262 results match your criteria Journal of cerebrovascular and endovascular neurosurgery[Journal]


STA-Distal ACA Bypass Using a Contralateral STA Interposition Graft for Symptomatic ACA Stenosis.

J Cerebrovasc Endovasc Neurosurg 2018 Sep 30;20(3):191-197. Epub 2018 Sep 30.

Department of Neurosurgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Intracranial arterial stenosis usually occurs due to atherosclerosis and is considered the most common cause of stroke worldwide. Although the effectiveness of bypass surgery for ischemic stroke is controversial, the superficial temporal artery to the middle cerebral artery bypass for ischemic stroke is a common procedure. In our report, a 50-year-old man presented with sudden-onset left side weakness and dysarthria. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.3.191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199401PMC
September 2018
5 Reads

Rupture of a Middle Meningeal Artery Pseudoaneurysm in Moyamoya Syndrome Related with Tuberculous Meningitis.

J Cerebrovasc Endovasc Neurosurg 2018 Sep 30;20(3):187-190. Epub 2018 Sep 30.

Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

We report a rare case of a patient with Moyamoya syndrome who presented with intracerebral hemorrhage resulting from rupture of a middle meningeal artery pseudoaneurysm. This 38-year-old woman was unconscious and hemiplegic when she was admitted to our hospital. The patient had mental retardation as a result of tuberculous meningitis infection at the age of one year. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.3.187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199402PMC
September 2018

Endovascular Coiling for a Wide-neck Bifurcated Aneurysm with Anterograde Horizontal Stenting via Microcatheter Looping: A Technical Case Report.

J Cerebrovasc Endovasc Neurosurg 2018 Sep 30;20(3):181-186. Epub 2018 Sep 30.

Department of Neurosurgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Technical advances with devices such as catheters, balloons, and stents have widened the indications for endovascular coiling for unfavorable aneurysms. The authors report two cases of coil embolization for a wide-neck bifurcated aneurysm with anterograde horizontal stenting via microcatheter looping. Two women, aged 56 and 38 years, respectively, had an undertall- and overwide-neck aneurysm with bifurcated branches at the basilar bifurcation and middle cerebral bifurcation, respectively. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.3.181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199400PMC
September 2018
15 Reads

Cavernous Malformations at Optic Apparatus: Three Cases.

J Cerebrovasc Endovasc Neurosurg 2018 Sep 30;20(3):176-180. Epub 2018 Sep 30.

Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea.

Cavernous malformations (CMs) are angiographically occult vascular lesions, and their clinical presentations vary widely according to location of the lesion. Here, we reviewed three cases of CM located at the optic apparatus. All three patients experienced visual deterioration and underwent surgical resection. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.7461/jcen.2018.2
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http://dx.doi.org/10.7461/jcen.2018.20.3.176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199398PMC
September 2018
4 Reads

Implications of Mechanical Endovascular Thrombectomy for Acute Basilar and Posterior Cerebral Artery Occlusion.

J Cerebrovasc Endovasc Neurosurg 2018 Sep 30;20(3):168-175. Epub 2018 Sep 30.

Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

Objective: Protocols for posterior circulation ischemic stroke have not been established by randomized clinical trials. Mechanical endovascular thrombectomy (MET) devices are evolving, and many of these devices already developed or in development are suitable for posterior circulation MET.

Materials And Methods: We investigated the medical records of patients who underwent MET for posterior circulation ischemic stroke from January 2012 to August 2016. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.3.168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199399PMC
September 2018
7 Reads

Diverse Ischemic Postconditioning Protocols Affect the Infarction Size in Focal Ischemic Stroke.

J Cerebrovasc Endovasc Neurosurg 2018 Sep 30;20(3):159-167. Epub 2018 Sep 30.

Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.

Objective: Ischemic postconditioning (IPostC), consisted of transient brain ischemia/reperfusion cycles, is considered to have neuroprotective effect. However, there is no best single protocol of IPostC, because varied factors like species tested and characteristics of the tissue may affect the efficacy of IPostC. Thus, we investgated whether different protocols of IPostC affect neuroprotective effects in experimental animal models. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.3.159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199403PMC
September 2018
1 Read

Revision Superficial Temporal Artery-Middle Cerebral Artery Bypass Surgery for Recurrent Acute Ischemic Stroke Due to Delayed Occlusion of the Bypass Graft.

