4,400 results match your criteria Cerebellar Hemorrhage


Clinical Experience with Hemopatch® as a Dural Sealant in Cranial Neurosurgery.

Cureus 2019 Feb 4;11(2):e4013. Epub 2019 Feb 4.

Department of Neurosurgery, University Medical Centre of Regensburg, Regensburg, DEU.

Background: Herein, we report our clinical experience with the novel polyethylene glycol-covered matrix dural onlay, Hemopatch® (Baxter Deutschland GmbH, Unterschleißheim, Germany) for the prevention of postoperative cerebrospinal fluid (CSF) fistulas.

Methods: Retrospectively, 22 consecutive patients (11 females, 11 males, mean age: 49.8 years, range: 15-77 years) with oncological and vascular intracranial lesions were included in this study. Read More

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https://www.cureus.com/articles/17296-clinical-experience-wi
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http://dx.doi.org/10.7759/cureus.4013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450590PMC
February 2019
2 Reads

Left Thalamus Arteriovenous Malformation Secondary to Radiation Therapy of Original Vermian Arteriovenous Malformation: Case Report.

J Stroke Cerebrovasc Dis 2019 Apr 8. Epub 2019 Apr 8.

Department of Neurosurgery, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts. Electronic address:

A 70-year-old gentleman with history of hypothyroidism, hyperlipidemia, hypertension, and right superior cerebellar aneurysm presented to the neurosurgery service in 2008 with vertigo. Diagnostic cerebral angiography performed that year demonstrated a vermian arteriovenous malformations (AVM). The patient underwent stereotactic proton beam radiosurgery, which resulted in a decrease in flow and size of the lesion, and the patient was lost to follow-up. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.03.033DOI Listing
April 2019
1 Read

Acute cerebellar ataxia: differential diagnosis and clinical approach.

Arq Neuropsiquiatr 2019 Mar;77(3):184-193

Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, Unidade de Neurologia Geral e de Ataxias, São Paulo SP, Brasil.

Cerebellar ataxia is a common finding in neurological practice and has a wide variety of causes, ranging from the chronic and slowly-progressive cerebellar degenerations to the acute cerebellar lesions due to infarction, edema and hemorrhage, configuring a true neurological emergency. Acute cerebellar ataxia is a syndrome that occurs in less than 72 hours, in previously healthy subjects. Acute ataxia usually results in hospitalization and extensive laboratory investigation. Read More

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http://dx.doi.org/10.1590/0004-282X20190020DOI Listing
March 2019
1 Read

Extensive intracranial haemorrhage as a complication of acute lymphoblastic leukaemia with hyperleukocytosis.

J Clin Neurosci 2019 Apr 2. Epub 2019 Apr 2.

Division of Paediatric Haematology-Oncology, Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.

We report a rare case of distinctive extensive punctate intracranial haemorrhage associated with acute lymphoblastic leukaemia with hyperleukocytosis. A 7-year-old girl presented with hyperleukocytosis (white cell count 788.7 × 10/L; 94% peripheral blasts) and laboratory tumour lysis syndrome. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.03.056DOI Listing
April 2019
3 Reads

Endoscopic Approach to Cerebellar and Large Putaminal Bleed.

Asian J Neurosurg 2019 Jan-Mar;14(1):72-76

Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita University, Nagoya, Japan.

Objective: To highlight the basic points of brain endoscopic procedure for Cerebellar and Large Putaminal Hemorrhage to achieve repeatability and reproducibility in the results among the new brain endoscopic surgeons.

Method: Sharing the experience of 10 years as an endoscopic surgeon to bring out the basic insight into the method, challenges, points which need special attention during the surgery and discussion of recent advancements in the endoscopic equipment for safe surgery.

Conclusion: Procedure of endoscopic evacuation of brain hematoma is simple with learning curve. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_217_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417327PMC
April 2019
3 Reads

Craniocervical junction and posterior fossa dimensions can affect need for decompressive craniectomy in posterior cranial fossa hemorrhage.

World Neurosurg 2019 Mar 27. Epub 2019 Mar 27.

Department of Neurosurgery, University of Utah, Salt Lake City, Utah.

Background: Posterior fossa hemorrhage (PFH) of the cerebellum is managed by decompressive craniectomy when there is clinical deterioration. There is no current consensus on an objective imaging method to determine which patients need surgery before clinical deterioration. We developed an imaging scoring tool by assessing initial hemorrhage diameter and posterior fossa (PF) measurements to determine which patients will benefit from early surgical intervention. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.208DOI Listing
March 2019
2 Reads

Clinical Features of Nephrotic Syndrome with Cerebral Hemorrhage.

Med Sci Monit 2019 Mar 24;25:2179-2185. Epub 2019 Mar 24.

Department of Neurology, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China (mainland).

