5,467 results match your criteria Vertebrobasilar Stroke


Transient Anarthria and Quadriplegia in a Patient with Basilar Artery Hypoplasia and Coincidental Intracranial Lipoma: A Case Report.

Case Rep Neurol 2018 Sep-Dec;10(3):322-327. Epub 2018 Nov 14.

Department of Neurology, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.

Cerebral ischemia may be rarely associated with a hypoplastic vertebrobasilar system. Intracranial lipoma is also a very rare congenital malformation. We report the case of a 52-year-old woman with vertebrobasilar transient ischemic attack associated with basilar artery hypoplasia and coincidental intracranial lipoma. Read More

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November 2018
1 Read

Ischemic stroke as initial manifestation of systemic lupus erythematosus: A case report and review of the literature.

eNeurologicalSci 2018 Dec 9;13:26-30. Epub 2018 Nov 9.

Department of Neurology, University Hospital of Heraklion, University of Crete, Greece.

Stroke is a frequent occurrence among patients suffering from systemic lupus erythematosus (SLE), but it rarely occurs as the initial manifestation of the disease. We here present the case of a 37 year-old patient who developed an acute cerebellar ischemic stroke as initial event of SLE: elevated partial thromboplastin time and ESR, thrombocytopenia, anti-ds-DNA, anti-SSA, anti-JO-1, and the lupus anticoagulant were detected, and the diagnosis of SLE was established. In addition, we reviewed the literature in order to clarify the demographic, clinical, imaging and outcome characteristics of such a presentation, and found 10 similar cases. Read More

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December 2018
1 Read

Repositioning Technique for the Decompression of Symptomatic Dolichoectatic Vertebrobasilar Pathology: A Comprehensive Review of Sling Characteristics and Surgical Experiences.

World Neurosurg 2018 Nov 29. Epub 2018 Nov 29.

Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China; Department of Neurosurgery, Fuxing Hospital, Capital Medical University, Beijing, China.

Objective: The repositioning of a dolichoectatic vertebrobasilar artery for arterial decompression has been extensively utilized in the clinical setting. This study aims to describe and summarize the technical characteristics and clinical results of the sling technique.

Methods: The terms "dolichoectatic aneurysm", "dolichoectasia", "ectasia" and "megadolichoectasia" were used to search for pertinent articles related to the VBA territory. Read More

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November 2018

Differences in characteristics and outcomes after endovascular therapy: A single-center analysis of patients with vertebrobasilar occlusion due to underlying intracranial atherosclerosis disease and embolism.

Interv Neuroradiol 2018 Dec 4:1591019918811800. Epub 2018 Dec 4.

1 Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Background: Therapeutic strategies and outcomes vary with stroke subtypes for patients with acute vertebrobasilar occlusion (VBAO). This study aimed to compare characteristics and outcomes of VBAO due to intracranial atherosclerotic disease (ICAD) and embolisms and identify baseline predictors of ICAD.

Methods: Patients with VBAO who received endovascular therapy (EVT) were retrospectively analyzed. Read More

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December 2018

Clinical and imaging features of vertebrobasilar dolichoectasia combined with posterior circulation infarction: A retrospective case series study.

Medicine (Baltimore) 2018 Nov;97(48):e13166

Department of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.

This study aims to analyze the clinical and imaging features of vertebrobasilar dolichoectasia (VBD) combined with posterior circulation infarction, and to explore risk factors for the occurrence of posterior circulation infarction in VBD patients.VBD patients were divided into 2 groups, according to the results of the imaging examination: posterior circulation infarction group and nonposterior circulation infarction group. The demographics, vascular risk factors, imaging, and other clinical data of the VBD patients were collected and retrospectively compared, and the risk factors for the occurrence of posterior circulation infarction in VBD patients were analyzed. Read More

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November 2018

[The efficacy of mexidol for transient ischemic attacks in the vertebrobasilar system in elderly patients with chronic cerebral ischemia].

Authors:
Yu V Abramenko

Zh Nevrol Psikhiatr Im S S Korsakova 2018 ;118(9. Vyp. 2):42-48

Tver State Medical University, Tver, Russia.

