The Experts below are selected from a list of 291 Experts worldwide ranked by ideXlab platform

Salvatore Mangiafico - One of the best experts on this subject based on the ideXlab platform.

  • trigeminal neuralgia completely relieved after stent assisted coiling of a superior Cerebellar Artery aneurysm
    World Neurosurgery, 2017
    Co-Authors: Giulia Di Stefano, Nicola Limbucci, G Cruccu, Leonardo Renieri, A Truini, Salvatore Mangiafico
    Abstract:

    Background Although secondary trigeminal neuralgia is usually due to tumors or multiple sclerosis, other major neurologic diseases, such as aneurysms, should be taken into account when the history or the symptoms suggest a secondary origin. Case Description A 67-year-old lady presented with a 6-month history of trigeminal neuralgia involving exclusively the right ophthalmic division. A dedicated 3-dimensional–magnetic resonance imaging–magnetic resonance angiography study documented rare contact with a wide-necked aneurysm of the superior Cerebellar Artery, which distorted the trigeminal root. The patient underwent an endovascular treatment by stent-assisted coiling with the complete disappearance of neuralgic pain attacks within 24 hours. Conclusion The complete relief from the neuralgic paroxysms immediately after endovascular stent-assisted occlusion of a superior Cerebellar Artery aneurysm demonstrates the crucial role of a pulsating stimulus on the demyelinated nerve fibers in evoking the ectopically generated discharges.

Duke Samson - One of the best experts on this subject based on the ideXlab platform.

  • posteroinferior Cerebellar Artery aneurysms surgical results for 38 patients
    Neurosurgery, 1998
    Co-Authors: Michael Horowitz, Thomas A Kopitnik, Frazier Landreneau, John Krummerman, Hunt H Batjer, Geraldine Thomas, Duke Samson
    Abstract:

    OBJECTIVE Posteroinferior Cerebellar Artery aneurysms have an incidence of approximately 0.49%. Reports in the literature are sparse concerning outcomes in this patient population. We report our results for 38 consecutive patients who were treated during the last 6.5 years. METHODS All patients (n = 38) with posteroinferior Cerebellar Artery aneurysms that were surgically treated at Zale-Lipshy University Hospital between January 1990 and May 1997 were retrospectively reviewed. Data were collected and analyzed relating to demographics, condition at presentation, lesion characteristics, associated medical problems, postsurgical complications, and outcome. RESULTS Sixty-six percent of the patients (n = 25) experienced neurological sequelae, which included symptomatic vasospasm, hydrocephalus, dysarthria, paresis, diplopia, ataxia, and facial paralysis. Many, however, showed significant improvement during their hospitalization and during the course of the ensuing year. Seventy-four percent of the patients had a Glasgow Outcome Scale score of 1 or 2 at the time of discharge, 91% at 6 months after surgery, and 89% at 1 year after surgery. CONCLUSION This review summarizes the presentations and outcomes of 38 consecutive surgical cases during a 6.5-year period and concludes that posteroinferior Cerebellar Artery aneurysms are not benign entities. The study does, however, also demonstrate that patients have significant recuperative potential after the treatment of these lesions.

Giulia Di Stefano - One of the best experts on this subject based on the ideXlab platform.

  • trigeminal neuralgia completely relieved after stent assisted coiling of a superior Cerebellar Artery aneurysm
    World Neurosurgery, 2017
    Co-Authors: Giulia Di Stefano, Nicola Limbucci, G Cruccu, Leonardo Renieri, A Truini, Salvatore Mangiafico
    Abstract:

    Background Although secondary trigeminal neuralgia is usually due to tumors or multiple sclerosis, other major neurologic diseases, such as aneurysms, should be taken into account when the history or the symptoms suggest a secondary origin. Case Description A 67-year-old lady presented with a 6-month history of trigeminal neuralgia involving exclusively the right ophthalmic division. A dedicated 3-dimensional–magnetic resonance imaging–magnetic resonance angiography study documented rare contact with a wide-necked aneurysm of the superior Cerebellar Artery, which distorted the trigeminal root. The patient underwent an endovascular treatment by stent-assisted coiling with the complete disappearance of neuralgic pain attacks within 24 hours. Conclusion The complete relief from the neuralgic paroxysms immediately after endovascular stent-assisted occlusion of a superior Cerebellar Artery aneurysm demonstrates the crucial role of a pulsating stimulus on the demyelinated nerve fibers in evoking the ectopically generated discharges.

Steven L. Giannotta - One of the best experts on this subject based on the ideXlab platform.

  • Endovascular Treatment of a Dissecting Posteroinferior Cerebellar Artery Aneurysm: Case Report
    Neurosurgery, 1996
    Co-Authors: Michael A. Lefkowitz, George P. Teitelbaum, Steven L. Giannotta
    Abstract:

    IMPORTANCE : To demonstrate the usefulness of endovascular techniques in the treatment of fusiform, dissecting aneurysms. CLINICAL PRESENTATION : A 45-year-old woman presented with the acute onset of left-sided neck pain and headaches. Computed axial tomography demonstrated subarachnoid and intraventricular hemorrhage as well as a left posterior Cerebellar infarct. Conventional cerebral and magnetic resonance angiography demonstrated a dissecting fusiform aneurysm at the origin of the left posteroinferior Cerebellar Artery. INTERVENTION : A balloon occlusion of the left vertebral Artery at the posteroinferior Cerebellar Artery origin was tolerated without complication, and the patient underwent successful occlusion of the left posteroinferior Cerebellar Artery, with platinum microembolization coils. CONCLUSION : In patients who tolerate temporary balloon occlusion, endovascular treatment of dissecting fusiform aneurysms with platinum microembolization coils is safe and effective therapy.

Issam A. Awad - One of the best experts on this subject based on the ideXlab platform.

  • Endovascular therapeutic approach to peripheral aneurysms of the superior Cerebellar Artery.
    AJNR. American journal of neuroradiology, 1996
    Co-Authors: John C. Chaloupka, Christopher M. Putman, Issam A. Awad
    Abstract:

    Peripheral aneurysms of the superior Cerebellar Artery may be difficult to treat surgically owing to their inaccessibility and to the frequent inability to preserve the involved parent Artery. In fact, for most cases, surgical treatment consists of proximal parent Artery occlusion and/or trapping with surgical clips. An equivalent endovascular therapeutic approach to these lesions may be an attractive alternative method of management. We describe two cases of peripheral superior Cerebellar Artery aneurysms that were treated successfully with endovascular embolization.