In spite of the developing endovascular era, large (15-25 mm) and giant (>25 wide-neck cerebral aneurysms remained technically challenging. Intracranial flow-diverting stents (FDS) were developed to address these challenges by targeting aneurysm hemodynamics promote occlusion. 2011, first FDS approved for use in United States market. Shortly thereafter, Pipeline Uncoilable or Failed Aneurysms (PUFS) study was published demonstrating high efficacy a similar complication profile other...

Abstract Background Endoscopic surgery is helpful in evacuating intracranial hematomas. However, the indication and craniotomy location are still unclear endoscopic evacuation of acute subdural hematomas (SDHs). This study evaluated feasibility efficacy treatment SDH via a normal small craniotomy. Methods A (∼ 3 × 4 cm) as surgical window was made at superior temporal line around coronal suture on lesion side. 4-mm rigid endoscope with 0-degree lens introduced into space, hematoma evacuated...

The present study aimed to analyze the correlation between platelet-to-lymphocyte ratio (PLR) and platelet-to-neutrophil (PNR) with prognosis of patients who underwent mechanical thrombectomy (MT).A total 432 was included, PLR PNR were calculated from laboratory data on admission. Prognosis evaluated a modified Rankin Scale at 3 months after MT. Using receiver operating characteristic (ROC) analysis, optimal cutoff values identified predict Multivariate analyses performed identify...

Objective Protocols for posterior circulation ischemic stroke have not been established by randomized clinical trials. Mechanical endovascular thrombectomy (MET) devices are evolving, and many of these already developed or in development suitable MET. Materials Methods We investigated the medical records patients who underwent MET from January 2012 to August 2016. Fifteen were included. was performed with without injected intravenous tissue plasminogen activator. considered a National...

The purpose of this study was to investigate the factors affecting surgical outcome and compare results between transsylvian transcortical approaches in patients with putaminal hematomas.Retrospective review charts CT scan images conducted 45 (20 25 approaches) who underwent open evacuation hematomas. Mean Glasgow coma scale (GCS) score hematoma volume were 7.5+/-3.2 78.1+/-29.3 cc, respectively. functional mortality investigated using a multivariate logistic regression analysis. In...

Objective This study was performed to determine the anatomical landmarks and optimal dissection points of facial nerve (FN) hypoglossal (HGN) in submandibular region provide guidance for hypoglossal-facial anastomosis (HFNA). Methods Twenty-nine specimens were obtained from 15 formalin-fixed adult cadavers. Distances measured based on mastoid process tip (MPT), common carotid artery bifurcation (CCAB), digastric muscle posterior belly (DMPB). Results The shortest distance MPT stylomastoid...

Twist-drill craniostomy (TDC) with closed-system drainage and burr-hole (BHD) a closed system are effective treatment options for chronic subdural hematoma (CSDH). The aim of this study was to analyze clinical data surgical results from symptomatic CSDH patients who underwent TDC at the pre-coronal point (PCP).We analyzed 134 PCP drainage. We defined be 1 cm anterior coronal suture level superior temporal line. selected in that extended beyond suture, confirmed by preoperative CT scans....

BACKGROUND: Although Neuroform Atlas stent is commonly used in stent-assisted coiling (SAC) to treat ruptured intracranial aneurysms (RIA), its safety and efficacy remain controversial. OBJECTIVE: To assess the of SAC using for treating RIA compared with alone by performing a propensity score matching analysis. METHODS: treated between January 2017 May 2021 were retrospectively reviewed. Demographics, periprocedural complication rates, angiographic outcomes, clinical outcomes group...

Objective: Emboli commonly occurs in mechanical thrombectomy (MT). The objective of this study was to analyze predicting factors emboli after MT. Methods: Patients who underwent MT with successful reperfusion for anterior circulation occlusion were enrolled. included distal at digital subtraction angiography (DSA) and unexpected embolic infarct on diffusion-weighted image (DWI) without DSA. Baseline characteristics, procedural details, angiographic outcomes, clinical outcomes reviewed....

