Journal of Cerebrovascular and Endovascular Neurosurgery最新文献

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Congestive myelopathy due to spinal dural arteriovenous fistula mimicking CNS demyelinating disease. 模拟中枢神经系统脱髓鞘疾病的硬脊膜动静脉瘘所致充血性脊髓病。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-12-01 DOI: 10.7461/jcen.2022.E2021.11.003
Nakhoon Kim, Hongil Kim, Hyunkee Kim, Jinseok Park
{"title":"Congestive myelopathy due to spinal dural arteriovenous fistula mimicking CNS demyelinating disease.","authors":"Nakhoon Kim,&nbsp;Hongil Kim,&nbsp;Hyunkee Kim,&nbsp;Jinseok Park","doi":"10.7461/jcen.2022.E2021.11.003","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.11.003","url":null,"abstract":"<p><p>Spinal dural arteriovenous fistula (SDAVF) is known for its ambiguous and various clinical presentations. Among these presentations, congestive myelopathy is one of the most common, yet it is challenging to correctly diagnose SDAVF at initial presentation. Several diseases present as myelopathy, including demyelinating diseases. Herein, we present two cases of congestive myelopathy due to SDAVF presenting to the emergency room (ER) with progressive quadriparesis. Even though the patients had a proper magnetic resonance imaging (MRI) examination from the initial presentation, there was a delay in making a final diagnosis. Both patients' clinical presentation and MRI mimicked central nervous system (CNS) demyelinating disease initially, and a more thorough examination revealed SDAVF. Such a delay in diagnosis can result in more neurological deterioration and may result in more sequelae. Hence, SDAVF should always be considered as a differential diagnosis when examining patients with myelopathy.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":"24 4","pages":"398-403"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/b2/jcen-2022-e2021-11-003.PMC9829566.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9096345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Undeflatable balloon guide catheter (BGC) during endovascular procedure: Rescue strategy. 血管内手术中不可充气球囊导尿管(BGC):抢救策略。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-12-01 DOI: 10.7461/jcen.2022.E2021.10.005
Hyungkyu Lee, Taejoon Park, Jinwook Baek, Seonghwan Kim, Sangpyung Lee, Kyoungsoo Ryou
{"title":"Undeflatable balloon guide catheter (BGC) during endovascular procedure: Rescue strategy.","authors":"Hyungkyu Lee,&nbsp;Taejoon Park,&nbsp;Jinwook Baek,&nbsp;Seonghwan Kim,&nbsp;Sangpyung Lee,&nbsp;Kyoungsoo Ryou","doi":"10.7461/jcen.2022.E2021.10.005","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.10.005","url":null,"abstract":"<p><p>The use of a balloon guide catheter (BGC) in the endovascular management of acute ischemic stroke is known to improve the efficacy and efficiency of the procedure by reducing the risk of distal embolization. During the procedure, the balloon of the catheter causes a temporary arrest of cerebral blood flow. However, failure of the balloon to deflate during the BGC procedure can result in catastrophic complications, including aggravated hypoxic damage.<br/> This paper aims to share the resolution and methodological analysis of our experience with BGC balloon deflation failure, which was confirmed by a reproducible experiment under similar conditions.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":"24 4","pages":"372-379"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/14/jcen-2022-e2021-10-005.PMC9829560.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10546773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hemiballism, a rare complication of coil embilization. 半偏瘫,线圈栓塞的罕见并发症。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-12-01 DOI: 10.7461/jcen.2022.E2021.07.011
Sung Ho Kim, Dong Kyu Yeo, Gwang Soo Lee
