Case examples in the this blog



 Spine An Unusual case of hematomyelia Aneurysm Intracranial HIV vasculopathy with multiple aneurysms Embolisation of Dissecting basilar artery aneurysm Stent induced spasm during coiling of a vertebral artery dissecting aneurysm Post traumatic ophthalmic artery pseudoaneurysm Spontaneous occlusion of posterior cerebral artery aneurysm Fenestrated posterior inferior cerebellar artery with concomitant vertebro-basilar...

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Higher Incidence of In-Hospital Complications in Patients With Clipped Versus Coiled Ruptured Intracranial Aneurysms



An excellent paper from Toronto. the authors have examined the  Registry of the Canadian Stroke Network to evaluate 931 patients and found significantly increased complication rates, mortality, increased hospital stay in patients undergoing clipping as opposed to coiling. Link to the article in the journal website Higher Incidence of In-Hospital Complications in Patients With Clipped Versus Coiled Ruptured Intracranial...

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Basilar artery recanalization status after endovascular therapy does not predict outcome



Acute basilar artery occlusion is a devastating phenomenon and not clearly understood. The authors of this present study try to state the same. They did not find any better clinical results even after endovascular interventions. However, I feel there clearly is a benefit of the same at least in a subset of patients. The authors probably need to look at their interventional skills, clinical management, decision making skills...

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Predicting aneurysm rupture- Energy Loss, a new hemodynamic parameter



Which aneurysm ruptures and which don’t---the Holy Grail of  aneurysm research…gets a new weapon in the armoury…with a new objective parameter: the Energy loss. Basically it is just another way of looking at the flow dynamic data derived from so many new softwares available. nevertheless, important to have a look…. J...

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New Device: The Temporary Aneurysm Neck Bridge System



J NeuroIntervent Surg 2010;2:A8-A9 doi:10.1136/jnis.2010.003244.19 SNIS 7th Annual Meeting  Oral abstract Novel non-occlusive temporary endoluminal neck protection device to assist in the treatment of wide necked aneurysms in a canine model R Turner IV1, B Croy1, D Casigny2, I Chaudry3, A Turk3 1Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA 2Neuroradiology, University of Wisconsin,...

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Balloon assisted coiling of intracranial aneurysms is not associated with higher complications



 Finally, an to my delight. Balloon assisted coiling has many benefits including prevention of rupture, immediate bleeding control after intraprocedural rupture, better coil packing coil prolapse, and avoidance of stent with the resultant antiplatelet therapy. However, its usage was considered ‘risky’ especially by people not really...

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New Device: The Saddle Neck Bridge Device



The treatment of wide necked bifurcation aneurysms had always been difficult notwithstanding the recent usage of Y-stent technique, Double catheter technique, Waffle cone technique, double balloon technique etc . etc. etc. The author in this paper have tried a new device which look promising in that at least it is providing a better looking...

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Dexamethasone helps outcome in hemorrhagic stroke patients



There has always been a debate whether steroids are beneficial in management of hemorrhagic stroke with many neurologists not favoring it citing lack of clinical evidence even though there has been enough basic research. Now a large blinded study comparing a large group of patients in two centers have been made available and clearly shows clinical benefits of dexamethasone. A Comparison of Acute Hemorrhagic Stroke Outcomes...

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