Surg Neurol
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Clinical Trial
Recombinant tissue plasminogen activator for the treatment of spontaneous adult intraventricular hemorrhage.
Intraventricular hemorrhage (IVH) has a poor prognosis with mortality rates of between 80 and 100% when all four ventricles are involved. Fibrinolytic therapy has been reported to improve overall outcome. ⋯ Intraventricular fibrinolysis with rt-PA seems to be safe and effective for the treatment of severe IVH.
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The treatment of giant and large paraclinoid aneurysms remains challenging. To improve exposure, facilitate the dissection of aneurysms, assure vascular control, reduce brain retraction and temporary occlusion time, enable simultaneous treatment of associated lesions, and achieve more successful treatment of "difficult" (atherosclerotic and calcified) aneurysms, we combined the skull-base approach with endovascular balloon occlusion of the internal carotid artery (ICA) and suction decompression of the aneurysm. ⋯ The combination of skull-base approaches and endovascular balloon occlusion coupled with suction decompression is a successful option for the treatment of these challenging aneurysms.
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Review Case Reports
Intradural extension of mucocele complicating frontoethmoid sinus osteoma: case report.
Osteomas of the paranasal sinus are often asymptomatic and are sometimes complicated by mucoceles, but intradural extension of such a mucocele has rarely been reported. ⋯ The importance of radical surgery for such lesions and the relationship between osteomas and mucoceles are discussed.
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Syringomyelia is an uncommon, poorly understood finding in patients with myotonic dystrophy. ⋯ Intramedullary tumors can underlie syringomyelia in patients with myotonic dystrophy and have to be actively investigated with modern neuroradiologic investigations.
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Comment Letter Case Reports
Pleomorphic xanthoastrocytoma with malignant progression.