4,584 results match your criteria Cerebellar Hemorrhage


Surgical treatment of secondary trigeminal neuralgia induced by cerebellopontine angle tumors: A single-center experience.

World Neurosurg 2020 May 31. Epub 2020 May 31.

Department of Neurosurgery, PLA 960th hospital, 25 Shifan Road, Jinan 250031, Shandong Province, China.

Objective: Secondary trigeminal neuralgia (TN) caused by cerebellopontine angle (CPA) tumors are rare. However, TN may be a primary manifestation in the neurosurgery department. In this study, we aimed to retrospectively assess patients with CPA tumor-induced TN from a single center. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.226DOI Listing

Amelioration of cerebral vasospasm and secondary injury by Vigabatrin following experimental subarachnoid hemorrhage in the rabbit.

World Neurosurg 2020 May 31. Epub 2020 May 31.

University of Health Sciences, Dışkapı Education and Research Hospital, Department of Neurosurgery, Ankara, Turkey.

Objective: Vigabatrin, an antiepileptic drug, increases the level of gamma aminobutyric acid in the brain via inhibiting its catabolism. As gamma aminobutyric acid has been proved to have vasodilatory effect, in the present study, we aimed to investigate the effect of Vigabatrin, in experimental subarachnoid hemorrhage (SAH) induced vasospasm.

Material And Methods: Three groups of New Zealand white rabbits with a total number of 30 were divided as the control group, the SAH group, and the Vigabatrin group (n=10, in each group). Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.230DOI Listing

Endovascular Temporary Balloon Occlusion for Microsurgical Clipping of Posterior Circulation Aneurysms.

Brain Sci 2020 May 30;10(6). Epub 2020 May 30.

Department of Neurosurgery, Kantonsspital Aarau, CH-5000 Aarau, Switzerland.

Based on the relationship between the posterior clinoid process and the basilar artery (BA) apex it may be difficult to obtain proximal control of the BA using temporary clips. Endovascular BA temporary balloon occlusion (TBO) can reduce aneurysm sac pressure, facilitate dissection/clipping, and finally lower the risk of intraoperative rupture. We present our experience with TBO during aneurysm clipping of posterior circulation aneurysms within the setting of a hybrid operating room (hOR). Read More

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http://dx.doi.org/10.3390/brainsci10060334DOI Listing

Survival outcomes in patients with recurrent glioblastoma treated with Laser Interstitial Thermal Therapy (LITT): A systematic review.

Clin Neurol Neurosurg 2020 May 21;195:105942. Epub 2020 May 21.

Department of Neurosurgery, Azienda Ospedaliera Universitaria Pisana (AOUP), Pisa, Italy; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Objective: To study the role of laser interstitial thermal therapy in recurrent glioblastoma and to assess its effect in the overall survival and in progression-free survival.

Methods: A MEDLINE and Pubmed search was performed for the key words "laser interstitial thermal therapy", "LITT" and "glioblastoma". Studies investigating overall survival and progression-free survival of recurrent glioblastoma after laser interstitial thermal therapy were selected. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105942DOI Listing

Natural History of Infratentorial Intracerebral Hemorrhages: Two Subgroups with Distinct Presentations and Outcomes.

J Stroke Cerebrovasc Dis 2020 May 15:104920. Epub 2020 May 15.

Department of Neurology, Northwestern University, 710 N. Lake Shore Drive, Suite 1105, Chicago, IL 60611, USA. Electronic address:

Background/objective: Infratentorial intracerebral hemorrhage (ICH) is associated with worse prognosis than supratentorial ICH; however, infratentorial ICH is often excluded or underrepresented in clinical trials of ICH. We sought to evaluate the natural history of infratentorial ICH stratified by brainstem or cerebellar location using a prospective observational study inclusive of all spontaneous ICH.

Methods: Using a prospective, single center cohort of patients with spontaneous ICH between 2008-2019, we conducted a descriptive analysis of baseline demographics, severity of injury scores, and long-term functional outcomes of infratentorial ICH stratified by cerebellar or brainstem location. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.104920DOI Listing

Pediatric case of persistent hiccups associated with hypertrophic olivary degeneration.

Turk J Pediatr 2020 ;62(2):343-346

Department of Pediatric Neurology, İzmir Katip Çelebi University, İzmir, Turkey.

Background: Hypertrophic olivary degeneration (HOD) is a rare degenerative disorder that is thought to occur subsequent to a disruption of the dentate-rubro-olivary pathway.