BACKGROUND Cerebral hemorrhage has been increasingly reported in patients with nephrotic syndrome (NS). However, the clinical features and pathogenesis of NS patients with cerebral hemorrhage remain unclear. MATERIAL AND METHODS From January 2007 to August 2017, continuous NS patients with cerebral hemorrhage at the First Affiliated Hospital of Guangxi Medical University were selected. Read More

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http://dx.doi.org/10.12659/MSM.912466DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442498PMC
March 2019
1 Read

Early high-dose caffeine citrate for extremely preterm infants: Neonatal and neurodevelopmental outcomes.

J Paediatr Child Health 2019 Mar 21. Epub 2019 Mar 21.

Newborn Services, Mater Mothers' Hospital, Brisbane, Queensland, Australia.

Aim: To examine neonatal morbidities, including the incidence of cerebellar haemorrhage (CBH), and neurodevelopmental outcomes following the administration of high loading dose caffeine citrate compared to standard loading dose caffeine citrate.

Methods: This was a retrospective study of 218 preterm infants <28 weeks' gestation who received a loading dose of caffeine citrate within the first 36 h of life at the Mater Mothers' Hospital over a 3-year period (2011-2013). Two groups were compared, with 158 neonates in the high-dose cohort receiving a median dose of caffeine citrate of 80 mg/kg and 60 neonates in the standard dose cohort receiving a median dose of 20 mg/kg. Read More

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http://dx.doi.org/10.1111/jpc.14446DOI Listing
March 2019
2 Reads

Surgical Management of Deep-Seated Metastatic Brain Tumors Using Minimally Invasive Approaches.

J Neurol Surg A Cent Eur Neurosurg 2019 May 20;80(3):198-204. Epub 2019 Mar 20.

Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, United States.

Background And Study Aims/objective:  Metastatic brain tumors are the most common type of adult brain tumors. Treatment involves surgery and/or radiation therapy. Surgery is typically reserved for patients with good neurologic function, solitary and accessible lesions, symptomatic lesions, and/or those with good systemic control of their primary cancer. Read More

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http://dx.doi.org/10.1055/s-0038-1676575DOI Listing
May 2019
1 Read

Infratentorial Intracerebral Hemorrhage.

Stroke 2019 May;50(5):1257-1259

George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia (X.W., C.S.A., R.I.L., J.C., C.D.).

Background and Purpose- Infratentorial intracerebral hemorrhage (ICH) has a poor outcome but is rarely analyzed by cerebellar versus brain stem location. We evaluated this relationship and clinical outcomes among participants of the INTERACT 1 and 2 (Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trials). Methods- Participants with brain stem and cerebellar ICH were compared. Read More

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http://dx.doi.org/10.1161/STROKEAHA.118.023766DOI Listing
May 2019
2 Reads

Which patients with aneurysms involving the a1-a2 segment of the anterior inferior cerebellar artery would benefit from parent artery occlusion?

World Neurosurg 2019 Mar 15. Epub 2019 Mar 15.

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, 130021, China. Electronic address:

Background: Anterior inferior cerebellar artery (AICA) trunk aneurysms are rare entities. Given the eloquence of the AICA in supplying the cerebellum and brainstem, in theory, sacrifice or occlusion of the a1-a2 segment in lesions involving the AICA may lead to various complications. However, some patients might experience no complication or favorable recovery. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.070DOI Listing
March 2019
2 Reads

Microsurgical Clip Reconstruction of a Ruptured Dissecting PICA Aneurysm: a 2D Operative Video.

World Neurosurg 2019 Mar 11. Epub 2019 Mar 11.

Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA. Electronic address:

This case is a presentation of technical tenets for the microsurgical clipping of a ruptured posterior inferior cerebellar artery (PICA) aneurysm. The patient described in this case was a 19-year old male with a history of polysubstance abuse who presented from an outside hospital after being found unresponsive and admitted for a subarachnoid hemorrhage seven days earlier. Noninvasive vascular imaging completed at the outset hospital showed no clear intracranial aneurysm except some irregularity of left PICA proximally. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.161DOI Listing
March 2019
3 Reads

Presentation of hemolytic and hemorrhagic rangeliosis in Cerdocyon thous.

Ticks Tick Borne Dis 2019 04 22;10(3):690-693. Epub 2019 Feb 22.

Laboratório de Diagnóstico em Medicina Veterinária, Universidade de Caxias do Sul, R. Francisco Getúlio Vargas, 1130, Petrópolis, Caxias do Sul, RS, 95070560, Brazil. Electronic address:

Rangeliosis, caused by protozoan Rangelia vitalii, is transmitted by the tick Amblyomma aureolatum. The disease is characterized by hemolytic and hemorrhagic disorder and has been described in dogs and other wild canids. The aim of this study was to compare clinicopathological findings and laboratory results of a Rangelia infection in a crab-eating fox (Cerdocyon thous) with those of canine rangeliosis. Read More

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http://dx.doi.org/10.1016/j.ttbdis.2019.02.010DOI Listing
April 2019
1 Read

[Toxoplasmosis-associated central nervous system vasculitis accompanied by multiple cerebral hemorrhages developing subsequent to cord blood transplantation].

