Fengping Zhu October 21, 2017

Journal of Neurosurgery, Ahead of Print.
OBJECTIVEAlthough intracranial vessel remodeling has been observed in moyamoya disease, concerns remain regarding the effect of bypass surgery on hemodynamic changes within the internal carotid artery (ICA). The authors aimed to quantify the surgical effect of bypass surgery on bilateral ICAs in moyamoya disease and to estimate pressure drop (PD) along the length of the ICA to predict surgical outcomes.METHODSRecords of patients who underwent bypass surgery for treatment of moyamoya disease and in whom flow rates were obtained pre- and postsurgery by quantitative MR angiography were retrospectively reviewed.… Read More...

Chad W. Washington October 21, 2017

Journal of Neurosurgery, Ahead of Print.
OBJECTIVEThe Agency of Healthcare Research and Quality (AHRQ) has defined Patient Safety Indicators (PSIs) for assessments in quality of inpatient care. The hypothesis of this study is that, in the treatment of unruptured cerebral aneurysms (UCAs), PSI events are less likely to occur in hospitals meeting the volume thresholds defined by The Joint Commission for Comprehensive Stroke Center (CSC) certification.METHODSUsing the 2002–2011 National (Nationwide) Inpatient Sample, patients treated electively for a nonruptured cerebral aneurysm were selected.… Read More...

Hao Wang October 21, 2017

Journal of Neurosurgery, Ahead of Print.
OBJECTIVESurgical exposure and decompression of the entire trigeminal nerve in a conventional lateral supracerebellar approach can be challenging because of blockages from the superior petrosal vein complex, cerebellum, and vestibulocochlear nerve. The authors demonstrate a novel suprafloccular approach via the petrosal fissure and venous corridors that can be used as a substitute for the conventional route used to treat trigeminal neuralgia and present a consecutive series of patients and their clinical outcomes.METHODSPreoperative and postoperative clinical data from 420 patients who underwent this modified approach at Hangzhou First People’s Hospital between March 2012 and May 2014 were reviewed.… Read More...

Panagiotis Kerezoudis October 21, 2017

Journal of Neurosurgery, Ahead of Print.
OBJECTIVEEpilepsy surgery is effective for lesional epilepsy, but it can be associated with significant morbidity when seizures originate from eloquent cortex that is resected. Here, the objective was to describe chronic subthreshold cortical stimulation and evaluate its early surgical safety profile in adult patients with epilepsy originating from seizure foci in cortex that is not amenable to resection.METHODSAdult patients with focal drug-resistant epilepsy underwent intracranial electroencephalography monitoring for evaluation of resection.… Read More...

Saeid Safiri, Erfan Ayubi October 20, 2017

We read the study conducted by Huangfu et al that was published in the Journal of Stroke & Cerebrovascular Diseases enthusiastically and meticulously.1 The authors tried to examine the combined effect of smoking and hypertension on ischemic stroke incidence over a 10-year follow-up among Inner Mongolians in China.… Read More...

Jin Zhao, Xiaohui Li, Lu-Xiang Chi, Bing-Wu Ma, Yan-Hui Du, Gui-Sheng Chen, Hua-Dong Zhou, Jing-Cheng Li, Xiao-Jiang Jiang, Qing-Wu Yang, Xiong-Fei Zhao, Xiao-Feng Yao October 20, 2017

In the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial, 19.1% of ischemic strokes occurred out of the territory of previously symptomatic stenosis during the mean follow-up period of 23.4 months. However, it is unknown how many ischemic strokes were due to a previously asymptomatic intracranial atherosclerotic stenosis (ICAS).… Read More...

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