and DSP were ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2016.05.005

    authors: Zikou A,Alexiou GA,Goussia A,Kosta P,Xydis V,Voulgaris S,Kyritsis AP,Argyropoulou MI

    更新日期:2016-07-01 00:00:00

  • Endermology: a treatment for injection-induced lipoatrophy in multiple sclerosis patients treated with sub cutaneous glatiramer acetate.

    abstract:OBJECTIVE:To evaluate sessions of endermology (LPG) on patients with lipoatrophy, due to GA injections in an open-labelled study. BACKGROUND:Glatiramer acetate (GA) is an immunomodulatory drug, with an excellent safety profile, that is currently used for treatment of multiple sclerosis and is administered as daily sub...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.07.012

    authors: Lebrun C,Mondot L,Bertagna M,Calleja A,Cohen M

    更新日期:2011-11-01 00:00:00

  • Variability of central conduction in the course of multiple sclerosis. Serial recordings of evoked potentials in the evaluation of therapy.

    abstract::In 27 normal subjects evoked potentials (EPs) were serially measured across an interval of 3.5 months. The variation in latencies of the P100 component of the VEP and of the components N13 and N20 of the SEP did not exceed 12% of the absolute values of these latencies on the first recording. The VEP and SEP were also ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0303-8467(87)80069-0

    authors: de Weerd AW

    更新日期:1987-01-01 00:00:00

  • Multiple brain abscesses following surgical treatment of a perianal abscess.

    abstract::We report a case of multiple brain abscesses (BAs) in a 67-year-old man with symptoms of progredient disorientation and amnestic aphasia. Onset of symptoms occurred one week after surgical treatment of a perianal abscess. No other source of infection was identified and the abscesses were limited to the brain. The immu...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2004.11.024

    authors: Doepp F,Schreiber SJ,Wandinger KP,Trendelenburg G,Valdueza JM

    更新日期:2006-02-01 00:00:00

  • Cluster headache patients are not affected by restless legs syndrome: an observational study.

    abstract:OBJECTIVE:To investigate the presence of Restless Legs Syndrome (RLS) in Cluster Headache (CH) patients compared to headache-free controls. DESIGN AND SETTING:Cross-sectional case-control study of CH patients presenting at tertiary headache centers over the period January-December 2008. PATIENTS AND PARTICIPANTS:Fift...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2010.12.006

    authors: Florindo D,Daniela C,Giulio C,Vittorio P,Gabriella M,Vincenzo T,Eliana M,Gerardo C,Gennaro B

    更新日期:2011-05-01 00:00:00

  • Pterional transsylvian-transinsular approach in three cavernomas of the left anterior mesiotemporal region.

    abstract:OBJECTIVE:To describe the pterional transsylvian-transinsular approach for cavernomas of the left anterior mesiotemporal region in three patients. METHODS:A retrospective analysis of patients who underwent surgery for cavernous angiomas in the temporal lobe was performed via the left mesiotemporal lobe (MTL). The tech...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.12.013

    authors: Campero A,Ajler P,Garategui L,Goldschmidt E,Martins C,Rhoton A

    更新日期:2015-03-01 00:00:00

  • Indication-based analysis of patient outcomes following deep brain stimulation surgery.

    abstract:BACKGROUND:While considered a safe operation, deep brain stimulation (DBS) has been associated with various morbidities. We assessed differences in postsurgical complication rates in patients undergoing the most common types of neurostimulation surgery. METHODS:The National Readmission Database (NRD) was queried to id...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106372

    authors: Tafreshi AR,Shahrestani S,Lien BV,Ransom S,Brown NJ,Ransom RC,Ballatori AM,Ton A,Chen XT,Sahyouni R,Lee B

    更新日期:2021-01-01 00:00:00