Aim: To evaluate the clinical efficacy, metabolic and membrane protective effects of mexidol for transient ischemic attacks (TIA) in the vertebrobasilar system in elderly patients with chronic cerebral ischemia (CCI).

Material And Methods: Fifty-three patients, aged from 60 to 74 years, with the first episode of TIA in the vertebrobasilar system and CCI were examined. Patients of the main group (n=33) received mexidol in the dose of 500 mg for 10 days along with standard therapy, patients of the comparison group (n=20) received only standard therapy. Read More

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January 2018

Predictors of Good Outcome After Endovascular Treatment for Patients with Vertebrobasilar Artery Occlusion due to Intracranial Atherosclerotic Stenosis.

Clin Neuroradiol 2018 Nov 29. Epub 2018 Nov 29.

Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Purpose: To investigate the predictors for good outcome of endovascular therapy (EVT) for patients with acute vertebrobasilar artery occlusion (VBAO) due to intracranial atherosclerosis stenosis (ICAS).

Methods: From April 2012 to February 2018, patients with VBAO due to ICAS who received EVT were retrospectively analyzed. ICAS was defined as fixed stenosis of >70%, or a degree of fixed stenosis >50% in addition to either perfusion impairment or evidence to re-occlusion. Read More

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November 2018
1 Read

Prevalence of Stroke and Hypoperfusion in Patients With Isolated Vertigo and Vascular Risk Factors.

Front Neurol 2018 15;9:974. Epub 2018 Nov 15.

Department of Neurology, People's Hospital of Zhengzhou Affiliated to Southern Medical University, Zhengzhou, China.

The aim of this study was to determine the prevalence and associated factors of stroke and hypoperfusion among patients with isolated vertigo and vascular risk factors. We studied 157 patients with isolated vertigo who had undergone multimodal magnetic resonance imaging. Magnetic resonance angiography (MRA) was used to measure the diameters of vertebrobasilar arteries and to evaluate morphologic changes to vessels. Read More

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November 2018
3 Reads

Combined Microsurgical, Endovascular, and Endoscopic Approach to the Treatment of a Giant Vertebrobasilar Aneurysm.

Oper Neurosurg (Hagerstown) 2018 Nov 24. Epub 2018 Nov 24.

Department of Neurological Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, Texas.

Background: Dolichoectasia is defined as elongation and dilatation of a blood vessel. In the intracranial circulation, the basilar artery is affected in 80% of cases. These are challenging lesions with an aggressive natural history, and treatment carries a relatively high rate of morbidity and mortality. Read More

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November 2018

Bow Hunter Syndrome with Associated Pseudoaneurysm.

World Neurosurg 2018 Oct 25;122:53-57. Epub 2018 Oct 25.

Department of Neurological Surgery, Weill Cornell Brain and Spine Center, New York-Presbyterian Hospital/Weill Cornell Medical College, New York, New York, USA.

Background: Bow hunter syndrome describes a mechanical compression of the vertebral artery on head rotation leading to reversible symptomatic vertebrobasilar insufficiency. Patients are commonly presenting with syncope, vertigo, dizziness, and visual disturbances. These symptoms usually resolve when the head is turned back into neutral position. Read More

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October 2018
8 Reads
2.420 Impact Factor

An Unusual Cause of Posterior Reversible Encephalopathy Syndrome.

Asian J Neurosurg 2018 Oct-Dec;13(4):1254-1256

Department of Neurosurgery, Institute of Neuroscience, Medanta The Medicity, Gurgaon, Haryana, India.

Posterior reversible encephalopathy syndrome (PRES) is a clinical radiographic diagnosis of heterogeneous etiologies. The pathogenesis of PRES remains unclear, but may be related to impaired cerebral autoregulation and endothelial dysfunction. We present a case of intravascular nonionic contrast-induced PRES observed after cerebral angiography. Read More

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November 2018

Aberrant Vertebral Artery: An Intruder into the Aortic Arch (Atypical Bow Hunter's Syndrome).

