Publications by authors named "Ariyan Pirayesh"

Article Synopsis
  • The study examines the challenges and outcomes of microsurgical re-treatment for complex intracranial aneurysms (CIAs) that were previously treated with coil embolization (CE), highlighting the high rates of recanalization in these cases.
  • Over five years, 12 patients with precoiled CIAs were analyzed; the surgical approaches included neck clipping, adjunct coil extraction, and flow alteration techniques, resulting in successful exclusion of most aneurysms.
  • The findings suggest that while microsurgery can lead to good outcomes for many patients, careful consideration of CE as a re-treatment option is crucial due to the complexity introduced by previous coiling.
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Objective: Apart from the "common" lesions (e.g. pituitary adenomas, Rathke's cleft cysts, meningiomas and craniopharyngiomas), there is a plethora of rare tumors or tumor-mimicking lesions in the sellar and suprasellar region (SSR).

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Objective: Despite advances in skull base surgery, surgical removal of petroclival meningiomas (PCM) still poses a considerable neurosurgical challenge with regard to postoperative morbidity and the patients' long-term outcome. Knowledge of imaging features for PCM that might help to predict common risk factors encountered with tumor resection preoperatively is limited. The aim of this study was to clarify whether MRI features of PCM might predict tumor resectability and clinical outcome.

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Object: The current, generally accepted optimal management for hydrocephalus related to vestibular schwannomas (VSs) is primary tumor removal, with further treatment reserved only for patients who remain symptomatic. Previous studies have shown, however, that this management can lead to an increase in surgery-related complications. In this study, the authors evaluated their experience with the treatment of such patients, with the aim of identifying the following: 1) the parameters correlating to the need for specific hydrocephalus treatment following VS surgery; and 2) patients at risk for developing hydrocephalus-related complications.

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