{"title":"Hemiballism, a rare complication of coil embilization.","authors":"Sung Ho Kim,&nbsp;Dong Kyu Yeo,&nbsp;Gwang Soo Lee","doi":"10.7461/jcen.2022.E2021.07.011","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.07.011","url":null,"abstract":"<p><p>Thromboembolism is one of the major complications during coil embolization of an aneurysm, which usually causes familiar neurological deficits, such as, weakness, aphasia, etc. We report a rare complication by thromboembolism after coil embolization causing hemiballism. A 69-year-old female presented with unruptured posterior communicating artery aneurysm and was treated by coil embolization. After the procedure, the patient showed global aphasia and right hemiparesis, and there were small multiple, scattered infarctions on the left middle cerebral artery territory. The neurologic deficit subsided after five days, but hemballism occurred thereafter. There was no other medical history to explain the hemiballism. The patient was treated with clonazepam and antiepileptics and the hemiballism subsided at postoperative day 20. We report a case of rare complication, hemiballism, during coil embolization.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":"24 4","pages":"366-371"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/14/jcen-2022-e2021-07-011.PMC9829565.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10546779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications and risk factors after digital subtraction angiography: 1-year single-center study. 数字减影血管造影后并发症及危险因素:1年单中心研究。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-12-01 DOI: 10.7461/jcen.2022.E2022.05.001
Ho Hyun Nam, Dong Kyu Jang, Byung Rae Cho
{"title":"Complications and risk factors after digital subtraction angiography: 1-year single-center study.","authors":"Ho Hyun Nam,&nbsp;Dong Kyu Jang,&nbsp;Byung Rae Cho","doi":"10.7461/jcen.2022.E2022.05.001","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2022.05.001","url":null,"abstract":"<p><strong>Objective: </strong>Digital subtraction angiography (DSA) is an imaging technique used to diagnose and confirm abnormal lesions of cerebral blood vessels in various situations. Several complications such as cerebral infarction, contrast-induced allergy, and angio-site hematoma or infection can occur after DSA. We investigated complication rates and risk factors related to DSA.</p><p><strong>Methods: </strong>All patients who underwent DSA at Incheon St. Mary's Hospital from January to December 2021 were included. Those who underwent emergency DSA due to stroke or who underwent endovascular surgery within 1 week after DSA were excluded. Complications that occurred within 1 week after DSA were included in the study and was classified into three categories (neurologic complications, contrast-induced allergy, and wound complications).</p><p><strong>Results: </strong>The mean age was 57.7±13.2 years old and the female was dominant at 63.9%. The overall complication rate was 5% (n=20/407). Regarding neurologic complications, the presence of malignancy (p<0.01), and a longer procedure time (>15 minutes, p=0.04) were statistically significant factors. Contrast-induced allergy did not show any statistically significant difference in any parameter. The wound complication rate was higher in men (p=0.02), trans-femoral approach (p=0.02), frequent alcohol drinkers (p=0.04), those taking anticoagulants (p=0.03), and longer procedure time (>15 minutes, p<0.01).</p><p><strong>Conclusions: </strong>DSA is an invasive diagnostic modality and can cause several complications. Patients with cancer should be more careful about the occurrence of cerebral infarction, and men taking anticoagulants or drinking frequently should be more careful about the occurrence of angio-site hematomas.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":"24 4","pages":"335-340"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/8b/jcen-2022-e2022-05-001.PMC9829562.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10547290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Right cerebellar stroke with a right vertebral artery occlusion following an embolization of the right glomus tympanicum tumor: Case report with literature review. 右小脑卒中伴右鼓膜球肿瘤栓塞后右椎动脉闭塞:1例报告并文献复习。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-12-01 DOI: 10.7461/jcen.2022.E2021.11.002
Naim I Kajtazi, Muhammad Usman Manzoor, Juman Al Ghamdi, Hanadi Al Zahrani, Faisal Al Suwaidan, Sultan Al Qahtani, Mohammad Bafaquh
