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Endovascular thrombectomy: an effective and safe therapy for perioperative ischemic stroke.
Front Neurol
November 2024
Department of Neurology, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Background: Perioperative ischemic stroke is a rare but devastating complication. Mechanical thrombectomy is a promising therapeutic method, but very little data is available on its efficacy and safety. This study aims to answer this question by comparing the clinical outcomes of perioperative and community-onset stroke patients after endovascular therapy.
View Article and Find Full Text PDFDramatic Reanimation and Spontaneous Re-Canalization of a Fourth Ventricular Hemorrhage: "REVIVE" Phenomenon.
Neurohospitalist
October 2024
Departments of Neurological Surgery, Neurology and Critical care, Mayo Clinic, Jacksonville, Florida, USA.
Background: Intraventricular hemorrhage is a calamitous type of stroke where bleeding into the ventricular system can be defined as: primary, if confined within the ventricles; or secondary, due to intracerebral hemorrhage extending from adjacent parenchyma. Intraventricular blood clot can lead to secondary insult and inflammatory responses that culminates in hydrocephalus as the most common cause of death.
Purpose: THerein, we report a patient with a high modified Graeb scale and low Glasgow coma scale.
Clipping of a ruptured cerebral aneurysm in a toddler: a case report and review of aneurysmal treatment in children.
Transl Pediatr
October 2024
Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, NY, USA.
Background: Pediatric intracranial aneurysms account for 5% of all aneurysms and less than 10% of all aneurysms cause non-traumatic intracranial hemorrhage in children. They are most commonly secondary to trauma, infection, or genetic etiologies; however, case reports have described iatrogenic intracranial aneurysms. We describe a case of a ruptured aneurysm with an associated intracranial hematoma that was treated by surgical clipping and clot evacuation.
View Article and Find Full Text PDFA Moving Target: Studying the Effect of Continuous Transcutaneous CO Monitoring in ELBW Infants During an Equipoise Shift.
J Clin Med
October 2024
Department of Neonatology, Rambam Health Care Campus, Haifa 3525408, Israel.
Article Synopsis
- The study aimed to determine if using a continuous non-invasive pCO monitor in extremely low birth weight (ELBW) infants during their first week of life could reduce rates of severe brain injuries (IVH or PVL) and related mortality.
- A total of 132 ELBW infants were observed, divided into a study group monitored by the TCpCO and a smaller control group due to monitor availability, showing no significant difference in rates of IVH/PVL or combined outcomes between the two groups.
- The research highlighted difficulties in conducting controlled trials in fast-evolving medical practices, as changes in standard care complicated the study's findings and limited the ability to make strong conclusions.
Endoport-Assisted Endoscopic Technique for Evacuating Severe Intraventricular Hemorrhage with Cast Third Ventricle Hematoma in an Underwater Field: A Technical Note.
World Neurosurg
November 2024
Department of Neurosurgery, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Objective: We describe a 2-stage strategy utilizing the endoport-assisted endoscopic technique for the evacuation of severe intraventricular hemorrhage (IVH) with a cast third ventricle, and discuss potential pitfalls in the implementation of this method in clinical practice.
Methods: Patients with severe IVH (Graeb score >6) and a cast third ventricle who presented to our center from 2021 to 2023 were treated with a 2-stage surgical strategy utilizing the endoport-assisted endoscopic technique.
Results: A total of 9 patients with mean age of 55 years were included in the study.
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