Clinical features and prognostic analysis of moyamoya disease associated with intracranial aneurysms.

Abstract:

OBJECTIVES:To explore clinical features and compare of the difference between conservative treatment and surgical treatmentin prognosis of intracranial aneurysms associated with moyamoya disease (MMD). METHODS:104 patients with MMD a ssociated with intracranial aneurysms diagnosed by digital subtraction angiography (DSA) or computed tomography angiography (CTA) were retrospectively analyzed. RESULTS:All patients of MMD with intracranial aneurysms had 129 aneurysms distributed at different sites. The distribution of the aneurysms was as follows: 28(21.71%) anterior communicating artery aneurysms, 21(16.28%) basilar artery aneurysms, 19(14.73%) middle cerebral artery aneurysms, 17(13.18%) posterior cerebral artery aneurysms, 12(9.30%)internal carotid artery aneurysms, 11(8.53%) posterior communicating artery aneurysms, 10(7.75%) anterior cerebral artery aneurysms, 5(3.88%) anterior choroidal artery aneurysms, 2(1.55%) moyamoya vessel aneurysms, and 4(3.1%) other location aneurysms. 82 cases (78.85%) had one aneurysm, and 21 cases (20.19%) had 2 or more aneurysms. 64 cases were treated surgically, and 40 cases were treated conservatively. 57 of 81 cases (70.37%) had a good outcome, 2 cases (2.47%) were in paralyzed, and 22 cases were died. The mortality rate was (27.16%). Death occurred in 16 (47.06%) of 34 patients with conservative treatment, and 6(12.77%) of 47 patients with surgical treatment. 7 cases (8.64%) had twice cerebral hemorrhage, and one case (1.23%) had third cerebral hemorrhage in the follow-up period. There were 5 deaths, two good outcomes, and one coma among 8 cases experienced re-hemorrhage. CONCLUSION:Compared with conservative treatment, positive surgical treatment showed clinical significance for preventing cerebral hemorrhage and reducing mortality of MMD with intracranial aneurysms. ABBREVIATIONS:MMD: moyamoya disease; DSA: digital subtraction angiography; CTA: computed tomography angiography.

journal_name

Neurol Res

journal_title

Neurological research

authors

Yan J,Lv M,Zeng E,Tang B,Xie S,Hong T

doi

10.1080/01616412.2020.1773663

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

767-772

issue

9

eissn

0161-6412

issn

1743-1328

journal_volume

42

pub_type

杂志文章
  • fMRI review on brain responses to acupuncture: the limitations and possibilities in traditional Korean acupuncture.

    abstract:BACKGROUND:Since the late 1990s, imaging studies have allowed the visualization of brain response to acupuncture stimulation with alteration in blood flow. In 1998, the first functional magnetic resonance imaging (fMRI) study for the Korean acupuncture was published and thereafter, many subsequent neuroimaging studies ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164107X172284

    authors: Chae Y,Park HJ,Hahm DH,Hong M,Ha E,Park HK,Lee H

    更新日期:2007-01-01 00:00:00

  • The role of dietary non-heme iron load and peripheral nerve inflammation in the development of peripheral neuropathy (PN) in obese non-diabetic leptin-deficient ob/ob mice.

    abstract:INTRODUCTION:Here, we investigated inflammatory signs of peripheral nerves in leptin-deficient obese ob/ob mice and the modulating effects of the exogenous iron load. METHODS:Ob/ob and ob/+ control mice were fed with high, standard, or low iron diet for four months. RESULTS:We found intraepidermal nerve fiber degener...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2018.1564191

    authors: Kosacka J,Woidt K,Toyka KV,Paeschke S,Klöting N,Bechmann I,Blüher M,Thiery J,Ossmann S,Baum P,Nowicki M

    更新日期:2019-04-01 00:00:00

  • The multifunctional role of IGF-1 in peripheral nerve regeneration.

    abstract::The elements of peripheral nerve regeneration comprise a complex combination of nerve growth, muscle satellite cells proliferation and differentiation and vessel growth. There is also increasing evidence that growth factors may act at multiple levels in the regenerative response. One such factor affecting multiple cel...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/016164104225013851

    authors: Rabinovsky ED

    更新日期:2004-03-01 00:00:00

  • Cortical spreading depression and the pathogenesis of brain disorders: a computational and neural network-based investigation.

    abstract::This paper reviews our recent studies of the role of cortical spreading depression (CSD) in the pathogenesis of brain disorders. Our investigation is a computational one, involving the development and utilization of a complex neuro-metabolic model of the interactions assumed to occur in the cortex during the passage o...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164101101198839

    authors: Ruppin E,Reggia JA

    更新日期:2001-07-01 00:00:00

  • Relationship of hypotension and cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVES:Changes in systemic arterial blood pressure and the degree of cerebral vasospasm were investigated in 125 patients with aneurysmal subarachnoid hemorrhage. METHODS:Systemic arterial blood pressure was measured every 2 hours in each patient for a period of more than 2 weeks, and a fall in systemic blood pres...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164105X48761

    authors: Tabuchi S,Hirano N,Tanabe M,Kurosaki M,Okamoto H,Kamitani H,Yokota M,Watanabe T