JACC Cardiovasc Interv 2018 Dec 15;11(23):e191-e194. Epub 2018 Nov 15.

Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran; Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

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December 2018

Vertebrobasilar dolichoectasia presenting simultaneously with ischemic and hemorrhagic strokes.

J Clin Neurosci 2018 Nov 12. Epub 2018 Nov 12.

Mayo Clinic Department of Neurology, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: Vertebrobasilar dolichoectasia (VBDE) can present with brainstem- compressive symptoms, cerebral ischemia, or hemorrhage. Herein we describe a unique patient with VBDE who presented with hemorrhage and cerebral ischemia simultaneously.

Case: Patient is a 76-year-old man presenting with an acute, symptomatic left pontine ischemic stroke heralded by ataxic dysarthria and right ataxic-hemiparesis. Read More

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November 2018
2 Reads

Active Reperfusion Hemorrhage during Thrombectomy: Angiographic Findings and Real-Time Correlation with the CT "Spot Sign".

Interv Neurol 2018 Oct 8;7(6):370-377. Epub 2018 Jun 8.

Emory University School of Medicine/Marcus Stroke & Neuroscience Center - Grady Memorial Hospital, Atlanta, Georgia, USA.

Introduction: Symptomatic intracranial hemorrhage represents one of the most feared complications of endovascular reperfusion. We aim to describe a series of patients that experienced immediate reperfusion injury with active intraprocedural extravasation within the territory of the deep penetrating arteries and provide real-time correlation with CT "spot sign."

Methods: This was a retrospective analysis of patients that suffered reperfusion injury with active arterial extravasation during endovascular stroke treatment in two tertiary care centers. Read More

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October 2018
6 Reads

Pediatric Congenital Cerebrovascular Anomalies.

J Neuroimaging 2018 Oct 31. Epub 2018 Oct 31.

Department of Interventional Radiology, Sanford Aberdeen Clinic, Aberdeen, SD.

Congenital cerebrovascular anomalies in the pediatric age group are myriad with diverse etiologies. The purpose of this paper is to provide an imaging overview of congenital vascular malformations and vascular tumors, as these conditions are varied and the characteristic vascular abnormality may even suggest the underlying systemic condition in helping to guide further management. For example, the identification of an arterial anomaly such as agenesis/hypoplasia/duplication may warrant further evaluation for an associated syndrome. Read More

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October 2018
9 Reads

Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts.

Front Neurol 2018 11;9:837. Epub 2018 Oct 11.

Department of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, China.

Persistent hypoglossal artery (PHA), a rare embryological carotid-basilar anastomosis, is usually accompanied by hypoplastic vertebral and posterior communicating arteries, and thereby such vascular anomaly serves as the main feeder supplying the vertebrobasilar territory. Although rarely reported, simultaneous anterior and posterior territory infarcts related to PHA and carotid atherosclerosis can occur. To date, as far as we know, only 4 such cases have been previously reported in the literature. Read More

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October 2018
5 Reads

In Reply to "Underestimation of Extracranial-to-Intracranial Bypass in Management of Vertebrobasilar Dolichoectatic Aneurysm".

World Neurosurg 2018 11;119:463

Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China. Electronic address:

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November 2018

Underestimation of Extracranial-to-Intracranial Bypass in Management of Vertebrobasilar Dolichoectatic Aneurysm.

World Neurosurg 2018 11;119:462

Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China. Electronic address:

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November 2018

Recurrent Nerve Palsy due to a Giant Vertebral Artery Aneurysm.

Case Rep Neurol 2018 Sep-Dec;10(3):266-271. Epub 2018 Sep 13.

Department of Neurosurgery, Odense Universitetshospital, Odense C, Denmark.

Vertebral artery aneurysms are rare and challenging as they are usually asymptomatic and, therefore, often overlooked. We report the case of a 73-year-old man with a history of progressive dysphagia for 1 year. Computed tomography (CT) and computed tomography with angiography (CTA) of the cerebrum revealed a giant vertebral artery aneurysm compressing the medulla. Read More

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September 2018
5 Reads

[Endovascular interventions for stenoses and occlusions of the brachiocephalic trunk].