Rinsho Ketsueki 2019;60(2):118-123

Department of Internal Medicine, Kitakyushu Municipal Medical Center.

A 57-year-old man with high-risk myelodysplastic syndrome underwent umbilical cord blood transplantation. He began receiving steroids on day 14 for acute graft-versus-host disease, and experienced dizziness on day 75 during gradual dose reduction. Multiple hemorrhages were observed in the cerebrum, cerebellum, and brainstem. Read More

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http://dx.doi.org/10.11406/rinketsu.60.118DOI Listing
January 2019
1 Read

Endovascular Therapy in Posterior Fossa Brain Arteriovenous Malformations: A Clinical Study.

Turk Neurosurg 2019 Jan 24. Epub 2019 Jan 24.

SBU Ankara Numune Training and Education Hospital.

Aim: Posterior fossa brain arteriovenous malformation (PFbAVM) is a comparatively uncommon vascular lesion that differs from other intracranial arteriovenous malformations (AVMs) in diagnosis, natural history, treatment options, prognosis, and management. Endovascular embolization can be used to reduce the lesion size before treatment in PFbAVM patients. In this study, we assessed PFbAVM patients who received initial endovascular intervention to reduce the lesion size, as well as embolization for the obliteration of lesions. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.25411-18.1DOI Listing
January 2019
4 Reads

Endovascular Treatment of Superior Cerebellar Artery Aneurysms.

Turk Neurosurg 2018 Dec 25. Epub 2018 Dec 25.

Adana City Training and Research Hospital.

Aim: Superior cerebellar artery (SCA) aneurysms are uncommon. We present our results of SCA aneurysm embolization using current endovascular techniques Material and Methods: All SCA aneurysms treated by our endovascular team since 2013 were retrospectively evaluated. Clinical information and angiographic findings on presentation, during treatment and on follow-up were noted Results: Endovascular treatment was the primary treatment method for SCA aneurysms during the study period. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.24640-18.3DOI Listing
December 2018
5 Reads

Remote Cerebellar Hemorrhage Following Surgery for Supratentorial Lesions.

World Neurosurg 2019 Feb 26. Epub 2019 Feb 26.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Background: Remote cerebellar hemorrhage (RCH) after intracranial surgery is a rare complication. Cerebellar hemorrhage is the most commonly described remote site hemorrhage after surgery for supratentorial pathologies. Although this is a rare complication 0. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.053DOI Listing
February 2019
2 Reads

Cerebellar hemorrhage: a 10-year evaluation of risk factors.

J Matern Fetal Neonatal Med 2019 Mar 1:1-9. Epub 2019 Mar 1.

a Department of Pediatrics, Division of Newborn Medicine , Washington University School of Medicine , St. Louis , MO , USA.

Background: While cerebellar hemorrhage (CH) has been linked with adverse neurodevelopmental outcome in preterm infants, it remains under-recognized and the underlying mechanisms are not fully understood.

Objective: To determine risk factors for CH in premature infants.

Methods: A retrospective cohort study included all inborn infants ≤ 30 weeks EGA admitted to the NICU from 2007 to 2016. Read More

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http://dx.doi.org/10.1080/14767058.2019.1583729DOI Listing
March 2019
1 Read

Treatment of posterior inferior cerebellar artery aneurysms using flow-diverter stents: A single-center experience.

Interv Neuroradiol 2019 Feb 25:1591019918824003. Epub 2019 Feb 25.

Department of Radiology, Karadeniz Technical University Medical Faculty, Trabzon, Turkey.

Introduction: The effectiveness and reliability of flow-diverter stents, which are commonly used in aneurysms of the anterior circulation, have been demonstrated previously. However, the use of these devices is associated with higher rates of perforator and branch ischemia following the treatment of aneurysms of the posterior circulation.

Methods: This work involved a single-center; retrospective study reviewing eight patients who had aneurysms related to the posterior inferior cerebellar artery (PICA) and who were treated with flow-diverter stents from September 2013 to May 2017. Read More

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http://dx.doi.org/10.1177/1591019918824003DOI Listing
February 2019
1 Read

Remote cerebellar hemorrhage: A case report.

Radiol Case Rep 2019 Mar 3;14(3):385-389. Epub 2019 Jan 3.

Department of Radiology, Harlem Hospital Center, 506 Lenox Ave, New York, NY 10037, USA.

Remote Cerebellar Hemorrhage is a rare entity that manifests spontaneously after supratentorial craniotomy and spinal surgeries. We present a 53-year-old male who was admitted due to subdural hematoma along the left frontoparietotemporal convexity. After treatment of the subdural hematoma with craniotomy and evacuation, he developed remote cerebellar hemorrhage 1 week later. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.12.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360913PMC
March 2019
2 Reads

The Experience With Flow Diverters in the Treatment of Posterior Inferior Cerebellar Artery Aneurysms.