Case: We report a pediatric case of unilateral HOD presented with persistent hiccups and palatal tremor. Radiological examination of diaphragm was normal considering ultrasound and chest x-ray. Read More

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http://dx.doi.org/10.24953/turkjped.2020.02.025DOI Listing
January 2020

Endovascular treatment of cerebellar arteriovenous malformations: A single-center experience of 75 consecutive patients.

Neurol India 2020 Mar-Apr;68(2):440-447

Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Qingzhou, Shandong, China.

Aim: We aimed to determine the safety and effectiveness of endovascular treatment for cerebellar arteriovenous malformations (AVMs).

Materials And Methods: Between January 2006 and January 2016, 75 patients with cerebellar AVMs underwent endovascular treatment at our department. The clinical and angiographic features, post-procedure complications, occlusion rate, and follow-up outcomes (modified Rankin Scale, mRS) of all the patients were retrospectively reviewed and collected. Read More

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http://dx.doi.org/10.4103/0028-3886.284347DOI Listing
May 2020
1.084 Impact Factor

Clinical Profile and Predictors of Outcome in Spontaneous Intracerebral Hemorrhage from a Tertiary Care Centre in South India.

Stroke Res Treat 2020 27;2020:2192709. Epub 2020 Jan 27.

Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

This article attempts to evaluate the clinical profile and outcome determinants following hypertensive SICH in a South Indian population. The study represents the largest series of SICH reported from a single centre in India. Prospective data collection and analysis of patients with SICH admitted to our centre between 1 January 2015 and 31 December 2018. Read More

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http://dx.doi.org/10.1155/2020/2192709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204327PMC
January 2020

Far Lateral Approach for in-situ Occlusion of Craniospinal Cervicomedullary AVM Presenting with Subarachnoid Hemorrhage.

World Neurosurg 2020 May 4. Epub 2020 May 4.

Skull Base and Cerebrovascular Laboratory, University of California, San Francisco, California, USA; Department of Neurological Surgery, University of California, San Francisco, California, USA. Electronic address:

A 49 y.o. female presented with sudden onset headache and meningismus. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.04.197DOI Listing

Nontraumatic Multiple-Organ Fat Embolism: An Autopsy Case and Review of Literature.

Am J Forensic Med Pathol 2020 Jun;41(2):131-134

From the School of Forensic Medicine.

The patient was an 88-year-old woman with a 10-year history of hypertension. She was suspected to have been hit by a car. At the time of the event, she was conscious and able to stand on her own and had no obvious injuries. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000544DOI Listing

Ruptured Aneurysm Originating from a Posterior Inferior Cerebellar Artery Communicating Artery: A Case Report and Review of the Literature.

J Med Invest 2020 ;67(1.2):197-199

Department of Neurosurgery, Tokushima red cross hospital, Tokushima, Japan.

This report presents a rare case of such an aneurysm arising from such a communicating artery. A 66-year-old woman presented with a subarachnoid hemorrhage located predominantly in the cisterna magna with intraventricular hemorrhage. Angiography showed hypoplasia of the right posterior inferior cerebellar artery. Read More

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http://dx.doi.org/10.2152/jmi.67.197DOI Listing
January 2020

Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization.

Neurosciences (Riyadh) 2020 Apr;25(2):91-96

Division of Neurology, Department of Medicine, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia.

Objective: To determine the frequency, risk factors, and outcomes of patients with brainstem hemorrhage in stroke center at King Abdulaziz Medical City, Riyadh.

Methods: A retrospective, observational cohort study including all patients with brainstem hemorrhage from January 2014 to December 2017. The clinical presentation, location of hemorrhage, complications and clinical outcomes were analyzed. Read More

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http://dx.doi.org/10.17712/nsj.2020.2.20190102DOI Listing

Stent-Jack Technique for Ruptured Vertebral Artery Dissecting Aneurysm Involving the Origin of Posterior Inferior Cerebellar Artery.

Neurointervention 2020 Apr 14. Epub 2020 Apr 14.

Department of Neurosurgery, Tsukuba Medical Center Hospital, Tsukuba, Japan.

We herein report a case of a ruptured vertebral artery dissecting aneurysm involving the origin of the posterior inferior cerebellar artery that was treated using the stent-jack technique. After parent artery occlusion of the distal vertebral artery, stenting of the posterior inferior cerebellar artery was performed. Further coiling was needed because distal vertebral artery recanalization occurred due to transformation of the coil mass. Read More

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http://dx.doi.org/10.5469/neuroint.2019.00276DOI Listing

Surgical Management and Outcomes of Aneurysms of Posterior Inferior Cerebellar Artery: Location-Based Approaches with Review of Literature.

