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High-Resolution Vessel Wall Imaging for Treatment Sequencing of Multiple Aneurysms in Subarachnoid Hemorrhage.
[OBJECTIVES] Approximately 30% of patients with subarachnoid hemorrhage (SAH) present with multiple aneurysms. Identifying the ruptured aneurysm is often difficult, and not all lesions may be accessible through a single craniotomy. Magnetic…
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Predictors of Outcome Clusters in Patients With Unruptured Intracranial Aneurysms Treated With Microsurgery: An Unsupervised Machine Learning Analysis.
[BACKGROUND AND OBJECTIVES] Identifying surgical candidates who are prone to poor outcomes is crucial for adapting treatment and ensuring optimal outcomes. Our aim was to use unsupervised machine learning to reveal patient outcome subgroups…
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Outcomes of Microsurgical Treatment for Unruptured Intracranial Aneurysms: A 7-Year Institutional Review.
[BACKGROUND AND OBJECTIVES] The optimal management of unruptured intracranial aneurysms (UIAs) remains controversial. Options include observation, endovascular treatment, microsurgical intervention, or a combination. However, clear outcome …
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Aneurysm formation and postcoiling recurrence in HIV-associated vasculopathy: illustrative case.
[BACKGROUND] Human immunodeficiency virus (HIV) infection is linked with an uncommon vasculopathy syndrome, increasing the susceptibility of infected individuals to develop aneurysms across systemic vasculature, notably in the cerebral vasc…
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Management and outcomes for thoracic anterior spinal artery aneurysms: illustrative case.
[BACKGROUND] Anterior spinal artery (ASA) aneurysms are uncommon and difficult to diagnose due to their variable presentation and limited visibility with traditional imaging. They often present with severe back pain from rupture and spinal …
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Extended Retrosigmoid Craniotomy for Resection of a Cochlear Schwannoma.
Cochlear schwannomas are a rare subset of schwannomas arising from the cochlear nerve within the cochlea or internal auditory canal. These tumors can present with posterior displacement of the facial nerve, making facial nerve preservation …
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A 7-Year Experience in Microsurgical Treatment of Unruptured Intracranial Aneurysms in Older Patients.
[BACKGROUND AND OBJECTIVES] Controversy exists regarding whether to treat unruptured intracranial aneurysms (UIAs) in older patients. This study analyzes modern outcomes among older patients who underwent microsurgical treatment for UIA. […
- Clip Reconstruction of a Ruptured Thoracic Anterior Spinal Artery Aneurysm Utilizing a Costotransversectomy Approach: 2-Dimensional Operative Video.
- Perspectives on Brain Arteriovenous Malformations From the Surgical Battlefield.
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Thrombotic, Dolichoectatic, Distal Posterior Cerebral Artery Aneurysm Treated with Excision and P2-P2 Reanastomosis.
Posterior cerebral artery aneurysms are rare and often optimally treated with clip reconstruction. Complex cases may require aneurysm excision with in situ reanastomosis. A woman in her early 40s presented with 2 weeks of severe headache an…
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Transvenous Embolization of Dural Arteriovenous Fistulas Through the Galenic (Deep Venous) System: Multicenter Case Series and Meta-Analysis.
[BACKGROUND AND OBJECTIVES] Arteriovenous fistulas involving the deep venous system have often been treated with microsurgery or transarterial embolization. Increasing familiarity with transvenous navigation and improved endovascular access…
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Mortality After Microsurgical Treatment of Unruptured Intracranial Aneurysms in the Modern Era.
[BACKGROUND] The incidence of mortality after treatment of unruptured intracranial aneurysms (UIAs) has been described historically. However, many advances in microsurgical treatment have since emerged, and most available data are outdated.…
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Management of basilar fenestration aneurysms: a systematic review with an illustrative case report.
[BACKGROUND] Basilar artery (BA) fenestration aneurysm (BAFA) is a rare phenomenon commonly accompanying other aneurysms. Treatment is challenging, and few cases have been reported. This review investigated the management outcomes of BAFAs.…