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Basilar Artery Thrombosis

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Basilar artery thrombosis during sexual intercourse.

Andreas Posa, Tobias Mueller, Olga Ungurs, Malte Kornhuber, Stephan Zierz,

An ischemic stroke during sexual intercourse is very rare. A basilar artery thrombosis during sexual intercourse has not been described previously. We report a young woman with a life-threatening basilar artery thrombosis during sexual intercourse, with a resulting locked-in syndrome. The positive high intensity transient signals (HITS) diagnosis showed a ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2020, :]

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A Case of Subclavian Artery Thrombosis.

Syed Adeel Hassan, Ali Akhtar, Noor Ul Falah, Maham Khan, Urooj Zahra,

Subclavian artery thrombosis is a rare cause of upper limb ischemia resulting from occlusion of the upper extremity blood supply. Symptomatic presentation is quite rare and therefore remains underdiagnosed by physicians. Possible catastrophic clinical consequences necessitate prompt rectification of the underlying disease and risk factors. Treatment modalities are often selected depending on ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6842]

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Basilar trunk artery aneurysm presenting with brainstem stroke.

Rasime P Kavak, Meltem Özdemir, Nezih Kavak, Ferhat Yıldırım,

Basilar trunk artery aneurysms are extremely rare lesions that account for only 2.1% of all intracranial aneurysms. They are mostly recognized in patients around the age of 60, show a slight male predominance, and are associated with high morbidity and mortality. Chronic mural bleeding ectasia is the most common subtype ... Read more >>

Radiol Case Rep (Radiology case reports)
[2020, 15(4):387-390]

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Diagnostic value of non-contrast brain computed tomography in the evaluation of acute cerebral venous thrombosis.

Shamim Tayyebi, Reza Akhavan, Majid Shams, Maryam Salehi, Donya Farrokh, Farhad Yousefi, Bita Abbasi,

Acute cerebral vein thrombosis is usually seen as increased attenuation in brain non-contrast computed tomography. It is so helpful to define measurable parameters for subjective evaluation of sinus thrombosis in non-enhanced brain computed tomography, especially where advanced neuroimaging techniques are not available. The purpose of this study is to evaluate ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):883]

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Migraine and Ischemic Stroke in Women. A Narrative Review.

Gretchen E Tietjen, Emily F Maly,

OBJECTIVE/BACKGROUND:Migraine is associated with ischemic stroke. Women are 3-fold as likely as men to have migraine, and high estrogen states increase the risk of migraine with aura (MWA), venous thromboembolism (VTE), and of stroke. We review the epidemiological and mechanistic evidence of the migraine-stroke relationship and its risk factors, with a ... Read more >>

Headache (Headache)
[2020, :]

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Timing of Thrombosis in Embolization of Unruptured Intracranial Aneurysms : Tirofiban as Rescue Treatment.

Dongwhane Lee, Deok Hee Lee, Jung Cheol Park, Jae Ho Shin, Yunsun Song, Jaewoo Chung, Jae Jon Sheen, Dae Chul Suh,

PURPOSE:Thrombosis is one of the main complications of endovascular treatment for unruptured intracranial aneurysms (UIA). This article reports the timing and initial location of thrombosis and prognosis after the use of tirofiban for performing coil embolization for UIA. METHODS:This study retrospectively collected 1686 cases of intracranial aneurysms treated with coil ... Read more >>

Clin Neuroradiol (Clinical neuroradiology)
[2020, :]

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Uni-hemispheric hyperperfusion in the early postictal state: case report.

A Velasco Gonzalez, C Schülke, B Buerke,

BACKGROUND:In the emergency setting of acute ischemic stroke, seizures have been reported in up to 4% of patients. In the absence of arterial occlusion, seizures may also cause abnormalities in CT perfusion in 78% of cases when the time window from onset to imaging is short. Both hyperperfusion and hypoperfusion ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):108]

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From Perviousness to Plaque Imaging in Acute Basilar Occlusions: The Impact of Underlying Stenosis and How to Detect It.

