Abstract:
PURPOSE:Isolated posterior inferior cerebellar artery dissecting aneurysms are rare lesions. Their underlying pathology, presentation, and natural history are poorly understood. Their treatment is controversial, and few data are available regarding the best treatment. We conducted the first study comparing selective coiling and parent artery occlusion for the treatment of isolated PICA dissecting aneurysms. METHODS:All patients harboring isolated PICA dissecting aneurysms treated between January 2006 and October 2012, in a single center, were retrospectively evaluated. Patients were consecutively submitted either to selective coiling or parent artery occlusion. The safety and durability (recanalization and rebleeding rates) of each treatment were established. In order to compare the results of both treatment modalities, we also performed a literature search of all cases of isolated PICA dissecting aneurysms endovascularly treated. RESULTS:Fourteen patients harboring isolated PICA dissecting aneurysms were assigned to endovascular treatment in our center (eight to selective coiling vs six to parent artery occlusion). There was no statistical difference between both groups regarding complications. No patient experienced rebleeding. One recanalization was observed in the selective coiling group. Based on literature review (83 cases), selective coiling and parent artery occlusion showed similar success rate in preventing rebleeding. Parent artery occlusion was significantly associated with a higher risk of ischemic complication (p = 0.013). CONCLUSIONS:Both selective coiling and parent artery occlusion are highly effective in preventing rebleeding in isolated PICA dissecting aneurysms. Although total complication rate is similar between both modalities, parent artery occlusion is significantly associated to a higher risk of ischemic events.
journal_name
Clin Neuroradioljournal_title
Clinical neuroradiologyauthors
Trivelato FP,Salles Rezende MT,Castro GD,Manzato LB,Santoro Araújo JF,Ulhôa ACdoi
10.1007/s00062-013-0247-5subject
Has Abstractpub_date
2014-09-01 00:00:00pages
255-61issue
3eissn
1869-1439issn
1869-1447journal_volume
24pub_type
杂志文章abstract:OBJECT:The anterior choroidal artery (AChoA) is a rare location for intracranial aneurysms. The treatment of these aneurysms may be challenging due to the risk of occlusion of such a small and eloquent artery as the AChoA. We aimed to evaluate the risk factors for complications in AChoA aneurysm treatment. METHODS:We ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0575-y
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Distal embolization or movement of the thrombus to previously uninvolved vasculature are feared complications during stroke thrombectomy. We looked at associated factors in a consecutive series of patients who underwent thrombectomy with the same endovascular device. METHODS:We included all patients with ac...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-018-0679-z
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To illustrate the added value of flat-detector computed tomography angiography with intravenous contrast media injection (intravenous FDCTA) in the evaluation of complex A1/A2/AcomA aneurysms. PATIENTS AND METHODS:We retrospectively reviewed 15 patients with ruptured aneurysms. In each patient, an intravenou...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0592-x
更新日期:2018-12-01 00:00:00
abstract::Primary goal of magnetic resonance imaging in epilepsy patients is to detect epileptogenic lesions with small lesions best detectable on a 3D FLAIR SPACE sequence with 1 mm(3) voxels. Morphometric analysis of 3D T1-weighted data sets helps to find subtle lesions and may reveal the true extent of a lesion. In further p...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0387-x
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:Visualization of the abducens nerve in its petroclival segment still remains challenging. We aimed to investigate the detectability of the petroclival segment of the abducens nerve and to evaluate the role of the size of the petroclival venous confluence (PVC) in the visibility of the nerve using contrast-enhan...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-015-0415-x
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:The aim of this study is to evaluate the association between lesion progression and the ischemic or edematous area that can develop around the hemorrhage in intraparenchymal hemorrhagic lesions originating after head trauma. METHODS:Thirty patients with intracerebral hemorrhage due to head trauma of a mild or ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0251-9
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:Carotid artery stenting (CAS) has been proven to decrease the risk of stroke in symptomatic patients with moderate/high-grade carotid stenosis; however, there is an increased periprocedural risk of stroke with CAS compared to carotid endarterectomy. The goal of this article is to report the utilization of endov...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00799-9
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:Hereditary spastic paraplegia (HSP) and hereditary spastic ataxia (HSA) are a heterogeneous group of genetic disorders characterized by progressive lower limb spasticity resulting from pyramidal tract dysfunction. By identifying critical imaging findings within the clinical context of spasticity, radiologists a...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0665-5
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:We aimed to compare images obtained with an Enhanced 3D multi-echo GRE T2*-weighted angiography (ESWAN) sequence with those obtained with a susceptibility-weighted imaging-spoiled gradient-recalled echo (SWI-SPGR) sequence and a two-dimensional (2D) T2*-weighted gradient-recalled echo (GRE) sequence for the des...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0185-7
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Temporary balloon test occlusion (BTO) might be performed prior to procedures in which occlusion of the internal carotid artery (ICA) might be necessary. We tested the hypothesis that parametric color coding (PCC) of angiographic series (digital subtraction angiography (DSA)) along with the assessment of cer...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-013-0208-z
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A new curative embolization technique with Onyx for selected small- and medium-sized superficially located brain arteriovenous malformations (AVMs) was developed, which consists of obliteration of the nidus, including incremental occlusion of the draining veins. We report our first clinical resul...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-012-0149-y
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:Our aim was to identify imaging characteristics of pilocytic astrocytomas (PAs) in the cerebral ventricles to help radiologists distinguish PAs from other brain tumors preoperatively. METHODS:Twelve postsurgery patients with a pathological PA diagnosis were included. Among them, 10 had submitted to surgery bas...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-015-0370-6
