A5076950896- Intracranial Aneurysms: Treatment and Complications
- Cerebrovascular and Carotid Artery Diseases
- Moyamoya disease diagnosis and treatment
- Acute Ischemic Stroke Management
- Vascular Malformations Diagnosis and Treatment
- Meningioma and schwannoma management
- Intracerebral and Subarachnoid Hemorrhage Research
- Neurological Complications and Syndromes
- Atrial Fibrillation Management and Outcomes
- Blood Coagulation and Thrombosis Mechanisms
- Cardiovascular and Diving-Related Complications
- Neurological and metabolic disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebral Venous Sinus Thrombosis
- Cleft Lip and Palate Research
- Trigeminal Neuralgia and Treatments
- Congenital Anomalies and Fetal Surgery
- Central Venous Catheters and Hemodialysis
- Stroke Rehabilitation and Recovery
- Cerebrospinal fluid and hydrocephalus
- Neurosurgical Procedures and Complications
- Antiplatelet Therapy and Cardiovascular Diseases
- Spinal Hematomas and Complications
- Infectious Diseases and Tuberculosis
- Pregnancy and preeclampsia studies
Instituto Nacional de Neurología y Neurocirugía
2009-2025
Hospital Angeles Pedregal
2007-2011
Universidad Nacional Autónoma de México
2007-2009
Neurological Surgery
2008
Hospital Santa Paula
2006
Object The use of intracranial stents in stent-assisted coil embolization is now a current neurosurgical practice worldwide. clinical utility these the sole stenting (SS) technique, however, has not been thoroughly described, and published reports this experience are scarce. This study was designed to evaluate SS treatment dissecting nondissecting aneurysms posterior circulation. Methods prospective descriptive conducted 20 consecutive patients who harbored single circulation were treated...
Although pregnancy and postpartum have long been associated with stroke, there is a dearth of information in Latino-American populations. The aim this study was to describe the cerebrovascular complications occurring during pregnancy/postpartum compare characteristics amongst stroke types period Hispanic women.We studied 240 women first 5 weeks postpartum, from our registry. Patients were classified into three groups: cerebral venous thrombosis (CVT), ischaemic (IS), intracerebral hemorrhage...
So-called direct carotid-cavernous fistulas (CCFs) are commonly treated by detachable balloons or coils to occlude the shunt while sparing carotid artery. Liquid embolic agents have been rarely used, and in particular, authors' knowledge, use of Onyx as sole agent has never reported an indexed publication.The authors describe a case series 5 patients with posttraumatic CCF whom embolization was prospectively used strategy management.Complete occlusion obtained at end procedure 4 cases,...
The purpose of this study was to identify the anatomical variants (AVs) in intracranial arterial circulation patients who underwent neuro-interventional procedures (NIPs) and describe their relationship with aneurysms (IA). We performed a cross-sectional analysis angiographic images from NIP at Interventional Neuroradiology Department National Institute Neurology Neurosurgery México between July 1, 2020, January 2022. After reviewing 150 NIPs, we found 144 AVs., yielding prevalence 81%. Of...
Cerebral vasospasm (CV) accounts significant morbimortality after aneurysmal subarachnoid hemorrhage. The objective of this study was to compare the clinical outcome patients with CV treated by 2 endovascular procedures: intra-arterial nimodipine angioplasty (IANA) and balloon (BA). Between 2008 June 2011, we performed 22 IANA 8 BA in 30 patients. mean age 44 years 60% female. In 17 patients, treatment clipping, whereas 13 underwent coil treatment. severe 63%, moderate 30%, mild 7%. Good...
Background and Importance . Sellar tuberculomas are extremely rare lesions with nonspecific clinical manifestations. The tuberculous infection of the pituitary gland sellar region is characterized by presence an acute or chronic inflammatory reaction may occur in absence systemic tuberculosis. diagnosis difficult prior to surgery. An adequate diagnostic antituberculous drugs usually result a good outcome. Clinical Presentation We report four cases tuberculoma, 3/1 female/male, age range:...
There is inequality in access to recent advancements endovascular treatment of acute ischemic stroke (AIS), and Mexico unusually sensitive such inequality.To report the initial experience Mexican Endovascular Reperfusion Registry (MERR).The MERR an academic, independent, prospective, multicenter, observational registry patients treated with reperfusion techniques hospitals. The includes information on demographic clinical characteristics, diagnostic procedures, treatments, selected time...
