Publications by authors named "A Borha"

Introduction: Anterior sacral meningocele is a rare congenital disorder, occurring isolated or in syndromic disease.

Case Report: A 15-year-old patient who complained of abdominal pain and urinary dysfunction was managed surgically. Imaging diagnosed a giant presacral meningocele and agenesis of the coccyx.

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Background: Distal anterior cerebral aneurysm (DACA) represents 4% of intracranial aneurysms. Two treatment modalities are available: microsurgery and endovascular therapy (EVT).

Objective: To compare the results between microsurgery and EVT in a modern French cohort.

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Article Synopsis
  • Ruptured middle cerebral artery aneurysms (MCAa) can cause serious brain bleeding (intracerebral hematoma), and the study aimed to compare the outcomes of two treatments: microsurgery (clipping) and endovascular therapy (EVT).
  • The research involved 162 adult patients who needed evacuation of intracerebral hematoma across nine hospitals in France, analyzing factors linked to recovery using a standard scale (modified Rankin scale) after six months.
  • Results showed that clipping was associated with better functional outcomes (30% poor outcome rate) compared to EVT (76% poor outcome rate), potentially due to longer delays in treatment for the EVT group.
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Background: Endovascular thrombectomy has changed the management of ischemic stroke. The reperfusion can however lead to a hemorrhagic transformation (HT). Decompressive craniectomy (DC) is a surgical procedure used for malignant ischemic stroke.

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Objective: Middle cerebral artery aneurysms (MCAAs) have been considered good candidates for microsurgery. Our objective was to evaluate the risk of complications and the risk factors for complications with microsurgical treatment of MCAAs to better define the indications for microsurgery.

Methods: We conducted a retrospective cohort study from 3 tertiary neurosurgical units from January 2013 to May 2020.

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