    更新日期:2006-03-01 00:00:00

  • Post-ischemic administration of DY-9760e, a novel calmodulin antagonist, reduced infarct volume in the permanent focal ischemia model of spontaneously hypertensive rat.

    abstract::We assessed the effect of a novel calmodulin antagonist, DY-9760e (3-[2-[4-(3-chloro-2-methylphenyl)-1-piperazinyl]ethyl]-5,6-dimethoxy-1-(4-imidazolylmethyl)-1H-indazole dihydrochloride 3.5 hydrate) in a spontaneously hypertensive rat (SHR) permanent focal cerebral ischemia. In experiment I, the left middle cerebral ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164101101198992

    authors: Takagi K,Sato T,Shirasaki Y,Narita K,Tamura A,Sano K

    更新日期:2001-09-01 00:00:00

  • The effects of the pre-treatment of intravenous nimodipine on Na(+)-K+/Mg+2 ATPase, Ca+2/Mg+2 ATPase, lipid peroxidation and early ultrastructural findings following middle cerebral artery occlusion in the rat.

    abstract::Excessive calcium influx has been implicated in the pathophysiology of ischemic cerebral damage. The effects of nimodipine, a calcium antagonist, on the Na(+)-K+/MG+2 ATPase activity, Ca+2/Mg+2 ATPase, lipid peroxidation, and early ultrastructural findings were examined at the acute stage of ischemia in the rat brain....

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164101101198208

    authors: Ildan F,Göçer AI,Tuna M,Polat S,Kaya M,Isbir T,Cetinalp E

    更新日期:2001-01-01 00:00:00

  • Laterality of seizure onset and the simple reaction time: revamping the Poffenberger's paradigm for seizure surgery.

    abstract:BACKGROUND:Crossed-uncrossed differentials (CUDs) are viewed as surrogates for interhemispheric transfer time (IHTT). Not uncommonly CUDs assume statistically significant negative values (inverted CUDs). This raises doubts of the accepted interpretation of CUDs, i.e. intra- and inter-hemispheric routings of signals in ...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/016164106X115107

    authors: Derakhshan I

    更新日期:2006-10-01 00:00:00

  • Diffusion tensor MRI for the assessment of cerebral ischemia/reperfusion injury in the penumbra of non-human primate stroke model.

    abstract:OBJECTIVES:The purpose of this study is to use diffusion tensor imaging (DTI) parameters to evaluate cerebral ischemia/reperfusion injury in the infarct core (IC) and ischemic penumbra (IP) in a rhesus transient middle cerebral artery occlusion (MCAO) model. METHODS:Seven rhesus monkeys were used to construct the MCAO...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164110X12761752770177

    authors: Guo J,Zheng HB,Duan JC,He L,Chen N,Gong QY,Tang HH,Li HX,Wang L,Cheng JQ

    更新日期:2011-01-01 00:00:00

  • Hyperglycaemia protects against neuronal injury around experimental brain infarcts.

    abstract::Regional glucose utilization was measured in the rat brain after occlusion of the middle cerebral artery. Normoglycaemic rat had increased glucose use in the cerebral cortex adjacent to the infarct. A fraction of the nerve cells were irreversibly injured in this region. In hyperglycaemic rats, the glucose metabolism r...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1987.11739802

    authors: Nedergaard M,Gjedde A,Diemer NH

    更新日期:1987-12-01 00:00:00

  • Induction of PML immunoreactivity in rat brain neurons after transient middle cerebral artery occlusion.

    abstract::Promyelocytic leukemia (PML) protein is involved in apoptotic death of cultured neuronal cells, but its role in ischemic brain damage remains uncertain. In this study, we investigated change of immunoreactivity for PML protein in rat brain after transient middle cerebral artery occlusion, and compared the results with...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164101101199162

    authors: Hayashi T,Sasaki C,Iwai M,Sato K,Zhang WR,Warita H,Abe K

    更新日期:2001-10-01 00:00:00

  • Immunomodulatory effectiveness of azithromycin in prevention of postlaminectomy epidural fibrosis.

    abstract:OBJECTIVE:One of the important causes of failed back surgery is the extensive peridural fibrosis collecting in the surgical field after spinal surgeries. Today we know that inflammatory mechanisms mediated by the immune system of the body plays an important role in generation of fibrosis. Azithromycin, a macrolide anti...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164110X12767786356471

    authors: Emmez H,Börcek AÖ,Durdağ E,Uyar PG,Kaymaz M,Aykol S

    更新日期:2011-05-01 00:00:00

  • Thrombin up-regulates vascular endothelial growth factor in experimental gliomas.

