World Neurosurg
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Case Reports
Filum Terminale Arteriovenous Fistulas with Multiple Shunt Points: A Report of Two Exceptional Cases.
Filum terminale arteriovenous fistula (FTAVF) with multiple shunt points has not been reported in the literature. In previous studies, the angioarchitecture of FTAVFs was always featured with only one single shunt point, and such a uniformity had established the preconceived and conventional understanding of FTAVFs for clinicians. ⋯ The exceptional finding of these 2 cases is a renewal of the conventional understanding of FTAVFs, not only for the angioarchitecture of the lesions but also for the treatment strategy.
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Difficulties are associated with the diagnosis and management of patients with coma because of intracranial hypotension. ⋯ The patient represents the first described case, to our knowledge, of intracranial hypotension with coma because of a CSF leak caused by a spinal ventral dural tear. In the setting of failed EBP attempt, our technique may be a treatment option for severe intracranial hypotension.
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Case Reports
Neonatal Intracranial Pial Arteriovenous Fistula Treated with Endovascular Embolization: A Case Report.
Pial arteriovenous fistulas (PAVFs) are rare vascular malformations, especially in neonates. The purpose of this report is to discuss the treatment strategy and its associated challenges. We present a case of prenatal intracranial PAVF treated by endovascular embolization in the neonatal period. ⋯ Despite current developments in medical technology and therapies, the effective treatment of critical PAVFs still poses a challenge. Therefore, more indications and effective alternative treatments must be discussed.
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Case Reports
Microsurgical Suturing Technique for Blood-Blister Aneurysm of Middle Cerebral Artery: 2-Dimensional Surgical Video.
Microsurgical or endovascular treatment for blood-blister aneurysm remains a technical challenge. This video demonstrates a microsurgical suturing technique for ruptured blood-blister aneurysm of the left middle cerebral artery. The patients experienced favorable clinical outcomes without apparent stenosis of the normal vessel wall.
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To analyze serum levels of S100 calcium-binding protein B (S100B), neuron-specific enolase (NSE), and interleukin (IL)-6 in pediatric patients with traumatic brain injury (TBI) and to assess their relationship with clinical outcome. ⋯ Serum levels of S100B, NSE, and IL-6 decreased 1 week after injury. Serum levels of S100B and NSE at admission were related to initial GCS scores, and these levels 1 week after TBI were related to 6-month Glasgow Outcome Scale scores. Thus, serial measurements of serum S100B and NSE, but not IL-6, may help assess brain damage and clinical outcome of pediatric patients with TBI.