Angiol Sosud Khir 2018;24(3):54-58

Siberian Federal Biomedical Research Centre named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia.

The study was undertaken to evaluate the efficacy and safety of endovascular interventions in the treatment of stenoses and occlusions of the brachiocephalic trunk (BCT). Described in the article are the results of retrospectively analysing the efficacy of endovascular interventions performed in a total of forty-five patients presenting with lesions of the BCT. Depending on the type of the BCT lesion, the patients were divided into 2 groups: Group One consisted of 28 patients diagnosed with stenoses of the BCT and Group Two included 17 patients found to have occlusions of the BCT. Read More

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January 2018

[Data on ultrasonographic anatomy of precanal segment of the vertebral artery].

Angiol Sosud Khir 2018;24(3):45-51

Orenburg State Medical University of the RF Ministry of Public Health, Orenburg, Russia.

Described in the article are the results of using ultrasonographic duplex scanning for studying anatomical peculiarities of the precanal segment of the human vertebral artery.

Patients And Methods: Ultrasonographic duplex scanning (USDS) of the extracranial portions of brachiocephalic vessels was performed in a total of 215 inpatients without haemodynamically significant stenoses of the arteries of the vertebrobasilar basin. The patients found to have pathological alterations in the vertebrobasilar basin were excluded from the examined group. Read More

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January 2018
3 Reads

Central nervous system involvement in late-onset Pompe disease: clues from neuroimaging and neuropsychological analysis.

Eur J Neurol 2018 Oct 12. Epub 2018 Oct 12.

Department of Clinical and Experimental Medicine, University of Messina, Messina.

Background And Purpose: Late-onset Pompe disease (LOPD) is a rare, multisystem disorder that is well established to mainly impair skeletal muscle function. Systematic studies exploring brain functions in LOPD are lacking. The aim of this study was to detect morphological and functional brain alterations as well as neuropsychological impairment in LOPD. Read More

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October 2018
7 Reads

[Vertebrobasilar territory embolisms due to the ununited fracture of the right clavicle from 35 years ago].

Rinsho Shinkeigaku 2018 Oct 29;58(10):631-635. Epub 2018 Sep 29.

Department of Neurology, Kyoto Second Red Cross Hospital.

A 61-year-old man, with a history of right clavicular fracture 35 years prior, visited our hospital due to the sudden onset of vertigo and tinnitus following weakness and numbness in his left arm and leg. He also had a 6-month history of right arm pain with overuse. Brain MRI showed acute brain infarcts in the right posterior cerebral artery territory. Read More

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October 2018
2 Reads

Carotid artery stenting for patients with occipital-vertebral anastomosis.

Interv Neuroradiol 2018 Sep 30:1591019918802924. Epub 2018 Sep 30.

3 Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Background and purpose We report the outcomes of carotid artery stenting for patients with angiographically visible occipital artery-vertebral artery anastomosis. Methods Among 47 consecutive patients who underwent carotid artery stenting from January 2007 to December 2010, seven patients for whom cerebral angiograms clearly showed occipital artery-vertebral artery anastomosis were selected. Four different protection methods were used: distal internal carotid artery protection; carotid flow reversal; seatbelt and airbag technique; and double protection method of protecting both the external and internal carotid artery. Read More

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September 2018
3 Reads

Significance of Provocative Perfusion Computed Tomography for the Evaluation of Bow Hunter's Syndrome.

World Neurosurg 2018 Sep 24. Epub 2018 Sep 24.

Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, South Korea; Department of Neurosurgery, Eun Pyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea. Electronic address:

Bow Hunter's Syndrome (BHS) is a rare vascular phenomenon of vertebrobasilar insufficiency caused by dynamic stenosis of the vertebral artery (VA) by osteophytes, fibrous bands, or disc herniation with neck rotation. We present a rare case of a patient with bilaterally patent VAs on neutral imaging and bilateral dynamic compression of VA with left head rotation. Provocation tests are critical towards understanding dynamic pathophysiology of BHS because normal neutral vascular imaging does not preclude diagnosis of BHS. Read More

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September 2018
1 Read

Vertebrobasilar Dolichoectasia Causing Symptomatic Hydrocephalus Due to Third Ventricular Compression.

