Abstract:
BACKGROUND AND IMPORTANCE:As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically have high rates of morbidity and mortality despite multiple treatment strategies. We report a case of rebleeding after treatment of a ruptured blister aneurysm with deployment of a single FDS. CLINICAL PRESENTATION:A 29-year-old man presented with subarachnoid hemorrhage and a ruptured dorsal variant internal carotid artery aneurysm. Despite a technically successful treatment with a single FDS, a second catastrophic hemorrhage occurred during the course of his hospitalization. CONCLUSION:This case highlights the risk of hemorrhage during the period after deployment of a single FDS. Ruptured aneurysms, especially of the blister type, are at risk for rehemorrhage while the occlusion remains incomplete after flow diversion. ABBREVIATIONS:FDS, flow-diverting stentICA, internal carotid arterySAH, subarachnoid hemorrhage.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Mazur MD,Taussky P,MacDonald JD,Park MSdoi
10.1227/NEU.0000000000001412subject
Has Abstractpub_date
2016-11-01 00:00:00pages
E634-E638issue
5eissn
0148-396Xissn
1524-4040pii
00006123-201611000-00018journal_volume
79pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:To describe a modification of the pterional approach (PT), the minipterional craniotomy (MPT), and compare the anatomic exposure provided by these two approaches. METHODS:The anatomic exposure offered by the MPT and PT were compared in eight sides of cadaver heads using a computerized tracking system, a robo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000303978.11752.45
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Distal middle cerebral artery (MCA) aneurysms frequently have nonsaccular morphology that necessitates trapping and bypass. Bypasses can be difficult because efferent arteries lie deep in the opercular cleft and may not be easily identifiable. OBJECTIVE:We introduce the "flash fluorescence" technique, which...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e31823158f3
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:We analyzed a consecutive series of patients operated for a foramen magnum (FM) meningioma located on the ventral aspect of the medulla oblongata via a posterolateral suboccipital retrocondylar approach with regard to long-term surgical outcome. METHODS:Clinical data in a consecutive series of 25 patients ex...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.NEU.0000245629.77968.37
更新日期:2006-12-01 00:00:00
abstract::The effect of whole body hyperthermia and hypothermia in conjunction with photodynamic therapy (PDT) was determined on normal rat brain. Hyperthermia animals (Group I, n = 18) were warmed until their core body temperature reached 40 degrees C, (brain temperature, 39.7 +/- 0.5 degree C) and maintained at 40 +/- 1 degre...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199501000-00018
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Liponeurocytomas are rare cerebellar neoplasms in adults, with benign histological features and a favorable clinical prognosis. Current clinical opinion is based on a total of less than 20 published cases and suggests that gross total resection and long-term follow-up monitoring, with possible ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000093430.61239.7e
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To describe the bypass techniques, cranial base approaches, results of treatment, causes of failure, and lessons that are learned in patients with posterior circulation aneurysms requiring revascularization. METHODS:Retrospectively, 19 patients with posterior fossa aneurysms requiring revascularization proce...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.neu.0000140822.64362.c6
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:A 10-year prospective clinical and magnetic resonance imaging study was undertaken to determine the natural history of venous malformations. We assessed the hemorrhage rate and morbidity associated with venous malformations of the brain. PATIENTS AND METHODS:From 1986 to 1996, 80 patients with venous malform...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199808000-00001
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:The prognosis of giant aneurysms remains poor despite recent advances in microneurosurgery. Thick-walled and partially calcified giant aneurysms with an atheromatic base are difficult to clip safely. Special techniques allowing reshaping of the base and ensuring the stability of clips are often needed. We pre...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000330400.68015.88
更新日期:2009-03-01 00:00:00
abstract::Progressive kyphotic deformity of the cervical spine may be a late sequela of congenital cervical anomalies, degenerative disc disease, neoplasm, cervical trauma, and surgical procedures. Of these, postsurgical kyphosis is the most common and can occur after ventral and dorsal surgeries of the cervical spine. The purp...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144496.36844.7b
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To review the dorsal approaches to the cervical spine for myelopathy and myeloradiculopathy. METHODS:The literature was reviewed in reference to dorsal approaches for cervical myelopathy and myeloradiculopathy. RESULTS:There are a variety of surgical approaches in the management of cervical myelopathy and m...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000215379.90537.0B
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Neurosurgical emergencies are an important cause of disability and mortality. OBJECTIVE:To examine the nationwide burden of neurological conditions requiring emergency neurosurgery. METHODS:The Nationwide Inpatient Sample database (2002-2011) was queried to identify adult patients with a primary discharge ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx055
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:Gamma knife surgery (GKS) has become established as a minimally invasive treatment modality for patients with vestibular schwannomas. Treatment failure and/or tumor regrowth, however, is occasionally encountered, and microsurgical resection is usually warranted in such cases. The role of repeat GKS in these s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000327692.74477.D5
更新日期:2009-01-01 00:00:00
abstract::Three cases of intracranial meningioma unmasked by elective general anesthesia are reported. In each case, the meningioma was either asymptomatic or so subtly symptomatic that no suspicion of intracranial tumor had been entertained preoperatively. Each patient presented with failure to wake up after routine general an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198403000-00012
更新日期:1984-03-01 00:00:00
abstract:OBJECTIVE:Intracranial dural arteriovenous fistulae (DAVFs) can present as disabling intracranial hemorrhage. The aim of this study was to investigate the independent effects of specific demographic and clinical variables on hemorrhagic presentation in patients with DAVFs. METHODS:All patients with DAVFs evaluated at ...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000317311.69697.fc
