BACKGROUND Rebleeding is a serious complication of aneurysmal subarachnoid hemorrhaging. To date, there are conflicting data regarding the factors contributing to rebleeding and their significance. METHODS A systematic review of PubMed and Embase databases was conducted for studies pertaining to aneurysmal subarachnoid hemorrhage (aSAH) and rebleeding in order to assess the associated risk fa...

BACKGROUND AND PURPOSE Prior population-based studies of pediatric hemorrhagic stroke (HS) had too few incident cases to assess predictors of cerebral aneurysms, a HS etiology that requires urgent intervention. METHODS We performed a retrospective cohort study of HS (intracerebral, subarachnoid [SAH], and intraventricular hemorrhage) using the population of all children <20 years of age enrol...

Previous reports of outcome after endovascular treatment of posterior cerebral artery (PCA) aneurysms have been limited. This study aimed to describe the clinical outcome and angiographic results obtained in the endovascular therapy of PCA aneurysm over a six year period. Endovascular treatment strategies were determined. A retrospective analysis was performed on 18 patients with PCA aneurysms ...

OBJECTIVE Early rebleeding after coil embolization of ruptured intracranial aneurysms is rare, however serious and fatal results of rebleeding have been reported. We studied the incidence and angiographic and clinical characteristics of rebleeding of ruptured aneurysms occurring in the immediate postoperative period after coil embolization. MATERIALS AND METHODS We analyzed patients who had a...

Six neonates with aneurysms of the vein of Galen are described: five were associated with an intracerebral arteriovenous fistula and presented with heart failure in the neonatal period; one had hydrocephalus at birth. Two infants died from intractable cardiac failure within 48 hours of age and two from progressive hydrocephalus and cardiac failure at 8 months and 8 years respectively. Two of th...

Abstract Background Intracranial arterial aneurysms in the paediatric age group constitute less than 5% of all aneurysms. The most common form is spontaneous dissecting (SDAs) (Peron et al. Acta Neurochir 152(9):1511–1517, 2010; Huang Surg Neurol 63(5):424–432, 2005; Krishna 147(5):469–476, Ihn and Jung J Korean Soc Radiol 65(5):441–445, 2011). It occurs commonly posterior circulation rarely an...

BACKGROUND AND PURPOSE This study was conducted to elucidate the association between clinical and angiographic characteristics and stroke types in adult Moyamoya disease that has been rarely evaluated. MATERIALS AND METHODS We analyzed the clinical and radiologic data obtained from a retrospective adult Moyamoya disease cohort with acute strokes, which were classified into 7 categories: large...

BACKGROUND AND PURPOSE 3D computed tomographic angiography (3DCTA) has been used recently for the evaluation of intracerebral aneurysms, but it is difficult to use this technique to visualize aneurysms near the base of the skull because of the presence of bone. Subtracted 3DCTA could replace digital subtraction angiography (DSA) for evaluation of aneurysms near the base of the skull if the 2 me...

Ruptured intracranial aneurysm usually manifests as subarachnoid hemorrhage (SAH) or SAH with hematoma. Aneurysms that only present with intracerebral hemorrhage or intraventricular hemorrhage are mostly confined to the distal artery. It is very rare that ruptured middle cerebral artery bifurcation aneurysms manifest signs of caudate head hemorrhage extending into the cerebral ventricle. One su...

Cerebrovascular complications occur in 25%–70% of patients with infective endocarditis (IE). Among these complications, ischemic stroke, intracerebral hemorrhage and cerebral abscess are frequently seen usually the consequence vegetation embolization or ruptured infectious (mycotic) aneurysm. Acute subdural hematoma (ASDH) is a very rare complication IE due to multiple septic brain embolisms. P...