4,358 results match your criteria Cerebellar Hemorrhage


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) 2018 Dec 17. 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
December 2018

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

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

J Stroke Cerebrovasc Dis 2018 Dec 12. Epub 2018 Dec 12.

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
December 2018

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
December 2018

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

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

Superficial siderosis associated with craniopharyngioma: a rare case report.

World Neurosurg 2018 Dec 6. Epub 2018 Dec 6.

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

Superficial siderosis (SS) associated with craniopharyngioma is an extremely rare occurrence. To our knowledge, only three 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
December 2018
1 Read

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

Authors:

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

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
1 Read

[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
3 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
2 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
4 Reads

[Benedikt Syndrome Associated with Neck Clipping of Ruptured Basilar-Superior Cerebellar Artery Aneurysm:A Case Report].

No Shinkei Geka 2018 Nov;46(11):1007-1012

Department of Neurosurgery, Odawara Municipal Hospital.

Benedikt syndrome is caused by a rare type of brain damage to the red nucleus and nearby locations. Clinically, it presents as ipsilateral oculomotor palsy and specific contralateral involuntary movement. These involuntary movements may affect activities of daily living(ADLs)in affected patients. Read More

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http://dx.doi.org/10.11477/mf.1436203855DOI Listing
November 2018
4 Reads

Ictal vomiting after cerebellar hemorrhage: A case report.

Epilepsy Behav Case Rep 2018 11;10:137-140. Epub 2018 Sep 11.

Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan.

Vomiting is a typical symptom of cerebellar hemorrhage. Usually only supportive care such as antiemetic drugs are available. A 76-year-old woman presented in a light coma. Read More

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http://dx.doi.org/10.1016/j.ebcr.2018.08.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226560PMC
September 2018
1 Read

Challenges in the management of a ruptured bihemispheric posterior inferior cerebellar artery aneurysm.

World Neurosurg 2018 Nov 15. Epub 2018 Nov 15.

Division of Neurosurgery, National University Hospital, 5 Lower Kent Ridge Road, 119074 Singapore.

Background: Bihemispheric posterior inferior cerebellar artery (PICA) is a rare anatomical variant, wherein a single PICA supplies both cerebellar hemispheres. Being the only PICA, treatment of aneurysms arising from this anatomical variant is more complex. We present a case of a ruptured bihemispheric PICA aneurysm and the challenges encountered in its management. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183259
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http://dx.doi.org/10.1016/j.wneu.2018.11.051DOI Listing
November 2018
7 Reads

A Web-Based Calculator for the Prediction of Severe Neurodevelopmental Impairment in Preterm Infants Using Clinical and Imaging Characteristics.

Children (Basel) 2018 Nov 14;5(11). Epub 2018 Nov 14.

Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.

Although the most common forms of brain injury in preterm infants have been associated with adverse neurodevelopmental outcomes, existing MRI scoring systems lack specificity, do not incorporate clinical factors, and are technically challenging to perform. The objective of this study was to develop a web-based, clinically-focused prediction system which differentiates severe neurodevelopmental outcomes from normal-moderate outcomes at two years. Infants were retrospectively identified as those who were born ≤30 weeks gestation and who had MRI imaging at term-equivalent age and neurodevelopmental testing at 18⁻24 months. Read More

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http://www.mdpi.com/2227-9067/5/11/151
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http://dx.doi.org/10.3390/children5110151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262423PMC
November 2018
5 Reads

Preliminary experience with the use of low profile visualized intraluminal support device in basilar artery for aneurysm treatment.

J Neurointerv Surg 2018 Nov 10. Epub 2018 Nov 10.

Department of Neurosurgery, Changhai Stroke Center, Changhai Hospital, Second Military Medical University, Shanghai, China.

Background: The low profile visualized intraluminal support (LVIS) device is being increasingly used for the treatment of intracranial aneurysms. Its application in the basilar artery (BA) has not yet been reported.

Objective: To evaluate the safety and early efficacy of the LVIS device for the treatment of BA aneurysms. Read More

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http://jnis.bmj.com/lookup/doi/10.1136/neurintsurg-2018-0143
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http://dx.doi.org/10.1136/neurintsurg-2018-014393DOI Listing
November 2018
6 Reads

Utility of a single fenestrated mini-clip in the management of small cerebral aneurysm: Technical report of two cases.

