A 37-year-old pregnant woman without neurological history was admitted in the 21st week of pregnancy for multiple seizures. Angiography confirmed the diagnosis of cerebral angioma. The patient decided to continue with her pregnancy; caesarean section under regional anesthesia via an epidural catheter was uneventful. Five weeks later the angioma was resected after sudden recurrence of seizures and neurological deterioration. In this report, the therapeutic options for elective neurosurgical intervention after possible termination of pregnancy, during pregnancy, or after delivery are discussed including anesthesiological management during delivery.
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J Investig Med High Impact Case Rep
January 2025
The University of the West Indies, St. Augustine, Trinidad and Tobago.
We describe a 30-year-old Caribbean-Black woman with a clinical presentation suggestive of a transient ischemic attack (TIA) with no conventional cerebrovascular risk factors, albeit with a newly diagnosed quadricuspid aortic valve (QAV) with moderate aortic regurgitation (AR). Although QAV is a recognized congenital cardiac defect, its association with TIA remains elusive. This case highlights the importance of considering potential atypical etiologies, such as QAV, in the evaluation and management of young patients presenting with cerebrovascular events.
View Article and Find Full Text PDFHu Li Za Zhi
February 2025
Department of Nursing, Mackay Medical College, Taiwan, ROC.
Hypertension is a common disease both globally and in Taiwan that poses significant health risks. According to Taiwan's Health Promotion Administration, abnormal blood pressure is prevalent in up to 80% of the adult population aged 65 and above. Hypertension is associated with serious health issues such as cerebrovascular diseases, renal failure, and cardiovascular diseases, and ranks as the seventh leading cause of death in Taiwan.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
January 2025
Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Study Design: Systematic Review and Meta-analysis.
Objective: This study aims to compare the efficacy and safety of surgical and endovascular treatments for SDAVFs.
Summary Of Background Data: Spinal dural arteriovenous fistulas (SDAVFs) result from an abnormal connection between the radiculomeningeal artery and the radicular vein, leading to venous hypertension and potential neurological damage.
Neuroimage
January 2025
Department of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, the Netherlands. Electronic address:
Background: Anatomical variations in the circle of Willis (CoW) arteries are common and can affect hemodynamic stress, thereby influencing the risk of cerebrovascular pathology. Previous studies have suggested sex differences in CoW anatomy, but findings vary due to limited study population size and different measurement methods. This study aims to investigate sex differences in artery diameters, anatomical variants and bifurcation angles of the CoW using a large population cohort and semi-automatic measurements.
View Article and Find Full Text PDFMedComm (2020)
February 2025
Department of Neurosurgery Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences Beijing China.
Moyamoya disease (MMD) is a type of cerebrovascular disease characterized by occlusion of the distal end of the internal carotid artery and the formation of collateral blood vessels. Over the past 20 years, the landscape of research on MMD has significantly transformed. In this review, we provide insights into the pathogenesis, diagnosis, and therapeutic interventions in MMD.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!