Mitral Stenosis Presenting with Acute Hearing Loss

A 47-year old woman presented with acute hearing loss, followed by dyspnea and then reduced consciousness and a hemiparesis. Investigations led to a diagnosis of cardiac emboli related to rheumatic mitral stenosis

A rare variant of persistent trigeminal artery: cavernous carotid-cerebellar artery anastomosis--a case report and a systematic review.

We report a very rare anomalous anatomic variant of the cavernous internal carotid artery supplying directly the posterior inferior cerebellar artery, with no basilar artery opacification. A systematic review as well as a description of other variants of trigeminal-cerebellar anastomosis is given.Case ReportsJournal ArticleReviewinfo:eu-repo/semantics/publishe

Endovascular treatment of posterior circulation fusiform aneurysms: single-centre experience in 31 patients.

BACKGROUND: Posterior circulation fusiform aneurysms (PCFA) are rare but difficult to treat. OBJECTIVE: To report our experience with endovascular treatment (EVT) of PCFA. METHODS: A retrospective review of our prospectively maintained database identified all PCFA treated by endovascular approach over a 6-year period. Clinical charts, procedural data, and angiographic results were reviewed. RESULTS: From March 2004 to March 2010, 31 patients were identified including 11 asymptomatic patients, 9 who presented with a subarachnoid hemorrhage (SAH), 6 with a stroke, and 5 with a mass effect. All but one patient - who died before being treated - were successfully treated (97%) by parent artery occlusion (n=10), stenting + coiling (n = 10), or stenting alone with conventional or flow-diverter stents (n=10). Twenty-two patients showed a good or an excellent outcome (73%), 3 had a fair or a poor outcome (10%), and 5 patients died (17%). These later 8 patients initially presented with severe SAH or mass effect. There was no definitive procedure-related morbidity or mortality. Immediate aneurysm occlusion was incomplete in 20 cases (67%) and complete in 10 cases (33%). Mean follow-up of 20 months in 23 patients showed 12 further thrombosis, 9 stable results, and 2 flow reductions. Final results included 19 complete occlusions (83%) and 4 incomplete occlusions (17%). CONCLUSION: PCFA may be treated by different endovascular approaches with satisfying clinical and anatomical results in most cases. However, patients who present with severe SAH or mass effect have still a poor prognosis.JOURNAL ARTICLESCOPUS: re.jinfo:eu-repo/semantics/publishe

Solitaire stent for endovascular treatment of intracranial aneurysms: immediate and mid-term results in 15 patients with 17 aneurysms.

The Solitaire stent is the first fully retractable stent for endovascular treatment (EVT) of intracranial aneurysms. The aim of this study was to evaluate its use in a prospective series with mid-term follow-up.Evaluation StudiesJournal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Perfusion-Weighted Imaging (PWI) of the Brain

<p>Perfusion amplified signal mismatch (compared to <a href="http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0030233#pmed-0030233-g001" target="_blank">Figure 1</a>), indicating an ischemic area with abnormal function, but no cellular death, salvageable by reperfusion. </p

Magnetic Resonance Angiography (MRA)

<p>MRA shows the left MCA occluded by a thrombus at its origin (white arrow). This technique uses MR to demonstrate blood vessels within the central nervous system.</p

Angiography of the Left Anterior Circulation of the Brain—Following Thrombolysis

<p>Antero-posterior view demonstrates a renewed flow in the left internal carotid artery and the left hemisphere.</p

Angiography of the Left Anterior Circulation of the Brain

<p>Angiography shows the left internal carotid artery with an occlusion of one of its main branches, the left MCA (arrow shows origin occluded by a thrombus).</p

Angiography of the Left Posterior Circulation of the Brain

<p>Angiography (sagittal view) demonstrates complete occlusion of the left vertebral artery (black arrow).</p