Abstract:
BACKGROUND AND IMPORTANCE:Flow diversion with the pipeline embolization device (PED) is an emerging endovascular technology allowing curative embolization of very large and giant intracranial aneurysms. Many patients with these complex aneurysms are older. The presence of a tortuous type III aortic arch reduces the chances of successful PED delivery and increases the risk of complications. We report 2 technical nuances regarding the delivery of the PED in older patients with a complex aortic arch. CLINICAL PRESENTATION:In case 1, an 87-year-old woman presented with acute-onset left third nerve palsy. Workup demonstrated an 18-mm left posterior carotid wall aneurysm with a large daughter aneurysm on its dome. Endovascular access was complicated by a type III aortic arch with a hyperacute angle at the origin of the left common carotid artery. An 8F Simmons II shaped guide formed a stable platform, allowing successful PED delivery. In case 2, a 76-year-old woman experienced a transient ischemic attack. She harbored a right-sided 20-mm cavernous internal carotid artery aneurysm. She was treated with 2 PEDs deployed via a transradial approach. CONCLUSION:Transradial access or guide support with the 8F Simmons II catheter grants stable access for curative embolization with the PED in elderly patients with a large intracranial aneurysm and a complex aortic arch.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Dietrich C,Hauck GH,Valvassori L,Hauck EFdoi
10.1227/NEU.0b013e31827e0d67subject
Has Abstractpub_date
2013-09-01 00:00:00pages
onsE111-5; discussion 115-6issue
1 Suppl Operativeeissn
0148-396Xissn
1524-4040journal_volume
73pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:Occipital lobe epilepsy (OLE) is an uncommon but debilitating focal epilepsy syndrome with seizures often refractory to medical management. While surgical resection has proven a viable treatment, previous studies examining postoperative seizure freedom rates are limited by small sample size and patient heter...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析
doi:10.1093/neuros/nyx158
更新日期:2018-03-01 00:00:00
abstract::A patient with a planum sphenoidale meningioma mimicking a classic case of pituitary apoplexy is presented. A review of the apoplectiform onset of meningiomas is included. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:OBJECTIVE:Our goal was to increase the safety of anterior cervical discectomy, a routine surgery performed by neurosurgeons worldwide, in the face of vertebral artery (VA) anomalies. CLINICAL PRESENTATION:A 59-year-old woman had an intraoperative injury of the left VA during elective anterior cervical discectomy and f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000374858.18717.33
更新日期:2010-09-01 00:00:00
abstract::A case of cerebellar hemorrhage complicating the postoperative course of a patient who had undergone a cervical laminectomy in the sitting position is presented. The drop in cerebrospinal fluid pressure accompanying the procedure is thought to have had some role in the development of the hemorrhage. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198108000-00016
更新日期:1981-08-01 00:00:00
abstract:BACKGROUND:Ten-year follow-up data from the US Food and Drug Administration investigational device exemption trial comparing BRYAN® Cervical Disc (Medtronic, Dublin, Ireland) arthroplasty to anterior cervical discectomy and fusion (ACDF) demonstrated that disc arthroplasty maintained range of motion and improvements in...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/neuros/nyy118
更新日期:2019-02-01 00:00:00
abstract::Local steroid injections for symptomatic relief of carpal tunnel syndrome have become common in the evaluation and treatment of this disorder; yet reports of median nerve injection injury from this practice are rare. We present a case of nerve injury from a steroid injection in a 24-year-old man with carpal tunnel syn...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199003000-00021
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:Stereotactic radiosurgery is being used with more frequency in the management of patients with trigeminal neuralgia. To improve facial pain outcomes, many centers have increased the prescribed radiation dose to the trigeminal nerve. METHODS:Between April 1997 and December 1999, 68 patients underwent radiosur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200107000-00008
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Endovascular surgery is the first-line treatment for indirect cavernous carotid fistulae (CCFs). This study compares multiple treatment techniques. OBJECTIVE:To compare endovascular techniques for indirect CCF treatment. METHODS:Retrospective analysis was performed of prospectively maintained records at 4 ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy486
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:Combined craniofacial resection has become the standard approach for malignant tumors involving the cribriform plate and anterior cranial fossa. Despite its widespread application, however, many surgeons agree that the procedure carries a risk of significant morbidity and even mortality. The purpose of this s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:Urinary disorders account for 10% of deaths in patients with complete spinal cord injury. Sacral anterior root stimulation (SARS) may be a valuable therapeutic option to restore complete and voluntary micturition (CVM), but questions on its cost-effectiveness remain. OBJECTIVE:To evaluate the cost-effective...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1227/NEU.0000000000000033
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Neonatal germinal matrix hemorrhage/intraventricular hemorrhage is common and often results in hydrocephalus. The pathogenesis of posthemorrhagic hydrocephalus is not fully understood. OBJECTIVE:To explore the potential role of hemoglobin and iron released after hemorrhage. METHODS:Artificial cerebrospinal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000524
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:A patient with an anterior communicating artery aneurysm was treated by use of endovascular coiling, and a Guglielmi detachable coil (Boston Scientific/Target, Fremont, CA) fractured distal to its connection to the delivering catheter. The unraveled coil floated out from the aneurysm to extend into the bifurc...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200204000-00048
更新日期:2002-04-01 00:00:00
abstract::Parsonage-Turner syndrome (PTS) is a rare syndrome of unknown cause, affecting mainly the lower motor neurons of the brachial plexus. The brachial plexus is a group of nerves that conduct signals from the spine to the shoulder, arm, and hand. PTS is usually characterized by the sudden onset of severe 1-sided shoulder ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000345355.59438.D1
更新日期:2009-10-01 00:00:00