J Cerebrovasc Endovasc Neurosurg 2018 Jun 30;20(2):127-132. Epub 2018 Jun 30.

Department of Neurology, Busan-Ulsan Regional Cardio-cerebrovascular Center, Dong-A University College of Medicine, Busan, Korea.

Intravenous thrombolysis (IVT) and endovascular treatment (EVT) are currently the main treatments for reperfusion in acute ischemic stroke. Although the EVT recanalization rate has increased, unsuccessful recanalization is still observed in 10-30% cases. Superficial temporal artery-middle cerebral artery (STA-MCA) bypass is considered a rescue therapy in such cases, but in most centers it is not usually performed for acute ischemic stroke. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.2.127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196140PMC
June 2018
2 Reads

A Rare Case of Subarachnoid Hemorrhage caused by Ruptured Venous Varix Due to Dural Arteriovenous Fistula at the Foramen Magnum Fed Solely by the Ascending Pharyngeal Artery.

J Cerebrovasc Endovasc Neurosurg 2018 Jun 30;20(2):120-126. Epub 2018 Jun 30.

Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea.

Dural arteriovenous fistula (D-AVF) at the foramen magnum is an extremely rare disease entity. It produces venous hypertension, and can lead to progressive cervical myelopathy thereafter. On the other hand, the venous hypertension may lead to formation of a venous varix, and it can rarely result in an abrupt onset of subarachnoid hemorrhage (SAH) when the venous varix is ruptured. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.2.120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196141PMC
June 2018
7 Reads

The Prevalence and Characterization of Cerebral Microbleeds in Young People Having Intracerebral Hemorrhage.

J Cerebrovasc Endovasc Neurosurg 2018 Jun 30;20(2):112-119. Epub 2018 Jun 30.

Department of Neurosurgery and Neuroscience Radiosurgery Adaptive Hybrid Neurosurgery Research Center, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Objective: Cerebral microbleeds (CMBs) are known as the neuroimaging markers of risk in stroke and dementia. Many studies on CMBs in elderly patients with hemorrhagic or ischemic stroke have been reported; however, reports on CMBs in young populations with intracerebral hemorrhage (ICH) are lacking.

Materials And Methods: A total of 272 patients aged 18-54 years presented to our hospital with ICH between December 2009 and August 2017. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.2.112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196144PMC
June 2018
4 Reads

Recurrence of Small Cerebral Aneurysms (< 4 mm) Treated Endovascularly Using Target® Nano™ Coils.

J Cerebrovasc Endovasc Neurosurg 2018 Jun 30;20(2):106-111. Epub 2018 Jun 30.

Department of Neurosurgery, Inje University Haeundae Paik Hospital, Busan, Korea.

Objective: In our series, endovascular coiling with Target® Nano™ coils (Stryker Neurovascular, Fremont, CA, USA) with diameters of 1 or 1.5 mm exhibited favorable technical feasibility in the treatment of small cerebral aneurysms (< 4 mm). However, little is known about the recurrence of small cerebral aneurysms treated using Target® Nano™ coils. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.2.106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196139PMC
June 2018
5 Reads

Optimal Surgical Timing of Aspiration for Spontaneous Supratentorial Intracerebral Hemorrhage.

J Cerebrovasc Endovasc Neurosurg 2018 Jun 30;20(2):96-105. Epub 2018 Jun 30.

Department of Neurosurgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.

Objective: Minimally invasive techniques such as stereotactic aspiration have been regarded as promising alternative methods to replace craniotomy in the treatment of intracerebral hemorrhage (ICH). The aim of this study was to identify the optimal timing of stereotactic aspiration and analyze the factors affecting the clinical outcome.

Materials And Methods: This retrospective study included 81 patients who underwent stereotactic aspiration for spontaneous supratentorial ICH at single institution. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.2.96DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196143PMC
June 2018
1 Read

Does Neurosurgical Clipping or Endovascular Coiling Lead to More Cases of Delayed Hydrocephalus in Patients with Subarachnoid Hemorrhage?

J Cerebrovasc Endovasc Neurosurg 2018 Jun 30;20(2):87-95. Epub 2018 Jun 30.

Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Objective: We investigated whether clipping or endovascular treatment (EVT) can reduce the incidence of delayed hydrocephalus. We also investigated whether additional procedures, namely lumbar drainage and extra-ventricular drainage (EVD), decrease the incidence of delayed hydrocephalus in patients with subarachnoid hemorrhage (SAH).

Materials And Methods: One-hundred and fifty-two patients who had undergone an operation for SAH were enrolled in this study. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.2.87DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196142PMC
June 2018
3 Reads

The Evolution of the Neurosurgical Treatment of Ischemic Stroke.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):53-60. Epub 2018 Mar 31.

Department of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA, USA.

The neurosurgical approach to the management of ischemic stroke has evolved dramatically over the past century with the bulk of these changes occurring over the past 25 years. With recent advances in technology and continued refinements in neurosurgical techniques there has been significant improvement to the safety and efficacy of our treatment options. The focus of this article will be to review the historical and recent reports in the literature related to revascularization techniques. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196135PMC

Anterior Choroidal Artery Aneurysms: Influence of Regional Microsurgical Anatomy on Safety of Endovascular Treatment.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):47-52. Epub 2018 Mar 31.

Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.

Several anatomical variables critically influence therapeutic strategizing for anterior choroidal artery (AChA) aneurysms, and specifically, the safety of flow diversion for these lesions. We review the microsurgical anatomy of the AChA, discussing and detailing these considerations in the treatment of AChA aneurysms, theoretically and in the light of our recent findings. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.47DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196138PMC
March 2018
3 Reads

Usefulness of Middle Meningeal Embolization to Prevent Recurrent Spontaneous Chronic Subdural Hemorrhage.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):40-46. Epub 2018 Mar 31.

Department of Neurosurgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.

Spontaneous chronic subdural hematoma (SDH) is a rare condition that could develop in association with hematologic disease. A 66-year-old male developed a chronic SDH as an initial manifestation of chronic myelomonocytic leukemia (CMML). He experienced recurrent chronic subdural hemorrhage and newly developed intracerebral hemorrhage. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.40DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196131PMC
March 2018
4 Reads

Petrous Carotid Aneurysm Causing Pulsatile Tinnitus: Case Report and Review of the Literature.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):35-39. Epub 2018 Mar 31.

Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

We present the case of a patient who developed pulsatile tinnitus that was found to be associated with a petrous carotid aneurysm. The aneurysm was successfully obliterated using stent-assisted coiling, after which the patient was symptom-free. Although aneurysms arising from the petrous segment of the internal carotid artery are rare, this pathology must be considered as a causative factor in patients with pulsatile tinnitus. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.35DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196136PMC

Bilateral Infarction of the Recurrent Arteries of Heubner Following Clipping of an Anterior Communicating Artery Aneurysm.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):28-34. Epub 2018 Mar 31.

Department of Neurosurgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.

A 50-year-old woman reported to the emergency department with thunderclap headache and vomiting. Non-enhanced brain computed tomography (CT) showed a subarachnoid hemorrhage of Hunt-Hess Grade II and Fisher Grade III. Brain angiography CT and transfemoral cerebral angiography (TFCA) revealed an aneurysm of the anterior communicating artery. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.28DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196132PMC
March 2018
2 Reads

A Pseudoaneurysm Associated with a Ruptured Cerebral Aneurysm: Hypothesis on the Formation of the PA and Feasibility of Endovascular Treatment.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):24-27. Epub 2018 Mar 31.

Department of Neurosurgery, Yeungnam University Medical Center, Daegu, Korea.

An intracranial pseudoaneurysm (PA) is a very rare disease and is known to occur in less than 1% of intracranial aneurysms. The pathophysiology and the modality of the proper treatment of PA have not yet been clearly established. We report a case of PA associated with ruptured cerebral aneurysms which was successfully treated by coil embolization, and also discuss the possible hypothesis on the formation of the PA and feasibility of endovascular treatments. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.7461/jcen.2018.2
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http://dx.doi.org/10.7461/jcen.2018.20.1.24DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196137PMC
March 2018
4 Reads

Stent-Assisted Coil Embolization Using Only a Glycoprotein IIb/IIIa Inhibitor (Tirofiban) for Ruptured Wide-Necked Aneurysm Repair.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):14-23. Epub 2018 Mar 31.

Department of Neurosurgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.

Objective: The aim of this study was to evaluate the safety and efficacy of stent-assisted coil embolization using only a glycoprotein IIb/IIIa inhibitor (tirofiban).

