Journal of vascular and interventional neurology
-
J Vasc Interv Neurol · Jun 2016
Syncope in Patient with Bilateral Severe Internal Carotid Arteries Stenosis/Near Occlusion: A Case Report and Literature Review.
Syncope is commonly worked up for carotid stenosis, but only rarely attributed to it. Considering paucity of such cases in literature, we report a case and discuss the pathophysiology. ⋯ Syncope secondary to carotid stenosis, especially in the absence of any focal ischemic events is rare. It can only be expected in those patients who have bilateral hemodynamically significant carotid disease, which is unlikely in the absence of any focal ischemic events.
-
J Vasc Interv Neurol · Oct 2015
Risk of In-Hospital Cardiac Arrest Among Medicare Beneficiaries Undergoing Video Electroencephalographic Monitoring.
Sudden cardiac death is the dominant reason of sudden unexpected death in epilepsy (SUDEP). Anecdotal reports have documented cardiac arrest during video electroencephalographic (EEG) monitoring. We performed this study to determine the rate of cardiac arrest and need for cardiac resuscitation during video EEG monitoring. ⋯ While the risk of cardiac arrest during video EEG monitoring may exist, the rate of such events was negligible in our study comprising of elderly Medicare patients.
-
J Vasc Interv Neurol · Oct 2015
Traumatic Brain Injury Related to Motor Vehicle Accidents in Guinea: Impact of Treatment Delay, Access to Healthcare, and Patient's Financial Capacity on Length of Hospital Stay and In-hospital Mortality.
Traumatic brain injury related to road traffic accidents poses a major challenge in resource-poor settings within Guinea. ⋯ Prolonged hospital stay and higher in-hospital mortality was associated with longer time interval between accident and hospital arrival. This delay is attributed to inadequate condition of intercity roads and lack of emergency medical services.
-
J Vasc Interv Neurol · Jul 2015
Rare Etiology of Bow Hunter's Syndrome and Systematic Review of Literature.
Bow Hunter's Syndrome is a mechanical occlusion of the vertebral artery which leads to a reduction in blood flow in posterior cerebral circulation resulting in transient reversible symptomatic vertebrobasilar insufficiency. ⋯ We believe that this is the first case of iatrogenic Bow Hunter's syndrome after surgical intervention for an aneurysm repair, and the largest review of literature of Bow Hunter's syndrome. Dynamic angiography is the gold standard for the diagnosis of Bow Hunter's syndrome. Surgery should be considered as the primary treatment approach in these patients, especially those who have bony compression as the etiology.
-
J Vasc Interv Neurol · May 2015
Can the World Federation of Neurosurgical Societies Classification Accurately Predict Outcomes in Intracerebral Hemorrhage?
Many scoring systems have been developed for the purpose of estimating of mortality and outcomes in intracerebral hemorrhage (ICH). However, the utility of the World Federation of Neurosurgical Society (WFNS) classification, which is routinely used in patients with subarachnoid hemorrhage, has never been specifically assessed in ICH. ⋯ The WFNS classification is as accurate as the ICH score in predicting discharge outcomes and in-hospital mortality. It is a simple clinical scale that can be used to predict outcomes in both ICH and subarachnoid hemorrhage patients.