Cerebral cavernous malformations are rarely described in children. Giant cavernous malformations are exceptional in this group of patients. The authors reports a case of an eleven months boy, who begins at the sixth month of life with epilepsy. Medical therapy was advised and imagenological studies were carried out. An IRM was performed, and shows a giant cavernous malformation in the right parietal lobe. Surgery was carried out, with complete resection of the lesion. In the postoperative period and at more than a year of follow up, he was free of crisis. We report the case because of the rarity of a giant cavernous angioma in a patient less than a year old.
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World Neurosurg
December 2024
Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Chuo, Japan.
Background: Flow diverters (FDs) have been introduced for the management of large or giant cavernous carotid aneurysms (CCAs) in addition to conventional modalities, dramatically changing treatment strategies. The aim of this study was to examine the management of unruptured large/giant CCAs in Japan when FDs were being introduced using a nationwide survey.
Methods: 540 unruptured large/giant CCAs treated at neurosurgical teaching departments in Japan between 2012 and 2016 were retrospectively studied.
J Neuroendovasc Ther
October 2024
Department of Neurology, Shanghai Pudong New Area Gongli Hospital, Shanghai, China.
Objective: Giant aneurysms of the cavernous segment of the internal carotid artery presenting as acute ischemic stroke (AIS) are rare and often misdiagnosed. Limited treatment experience further complicates management.
Case Presentation: A 70-year-old female presented with acute right middle cerebral artery (MCA) occlusion due to a dislodged thrombus from a giant internal carotid aneurysm.
NMC Case Rep J
November 2024
Department of Neurosurgery, Takeda General Hospital, Kyoto, Kyoto, Japan.
A 74-year-old woman had a lacunar infarction in the brainstem and was admitted to Takeda General Hospital for treatment. She had significant sequelae and was discharged with a Modified Rankin Scale 0. Imaging follow-up was conducted every year after discharge on an outpatient basis.
View Article and Find Full Text PDFInterv Neuroradiol
December 2024
Department of Neuroradiology, Imperial College Healthcare NHS Trust, London, UK.
Background: Flow diverting stents (FDS) are an established endovascular treatment for intracranial aneurysms but are reported to have varying rates of adequate occlusion and thromboembolic complications. This study reports clinical safety and efficacy results of the FRED and FRED Jr FDS in clinical practice in the UK at 6 months and 1 year.
Methods: The FRED-UK study is a single arm, multicentre, prospective, observational study conducted in the UK.
Clin Neurol Neurosurg
January 2025
Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan. Electronic address:
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