J Stroke Cerebrovasc Dis 2018 Dec 23;27(12):3503-3504. Epub 2018 Sep 23.

Department of Neurosurgery, Kawasaki Municipal Hospital, Kawasaki city, Kanagawa, Japan.

Vertebrobasilar dolichoectasia sometimes presents with symptoms related to mass effect like cranial nerve palsies, or with ischemia or hemorrhage. Symptomatic hydrocephalus as a complication of vertebrobasilar dolichoectasia is extremely uncommon. Furthermore, there are few cases of vertebrobasilar dolichoectasia, in which cerebrospinal fluid flow disorder mechanisms are clearly demonstrated in neuroimaging findings. Read More

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December 2018
2 Reads

[Non-drug therapy of vertigo].

Zh Nevrol Psikhiatr Im S S Korsakova 2018 ;118(8):38-42

Sechenov First Moscow State Medical University, Moscow, Russia.

Aim: To study the efficacy of various methods of non-drug therapy of diseases manifested by vertigo and dizziness in neurological practice.

Material And Methods: Referral and final diagnoses were compared after neurovestibular examination of 599 patients (177 men and 422 women), aged 25 to 79 years (mean age 55 years), with various causes of vertigo. Patients underwent vestibular rehabilitation, trainings on the stabiloplatform with biological feedback (biofeedback), repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Read More

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January 2018
2 Reads

Cerebrovascular Insult as Presenting Symptom of Neurofibromatosis Type 2 in Children, Adolescents, and Young Adults.

Front Neurol 2018 10;9:733. Epub 2018 Sep 10.

Department of Neurosurgery, University Hospital Tübingen, Tübingen, Germany.

Neurofibromatosis Type 2 (NF2) is an autosomal-dominant tumor-prone disorder characterized by the manifestations of central nervous system lesions. However, the first clinical signs of disease are often non-tumorous. Cerebrovascular insults are known in NF2, however, not yet described as first symptom in young NF2 patients. Read More

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September 2018
12 Reads

Bilateral persistent primitive hypoglossal artery presenting with hemiplegia.

Radiol Case Rep 2018 Oct 22;13(5):1072-1075. Epub 2018 May 22.

Department of Radiology, Banner University Medical Center, Tucson, AZ, USA.

The manuscript describes an unusual vascular anomaly. Persistence of carotid-vertebrobasilar anastomosis is a rare occurrence with presence of bilateral hypoglossal arteries (HAs) rarer still. We present a case of bilateral persistent HAs with hypoplastic vertebral arteries which end into posterior inferior cerebellar arteries. Read More

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October 2018

[Neuroimaging characteristics of cryptogenic stroke with and without patent foramen ovale].

Zhonghua Yi Xue Za Zhi 2018 Sep;98(33):2636-2640

Department of Neurology, Henan Provincial People's Hospital, Zhengzhou 450003, China.

To explore the neuroimaging characteristics associated with the presence of patent foramen ovale(PFO) for patients with cryptogenic stroke. We retrospectively collected the clinical and imaging data of cryptogenic stroke patients with PFO and without PFO from Henan Province People's Hospital from January 1, 2013 to June 30, 2017. Lesion patterns and pertinent vascular territory were compared between the two groups. Read More

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September 2018
3 Reads

Cerebral Infarction in Young Marijuana Smokers - Case Reports.

Acta Medica (Hradec Kralove) 2018;61(2):74-77

Department of Neurology, Comprehensive Stroke Center, Charles University, Faculty of Medicine and University Hospital, Hradec Králové, Czech Republic.

Introduction: Causality of marijuana abuse with development of ischemic stroke has been indicated by numerous case reports and epidemiological studies. As a possible pathophysiological mechanism, the most common consideration is cardiac embolization during paroxysmal atrial fibrillation, systemic hypotension or multifocal intracerebral vasoconstriction.