{"title":"Right cerebellar stroke with a right vertebral artery occlusion following an embolization of the right glomus tympanicum tumor: Case report with literature review.","authors":"Naim I Kajtazi,&nbsp;Muhammad Usman Manzoor,&nbsp;Juman Al Ghamdi,&nbsp;Hanadi Al Zahrani,&nbsp;Faisal Al Suwaidan,&nbsp;Sultan Al Qahtani,&nbsp;Mohammad Bafaquh","doi":"10.7461/jcen.2022.E2021.11.002","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.11.002","url":null,"abstract":"<p><p>A 35-year-old female presented with episodes of frequent dizziness, ear fullness, and right ear tinnitus for 12 months. Head imaging revealed a right glomus tympanicum tumor. She underwent pre-operative endovascular embolization of the glomus tympanicum tumor with surgical, cyanoacrylate-based glue. Immediately after the procedure, she developed drowsiness and severe pain in the right temporal region. Further investigations revealed a right cerebellar stroke in the posterior inferior cerebellar artery territory. She was treated with intravenous heparin, followed by one year of oral anticoagulation. With rehabilitation, she significantly recovered from her post embolization stroke. However, the tumor was resected at another institution. Ten years later, follow-up imaging indicated a gradual increase in the size of the glomus jugulare tumor compressing the nearby critical vascular structures. She subsequently received radiation therapy to treat the residual tumor. Currently, she has no neurological deficit, but her mild dizziness, right ear tinnitus, and hearing impairment persist.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":"24 4","pages":"386-392"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/ee/jcen-2022-e2021-11-002.PMC9829557.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10546037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Diffusion-weighted imaging-positive lesions following endovascular treatment for ruptured and unruptured aneurysms: Its incidence according to antithrombotic drugs. 血管内治疗破裂和未破裂动脉瘤后弥散加权成像阳性病变:其发生率与抗栓药物有关。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-09-01 Epub Date: 2022-09-06 DOI: 10.7461/jcen.2022.E2022.01.002
Sang Hyuk Lee, Seung Hwan Kim, Ji Hwan Jang, Young Zoon Kim, Kyu Hong Kim, Taek Min Nam
{"title":"Diffusion-weighted imaging-positive lesions following endovascular treatment for ruptured and unruptured aneurysms: Its incidence according to antithrombotic drugs.","authors":"Sang Hyuk Lee,&nbsp;Seung Hwan Kim,&nbsp;Ji Hwan Jang,&nbsp;Young Zoon Kim,&nbsp;Kyu Hong Kim,&nbsp;Taek Min Nam","doi":"10.7461/jcen.2022.E2022.01.002","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2022.01.002","url":null,"abstract":"<p><strong>Objective: </strong>Microembolic infarcts are frequently observed on diffusion-weighted imaging (DWI) following endovascular treatment. We investigated DWI-positive lesions and symptomatic ischemic complications (SICs) in patients with ruptured and unruptured aneurysms following coiling and the relationship between DWI-positive lesions and antithrombotic drugs.</p><p><strong>Methods: </strong>Between January 2016 and December 2020, 83 patients underwent DWI within 48 h following endovascular treatment for ruptured (n=30) and unruptured (n=53) aneurysms.</p><p><strong>Results: </strong>The overall rate of DWI-positive lesions was 55.4%. There were no significant differences in the occurrence rate (45.3% vs. 43.3%, p=1.000) and the number of lesions (2.7±4.6 vs. 4.0±5.3, p=0.237) between unruptured and ruptured aneurysms. SIC occurred more frequently in patients with ruptured aneurysms than unruptured ones (20.0% vs. 1.9%, p=0.015). The cutoff value of DWI-positive lesions for predicting SIC was 5 (sensitivity 100%, specificity 78.9%). The procedure time was significantly longer in patients with DWI-positive lesions ≥5 than those with DWI-positive lesions <5 (104.1±43.8 vs. 85.1±30.8 min, p=0.030). Patients with DWI-positive lesions <5 were more frequently observed in the postprocedural heparinization group than in the no heparinization group (85.7% vs. 58.5%, p=0.012).</p><p><strong>Conclusions: </strong>The incidence of DWI-positive lesions did not differ significantly between the ruptured and unruptured aneurysms. However, SIC occurred more frequently in patients with ruptured aneurysms. Longer procedure time is a risk factor for DWI-positive lesions, and postprocedural heparinization seems to reduce the incidence of DWI-positive lesions.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":" ","pages":"249-256"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/d9/jcen-2022-e2022-01-002.PMC9537642.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40349931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A technical note on anterolateral mobilization in vertebrobasilar dolichoectasia for relief of brainstem compression. 椎基底动脉宽缩症前外侧活动缓解脑干压迫的技术说明。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-09-01 Epub Date: 2022-09-07 DOI: 10.7461/jcen.2022.E2020.11.004