J Neurosci Rural Pract 2020 Jan 27;11(1):34-43. Epub 2020 Jan 27.

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

 Posterior inferior cerebellar artery (PICA) is a tortuous, variable, and uncommon site for aneurysms. Surgical management of PICA aneurysms involves careful selection of approach based on the location of the aneurysm and meticulous dissection of the neurovascular structures and perforators.  We did a retrospective review of all the PICA aneurysms operated at our institute in the past 10 years along with the site, presentation, and approach used for the same. Read More

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http://dx.doi.org/10.1055/s-0039-3399486DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138643PMC
January 2020

Brain histopathology in red tilapia Oreochromis sp. experimentally infected with Streptococcus agalactiae serotype III.

Microsc Res Tech 2020 Apr 3. Epub 2020 Apr 3.

Department of Anatomy, Faculty of Science, Mahidol University, Bangkok, Thailand.

One of the clinical manifestations of streptococcosis is swimming errors of the infected fish, which is likely caused by lesions in the brain. As most studies described brain histopathology in streptococcosis as meningitis, with a limited description of lesions in the whole brain, the aim of this study was therefore to explore histopathology of the whole brain of red tilapia experimentally infected with Streptococcus agalactiae serotype III. Transcripts relating to motoneuron functions and inflammatory responses were also investigated. Read More

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http://dx.doi.org/10.1002/jemt.23481DOI Listing

Superficial Siderosis Associated with Long-Term Recurrence of Pilocytic Astrocytoma in an Elderly Person.

World Neurosurg 2020 Mar 27. Epub 2020 Mar 27.

Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, Japan.

Background: Superficial siderosis is an irreversible disease in the central nervous system caused by the deposition of hemosiderin in the subpial tissue due to persistent bleeding in the subarachnoid space. The main symptoms include sensorineural hearing loss, cerebellar ataxia, and pyramidal tract disorder. Superficial siderosis is mainly idiopathic, but bleeding factors such as tumors or history of surgery often play an important role in its pathogenesis. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.03.112DOI Listing

Spontaneous hemispheric ventricular collapse and subarachnoid haemorrhages in a dog with congenital hydrocephalus internus.

Ir Vet J 2020 25;73. Epub 2020 Mar 25.

Department of Veterinary Clinical Sciences, Small Animal Clinic, Neurosurgery, Neuroradiology and Clinical Neurology, Justus-Liebig-University, Frankfurter Strasse 108, 35392, Giessen, Germany.

Background: Overdrainage and collapse of the hemispheres is a potential severe complication after surgical treatment of internal hydrocephalus using ventriculoperitoneal shunts. Here we describe a case of a spontaneous hemispheric ventricular collapse in an untreated dog with congenital hydrocephalus internus.

Case Presentation: A twelve-week-old, male, intact Golden Retriever was presented with a history of peracute obtundation, impaired vision, and progressive gait abnormalities of all limbs for three days. Read More

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http://dx.doi.org/10.1186/s13620-020-00159-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098093PMC

State-of-the-art neonatal cerebral ultrasound: technique and reporting.

Pediatr Res 2020 Mar;87(Suppl 1):3-12

Department of Neonatology, Helios Klinikum Berlin Buch, Berlin, Germany.

In the past three decades, cerebral ultrasound (CUS) has become a trusted technique to study the neonatal brain. It is a relatively cheap, non-invasive, bedside neuroimaging method available in nearly every hospital. Traditionally, CUS was used to detect major abnormalities, such as intraventricular hemorrhage (IVH), periventricular hemorrhagic infarction, post-hemorrhagic ventricular dilatation, and (cystic) periventricular leukomalacia (cPVL). Read More

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http://dx.doi.org/10.1038/s41390-020-0776-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098885PMC
March 2020
2.314 Impact Factor

Vertebral artery aneurysms and the risk of cord infarction following spinal artery coverage during flow diversion.

J Neurosurg 2020 Mar 27:1-10. Epub 2020 Mar 27.

10Department of Neurosurgery, Geisinger Health System, Danville, Pennsylvania; and.

Objective: Coverage of the anterior spinal artery (ASA) ostia is a source of considerable consternation regarding flow diversion (FD) in vertebral artery (VA) aneurysms due to cord supply. The authors sought to assess the association between coverage of the ASA, posterior spinal artery (PSA), or lateral spinal artery (LSA) ostia when placing flow diverters in distal VAs and clinical outcomes, with emphasis on cord infarction.