Case Reports: We present three case reports of marijuana consumers who were admitted to our comprehensive stroke center due to ischemic stroke within 18-month period of our investigation. Read More

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January 2018
1 Read

FEATURES OF HEMODYNAMICS IN VERTEBROBASILAR ARTERIAL SYSTEM IN YOUNG PEOPLE, DEPENDING ON BIOMECHANICAL DISORDERS OF THE MUSCULOSKELETAL SYSTEM.

Georgian Med News 2018 Jul-Aug(280-281):48-53

Kharkiv Medical Academy of Postgraduate Education, Ukraine.

In order to study the features of hemodynamics in the vertebral artery (VA), depending on the biomechanical disorders of the cervical spine (CS) and the musculoskeletal system as a whole 105 patients (53 females and 52 males, mean age - 38±5,9 years) having signs of the Vertebrobasilar insufficiency on the background of biomechanical disorders of the CS and the locomotor system as a whole were examined. The control group included 50 practically healthy persons (25 females and 25 males, mean age - 37±5,6 years). Physical examination included a clinical-neurological, vertebro-neurological examination (visual assessment of violations of statics and dynamics of the musculoskeletal system, measuring the craniovertebral angle (CVA) using a photogrammetric method, manual diagnostics for the detection of muscular-tonic syndromes and musculoskeletal dysfunction) and Doppler ultrasound of extra- and intracranial segments of VA. Read More

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September 2018

Internal Carotid Artery Reconstruction with a "Mega Flow Diverter": First Experience with the 6×50 mm DERIVO Embolization Device.

Neurointervention 2018 Sep 31;13(2):133-137. Epub 2018 Aug 31.

Department of Interventional Neuroradiology, Fundación Jiménez-Diaz Hospital, Madrid, Spain.

Endoluminal reconstruction with a flow diverter device has emerged as a viable and often preferable alternative to traditional techniques for the treatment of intracranial aneurysms. Precise measurement and device selection are mandatory steps when considering flow diverters usage in order to avoid potential complications. In this sense, incomplete wall-apposition has been described as a predictive factor for immediate in-stent and delayed thrombosis after stent use. Read More

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September 2018
8 Reads

First Human Evaluation of Endothelial Healing after a Pipeline Flex Embolization Device with Shield Technology Implanted in Posterior Circulation Using Optical Coherence Tomography.

Neurointervention 2018 Sep 31;13(2):129-132. Epub 2018 Aug 31.

Department of Neurological Surgery, Rush University Medical Center, Chicago, IL, USA.

A 64-year-old female presented with an incidentally-discovered right posterior inferior cerebral artery (PICA) aneurysm, initially treated in 2015 by simple coiling. Follow-up demonstrated significant coil compaction that required retreatment. Retreatment was done uneventfully using a Pipeline embolization device (PED) shield deployed starting from the basilar artery and ending at the V4 segment of the vertebral artery. Read More

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September 2018
2 Reads

Endovascular recanalization and fast diagnosis improve results of ischemic stroke therapy.

Cas Lek Cesk 2018 ;157(4):188-194

The benefit of mechanical thrombectomy over intravenous thrombolysis was definitively proved by several studies in 2015. It is relevant for proximal, large artery occlusions in the anterior circulation with onset of clinical symptoms lasting 6 hours. Two trials published in 2018 showed that in patients who are selected using CT perfusion or MR diffusion weighted imaging, thrombectomy significantly improves outcome even up to 24 hours from onset. Read More

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January 2018
2 Reads

Risk of posterior circulation stroke in patients with cervical spondylosis: A nationwide, population-based study.

Atherosclerosis 2018 Oct 17;277:42-46. Epub 2018 Aug 17.

Graduate Institute of Biomedical Sciences, College of Medicine, China Medical University, Taichung, Taiwan; Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan; Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan. Electronic address:

Background And Aims: Cervical spondylosis (CS) is reported to be associated with vertebrobasilar insufficiency. However, few cohort studies have investigated the association between CS and posterior circulation ischemic stroke.

