Endovascular trapping of giant serpentine aneurysms by using Guglielmi detachable coils: successful reduction of mass effect. Report of two cases.

Abstract:

:Giant serpentine aneurysms (GSAs) are defined as partially thrombosed giant aneurysms with persistent serpentine vascular channels. Surgical management of these rare lesions is difficult because of their large size, complex structure, and unique hemodynamics. The authors report two cases of patients harboring GSAs with mass effect, which were managed effectively with endovascular treatment. The first patient was a 48-year-old man who presented with left homonymous hemianopsia caused by a GSA involving the terminal portion of the right internal carotid artery. The second patient, a 10-year-old boy, presented with tetraparesis from compression of the cervicomedullary junction by a GSA of the right vertebral artery. In each case, after confirming collateral flow by temporarily occluding the proximal artery, the aneurysm was trapped by placement of Guglielmi detachable coils at the sites at which the serpentine channels entered and exited the aneurysm. The midportion of each channel was isolated completely without packing, to maximize resorption of the devascularized mass. Mass effect and clinical symptoms rapidly improved in both cases, with no associated morbidity. We recommend endovascular trapping as a safe and effective therapeutic option for GSAs.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Otsuka G,Miyachi S,Handa T,Negoro M,Okamoto T,Suzuki O,Yoshida J

doi

10.3171/jns.2001.94.5.0836

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

836-40

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

94

pub_type

杂志文章
  • Computerized tomography of peripheral nerve lesions.

    abstract::Nine patients with a peripheral nerve lesion (six intrinsic and three extrinsic) were evaluated with computerized tomography (CT). In all but one instance, the CT scans gave useful information regarding the anatomical location, size, and relationship of the lesion to surrounding structures. These cases illustrate the ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.59.1.0131

    authors: Powers SK,Norman D,Edwards MS

    更新日期:1983-07-01 00:00:00

  • Microsurgical removal of previously placed aneurysm clips and application of new clips for recurrent cerebral aneurysms. Technical note.

    abstract::A technique is described for removing previously placed aneurysm clips and applying new aneurysm clips for the treatment of regrown or reruptured cerebral aneurysms in patients more than 10 years after the original clipping of the aneurysm neck. The adherent tissue covering previously placed clips is cut just on and a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/10/0881

    authors: Kashimura H,Ogasawara K,Kubo Y,Otawara Y,Ogawa A

    更新日期:2007-10-01 00:00:00

  • Dural arteriovenous fistula as a late complication of upper cervical spine fracture. Case report.

    abstract::The authors report an unusual case of a dural arteriovenous fistula (DAVF) in the cervical spine after a C1-2 fracture. The patient presented with a delayed epidural hematoma and quadriparesis. The DAVF was successfully treated by coil embolization and the patient made a full recovery. The possibility of a DAVF as a l...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2004.100.4.0382

    authors: Vankan Y,Demaerel P,Heye S,Van Calenbergh F,van Loon J,Maleux G,Wilms G

    更新日期:2004-04-01 00:00:00

  • Intraocular pressure during neurosurgical procedures in context of head position and loss of cerebrospinal fluid.

    abstract:OBJECTIVE:Perioperative visual loss (POVL) is a rare but serious complication in surgical disciplines, especially in spine surgery. The exact pathophysiology of POVL remains unclear, but elevated intraocular pressure (IOP) is known to be part of it. As POVL is rarely described in patients undergoing intracranial or int...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.3.JNS173098

    authors: Czorlich P,Krätzig T,Kluge N,Skevas C,Knospe V,Spitzer MS,Dreimann M,Mende KC,Westphal M,Eicker SO

    更新日期:2018-08-24 00:00:00

  • Diagnostic value of preoperative inflammatory markers in patients with glioma: a multicenter cohort study.

    abstract::OBJECTIVE Glioma is the most common form of brain tumor and has high lethality. The authors of this study aimed to elucidate the efficiency of preoperative inflammatory markers, including neutrophil/lymphocyte ratio (NLR), derived NLR (dNLR), platelet/lymphocyte ratio (PLR), lymphocyte/monocyte ratio (LMR), and progno...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2017.3.JNS161648

    authors: Zheng SH,Huang JL,Chen M,Wang BL,Ou QS,Huang SY

    更新日期:2018-09-01 00:00:00

  • Stereotaxic implantation of dispersed cell suspensions into brain. A systematic appraisal of cell placement and survival.

