The Experts below are selected from a list of 45 Experts worldwide ranked by ideXlab platform

Cameron G. Mcdougall - One of the best experts on this subject based on the ideXlab platform.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage: case report.
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE Aneurysms involving the distal lenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorrhage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise healthy patient and review the literature on this topic. CLINICAL PRESENTATION Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulostriate artery branch. TECHNIQUE A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacuated, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day. CONCLUSION Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE: Aneurysms involving the distal tenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorthage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise health patient and review the literature on this ropic. CLINICAL PRESENTATION: Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulastriate artery branch. TECHNIQUE: A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacusted, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day, CONCLUSION: Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

Austin E. Doyle - One of the best experts on this subject based on the ideXlab platform.

  • A review of the short-term benefits of antihypertensive treatment with emphasis on stroke.
    American Journal of Hypertension, 1993
    Co-Authors: Austin E. Doyle
    Abstract:

    Hypertension is the major underlying risk factor for stroke, and the risk of stroke increases proportionally to the rise in blood pressure. In the elderly, systolic hypertension increases the risk of stroke. Stroke in hypertensive patients may be due to Charcot-Bouchard Aneurysm, to atherosclerosis of the extracranial and major cerebral arteries, or to embolism as a result of cardiac disease. Reduction of blood pressure greatly reduces the risk of stroke in severe, mild-to-moderate, and isolated systolic hypertension. The reduction in stroke risk occurs up to a year after the onset of treatment and appears to persist thereafter

  • A review of the short-term benefits of antihypertensive treatment with emphasis on stroke.
    American journal of hypertension, 1993
    Co-Authors: Austin E. Doyle
    Abstract:

    Hypertension is the major underlying risk factor for stroke, and the risk of stroke increases proportionally to the rise in blood pressure. In the elderly, systolic hypertension increases the risk of stroke. Stroke in hypertensive patients may be due to Charcot-Bouchard Aneurysm, to atherosclerosis of the extracranial and major cerebral arteries, or to embolism as a result of cardiac disease. Reduction of blood pressure greatly reduces the risk of stroke in severe, mild-to-moderate, and isolated systolic hypertension. The reduction in stroke risk occurs up to a year after the onset of treatment and appears to persist thereafter. The use of dihydropyridine calcium antagonists may confer further benefits in addition to those related to blood pressure reduction as these agents block the influx of calcium into ischemic brain cells, thereby limiting the extent of the infarction. However, although these effects have been impressive in experimental models, there is as yet no convincing evidence of this effect in clinical studies.

Eric M. Horn - One of the best experts on this subject based on the ideXlab platform.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage: case report.
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE Aneurysms involving the distal lenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorrhage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise healthy patient and review the literature on this topic. CLINICAL PRESENTATION Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulostriate artery branch. TECHNIQUE A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacuated, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day. CONCLUSION Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE: Aneurysms involving the distal tenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorthage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise health patient and review the literature on this ropic. CLINICAL PRESENTATION: Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulastriate artery branch. TECHNIQUE: A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacusted, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day, CONCLUSION: Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

Joseph M. Zabramski - One of the best experts on this subject based on the ideXlab platform.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage: case report.
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE Aneurysms involving the distal lenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorrhage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise healthy patient and review the literature on this topic. CLINICAL PRESENTATION Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulostriate artery branch. TECHNIQUE A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacuated, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day. CONCLUSION Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE: Aneurysms involving the distal tenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorthage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise health patient and review the literature on this ropic. CLINICAL PRESENTATION: Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulastriate artery branch. TECHNIQUE: A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacusted, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day, CONCLUSION: Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

Iman Feiz-erfan - One of the best experts on this subject based on the ideXlab platform.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage: case report.
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE Aneurysms involving the distal lenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorrhage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise healthy patient and review the literature on this topic. CLINICAL PRESENTATION Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulostriate artery branch. TECHNIQUE A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacuated, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day. CONCLUSION Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.

  • Distal lenticulostriate artery Aneurysm rupture presenting as intraparenchymal hemorrhage
    Neurosurgery, 2004
    Co-Authors: Eric M. Horn, Joseph M. Zabramski, Iman Feiz-erfan, Guiseppe Lanzino, Cameron G. Mcdougall
    Abstract:

    OBJECTIVE AND IMPORTANCE: Aneurysms involving the distal tenticulostriate artery branches are a rare cause of spontaneous intracerebral hemorthage. We report a case of ruptured lenticulostriate Aneurysm in an otherwise health patient and review the literature on this ropic. CLINICAL PRESENTATION: Computed tomography showed a right basal ganglia hemorrhage in a 44-year-old Native American woman with acute left hemiparesis. Cerebral angiography showed a 2-mm Aneurysm in a distal lenticulastriate artery branch. TECHNIQUE: A pterional craniotomy was performed on a delayed basis using computed tomographic angiography and frameless stereotactic guidance. The basal ganglia hematoma was evacusted, and the Aneurysm was identified and clipped using microsurgical technique. Because the base of the Aneurysm involved a portion of the parent vessel wall, it was wrapped with cotton and reinforced with cyanoacrylate glue. The patient did well after surgery and was discharged to home with outpatient rehabilitation on the third postoperative day, CONCLUSION: Although intraparenchymal hemorrhages are fairly common, the underlying vascular abnormality is rarely identified. Most are related to hypertensive vascular degeneration, rupture of a Charcot-Bouchard Aneurysm, or both. When intracerebral hemorrhage occurs in young patients, however, aggressive investigation is warranted to rule out a structural vascular abnormality.