✓Endovascular treatment of intracranial aneurysms has evolved since the introduction detachable coils. Sole stenting is a brand-new technique that recently emerged as definitive for saccular or fusiform at particular locations. Superior cerebellar artery are rare, and few treated cases have been reported. Most them surgically, endovascular usually managed with occlusion parent vessel. The authors report on first two endovascularly complete cure aneurysm well preservation vessel distal...
Sinus pericranii (SP) is an abnormal communication between the intracranial and extracranial venous drainage pathways. Treatment of this condition has mainly been recommended for aesthetic reasons prevention hemorrhage. The authors report a conservative treatment potentially lethal complications.
The sole stenting technique has emerged as a new tool for the management of intracranial aneurysms. However, several concerns have about long-term behavior stents, particularly their safety and efficacy. We present first case an aneurysm intentionally treated with technique. After ten years clinical imaging follow-up, lesion healed no intrastent stenosis is observed. Several issues concerning this are discussed. For instance, modification angle intra-aneurysmal thrombosis may account...
Carotid rete mirabile (CRM) is a physiological network between the external carotid artery (ECA) and internal (ICA) in lower mammals. It transdural arterial centered at parasellar area, anatomical localization of intracavernous or petrous segment ICA, associated with hypoplasia absence cervical ICA. clinically presents as hemorrhagic ischemic cerebrovascular disorder. have an angiographic frequency 0.01%. The authors present new case right ICA agenesis supported by primary collateral...
Phenylpropanolamine (PPA) has been associated with an increased risk of intracranial hemorrhage (ICH). The aim this study was to assess the association between PPA intake and ICH in a Mexican population.We included all patients aged 18 51 years, no known structural etiology, diagnosed from January 1991 December 2000. Three 4 controls per patient matched by sex, age (within 5 years) place residence were included. Patients asked about use cold medication or appetite suppressant medications...
Non-valvular atrial fibrillation (NVAF) accounts for 25% of completed strokes (CS) a cardioembolic origin in patients over 60 years old. Our aim was to define the predictors good and poor prognosis after CS secondary an NVAF our milieu.We evaluated risk factors (RF) severity relation death, functionality recurrence at 5 years. 81 between ages 49 88 were followed up consecutively 1 90 months; 38 (46.9%) them males. Multivariate analysis performed with following independent variables: age,...
Introduction and importance: Spinal arteriovenous malformations (AVMs) are a rare condition that has high risk of bleeding complications. The authors present the case spinal malformation in an unusual location presentation. Case presentation: A 67-year-old man with subarachnoid hemorrhage due to ruptured type IVa, associated bulbomedullary aneurysm, which was managed conservatively complications mortality. Clinical discussion: AVMs have had different management treatments over years, so...
Introduction/Purpose Hemorrhagic stroke due to ruptured intracranial aneurysms comprises one of the lead causes overall disability in Mexico and Latin America. The relationship between anatomical variants Circle Willis/Cerebral Arterial (CAC) Intracranial Aneurysms (IA) remains an ongoing research subject. Materials/Methods We performed a retrospective study cerebral digital subtraction angiographies at Interventional Neuroradiology Department National Institute Neurology Neurosurgery...
Introduction There are multiple limitations in the approach and management of ischemic stroke Latin American people, particularly, patients requiring thrombectomy. Although there numerous scales to predict large vessel occlusion (LVO), they have not been validated this population; therefore, our objective was design validate a scale populace, order provide predictive tools for decision making patients. Methods A multivariate logistic regression model constructed from National Institutes...
✓Endovascular treatment of intracranial aneurysms has evolved since the introduction detachable coils. Sole stenting is a brand-new technique that recently emerged as definitive for saccular or fusiform at particular locations. Superior cerebellar artery are rare, and few treated cases have been reported. Most them surgically, endovascular usually managed with occlusion parent vessel. The authors report on first two endovascularly complete cure aneurysm well preservation vessel distal...
Mechanical thrombectomy (MT) in children with acute ischemic stroke (AIS) and large vessel occlusion is a feasible treatment modality.However, the published experience limited to case reports small series that yield low grade of evidence.In this narrative review, we summarize literature regarding topic MT pediatric patients AIS.We conclude powerful tool all clinicians need keep mind when treating under suspicion hope present manuscript aids increasing awareness about critical topic.
Aspirin is widely used for the prevention of recurrent stroke in patients with transient ischaemic attack (TIA) arterial origin, because it effective and inexpensive. Clopidogrel combination aspirin extended-release dipyridamole are more than aspirin, but also much expensive. No other antithrombotic regimens provide significant advantages over although cilostazol novel platelet protease-activated receptor-1 antagonist, SCH 530348, currently being evaluated. Numerous trials have examined...