ISUIA: the old problem.

Key point:
 In the last post, we have concluded that when an unruptured intracranial aneurysm is identified we have to decide whether the “patient” (and not only the aneurysm) should be treated and whether it should be treated with endovascular or neurosurgical techniques. But for years our decision making has been influenced by results of Read more about ISUIA: the old problem.[…]

An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms

Key point: The widespread use of neurovascular imaging has increased the amount of intracranial aneurysms eccidentally detected. Although the lifetime risk of aneurysmal rupture in many cases is relatively small (approximately 1% per year), rupture can results in permanent neurological deficits or death, the reason why often patients may desire the treatment of unruptured aneurysms Read more about An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms[…]

Headache and Treatment of Unruptured Intracranial Aneurysms

Arena JE1, Hawkes MA2, Farez MF1, Pertierra L1, Kohler AA1, Marrodán M1, Benito D3, Goicochea MT1, Miranda JC3, Ameriso SF4.   Key points: Despite several studies have mentioned the presence of headache (cluster headache, hemicrania continua, and migraine) in subjects with UIAs, in 18%-34% of cases, in general practice chronic primary headache is not usually Read more about Headache and Treatment of Unruptured Intracranial Aneurysms[…]

Preoperative embolization of hypervascular spinal tumors: current practice and center experience.

Pikis S, Itshayek E, Barzilay Y, Hasharoni A, Kaplan L, Gomori M, Cohen JE. Pubmed Preoperative transarterial embolization of hypervascular spinal tumors has been extensively used, and is considered to be a highly effective adjuvant technique in reducing intraoperative blood loss during surgery. Moreover, it has been reported to increase the feasibility and safety of Read more about Preoperative embolization of hypervascular spinal tumors: current practice and center experience.[…]

Assessment of vasculature of meningiomas and the effects of embolization with intra-arterial MR perfusion imaging: a feasibility study

Martin AJ1, Cha S, Higashida RT, Cullen SP, Halbach V, Dowd CF, McDermott MW, Saloner DA. Pubmed BACKGROUND AND PURPOSE: Embolization of meningiomas has emerged as a preoperative adjuvant therapy that has proved effective in mitigating blood loss during surgical resection. Arterial supply to these tumors is typically identified by diffuse areas of parenchymal staining after Read more about Assessment of vasculature of meningiomas and the effects of embolization with intra-arterial MR perfusion imaging: a feasibility study[…]