    abstract:OBJECTIVE:Vascular endothelial growth factor is a potent stimulator of angiogenesis; activation of hypoxia inducible factor-1alpha and p44/42 mitogen-activated protein kinase pathways has been associated with vascular endothelial growth factor production. The present study examined if thrombin modulates vascular endoth...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/174313209X385699

    authors: Xu Y,Gu Y,Keep RF,Heth J,Muraszko KM,Xi G,Hua Y

    更新日期:2009-09-01 00:00:00

  • Extracellular levels of glucose and lactate measured by quantitative microdialysis in the human brain.

    abstract::The aim of this study was to use quantitative microdialysis to estimate the true extracellular concentrations of glucose and lactate in minimally disturbed human brain. These values are important as criteria for microdialytical monitoring in critical care patients and for determining therapy. Microdialysis procedures ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164101101198785

    authors: Langemann H,Alessandri B,Mendelowitsch A,Feuerstein T,Landolt H,Gratzl O

    更新日期:2001-07-01 00:00:00

  • Intraoperative on-line monitoring of cerebral pH by microdialysis in neurosurgical procedures.

    abstract::The objective of this study was to improve the ability to detect cerebrovascular complications in patients undergoing complicated neurosurgical procedures using on-line monitoring of cerebral pH with in vivo microdialysis. We employed on-line pH monitoring in patients with a variety of neurosurgical procedures includi...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1998.11740497

    authors: Mendelowitsch A,Sekhar LN,Caputy AJ,Shuaib A

    更新日期:1998-03-01 00:00:00

  • Surgical resection and reconstruction after resection of tumors involving the sacropelvic region.

    abstract:OBJECTIVES:Surgical management of tumors in the sacropelvic region is a challenging field of spine surgery because of the region's complex local anatomy and biomechanics. Recent developments in anesthesia and intensive care have allowed us to perform extended surgeries focused on the en bloc resection of sacropelvic tu...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/1743132814Y.0000000370

    authors: Varga PP,Szoverfi Z,Lazary A

    更新日期:2014-06-01 00:00:00

  • Prevention of cerebral vasospasm by nicardipine prolonged-release implants in dogs.

    abstract::The purpose of this study was to determine the efficacy of nicardipine prolonged-release implants for preventing vasospasm in a canine SAH model in a dose-escalating placebo-controlled blind fashion. Drug-release kinetics of copoly(lactic/glycolic acid) pellet containing nicardipine were evaluated in vitro. In vivo, 1...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2000.11740733

    authors: Kawashima A,Kasuya H,Sasahara A,Miyajima M,Izawa M,Hori T

    更新日期:2000-09-01 00:00:00

  • Non-invasive brainstem monitoring: the ocular microtremor.

    abstract::The ocular microtremor (OMT) is mediated by the oculomotor area of the brainstem and is altered in several pathologic states, including traumatic brain injury, general anesthesia, brain death, coma, Parkinsonism and multiple sclerosis. The EYETECT tremor monitor is a non-invasive means of measuring the frequency and a...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/016164107X240198

    authors: Robertson J,Timmons S

    更新日期:2007-10-01 00:00:00

  • Hyperbaric oxygenation in fluid microembolism.

    abstract::Because clinicians require objectively demonstrable neurological deficits to confirm a diagnosis, the recognition of embolic events in the nervous system is generally restricted to the effects of ischemic necrosis produced by arterial occlusion. However, magnetic resonance imaging (MRI) has shown that lesser degrees o...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/016164107X181789

    authors: James PB

    更新日期:2007-03-01 00:00:00

  • On the rupture of an aneurysm.

    abstract::The intracranial aneurysm, with an estimated occurrence of up to 4% in the general population, belongs among the most dangerous of cerebrovascular diseases. Although less than one-fifth of these cases results in a subarachnoid haemorrhage, the resulting disability and mortality rate is too high. More understanding is ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1991.11739995

    authors: Duros J,Clark ME,Kufahl RH,Nadvornik P

    更新日期:1991-12-01 00:00:00

  • WITHDRAWN: Activation of TLR4/NF-kappaB signaling pathway in early brain injury after subarachnoid hemorrhage.

    abstract::Ahead of Print article withdrawn by publisher. ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164109X12445616596283

    authors: Ma CX,Yin WN,Cai BW,He M,Wu J,Wang JY,Zeng Y,Ding JL,You C

    更新日期:2009-08-21 00:00:00

  • One year of home-based daily FES in complete lower motor neuron paraplegia: recovery of tetanic contractility drives the structural improvements of denervated muscle.

