Abstract：
BACKGROUND:Intracranial arterial dissection is an uncommon but well-recognized entity. Treatment remains variable, ranging from observation to intervention via the use of either surgical or endovascular techniques. Aneurysms along the lenticulostriate artery have been reported in only 41 patients. With the current case study we illustrate the effectiveness of observation in the context of a dissecting lenticulostriate aneurysm and discuss other approaches that have been used in the treatment of this particular entity. CLINICAL SUMMARY:An accomplished mountain climber presented, after coitus, with acute headache, mild facial weakness, and forgetfulness. Vascular imaging studies revealed a right putaminal hemorrhage secondary to a 3-mm lenticulostriate artery dissecting aneurysm. Clinically, the patient did well, with marked improvement in presenting symptoms enabling his return to mountain climbing. Follow-up angiography showed spontaneous resolution of the arterial dissecting aneurysm. Among the 41 reported cases, 19 were idiopathic, 5 associated with hypertension, and 17 related to various conditions such as Moyamoya disease, arteriovenous malformation, systemic vasculitis, intraventricular tumor, or substance abuse. Of the 42 cases, including the present case, 28 were surgically or endovascularly managed and 12 observed. Only one of the reported cases, a 33-year-old man with Moyamoya disease, who was managed conservatively, died of rebleeding. CONCLUSION:There is no common consensus in the literature on a single treatment strategy for a lenticulostriate artery aneurysm. The present case illustrates that observation and follow-up vascular imaging can be an important treatment strategy, allowing healing of the vessel wall and disappearance of the dissecting aneurysm.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Lama S,Dolati P,Sutherland GRdoi
10.1016/j.wneu.2012.12.006subject
Has Abstractpub_date
2014-02-01 00:00:00pages
441.e1-7issue
2eissn
1878-8750issn
1878-8769pii
S1878-8750(12)01438-6journal_volume
81pub_type
杂志文章,评审abstract：OBJECTIVE:Development of immunologically smart implants, integrated to biological systems, is a key aim to minimize the inflammatory response of the host to biomaterial implants. METHODS:The aim of this study is to investigate the influence of titanium alloy and stainless steel implants on immunological responses in r...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.08.016
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:The use of endovascular treatment for ruptured middle cerebral artery (MCA) aneurysms, which have been more likely to be recommended for neurosurgical clipping because of the complex anatomic configuration, remains controversial. In the present study, the angiographic and clinical outcomes of endovascularly t...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析
doi：10.1016/j.wneu.2019.01.066
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Patients with single brain metastasis (SBM) have better outcomes after stereotactic radiosurgery (SRS). We analyzed our SRS database to evaluate possible prognostic factors in patients with SBM. METHODS:A total of 584 patients with SBM were treated with SRS at our institution (2000-2012). Study end points w...
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更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:Central nervous system abscesses frequently can be seen in the immunocompromised population and most commonly consist of intracranial collections in the adult patient. Spinal intradural abscesses are less commonly encountered, and there are even fewer numbers in the pediatric population with a concordant abs...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2019.02.243
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:Recent studies have suggested that retethering in patients operated for a tight or fatty filum is higher than previously predicted. In this retrospective review, outcome, complications, and risk of reoperation for recurrent tethered cord syndrome (TCS) at our own institution were investigated. METHODS:The me...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2011.05.017
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:The best technique for the first attempt at mechanical thrombectomy for acute ischemic stroke is a still matter of debate. In this study, we evaluate the efficacy of a stent-retrieving into an aspiration catheter with proximal balloon (ASAP) technique that uses a series of thrombus extraction by withdrawing t...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.10.004
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To examine outcomes and complications following first-time lumbar microdiscectomy. METHODS:Prospective data for patients operated on between May 2007 and July 2016 were obtained from the Norwegian Registry for Spine Surgery. The primary outcome was change in Oswestry Disability Index (ODI) score at 1 year. S...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.02.056
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:This retrospective case control study aimed to evaluate the feasibility of using Estimation of Physiological Ability and Surgical Stress (E-PASS) and Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) systems in patients undergoing spinal surgical procedures. De...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2017.12.092
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:The major difficulty in treating glioblastoma stems from the intrinsic privileged nature of the brain. This complicates therapy, as many traditionally potent chemotherapeutics cannot access their target sites in the brain. Several techniques have been investigated to overcome this barrier and facilitate drug...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2020.07.132
更新日期：2020-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.01.042
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:Microsurgical clipping is regarded as the most durable treatment for cerebral aneurysms. Aneurysm recurrence after clipping is uncommon and is associated with an increased risk of rupture. Reoperation for recurrent cerebral aneurysms is particularly challenging because of adhesions and scaring, and it carrie...
journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2016.06.065
更新日期：2016-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2016-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.05.046
更新日期：2017-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2014.12.034
更新日期：2015-05-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.wneu.2018.02.156
更新日期：2018-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2019-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2016.04.027
更新日期：2016-11-01 00:00:00
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pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2020.05.136
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pub_type： 杂志文章
doi：10.1016/j.wneu.2019.09.038
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pub_type： 杂志文章
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更新日期：2017-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2012.02.023
更新日期：2013-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2016-08-01 00:00:00
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pub_type： 杂志文章
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更新日期：2017-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.03.059
更新日期：2015-09-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2019-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-01-23 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2010.07.043
更新日期：2011-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.11.145
更新日期：2017-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.030
更新日期：2019-06-01 00:00:00