Materials And Methods: We retrospectively reviewed patients with a subarachnoid hemorrhage due to ruptured wide-necked intracranial aneurysms who were treated by stent-assisted coil embolization. In all patients, the glycoprotein IIb/IIIa inhibitor tirofiban was administered just before stent deployment. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196134PMC
March 2018
4 Reads

Evaluation of the Accuracy in Maximum Intensity Projection Images of Cerebral Computed Tomographic Angiography for the Diagnosis of Cerebral Vasospasm Following Subarachnoid Hemorrhage, in Comparison to Digital Subtraction Angiography.

J Cerebrovasc Endovasc Neurosurg 2018 Mar 31;20(1):5-13. Epub 2018 Mar 31.

Department of Neurosurgery, Yeungnam University Medical Center, Daegu, Korea.

Objective: The purpose of this retrospective study is to determine the accuracy of maximum intensity projection (MIP) images of computed tomographic angiography (CTA) for diagnosis of cerebral vasospasm (CV) following subarachnoid hemorrhage (SAH) compared with that of digital subtraction angiography (DSA).

Materials And Methods: For patients admitted to our hospital for SAH, MIP images of CTA and DSA were checked at admission, and images were taken again 1 week later. This protocol was used in 39 cases. Read More

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http://dx.doi.org/10.7461/jcen.2018.20.1.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196133PMC
March 2018
2 Reads

Usefulness of Plaque Magnetic Resonance Imaging in Identifying High-Risk Carotid Plaques Irrespective of the Degree of Stenosis.

J Cerebrovasc Endovasc Neurosurg 2017 Dec 31;19(4):291-300. Epub 2017 Dec 31.

Institute of Wonkwang Medical Science, Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea.

Objective: Measurement of the degree of stenosis is not enough to decide on the treatment strategy for patients with carotid stenosis. Plaque morphology examination is needed for such a decision-making. Thus, we evaluated the usefulness of plaque magnetic resonance imaging (MRI) to decide on the modality of treatment for patients with carotid atherosclerotic plaques. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.4.291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788837PMC
December 2017
4 Reads

Tentorial Dural Arteriovenous Fistulas: A Single-Center Cohort of 12 Patients.

J Cerebrovasc Endovasc Neurosurg 2017 Dec 31;19(4):284-290. Epub 2017 Dec 31.

Department of Radiology, St. Elisabeth Hospital, Tilburg, The Netherlands.

Objective: Tentorial dural arteriovenous fistulas usually drain into cortical veins and often present with hemorrhage. Treatment goal is occlusion of the draining vein, either by surgery or endovascular techniques. We present the multimodality treatment results of 12 patients with tentorial dural arteriovenous fistulas. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.4.284DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788836PMC
December 2017
2 Reads

Prepuncture Ultrasound Examination Facilitates Safe and Accurate Common Femoral Artery Access for Transfemoral Cerebral Angiography.

J Cerebrovasc Endovasc Neurosurg 2017 Dec 31;19(4):276-283. Epub 2017 Dec 31.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Objective: We aimed to introduce our method involving prepuncture ultrasound scan for cannulation of the common femoral artery (CFA) during transfemoral cerebral angiography (TFCA), and to assess the clinical and radiological outcomes.

Material And Methods: Our study included 90 patients who underwent prepuncture ultrasound examination of the inguinal area for TFCA between April 2015 and June 2015. Prior to skin preparation and draping of the inguinal area, we identified the CFA and its bifurcation using ultrasound. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.4.276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788835PMC
December 2017
3 Reads

Endovascular Treatments for Ruptured Intracranial Vertebral Artery Dissecting Aneurysms: Experience in 16 Patients.

J Cerebrovasc Endovasc Neurosurg 2017 Dec 31;19(4):268-275. Epub 2017 Dec 31.

Department of Neurosurgery, Gyeongsang National University School of Medicine, Jinju, Korea.

Objective: Intracranial vertebral artery dissecting aneurysms are rare lesions that are considered an important cause of spontaneous subarachnoid hemorrhage. We report our decade-long experience in treating ruptured intracranial vertebral artery dissecting aneurysms.

