Surgery

Download Trends in Neurovascular Surgery by Berk Orakcioglu, Y. Uozumi, A. Unterberg (auth.), Tetsuya PDF

By Berk Orakcioglu, Y. Uozumi, A. Unterberg (auth.), Tetsuya Tsukahara, Luca Regli, Daniel Hänggi, Bernd Turowski, Hans-Jakob Steiger (eds.)

The contributions during this ebook have been offered on the 5th European-Japanese Joint convention for Stroke surgical procedure, held in July 2010 in Duesseldorf, Germany. the subjects taken care of are the administration of cerebral and ventricular hemorrhage, extra-intracranial pass surgical procedure, surgical and endovascular remedy of cervical and intracranial arterial occlusive sickness, and embolization and microsurgery of AVM and dural AV-fistulas.

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Extra resources for Trends in Neurovascular Surgery

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Tsukahara (*), S. Fukuda, T. Nakakuki, M. Murakami, D. Arai, and S. jp endarterectomy (CEA) and carotid artery stenting (CAS), although no indication for CEA or CAS for cervical carotid stenosis has been established yet. A recent RCT reported that the stroke prevention effect was not statistically different between CEA and CAS for CEA high-risk patients [6]; however, to achieve a better outcome with surgical treatments, we have to select CEA or CAS considering not only the patient’s condition, but also the characteristics of carotid stenosis and plaque.

Furthermore the patients were clinically examined with provocation by mouth opening. ). Neurological examination consisted of pronator drift test and Janda’s muscle examination [13]. None of the patients showed neurological deficits upon the beginning of examination. Provocation by active mouth opening for 2 min revealed a right side hemiparesis of brachial predominance and aphasia in one patient. Both symptoms fully recovered after several minutes. Three out of five patients showed alterations in bypass patency due to mouth opening.

In contrast, PCT is a fast technique, and a CT scanner is frequently available close to the ICU. , about hemorrhage, infarction, edema). The goal of this study was to identify unexpected cerebral perfusion changes using PCT in the early postoperative period in comparison to preoperative PCT in order to use these results for planning further diagnostic or therapeutic procedures. Holo-hemispheric changes could be detected in all patients. In 80% of the patients an expected The Impact of Early Perfusion CT Measurement After Extracranial-Intracranial Bypass Surgery: Results of a Pilot Study  increase of CBF and CBV and shortened TTP and MTT were diagnosed.

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