    abstract::The application of several recent advances in cell biology, brain implantation, and cell-mediated tumor immunotherapy requires successful and reproducible placement of viable cell suspensions into brain. Stereotaxic implantation is being used to inject cytotoxic lymphocytes into gliomas and to replace dopaminergic cel...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.2.0228

    authors: Plunkett RJ,Weber RJ,Oldfield EH

    更新日期:1988-08-01 00:00:00

  • Surgical seeding of chordomas.

    abstract:OBJECT:Chordomas have a high propensity for local recurrence and progression, as well as for systemic and cerebrospinal fluid metastasis. The authors identified and analyzed a series of patients with chordomas, focusing on an underrecognized pathological entity-surgical seeding of tumor cells. METHODS:In a retrospecti...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2001.95.5.0798

    authors: Arnautović KI,Al-Mefty O

    更新日期:2001-11-01 00:00:00

  • Safe removal of retained ventricular catheters using intraluminal choroid plexus coagulation. Technical note.

    abstract::The authors describe a simple technique that reduces the incidence of retained ventricular catheters and minimizes the risk of life-threatening intraventricular hemorrhage during the removal of an obstructed, adherent ventricular catheter in patients with hydrocephalus. The technique requires no special equipment and ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.6.1101

    authors: Whitfield PC,Guazzo EP,Pickard JD

    更新日期:1995-12-01 00:00:00

  • Thalamic deep brain stimulation for writer's cramp.

    abstract:OBJECT:Writer's cramp is a type of idiopathic focal hand dystonia characterized by muscle cramps that accompany execution of the writing task specifically. In this report, the authors describe the clinical outcome after thalamic deep brain stimulation (DBS) therapy in patients with writer's cramp and present an illustr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS-07/11/0977

    authors: Fukaya C,Katayama Y,Kano T,Nagaoka T,Kobayashi K,Oshima H,Yamamoto T

    更新日期:2007-11-01 00:00:00

  • Alterations in endothelium-dependent responsiveness of the canine basilar artery subarachnoid hemorrhage.

    abstract::To investigate the alteration of endothelium-dependent responses in chronic vasospasm after subarachnoid hemorrhage (SAH), experiments were carried out in the double-hemorrhage canine model. After the presence of vasospasm was confirmed by cerebral angiography on Days 0 and 7, pharmacological studies on the basilar ar...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.2.0239

    authors: Kim P,Sundt TM Jr,Vanhoutte PM

    更新日期:1988-08-01 00:00:00

  • Intraoperative subcortical stimulation mapping for hemispherical perirolandic gliomas located within or adjacent to the descending motor pathways: evaluation of morbidity and assessment of functional outcome in 294 patients.

    abstract:OBJECT:Intraoperative stimulation mapping of subcortical white matter tracts during the resection of gliomas has become a valuable surgical adjunct that is used to reduce morbidity associated with tumor removal. The purpose of this retrospective analysis was to assess the morbidity and functional outcome associated wit...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.100.3.0369

    authors: Keles GE,Lundin DA,Lamborn KR,Chang EF,Ojemann G,Berger MS

    更新日期:2004-03-01 00:00:00

  • Frequency and characteristics associated with inherited thrombophilia in patients with intracranial dural arteriovenous fistula.

    abstract::OBJECTIVEThe pathogenesis of dural arteriovenous fistulas (DAVFs) remains poorly defined. Prior studies on thrombophilia as a risk factor for DAVF development are limited by small sample sizes and poor generalizability.METHODSIn this longitudinal observational study, all patients with intracranial DAVFs evaluated at t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.10.JNS171987

    authors: LaHue SC,Kim H,Pawlikowska L,Nelson J,Cooke DL,Hetts SW,Singh V

    更新日期:2018-04-01 00:00:00

  • Cysts of the atlantoaxial joint: excellent long-term outcome after posterolateral surgical decompression. Report of two cases.

    abstract::Articular cysts of the atlantoaxial joint are infrequently described and probably an underreported cause of upper cervical spinal cord compression. The authors report on two patients with cysts located posteriorly of the dens in whom a C-1 and partial C-2 hemilaminectomy with subtotal resection of the cyst provided ad...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2001.95.1.0111

    authors: Zorzon M,Skrap M,Diodato S,Nasuelli D,Lucci B

    更新日期:2001-07-01 00:00:00

  • The denticulate ligament: anatomy and functional significance.

    abstract:OBJECT:The authors conducted a study to examine the detailed anatomy of the denticulate ligaments and to assess their classic role in spinal cord stability within the spinal canal. METHODS:Detailed observation of the denticulate ligaments in 12 adult cadavers was performed. Stress was applied in all major planes to di...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2001.94.2.0271

    authors: Tubbs RS,Salter G,Grabb PA,Oakes WJ

    更新日期:2001-04-01 00:00:00

  • The use of simulation in neurosurgical education and training. A systematic review.