Methods: A multicenter retrospective study of 7 institutions in which VA aneurysms were treated with FD between 2011 and 2019 was performed. Read More

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http://dx.doi.org/10.3171/2020.1.JNS193293DOI Listing
March 2020
3.737 Impact Factor

Magnetic resonance-guided stereotactic laser ablation therapy for the treatment of pediatric brain tumors: a multiinstitutional retrospective study.

J Neurosurg Pediatr 2020 Mar 27:1-9. Epub 2020 Mar 27.

18Department of Neurosurgery, Penn State Health, Hershey, Pennsylvania.

Objective: This study aimed to assess the safety and efficacy of MR-guided stereotactic laser ablation (SLA) therapy in the treatment of pediatric brain tumors.

Methods: Data from 17 North American centers were retrospectively reviewed. Clinical, technical, and radiographic data for pediatric patients treated with SLA for a diagnosis of brain tumor from 2008 to 2016 were collected and analyzed. Read More

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http://dx.doi.org/10.3171/2020.1.PEDS19496DOI Listing

Preterm infants with isolated cerebellar hemorrhage show bilateral cortical alterations at term equivalent age.

Sci Rep 2020 Mar 24;10(1):5283. Epub 2020 Mar 24.

Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

The cerebellum is connected to numerous regions of the contralateral side of the cerebrum. Motor and cognitive deficits following neonatal cerebellar hemorrhages (CbH) in extremely preterm neonates may be related to remote cortical alterations, following disrupted cerebello-cerebral connectivity as was previously shown within six CbH infants. In this retrospective case series study, we used MRI and advanced surface-based analyses to reconstruct gray matter (GM) changes in cortical thickness and cortical surface area in extremely preterm neonates (median age = 26; range: 24. Read More

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http://dx.doi.org/10.1038/s41598-020-62078-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093404PMC
March 2020
5.078 Impact Factor

Remote Supratentorial Subdural Hematoma Following Craniectomy and Evacuation of Hypertensive Cerebellar Hematoma.

Cureus 2020 Feb 13;12(2):e6977. Epub 2020 Feb 13.

Neurosurgery, Tribhuvan University Institute of Medicine, Kathmandu, NPL.

Remote acute subdural hematoma following a decompressive craniotomy or craniectomy is a rare phenomenon. Only few cases of postoperative contralateral acute subdural hematomas have been reported in the literature review till date. This case report details a case of a 32-year-old hypertensive male who presented with severe headache, multiple episodes of vomiting, slurring of speech, nystagmus and ataxic gait for one day. Read More

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http://dx.doi.org/10.7759/cureus.6977DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075514PMC
February 2020

Intracranial hemorrhage type and same-admission mortality in patients with left ventricular assist devices.

Clin Neurol Neurosurg 2020 Jun 16;193:105790. Epub 2020 Mar 16.

Georgetown University Medical Center, Department of Neurosurgery, Washington, DC, United States; Medstar Washington Hospital Center, Department of Neurosurgery, Washington, DC, United States.

Objectives: Left ventricular assist devices (LVAD) provide mechanical circulatory support for patients with advanced heart failure. Intracranial hemorrhage in this population represent a significant management challenge. The objective of this study is to report our initial experience on same-admission outcomes with LVAD patients that presented with various types of intracranial hemorrhage (ICH). Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105790DOI Listing

Predictors of localization, outcome, and etiology of spontaneous intracerebral hemorrhages: focus on cerebral amyloid angiopathy.

J Neural Transm (Vienna) 2020 Jun 19;127(6):963-972. Epub 2020 Mar 19.

Department of Neurology, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Semmelweis u. 6, 6725, Szeged, Hungary.

Despite its clinical relevance, cerebral amyloid angiopathy (CAA) is underdiagnosed worldwide. This retrospective study aimed to assess the incidence, etiology, predictors, and outcome of intracerebral hemorrhages (ICHs) in this region, with special focus on possible underlying CAA. Database screening of acute cares with intracranial hemorrhage diagnosis within 01/07/2014-01/07/2018 were conducted analyzing medical records and imaging. Read More

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http://dx.doi.org/10.1007/s00702-020-02174-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248013PMC

Microvascular decompression: is routine postoperative CT imaging necessary?

Acta Neurochir (Wien) 2020 May 19;162(5):1095-1099. Epub 2020 Mar 19.

Department of Neurosurgery, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.