Materials And Methods: This retrospective single-center study included 21 consecutive patients between February 2005 and March 2015. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.4.268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788834PMC
December 2017
3 Reads

Clinical Results of the Intra-Arterial Thrombolysis with Stent Retriever Device Weather Perfusion Diffusion Mismatching and Intravenous Tissue Plasminogen Activator Administration.

J Cerebrovasc Endovasc Neurosurg 2017 Dec 31;19(4):257-267. Epub 2017 Dec 31.

Department of Neurosurgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Objective: Intraarterial thrombolysis (IA-Tx) with stent retriever is accepted as an additional treatment for selected patients and the clinical benefit is well reported. Each intravenous tissue plasminogen activator administration (IV-tPA) and perfusion diffusion mismatching (P/D-mismatching) is well known the beneficial effects for recanalization and clinical outcomes. In this report, authors analyzed the clinical outcomes of additional IA-Tx with retrieval stent device, according to the combined IV-tPA and P/D-mismatching or not. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.4.257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788833PMC
December 2017
4 Reads

Transarterial Balloon-assisted Onyx Embolization of Intracranial Arteriovenous Malformations Using a Dual-lumen Balloon Microcatheter: Two Case Reports.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):223-230. Epub 2017 Sep 30.

Department of Neurosurgery, Seoul Medical Center, Seoul, Korea.

The Onyx system has been well established in recent years as a very important material in the treatment of arteriovenous malformations (AVMs). When using the Onyx, it is essential to wait for the creation of a plug around the tip of the catheter, which enables the effective forward penetration of Onyx. Recent reports have shown that the introduction of a dimethyl sulfoxide compatible dual-lumen balloon microcatheter improves the efficiency of AVM embolization. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.7461/jcen.2017.1
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http://dx.doi.org/10.7461/jcen.2017.19.3.223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680088PMC
September 2017
26 Reads

Surgical Removal of a Ruptured Radiculomedullary Artery Aneurysm: A Case Report.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):217-222. Epub 2017 Sep 30.

Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Subarachnoid hemorrhage due to a solitary spinal aneurysm is extremely rare, and diagnosis and treatment are challenging. We report a rare case of a ruptured radiculomedullary artery aneurysm in a patient with Behçet disease. A 49-year-old man presented with severe lower abdominal and leg pain. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.217DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680087PMC
September 2017
3 Reads

Self-expandable Graft Stenting in an Iatrogenic Fistula between Common Carotid Artery and Internal Jugular Vein.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):213-216. Epub 2017 Sep 30.

Department of Neurosurgery, Inje University, Haeundae Paik Hospital, Busan, Korea.

A 47-year-old woman with stage IV chronic kidney disease developed a fistula between common carotid artery (CCA) and internal jugular vein (IJV) during central catheterization of the right IJV. The patient was treated with a self-expandable graft stent, which achieved successful closure of the carotid-jugular fistula. As demonstrated in our case, self-expandable graft stents could be a feasible treatment option for CCA-IJV fistulas without additional interventional procedures such as balloon angioplasty. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680086PMC
September 2017
7 Reads

How to Escape Stentriever Wedging in an Open-cell Carotid Stent during Mechanical Thrombectomy for Tandem Cervical Internal Carotid Artery and Middle Cerebral Artery Occlusion.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):207-212. Epub 2017 Sep 30.

Department of Neurosurgery, Guro Hospital, Korea University, Seoul, Korea.

We present 2 cases of complicated mechanical thrombectomy involving tandem cervical internal carotid artery and middle cerebral artery occlusion using the Solitaire FR stent and simultaneous carotid stent angioplasty. During the procedures, the Solitaire stents containing the thrombus were wedged into the open-cell carotid stents, which were already deployed for proximal flow restoration. We describe the methods used to avoid and overcome such complications. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680085PMC
September 2017
17 Reads

Horizontal Stent Assisted Coiling of Wide Neck Basilar Tip Aneurysm: Comparison of Two Cases.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):201-206. Epub 2017 Sep 30.

Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.

Currently, endovascular coiling is a popular treatment for basilar tip aneurysms, which usually involve a wide neck. Serious complications can occur when the posterior cerebral artery (PCA) originating from a wide neck is not properly preserved. Accordingly, various adjunctive procedures using stents or a balloon have been introduced. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680084PMC
September 2017
5 Reads

Endovascular Treatment of a Fusiform Aneurysm Involving a Premammillary Artery Originating from the Internal Carotid Artery: A Case Report.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):196-200. Epub 2017 Sep 30.