Oper Neurosurg (Hagerstown) 2019 Feb 12. Epub 2019 Feb 12.

Department of Neurological Surgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania.

Background: The use of the pipeline embolization device (PED; Medtronic, Dublin, Ireland) in the posterior circulation has been limited and infrequently reported compared to other off-label utilizations. Posterior inferior cerebellar artery aneurysms (PICAA) constitute 1 of the least reported posterior circulation aneurysms treated with PED. No clinical studies have addressed the treatment of these aneurysms with flow diversion exclusively. Read More

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http://dx.doi.org/10.1093/ons/opy301DOI Listing
February 2019
7 Reads

Location-specific differences in hematoma volume predict outcomes in patients with spontaneous intracerebral hemorrhage.

Int J Stroke 2019 Feb 12:1747493019830589. Epub 2019 Feb 12.

1 Department of Neurological Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA.

Background And Objective: Functional outcome after spontaneous intracerebral hemorrhage (ICH) may vary depending on hematoma volume and location. We assessed the interaction between hematoma volume and location, and modified the original ICH score to include such an interaction.

Methods: Consecutive ICH patients were enrolled in the Intracerebral Hemorrhage Outcomes Project from 2009 to 2017. Read More

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http://dx.doi.org/10.1177/1747493019830589DOI Listing
February 2019
5 Reads

Convexity Subarachnoid Hemorrhage Secondary to Adalidumab in a Patient with Ulcerative Colitis.

J Vasc Interv Neurol 2018 Nov;10(2):62-64

Department of Neurology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina.

The TNF-α antagonists are the drugs used for the treatment of ulcerative colitis (UC). Nontraumatic convexity subarachnoid hemorrhage is an infrequent nonaneurysmal subtype of subarachnoid bleeding caused mainly by reversible cerebral vasoconstriction syndrome (RCVS), cerebral amyloid angiopathy, and posterior reversible encephalopathy syndrome (PRES). We present a 26-year-old female patient with a diagnosis of UC taking Adalimumab. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350865PMC
November 2018
8 Reads

Thromboxane-prostaglandin receptor antagonist, terutroban, prevents neurovascular events after subarachnoid haemorrhage: a nanoSPECT study in rats.

Crit Care 2019 Feb 11;23(1):42. Epub 2019 Feb 11.

Department of Anaesthesiology and Critical Care Medicine, INT (Institut de Neurosciences de la Timone), University Hospital Timone, Aix Marseille University, Marseille, France.

Background: Several lipid metabolites in cerebrospinal fluid are correlated with poor outcomes in aneurysmal subarachnoid haemorrhage. Most of these metabolites bind to ubiquitous thromboxane-prostaglandin (TP) receptors, causing vasoconstriction and inflammation. Here, we evaluated terutroban (TBN), a specific TP receptor antagonist, for the prevention of post-haemorrhage blood-brain barrier disruption, neuronal apoptosis and delayed cerebral hypoperfusion. Read More

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http://dx.doi.org/10.1186/s13054-019-2338-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371436PMC
February 2019
4 Reads

Histological and immunohistochemical evaluation of the effect of tartrazine on the cerebellum, submandibular glands, and kidneys of adult male albino rats.

Environ Sci Pollut Res Int 2019 Apr 6;26(10):9574-9584. Epub 2019 Feb 6.

Department of Cytology and Histology, Faculty of Vet. Med, Cairo University, Cairo, Egypt.

Tartrazine is one of the most widely used food additives. The present investigation was carried out on 40 adult male albino rats. They were divided into four groups of ten animals for each. Read More

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http://dx.doi.org/10.1007/s11356-019-04399-5DOI Listing
April 2019
3 Reads

Paroxysmal Sympathetic Hyperactivity with Dystonia Following Non-traumatic Bilateral Thalamic and Cerebellar Hemorrhage.

Neurocrit Care 2019 Feb 6. Epub 2019 Feb 6.

Department of Neurology, University of Miami Miller School of Medicine, 1120 NW 14th Street, 13th Floor, Miami, FL, 33136, USA.

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http://dx.doi.org/10.1007/s12028-019-00677-9DOI Listing
February 2019
2 Reads

Subarachnoid hemorrhage due to flow-related dissection of the posterior inferior cerebellar artery associated with a distal arteriovenous malformation.

World Neurosurg 2019 Feb 2. Epub 2019 Feb 2.

Department of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland; Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Background: and Importance: Cerebral arteriovenous malformations (CAVM) are characterized by altered hemodynamics and associated with angioanatomical changes, such as aneuryms. We encountered a patient with a CAVM-associated dissection of the medial trunk of the posterior inferior cerebellar artery (PICA) instead of an aneurysm.