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:The three-dimensional digital subtraction angiography (3D DSA) technique is the current standard and is based on both mask and fill runs to enable the subtraction technique. Artificial intelligence (AI)-based 3D angiography (3DA) was developed to reduce radiation dosage because only one contrast-enhanced run of...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00836-7
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The GestSure system is an Food and Drugs Administration (FDA)-registered depth-sensing infrared device initially developed for touchless image navigation during open surgery. The goal of this study was to explore the feasibility of this technology with medical students, residents, fellows and sta...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00829-6
更新日期:2019-11-06 00:00:00
abstract:PURPOSE:Tethered cord syndrome (TCS) is a clinical entity in which symptoms are induced through excessive tension on the spinal cord. The radiological method of choice to confirm TCS is magnetic resonance imaging (MRI), however limitations exist especially in patients with no underlying spinal dysraphism. MATERIALS AN...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0049-y
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:Acute basilar artery occlusion is associated with high rates of major morbidity and mortality. In rare cases, the underlying pathology is a high-grade stenosis of the basilar artery. We report on a series of seven cases with occluded high-grade basilar artery stenosis who received endovascular therapy at our ce...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-014-0303-9
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:Diffusion-weighted imaging (DWI) produces contrast among different kinds of tissues according to their diffusibility characteristics. The purpose of our study was to evaluate the role of DWI including measurement of apparent diffusion coefficient (ADC) values in recognizing benignancy or malignancy of orbi...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0234-x
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Mechanical thrombectomy is an effective recanalization technique in acute ischemic stroke patients with large vessel occlusions; however, it is unclear to what extent stent retriever thrombectomy may be applicable to occlusions of smaller peripheral cerebral vessels. The outcome of patients with ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0739-4
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:The aim of this study was to analyze sex differences in outcome after thrombectomy for acute ischemic stroke in clinical practice in a large prospective multicenter registry. METHODS:Data of consecutive stroke patients treated with thrombectomy (June 2015-April 2018) derived from an industry-independent regist...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-020-00983-2
更新日期:2020-12-21 00:00:00
abstract:PURPOSE:The aim of this study was to compare a recently established whole brain MR spectroscopic imaging (wbMRSI) technique using spin-echo planar spectroscopic imaging (EPSI) acquisition and the Metabolic Imaging and Data Analysis System (MIDAS) software package with single voxel spectroscopy (SVS) technique and LCMod...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-00757-x
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:Against the background of the increasing dilemma in the scientific community regarding protected versus unprotected carotid artery stent (CAS) placement and the disputed points in interpreting the results of scientific studies as well as the difficulty in conducting such randomized controlled studies, this arti...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0057-6
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:The low-profile Acandis Acclino is a self-expandable nitinol microstent for stent-assisted coiling of intracranial aneurysms. This article reports long-term clinical and angiographic outcome in a multicenter setting. METHODS:In this study 98 consecutive patients (mean age 55.4 ± 13.5 years) were treated with t...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00847-4
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:Little is known about catheter-based endovascular treatment of vertebrobasilar artery branch occlusion (VEBABO) in acute ischemic stroke (AIS). Nonetheless, the experience of mechanical thrombectomy (MT) in distal small sized arteries of the anterior circulation seems promising in AIS. In this multicenter study...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-020-00970-7
更新日期:2020-10-27 00:00:00
abstract:PURPOSE:Diagnosis of cortical vein thrombosis (CVT) on the basis of clot hyperintensity on diffusion-weighted imaging (DWI) has been reported as limited. Our aim was to evaluate different DWI findings of CVT either in isolated form or in combination with sinus thrombosis. METHODS:In this review-board-approved study, p...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-014-0301-y
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:Evaluation of a new postprocessing method for postoperative control of cochlear implants (CI) based on a single flat detector computed tomography (FD-CT) run and volume rendering of 3D models of the inner ear. METHODS:The FD-CT datasets of CIs were selected and postprocessed to generate both standard multiplan...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00832-x
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The estimates on the risk of rupture of intracranial aneurysms remain a controversial topic. Circumferential aneurysmal wall enhancement (CAWE) on vessel wall magnetic resonance imaging (MRI) has been described in unstable aneurysms. Sentinel headaches and third nerve palsy are possible symptoms ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0598-4
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extracranial internal carotid artery (ICA) dissection is an important cause of ischemic stroke in younger adults. The optimal medical and surgical strategies for managing these lesions have not been well established. We report a case series of extracranial ICA reconstruction using overlapping flo...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0707-z
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:Patients with transient global amnesia (TGA) present with a characteristic clinical syndrome although other differential diagnoses have to be considered. Diffusion-weighted imaging (DWI) represents a highly specific diagnostic tool in the context of TGA; however, standard clinical DWI often fails to detect the ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0140-7
更新日期:2012-12-01 00:00:00
abstract::Conventional magnetic resonance (MR) imaging of space-occupying lesions may answer most of the questions concerning the diagnosis and subsequent treatment strategies if patient age, clinical and paraclinical findings are considered as well. However, crucial and relevant differential diagnoses require additional MR met...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-011-0073-6
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several studies have shown that thrombectomy is safe and effective in occlusions of the M2 segment of the middle cerebral artery. This retrospective study compared superior and inferior division occlusions regarding radiological and clinical outcomes. METHODS:Between 2009 and 2017, patients trea...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00767-3
更新日期:2020-06-01 00:00:00