Jesse J Liu, Brannan E O'Neill, David Mazur-Hart, Kutluay Uluc, Aclan Dogan, Justin S Cetas
{"title":"A technical note on anterolateral mobilization in vertebrobasilar dolichoectasia for relief of brainstem compression.","authors":"Jesse J Liu,&nbsp;Brannan E O'Neill,&nbsp;David Mazur-Hart,&nbsp;Kutluay Uluc,&nbsp;Aclan Dogan,&nbsp;Justin S Cetas","doi":"10.7461/jcen.2022.E2020.11.004","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2020.11.004","url":null,"abstract":"<p><p>Vascular compression of neural tissue causing neurological symptoms is a wellknown phenomenon. This is commonly seen in trigeminal neuralgia and, less commonly, in hemifacial spasm by small arteries, which can be treated by microvascular decompression. Rarely, larger arteries, such as the vertebral arteries, may compress the brainstem. This can lead to symptoms of pontine or medullary distress like hemiparesis, dysphagia, or respiratory distress. This is treated by macrovascular decompression. Due to the rare and heterogenous nature of this disease, there is no standardized approach. We describe a novel technique whereby the vertebrobasilar system is mobilized anterolaterally towards the occipital condyle with a sling to decompress the brainstem.<br/> We report two cases of vertebrobasilar dolichoectasia causing brainstem compression. A carotid patch graft sling with anterolateral mobilization to the occipital condyle is described as a surgical nuance to macrovascular decompressive surgery. Briefly, the vertebral artery was identified and dissected away from the brainstem and the bulbar cranial nerves. Bovine pericardium graft was used to create a sling around the artery by suturing the two ends together. The sling was then fixed either to the occipital condyle using cranial plating screws or suturing to the dura of the occipital condyle.<br/> A novel surgical technique for management of vertebrobasilar dolichoectasia causing brainstem compression with progressive neurological deterioration is reported. Anatomical location and the offending vessel should guide neurosurgeons to select the best surgical option to achieve complete decompression of the involved neural structures.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":" ","pages":"297-302"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/2a/jcen-2022-e2020-11-004.PMC9537649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Isolated oculomotor nerve palsy secondary to non-aneurysmal subarachnoid hemorrhage. 继发于非动脉瘤性蛛网膜下腔出血的孤立性动眼神经麻痹。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-09-01 Epub Date: 2022-03-23 DOI: 10.7461/jcen.2022.E2021.06.007
Shyle Mehta, Abhijith Bathini, Anwesha Dubey, Awinita Barpujari, Ahmad Kassem, Mohanad Sulaiman, Mandy Binning
{"title":"Isolated oculomotor nerve palsy secondary to non-aneurysmal subarachnoid hemorrhage.","authors":"Shyle Mehta,&nbsp;Abhijith Bathini,&nbsp;Anwesha Dubey,&nbsp;Awinita Barpujari,&nbsp;Ahmad Kassem,&nbsp;Mohanad Sulaiman,&nbsp;Mandy Binning","doi":"10.7461/jcen.2022.E2021.06.007","DOIUrl":"https://doi.org/10.7461/jcen.2022.E2021.06.007","url":null,"abstract":"<p><p>We present a case series of two patients who developed unilateral cranial nerve III (CNIII) palsy following non-aneurysmal SAH (NASAH). Subarachnoid hemorrhage (SAH) can present with various signs and symptoms. Early diagnosis is paramount to determine treatment course. Thus, clinicians must be aware of the variable clinical presentations of this condition. Two patients were admitted to a single institution for SAH. Patient 1, 52-year-old male, presented with headache, left eye ptosis, and