World Neurosurg 2018 Nov 8. Epub 2018 Nov 8.

Department of Neurosurgery, Iwate Prefectural Chubu Hospital, Kitakami, Iwate, Japan.

Background: Fenestrated mini-clips were developed as an effective tool for dog-ear-shaped remnants of aneurysms. However, the special property of these clips may have other applications. Here, we report two cases of ruptured small aneurysm and suggest the alternative utility of a single application of a fenestrated mini-clip. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.222DOI Listing
November 2018
1 Read

An autopsied case of MM1-type sporadic Creutzfeldt-Jakob disease with pathology of Wernicke encephalopathy.

Prion 2018 Nov 8:1-8. Epub 2018 Nov 8.

a Department of Neuropathology, Institute for Medical Science of Aging , Aichi Medical University , Nagakute , Japan.

An 83-year-old Japanese man presented with gait disturbance followed by rapidly-progressive cognitive impairment. Magnetic resonance diffusion-weighted images showed extensive hyperintense regions in the cerebral cortex. Four weeks after symptom onset, myoclonus appeared, and the patient developed difficulty swallowing; intravenous peripheral continuous infusions without vitamin supplementation were administered during the last two months of the patient's life. Read More

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https://www.tandfonline.com/doi/full/10.1080/19336896.2018.1
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http://dx.doi.org/10.1080/19336896.2018.1545525DOI Listing
November 2018
7 Reads

Updated Imaging Features of Dysplastic Cerebellar Gangliocytoma.

J Comput Assist Tomogr 2018 Nov 6. Epub 2018 Nov 6.

Division of Neuroradiology, Department of Radiology, Mayo Clinic, Phoenix, AZ.

Objective: The aim of this study was to perform an updated review of the imaging features of dysplastic cerebellar gangliocytoma (DCG).

Methods: Imaging findings were retrospectively reviewed in 14 patients with DCG. The analysis included size, location, cyst formation, calcification, intralesional hemorrhage, enhancement pattern, and apparent diffusion coefficient (ADC). Read More

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http://Insights.ovid.com/crossref?an=00004728-900000000-9917
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http://dx.doi.org/10.1097/RCT.0000000000000814DOI Listing
November 2018
4 Reads

Endovascular coil embolization with LVIS Jr. stent for ruptured dissecting aneurysm of proximal superior cerebellar artery - a case report and literature review.

World Neurosurg 2018 Oct 31. Epub 2018 Oct 31.

Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima-city, Hiroshima, 734-8551, Japan.

Background: Superior cerebellar artery (SCA) aneurysm arising from the SCA itself is rare and treatment of this aneurysm is challenging because of the important anatomical structures, such as the perforating arteries to the brainstem and the cranial nerves. We describe a successful coil embolization with LVIS Jr stent for the proximal SCA dissecting aneurysm.

Clinical Description: A 50-year-old woman presenting right oculomotor nerve palsy and subarachnoid hemorrhage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183243
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http://dx.doi.org/10.1016/j.wneu.2018.10.137DOI Listing
October 2018
8 Reads

Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis.

J Neurointerv Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Background: Venous stenting has been proven to be a safe and effective therapeutic option for patients with idiopathic intracranial hypertension (IIH) and cerebral venous sinus stenosis (CVSS). However, its use in patients with cerebral venous sinus thrombosis-related CVSS has been less reported.

Purpose: To explore the safety and efficacy of stenting for patients with cerebral venous sinus thrombosis (CVST)-related CVSS. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014328DOI Listing
November 2018
1 Read

Fetal closed head injuries following maternal motor vehicle accident: A clinicopathologic case report.

Medicine (Baltimore) 2018 Nov;97(44):e13133

Department of Pediatrics.

Rationale: The clinicopathologic appearance of fetal closed head injury (FCHI) due to a maternal motor vehicle accident has not been fully investigated because of its extreme rarity.

Patients Concern: A 22-year-old woman at 31 weeks of gestation was riding in the front passenger seat of a car, and another rightward-turning car struck the right side of her vehicle.

Diagnosis: Uterine injury with placental abruption was strongly suspected. Read More

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http://dx.doi.org/10.1097/MD.0000000000013133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221710PMC
November 2018
1 Read

Clinical Perspective on Dysplastic Gangliocytoma of the Cerebellum (Lhermitte-Duclos Disease).