    abstract:OBJECT:There is increasing evidence that simulation provides high-quality, time-effective training in an era of resident duty-hour restrictions. Simulation may also permit trainees to acquire key skills in a safe environment, important in a specialty such as neurosurgery, where technical error can result in devastating...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/2014.5.JNS131766

    authors: Kirkman MA,Ahmed M,Albert AF,Wilson MH,Nandi D,Sevdalis N

    更新日期:2014-08-01 00:00:00

  • Traumatic aneurysms and arteriovenous fistulas of intracranial vessels associated with penetrating head injuries occurring during war: principles and pitfalls in diagnosis and management. A survey of 31 cases and review of the literature.

    abstract::In the early days of the war between Iran and Iraq, reports of the sudden deaths of soldiers who previously had survived a penetrating head injury suggested the possibility that a late complication, traumatic aneurysm (TA), could be the cause of this catastrophe. In response, the authors planned a prospective study to...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.84.5.0769

    authors: Amirjamshidi A,Rahmat H,Abbassioun K

    更新日期:1996-05-01 00:00:00

  • Five-year institutional bibliometric profiles for 103 US neurosurgical residency programs.

    abstract:OBJECT:Various bibliometric indices based on the citations accumulated by scholarly articles, including the h-index, g-index, e-index, and Google's i10-index, may be used to evaluate academic productivity in neurological surgery. The present article provides a comprehensive assessment of recent academic publishing outp...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS141025

    authors: Taylor DR,Venable GT,Jones GM,Lepard JR,Roberts ML,Saleh N,Sidiqi SK,Moore A,Khan N,Selden NR,Michael LM 2nd,Klimo P Jr

    更新日期:2015-09-01 00:00:00

  • Shunt surgery in patients with hydrocephalus and white matter changes.

    abstract:OBJECT:Patients with idiopathic normal pressure hydrocephalus (iNPH) often present with impaired gait and cognition together with ventricular enlargement and normal intracranial pressure. Many have vascular risk factors as well as periventricular and deep white matter changes on MR imaging. Abnormal CSF dynamics, that ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2010.11.JNS10967

    authors: Tisell M,Tullberg M,Hellström P,Edsbagge M,Högfeldt M,Wikkelsö C

    更新日期:2011-05-01 00:00:00

  • Incidence and predictors of 30-day readmission for patients discharged home after craniotomy for malignant supratentorial tumors in California (1995-2010).

    abstract:OBJECT:Hospital readmission within 30 days of discharge is a major contributor to the high cost of health care in the US and is also a major indicator of patient care quality. The purpose of this study was to investigate the incidence, causes, and predictors of 30-day readmission following craniotomy for malignant supr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.1.JNS131264

    authors: Marcus LP,McCutcheon BA,Noorbakhsh A,Parina RP,Gonda DD,Chen C,Chang DC,Carter BS

    更新日期:2014-05-01 00:00:00

  • Ganglioglioma of the brain stem. Case report.

    abstract::A case of brain-stem ganglioglioma is reported. A review of the literature revealed only 13 other reported cases. Brain-stem gangliogliomas usually become symptomatic in the first and second decades of life and involve the medulla and pons. Clinical improvement and prolonged survival have been reported after partial r...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.2.0431

    authors: Garcia CA,McGarry PA,Collada M

    更新日期:1984-02-01 00:00:00

  • A prospective randomized trial of perioperative seizure prophylaxis in patients with intraparenchymal brain tumors.

    abstract:OBJECT:Seizures are a potentially devastating complication of resection of brain tumors. Consequently, many neurosurgeons administer prophylactic antiepileptic drugs (AEDs) in the perioperative period. However, it is currently unclear whether perioperative AEDs should be routinely administered to patients with brain tu...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2012.12.JNS111970

    authors: Wu AS,Trinh VT,Suki D,Graham S,Forman A,Weinberg JS,McCutcheon IE,Prabhu SS,Heimberger AB,Sawaya R,Wang X,Qiao W,Hess K,Lang FF

    更新日期:2013-04-01 00:00:00

  • Gene expression and molecular changes in cerebral arteries following subarachnoid hemorrhage in the rat.

    abstract:OBJECT:The authors investigated early changes in the cerebral arteries of rats that occur after subarachnoid hemorrhage (SAH). METHODS:Messenger RNA was investigated by performing microarray and quantitative real-time polymerase chain reaction (PCR) analyses, and protein expression was shown by performing immunohistoc...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.105.3.438

    authors: Vikman P,Beg S,Khurana TS,Hansen-Schwartz J,Edvinsson L

    更新日期:2006-09-01 00:00:00

  • Transtentorial transcollateral sulcus approach to the ventricular atrium: an endoscope-assisted anatomical study.

