Surgical Treatment and Outcome of Pericallosal Artery Aneurysms: Single Institutional Experience

Object The aim of the study was to analyze the outcome of surgical treatment for posthemorrhagic hydrocephalus in premature infants. Methods From 1990 to 2006, 32 premature infants underwent surgical treatment for posthemorrhagic hydrocephalus, and their charts were retrospectively reviewed to analyze the complications and outcome with respect to shunt revisions. Multivariate analysis and time series were used to identify factors that influence the outcome in terms of shunt revisions. Results The mean gestational age was 27 ± 3.3 weeks, and mean birth weight was 1192 ± 660 g. Temporary reservoir placement was performed in 15 patients, while 17 underwent permanent CSF diversion with a ventriculoperitoneal (VP) shunt. In 2 patients, reservoir tapping alone was sufficient to halt the progression of hydrocephalus; 29 patients received VP shunts. The mean follow-up period was 37.3 months. The neonates who received VP shunts first were significantly older (p = 0.02) and heavier (p = 0.04) than those who initially underwent reservoir placement. Shunts were revised in 14 patients; 42% of patients in the reservoir group had their shunts revised, while 53% of infants who had initially received a VP shunt required a revision. The revision rate per patient in the reservoir group was half that in the direct VP shunt group (p = 0.027). No patient in the reservoir group had > 2 revisions. Shunt infections developed in 3 patients (10.3%), and 2 patients in the reservoir group died of nonneurological issues related to prematurity. Conclusions Birth weight and age are useful parameters in decision making. Preterm neonates with low birth weights benefit from initial CSF drainage procedures followed by permanent CSF diversion with respect to the number of shunt revisions.

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Giant pericallosal artery aneurysm – Literature review and report of a rare case

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0038-1626013 ◽

2013 ◽

Vol 32 (03) ◽

pp. 195-199

Author(s):

José Fernando Guedes Corrêa ◽

Ari Boulanger Sucussel Junior ◽

Rogério Martins Pires Amorim ◽

Lucas Santos Loiola ◽

Maristella Reis ◽

...

Keyword(s):

Surgical Treatment ◽

Cerebral Arteries ◽

Clinical Status ◽

Artery Aneurysm ◽

Mass Effect ◽

Imaging Studies ◽

Falx Cerebri ◽

Aneurysm Neck ◽

Pericallosal Artery ◽

Medial Surfaces

AbstractGiant pericallosal artery aneurysms are extremely rare. Aneurismatic lesions involving this artery are usually small, tend to early bleeding and might be associated with other lesions. Differential diagnosis of giant aneurysms are not easy and includes tumoral, infectious and vascular mass effect lesions. We report a case of a giant and partially thrombosed left pericallosal artery aneurysm. A 58-year-old man, presented with progressive headaches, seizures and speech alterations initially misdiagnosed as a falx cerebri meningioma. As clinical status continue to worsen, magnetic resonance imaging and digital cerebral angiography were performed and a vascular etiology was considered. The patient was then referred to our hospital for surgical treatment. The peculiarity of this case concerns the difficulty of surgical treatment once the surgeon was not able to obtain control of the afferent artery and the aneurysm neck could not be visualized. Also, the aneurysm adhered to the medial surfaces of the frontal lobes and covered the anterior cerebral arteries. Treatment by means of microsurgical thrombectomy, clipping and resection of the lesion was successfully performed. Microsurgical treatment may provide good results when carefully planned with the help of imaging studies of the lesion. It is essential to keep in mind that flexible approach is of great importance when dealing with giant aneurysmatic lesions of pericallosal artery due to its variety of intraoperative presentation.

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Factors affecting the survival following surgical treatment of chronic subdural haematoma: Single institutional experience

Journal of Clinical Neuroscience ◽

10.1016/j.jocn.2017.06.038 ◽

2017 ◽

Vol 44 ◽

pp. 75-79 ◽

Cited By ~ 5

Author(s):

Rahim Hussain ◽

Mohammed Afzal ◽

Shabin Joshi ◽

Ronan Dardis ◽

Shahid Siddique ◽

...

Keyword(s):

Surgical Treatment ◽

Subdural Haematoma ◽

Chronic Subdural Haematoma ◽

Factors Affecting ◽

Institutional Experience

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Surgical treatment of periprosthetic femoral fractures following hip arthroplasty: Our institutional experience

Injury ◽

10.1016/j.injury.2015.06.017 ◽

2015 ◽

Vol 46 (10) ◽

pp. 1945-1950 ◽

Cited By ~ 14

Author(s):

Plamen Kinov ◽

Gershon Volpin ◽

Roger Sevi ◽

Panayot P. Tanchev ◽

Boris Antonov ◽

...

