Publications by authors named "Emmajane G Rhodenhiser"
Background: Although intracranial arachnoid cysts are often asymptomatic, a small subset of patients develop debilitating symptoms. A cohort of patients with arachnoid cysts with varying presentations underwent endoscopic cystoventriculostomy, with a significant reduction in symptoms.
Observations: Three patients presented with chronic complaints, all involving headache in addition to other symptoms, and were noted to have large intracranial arachnoid cysts on imaging.
Background: This study assessed neurological outcomes and variables associated with favorable outcomes in aneurysmal subarachnoid hemorrhage patients with low functional status (Glasgow Coma Scale [GCS] score ≤8) on postbleed day 7 (PBD7).
Methods: A retrospective analysis was conducted of all patients in the Barrow Ruptured Aneurysm Trial (January 1, 2014-July 31, 2019) treated for a ruptured aneurysm and who had a GCS score ≤8 on PBD7. The primary outcome was a favorable neurological outcome (modified Rankin Scale score ≤2) at last follow-up.
Racial and socioeconomic health disparities are well documented in the literature. This study examined patient demographics, including socioeconomic status (SES), among individuals presenting with aneurysmal subarachnoid hemorrhage (aSAH) and unruptured intracranial aneurysm (UIA) to identify factors associated with aSAH presentation. A retrospective assessment was conducted of all patients with aSAH and UIA who presented to a large-volume cerebrovascular center and underwent microsurgical treatment from January 2014 through July 2019.
View Article and Find Full Text PDFObjective: The PHASES (Population, Hypertension, Age, Size, Earlier subarachnoid hemorrhage, Site) score was developed to facilitate risk stratification for management of unruptured intracranial aneurysms (UIAs). This study aimed to identify the optimal PHASES score cutoff for predicting neurologic outcomes in patients with surgically treated aneurysms.
Methods: All patients who underwent microneurosurgical treatment for UIA at a large quaternary center from January 1, 2014, to December 31, 2020, were retrospectively reviewed.
Article Synopsis
- Recent advancements in microsurgical techniques have led to a low mortality rate for patients undergoing treatment for unruptured intracranial aneurysms (UIAs) from 2014 to 2020.
- Out of 488 patients treated, only 1 patient died during hospitalization, and an additional 7 died within one year, with various causes of death identified.
- Significant predictors of mortality included nonsaccular aneurysms and higher grades on the American Society of Anesthesiologists scale, while other factors like diabetes and prior anticoagulant use were noted in univariate analysis.
Objective: Radiation was first demonstrated to be associated with cavernomagenesis in 1992. Since then, a growing body of literature has shown the unique course and presentation of radiation-induced cavernous malformations (RICMs). This study summarizes the literature on RICMs and presents a single-center experience.
View Article and Find Full Text PDFBackground: Approximately 3.2%-6% of the general population harbor an unruptured intracranial aneurysm (UIA). Ruptured aneurysms represent a significant healthcare burden, and preventing rupture relies on early detection and treatment.
View Article and Find Full Text PDFBackground: Optimal definitive treatment timing for patients with aneurysmal subarachnoid hemorrhage (aSAH) remains controversial. We compared outcomes for aSAH patients with ultra-early treatment versus later treatment at a single large center.
Method: Patients who received definitive open surgical or endovascular treatment for aSAH between January 1, 2014, and July 31, 2019, were included.
Objective: Safe entry zones (SEZs) enable safe tissue transgression to lesions beneath the brainstem surface. However, evidence for the safety of SEZs is scarce and is based on anatomical studies, case reports, and small series.
Methods: A cohort of 154 patients who underwent microsurgical brainstem cavernous malformation (BSCM) treatment during a 23-year period and who had preoperative MR images and intraoperative photographs or videos was retrospectively examined.
Article Synopsis
- Basilar artery fenestration aneurysms (BAFAs) are rare and typically co-occur with other aneurysms, presenting treatment challenges and limited case reports.
- A review of studies found that most patients with BAFAs had ruptured aneurysms, and while endovascular treatment (EVT) was more common and had better outcomes, microsurgery also produced positive results.
- Overall, both treatment methods resulted in good clinical outcomes, but EVT showed a lower rate of postoperative complications and a higher success in achieving complete occlusion of the aneurysms.
Objective: Many factors influence an author's choice for journal submission, including journal impact factor and publication speed. These and other bibliometric data points have not been assessed in journals dedicated to neurosurgery.
Methods: Eight leading neurosurgery journals were analyzed to identify original articles and reviews, collected via randomized, stratified sampling per published issue per year from 2016 to 2020.
Objective: The "weekend effect" is the negative effect on disease course and treatment resulting from being admitted to the hospital during a weekend. Whether the weekend effect is associated with worse outcomes for patients treated for aneurysmal subarachnoid hemorrhage (aSAH) is unknown. We assessed neurologic outcomes of patients with aSAH admitted during the weekend versus during the week.
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