Neurosurgery
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Review Meta Analysis
Endovascular Management vs Intravenous Thrombolysis for Acute Stroke Secondary to Carotid Artery Dissection: Local Experience and Systematic Review.
Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD). ⋯ Our study provides evidence that the endovascular management of AIS in the setting of CAD is a feasible, safe, and promising strategy.
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Review Case Reports
Surfer's Myelopathy: A Rare Form of Spinal Cord Infarction in Novice Surfers: A Systematic Review.
Surfer's myelopathy is a rare, acute, atraumatic myelopathy that occurs in novice surfers. ⋯ Surfer's myelopathy is a clinical entity associated with complete deficit in >50% of cases. Its prognosis is almost exclusively dictated by severity at presentation/nadir. Thus, publicizing this rare but serious condition (within and outside the medical literature) may be an effective intervention.
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There is no previous prospective study on the outcome of surgical decompression of intracranial arachnoid cysts (AC). ⋯ Surgery for AC can be performed with a fairly low risk of complications and yields significant improvement in quality of life correlated to postoperative improvement in headache and dizziness. These findings may justify a more liberal approach to surgical treatment for AC.
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Flow diversion is increasingly used to treat intracranial aneurysms. In previous reports, patients were pretreated with aspirin and clopidogrel before the intervention for the prevention of thromboembolic complications. ⋯ A protocol of anticoagulation with tirofiban during flow diversion has an excellent safety profile. This protocol provides a reasonable alternative to pretreatment with aspirin and clopidogrel and is useful in patients with ruptured aneurysms or when the use of a stent is unexpected.