painless diplopia. A non-contrast head computed tomography (CT) demonstrated a SAH within the left sylvian fissure and blood surrounding the mesencephalon and falx. Patient 2, 70-year-old male, presented with mild headache, acute onset of blurry vision, and right eye ptosis. A non-contrast head CT demonstrated a diffuse SAH predominantly in the Sylvian and suprasellar cisterns. Patients were admitted to the neuro intensive care unit and underwent diagnostic angiograms to identify possible aneurysms. Magnetic resonance imaging and angiograms for both patients were negative. Patients were managed with best medical therapy and followed up in the outpatient setting. Unilateral CNIII palsy in the setting of NASAH was identified in both patients. Diagnostic angiograms were negative for aneurysms; therefore, SAH were determined to be spontaneous. We propose that unilateral CNIII palsy is a possible sign of NASAH.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":" ","pages":"267-275"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/b9/jcen-2022-e2021-06-007.PMC9537643.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40313603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The relationship between non-aneurysmal spontaneous subarachnoid hemorrhage and basilar tip anatomy. 非动脉瘤性自发性蛛网膜下腔出血与基底尖解剖的关系。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-09-01 Epub Date: 2022-08-08 DOI: 10.7461/jcen.2022.E2022.01.004
Hangeul Park, Young-Je Son, Noah Hong, Seung Bin Kim
{"title":"The relationship between non-aneurysmal spontaneous subarachnoid hemorrhage and basilar tip anatomy.","authors":"Hangeul Park, Young-Je Son, Noah Hong, Seung Bin Kim","doi":"10.7461/jcen.2022.E2022.01.004","DOIUrl":"10.7461/jcen.2022.E2022.01.004","url":null,"abstract":"<p><strong>Objective: </strong>Non-aneurysmal spontaneous subarachnoid hemorrhage (NASAH) has a good prognosis, but its cause has not been clearly identified. In this study, we assessed the clinical and radiological features of NASAH and suggested an anatomical relationship between the basilar tip anatomy and NASAH.</p><p><strong>Methods: </strong>From August 2013 to May 2020, 21 patients were diagnosed with NASAH at our institution. We evaluated the clinical features of NASAH. NASAH was classified into a perimesencephalic pattern and aneurysmal pattern according to the distribution of hemorrhage based on initial brain computed tomography. Digital subtraction angiography was used to classify the basilar tip anatomy into symmetric cranial fusion, symmetric caudal fusion, or asymmetric fusion types.</p><p><strong>Results: </strong>Of the 21 patients, twenty patients had a good clinical outcome (modified Rankin Scale (mRS) 1-2; Glasgow Outcome Scale (GOS) 4-5). These patients showed improvement in mRS and Glasgow Coma Scale (GCS) at the last follow-up (P=.003 and P=.016, respectively). Eighteen patients with NASAH (85.7%) had the caudal fusion type, and only three patients with NASAH (14.3%) had the cranial fusion type. Seven patients with the perimesencephalic pattern (77.8%) had the caudal fusion type, and eleven patients with the aneurysmal pattern (91.7%) had the caudal fusion type.</p><p><strong>Conclusions: </strong>In NASAH patients, the caudal fusion tends to occur frequently among patients with basilar tip anatomy. In the case of the caudal fusion, the perforators around the basilar tip would be more susceptible to hemodynamic stress, which could contribute to the occurrence of NASAH.</p>","PeriodicalId":15359,"journal":{"name":"Journal of Cerebrovascular and Endovascular Neurosurgery","volume":" ","pages":"232-240"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/07/jcen-2022-e2022-01-004.PMC9537650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40587845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forced suction thrombectomy in patients with acute ischemic stroke using the SOFIA Plus device. SOFIA Plus装置在急性缺血性脑卒中患者中的应用。
Journal of Cerebrovascular and Endovascular Neurosurgery Pub Date : 2022-09-01 Epub Date: 2022-08-22 DOI: 10.7461/jcen.2022.E2021.12.002
Hyun Ki Roh, Min-Wook Ju, Hyoung Soo Byoun, Bumsoo Park, Kwang Hyon Park, Jeongwook Lim
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