The prevalence of aneurysm formation in adults with Moyamoya disease (MMD) is higher than that the general population. treatment strategy often individualized based on patient's characteristics. A 22-year-old man was diagnosed MMD after presenting a small thalamic intracerebral and subarachnoid hemorrhage quadrigeminal cistern. Cerebral angiography revealed (2.42 mm) left anterior choroidal artery. Since hemodynamics hemisphere compromised, an indirect bypass surgery performed. condition...

Background Physicians can find it challenging to decide whether confirmative digital subtraction angiography (DSA) should be performed in patients who present with "suspicious small aneurysm-like structures" on magnetic resonance (MRA). Factors associated "false positive aneurysms MRA" (FPAMs)," which are finally confirmed as negative DSA, have rarely been reported. This study aimed identify the clinical or radiologic clues indicative of FPAM DSA. Methods Patients had undergone DSA between...

Recent evidence has suggested that hyposmia in patients with Parkinson's disease (PD) may be due to impaired central processing. Furthermore, the hippocampus been regarded as a critical structure linking olfactory impairment and cognitive PD patients. This study aimed identify significant structural alterations of hyposmia, determine whether these changes are significantly associated severity.Eighteen idiopathic 18 age- sex-matched without were enrolled. Hippocampal volume its subfields...

We report a rare case of ruptured distal anterior inferior cerebellar artery (possibly dissecting) aneurysm the caudal trunk, successfully treated by endovascular occlusion. A 41-yearold man presented with sudden severe headache and drowsiness. On day ictus, conventional angiography was performed to make above diagnosis, followed occlusion sac parent artery. The patient recovered completely without any neurologic deficit after treatment. Endovascular could be safe effective treatment option...

Abstract BACKGROUND Many physicians consider aneurysmal wall enhancement (AWE) on high resolution-vessel imaging (HR-VWI) as an biomarker of unstable unruptured intracranial aneurysms (UIAs). OBJECTIVE To evaluate the clinical value different AWE signal intensities (SIs) by assessing correlation between SIs and surgical findings rupture risk assessment tools. METHODS Twenty-six patients with 34 who underwent clipping were included. The corrected SI was calculated comparing T1-weighted images...

Previous comparison studies regarding 2 types of transportation, helicopter (HEMS) versus ground emergency medical services (GEMS), have shown underlying heterogeneity as these options completely different routes and consequent times with reference to one patient. To compare the transportation on a case-by-case basis, we analyzed retrospectively reviewed HEMS predicted GEMS data using an open-source navigation software.Patients transferred by military from 2016 2019 were enrolled. The...

ABSTRACT BACKGROUND AND PURPOSE Lower urinary tract symptoms (LUTS) are the most common nonmotor usually occurring mid‐stage of Parkinson's disease (PD); however, its underlying mechanisms unknown. We aimed to assess whether corticometry or volumetry can identify a pattern cerebral cortical changes in PD patients with LUTS. METHODS recruited 85 idiopathic and performed on various regions using each patient's magnetic resonance imaging. To correlation between thickness/volume scale domain 7...

Although many patients with mild traumatic brain injury (mTBI) suffer from postconcussional syndrome (PCS) including abnormal emotional responses, most conventional imaging studies fail to detect any causative lesion. We hypothesized that event-related electroencephalography (EEG) recordings time-frequency analysis would show a distinguishable pattern in mTBI PCS compared normal healthy controls. EEG signals were collected total of 18 subjects: eight and 10 control subjects. The recorded...

Decompressive craniectomy is one of the most common procedures for managing severe traumatic brain injury. Cranioplasty plays a vital role in restoring integrity skull and preventing complications that may arise after decompressive craniectomy. This case report presents 24-year-old woman who underwent cranioplasty with cryopreserved autologous bone flap. Initially successful, procedure was later complicated by delayed surgical site infection methicillin-resistant Staphylococcus aureus...

Objective Given the high risk of rebleeding and recurrence blood blister-like aneurysms (BBAs), we treated ruptured BBAs internal carotid artery (ICA) with stent-assisted coil embolization (SAC). This study aimed to evaluate efficacy safety SACs. Methods We retrospectively reviewed clinical radiological data from eight patients supraclinoid ICA. The modified Rankin Scale (mRS) was used assess outcomes, while outcomes were evaluated on angiographs. For a pooled analysis, literature reporting...

The etiology of angiographically occult spontaneous subarachnoid hemorrhage (AOsSAH) is unclear. Threedimensional (3D) high-resolution vessel wall magnetic resonance imaging (HVM) might be useful in detecting the hidden arterial angiopathy patients with AOsSAH. We aimed to demonstrate feasibility HVM for cause AOsSAH.Patients, who were diagnosed AOsSAH first evaluations and underwent HVM, enrolled. Their clinical radiologic data retrospectively reviewed. Especially, focal enhancement on...

Objective With current increase in the use endovascular treatment (EVT) for ruptured aneurysms, it is important to recognize factors associated with unfavorable outcomes and recurrence patients subarachnoid hemorrhage (SAH) treated coiling. This study aimed identify predictors of who received EVT aneurysms. Methods 102 were an procedure a aneurysm, including both stent-assisted non-stent-assisted coil embolizations, enrolled this study. A retrospective analysis was performed significant...

Stereotactic radiosurgery (SRS), combined with contemporary targeted therapies and immunotherapies, has improved the overall survival of patients lung adenocarcinoma (ADC). Given that histological subtypes reflect prognosis in primary ADC, it is important to integrate pathological biomarkers predict clinical outcomes after SRS brain metastases from ADC. Therefore, authors investigated prognostic relevance various ADC for SRS.A total 95 136 (1-4 oligometastases) who were treated Gamma Knife...

Obesity is a global epidemic, leading to huge burdens on both individuals and society. Non-invasive approaches, such as lifestyle modification or medication, have been regarded first-line treatment. However, these shown only limited success. For patients with medically refractory obesity, surgical options (e.g., gastric bypass sleeve gastrectomy) attempted, although they also high rate of recurrence may cause nutritional complications. Beyond body weight itself peripheral systems that...

Trigeminal neuralgia (TN) is a condition involving oro-facial pain that causes patients to suffer and significantly impacts their quality of life. TN can generally be classified into three categories: classical, secondary, idiopathic. Among these, secondary TN, which accounts for approximately 15% cases, attributed identifiable neurologic diseases such as tumors multiple sclerosis. Although the clinical features classical are similar, should treated individually based on its underlying...

<h3>Purpose</h3> The aim of this study is to identify significant predictors unfavorable outcome and recurrence in the patients treated with endovascular treatment setting ruptured aneurysms. <h3>Method material</h3> A total 102 aneurysms who were including stent-assisted coil embolization without stent enrolled study. In order recurrence, retrospective correlation analysis was performed. <h3>Result</h3> 72 (70.59%) showed favorable (mRS 0–2) at their last follow up day a 30 (29.41%) 3–6)....