Clinical neurology and neurosurgery
-
Clin Neurol Neurosurg · Dec 2009
Case ReportsIntraoperative indocyanine green angiography in intracranial aneurysm surgery: Microsurgical clipping and revascularization.
The goal of this report is to illustrate the use of intraoperative indocyanine green (ICG) angiography in the surgical management of intracranial aneurysms, including microsurgical clipping and revascularization. ⋯ ICG angiography can provide real-time information and guide revision in the same surgical procedure for the management of intracranial aneurysms.
-
Clin Neurol Neurosurg · Dec 2009
Ultrastructure and immunohistochemistry of the trigeminal peripheral myelinated axons in patients with neuralgia.
Detailed ultrastructural and immunohistochemical examination of the trigeminal axons surrounded by the peripheral type of the myelin could add new information about the extent of the trigeminal nerve lesion in neuralgia. ⋯ The pathological changes affect not only the central nerve fibers of the TNR, but also some of the peripheral axons, their myelin sheath and Schwann cells. These are signs of the retrograde ultrastructural and biochemical alterations, which could participate in the pathophysiological mechanism underlying the trigeminal neuralgia.
-
Clin Neurol Neurosurg · Dec 2009
Frontal lobe atrophy is associated with small vessel disease in ischemic stroke patients.
The pathogenesis of frontal lobe atrophy (FLA) in stroke patients is unclear. We aimed to ascertain whether subcortical ischemic changes were more associated with FLA than with parietal lobe atrophy (PLA) and temporal lobe atrophy (TLA). ⋯ Frontal lobe atrophy in ischemic stroke patients may be associated with small vessel disease. The association between WMLs and FLA was predominant over atrophy of the parietal and temporal lobes, which suggests that the frontal lobe may be vulnerable to subcortical ischemic changes.