Clinical Presentation: We report the case of a 56-year old male patient with spontaneous subarachnoid hemorrhage within the cisterna magna and fourth ventricle. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.148DOI Listing
February 2019
3 Reads

Alport's syndrome and intracranial aneurysm: mere coincidence or undiscovered causal relationship.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

Department of Nephrology, Deaconess Health System, Evansville, Indiana, USA.

A 44-year-old Caucasian man with a history of deceased donor renal transplant for end-stage renal disease from Alport's syndrome (AS), presented with a spontaneous subarachnoid haemorrhage and hydrocephalus. Following an external ventricular drain for the hydrocephalus, a CT angiography revealed a dissection of the left vertebral artery extending into vertebro-basilar junction necessitating a bypass between left occipital artery to left posterior inferior cerebellar artery. He had a posterior fossa Craniectomy, C1 laminectomy and coiling off, of the left vertebral artery. Read More

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http://dx.doi.org/10.1136/bcr-2018-228175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352827PMC
January 2019
3 Reads

[Possible Segmental Arterial Mediolysis Associated with Intraperitoneal Hemorrhage in the Acute Stage of Subarachnoid Hemorrhage:A Case Report].

No Shinkei Geka 2019 Jan;47(1):97-103

Department of Neurosurgery, Kyoto University Graduate School of Medicine.

Segmental arterial mediolysis(SAM)is a rare non-inflammatory and non-atherosclerotic arteriopathy associated with the occurrence of multiple aneurysms such as intracranial and intraperitoneal aneurysms. We report a case of intraperitoneal hemorrhage that occurred during the acute stage of subarachnoid hemorrhage(SAH). An 82-year-old woman presented with a sudden onset of loss of consciousness with a diagnosis of SAH. Read More

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http://dx.doi.org/10.11477/mf.1436203902DOI Listing
January 2019
2 Reads

Hematoma location and morphology of anticoagulation-associated intracerebral hemorrhage.

Neurology 2019 Feb 23;92(8):e782-e791. Epub 2019 Jan 23.

From the Stroke Research Group (D.J.S., D.W.), UCL Queen Square Institute of Neurology, University College London and the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK; Stroke Centre and Neurology (D.J.S.), University Hospital and University Basel, Switzerland; Department of Neurology (S.C., T.T.), Helsinki University Hospital, Finland; Degenerative & Vascular Cognitive Disorders, Department of Neurology (N.D.-P., C.C.), INSERM U1171, CHU Lille, University of Lille, France; Department of Clinical and Experimental Sciences, Neurology Clinic (A.P.), University of Brescia, Italy; Department of Clinical Neuroscience/Neurology (T.T.), Institute of Neurosciences and Physiology, Sahlgrenska Academy at University of Gothenburg; and Department of Neurology (T.T.), Sahlgrenska University Hospital, Gothenburg, Sweden.

Objective: To study hematoma location and morphology of intracerebral hemorrhage (ICH) associated with oral anticoagulants (OAC) and delineate causes and mechanism.

Methods: We performed a systematic literature research and meta-analysis of studies comparing neuroimaging findings in patients with OAC-ICH compared to those with ICH not associated with OAC (non-OAC ICH). We calculated pooled risk ratios (RRs) for ICH location using the Mantel-Haenszel random-effects method and corresponding 95% confidence intervals (95% CI). Read More

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http://www.neurology.org/lookup/doi/10.1212/WNL.000000000000
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http://dx.doi.org/10.1212/WNL.0000000000006958DOI Listing
February 2019
15 Reads

Cerebellar hemorrhage as the primary clinical manifestation of hyperacute disseminated encephalomyelitis: a case report.

Acta Neurol Belg 2019 Jan 10. Epub 2019 Jan 10.

Department of Neurology, The Affiliated Hospital of Wei Fang Medical University, Weifang, China.

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http://link.springer.com/10.1007/s13760-019-01075-w
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http://dx.doi.org/10.1007/s13760-019-01075-wDOI Listing
January 2019
9 Reads
0.598 Impact Factor

Four-Year Experience Using an Advanced Interdisciplinary Hybrid Operating Room : Potentials in Treatment of Cerebrovascular Disease.

J Korean Neurosurg Soc 2019 Jan 31;62(1):35-45. Epub 2018 Dec 31.

Health Insurance Review and Assessment Service, Seoul, Korea.

Objective: To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR).

Methods: A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. Read More

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http://dx.doi.org/10.3340/jkns.2018.0203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328792PMC
January 2019
9 Reads

Cerebral small vessel disease in patients with spontaneous cerebellar hemorrhage.

J Neurol 2019 Mar 8;266(3):625-630. Epub 2019 Jan 8.

Hemorrhagic Stroke Research Program, Department of Neurology, Massachusetts General Hospital Stroke Research Center, Harvard Medical School, 175 Cambridge Street, #300, Boston, MA, 02114, USA.