World Neurosurg 2018 Oct 23;122:16-23. Epub 2018 Oct 23.

Department of Neurosurgery, Beijing Tiantan Hospital affiliated to Capital Medical University, Beijing, China; National Clinical Research Center for Neurological Diseases, Center of Brain Tumor, Beijing Institute for Brain Disorders and Beijing Key Laboratory of Brian Tumor, Beijing, China. Electronic address:

Background: Dysplastic gangliocytoma of the cerebellum, also called Lhermitte-Duclos disease (LDD), is known as a rare, benign brain tumor. Around 200 cases have been reported.

Case Description: Here we introduced a newly diagnosed adult case with intratumoral hemorrhage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183238
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http://dx.doi.org/10.1016/j.wneu.2018.10.085DOI Listing
October 2018
5 Reads
2.420 Impact Factor

[Surgical treatment of traumatic brain injuries in Cotonou: Difficulties, results and prospects].

Neurochirurgie 2018 Dec 19;64(6):410-414. Epub 2018 Oct 19.

Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice du Centre National Hospitalier Universitaire Hubert Koutoukou Maga, 01 BP386, Cotonou, Bénin. Electronic address:

Social and economical impact of traumatic brain injury (TBI) is all the more important that this condition is one of the most frequent causes of death, morbidity and disability in adults. The aim of this study was to evaluate the results of neurosurgical treatment of traumatic brain injury at the Hubert Koutoukou Maga National Teaching Hospital (CNHU-HKM) in Cotonou.

Patients And Methods: It was a descriptive and analytical retrospective study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00283770183031
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http://dx.doi.org/10.1016/j.neuchi.2018.05.181DOI Listing
December 2018
5 Reads

HLH - Unusual Trigger and Positive Outcome.

J Assoc Physicians India 2018 Mar;66(3):85-86

Professor and Head of Department, Sri Ramachandra University and Research Institute, Chennai, Tamil Nadu.

Hemophagocytic Lymphohistiocytosis (HLH), is an uncommon, aggressive and life threatening syndrome of excessive immune activation. We report an unusual case of HLH, in a 34 year old male, who was admitted with Subarachnoid hemorrhage and cerebellar contusion in a Neurosurgical Intensive care unit, whose trigger is not clear. Read More

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March 2018
6 Reads

Neurodevelopmental Consequences of Preterm Isolated Cerebellar Hemorrhage: A Systematic Review.

Pediatrics 2018 Nov 19;142(5). Epub 2018 Oct 19.

Department of Neonatology and

Context: The effect of neonatal cerebellar hemorrhage on neurodevelopmental outcome (NDO) in the absence of supratentorial injury is still largely unknown.

Objective: To evaluate the influence of isolated neonatal cerebellar hemorrhage on cognitive, motor, language, and behavioral NDOs and assess the effect of location and size on outcome.

Data Sources: Embase, Medline, and Scopus were searched from inception to September 30, 2017. Read More

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http://dx.doi.org/10.1542/peds.2018-0609DOI Listing
November 2018
1 Read
5.470 Impact Factor

Endovascular Coiling of Ruptured Very Small Dissecting Fusiform Aneurysm of Posterior Inferior Cerebellar Artery with Parent Artery Preservation by Microcatheter Auto-Assistance.

World Neurosurg 2019 Jan 13;121:152-155. Epub 2018 Oct 13.

Neurosurgical Department, FSBI CCH with Outpatient Health Center of the Business Presidential Administration for the President of the Russian Federation, Moscow, Russia.

Background: Aneurysmal subarachnoid hemorrhage secondary to ruptured small dissecting fusiform aneurysms of the posterior inferior cerebellar artery (PICA) is rare and particularly challenging. Different treatment strategies have been reported in these rare cases. We report 2 patients treated with a novel endovascular approach. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.049DOI Listing
January 2019
2 Reads

Brain imaging in preterm infants <32 weeks gestation: a clinical review and algorithm for the use of cranial ultrasound and qualitative brain MRI.

Pediatr Res 2018 Oct 12. Epub 2018 Oct 12.

University of Texas Southwestern Medical Center Dallas, Dallas, TX, USA.