This article has been corrected. See "Erratum to "Comparison of the Indications and Treatment Results Burr-Hole Drainage at Maximal Thickness Area versus Twist-Drill Craniostomy Pre-Coronal Point for Evacuation Symptomatic Chronic Subdural Hematomas" by Kim GH, et al. (J Korean Neurosurg Soc 56 : 243-247, 2014)" in Volume on page 453.

The intracranial pathologies after head trauma should be usually progressed. It is clearly visualized in the non-invasive brain CT. invasive monitor such as pressure (ICP) monitoring may accompanied with complications. This study aims whether patients severe injury could managed serial CT scans. medical records of 113 prospectively enrolled bank were retrospectively analyzed. After emergency care, all admitted to intensive care unit for aggressive managements. Repeat scans routinely taken at...

Objective Management guidelines for single intracranial hematomas have been established, but the optimal management of multiple has little known. We present bilateral traumatic supratentorial that each enough volume to be evacuated and discuss how operate effectively it in a anesthesia. Methods In total, 203 patients underwent evacuation and/or decompressive craniectomies acute over 5 years. Among them, only eight cases (3.9%) operations session. Injury mechanism, initial Glasgow Coma Scale...

A distal navigation of a large bore aspiration catheter during mechanical thrombectomy (MT) is important. However, delivering difficult to tortuous or atherosclerotic artery. We report the experience anchoring with balloon guide (BGC) and stent retriever facilitate passage an in MT.When navigating failed conventional co-axial microcatheter delivery, technique was used. Two types were applied MT. First, attempted proximal BGC technique. If this also failed, another tried. Consecutive patients...

Head injury is a leading cause of death and disability in subjects who suffer traumatic accident. Contralateral hematomas after surgery for brain are rare. However, an unrecognized, these can devastating results. We presented our experience patients discussed diagnosis management.This study included 12 with acute developed delayed contralateral hematoma evacuation hematoma. Clinical radiographic data was obtained through review medical records radiographs retrospectively.Ten males two...

Osteochondroma is a rare condition in the spine that may be indolent due to its slow growth. The authors present case of 32-year-old man with subclinical osteochondroma cervical presenting as Brown-Sequard syndrome after trivial neck trauma. After resection tumor through hemilaminectomy, his symptoms were improved mild residual sequelae.

Objective: A balloon guide catheter (BGC) is widely used in mechanical thrombectomy (MT). However, the inflation timing of BGC has not been clearly established. We evaluated whether affects results MT. Methods: Patients who underwent MT with for anterior circulation occlusion were enrolled. dichotomized into early and late groups, according to inflation. Angiographic clinical outcomes compared between two groups. Multivariable analyses performed evaluate predictive factors first-pass...

Objective We introduce innovative method of cervical column reconstruction and performed the with a flanged titanium mesh cage (TMC) instead plate after anterior corpectomy for spondylotic myelopathy (CSM) an ossified posterior longitudinal ligament (OPLL). Methods Fifty patients CSM or OPLL who underwent TMC were investigated retrospectively. Odom's criteria used to assess clinical outcomes. The radiographic evaluation included subsidence, fusion status, interbody height. Thirty-eight...

∗Department of Neurology, Inha University Hospital, Incheon †Department Neurology ‡Department Neurosurgery, Soonchunhyang University, Bucheon Bucheon, Korea Address correspondence and reprint requests to Tae-Kyeong Lee, M.D., Ph.D., Department College Medicine, 170 Jomaru-ro, Wonmi-gu, 420-767, Korea; E-mail: [email protected] Disclosure: Nothing disclose. Both authors contributed equally: D.O. E.-S.L. Study funding: This work was supported by the Research Fund. Potential conflict interest:...

This report describes a case of serpentine fusiform aneurysm the internal carotid artery in patient who presented with visual disturbances. The was treated successfully by coil trapping and occlusion parent artery, accompanied balloon dilation. Nine months post-operatively, patient's acuity had improved considerably. Keywords: Internal Fusiform aneurysm, Visual