Background: Spontaneous cerebellar-intracerebral hemorrhage (ICH) can be associated with both cerebral amyloid angiopathy (CAA) and hypertensive small vessel disease (HTN-SVD, i.e. arteriolosclerosis). Read More

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http://dx.doi.org/10.1007/s00415-018-09177-wDOI Listing
March 2019
5 Reads

Early focal brain injury after subarachnoid hemorrhage correlates with spreading depolarizations.

Neurology 2019 Jan 28;92(4):e326-e341. Epub 2018 Dec 28.

From the Research Laboratory for Stereology and Neuroscience, Bispebjerg-Frederiksberg Hospital (N.E., B.P.), University of Copenhagen; Departments of Clinical Physiology and Nuclear Medicine (E.R.) and Clinical Neurophysiology (M.F., M.L.), Rigshospitalet, University of Copenhagen, Denmark; Department of Neuroradiology (M.S., G.B.), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Germany; Center for Stroke Research Berlin (S.M., M.K.L.W., V.K., C.R., P.V., J.W., J.P.D.) and Departments of Experimental Neurology (S.M., C.R., J.P.D.), Neurology (S.M., J.P.D.), and Neurosurgery (P.V., J.W.), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Department of Neurosurgery (E.S., O.W.S.), University Hospital Heidelberg, Ruprecht Karls University Heidelberg; Neurosurgery Center Ludwigsburg-Heilbronn (O.W.S.), RKH Klinikum Ludwigsburg, Germany; UC Gardner Neuroscience Institute (J.A.H.) and Department of Neurosurgery (J.A.H.), University of Cincinnati (UC) College of Medicine, OH; Institute for Clinical Epidemiology and Applied Biostatistics (P.M.), University of Tübingen, Germany; Department of Neuroscience and Center for Healthy Aging, Panum Institute (M.L.), and Faculty of Health and Medical Sciences (B.P.), University of Copenhagen, Denmark; Bernstein Center for Computational Neuroscience Berlin (J.P.D.), Berlin; and Einstein Center for Neurosciences Berlin (J.P.D.), Germany.

Objective: To investigate whether spreading depolarization (SD)-related variables at 2 different time windows (days 1-4 and 5-8) after aneurysmal subarachnoid hemorrhage (aSAH) correlate with the stereologically determined volume of early focal brain injury on the preinterventional CT scan.

Methods: In this observational multicenter study of 54 patients, volumes of unaffected brain tissue, ventricles, cerebellum, aSAH, intracerebral hemorrhage, and focal parenchymal hypodensity were stereologically estimated. Patients were electrocorticographically monitored using subdural electrodes for 81. Read More

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http://www.neurology.org/lookup/doi/10.1212/WNL.000000000000
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http://dx.doi.org/10.1212/WNL.0000000000006814DOI Listing
January 2019
8 Reads

Intracerebral hemorrhage associated with warfarin versus non-vitamin K antagonist oral anticoagulants in Asian patients.

J Clin Neurosci 2019 Mar 23;61:160-165. Epub 2018 Dec 23.

Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea. Electronic address:

Non-valvular atrial fibrillation patients receiving non-vitamin K antagonist oral anticoagulants (NOACs) have half the incidence of intracerebral hemorrhage (ICH) compared to those receiving warfarin. However, the differences in outcomes of NOAC-associated ICH (NICH) and warfarin-associated ICH (WICH) remain controversial. In this study, we investigated the clinical outcome and radiologic findings of ICH in Asian patients receiving NOACs or warfarin. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.10.102DOI Listing
March 2019
4 Reads

Prediction of Long-Term Outcome After Intracerebral Hemorrhage Surgery.

World Neurosurg 2018 Dec 19. Epub 2018 Dec 19.

Departments of Clinical Sciences and Neurosurgery, Lund University, Skane University Hospital, Lund, Sweden.

Background: Surgery for spontaneous primary intracerebral hemorrhage (ICH) remains controversial. Previous surgical trials have primarily focused on short-term mortality while studies on long-term functional outcome are rare. We therefore conducted this retrospective study of long-term outcome on all ICH patients who underwent craniotomy at a single neurosurgical center during a 10-year period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183283
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http://dx.doi.org/10.1016/j.wneu.2018.12.012DOI Listing
December 2018
9 Reads

Multiple Brain Metastases from Pancreatic Adenocarcinoma Manifesting with Simultaneous Intratumoral Hemorrhages.

World Neurosurg 2019 Mar 20;123:221-225. Epub 2018 Dec 20.

Department of Neurosurgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.

Background: Pancreatic adenocarcinoma rarely metastasizes to the brain, and clinical features of brain metastasis in such cases remain elusive. To the best of our knowledge, only 21 cases of brain metastasis from pancreatic adenocarcinoma have been previously reported in the English language literature.

Case Description: A 61-year-old woman was diagnosed with pancreatic adenocarcinoma and began chemotherapy 1 year 4 months before the current admission. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183285
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http://dx.doi.org/10.1016/j.wneu.2018.12.036DOI Listing
March 2019
14 Reads

Perioperative Cerebral Microbleeds After Adult Cardiac Surgery.