Background: Postoperative head CT imaging is routinely performed for detection of postoperative complications following intracranial procedures. However, it remains unclear whether with regard to radiation exposure, costs, and possibly lack of consequences this practice is truly justified in various operative procedures. The objective of this study was to analyze whether routine postoperative CT imaging after microvascular decompression (MVD) is necessary or whether it may be abandoned. Read More

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http://dx.doi.org/10.1007/s00701-020-04288-8DOI Listing

Clinical, Etiological and Imaging Profile of Posterior Reversible Encephalopathy Syndrome: A Prospective and Follow-Up Study.

Ann Indian Acad Neurol 2020 Mar-Apr;23(2):182-188. Epub 2020 Feb 25.

Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Although first described more than two decades ago, posterior reversible encephalopathy syndrome (PRES) continues to be enigmatic. We prospectively followed consecutive patients of PRES both clinically and radiologically for a better understanding of natural history, symptomatology, and prognosis of this not so uncommon entity.

Patients And Methods: The current study included 22 consecutive patients of PRES who were followed both clinically as well as radiologically at a tertiary care institute in Northern India from December 2014 to June 2016. Read More

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http://dx.doi.org/10.4103/aian.AIAN_379_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061512PMC
February 2020

A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review.

BMC Neurol 2020 Mar 18;20(1):102. Epub 2020 Mar 18.

Diagnostic and Interventional Radiology Department, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, P.O. Box: 4398, Al-Khobar City, Eastern Province, 31952, Saudi Arabia.

Background: Ruptured intracranial aneurysms are often associated with subarachnoid or intraparenchymal hemorrhage. However, the prevalence of subdural hemorrhage post aneurysmal rupture is low and rarely reported in scientific studies. Here, we report an unusual case of a ruptured posterior communicating artery aneurysm resulting in an isolated subdural hematoma located in the tentorial and spinal canal without subarachnoid or intraparenchymal hemorrhage. Read More

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http://dx.doi.org/10.1186/s12883-020-01682-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081678PMC

Remote cerebellar hemorrhage as a complication of lumbar spine surgery.

J Radiol Case Rep 2020 Feb 29;14(2):1-11. Epub 2020 Feb 29.

Department of Radiology, Sengkang General Hospital, Singapore, Singapore.

Remote cerebellar hemorrhage (RCH) is a rare yet potentially fatal complication of supratentorial and spinal surgery, where there has been either intentional or accidental breach of the dura. We present a case of RCH following a L4-5 decompression laminectomy complicated by an intraoperative dural tear which was detected and repaired at the time of surgery. Despite prompt intra-operative repair of the dura, there was persistent cerebrospinal fluid leak as evidenced by a high subfascial epidural drain output which resulted in bilateral intraparenchymal cerebellar hemorrhage. Read More

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http://dx.doi.org/10.3941/jrcr.v14i2.3844DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060016PMC
February 2020

Coiling for a saccular aneurysm on the caudal channel in double origin of the posterior inferior cerebellar artery.

Neuroradiol J 2020 Mar 12:1971400920910644. Epub 2020 Mar 12.

Department of Neurosurgery, Baba Memorial Hospital, Japan.

Background: Double origin of the posterior inferior cerebellar artery (DOPICA) is a rare cranial imaging finding with an incidence of 0.36-6% reported in various retrospective studies. Aneurysms on a DOPICA are even rarer. Read More

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http://dx.doi.org/10.1177/1971400920910644DOI Listing

Blind-Alley Formation and Occipital Artery-Posterior Inferior Cerebellar Artery Bypass for the Treatment of Unclippable Vertebral Artery Aneurysms with Posterior Inferior Cerebellar Artery Involvement.

World Neurosurg 2020 Mar 7. Epub 2020 Mar 7.

Department of Surgery, Division of Neurosurgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand. Electronic address:

Background And Importance: Unclippable vertebral artery aneurysms (UVAs) are difficult to treat with direct clipping, especially in cases involving the origin of the posterior inferior cerebellar artery (PICA). Bypass with trapping is the common procedure used for these conditions. The authors used the blind-alley formation technique, which is a simpler method than trapping and can avoid some complications. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.174DOI Listing

The Vasorelaxant and Neuroprotective Effects of Mildronate in A Rabbit Subarachnoid Hemorrhage Model.

Turk Neurosurg 2020 ;30(2):163-170

Turkish Ministry of Health, University of Health Sciences, Diskapı Education and Research Hospital, Department of Neurosurgery, Ankara, Turkey.

