World Neurosurg
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Endovascular treatment of acutely ruptured wide-necked aneurysms presents well-known challenges because of the desire to avoid intracranial stenting with attendant dual antiplatelet therapy requirements. Balloon-assisted coiling (BAC) has been well described for this purpose, most commonly using a 2-microcatheter technique, with a balloon microcatheter protecting the aneurysm neck and a coiling microcatheter used to embolize the aneurysm.1,2 However, the availability of advanced double-lumen balloon microcatheters with coiling markers allows for the use of a single-microcatheter technique in select instances.3 We present the case of a patient presenting with a ruptured wide-necked posterior communicating artery aneurysm with a large posterior communicating artery arising from the neck. ⋯ The aneurysm was intentionally subtotally coiled and the patient was retreated with a flow-diverting stent later during the same hospitalization (Video 1). Partial coiling followed by later flow diversion is a pragmatic strategy in wide-necked ruptured aneurysms,4 and use of a single balloon microcatheter for BAC can be useful in certain situations.
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Mildronate is a useful anti-ischemic agent and has antiinflammatory, antioxidant, and neuroprotective activities. The aim of this study is to investigate the potential neuroprotective effects of mildronate in the experimental rabbit spinal cord ischemia/reperfusion injury (SCIRI) model. ⋯ This study presented the antiinflammatory, antioxidant, antiapoptotic, and neuroprotective effects of mildronate on SCIRI. Future studies will elucidate its possible use in clinical settings in SCIRI.
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Retraction Of Publication
Withdrawal notice to Spinal dysraphism-perspectives from a Southeast Asian paediatric neurosurgical unit: WNEU, 173 (2023) 20134.
The Publisher regrets that this article is an accidental duplication of an article that has already been published in WNEU, 172 (2023) 20066, https://doi.org/10.1016/j.wneu.2023.01.070. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies/article-withdrawal.
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Review Meta Analysis
Vertebral Artery Injury with Anterior Cervical Spine Operations: A Systematic Review of Risk Factors, Clinical Outcomes, and Management Strategies.
Anterior cervical spine operations are commonly performed on cervical spine pathologies and to a large extent are safe and successful. However, these surgical procedures expose the vertebral artery, posing a risk of harm to it. ⋯ Altogether, our review recommends repair or tamponade packing with a hemostatic agent for primary management. Should tamponade packing with a hemostatic agent be used for primary management, secondary management should entail either repair, stenting occlusion, embolization, anticoagulants, or ligation. Further examination of this treatment strategy based on a larger cohort is necessary.