    abstract:OBJECTIVE:Spinal cord injury (SCI) causes muscle atrophy, which is particularly severe, due to inability to perform tetanic contractions, when lower motor neurons (LMN) are involved. We performed a longitudinal study in 25 Europeans suffering from complete conus cauda syndrome from 0.7 to 8.7 years comparing functional...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/174313209X385644

    authors: Kern H,Carraro U,Adami N,Hofer C,Loefler S,Vogelauer M,Mayr W,Rupp R,Zampieri S

    更新日期:2010-02-01 00:00:00

  • CART modulates beta-amyloid metabolism-associated enzymes and attenuates memory deficits in APP/PS1 mice.

    abstract:INTRODUCTION:Cocaine- and amphetamine-regulated transcript (CART) peptide has been demonstrated to exert neuroprotective effects in stroke and some neurodegeneration diseases. In current study, we investigated the protective effects and underlying mechanisms of CART in APP/PS1 mice. METHODS:The protein levels of CART,...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2017.1348689

    authors: Yin K,Jin J,Zhu X,Yu L,Wang S,Qian L,Han L,Xu Y

    更新日期:2017-10-01 00:00:00

  • Microanatomical evidences for potential of mesenchymal stem cells in amelioration of striatal degeneration.

    abstract::Huntington's disease is an inherited neurodegenerative disorder, characterized by loss of spiny neurons in the striatum and cortex, which usually happens in the third or fourth decades of life. In advanced form of the disease, progressive striatum atrophy happens and medium spiny neurons, which occupy more than 80% of...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/174313208X327955

    authors: Amin EM,Reza BA,Morteza BR,Maryam MM,Ali M,Zeinab N

    更新日期:2008-12-01 00:00:00

  • Layered structure of saccular aneurysms assessed by collagen birefringence.

    abstract::Cerebral aneurysms are composed principally of collagen, a birefringent protein which is responsible for withstanding the forces of blood pressure. The known correlation between collagen birefringence and its mechanics provides the basis for using polarizing microscopy to evaluate the strength of collagen, layer by la...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1999.11740986

    authors: Canham PB,Finlay HM,Kiernan JA,Ferguson GG

    更新日期:1999-10-01 00:00:00

  • Temporo-polar approach to aneurysms of the basilar artery at and around the distal bifurcation: technical note.

    abstract::An approach to aneurysms arising at the bifurcation of the basilar artery and its neighborhood is described. The temporal pole of the nondominant side is retracted posteriorly to provide a wide operative field and a better view of aneurysms. ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1980.11739588

    authors: Sano K

    更新日期:1980-01-01 00:00:00

  • Hourly neurologic assessments for traumatic brain injury in the ICU.

    abstract:OBJECTIVES:Hourly neurologic assessments for traumatic brain injury (TBI) in the critical care setting are common practice but prolonged use may actually be harming patients through sleep deprivation. We reviewed practice patterns at our institution in order to gain insight into the role of frequent neurological assess...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/1743132813Y.0000000285

    authors: Stone JJ,Childs S,Smith LE,Battin M,Papadakos PJ,Huang JH

    更新日期:2014-02-01 00:00:00

  • Localization of bone marrow stromal cells in injured spinal cord treated by intravenous route depends on the hemorrhagic lesions in traumatized spinal tissues.

    abstract:OBJECTIVES:Bone marrow stromal cells (BMSCs) have been reported to improve movement deficit in adult rats with spinal cord injury (SCI). The purpose of this study is to determine the distribution of BMSCs in the spinal cord lesion of the contusion model of SCI. METHODS:Laminectomy was carried out at L1 vertebra level ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164107X165642

    authors: Khalatbary AR,Tiraihi T

    更新日期:2007-01-01 00:00:00

  • Allopregnanolone modulates striatal dopamingergic activity of rats under different gonadal hormones conditions.

    abstract:OBJECTIVES:Progesterone modulates dopamine (DA) release in corpus striatum. Our objective was to evaluate the effect of the i.c.v injection of the neurosteroid allopregnanolone (ALL), a progesterone metabolite on dopaminergic activity in the corpus striatum of rats under different gonadal hormonal conditions. METHODS:...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164107X166281

    authors: Laconi MR,Reggiani PC,Penissi A,Yunes R,Cabrera RJ

    更新日期:2007-09-01 00:00:00

  • Effect of midbrain raphe nucleus stimulation on somatosensory evoked potential in cat.

    abstract::Experiments were carried out to clarify the effect of serotonin [5-hydroxytryptamine (5-HT)] upon the somatosensory evoked potential (SEP) elicited by superficial radial nerve stimulation in cat, and the following results were obtained: (i) in untreated (control) animals, a significant reduction occurred in amplitude ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1989.11739871

    authors: Iwayama K,Mori K,Fukushima M,Yamashiro K

    更新日期:1989-06-01 00:00:00