Aim: To investigate the effects of an anti-ischemic agent, mildronate, on subarachnoid hemorrhage-induced vasospasm.

Material And Methods: Rabbits were randomly divided into four groups: control, subarachnoid hemorrhage (SAH), vehicle, and mildronate (n=8 animals per group). In the treatment group, 200 mg/kg of mildronate were intraperitoneally administered 5 minutes after the procedure and continued for 3 days as daily administrations of the same dose. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.24647-18.3DOI Listing
January 2020

Intracerebellar Hemorrhage in a Young Adult.

Indian J Crit Care Med 2020 Jan;24(1):69-70

Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

A 28-year-old male was admitted with a history of sudden onset headache, multiple episodes of vomiting, gait disturbance with swaying toward right side, and blurring of vision for 2 days. The patient was conscious, cooperative, and oriented, and his vitals were normal. Bilateral gaze-evoked nystagmus was present. Read More

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http://dx.doi.org/10.5005/jp-journals-10071-23330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7050183PMC
January 2020

Brain Tissue Pulmonary Embolism Due to Severe Blunt Force Head Trauma in a Dog.

J Comp Pathol 2020 Feb 6;175:75-78. Epub 2020 Feb 6.

University of Illinois at Urbana-Champaign, College of Veterinary Medicine, Department of Veterinary Clinical Sciences, Urbana, Illinois, USA.

A 9-week-old male puppy was submitted for necropsy examination after a reported history of developing acute melaena and vomiting blood before death. Grossly, the animal had multiple skull fractures, mostly affecting the occipital region and cranial floor, associated with extensive regions of subcutaneous, periosteal and subdural haemorrhages, as well as petechial haemorrhages within the right middle and caudal lung lobes. Histopathology of the brain revealed multifocal acute meningeal and parenchymal haemorrhage with laceration of the cerebellar folia. Read More

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http://dx.doi.org/10.1016/j.jcpa.2020.01.001DOI Listing
February 2020

Isolated hemorrhagic arterialized DVAs: revisiting symptomatic DVAs.

Neurol Sci 2020 Mar 4. Epub 2020 Mar 4.

Department of Neurosurgery, Lady Reading Hospital, Peshawar, Pakistan.

We aim to present here a small case series of symptomatic isolated hemorrhagic arterialized developmental venous anomalies (sDVAs) with a larger goal of revisiting the classification based on patho-mechanisms plus emphasizing angiographic features coupled with CT and MRI. Typically, DVA is an incidental and silent abnormality on neuroimaging. Understanding its morphology in terms of arterialization and relationship with other entities is crucial for management. Read More

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http://dx.doi.org/10.1007/s10072-020-04294-9DOI Listing

Molecular characterization and diagnostic investigations of rabies encephalitis in camels (Camelus dromedaries) in Oman: a retrospective study.

Trop Anim Health Prod 2020 Mar 2. Epub 2020 Mar 2.

Animal Health Research Center, Directorate General of Agriculture and Livestock Research, Ministry of Agriculture and Fisheries, Muscat, Sultanate of Oman.

The accurate and early diagnosis of rabies is critical for undertaking public health measures in animals. The aim of the current study was to identify the molecular characterization of the circulating rabies virus (RABV) among camels (Camelus dromedaries) in Oman and to evaluate the efficacy of the histopathology and reverse transcription polymerase chain reaction (RT-PCR) as diagnostic tools of acute rabies encephalitis in camels in comparison with direct fluorescent antibody test (dFAT). Of the forty-five brain samples from suspected camels submitted to the Animal Health Research Center in Oman (2009-2013), 22 cases were positive by dFAT and RT-PCR. Read More

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http://dx.doi.org/10.1007/s11250-020-02239-0DOI Listing

Operative Treatment of a Superior Cerebellar Artery Perforator Dissecting Aneurysm.

Oper Neurosurg (Hagerstown) 2020 Mar 3. Epub 2020 Mar 3.

Department of Neurosurgery, Houston Methodist Hospital, Houston, Texas.

Background And Importance: Superior cerebellar artery (SCA) perforator aneurysms are extremely rare, with only one other case published in the literature. There is no conclusive management strategy for these aneurysms, although endovascular treatment, open surgical treatment with clipping, and antifibrinolytic administration with spontaneous thrombosis have all been discussed.

Clinical Presentation: A 61-yr-old male presented with intraventricular hemorrhage (IVH) primarily in the posterior fossa. Read More

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http://dx.doi.org/10.1093/ons/opz407DOI Listing

Decreased contrast enhancement on high-resolution vessel wall imaging of unruptured intracranial aneurysms in patients taking aspirin.