Methods: The study cohort comprised 27,990 patients aged ≥18 years with a first diagnosis of CS. Read More

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October 2018
1 Read

Y-configuration stenting for coiling of wide-neck bifurcation aneurysms using Low-profile Visualized Intraluminal Support Junior.

J Neurointerv Surg 2018 Aug 30. Epub 2018 Aug 30.

Department of Neurosurgery, Severance Hospital Stroke Center, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: Little has been reported about the feasibility and durability of a Low-profile Visualized Intraluminal Support Junior (LVIS Jr) Y-stenting device for wide-neck bifurcation aneurysms.

Purpose: To evaluate the feasibility and durability of LVIS Jr Y-stenting for coiling of unruptured wide-neck bifurcation aneurysms.

Methods: We identified patients in whom LVIS Jr Y-stenting was attempted for unruptured wide-neck bifurcation aneurysms from a prospectively maintained registry of a referral hospital. Read More

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August 2018
2 Reads

Vertebral Artery Occlusive Disease: Data from the Angiographically Confirmed Vertebral Artery Disease Registry.

J Stroke Cerebrovasc Dis 2018 Nov 25;27(11):3294-3300. Epub 2018 Aug 25.

Marcyhealth Rockford, Rockford, Illinois.

Background: We performed this study to identify demographic, clinical, and angiographic characteristics of adult patients with angiographically confirmed vertebral artery occlusive disease (VAOD) and associated risk factors.

Methods: The demographic and clinical characteristics, and angiographic features were ascertained using predefined criteria. Controls were selected from the National Health and Nutrition Examination Surveys matched according to age, sex, and ethnicity. Read More

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November 2018
4 Reads

[Surgical treatment of large and giant vertebrobasilar aneurysms manifested by brainstem compression symptoms].

Zh Vopr Neirokhir Im N N Burdenko 2018;82(4):32-37

Polenov Russian Research Institute of Neurosurgery, Branch of the Almazov National Medical Research Centre, St. Petersburg, Russia.

The study aim was to analyze the results of surgical treatment of vertebrobasilar (VB) aneurysms manifested by brainstem compression symptoms.

Material And Methods: The study included 8 patients operated on in the period between 2014 and 2017. All patients underwent intravascular intervention; two patients had open surgery at the second stage. Read More

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January 2018
8 Reads

[Clinical Features and Treatment Strategy of Vertebral Artery Injury Associated with Cervical Spine Trauma].

No Shinkei Geka 2018 Aug;46(8):663-671

Department of Neurosurgery, Kobe University Graduate School of Medicine.

Objective: Vertebral artery injury(VAI)associated with cervical spine trauma has the potential to cause catastrophic vertebrobasilar stroke. However, there are no well-defined treatment recommendations for VAI. The purpose of this study was to identify an effective treatment strategy for VAI following cervical spine trauma. Read More

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August 2018
1 Read

Ectopic origin of the ascending pharyngeal artery: implications for carotid surgery.

Surg Radiol Anat 2018 Oct 20;40(10):1181-1183. Epub 2018 Aug 20.

Division of Vascular and Endovascular Therapy, Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

In its normal anatomy, the extracranial internal carotid artery (ICA) does not have branches. The most common cause of an extracranial ICA branch is the ectopic placement of one of the named external carotid artery branches. Other causes of extracranial ICA branches include persistent fetal carotid-vertebrobasilar anastomoses and recannalized intersegmental arteries. Read More

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October 2018
2 Reads

Decompression by Cutting the Tentorium for Trigeminal Neuralgia Caused by Vertebrobasilar Dolichoectasia.

World Neurosurg 2018 Dec 8;120:72-77. Epub 2018 Aug 8.

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

Background: Trigeminal neuralgia caused by vertebrobasilar dolichoectasia (VBD) is rare and challenging to treat. Some authors have reported techniques for treating trigeminal neuralgia caused by VBD using various kinds of objects including clips, Proline slings, and titanium plates.

