By Johannes Schramm
This quantity of Advances and Technical criteria in Neurosurgery covers a few very important new advancements in useful neurosurgery and endovascular treatment. within the Technical criteria part quite a few subject matters are thought of, together with optic pathway gliomas, pineal lesions, cavernous sinus meningiomas and the everlasting challenge of teenybopper and repetitive head damage. Endovascular therapy of various lesions is now universal perform and the cutting-edge in endovascular therapy for acute ischemic stroke is reviewed. An appraisal of the facts on no matter if there's a position for microsurgical vascular decompression for crucial high blood pressure increases fascinating questions. the amount is finished by way of contributions on neurosurgical therapy of cluster complications and occipital nerve stimulation.
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Extra info for Advances and Technical Standards in Neurosurgery: Volume 42
Enrollment was therefore stopped. No serious safety concerns were identified. Mechanical Thrombectomy Strategies Mechanical thrombectomy devices can be divided into three groups by mode of use. Distal clot-retrieval devices were developed and implemented first, followed by proximal aspiration devices, and then endovascular by-pass devices. Distal Clot Retrieval The first mechanical thrombectomy devices were advanced through the clot and delivered to its distal part via a microcatheter; the clot was then retrieved by pulling on the device.
The first stent used in this context was the Enterprise (Cordis, Miami Lakes, FL). , Plymouth, MN) is a self-expanding stent initially designed for stent-assisted coiling in remodeling of brain aneurysms (Fig. 7). It is currently offered in two versions: aneurysm bridging (AB) and flow restoration (FR). The Solitaire is unique in that it can be fully deployed and then completely retrieved if not detached [35, 87] once recanalization is established. Although detachment of the device is not within the primary scope for the treatment of ischemic stroke, it is a viable option if thrombectomy fails and thrombus compression by the deployed stent restores flow in the target vessel .
The left occipital lead was then replaced during revision surgery (b) Occipital Nerve Stimulation 31 reported following ONS, including the following: lead migration, infection, wound erosion, device failure, muscle spasms, and pain [1, 19]. Most commonly, lead migration is associated with ONS [18, 19] (Fig. 4). Often lead migration may require surgical intervention. Schwedt et al. demonstrated lead migration rates of 33 % after 6 months, 60 % after 2 years, and 100 % after 3 years . In the authors’ experience, lead migration occurred in 7 % of patients.
Advances and Technical Standards in Neurosurgery: Volume 42 by Johannes Schramm