更新日期:2008-03-01 00:00:00
abstract::In the last decade of the 18th century, Franz Joseph Gall of Vienna invented a combination of physiognomy and brain localization that he originally called "craniology" (the science of the head) and later called "organology" (the science of the organs of the brain). Between 1800 and 1812, he worked with Johann Christop...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1227/00006123-199510000-00025
更新日期:1995-10-01 00:00:00
abstract::Modern medical education in the Ottoman Empire began with the founding of the School of Medicine and Surgery in 1827. This was a military school established to provide military physicians for the army. The first neurosurgical interventions at this school were initiated by Cemil Pasha in 1889. This school has gradually...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1227/01.NEU.0000197488.65065.C3
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:We report a retrospective series of 13 patients who presented with symptoms and signs caused by cervical juxtafacet cysts. Clinical findings, radiographic features, surgical management strategies, and possible causes are reported and discussed. METHODS:We reviewed clinical histories, radiographic studies, su...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199812000-00058
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:This article describes delayed endovascular revascularization in a patient with clinical and radiographic evidence of posterior circulation hemodynamic failure in the setting of intracranial occlusive lesions. CLINICAL PRESENTATION:A 48-year-old man presented with a 6-week history of progress...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182186811
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Treatment of 11 patients with aneurysms or arteriovenous fistulae of the craniocervical arteries with stent grafts. METHODS:Peripheral stent grafts were deployed in two extracranial internal carotid arteries. Coronary stent grafts were used to treat two giant aneurysms, five direct carotid-cavernous fistulae...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000134455.02947.1f
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To evaluate patients' clinical outcome, survival, and performance status, at the long-term follow-up evaluation after aggressive microsurgical resection of petroclival meningiomas. METHODS:During a 13-year period (1991-2004), 150 patients underwent 207 operative procedures for resection of petroclival mening...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255472.52882.D6
更新日期:2007-06-01 00:00:00
abstract::A newly designed cottonoid is fixed to the tip of the suction device by the negative pressure. It is especially useful during microsurgical procedures in areas crowded with neurovascular elements. The advantage of pressure-mounted cottonoids lies in the protection provided to the brain and neurovascular elements durin...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198212000-00010
更新日期:1982-12-01 00:00:00
abstract:OBJECTIVE:Preoperative magnetic resonance imaging (MRI) myelography scans demonstrated a dural defect in a 50-year-old man with an epidural arachnoid cyst who had a 29-year history of untreated weakness and numbness both lower limbs. METHODS:MRI scans showed a dorsal intraspinal extradural cystic lesion at the level f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000232659.56174.28
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Transoral odontoidectomy and resection of the anterior C1 arch destabilize the atlantoaxial joint and risk its stability. OBJECTIVE:To preserve stability in such cases we devised and evaluated a proof-of-concept study. The arch and dens were dissected and decompression was performed on cadavers. The dens wa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31820934a9
更新日期:2011-03-01 00:00:00
abstract::A case of primary osteogenic sarcoma of the skull with metastases to the lungs, left diaphragm, 2nd lumbar and 1st sacral vertebral bodies, and both femoral heads was presented. A young man with a lump over his right parieto-occipital region since the age of 14 had noticed rapid growth of the mass after having experie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1981-09-01 00:00:00
abstract::A striking and diffuse hemangiomatous architecture was identified by microscopic examination of bone specimens obtained at cranial synostectomy and from the craniofacial area of a young boy with Kleeblättschadel deformity and Crouzon's syndrome. A retrospective review of the histopathological appearance of bone specim...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198503000-00019
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Median nerve neuropathy can be clinically devastating to a patient. It can be caused by compression of the median nerve anywhere along its course. We present the case of delayed median nerve neuropathy after the placement of a vascular graft in the arm. CLINICAL PRESENTATION:An arm shunt was p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200202000-00035
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:Adult gliomas have indistinct borders. As the ratio of neoplastic cells to normal cells becomes lower, the ability to detect these cells diminishes. We describe a device designed to augment intraoperative identification of both solid tumor and infiltrating tumor margins. METHODS:A novel, intraoperative, opti...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.000176855.39826.2d
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:We describe an innovative 1.7-mm-diameter, latex-free aspirator tip attachment (Circle Medical B.V., Wijchen, The Netherlands). This tip is designed to be used during tumor resection to avoid surgical trauma to the spinal cord surrounding an intramedullary tumor and the associated blood vessels. PATIENTS AND...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000303975.14430.1f
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:Cerebellopontine angle (CPA) epidermoids, although of benign nature, are of considerable neurosurgical interest because of their close proximity and adherence to the cranial nerves and the brain stem. We describe our experience and attempt to correlate the final outcomes with the extent of surgical removal. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199701000-00004
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Intraoperative aneurysmal rupture represents a potentially catastrophic event. We describe the use of an intravenous adenosine bolus to induce transient cardiac asystole to control a severe intraoperative aneurysmal rupture. This treatment resulted in a brief period of severe hypotension, which...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200007000-00053
更新日期:2000-07-01 00:00:00