Methods: Here, we report the effectiveness of cutting and splitting of the tentorium in 3 patients with trigeminal neuralgia. Read More

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December 2018
10 Reads

Giant intracranial aneurysms of the posterior circulation and their relation to the brainstem: analysis of risk factors for neurological deficits.

J Neurosurg 2018 Aug 10:1-7. Epub 2018 Aug 10.

Department of Neurosurgery, Charité-Universitaetsmedizin Berlin.

OBJECTIVE Giant posterior circulation aneurysms (GPCirAs) usually cause substantial mass effect on the brainstem, which may lead to neurological deficits. So far, there has been no systematic investigation of factors associated with such deficits in GPCirA. The authors aim to examine the risk factors for cranial nerve deficit (CND), motor deficit, and disability in patients with GPCirA. Read More

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August 2018
3 Reads

Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management.

Authors:
K Devaraja

Eur Arch Otorhinolaryngol 2018 Oct 9;275(10):2421-2433. Epub 2018 Aug 9.

Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104, India.

Purpose: Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other. Read More

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October 2018
7 Reads

[Clinical features of ischaemic stroke with cerebral venous insufficiency and its risk factors.]

Adv Gerontol 2018 ;31(2):266-272

Saint-Petersburg State University, 7-9, Universitetskaya emb., St. Petersburg, 199034, Russian Federation;

Current research aimed to reveal clinical and neurological features of ischaemic stroke (IS) in patients suffering from cerebral venous insufficiency (CVI) combined with arterial hypertension (AH) and to identify its risk factors. Examination data of 112 patients with IS (aged 60-93 years old; mean age 72,1±2,6 years old, males - 39 (34,8%), females - 73 (65,2%), admitted at regional vascular center of St. Elizabeth City Hospital in Saint Petersburg, highlighted that cephalgic syndrome and vestibulocerebellar dysfunction occurred more frequently in stroke patients with CVI. Read More

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January 2018
3 Reads

Early Diffusion-Weighted Imaging Brain Stem Score for Acute Basilar Artery Occlusion Treated with Mechanical Thrombectomy.

J Stroke Cerebrovasc Dis 2018 Oct 30;27(10):2822-2828. Epub 2018 Jul 30.

Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.

Background: The diffusion-weighted imaging (DWI) brain stem score (BSS) is an easy to use and can predict the clinical outcome of acute basilar artery occlusion (BAO) who underwent endovascular thrombectomy. The purpose of the current study was to validate its performance in Chinese acute BAO patients treated with mechanical thrombectomy.

Methods: Fifty consecutive patients with acute BAO who received early magnetic resonance imaging and treated with mechanical thrombectomy in a single-center were included. Read More

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October 2018
9 Reads

Novel Use of Pipeline Stent Device After Inadvertent Microcatheter Rupture During Arteriovenous Fistula Embolization.

World Neurosurg 2018 Nov 30;119:345-348. Epub 2018 Jul 30.

Department of Neurosurgery, LSU-HSC, Shreveport, Louisiana, USA.

Background: Onyx, a liquid embolic agent, is the mainstay of embolization treatment of arteriovenous malformation or arteriovenous fistula. Microcatheter retention in an embolic cast is a well-known complication. Rupture of catheter with spillage of onyx is a rare phenomenon but can lead to potential occlusion of the parent vessel. Read More

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November 2018
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Treatment of Symptomatic Dolichoectatic Vertebrobasilar Aneurysms: A Single-Center Experience with 12 Patients.

World Neurosurg 2018 Nov 30;119:e407-e416. Epub 2018 Jul 30.

Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China. Electronic address:

Objective: To report our single-center experience in the treatment of dolichoectatic vertebrobasilar aneurysms.

Methods: We retrospectively reviewed the data, including clinical features, strategies of managing aneurysms, and follow-up results, of 12 patients who were treated at the Tainjin Huanhu Hospital.

Results: Of the 12 patients, 1 patient was treated with medication, 4 patients were treated using stent reconstruction, and 7 patients were treated via revascularization (open surgery). Read More

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November 2018