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Surgery for Cerebral Stroke最新文献

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Stent-assisted Coil Embolization for Ruptured Vertebrobasilar Dissecting Aneurysms Using Enterprise VRD 支架辅助线圈栓塞治疗破裂椎基底动脉夹层动脉瘤
Surgery for Cerebral Stroke Pub Date : 2013-07-31 DOI: 10.2335/SCS.41.253
N. Miyamoto, I. Naito, S. Takatama, T. Iwai, M. Matsumoto, Masanori Aihara, K. Kagoshima, O. Miyagi
{"title":"Stent-assisted Coil Embolization for Ruptured Vertebrobasilar Dissecting Aneurysms Using Enterprise VRD","authors":"N. Miyamoto, I. Naito, S. Takatama, T. Iwai, M. Matsumoto, Masanori Aihara, K. Kagoshima, O. Miyagi","doi":"10.2335/SCS.41.253","DOIUrl":"https://doi.org/10.2335/SCS.41.253","url":null,"abstract":"Summary: Five patients with ruptured vertebrobasilar dissecting aneurysms, to which parent artery occlusion cannot be applied, were treated by using Enterprise VRD. The location of the dissecting aneurysms was the vertebral artery in three patients and basilar artery in two. In all patients, Enterprise VRD was successfully deployed in the dissecting segment, and the coils were inserted in the aneurysmal dilatation by semi-jailing technique. Ischemic complication occurred in two patients and rebleeding occurred in one patient four months after the treatment. Favorable outcomes were obtained in four of the five patients. Enterprise VRD provides easy access to the lesion, is less stressful to the parent artery in the deployment, is conformable to the tortuous parent artery, and is suitable for the semi-jailing technique. Stent-assisted coil embolization using Enterprise VRD can be a feasible and effective treatment in selected patients with ruptured vertebrobasilar dissecting aneurysms not suitable for parent artery occlusion.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"272 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115962496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
眼症状を呈したAnterior Condylar Confluence 硬膜動静脈瘻の1例 出现眼部症状的Anterior Condylar Confluence硬膜动静脉瘘1例
Surgery for Cerebral Stroke Pub Date : 2013-07-31 DOI: 10.2335/SCS.41.285
Satoshi Iihoshi, Keizo Miyata, Toshiya Sugino, Masahiko Wanibuchi, Nobuhiro Mikuni
{"title":"眼症状を呈したAnterior Condylar Confluence 硬膜動静脈瘻の1例","authors":"Satoshi Iihoshi, Keizo Miyata, Toshiya Sugino, Masahiko Wanibuchi, Nobuhiro Mikuni","doi":"10.2335/SCS.41.285","DOIUrl":"https://doi.org/10.2335/SCS.41.285","url":null,"abstract":"Object: We report a case of endovascular treatment for a dural arteriovenous fistula (DAVF) of the anterior condylar confluence (ACC) with ocular symptoms. Case presentation: A 70-year-old woman presented with left conjunctival injection, eyelid edema and abducens palsy. Angiograms revealed DAVF at the ACC. The arterial supply was the left ascending pharyngeal artery (APA) with retrograde venous drainage into the superior ophthalmic vein (SOV) through the ACC and inferior petrosal sinus (IPS). The patient was successfully treated with transvenous coil embolization. Conclusion: DAVF of the ACC is relatively rare. Although most cases of ACC DAVF start with tinnitus, this case showed ocular manifestations very similar to DAVF of the cavernous sinus fistula as the initial symptoms. Endovascular treatment is usually feasible and effective, but an understanding of the venous anatomy and pathophysiology of the disease are of utmost importance when planning the approach.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133517256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urgent CEA for Symptomatic Carotid Stenosis with Medical Treatment Resistance 有药物治疗抵抗的症状性颈动脉狭窄的紧急CEA
Surgery for Cerebral Stroke Pub Date : 2013-07-31 DOI: 10.2335/SCS.41.276
S. Haga, Yutaka Fujioka, Yuhei Sangatsuda, Y. Kai, Y. Wakugawa, M. Yasaka, Y. Okada, S. Nagata
