BACKGROUND AND PURPOSE Stroke type in the young may influence the outcome and may have a dramatic impact on the quality of life in survivors. This study aimed to evaluate the incidence and prognosis of first-ever stroke in the young and to make comparisons with older patients within a well-defined population. METHODS All first-ever strokes occurring in the L'Aquila district, central Italy, we...

BACKGROUND Distal anterior cerebral artery (DACA) aneurysms, also known as pericallosal artery aneurysms, represent about 6% of all intracranial aneurysms. They are located on the A2-A5 segments of the anterior cerebral artery and on its distal branches. METHODS This paper summarizes present knowledge on radiological features, treatment options, treatment results, and long-term follow-up of D...

Cavernous angiomas although relatively common lesions rarely reach a large size. They have a well documented association with AVMs, capillary telangiectases and venous angiomas but are not specifically associated with intracerebral aneurysms. We present a case of what we believe to be the 4th largest reported giant cavernous angioma to present in adulthood. This cavernous angioma also happened ...

COL4A1 mutations have been associated with a variety of vascular abnormalities and disease manifestations, including porencephaly, infantile hemiparesis, intracerebral hemorrhage in neonates and children, intracerebral hemorrhage and cerebral small vessel disease in adulthood, intracranial aneurysms, and retinal arteriolar tortuosities [1]. The gene encodes for type IV collagen a1 that forms th...

It has been suggested that the risk of rupture of intracranial aneurysms may be fostered by climatic drops in barometric pressure, as also occurs to passengers subjected to the air pressure settings inside aircraft cabins. We present two cases of flight-related aneurysmal SAH followed by intracerebral rebleeding in the cabin (case 1) and carotid dissection after landing (case 2). Management and...

The association between the formation of intracranial aneurysms and situations of increased blood flow in certain areas of the brain is well accepted today. It has been seen in association with arteriovenous malformations of the brain, carotid occlusion, and Moyamoya disease. The occurrence of aneurysms in small arteries of the skull base, with the exception of the intracavernous carotid artery...

BACKGROUND Unruptured aneurysms of the cavernous and paraclinoid internal carotid artery can be approached via microsurgical and endovascular approaches. Trends in treatment reflect a steady shift toward endovascular techniques. OBJECTIVE To analyze our results with multimodal treatment. METHODS We reviewed patients with unruptured cavernous and paraclinoid internal carotid artery aneurysms...

AIM To provide a quick evaluation of rebleeding risk based on the on-admission patient information and to guide the management of patients for better outcome. MATERIAL AND METHODS A retrospective review of 630 consecutive cases of subarachnoid hemorrhage (SAH) at a major medical center was conducted, of which 458 were included for analysis. Sixty three cases of in-hospital pre-intervention re...

Morley and Barr classify cerebral aneurysms as giant when their largest diameter is equal to or greater than 25 mm. The arbitrary limit of 2.5 cm distinguishes an aneurysm group with clinical and pathological characteristics, natural history, and treatment, which differ from those of small and medium aneurysms.1–4 The most common location is in the internal carotid artery (ICA), followed by the...

Endovascular treatment has been increasingly performed for unruptured intracerebral aneurysms. However, thromboembolic complications, which develop mostly within 48 hours after the procedure, are the most common and major complications of endovascular treatment. We present a rare case of delayed symptomatic thromboembolism in an ischemic stroke patient who had undergone coil embolization for un...