World Neurosurg
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Case Reports
Percutaneous Transverse Sinus Cannulation for Dural Arteriovenous Fistula Coiling: Operative Video.
This is the case of an 84-year old woman, found to have a symptomatic transverse sinus dural arteriovenous fistula. The transverse sinus was isolated from all venous circulation and its arterial feeders stemmed from the occipital artery, precluding both arterial and venous access for effective obliteration of the fistula. Therefore the patient underwent a combined open surgical/endovascular approach, where the sinus was percutaneously cannulated through a single burr hole, allowing access for effective coiling of the fistula. In this video, we present the rationale, feasibility, and technical implications for this procedure.1.
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Spinal dural arteriovenous fistulas (SDAVFs) are rare vascular spinal malformations. According to the reported data, surgery seems to result in better occlusion rates than endovascular treatment. However, the post-treatment evolution of neurological symptoms stratified by the treatment remains unknown. The main objective of the present study was to compare the clinical outcomes for patients according to the treatment method. ⋯ Surgery can be proposed as first-line treatment of SDAVFs after multidisciplinary discussion between neurosurgeons and neuroradiologists. The development of late recurrence negatively affects the neurological outcome of patients.
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Case Reports
Interval Thrombosis of Arteriovenous Malformation Draining Vein after Stereotactic Radiosurgery.
Arteriovenous malformations (AVMs) are high-pressure vascular lesions that can present formidable therapeutic challenges. One treatment option for these lesions is stereotactic radiosurgery, which may be used to provoke progressive thrombosis of the draining veins and subsequent obliteration of the AVM nidus. In this clinical image, we successfully demonstrate this therapeutic modality with the case of a 26-year-old man with a large frontal AVM, treated with stereotactic radiosurgery.
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Comparative Study
Lumbo-peritoneal (LP) and Ventriculoperitoneal (VP) Shunt Surgery for Post-hemorrhagic Communicating Hydrocephalus: A comparison.
This study aimed to compare the efficacy and complications of lumboperitoneal (LP) and ventriculoperitoneal (VP) shunt surgeries in patients with posthemorrhagic communicating hydrocephalus. ⋯ In the treatment of moderate and severe coma patients with posthemorrhagic communicating hydrocephalus, LP shunt surgery is equally as effective as the VP shunt surgery and is associated with fewer complications.
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Tethered cord syndrome is a rare and intractable disease. The aim of this study was to investigate surgical outcome of homogeneous spinal-shortening axial decompression (HSAD) for tethered cord syndrome through a minimum 3-year follow-up. ⋯ HSAD was effective and safe. The results were satisfactory with a minimum 3-year follow-up. HSAD could be an alternative surgical treatment of TCS.