Maria T Berndt, David Pree, Johannes Kaesmacher, Christian Maegerlein, Benjamin Friedrich, Claus Zimmer, Silke Wunderlich, Fabian G Mück, Stefan Wirth, Tobias Boeckh-Behrens,

Background and Purpose- Recent studies show that mechanical thrombectomy of acute basilar artery occlusions (BAO) results in high rates of successful recanalization and good outcomes, but predictors are not completely established yet. Varying occlusion types may benefit differently, and especially, an underlying basilar stenosis (BS) seems to have an impact. ... Read more >>

Stroke (Stroke)
[2020, 51(3):766-774]

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Spinal Cord Injury Secondary to "Head Banging" at a Punk Rock Concert.

Hasanga Fernando, Joseph F Baker,

Heavy metal and rock concert audience members may engage in "head banging." Despite various reports highlighting the potential risks involved, formal injury research in this area is limited. We report the first ever case of cervical disc prolapse resulting in cervical myelopathy secondary to head banging. Through this case, we ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6707]

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Neuroform Atlas stent-assisted coiling of ruptured intracranial aneurysms: a multicenter study.

Riccardo Russo, Gianni Boris Bradac, Lucio Castellan, Ivan Gallesio, Diego Garbossa, Giuseppe Iannucci, Dikran Mardighian, Roberto Menozzi, Antonio Pitrone, Giuseppe Romano, Fabrizio Venturi, Mauro Bergui,

PURPOSE:To assess efficacy, safety and to discuss optimal medical therapy of stent-assisted coiling of ruptured intracranial aneurysms. METHODS:Ruptured intracranial aneurysms treated with stent-assisted coiling in eight different institutions were retrospectively reviewed. Medical treatment regimens varied among the centers, mainly regarding heparin administration and post-procedural single or double antiplatelet therapy. Clinical ... Read more >>

J Neuroradiol (Journal of neuroradiology = Journal de neuroradiologie)
[2020, :]

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Catastrophic stroke burden in a patient with uncontrolled psoriasis and psoriatic arthritis: a case report.

Joline M Fan, David A Solomon, Giselle Y López, Jeffrey W Hofmann, Rene A Colorado, Anthony S Kim, Karl Meisel, Cathra Halabi,

BACKGROUND:Psoriasis is the most common chronic inflammatory condition involving the T helper cell system. Population studies have demonstrated that patients with psoriasis and/or psoriatic arthritis have an increased risk of developing vascular risk factors, including diabetes, hypertension, and obesity, and increased risk of adverse vascular events, including myocardial infarction and ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):106]

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Internal Carotid Artery to Posterior Cerebral Artery Bypass for Fusiform Basilar Artery Aneurysm: 2-Dimensional Operative Video.

Benjamin K Hendricks, Robert F Spetzler,

Fusiform dolichoectatic basilar trunk aneurysms pose an immense surgical challenge because of the extremely eloquent tissue at risk during the procedure and the complex management strategies required to relieve mass effect on the brainstem. The patient presented in this case experienced progressive brainstem deterioration with quadraparesis and multiple cranial neuropathies. ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(1):E1]

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Mechanical Thrombectomy for Posterior Circulation Occlusion: A Comparison of Outcomes with the Anterior Circulation Occlusion - A Meta-Analysis.

Fengzhi Wang, Jiaoqi Wang, Qiu He, Liyu Wang, Yumeng Cao, Hemin Zhang, Zhongxin Xu,

AIM:There is no randomized controlled trial to compare the effectiveness and safety of mechanical thrombectomy (MT) to intravenous thrombolysis in patients with posterior circulation occlusion (PCO). Hence, we firstly performed a meta-analysis to investigate the outcomes of MT in PCO and then compared these outcomes to anterior circulation occlusion (ACO) ... Read more >>

J. Atheroscler. Thromb. (Journal of atherosclerosis and thrombosis)
[2020, :]

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[Perianeurysmal Edema:An Indirect Sign of a Minor Leak from an Intracranial Aneurysm].