Department of Neurosurgery, Inha University School of Medicine and Hospital, Incheon, Korea.

The premammillary artery (PMA) is a branch of the posterior communicating artery (PCoA). While the PMA is known to originate from the PCoA as demonstrated by most anatomical studies, it originates directly from the internal carotid artery in approximately 1% of patients. Cerebral aneurysms associated with the PMA have rarely been reported. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680083PMC
September 2017
20 Reads

Cranial Nerve Palsy after Onyx Embolization as a Treatment for Cerebral Vascular Malformation.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):189-195. Epub 2017 Sep 30.

Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

The Onyx liquid embolic system is a relatively safe and commonly used treatment for vascular malformations, such as arteriovenous fistulas and arteriovenous malformations. However, studies on possible complications after Onyx embolization in patients with vascular malformations are limited, and the occurrence of cranial nerve palsy is occasionally reported. Here we report the progress of two different types of cranial nerve palsy that can occur after embolization. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680082PMC
September 2017
11 Reads

A Case of Unusual Presentation of Contrast-induced Encephalopathy after Cerebral Angiography Using Iodixanol.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):184-188. Epub 2017 Sep 30.

Department of Neurosurgery, Hallym University Sacred Heart Hospital, Anyang, Korea.

Contrast-induced encephalopathy after cerebral angiography is a rare complication and until now, only few cases have been reported. This paper reports on contras-induced encephalopathy mimicking meningoencephalitis after cerebral angiography by using iodixanol, an iso-osmolar non-ionic contrast agent. A 58-year-old woman underwent cerebral angiography for the evaluation of multiple intracranial aneurysms. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.7461/jcen.2017.1
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http://dx.doi.org/10.7461/jcen.2017.19.3.184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680081PMC
September 2017
4 Reads

The Blood Blister Like-aneurysm: Usefulness of Sundt Clip.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):171-183. Epub 2017 Sep 30.

Department of Neurosurgery, Daegu Catholic University Hospital, Catholic University College of Medicine, Daegu, Korea.

Objective: Blood blister-like aneurysm (BBA) is a kind of dorsal wall aneurysm and it is small, sessile, fragile and hazardous because of its high mortality and morbidity. Many challenges tried to establish the management or strategy. But so far, there is no optimal treatment of choice for the BBA. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680080PMC
September 2017
5 Reads

Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):162-170. Epub 2017 Sep 30.

Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

Objective: We evaluate the rates and outcomes of major procedure-related complications during coiling.

Materials And Methods: Between 2007 and 2015, 436 intracranial saccular aneurysms were treated. Complications are categorized as three types: intraprocedural aneurysm rupture (IAR), thromboembolism (TE), and post-procedural early rebleeding (PER). Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680079PMC
September 2017
5 Reads

Endovascular Treatment of Symptomatic Vasospasm after Aneurysmal Subarachnoid Hemorrhage: A Three-year Experience.

J Cerebrovasc Endovasc Neurosurg 2017 Sep 30;19(3):155-161. Epub 2017 Sep 30.

Department of Neurosurgery, School of Medicine, Institute of Wonkwang Medical Science, Wonkwang University, Iksan, Korea.

Objective: The cause of severe clinical vasospasm after aneurysmal subarachnoid hemorrhage remains unknown, despite extensive research over the past 30 years. However, the intra-arterial administration of vasodilating agents and balloon angioplasty have been successfully used in severe refractory cerebral vasospasm.

Materials And Methods: We retrospectively analyzed the data of 233 patients admitted to our institute with aneurysmal subarachnoid hemorrhage (SAH) over the past 3 years. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.3.155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680078PMC
September 2017
7 Reads

Simultaneous Onset of Ischemic and Hemorrhagic Stroke Due To Intracranial Artery Dissection.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):125-128. Epub 2017 Jun 30.

Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea.

Intracranial dissections commonly present as ischemic stroke and as hemorrhagic stroke. In general, while either ischemic stroke or hemorrhagic stroke may develop, the simultaneous onset of both may also occasionally occur. In this report, we present a case of simultaneous development of ischemic stroke and hemorrhagic stroke due to an intracranial artery dissection. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678215PMC
June 2017
5 Reads

Kissing Aneurysms at Fenestrated Proximal Basilar Artery: Double-barrel Stent-assisted Coiling Using Dual Closed-cell Stents.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):120-124. Epub 2017 Jun 30.