Keyword(s):

Surgical Treatment ◽

Hip Arthroplasty ◽

Femoral Fractures ◽

Periprosthetic Femoral Fractures ◽

Institutional Experience

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Feasibility of Surgical Treatment for Laryngomalacia using Spontaneous Respiration Technique

Clinical and Experimental Otorhinolaryngology ◽

10.21053/ceo.2020.02061 ◽

2021 ◽

Author(s):

Hyunkyung Cha ◽

Doh Young Lee ◽

Eun-Hee Kim ◽

Ji-Hyun Lee ◽

Young-Eun Jang ◽

...

Keyword(s):

Surgical Treatment ◽

Surgical Management ◽

Surgical Outcomes ◽

Medical Records ◽

High Flow ◽

Spontaneous Respiration ◽

Intravenous Anesthesia ◽

Total Study Population ◽

Institutional Experience ◽

Study Population

BACKGROUND: We review our institutional experience with pediatric laryngomalacia (LM) cases and report our experience in patients undergoing supraglottoplasty using the spontaneous respiration using intravenous anesthesia and high-flow nasal oxygen (STRIVE Hi) technique.METHODS: The medical records of 29 children with LM who visited ***** Hospital between January 2017 and March 2019 were retrospectively reviewed. Surgical management was performed using the STRIVE Hi technique. Intraoperative findings and postoperative surgical outcomes, including complications and changes in symptoms and weight, were analyzed.RESULTS: Of the total study population of 29 subjects, 20 (68.9%) were female. The patients were divided according to the Onley

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Surgical Treatment of Internal Carotid Bifurcation and Pericallosal Artery Aneurysms with Unilatera

Journal of Clinical and Analytical Medicine ◽

10.4328/jcam.1351 ◽

2014 ◽

Vol 5 (4) ◽

Author(s):

Cengiz Cokluk

Keyword(s):

Surgical Treatment ◽

Internal Carotid ◽

Carotid Bifurcation ◽

Pericallosal Artery

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Neuro Deficit Caused by Vertebral Hemangioma Enneking Stage 3: Incidence, Treatment Options and One Extraordinary Serious Case

Medical Research Archives ◽

10.18103/mra.v9i4.2379 ◽

2021 ◽

Vol 9 (4) ◽

Author(s):

Andreas Reinke ◽

Gordian Schmid ◽

Ehab Shiban ◽

Alexander Wild

Keyword(s):

Surgical Treatment ◽

Spinal Canal ◽

Tumor Resection ◽

Complete Recovery ◽

Neurological Symptoms ◽

Surrounding Tissue ◽

Vertebral Hemangioma ◽

Institutional Experience ◽

Enneking Stage ◽

Vertebral Hemangiomas

Objective Aggressive Vertebral Hemangiomas (VH) are very rare lesions that may present with compression fractures or bony expansion and erosion into the epidural space resulting in neurological symptoms. Especially in these patients a surgical treatment is essential. We illustrate our institutional experience and discuss the relevant literature. Method Our database was searched for cases with vertebral hemangioma and the appearance of a neurological deficit between 2015 and 2020. We were able to identify one very extraordinary case which showed a very aggressive nature and resulted in paraparesis twice in the patient. Furthermore a Medline analysis was performed to identify data of this rare illness (aggressive VH, Enneking stage 3, S3) to assess the incidence and therapeutic options for this so called benign vascular tumor. Results One patient was identified in the database with an extraordinary course which resulted in paraparesis twice. A 54-year-old man presented with an acute onset of paraparesis of the legs. Contrast-enhanced magnetic resonance imaging (MRI) revealed a hypervascular tumor of the entire L3 vertebral body and the surrounding tissue with subtotal compression of the spinal canal (Enneking stage 3). After decompression and spinal stabilization a complete recovery of the paraparesis was seen. Two weeks after the initial presentation a recurrence of the paraparesis was noted. The subsequent MRI demonstrated a recurrent increase in the tumor size with spinal canal compression. After endovascular embolization, a gross total tumor resection with a vertebral replacement was performed. The patient was noted to have a complete recovery. Conclusion The number of cases with aggressive vertebral hemangiomas (Enneking Stage 3) is limited. However, despite limited treatment algorithms for these rare cases due to the lack of data, surgical treatment should be recommended, especially in the presence of neurological symptoms. That can be underlined by our institutional experience.

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