Cerebrovascular

Read the latest cerebrovascular clinical findings in Neurosurgery Watch and improve your practice with new approaches and techniques.

CV

MRI before intraarterial therapy in ischemic stroke: feasibility, impact, and safety

July 31, 2014
Cerebrovascular
By: 
Justin F. Fraser, MD
Source: 
Journal of Cerebral Blood Flow Metabolism

Intraarterial therapy (IAT) in acute stroke is increasingly used to recanalize major vessel occlusions, but recent trials failed to show significant benefit compared to intravenous thrombolysis, highlighting need for appropriate patient selection.  This article reports use of MRI diffusion weighted...

CV

Japanese Adult Moyamoya trial suggest EC-IC bypass may prevent re-bleeds

May 30, 2014
Cerebrovascular
By: 
Robert M. Starke, MD MSC
Source: 
Stroke

Optimal management of many patients with adult-onset moyamoya disease who experience intracerebral hemorrhage (ICH) is unclear. The prospective Japanese Adult Moyamoya trial randomized patients with adult-onset moyamoya disease and history of ICH to bilateral extracranial–intracranial direct bypass or conservative care. ...

CV

Low hemorrhage and seizure risks of asymptomatic cavernomas

May 30, 2014
Cerebrovascular
By: 
Stacey Quintero Wolfe, MD
Source: 
Journal of Neurosurgery

Cavernous malformation hemorrhage rates have classically been derived from a mixture of symptomatic and asymptomatic lesions.  In order to determine the prospective hemorrhage rate, Moore and co-authors present the longest follow-up of asymptomatic intracerebral cavernomas. 1311 patient-years of follow-up for 107...

CV

“ReCCLAIM I”: endovascular reperfusion and hypothermia for severe ischemic stroke

March 29, 2014
Cerebrovascular
By: 
Michelle J. Smith, MD
Source: 
J NeuroIntervent

Horn et al. report a prospective Phase I trial to assess hypothermia in severe cerebral infarction patients treated with mechanical thrombectomy. Although preclinical studies showed improved outcomes with hypothermia, clinical studies performed on a heterogeneous patient population failed to show...

CV

Fatal Intracerebral Hemorrhage After Pipeline Embolization of Aneurysm: Histopathological Analysis

February 28, 2014
Cerebrovascular
By: 
Stacey Quintero Wolfe, MD
Source: 
Journal of Neurosurgery

Delayed ipsilateral intraparenchymal hemorrhage following aneurysm treatment with the Pipeline Embolization Device has been observed in multiple studies without a clear etiology. This important study demonstrates convincing histopathological evidence of foreign material occluding small vessels within the hemorrhagic area in...

CV
PA

Headaches After Craniotomy Versus Endovascular Therapy for Aneurysms

August 1, 2013
Cerebrovascular, Pain
By: 
Justin F. Fraser, MD
Source: 
Wiley Online Library

Headaches can significantly impact quality of life after aneurysm treatment. Magalhães JE et al. (Headache, June 2013) performed a 4-month prospective cohort study comparing headaches in aneurysm patients after surgical clipping or endovascular coiling using the International Classification of Headache...

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