OBJECTIVE The optimal treatment for underlying intracranial atherosclerosis (ICAS) in patients with emergent large-vessel occlusion (ELVO) remains unclear. Reocclusion during endovascular (EVT) occurs frequently (57.1%–77.3%) after initial recanalization stent retriever (SR) thrombectomy ICAS-related ELVO. This study aimed to compare outcomes of the strategy first stenting without retrieval (FRESH) using Solitaire FR versus SR METHODS authors retrospectively reviewed consecutive acute...

A 38-year-old man fell from a chair with chopstick in his hand. The penetrated left eye. He noticed pain, swelling, and numbness around On physical examination, linear wound was noted at the medial aspect of eyelid. Noncontrast computed tomography (CT) study showed hypodense structure extending orbit to occipital bone, suggesting foreign body. This body hyperdense relative normal parenchyma. From CT scan 3-dimensional reconstruction, found be passing through optic canal into cranium. clear...

Abstract Parkinson’s disease (PD) is a progressive neurodegenerative disorder associated with both underlying genetic factors and neuroimaging findings. Existing studies related to the genome in PD have mostly focused on certain candidate genes. The aim of our study was construct linear regression model using features better predict clinical scores compared conventional approaches. We obtained DNA genotyping data from research database. Connectivity analysis applied identify that could...

Sacral nerve stimulation (SNS) is an effective treatment for bladder and bowel dysfunction, also has a role in the of chronic pelvic pain. We report two cases intractable pain associated with cauda equina syndrome (CES) that were treated successfully by SNS. The first patient suffered from urinary incontinence fecal after surgery herniated lumbar disc. second underwent burst fracture developed area pain, right leg excessive frequency, incontinence, voiding difficulty constipation one year...

To report the procedure related complication rate of endovascular treatments (EVTs) performed on patients with aneurysmal subarachnoid hemorrhage (aSAH) under local anesthesia (LA).This study enrolled 186 who underwent EVT for ruptured aneurysm LA from January 2009 to December 2013. Procedure-related complications and factors associated it were analyzed depending patients' factors, physician factors.Among LA, respective rates thromboembolic (TEC) intraoperative rupture (IOR) 12.8% (23 cases)...

This study focuses on VR as a form of therapy for individuals with intellectual and developmental disabilities (IDDs). The research aim is to develop an immersive interactive system that tailored IDD individuals, which most currently available experience systems are not optimized. Being intimately familiar place through tour will help alleviate social anxiety—very provident individuals. Accordingly, we create hotspot-based system, can provide almost lifelike visiting learning about the...

Traumatic pseudoaneurysm of the superficial temporal artery (STA) is an uncommon lesion and resection treatment choice. Three patients with traumatic STA treated only manual compression lesions were examined for this study. We report on effective safe minimally invasive technique STA.

Selective neurotomy is generally a safe, effective, and long-lasting treatment for patients with spastic equinovarus foot deformity. We retrospectively analyzed the results of microsurgical selective tibial (STN) feet in adults children.A neurosurgeon selected 32 45 (adults : 13, children 32) to undergo STN between October 1998 September 2007. A physician rehabilitation assessed spasticity pre- postoperatively, that was based on Ashworth scale, ankle clonus, amplitude dorsiflexion. The mean...

Objective If the size of an intracranial aneurysm is below 3 mm, clinicians rarely treat them because low risk rupture. But subarachnoid hemorrhage (SAH) due to rupture very small (VSIA) (saccular sized less than mm) may lead many critical neurological complications. So we analyzed characteristics and differences between ruptured VSIA group non-VSIA group. Methods 421 saccular aneurysms from patients with SAH January 2016 December 2019 were included. Patient information including age, sex,...

For dural arteriovenous fistula (DAVF), when the usual endovascular or neurosurgical approaches are difficult to treat, multi-modal treatment can be helpful. We present a case of 71-year-old woman with DAVF, who presented an intracerebral haemorrhage. Digital subtraction angiography revealed DAVF transverse sinus, cortical venous reflux. Transvenous and transarterial for coil embolization failed. In operating room, small craniotomy was performed, done under fluoroscopy. Transcranial might...

The purpose of this retrospective study is to determine the accuracy maximum intensity projection (MIP) images computed tomographic angiography (CTA) for diagnosis cerebral vasospasm (CV) following subarachnoid hemorrhage (SAH) compared with that digital subtraction (DSA).For patients admitted our hospital SAH, MIP CTA and DSA were checked at admission, taken again 1 week later. This protocol was used in 39 cases. examinations reviewed by two independent readers.Accuracy various arterial...

An intracranial pseudoaneurysm (PA) is a very rare disease and known to occur in less than 1% of aneurysms. The pathophysiology the modality proper treatment PA have not yet been clearly established. We report case associated with ruptured cerebral aneurysms which was successfully treated by coil embolization, also discuss possible hypothesis on formation feasibility endovascular treatments.

Background: Decompressive craniectomy (DC) is the last-resort surgical procedure to reduce intracranial pressure and prevent secondary brain injury. Additional resection of temporalis muscle fascia can achieve a higher extracranial herniation volume compared standard DC technique at expense cosmetic problems for patients. Various methods have been used augment temporal fossa hollowing. Methods: To improve outcome, authors report patient who had skull defect restored using precisely shaped...