    abstract::OBJECTIVE Conventional approaches to the atrium of the lateral ventricle may be associated with complications related to direct cortical injury or brain retraction. The authors describe a novel approach to the atrium through a retrosigmoid transtentorial transcollateral sulcus corridor. METHODS Bilateral retrosigmoid ...

    journal_title:Journal of neurosurgery

    pub_type: 评论,杂志文章

    doi:10.3171/2016.3.JNS151289

    authors: Jeelani Y,Gokoglu A,Anor T,Al-Mefty O,Cohen AR

    更新日期:2017-04-01 00:00:00

  • Bleeding risk of cerebral cavernous malformations in patients on β-blocker medication: a cohort study.

    abstract::OBJECTIVECerebral cavernous malformations (CCMs) are frequently diagnosed vascular malformations of the brain. Although most CCMs are asymptomatic, some can be responsible for intracerebral hemorrhage or seizures. In selected cases, microsurgical resection is the preferred treatment option. Treatment with the unselect...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.12.JNS172404

    authors: Goldberg J,Jaeggi C,Schoeni D,Mordasini P,Raabe A,Bervini D

    更新日期:2018-06-15 00:00:00

  • Drowning hazard with deep brain stimulation: case report.

    abstract::The caudal zona incerta target within the posterior subthalamic area is an investigational site for deep brain stimulation (DBS) in Parkinson disease (PD) and tremor. The authors report on a patient with tremor-predominant PD who, despite excellent tremor control and an otherwise normal neurological examination, exhib...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.5.JNS15589

    authors: Bangash OK,Thorburn M,Garcia-Vega J,Walters S,Stell R,Starkstein SE,Lind CR

    更新日期:2016-05-01 00:00:00

  • Liposomes coupled with monoclonal antibodies against glioma-associated antigen for targeting chemotherapy of glioma.

    abstract::Liposomes have a variety of attributes as a drug delivery system. Targeting of liposomes to specific cells has been investigated by using appropriate cytophilic ligands such as monoclonal antibodies (MAb's). In the present study, liposomes with selective cytotoxicity toward glioma cells were obtained. An MAb which rea...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.71.3.0382

    authors: Kito A,Yoshida J,Kageyama N,Kojima N,Yagi K

    更新日期:1989-09-01 00:00:00

  • Tonsillar herniation: the rule rather than the exception after lumboperitoneal shunting in the pediatric population.

    abstract::Although the development of tonsillar herniation (acquired Chiari malformation) in association with lumboperitoneal (LP) shunting is well recognized, it has previously been considered rare. In order to ascertain the incidence of this complication after LP shunting, the authors undertook a retrospective study of all pa...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.78.4.0568

    authors: Chumas PD,Armstrong DC,Drake JM,Kulkarni AV,Hoffman HJ,Humphreys RP,Rutka JT,Hendrick EB

    更新日期:1993-04-01 00:00:00

  • Cervical myeloradiculopathy caused by arthrotic hypertrophy of the posterior facets and laminae.

    abstract::Five patients with typical cervical myeloradiculopathy caused by focal cervical spinal stenosis are presented. Dorsal intrusions into the spinal canal by hypertrophied apophyseal joints and thickened laminae resulted in cord and nerve root compression. Minor spondylotic changes were present in the floor of the spinal ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.49.3.0387

    authors: Epstein JA,Epstein BS,Lavine LS,Carras R,Rosenthal AD

    更新日期:1978-09-01 00:00:00

  • The facial nerve in medial acoustic neuromas.

    abstract:OBJECT:Functional results after surgery for acoustic neuromas that have little or no growth within the internal auditory canal are controversial, because these medial tumors can grow to a considerable size within the cerebellopontine angle (CPA) before symptoms occur. METHODS:A prospective study was designed to evalua...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2002.97.5.1083

    authors: Strauss C

    更新日期:2002-11-01 00:00:00

  • High-dose glucocorticoid treatment improves neurological recovery in head-injured mice.

    abstract::The ability of a single large intravenous dose of the sodium succinate esters of the glucocorticoids methylprednisolone, prednisolone, or hydrocortisone to enhance early neurological recovery after moderate to severe blunt head injury was examined in male CF-1 mice. Unanesthetized mice were restrained and subjected to...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.6.0882

    authors: Hall ED

    更新日期:1985-06-01 00:00:00