World Neurosurg
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Microsurgery for paraclinoid aneurysms remains the first line of treatment in resource-constrained settings. The authors describe their institutional experience and evaluate functional outcomes after microsurgical treatment of paraclinoid aneurysms. ⋯ The present series showcases the valuable role of microsurgical treatment for patients with paraclinoid aneurysms. Despite the challenges posed by the poor grade of subarachnoid hemorrhage and delayed intervention, microsurgical techniques remain essential to optimizing functional outcomes and minimizing surgical morbidity.
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Mechanical thrombectomy (MT) has become the standard treatment for acute ischemic stroke caused by large vessel occlusion (LVO). Despite successful recanalization, approximately one-half of the patients do not achieve a favorable outcome, which is known as "futile recanalization" (FR). The present study aimed to explore the association between stress hyperglycemia and FR after MT. ⋯ Results of this study revealed that older age, an increased number of passes, and greater SHR were independently associated with FR after MT in patients with acute ischemic stroke caused by LVO.
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This article reviews the historical progression of ventriculoperitoneal shunt valve designs with the goal of providing an understanding of their functionality and failure mechanisms. While shunting is the predominant treatment for hydrocephalus, the statistics of overall shunt failure remain high, and valve failure is responsible for a significant percentage of revision surgeries. ⋯ Information is provided on the importance of valves in hydrocephalus treatment with discussion on each class of valves and their advantages and shortcomings. Substantial development over decades has significantly improved valve functionality, and ongoing research continues to provide more robust valves and shunt systems for hydrocephalus management.