Department of Neurosurgery, Keimyung University School of Medicine, Daegu, Korea.

Kissing aneurysms associated with a proximal basilar artery fenestration are an exceedingly rare and unique therapeutic challenge due to anatomical complexity. This report describes double-barrel stent-assisted technique with dual closed-cell stents for the successful endovascular coiling of kissing aneurysms from a proximal basilar artery fenestration. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678214PMC
June 2017
15 Reads

Intraoperative Common Carotid Artery Injury during Ventriculoperitoneal Shunt Surgery.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):117-119. Epub 2017 Jun 30.

Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea.

There are a number of complications associated with ventriculoperitoneal shunt (VPS) surgery. The authors present a rare case of iatrogenic common carotid artery injury during VPS surgery. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678213PMC
June 2017
22 Reads

Internal Carotid Artery Dissection in Brazilian Jiu-Jitsu.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):111-116. Epub 2017 Jun 30.

Department of Neurosurgery, Ponthific Catholic University of Paraná - PUCPR - Curitiba (PR), Brazil.

Carotid artery dissection is a significant cause of stroke in young patients. It may be asymptomatic and go undiagnosed, or minimal transient manifestations may follow, commanding a higher index of suspicion than ordinarily exists to avoid misdiagnosis. Reported herein is a 27-year-old man who suffered extracranial internal carotid artery dissection while practicing a Brazilian Jiu-Jitsu submission maneuver. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678212PMC
June 2017
4 Reads

Fluoroscopy-guided Combined (Surgical/Endovascular) Treatment of Dural Arteriovenous Fistula.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):106-110. Epub 2017 Jun 30.

Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea.

For dural arteriovenous fistula (DAVF), when the usual endovascular or neurosurgical approaches are difficult to treat, multi-modal treatment can be helpful. We present a case of a 71-year-old woman with DAVF, who presented with an intracerebral haemorrhage. Digital subtraction angiography revealed a DAVF of the transverse sinus, with cortical venous reflux. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678211PMC
June 2017
3 Reads

Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):101-105. Epub 2017 Jun 30.

Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA.

Large lobar intracerebral hemorrhages (ICHs) can cause rapid neurological deterioration, and affected patients have low rates of survival and functional independence. Currently, the role of surgical intervention in the management patients with lobar ICHs is controversial. Minimally invasive technologies have been developed which may potentially decrease the operative morbidity of ICH surgery. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678210PMC
June 2017
11 Reads

Dual Mechanical Thrombectomy for Recanalization of a Resistant Acute Posterior Circulation Stroke.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):96-100. Epub 2017 Jun 30.

Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

A 71-year-old man with acute basilar artery occlusion was referred for endovascular treatment 6 hours after the onset of stroke with a Glasgow Coma Score of 3 and National Institutes of Health Stroke Scale of 27. A cerebral arteriogram revealed occlusion of the left vertebral artery proximally and thromboembolic occlusion of the basilar tip. Direct aspiration and mechanical thrombectomy with various stent retrievers failed to reconstitute arterial flow in the basilar artery. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.96DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678218PMC
June 2017
5 Reads

An Unruptured Anterior Communicating Artery Aneurysm Presenting with Left Homonymous Hemianopsia: A Case Report.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):92-95. Epub 2017 Jun 30.

Department of Neurosurgery, Chung-Ang University Hospital, Seoul, Korea.

Unruptured cerebral aneurysms sometimes present with visual symptomsdue to compression of the visual pathways. However, until now, unruptured anterior communicating artery (ACoA) aneurysms presenting visual field defects have been extremely rare. The authors report the case of a 51-year-old woman who presented with left homonymous hemianopsia. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.92DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678217PMC
June 2017
6 Reads

A Less Invasive Strategy for Ruptured Cerebral Aneurysms with Intracerebral Hematomas: Endovascular Coil Embolization Followed by Stereotactic Aspiration of Hematomas Using Urokinase.

J Cerebrovasc Endovasc Neurosurg 2017 Jun 30;19(2):81-91. Epub 2017 Jun 30.

Department of Neurosurgery, Seoul Medical Center, Seoul, Korea.

