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...