J Neurosurg 2020 Mar 6:1-7. Epub 2020 Mar 6.

2Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Objective: Inflammation plays an integral role in the formation, growth, and progression to rupture of unruptured intracranial aneurysms (UIAs). Animal and human studies have suggested that, due to its antiinflammatory effect, aspirin (ASA) may decrease the risks of growth and rupture of UIAs. High-resolution vessel wall imaging (HR-VWI) has emerged as a noninvasive method to assess vessel wall inflammation and UIA instability. Read More

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http://dx.doi.org/10.3171/2019.12.JNS193023DOI Listing

Cerebellar Haemorrhage Leading to Sudden Cardiac Arrest.

J Crit Care Med (Targu Mures) 2020 Jan 31;6(1):71-73. Epub 2020 Jan 31.

Division of Internal Medicine, Rutgers Robert Wood Johnson Medical School, Saint Peter's University Hospital, 254 Easton Ave, New Brunswick, New Jersey 08901. USA.

Introduction: Intracranial haemorrhage (ICH) is a known, but a rare cause of out of hospital cardiac arrest (OHCA). It results in the development of non-shockable rhythms such as asystole or pulseless electrical activity (PEA).

Case Report: A 77- years old male had an OHCA without any prodrome. Read More

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http://dx.doi.org/10.2478/jccm-2020-0007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029410PMC
January 2020

Understanding Characteristics of Acute Brain Injury in Adult Extracorporeal Membrane Oxygenation: An Autopsy Study.

Crit Care Med 2020 Jun;48(6):e532-e536

Neuropathology Division, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.

Objectives: Current studies lack information on characteristics of acute brain injury in patients with extracorporeal membrane oxygenation. We sought to characterize the types, timing, and risk factors of acute brain injury in extracorporeal membrane oxygenation.

Design: Retrospective analysis. Read More

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http://dx.doi.org/10.1097/CCM.0000000000004289DOI Listing
June 2020
6.312 Impact Factor

Reimplantation Bypass Using One Limb of a Double-Origin Posterior Inferior Cerebellar Artery for Treatment of a Ruptured Fusiform Aneurysm: Case Report.

Oper Neurosurg (Hagerstown) 2020 Feb 26. Epub 2020 Feb 26.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Background And Importance: Posterior inferior cerebellar artery (PICA) aneurysms are uncommon, and aneurysms associated with anatomical PICA variants are even rarer. Although often treated endovascularly, aneurysms associated with anatomical PICA variants may not be suitable for endovascular intervention because of the risk of compromise of brainstem perforators and may be more amenable to open techniques. This case report describes the successful treatment of an aneurysm associated with a double-origin PICA (DOPICA) by distally reimplanting one of the PICA limbs. Read More

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http://dx.doi.org/10.1093/ons/opaa016DOI Listing
February 2020

Intracerebral Hemorrhage Outcomes in the Very Elderly.

J Stroke Cerebrovasc Dis 2020 May 19;29(5):104695. Epub 2020 Feb 19.

Department of Neurological Sciences, Rush University Medical Center, Chicago, Illinois.

Background: There is a paucity of outcomes data in patients over 80 years presenting with intracerebral hemorrhage (ICH). The primary aim of our study is to describe outcomes in this patient population.

Method: Retrospective study of patients admitted with primary ICH from January 2012 to July 2018. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.104695DOI Listing

A novel surgical technique for spontaneous intracerebral hematoma evacuation.

Neurosurg Rev 2020 Feb 20. Epub 2020 Feb 20.

Departments of Neurosurgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510000, Guangdong, China.

Stereotactic removal of intracerebral hematoma is a routine procedure for treating hypertensive intracerebral hemorrhage, but the complex sequence of operations limits its adoption. We explored the application of a novel surgical technique for the removal of spontaneous intracerebral hematomas. The surgical technique based on computed tomography (CT) images was used in hematoma projection and surgical planning. Read More

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http://dx.doi.org/10.1007/s10143-020-01252-zDOI Listing
February 2020

Pediatric primary diffuse leptomeningeal melanomatosis: Case report and review of the literature.

Medicine (Baltimore) 2020 Feb;99(8):e19178

Department of Neurosurgery.