Objective: Aneurysm clipping and simultaneous hematoma evacuation through open craniotomy is traditionally recommended for ruptured cerebral aneurysms accompanied by intracerebral or intrasylvian hemorrhages. We report our experience of adapting a less invasive treatment strategy in poor-grade patients with intracerebral or intrasylvian hemorrhages associated with ruptured cerebral aneurysms, where the associated ruptured cerebral aneurysms were managed by endovascular coil embolization, followed by stereotactic aspiration of hematomas (SRH) using urokinase.

Materials And Methods: We retrospectively analyzed 112 patients with ruptured cerebral aneurysms. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.2.81DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678216PMC
June 2017
10 Reads

Spontaneous Absorption of Cerebral Air Emboli.

Authors:
Richard E Moon

J Cerebrovasc Endovasc Neurosurg 2017 Mar 31;19(1):52-53. Epub 2017 Mar 31.

Department of Anesthesiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA.

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http://dx.doi.org/10.7461/jcen.2017.19.1.52DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426192PMC
March 2017
10 Reads

Treatment of Cerebral Vasospasm in an Infant Using a Modified Dotter Technique.

J Cerebrovasc Endovasc Neurosurg 2017 Mar 31;19(1):48-51. Epub 2017 Mar 31.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

An 8-month old female presented with spontaneous subarachnoid hemorrhage and was treated successfully with endovascular coil embolization of the ruptured aneurysm. Transcranial Doppler ultrasound performed four days later demonstrated middle cerebral artery (MCA) velocities greater than 350 cm/sec on the right and greater than 200 cm/sec on the left, despite medical management. The patient demonstrated no focal neurological deficits, though examination was limited by our patient's sedation and intubation. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.1.48DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426190PMC
March 2017
13 Reads

Discrepancy between Angiography and Operative Findings of Small Side Wall Aneurysms in Atherosclerotic Parent Arteries.

Authors:
Sook Young Sim

J Cerebrovasc Endovasc Neurosurg 2017 Mar 31;19(1):44-47. Epub 2017 Mar 31.

Department of Neurosurgery, Inje University Seoul Paik Hospital, Seoul, Korea.

Preoperative evaluation of precise aneurysmal geometry is important for the treatment of intracranial aneurysms. We present two cases of unclippable side wall aneurysms due to their extremely low dome height, which appeared as saccular in the preoperative image because of a comparatively narrow atherosclerotic parent arterial lumen. In both cases, a calcified vessel wall was noted preoperatively. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.1.44DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426195PMC
March 2017
5 Reads

The Rupture Risk of Aneurysm in the Anterior Communicating Artery: A Single Center Study.

J Cerebrovasc Endovasc Neurosurg 2017 Mar 31;19(1):36-43. Epub 2017 Mar 31.

Department of Neurosurgery, College of Medicine, Ewha Womans University, Seoul, Korea.

Objective: The aim of this study was to evaluate the characteristics of ruptured aneurysms at anterior communicating artery (A com) with an analysis of clinical and morphological data, which could further our understanding of the risks of ruptured A com aneurysms.

Materials And Methods: An analysis of data with 86 ruptured and 44 unruptured A com aneurysms were analyzed using a digital subtraction angiography or 3-dimensional computed tomography angiography between January 2010 and December 2015 in a single center.

Results: Fifty-five percent of ruptured A com aneurysms were smaller than 4 mm in size. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.1.36DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426194PMC
March 2017
6 Reads

Surgical Approaches for Symptomatic Cerebral Cavernous Malformations of the Thalamus and Brainstem.

J Cerebrovasc Endovasc Neurosurg 2017 Mar 31;19(1):19-35. Epub 2017 Mar 31.

Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA.

Objective: Surgical resection of thalamic and brainstem cerebral cavernous malformations (CCMs) is associated with significant operative morbidity, but it may be outweighed, in some cases, by the neurological damage from recurrent hemorrhage in these eloquent areas. The goals of this retrospective cohort study are to describe the technical nuances of surgical approaches and determine the postoperative outcomes for CCMs of the thalamus and brainstem.

Materials And Methods: We reviewed an institutional database of patients harboring thalamic or brainstem CCMs, who underwent surgical resection from 2010 to 2014. Read More

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http://dx.doi.org/10.7461/jcen.2017.19.1.19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426196PMC
March 2017
15 Reads