Taro Asano, Ayaka Matsuo, Tomoya Moritsuka, Kazuya Honda, Takeshi Hiu, Ichiro Kawahara, Tomonori Ono, Wataru Haraguchi, Ryujiro Ushijima, Keisuke Tsutsumi,

We report a rare case of perianeurysmal edema(PAE)around the dome of a usual intracranial aneurysm. A 79-year-old woman who presented with a dull headache that had become stronger from a month before was referred to our hospital for further examination of an aneurysm. MR angiogram had detected the aneurysm, having ... Read more >>

No Shinkei Geka (No shinkei geka. Neurological surgery)
[2020, 48(1):47-54]

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Occipitocervical fusion complicated with cerebellar abscess: a case report.

Cheng-Chi Lee, Yu-Tse Liu,

BACKGROUND:Occipitocervical (OC) fusion is indicated for OC instability and other conditions. Surgical complications include infection, malunion, and instrument failure. CASE PRESENTATION:We described a patient who underwent OC fusion and subsequently developed complication of cerebellar abscess and obstructive hydrocephalus. A 63-year-old male patient had been suffering from long-term neck pain and ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):129]

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Cocaine as a rare cause of locked-in syndrome: a case report.

Osman Ali, Mark G Bueno, Trinh Duong-Pham, Nuwan Gunawardhana, Dena H Tran, Robert D Chow, Avelino C Verceles,

INTRODUCTION:In the United States, cocaine is a commonly used drug of abuse. It is also a recognized contributing factor for both hemorrhagic and ischemic strokes. However, cocaine-induced basilar artery thrombosis has rarely been reported in the literature. CASE PRESENTATION:Our patient was a 51-year-old African American woman with a history of ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2019, 13(1):337]

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Use of the pCONus HPC as an adjunct to coil occlusion of acutely ruptured aneurysms: early clinical experience using single antiplatelet therapy.

Marta Aguilar Perez, Muhammad AlMatter, Victoria Hellstern, Christina Wendl, Oliver Ganslandt, Hansjörg Bäzner, Hans Henkes,

BACKGROUND:Coil occlusion has become the standard treatment for many ruptured aneurysms. However, specific aneurysm structures pose technical difficulties and may require the use of adjunctive neck-bridging devices, which necessitate the use of dual antiplatelet therapy. The hydrophilic polymer coating (pHPC, phenox) is a surface modification that inhibits platelet adhesion. OBJECTIVE:To ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[2020, :]

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MRI characteristics in acute ischemic stroke patients with preceding direct oral anticoagulant therapy as compared to vitamin K antagonists.

Thomas Raphael Meinel, Johannes Kaesmacher, Jan Gralla, David J Seiffge, Elias Auer, Sebastién Frey, Marwan El-Koussy, Marcel Arnold, Urs Fischer, Martina Göldlin, Simon Jung, Arsany Hakim,

BACKGROUND:Despite the utility of neuroimaging in the diagnostic and therapeutic management of patients with acute ischemic stroke (AIS), imaging characteristics in patients with preceding direct oral anticoagulants (DOAC) compared to vitamin K antagonists (VKA) have hardly been described. We aimed to determine presence of large vessel occlusion (LVO), thrombus length, ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):86]

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Trans-lamina terminalis approach assisted by endovascular temporary basilar artery occlusion for high-positioned, recurrent, basilar tip aneurysm: A technical case report.