Rationale: Primary melanocytic tumors of central nerve system (CNS) are rare, primary diffuse leptomeningeal melanomatosis (PDLM), a subtype of malignant melanomas of CNS, is extremely rare,especially in pediatrics. As the clinical manifestation of PDLM is not characteristic, It is often misdiagnosed as tubercular meningitis and hemorrhage.

Patient Concerns: A 13-year-old boy was admitted to our department with symptoms of recurrent headache and vomiting twice. Read More

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http://dx.doi.org/10.1097/MD.0000000000019178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034675PMC
February 2020

Unmeasured Confounding in Observational Studies of Management of Cerebellar Intracranial Hemorrhage-Reply.

JAMA 2020 02;323(7):666

Department of Neurology, University Hospital Erlangen, Erlangen, Germany.

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http://dx.doi.org/10.1001/jama.2019.20857DOI Listing
February 2020

Unmeasured Confounding in Observational Studies of Management of Cerebellar Intracranial Hemorrhage.

JAMA 2020 02;323(7):665-666

Center for Medical Decision Sciences, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands.

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http://dx.doi.org/10.1001/jama.2019.20851DOI Listing
February 2020

Cerebellar Intracerebral Hemorrhage Treatment: Better Evidence-Based Studies Needed.

World Neurosurg 2020 Feb;134:656-657

Department of Neurosurgery, The Mount Sinai Health System, New York, New York, USA.

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http://dx.doi.org/10.1016/j.wneu.2019.12.039DOI Listing
February 2020

Combined Application of Arachnoid Membrane and Petrosal Dura to Transpose Dual Offending Arteries in Microvascular Decompression for Trigeminal Neuralgia: Two-Dimensional Operative Video.

World Neurosurg 2020 May 11;137:415. Epub 2020 Feb 11.

Department of Neurosurgery, Aviation General Hospital of China Medical University, Beijing, China. Electronic address:

Trigeminal neuralgia is featured by episodic and severe unilateral facial pain triggered usually by innocuous cutaneous stimuli. Microvascular decompression (MVD) is a safe and effective treatment for cases refractory to medical treatment caused by neurovascular conflicts. This Video 1 demonstrates MVD using arachnoid membrane and petrosal dura to transpose dual offending arteries. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.029DOI Listing

Persistence of a trigeminal artery associated with a posterior meningeal artery aneurysm: case report and literature review.

J Surg Case Rep 2020 Feb 7;2020(2):rjz389. Epub 2020 Feb 7.

Neurosurgical Department, Ibn Sina Hospital, Rabat, Morocco.

A 59-year-old female presented with severe headache and trouble of consciousness. The CT showed a subarachnoid hemorrhage FISHER IV with a hematoma of the right cerebellum. The angiography discovered a persistent left trigeminal artery associated with an aneurysm of the right posterior meningeal artery. Read More

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http://dx.doi.org/10.1093/jscr/rjz389DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006527PMC
February 2020

Transfer of Hemolysis, Elevated Liver Enzymes, and Low Platelets Syndrome by a Liver Graft From a Pregnant Female Donor to a Male Recipient: A Case Report.

Transplant Proc 2020 Mar 5;52(2):644-646. Epub 2020 Feb 5.

Division of Transplantation Surgery, Karolinska University Hospital Huddinge, Stockholm, Sweden; Department of Clinical Science, Intervention, and Technology (CLINTEC), Karolinska Institute, Stockholm, Sweden.

Eclampsia with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is a rare complication of pregnancy. HELLP syndrome may occur up to a week postpartum in women with eclampsia. CASE REPORT: We report a case of liver transplantation with the organ procured from a pregnant (gestation week 28) female donor who suffered brain death after cerebellar hemorrhage owing to eclampsia. Read More

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http://dx.doi.org/10.1016/j.transproceed.2019.10.037DOI Listing

Overview of the current concepts in the management of arteriovenous malformations of the brain.

Authors:
Aka Unnithan

Postgrad Med J 2020 Apr 3;96(1134):212-220. Epub 2020 Feb 3.

Neurosurgery, Muthoot Healthcare, Kozhencherry, Kerala, India

Background: There is a lack of consensus in the management of arteriovenous malformations (AVMs) of the brain since ARUBA (A Randomised trial of Unruptured Brain Arteriovenous malformations) trial showed that medical management is superior to interventional therapy in patients with unruptured brain AVMs. The treatment of brain AVM is associated with significant morbidity.

Objectives And Methods: A review was done to determine the behaviour of brain AVMs and analyse the risks and benefits of the available treatment options. Read More

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http://dx.doi.org/10.1136/postgradmedj-2019-137202DOI Listing