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Functional Outcomes After Revascularization Procedures in Patients With Hemorrhagic Moyamoya Disease
Autor:
Summer S. Han, Kumar Abhinav, Sunil V. Furtado, Peter A Gooderham, Aditya Iyer, Justin Lee, Troels H Nielsen, Gary K. Steinberg, Mario Teo
Publikováno v:
Neurosurgery. 86:257-265
BACKGROUND Poor natural history of hemorrhagic Moyamoya disease (MMD) is related to high rehemorrhage rates between 32% and 61%. Postrevascularization, rehemorrhage rates reportedly decrease to 12% to 17%. OBJECTIVE To evaluate long-term functional o
Publikováno v:
Neurosurgery. 88(1)
Background Patients with moyamoya disease who develop incidental cerebral microhemorrhages (CMHs) on magnetic resonance imaging (MRI) have higher risk of developing subsequent symptomatic repeat macro hemorrhages. Objective To evaluate the effect of
Autor:
Blaise deB. Frederick, Meher R. Juttukonda, Jennifer M. Watchmaker, Manus J. Donahue, Larry T Davis, Matthew R. Fusco, Sarah K Lants, Howard S. Kirshner
Publikováno v:
Neurosurgery. 84:261-271
BACKGROUND: Surgical revascularization is often performed in patients with moyamoya, however routine tools for efficacy evaluation are underdeveloped. The gold standard is digital subtraction angiography (DSA); however, DSA requires ionizing radiatio
Publikováno v:
Neurosurgery. 81:852-859
Background Revascularization for moyamoya disease (MMD) effectively prevents future ischemic events. However, small subsets of patients with persistent or new symptoms due to inadequate collateralization require repeat revascularizations. Objective T
Autor:
Louis J. Kim, Jason Barber, Brito da Silva H, Basavaraj Ghodke, Michael R. Levitt, Laligam N. Sekhar, Lynn B. McGrath, David J. Straus
Publikováno v:
Neurosurgery. 80:759-768
BACKGROUND Cerebral bypass has been an important tool in the treatment of complex intracranial aneurysms. The recent advent of flow-diverting stents (FDS) has expanded the capacity for endovascular arterial reconstruction. OBJECTIVE We investigated h
Autor:
Grant W. Mallory, Nicholas M. Wetjen, Ricardo A. Hanel, Fredric B. Meyer, Macaulay Nwojo, Philipp Taussky, Regina S. Bower, Thais C. Varzoni
Publikováno v:
Neurosurgery. 73:984-992
BACKGROUND: The majority of moyamoya surgical series have been confined to Asian and pediatric populations. Few have studied demographics, risk factors, and outcomes in adult North American populations. OBJECTIVE: To examine outcomes after revascular
Autor:
Gregory J. Velat, Mark E. Oppenlander, Gurpreet S. Gandhoke, Joseph M. Zabramski, Robert F. Spetzler, Peter Nakaji, Adib A. Abla, Felipe C. Albuquerque, Justin C. Clark, John E. Wanebo
Publikováno v:
Neurosurgery. 73:430-439
Background Untreated, moyamoya angiopathy is a progressive vaso-occlusive process that can lead to ischemic or hemorrhagic stroke. Objective To review 1 institution's surgical experience with both direct and indirect bypass (encephaloduroarteriosynan
Publikováno v:
Neurosurgery. 70:1472-1480
Background An aplastic or twiglike middle cerebral artery (Ap/T-MCA) is an extremely rare congenital anomaly related to interference in the normal embryonic development of the MCA. Objective To evaluate the clinical and radiological features of patie
Publikováno v:
Neurosurgery. 69:1261-1271
Many significant microsurgical series of patients with giant aneurysms predate changes in practice during the endovascular era.A contemporary surgical experience is presented to examine changes in management relative to earlier reports, to establish
Autor:
Hanna Lehto, Mika Niemelä, Juha Hernesniemi, Aki Laakso, Jaakko Rinne, Riku Kivisaari, Rossana Romani, Mikael von und zu Fraunberg, Angel. Horcajadas
Publikováno v:
Neurosurgery. 68:140-154
BACKGROUND: Residual and recurrent intracranial aneurysms after endovascular treatment with Guglielmi detachable coils may necessitate a microsurgical occlusion. OBJECTIVE: To analyze the microsurgical technique and describe how the location, morphol