{"title":"Urgent CEA for Symptomatic Carotid Stenosis with Medical Treatment Resistance","authors":"S. Haga, Yutaka Fujioka, Yuhei Sangatsuda, Y. Kai, Y. Wakugawa, M. Yasaka, Y. Okada, S. Nagata","doi":"10.2335/SCS.41.276","DOIUrl":"https://doi.org/10.2335/SCS.41.276","url":null,"abstract":"Summary: Background: The American Heart Association (AHA) recommends that carotid endarterectomy (CEA) be performed within two weeks in patients presenting with a symptomatic carotid stenosis. However, urgent CEA for acute stroke is not common because of medical resources. We carried out urgent CEA for patients with medical treatment resistance. The aim of this study was to determine the safety and benefit of urgent CEA with medical treatment resistance. Methods: Seventy-six consecutive patients underwent CEA at the Kyushu Medical Center between April 2007 and April 2011. Medical treatment resistance was diagnosed by repeat stroke or plaque diagnosis. Survival follow-up, NIHSS and the incidence of stroke were investigated all patients. Results: A total 15 patients in medical treatment resistance were enrolled. ICA stenosis was average NACET 56% (18 – 95%). The median days from event to CEA were 12 days (2 – 28 days). Plaque diagnosis suggested unstable plaque in all cases. There was no stroke recurrence in 30 days and no increase of NIHSS score, respectively. Conclusions: For the patients in medical treatment resistance, urgent CEA is associated with an acceptable outcome and satisfactory benefits. Plaque diagnosis is necessary to determine medical treatment resistance.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127462334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dissection of the Internal Carotid Artery under the Control of Blood Flow During Carotid Endarterectomy 颈动脉内膜切除术中血流控制下的颈内动脉剥离
Surgery for Cerebral Stroke Pub Date : 2013-07-31 DOI: 10.2335/SCS.41.290
R. Fukumitsu, Kazumichi Yoshida, S. Yamagata, S. Miyamoto
{"title":"Dissection of the Internal Carotid Artery under the Control of Blood Flow During Carotid Endarterectomy","authors":"R. Fukumitsu, Kazumichi Yoshida, S. Yamagata, S. Miyamoto","doi":"10.2335/SCS.41.290","DOIUrl":"https://doi.org/10.2335/SCS.41.290","url":null,"abstract":"","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127301187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of the Neuro-endoscope for the Spontaneous Putaminal Hemorrhage 神经内窥镜在自发性皮膜出血中的作用
Surgery for Cerebral Stroke Pub Date : 2013-05-31 DOI: 10.2335/SCS.41.183
Takuji Yamamoto, Y. Nakao, J. Tokugawa, Mitsuya Watanabe, O. Akiyama
{"title":"The Role of the Neuro-endoscope for the Spontaneous Putaminal Hemorrhage","authors":"Takuji Yamamoto, Y. Nakao, J. Tokugawa, Mitsuya Watanabe, O. Akiyama","doi":"10.2335/SCS.41.183","DOIUrl":"https://doi.org/10.2335/SCS.41.183","url":null,"abstract":"","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"115 23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126378401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
前大脳動脈（infracallosal portion）の動脈瘤の特徴と最適なapproachとは 大脑前动脉(infracallosal portion)动脉瘤的特征和最佳approach
Surgery for Cerebral Stroke Pub Date : 2013-05-31 DOI: 10.2335/SCS.41.219
本田 英一郎, 豪 大石, 和人 正島, 正典 橋川, 達也 田中, 宣明 桃崎
{"title":"前大脳動脈（infracallosal portion）の動脈瘤の特徴と最適なapproachとは","authors":"本田 英一郎, 豪 大石, 和人 正島, 正典 橋川, 達也 田中, 宣明 桃崎","doi":"10.2335/SCS.41.219","DOIUrl":"https://doi.org/10.2335/SCS.41.219","url":null,"abstract":"","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"A5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126833006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Factors for Enlargement of Intracerebral Hematoma after Hospitalization 住院后颅内血肿扩大的危险因素
Surgery for Cerebral Stroke Pub Date : 2013-05-31 DOI: 10.2335/SCS.41.187
Hirokazu Koseki, Naoyuki Arai, Yasuhiro Kuroi, Taijun Hana, H. Ohbuchi, K. Hirota, S. Hagiwara, S. Tani, A. Sasahara, H. Kasuya
