Thrombolytic therapy by pro-Urokinase combined with tissue plasminogen activator in an acute internal carotid occlusion.

Acute occlusion of the internal carotid artery by a cardiac embolus was quickly recanalized by the new thrombolytic agent, pro-Urokinase, combined with tissue plasminogen activator, without any side-effects. This is the first reported case of thrombolytic therapy of a cerebral artery using these agents in combination.

Transient hydrocephalus due to movement of a clot plugging the aqueduct.

A rare case of transient hydrocephalus is reported. A 64-year-old woman presented with headache. Computerized tomography (CT) scan revealed hydrocephalus with tiny blood clots in the left foramen of Monro and in the aqueduct.

P2 aneurysm approached via the temporal horn: technical case report.

Objective And Importance: We report the use of a transcortical transventricular approach to a P2 aneurysm, which was located near the choroidal fissure, protruded into the temporal horn, and was considered to be too difficult to approach by the conventional subtemporal route.

Clinical Presentation: An 81-year-old woman suddenly developed severe headache with vomiting and subsequently lost consciousness. Computed tomographic scans revealed a diffuse intraventricular hemorrhage and subarachnoid hemorrhage.

Percutaneous transluminal angioplasty of the internal carotid artery with a continuous-perfusion dilatation catheter.

A patient who lost consciousness and had a convulsion caused by brain ischemia during balloon inflation in connection with percutaneous transluminal angioplasty was successfully treated with a continuous-perfusion dilatation catheter without complications.

[Natural course of non-operative cases of acute subdural hematoma: sequential computed tomographic study in the acute and subacute stages].

We have studied 20 non-operative cases of traumatic acute subdural hematoma in the acute and subacute stages by sequential computed tomography (CT). 20 patients were divided into three groups as is shown below; 8 patients with rapid complete resolution within 24 hours (rapid resolution group), 10 patients with slow resolution beyond 24 hours, mainly in the subacute stage (slow resolution group), and 2 patients worsening clinically due to the increase of subdural fluid collection in the subacute stage (subacute worsening group, what is called, "subacute subdural hematoma"). In the rapid resolution group, CT showed mixed density thin subdural hematoma in 6 patients; delayed subdural effusion in 3 patients; cerebral contusion in 2 patients; and diffuse brain swelling in 2 patients.