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1.
J ECT ; 39(4): 220-226, 2023 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-37310111

RESUMO

ABSTRACT: Subarachnoid hemorrhage due to cerebral aneurysm rupture is a devastating event with a high mortality and significant morbidity. The safety of patients undergoing electroconvulsive therapy (ECT) in the presence of an aneurysm is not clear and is a cause of anxiety for both health care workers and patients. The present article collated the available evidence related to ECT in the presence of an aneurysm and found that there were no case reports where ECT directly led to the rupture of an aneurysm, although 1 case reported a rupture of an aneurysm between sessions of ECT. The epidemiology of cerebral aneurysms is discussed, as are key clinical considerations related to the care of patients with aneurysms who require ECT.


Assuntos
Aneurisma Roto , Eletroconvulsoterapia , Aneurisma Intracraniano , Acidente Vascular Cerebral , Hemorragia Subaracnóidea , Humanos , Aneurisma Intracraniano/complicações , Aneurisma Intracraniano/terapia , Eletroconvulsoterapia/efeitos adversos , Hemorragia Subaracnóidea/terapia , Angiografia Cerebral
2.
Clin Neuropathol ; 39(3): 135-138, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32049625

RESUMO

BACKGROUND: Capillary hemangiomas of the skin and soft tissue are a common entity, while capillary hemangiomas of the central nervous system are an extremely rare pathology. There are less than 20 published cases of intradural lesions involving the cauda equina. CASE PRESENTATION: Herein, we describe a young patient with a capillary hemangioma of the cauda equina that underwent successful surgical resection. CONCLUSION: Natural history and post-operative follow-up for patients with spinal intradural capillary hemangioma are uncertain. This is the sole case to have not recurred at 12 months which underwent gross total resection and had a high proliferative index.


Assuntos
Cauda Equina/patologia , Hemangioma Capilar/patologia , Recidiva Local de Neoplasia/patologia , Neoplasias do Sistema Nervoso Periférico/patologia , Adulto , Diagnóstico Diferencial , Hemangioma Capilar/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Recidiva Local de Neoplasia/diagnóstico , Neoplasias do Sistema Nervoso Periférico/diagnóstico
4.
J Clin Neurosci ; 118: 58-59, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37883886

RESUMO

BACKGROUND: Brainstem cavernomas occasionally require surgical treatment. Appropriate patient selection and thorough understanding of the anatomy and technical nuances involved in microsurgical resection is a pre-requisite in undertaking these challenging cases. CASE DESCRIPTION: We present a video case of a patient with a recurrent haemorrhagic pontine cavernoma. A step-by-step commentary of surgical footage is provided along with clinical, anatomical and technical learning points pertinent to the safe surgical management of these lesions.


Assuntos
Neoplasias do Tronco Encefálico , Hemangioma Cavernoso , Humanos , Neoplasias do Tronco Encefálico/diagnóstico por imagem , Neoplasias do Tronco Encefálico/cirurgia , Neoplasias do Tronco Encefálico/patologia , Microcirurgia , Hemangioma Cavernoso/cirurgia , Ponte/diagnóstico por imagem , Ponte/cirurgia , Ponte/patologia , Hemorragia/cirurgia
5.
Surg Neurol Int ; 9: 252, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30637170

RESUMO

BACKGROUND: Intracranial infections are a rare complication of therapeutic neuroendovascular procedures. CASE DESCRIPTION: We present a case of a 72-year-old female with multiple unilateral cerebral hemisphere abscesses after endovascular embolization of a right paraophthalmic aneurysm and also provide a comprehensive review of the literature on cerebral abscesses following neurovascular embolization. CONCLUSION: Infection following coil embolization of cerebral aneurysm is rare. However, it is likely to increase in the setting of increased used of neuroendovascular techniques in the future. Therefore, we suggest that extreme care is taken to ensure proper asepsis during embolization, and a high index of suspicion is maintained in patients with predisposing characteristics (large hemorrhage, ischemia, recurrent endovascular procedures, right-to-left shunt, and concomitant infection). Given the fact that the majority of abscesses occurred in patients who have had ruptured aneurysms, we suggest consideration is given to prophylactic intraprocedural intravenous antibiotics use as seen with open aneurysm treatment.

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