Stroke 2019 Feb;50(2):336-343

From the Department of Cardiovascular Sciences, University of Leicester, United Kingdom (N.P., J.J., M.A.H., L.C., E.M.L.C.).

Background and Purpose- Cerebral microbleeds (CMBs) have been observed using magnetic resonance imaging in patients with cardiovascular risk factors, cognitive deterioration, small vessel disease, and dementia. They are a well-known consequence of cerebral amyloid angiopathy, chronic hypertension, and diffuse axonal injury, among other causes. However, the frequency and location of new CMBs postadult cardiac surgery, in association with cognition and perioperative risk factors, have yet to be studied. Read More

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https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.023355
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http://dx.doi.org/10.1161/STROKEAHA.118.023355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354910PMC
February 2019
13 Reads

Ruptured intrameatal anterior inferior cerebellar artery aneurysm associated with obstructed internal auditory artery in a patient with sudden hearing loss and vertigo.

Acta Neurochir (Wien) 2019 Feb 17;161(2):403-406. Epub 2018 Dec 17.

Department of Cerebrovascular Surgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan.

Background: Intrameatal aneurysms arising from the meatal loop of the anterior inferior cerebellar artery (AICA) are extremely rare.

Case Presentation: We report a 60-year-old man presenting with severe vertigo and sudden left hearing loss associated with subarachnoid hemorrhage caused by rupture of a saccular aneurysm arising from the meatal loop of the AICA, which was entirely buried in the meatus. Intraoperatively, we identified the occluded internal auditory artery arising from the meatal loop of the AICA, where the aneurysm originated, and performed neck clipping. Read More

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http://dx.doi.org/10.1007/s00701-018-3771-xDOI Listing
February 2019
5 Reads

Uptake and radiological findings of screening cerebral magnetic resonance scans in patients with hereditary haemorrhagic telangiectasia.

Intractable Rare Dis Res 2018 Nov;7(4):236-244

NHLI Cardiovascular Sciences, Imperial College London, London, UK.

Hereditary haemorrhagic telangiectasia (HHT) results in arteriovenous malformations (AVMs), most commonly in the lungs, liver and brain. Discussion of cerebral vascular malformations is an important element of patient management. The current study objectives were to examine uptake and results of screening cerebral magnetic resonance (MR) scans, excluding symptomatic patients requiring neurological investigations. Read More

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http://dx.doi.org/10.5582/irdr.2018.01103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290842PMC
November 2018
2 Reads

A Case of Multiple Cerebral Infarction Preceding Acute Exacerbation of Idiopathic Thrombocytopenic Purpura.

J Stroke Cerebrovasc Dis 2019 Mar 13;28(3):789-791. Epub 2018 Dec 13.

Department of Neurology, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan.

Background: Although it was suggested that idiopathic thromobocytopenic purpura (ITP) can be a paradoxical cause of cerebral infarction, previous reports indicate that cerebral infarction associated with ITP occurs when thrombocytopenia is already evident at the onset of cerebral infarction.

Case Report: We report a case of multiple cerebral infarction that preceded acute exacerbation of ITP. An 80-year-old woman with a history of ITP presented with tetraplegia, and brain magnetic resonance imaging revealed multiple infarction in bilateral cerebral and cerebellar hemispheres. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.11.026DOI Listing

Basal ganglia hemorrhage in a case report following spinal surgery.

BMC Neurol 2018 Dec 14;18(1):204. Epub 2018 Dec 14.

Neurosurgery and Radiology, Neurology Department, University of Minnesota, Minneapolis, MN, USA.

Background: Intracranial hemorrhage is a rare but potentially severe complication of spinal surgery. Most reported post-operative ICH cases consist of cerebellar hemorrhage. There are fewer reported cases of supratentorial ICH following spinal surgery. Read More

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http://dx.doi.org/10.1186/s12883-018-1218-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293582PMC
December 2018
1 Read

Evaluation of PECAM-1 and p38 MAPK expressions in cerebellum tissue of rats treated with caffeic acid phenethyl ester: A biochemical and immunohistochemical study.

Folia Morphol (Warsz) 2018 Dec 13. Epub 2018 Dec 13.

Department of Histology and Embryology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.

This study aimed to investigate the antioxidative and anti-inflammatory effects of caffeic acid phenethyl ester (CAPE) on damage caused to cerebellum tissue by diffuse traumatic head trauma via biochemical, histopathologic, and immuno-histochemical methods. Male Sprague-Dawley (300-350g) rats were subjected to traumatic brain injury with a weight-drop device (300 g-1 m weight-height impact). Twenty-four adult rats were randomly divided into three equal groups of 8, including a control group, traumatic brain injury (TBI) group, and TBI+CAPE treatment group (10μmol/kg/i. Read More

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http://dx.doi.org/10.5603/FM.a2018.0085DOI Listing
December 2018
1 Read

Posterior reversible encephalopathy syndrome.