The aim is to review the evidence about the utility of term-equivalent age (TEA) magnetic resonance imaging (MRI) in predicting neurodevelopmental outcomes for preterm neonates. Preterm birth accounts for ~12% of all deliveries in the United States and is the leading cause of neurologic disabilities in children. From the neonatologist perspective, it is critically important to identify preterm infants at risk of subsequent neurodevelopmental disability who may benefit from early intervention services. Read More

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http://www.nature.com/articles/s41390-018-0194-6
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http://dx.doi.org/10.1038/s41390-018-0194-6DOI Listing
October 2018
14 Reads

Remote Cerebellar Haemorrhage: A Potential Iatrogenic Complication of Spinal Surgery.

Case Rep Neurol Med 2018 16;2018:5870584. Epub 2018 Sep 16.

Department of Radiology, West Virginia University, Morgantown, WV, USA.

We report the case of a 51-year-old man with no significant past medical history, who underwent elective revision spinal surgery and subsequently developed intracranial hypotension, remote cerebellar haemorrhage (RCH), and mild hydrocephalus on the fourth postoperative day. Remote cerebellar haemorrhage is a known complication of supratentorial surgery. This iatrogenic phenomenon may also occur following spinal surgery, due to dural tearing and rapid cerebral spinal fluid (CSF) leakage, resulting in intracranial hypotension and cerebellar haemorrhage. Read More

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https://www.hindawi.com/journals/crinm/2018/5870584/
Publisher Site
http://dx.doi.org/10.1155/2018/5870584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165595PMC
September 2018
9 Reads

Fetal brain morphometry on prenatal magnetic resonance imaging in congenital diaphragmatic hernia.

Pediatr Radiol 2018 Oct 6. Epub 2018 Oct 6.

Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Background: Many infants with congenital diaphragmatic hernia (CDH) show brain abnormality on postnatal brain MRI related to severity of CDH, degree of lung hypoplasia, intrathoracic liver, right diaphragmatic hernia and large diaphragmatic defect. It is not known whether these factors affect brain growth in utero in CDH.

Objective: To assess prenatal brain morphometry and abnormalities on fetal MR in congenital diaphragmatic hernia. Read More

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http://link.springer.com/10.1007/s00247-018-4272-z
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http://dx.doi.org/10.1007/s00247-018-4272-zDOI Listing
October 2018
9 Reads

Minimally Invasive Evacuation of Spontaneous Cerebellar Intracerebral Hemorrhage.

World Neurosurg 2018 Oct 3. Epub 2018 Oct 3.

Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Department of Neurosurgery, Englewood Hospital and Medical Center, Englewood, New Jersey, USA.

Objective: Spontaneous cerebellar intracerebral hemorrhage (scICH) constitutes ∼10% of all cases of spontaneous ICH, with a mortality of 20%-50%. Suboccipital craniectomy (SOC) is commonly performed for scICH causing brainstem compression or hydrocephalus. However, SOC requires long anesthesia times and results in a high complication rate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183162
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http://dx.doi.org/10.1016/j.wneu.2018.07.145DOI Listing
October 2018
7 Reads
2.420 Impact Factor

Dissecting Aneurysm of Vertebral Artery Involving the Origin of Posteroinferior Cerebellar Artery Treated with Retrograde Stent Placement and Coil Embolization in the Era of Flow Diverter.

Asian J Neurosurg 2018 Jul-Sep;13(3):910-913

Department of Neurosciences, Medanta - The Medicity, Gurgaon, Haryana, India.

Ruptured vertebral artery (VA) dissecting aneurysm carries high risk of rerupture and mortality if not treated immediately. Dissecting aneurysm of the VA involving the posteroinferior cerebellar artery (PICA) origin is difficult to treat by surgical and endovascular route. With the availability of flow diversion device for reconstructive procedure, endovascular treatment has now become easy to treat difficult aneurysm while maintaining the patency of the PICA. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_59_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159080PMC
October 2018
9 Reads

Isolated Abducens Nerve Palsy Associated with Ruptured Posterior Inferior Cerebellar Artery Aneurysm: Rare Neurologic Finding.

World Neurosurg 2019 Jan 26;121:97-99. Epub 2018 Sep 26.

