26 research outputs found
Endovascular management of recurrent anterior communicating aneurysm previously embolized. Case presentation
Although endovascular coiling treatment has been widely accepted as the method of choice for intracranial aneurysms, concerns about its durability are still discussed. Attention was largely focused on aneurysm recurrence after coil occlusion with possible unfavourable evolution to a new bleeding episode. We present our experience of a patient with a ruptured anterior communicating artery aneurysm previously treated by endovascular coil embolization that presented over a 4-year period for aneurysm recurrence
Traumatic intracranial aneurysms
Traumatic intracranial aneurysms are rare conditions that can be a result of vast head trauma. Different aspects as history, etiology, histopathology, clinical manifestations, diagnosis and treatment options are discussed regarding the literature. A particular case of a pericalosal aneurysm is presented to highlight the importance of keeping in mind that this location can be a site of such aneurysms
Our experience with a single stage bilateral approach for treatment of bilateral middle cerebral artery aneurysms
Surgical management of bilateral middle cerebral artery (MCA) aneurysms is particular challenging clinical situation. For these patients various options of surgical treatment are available as unilateral approach, single stage bilateral craniotomy or two stage bilateral craniotomy. We report our experience with a case of bilateral MCA aneurysm which was managed by single stage bilateral pterional craniotomy
Associated intracranial lesions: meningioma and anterior communicating aneurysm
Asymptomatic associated intracranial lesions are more frequently diagnosed with the utilization of high-resolution imaging. The occurrence of brain tumors together with intracranial aneurysms are a very rare situation. This coexistence is still a diagnostic and therapeutic challenge as no consensus concerning imaging that may cover both type of intracranial lesion was established. We report a case of a 62 years old patient with a meningioma and aneurysm treated in one session with good outcome
Spontaneous regression of lumbar herniated disc: Case presentation
Intervertebral disc herniation is a common disease that usually requires surgical intervention. However, in some cases, neurological symptoms may improve with conservative treatment. In this article, we present a case with spontaneous regression of extruded lumbar herniated disc correlated with clinical improvement and documented with follow up MRI studie
Microsurgical clipping of giant thrombosed aneurysm
Treatment of giant thrombosed aneurysm is still a challenge for most of neurosurgeons. We present our experience of a patient with a thrombosed giant middle cerebral artery aneurysm manifesting as headache that developed over a 15-year period. Magnetic resonance (MR), computed tomographic angiography (CTA), and digital subtraction angiography (DSA) have clarified the vascular lesion and directed the therapeutic protocol. An open craniotomy with direct clipping and thrombectomy was performed successfully with an uneventful postoperative course
Our first experience with cervical expandable cage for vertebral body reconstruction
Vertebral body reconstruction after corpectomy using expandable cage has become a common surgical procedure especially at thoracic level. The recent published papers describe the successful use of expandable cages for cervical vertebral body reconstruction. In this paper we present our first experience with expandable cervical cage in the reconstruction of the cervical spine in a patient with cervical spondylotic myelopathy (CSM)
Endovascular coil oclusion of spontaneous ruptured vertebral artery dissecting aneurysm
Spontaneous dissecting aneurysm of vertebral artery is known as a rare pathological condition causing a subarachnoid hemorrhage in the posterior circulation. The treatment of ruptured vertebral artery dissecting aneurysms is still an important subject of debates in the literature. We present a particular case of ruptured vertebral artery dissecting aneurysms that was treated by only endovascular Guglielmi detachable coils occlusion. A brief review of technical possibilities of treatment of these types of vascular lesions, with their advantages and disadvantages are discussed
Thrombectomy for ischaemic stroke in a young patient: Case presentation
Acute Ischemic stroke in young patients has been increasingly diagnosed with the development of neuroimaging technique. Early endovascular treatment can lead to significant improved functional outcome. We present a case of 19-years old boy with acute ischemic stroke by distal middle cerebral artery occlusion. A selective thrombus aspiration with Penumbra system was performed. Satisfactory recanalization was achieved with significant recovery of the patient