Curr Opin Neurol 2019 Feb;32(1):25-35

Center for Stroke Research Berlin (CSB).

Purpose Of Review: Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological syndrome characterized by acute cerebral endotheliopathy with consecutive disruption of the blood-brain barrier and vasogenic edema. Since its first description in 1996, PRES is increasingly recognized. However, many aspects of this syndrome with its wide spectrum of clinical and radiological features are still incompletely understood. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000640DOI Listing
February 2019
3 Reads

Superficial Siderosis Associated with Craniopharyngioma.

World Neurosurg 2019 Mar 7;123:108-112. Epub 2018 Dec 7.

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.

Background: Superficial siderosis (SS) associated with craniopharyngioma is an extremely rare occurrence. To our knowledge, only 3 cases have been reported in literature. Two of the cases occurred following resection of the tumor. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183278
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http://dx.doi.org/10.1016/j.wneu.2018.11.222DOI Listing
March 2019
17 Reads

Experience with 102 Frameless Stereotactic Biopsies Using the neuromate Robotic Device.

World Neurosurg 2019 Mar 27;123:e450-e456. Epub 2018 Nov 27.

Department of Neurosurgery, Bethel Clinic, Bielefeld, Germany. Electronic address:

Objective: Stereotactic biopsy is a standard procedure in neurosurgery. In addition to or even replacing frame-based stereotaxy, some centers also use frameless imaging-based techniques and more recently robotic systems. Here we report a retrospective analysis of our experience with 102 consecutive biopsies performed in our institution using the neuromate robotic device. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.187DOI Listing
March 2019
5 Reads

Cerebral revascularization for the management of complex intracranial aneurysms: a single-center experience.

J Neurosurg 2018 Oct 1:1-11. Epub 2018 Oct 1.

1National Brain Aneurysm Center, Department of Neurosurgery, United Hospital, St. Paul, Minnesota; and.

OBJECTIVEBecause simple intracranial aneurysms (IAs) are increasingly treated endovascularly, neurovascular surgery has become focused on complex IAs that may require deconstructive aneurysm therapy with concomitant surgical bypass. The authors describe the decision-making process concerning cerebral revascularization and present outcomes that were achieved in a large case series of complex IAs managed with cerebral revascularization and parent artery occlusion.METHODSThe authors retrospectively reviewed the medical records, including neuroimaging studies, operative reports, and follow-up clinic notes, of all patients who were treated at the National Brain Aneurysm Center between July 1997 and June 2015 using cerebral revascularization as part of the management of an IA. Read More

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http://dx.doi.org/10.3171/2018.4.JNS172752DOI Listing
October 2018
2 Reads

[Hypertrophic olivary degeneration : Cause of new neurological symptoms after stroke].

Nervenarzt 2018 Nov 28. Epub 2018 Nov 28.

Institut für Neuroradiologie, Goethe-Universität, Schleusenweg 2-16, 60528, Frankfurt am Main, Deutschland.

Background: Hypertrophic olivary degeneration (HOD) occurs as a result of a lesion in the anatomical functional loop of the Guillain-Mollaret triangle. Frequent causes are intracerebral hemorrhage and brain infarction. After a latent period of weeks to months after the index event a hyperintensity can initially be observed in magnetic resonance imaging T2/FLAIR-weighting and finally an enlargement of the affected olive. Read More

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http://dx.doi.org/10.1007/s00115-018-0646-6DOI Listing
November 2018
16 Reads

Posterior Fossa Arteriovenous Malformation with Multiple Pedicle Aneurysms and Recruitment of Meningeal Supply.

Asian J Neurosurg 2018 Oct-Dec;13(4):1250-1251

Department of Neurosurgery, Juntendo University Urayasu Hospital, Urayasu, Chiba 279-0021, Japan.

Cerebral aneurysms arising on the peripheral posterior inferior cerebellar artery (PICA) are rare. Here, we present a unique case of arteriovenous malformation (AVM) with pedicle aneurysms arising on the peripheral PICA and recruited by meningeal supply. A 67-year-old woman presented with subarachnoid hemorrhage. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_180_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208229PMC
November 2018
11 Reads

Surgical Strategies for Ruptured Complex Aneurysms Using Skull Base Technique and Revascularization Surgeries.

Asian J Neurosurg 2018 Oct-Dec;13(4):1165-1170

Department of Neurosurgery, National Defense Medical College, Tokorozawa, Japan.

Object: Surgical clipping of paraclinoid aneurysm, thrombosed large aneurysm, and/or vertebral-basilar dissecting aneurysms can be very difficult and has relatively high morbidity. We describe our experience using skull base and bypass technique and discuss the advantages and its pitfalls.

Patients And Methods: We retrospectively reviewed medical charts of 22 consecutive patients with complex aneurysmal lesions underwent skull base and/or bypass techniques between March 2012 and April 2017. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_176_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208242PMC
November 2018
16 Reads