Department of Neurosurgery, Rutgers, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA. Electronic address:

Background: Isolated abducens nerve palsy can be the presenting sign of a ruptured PICA aneurysm. Few cases have been reported in the literature. In the majority of cases, cranial nerve VI resolved following microsurgical clipping. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.096DOI Listing
January 2019
4 Reads

The role of oxidative stress as a risk factor for rupture of posterior inferior cerebellar artery aneurysms.

Mol Biol Rep 2018 Sep 20. Epub 2018 Sep 20.

Institute of Medical Physiology, Richard Burian, Faculty of Medicine, University of Belgrade, Višegradska 26, 11000, Belgrade, Serbia.

Cerebral aneurysm affects 2-5% of the population and posterior inferior cerebellar artery (PICA) aneurysms account for 1-3% of all intracranial aneurysms. Oxidative stress is known to contribute to the progression of cerebrovascular disease and it may be increased by inflammation, a key contributor to cerebral aneurysm development and rupture. The aim of this study was to examine the role of overall oxidative stress as a risk factor for rupture of PICA aneurysms. Read More

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http://dx.doi.org/10.1007/s11033-018-4374-6DOI Listing
September 2018
5 Reads

Digital Subtraction Angiography for CT Angiogram Negative Haemorrhages.

Can J Neurol Sci 2018 Sep;45(5):522-526

1Department of Diagnostic Radiology,QEII Health Sciences Centre,Halifax,Nova Scotia, Canada.

Background: In patients with subarachnoid haemorrhage (SAH) and a negative finding on CT angiography (CTA), further imaging with digital subtraction angiography (DSA) is commonly performed to identify the source of bleeding. The purpose of this study was to investigate whether negative findings on CTA can reliably exclude aneurysms in patients with acute SAH.

Methods: This retrospective study identified all DSAs performed between August 2010 and July 2014 within our institution. Read More

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http://dx.doi.org/10.1017/cjn.2018.75DOI Listing
September 2018
1 Read

Multiple aneurysms on the subarcuate artery arising from the anterior inferior cerebellar artery in a patient with a Borden type I transverse-sigmoid dural arteriovenous fistula manifesting as subarachnoid hemorrhage: A case report.

Interv Neuroradiol 2018 Sep 18:1591019918799299. Epub 2018 Sep 18.

1 Department of Neurosurgery, Tachikawa General Hospital, Nagaoka, Niigata, Japan.

Background Peripheral anterior inferior cerebellar artery (AICA) aneurysms are rare and commonly associated with vascular malformations, such as cerebellar arteriovenous malformations (AVMs). We present a case wherein multiple AICA feeding aneurysms on the subarcuate artery as a feeding artery of a Borden type I transverse-sigmoid dural arteriovenous fistula (dAVF) manifested as subarachnoid hemorrhage. Case description A 67-year-old woman presented with acute severe headache. Read More

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http://dx.doi.org/10.1177/1591019918799299DOI Listing
September 2018
1 Read

Onyx embolization of a ruptured anterior inferior cerebellar artery in a neonate.

Childs Nerv Syst 2018 Sep 10. Epub 2018 Sep 10.

Department of Neurosurgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO, USA.

Aneurysmal subarachnoid hemorrhage (SAH) is rare in neonates. The authors present a unique report of a neonate with SAH from anterior inferior cerebellar artery (AICA) aneurysm rupture that was successfully treated with Onyx embolization. This case report demonstrates the utility of Onyx embolization for posterior circulation aneurysms in neonates and the successful management of SAH in this population. Read More

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http://dx.doi.org/10.1007/s00381-018-3968-6DOI Listing
September 2018
3 Reads

Rehabilitation for a complex patient following cerebellar hemorrhage and obstructive hydrocephalus: A case report.

Physiother Theory Pract 2018 Sep 10:1-7. Epub 2018 Sep 10.

b Department of Physical Therapy Education , Elon University , Elon , NC , USA.

Background And Purpose: Inpatient rehabilitation facilities play an integral role in patient progress post-stroke. Cerebellar hemorrhages are an infrequent type of stroke and are therefore less discussed in the literature; however, inpatient rehabilitation continues to be an integral part of patient recovery. The purpose of this case report is to discuss the physical therapy interventions, challenges, and successes for a complex patient with a large cerebellar hemorrhage with obstructive hydrocephalus. Read More

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http://dx.doi.org/10.1080/09593985.2018.1519007DOI Listing
September 2018
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The Unique Features and Outcomes of Microsurgically Resected Cerebellar Arteriovenous Malformations.

