A superb study and a highly relevant one... The technology, infrastructure and the medical services have decreased the fatality in stroke. while this does lead to independence for ADL and professional activities also in some cases, many stay dependent, putting a burden on the family and the society. What we have to do is not just to improve the post-event medical facilities, but to improve the pre-event medical system so that...

A very interesting article.....I have thought of doing IAT for such 'distal  MCA' occlusions often but somehow always found noninvasive management better -either IVT  or medical management as indicated... The problem for me is the smaller infarct volume and relatively preserved clinical status of such patients, at least in my practice, and the complication rate associated with the IAT. But of course 50+ % success...

Aneurysm come in all shape and sizes and at all locations. This one was in a 42 years old female patient with Grade I SAH and a ruptured right PcomA aneurysm. The anatomy was odd with a bulbous, rather blister like proximal part, then a narrowing, then the body, again a narrowing then a teat like portion. The Pcom, of course, had to arise...

A middle aged woman had paraparesis since many years and had been operated six years back for a thoracic spinal tumor. However, the surgery was an ‘open and close’ one as the surgeon did not take out the tumor. Post op, the patient rather received radiotherapy, and had been continuing with her paraparesis till one and half years...

Heparin dosing is associated with diffusion weighted imaging lesion load following aneurysm coiling: Background and purpose Diffusion weighted imaging (DWI) may be used to evaluate post-coiling ischemia. Heparinization protocols for cerebral aneurysm coiling procedures differ among operators and centers, with little literature surrounding its effect on DWI lesions. The goal of this study was to determine which factors, including...

    Sent to you by subbu via Google Reader:     The hyperdense vessel sign on CT predicts successful recanalization with the Merci device in acute ischemic stroke via Journal of NeuroInterventional Surgery Online First by Froehler, M. T., Tateshima, S., Duckwiler, G., Jahan, R., Gonzalez, N., Vinuela, F., Liebeskind, D., Saver, J. L., Villablanca, J. P., For the UCLA Stroke Investigators on 5/22/12 BackgroundThe...

    Sent to you by subbu via Google Reader:     Clinical Significance of Impaired Cerebrovascular Autoregulation After Severe Aneurysmal Subarachnoid Hemorrhage [Original Contributions] via Stroke ASAP by Jaeger, M., Soehle, M., Schuhmann, M. U., Meixensberger, J. on 5/22/12 Background and Purpose—The purpose of this study was to investigate the relationship between cerebrovascular autoregulation and...

    Sent to you by subbu via Google Reader:     Endovascular Treatment of Intracranial Unruptured Aneurysms: A Systematic Review of the Literature on Safety with Emphasis on Subgroup Analyses [Neuroradiology] via Radiology current issue by Naggara, O. N., Lecler, A., Oppenheim, C., Meder, J.-F., Raymond, J. on 5/23/12 Purpose: To report subgroup analyses of an updated systematic review on endovascular...

    Sent to you by subbu via Google Reader:     Closed-Cell Stent for Coil Embolization of Intracranial Aneurysms: Clinical and Angiographic Results [INTERVENTIONAL] via Publication Preview by Wakhloo, A. K., Linfante, I., Silva, C. F., Samaniego, E. A., Dabus, G., Etezadi, V., Spilberg, G., Gounis, M. J. on 5/24/12 BACKGROUND AND PURPOSE:Recanalization is observed in 20–40% of endovascularly treated...

    Sent to you by subbu via Google Reader:     Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [AHA/ASA Guideline] via Stroke current issue by Connolly, E. S., Rabinstein, A. A., Carhuapoma, J. R., Derdeyn, C. P., Dion, J., Higashida, R. T., Hoh, B. L., Kirkness, C. J., Naidech,...

    Sent to you by subbu via Google Reader:     Single-Center Experience of Cerebral Artery Thrombectomy Using the TREVO Device in 60 Patients With Acute Ischemic Stroke [Original Contributions; Brief Reports] via Stroke current issue by San Roman, L., Obach, V., Blasco, J., Macho, J., Lopez, A., Urra, X., Tomasello, A., Cervera, A., Amaro, S., Perandreu, J., Branera, J., Capurro, S., Oleaga, L., Chamorro,...

    Sent to you by subbu via Google Reader:     Eligibility for Intravenous Recombinant Tissue-Type Plasminogen Activator Within a Population: The Effect of the European Cooperative Acute Stroke Study (ECASS) III Trial [Original Contributions; Clinical Sciences] via Stroke current issue by de los Rios la Rosa, F., Khoury, J., Kissela, B. M., Flaherty, M. L., Alwell, K., Moomaw, C. J., Khatri, P., Adeoye,...

49 yrs, M Seizures on the morning of admission Vitals stable No focal deficit A CT done at admission showed SAH with flocculent surface hematoma in the left anterior frontal region…significantly there was no blood in the basal cisterns NCCT at admission Enlarged images of the NCCT A cerebral DSA...

CLOTBUST sonothrombolysis in acute stroke is a new addition in the armamentarium of physicians traeting these particularly challenging patients. It uses the simple premise of continuous transfer of ultrasonic wanes to the site of the clot in the blood vessel, which in a way soften ups the clot, such that intravenously given thrombolytic...

Wide necked aneurysms often are deemed to require assistance with balloon or stent during endovascular coiling, however, most of them do not require support as such, and well placed coils do the job. Here is an example, wherein a wide neck Acom aneurysm incorporating one of the A2 segments, was coiled well without use of any balloon/ste...

Long-Term Clinical and Imaging Follow-Up of Complex Intracranial Aneurysms Treated by Endovascular Parent Vessel Occlusion C.C. Matouk,  Z. Kaderali,  K.G. terBrugge and  R.A. Willinsky +Author Affiliations From the Department of Neurosurgery, Neurovascular & Stroke Programs (C.C.M.), Yale University School of Medicine, New Haven, Connecticut; Division of Neuroradiology, Department of Medical Imaging...