Shinya Tabata, Tomoya Kamide, Toshiki Ikeda, Yuichiro Kikkawa, Shigen Kasakura, Shinya Kohyama, Hiroki Kurita,

Background:Coil embolization is increasingly becoming the surgical intervention of choice for cerebral aneurysms, particularly for those in the posterior circulation. However, in cases where it is difficult to perform coil embolization, microsurgical clipping is still required. Case Description:We present a case of a high-positioned, ruptured, recurrent basilar tip aneurysm treated ... Read more >>

Surg Neurol Int (Surgical neurology international)
[2020, 11:13]

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Optical coherence tomography evaluation of vertebrobasilar artery stenosis: case series and literature review.

Xiaohui Xu, Min Li, Rui Liu, Qin Yin, Xuan Shi, Fang Wang, Jie Gao, Gelin Xu, Ruidong Ye, Xinfeng Liu,

BACKGROUND:Intracranial vertebrobasilar artery stenosis is an important cause of ischemic stroke. With its high resolution, intravascular optical coherence tomography (OCT) provides detailed assessment of vessel wall features. It is widely applied to identify high-risk plaque in the cardiovascular system, but its use in the intracranial artery has been limited. OBJECTIVE:To ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[2020, :]

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Future Directions of Flow Diverter Therapy.

Albert Ho Yuen Chiu, Timothy John Phillips,

The treatment of intracranial aneurysms has undergone a few very significant paradigm shifts in its history. Needless to say, microsurgery and surgical clipping served as the initial basis for successful treatment of these lesions. The pursuit of endovascular therapy subsequently arose from the desire to reduce the invasiveness of therapy. ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(Supplement_1):S106-S116]

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Early Rupture of a Giant Basilar Artery Aneurysm after LEO Stenting: Case Report and Review of the Literature.

Fabio Strange, Jenny Kienzler, Beda Muehleisen, Michael Diepers, Javier Fandino, Luca Remonda, Serge Marbacher,

BACKGROUND: Advances in the endovascular armamentarium, such as flow diversion and stenting devices, provide treatment options for posterior circulation intracranial aneurysms (IAs) with complex angioarchitecture. Delayed IA rupture following flow diversion is a rare but often fatal complication. Giant IAs likely pose a higher risk because of the extensive clot formation ... Read more >>

J Neurol Surg A Cent Eur Neurosurg (Journal of neurological surgery. Part A, Central European neurosurgery)
[2020, 81(2):177-184]

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A case of cardiac tamponade during the treatment of simultaneous cardio-cerebral infarction associated with atrial fibrillation - Case report.

Masahito Katsuki, Shigemi Katsuki,

Background:Simultaneous cerebral and myocardial infarction is called cardio-cerebral infarction (CCI). It is a rare condition, and its management strategy has yet to be determined. We report a case of cardiac tamponade during the treatment of CCI associated with atrial fibrillation. Case Description:A 72-year-old man presented with loss of consciousness after ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:241]

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Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report.

Axel Ferreira, Paulo S Coelho, Vítor Tedim Cruz,

BACKGROUND:A persistent trigeminal artery (PTA) is a non-involuted embryonic vessel that connects the cavernous part of the internal carotid artery with the posterior circulation. In the adult it is associated with multiple pathological conditions including trigeminal neuralgia, ophthalmoplegia, hypopituitarism, intracavernous fistula, brain aneurysms and posterior circulation strokes. The latter may ... Read more >>

BMC Neurol (BMC neurology)
[2019, 19(1):257]

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Two pediatric cases of epidural hematoma in the posterior fossa with extension along the sigmoid sinus groove: MR evaluation.

Daisuke Sakamoto, Shogo Fukuya, Atsuko Harada, Hidetsuna Utsunomiya,

To discuss the computed tomography (CT) and magnetic resonance (MR) findings of posterior fossa epidural hematoma (PFEDH) mimicking sinus thrombosis, we present two pediatric cases with the PFEDH extending along the sigmoid sinus groove evaluated by MR imaging (MRI) and MR venography (MRV). T2-weighted coronal MRI can diagnose both patency ... Read more >>

Acta Radiol Open (Acta Radiologica Open)
[2020, 9(2):2058460120902894]

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