World Neurosurg 2018 Dec 3;120:e940-e949. Epub 2018 Sep 3.

Division of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA. Electronic address:

Background: Cerebellar arteriovenous malformations (CAVMs) are challenging to treat given their close proximity to the brain stem, greater propensity for rupture, and greater rates of morbidity and mortality than other brain arteriovenous malformations. The present investigation sought to describe and characterize the features of these rare and unique lesions.

Methods: A retrospective review of CAVM cases treated at 2 tertiary medical centers was performed. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.194DOI Listing
December 2018
3 Reads

Comparison of Clinical and Radiologic Outcomes of Diverse Endovascular Treatments in Vertebral Artery Dissecting Aneurysm Involving the Origin of PICA.

World Neurosurg 2019 Jan 3;121:e22-e31. Epub 2018 Sep 3.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea. Electronic address:

Objective: To determine clinical and radiologic outcomes of vertebral artery dissecting aneurysms involving posterior inferior cerebellar artery according to different types of endovascular treatment.

Methods: This study included 18 vertebral artery dissecting aneurysms (6 ruptured and 12 unruptured) involving posterior inferior cerebellar artery treated from January 2009 to December 2016. Treatments were multiple stenting, stent-assisted coil embolization, vertebral artery trapping with vertebral artery-posterior inferior cerebellar artery stenting, and Pipeline embolization. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.184DOI Listing
January 2019
3 Reads

Delayed cerebellar infarction after a slight electric injury.

Am J Emerg Med 2018 Dec 27;36(12):2337.e3-2337.e5. Epub 2018 Aug 27.

ICU, Ningbo Medical Center Lihuili Eastern Hospital, No 1111, Jiangnan Rd, Ningbo 315100, China. Electronic address:

Electrical injury causes direct damage to nerves. It may manifest as peripheral nerve injury, spinal cord damage, cerebellar ataxia, hypoxic encephalopathy, or intracerebral hemorrhage. Various factors determine the severity of electric injury, including type of current, amperage, voltage, tissue resistance, pathway of the current, and duration of contact with the body. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183071
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http://dx.doi.org/10.1016/j.ajem.2018.08.064DOI Listing
December 2018
7 Reads

Potential of Hybrid Assistive Limb Treatment for Ataxic Gait Due to Cerebellar Disorders Including Hemorrhage, Infarction, and Tumor.

Acta Neurochir Suppl 2018;129:135-140

Department of Neurosurgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.

Cerebellar hemorrhage (CH) is a severe life-threatening disorder, and surgical treatment is often required in an emergency situation. Even in cases in which the surgical procedure is successful, functional recovery is likely to be delayed because of cerebellar symptoms such as ataxia and gait disturbance. Here, we briefly review the efficacy of hybrid assistive limb (HAL) treatment in neurosurgical practice and propose a new comprehensive treatment strategy for CH to facilitate early neurological recovery. Read More

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http://dx.doi.org/10.1007/978-3-319-73739-3_20DOI Listing
January 2018
4 Reads

Falcotentorial Location of Dural Arteriovenous Fistulas Derived from the Neural Crest as a Risk Factor for Aggressive Clinical Course.

Authors:
Michihiro Tanaka

Acta Neurochir Suppl 2018;129:121-126

Department of Neurosurgery, Kameda Medical Center, Kamogawa, Chiba, Japan.

The topographical distribution of dural arteriovenous fistulas (DAVFs) was analyzed based on the embryological anatomy of the dural membrane. Sixty-six consecutive cases of intracranial and spinal DAVFs were analyzed based on the angiography, and each shunt point was identified according to the embryological bony structures. The area of dural membranes was categorized into three different groups: a ventral group located on the endochondral bone (VE group), a dorsal group on the membranous bone (DM group), and a falcotentorial group (FT group) in the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sellae. Read More

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http://dx.doi.org/10.1007/978-3-319-73739-3_18DOI Listing
January 2018
2 Reads

Right Pretemporal-Transsylvian Approach for Resection of a Midbrain Cavernous Malformation: 3-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2018 Aug 30. Epub 2018 Aug 30.