{"title":"Risk Factors for Enlargement of Intracerebral Hematoma after Hospitalization","authors":"Hirokazu Koseki, Naoyuki Arai, Yasuhiro Kuroi, Taijun Hana, H. Ohbuchi, K. Hirota, S. Hagiwara, S. Tani, A. Sasahara, H. Kasuya","doi":"10.2335/SCS.41.187","DOIUrl":"https://doi.org/10.2335/SCS.41.187","url":null,"abstract":"Summary: Objective: Patients with spontaneous intracerebral hematoma (ICH) often develop symptoms associated with hematoma expansion, which worsens their prognosis. We evaluated the risk factors for the enlargement of hematoma. Materials and Methods: Stroke patients are diagnosed by CT followed by perfusion CT and 3D-CT angiography as a department policy. We retrospectively reviewed 123 patients hospitalized between Apr. 2008 and Dec. 2010. Among them, 27 patients (22.0%) showed hematoma enlargement within 24 hours after hospitalization. We compared the clinical characteristics of patients with and without hematoma enlargement. Results: There were significant differences in the initial size of the hematoma, spot sign, and pretreatment with anticoagulants, but not in hypertension, diabetes mellitus, or pretreatment with antiplatelets. Conclusions: We confirmed that the initial size, spot sign, and anticoagulants were risk factors for hematoma enlargement. Careful follow-up is needed for ICH patients with these factors.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114724883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
内頚動脈前壁動脈瘤破裂に対する高灌流EC-IC bypass/動脈瘤トラッピング術後急性期の脳循環動態とMR所見の検討 颈动脉前壁动脉瘤破裂的高灌注EC-IC bypass/动脉瘤补漏术后急性期脑循环动态和MR表现的研究
Surgery for Cerebral Stroke Pub Date : 2013-05-31 DOI: 10.2335/SCS.41.201
幹 藤村, 宏明 清水, 敬 井上, 尚仁 木村, 正幸 江面, 広司 上之原, 悌二 冨永
{"title":"内頚動脈前壁動脈瘤破裂に対する高灌流EC-IC bypass/動脈瘤トラッピング術後急性期の脳循環動態とMR所見の検討","authors":"幹 藤村, 宏明 清水, 敬 井上, 尚仁 木村, 正幸 江面, 広司 上之原, 悌二 冨永","doi":"10.2335/SCS.41.201","DOIUrl":"https://doi.org/10.2335/SCS.41.201","url":null,"abstract":"","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132368036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Proximal protectionとdistal filter protectionを併用した頚動脈ステント留置術 颈动脉支架置入术联合Proximal protection和distal filter protection
Surgery for Cerebral Stroke Pub Date : 2013-05-31 DOI: 10.2335/SCS.41.191
修宏 中川, 知史 布川, 倫裕 岩倉, 伴成 薮内, 寧晧 真田, 天美 加藤
{"title":"Proximal protectionとdistal filter protectionを併用した頚動脈ステント留置術","authors":"修宏 中川, 知史 布川, 倫裕 岩倉, 伴成 薮内, 寧晧 真田, 天美 加藤","doi":"10.2335/SCS.41.191","DOIUrl":"https://doi.org/10.2335/SCS.41.191","url":null,"abstract":"","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129000192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Basics of Aneurysmal Clipping Surgery : The Importance of Wide Operative Field and Repeated Training 动脉瘤夹闭手术的基础:大手术范围和反复训练的重要性
Surgery for Cerebral Stroke Pub Date : 2013-05-31 DOI: 10.2335/SCS.41.163
Tomohiro Inoue, Seiji Shimada, Hirotaka Hasegawa, Kiyotaka Sato, Kazuhiko Takabatake, A. Tamura, I. Saito
{"title":"Basics of Aneurysmal Clipping Surgery : The Importance of Wide Operative Field and Repeated Training","authors":"Tomohiro Inoue, Seiji Shimada, Hirotaka Hasegawa, Kiyotaka Sato, Kazuhiko Takabatake, A. Tamura, I. Saito","doi":"10.2335/SCS.41.163","DOIUrl":"https://doi.org/10.2335/SCS.41.163","url":null,"abstract":"To improve the safety of aneurysmal clipping as well as to develop neurosurgical skills of residents simultaneously, we present the technical details and setting adopted in our institution. Between 2006 and 2011, we experienced 379 aneurysmal clipping surgeries (209 ruptured, 170 unruptured) at Fuji Brain Institute and Hospital. With daily thorough in-vitro microsurgical training, we performed standard-sized craniotomies with open fissures such as the sylvian fissure or interhemispheric fissure, to obtain a safe wide surgical field for clipping to compensate for the lack of experience in young neurosurgeons. We made every effort to be meticulous rather than fast to maintain treatment safety. To enhance the understanding for the surgical setting, method and strategy, we standardized procedures in detail to maximize the practice effect for residents with a limited amount of surgical experience. We discuss our institutional experiences in developing the surgical skills of young neurosurgeons, with the aim of having residents perform real neurosurgical micro-operations under the supervision of a staff doctor without compromising safety.","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127609194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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