abstract::A review of the existing models of legislation and state statutes pertaining to the definition of death is presented. Twenty-four states have statutory provision for brain death. Concern still exists about the need for and the form of statutory definitions. Medical criteria are not considered in detail, but the propos...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197910000-00026
更新日期:1979-10-01 00:00:00
abstract:BACKGROUND:Tuberculum sellae meningiomas frequently extend into the optic canals. OBJECTIVE:To emphasize the high frequency of optic canal (OC) involvement in tuberculum sellae meningiomas; the importance of opening the OC and of removing tumor within the canal; and the effect of this maneuver on visual outcome, recur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383153.75695.24
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:Anterior microforaminotomy for spondylotic cervical myelopathy is reported with surgical results. METHODS:A retrospective study was performed for 40 patients with spondylotic cervical myelopathy who had been surgically treated with anterior microforaminotomy at the University of Pittsburgh between April 1994...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::The authors present a patient with a large arteriovenous malformation in the temperoparietooccipital region of the dominant hemisphere that caused seizures, a homonymous hemianopia, and broad neuropsychological disturbances probably caused by a cerebral steal syndrome. There was no history of hemorrhage. Surgical rese...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198712000-00009
更新日期:1987-12-01 00:00:00
abstract::In two series of cats, totaling 12 animals, the effect of 1 g of intravenous mannitol per kg over 15 minutes on pial vessels (cranial window technique, multichannel videoangiometry) and intracranial pressure (ICP) was investigated under circumstances of normal ICP and ICP elevated to 20 mm Hg by the cisternal infusion...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198708000-00002
更新日期:1987-08-01 00:00:00
abstract:OBJECTIVE:During its course between the brainstem and the lateral rectus muscle, the abducens nerve usually travels forward as a single trunk, but it is not uncommon for the nerve to split into two branches. The objective of this study was to establish the incidence and the clinical importance of the duplication of the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000048186.18741.3c
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to investigate the anatomic relationship between neurovascular structures and the transverse carpal ligament (TCL) so as to avoid complications during an endoscopic carpal tunnel release procedure. METHODS:Fresh cadaver hands from seven men and 12 women (age range, 48-74 yr) were...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000193883.02372.3E
更新日期:2006-02-01 00:00:00
abstract::Since the advent of magnetic resonance imaging, there has been renewed interest in disorders of cortical migration in the cause of focal epilepsy. The function of dysplastic cortex is poorly understood. We report a 46-year-old woman in whom this was assessed by intraoperative stimulation. This left-handed patient had ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199511000-00020
更新日期:1995-11-01 00:00:00
abstract:BACKGROUND:In selected patients, extracranial-intracranial bypass remains an important treatment for the prevention of stroke. Traditionally, superficial temporal artery-middle cerebral artery (STA-MCA) bypass uses 1 STA branch. We have adopted a "double-barrel" technique in which both branches are joined with MCA reci...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318285b587
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:Iron catalyzed generation of injurious free radicals has been implicated in the pathogenesis of cerebral vasospasm after subarachnoid hemorrhage (SAH). The present study assessed the effects of the iron chelator deferiprone on cerebral vasospasm in an in vivo rabbit model of SAH. METHODS:Twenty-four rabbits ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199712000-00028
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:Classic surgical exposures of the infratemporal fossa region, including the adjacent intracranial space, temporal bone, and sinonasal region, require the extensive exposure associated with the transcranial, transfacial, and transmandibular approaches with their inherent neurological and cosmetic morbidities. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000359224.75185.43
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Traditionally, thoracic fractures that require anterior stabilization are treated through an open thoracotomy approach. Thoracoscopic instrumentation avoids many of the complications associated with an open thoracotomy but is technically challenging. We report the first cases of dual-rod intern...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000119229.92157.66
更新日期:2004-05-01 00:00:00
abstract::The problem of gastric secretory and mucosal injury response was evaluated in 19 patients who had suffered a severe head injury. Fifteen of 19 patients had some evidence of gastrointestinal hemorrhage. In 7 cases, this was marked. The mean volume of gastric secretions ranged from 36.4 ml/hour on Day 1 to 47.6 ml/hour ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198302000-00007
更新日期:1983-02-01 00:00:00
abstract::Intracranial lipomas are uncommon and rarely symptomatic lesions accounting for 0.06 to 0.46% of intracranial lesions. The management of symptomatic dorsal brain stem lipomas was once limited to cerebrospinal fluid diversion, but with recent advances in microsurgery, they now may be directly treated. We report three p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199605000-00035
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVE:We compared long-term seizure outcome and health-related quality of life (HRQoL) of patients who underwent epilepsy surgery and matched medically treated nonsurgical controls with intractable epilepsy. METHODS:Medically treated controls were identified for patients operated on for epilepsy between January 1,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000315999.58022.1c
更新日期:2008-02-01 00:00:00
abstract::To elucidate the pathophysiology of mental disturbances associated with chronic subdural hematoma, we performed quantitative and three-dimensional measurements of cerebral blood flow (CBF) on xenon-enhanced computed tomographic scans in 12 patients who had chronic subdural hematomas and manifested mental disturbances....
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199203000-00010
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVE:Cerebral cavernous malformations (CCMs) affect more than one million Americans, predisposing them to a lifetime risk of hemorrhagic stroke and epilepsy. A potential role of the immune response in this disease has not been postulated previously but is compelling given the unique antigenic milieu of CCM lesions...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000298897.38979.07
更新日期:2007-10-01 00:00:00