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

Brainstem cavernous malformations (CMs) account for 15% to 18% of all intracranial CMs1 and 13% of all cerebrovascular pathology in the posterior fossa.1,2 This video demonstrates the resection of a pontomesencephalic CM through a pretemporal approach through the oculomotor-tentorial triangle (OTT).3 A 49-yr-old woman presented with an acute onset of left hemiparesis, diplopia, vertigo, partial oculomotor, and facial palsy. Read More

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http://dx.doi.org/10.1093/ons/opy242DOI Listing
August 2018
2 Reads

Intradural and Extradural Ligation of a Left Dural Arteriovenous Fistula of the Sigmoid Sinus Using a Retrosigmoid Approach: 3-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2018 Aug 20. Epub 2018 Aug 20.

Department of Neurological Surgery, University of California, San Francisco, California.

Dural arteriovenous fistulas (dAVFs) are acquired dural shunts between an artery and a vein without parenchymal nidus. DAVFs represent 10%-15% of intracranial arteriovenous malformations, and their manifestations vary from asymptomatic to devastating intracranial hemorrhage.1 They are classified according to their drainage and presence/absence of cortical venous reflux (CVR). Read More

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http://dx.doi.org/10.1093/ons/opy235DOI Listing
August 2018
2 Reads

[Intrameatal Aneurysm of Distal Anterior Inferior Cerebellar Artery Manifesting a Subarachnoid Hemorrhage:A Report of 2 Cases].

No Shinkei Geka 2018 Aug;46(8):673-681

Department of Neurosurgery, Nayoro City General Hospital.

Two female patients presented with a subarachnoid hemorrhage because of ruptured intrameatal aneurysms of the distal anterior inferior cerebellar artery, which is extremely rare. Each patient underwent microsurgical direct neck clipping or trapping, as needed, by a retrosigmoid craniectomy with an unroofing of the internal auditory meatus. After the surgery, both patients manifested low hearing ability. Read More

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http://dx.doi.org/10.11477/mf.1436203792DOI Listing
August 2018
8 Reads

Weston-Hurst syndrome with acute hemorrhagic cerebellitis.

Clin Neurol Neurosurg 2018 Oct 11;173:118-119. Epub 2018 Aug 11.

Department of Neurology, Centre Hospitalier Francois Mitterrand, Pau, France. Electronic address:

Weston-Hurst syndrome is an exceptional variant of ADEM characterized by brain hemorrhages. Lesions are usually supratentorial and death is a usual outcome. We report a cerebellar Weston-Hurst syndrome early treated by craniectomy, steroids and plasma exchange. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.08.007DOI Listing
October 2018
16 Reads

Candida parapsilosis Infection of Ventriculoperitoneal Shunt in Adult: Case Report and Literature Review.

World Neurosurg 2018 Nov 13;119:290-293. Epub 2018 Aug 13.

Wayne State University School of Medicine, Department of Neurosurgery, Detroit, Michigan, USA.

Background: Candida parapsilosis is an incredibly rare cause of ventriculoperitoneal (VP) shunt infections, with only 1 adult case reported in the literature to date.

Case Description: We describe the case of a 45-year-old man admitted for a traumatic fall and subsequently treated with VP shunt placement for obstructive hydrocephalus secondary to a cerebellar contusion and intraventricular hemorrhage. Eight months following VP shunt placement, the patient presented with a 2-month history of clear fluid leakage through a dehiscent surgical abdominal wound overlying the distal VP shunt. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.023DOI Listing
November 2018
13 Reads

The Effect of Flow-Related Aneurysms on Hemorrhagic Risk of Intracranial Arteriovenous Malformations.

Neurosurgery 2018 Aug 9. Epub 2018 Aug 9.

Department of Neurosurgery, The Johns Hopkins University, School of Medicine, Baltimore, Maryland.

Background: Previous reports indicated an association between hemorrhagic presentation and flow-related aneurysms in arteriovenous malformation (AVM) patients. However, it remains unclear whether these flow-related aneurysms result in the hemorrhage of AVM.

Objective: To characterize this hemorrhage risk using our institutional experience over 25 yr. Read More

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http://dx.doi.org/10.1093/neuros/nyy360DOI Listing
August 2018
2 Reads
3.620 Impact Factor