World Neurosurg
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Review Case Reports
Isolated Oculomotor and Abducens Nerve Palsies as Initial Presentation of Cavernous Sinus Tuberculoma: Case Report and Literature Review.
Central nervous system tuberculoma is the most severe manifestation of extrapulmonary tuberculosis with high mortality. Cavernous sinus tuberculoma (CST) is a very rare central nervous system tuberculoma with few cases reported in the literature. ⋯ CST is a rare presentation of M. tuberculosis, and the diagnosis is a difficult challenge. However, accurate diagnosis and timely treatment of CST can result in complete cure.
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Review Case Reports Comparative Study
Extracranial-Intracranial Bypass for Treatment of Blister Aneurysms: Efficacy and Analysis of Complications Compared with Alternative Treatment Strategies.
Blister aneurysms (BAs) represent a clinical challenge without a consensus treatment strategy. We report our institution's experience with BAs with an emphasis on the use of extracranial-to-intracranial (EC-IC) bypass. ⋯ Endovascular interventions have a favorable procedural safety profile but high rates of retreatment for persistent filling or posttreatment aneurysmal growth. Clip ligation and clip wrapping techniques have lower retreatment rates but slightly higher intraoperative risk. EC-IC bypass can safely provide definitive aneurysm securement and should be considered as a first-line therapy for BAs at high-volume bypass centers.