-
Je něco špatně v tomto záznamu ?
Microsurgery and endovascular treatment of posterior inferior cerebellar artery aneurysms
A. Sejkorová, F. Cihlář, A. Hejčl, J. Lodin, P. Vachata, M. Sameš,
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- digitální subtrakční angiografie MeSH
- dospělí MeSH
- endovaskulární výkony metody mortalita MeSH
- intrakraniální aneurysma mortalita chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mikrochirurgie metody mortalita MeSH
- mozková angiografie MeSH
- nemoci mozečku mortalita chirurgie MeSH
- neurochirurgické výkony metody mortalita MeSH
- počítačová rentgenová tomografie MeSH
- prognóza MeSH
- retrospektivní studie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Aneurysms located on the posterior inferior cerebellar artery are rare, and treatment guidelines for them have not yet been established. In this paper, we present the results of a retrospective study which analyzes the management and treatment of 15 patients with posterior inferior cerebellar artery aneurysms from 2004 to 2013. The aneurysms were ruptured and presented with a subarachnoid hemorrhage. Of the 15 aneurysms, ten were of saccular, three fusiform, and two were dissecting. Computed tomography angiography or digital subtraction angiography revealed other aneurysms or intracerebral artery hypoplasia in seven patients. Either surgical or endovascular treatment was performed depending on the localization and morphology of the aneurysm. Six aneurysms were coiled, and surgery was performed in nine cases. Of the nine surgically treated patients, six (75%) had good outcomes. Of the six patients treated using endovascular procedures, three patients (50%) recovered. Patient outcomes were classified using the Hunt&Hess scale. Patients with Hunt&Hess 1-3 recovered without a neurological deficit. On the other hand, patients with Hunt&Hess 4-5 had a risk of up to 93% of death or a poor outcome. In two cases of endovascular and in two cases before any therapy, aneurysmal rebleeding occurred and resulted in deterioration of clinical state of the patient and a poor prognosis with high risk of death. This study shows the necessity of acute treatment of posterior inferior cerebellar artery aneurysm, of thorough diagnostic, and of interdisciplinary cooperation.
2nd Faculty of Medicine Charles University Prague Czech Republic
Radiology Department Masaryk Hospital Ústí nad Labem Czech Republic
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc17001046
- 003
- CZ-PrNML
- 005
- 20181029080609.0
- 007
- ta
- 008
- 170103s2016 gw f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1007/s10143-015-0659-6 $2 doi
- 024 7_
- $a 10.1007/s10143-015-0659-6 $2 doi
- 035 __
- $a (PubMed)26296429
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a gw
- 100 1_
- $a Sejkorová, Alena $7 xx0228520 $u Neurosurgery Department, J.E. Purkinje University, Masaryk Hospital, Sociální péče 12A, Ústí nad Labem, 401 13, Czech Republic. International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
- 245 10
- $a Microsurgery and endovascular treatment of posterior inferior cerebellar artery aneurysms / $c A. Sejkorová, F. Cihlář, A. Hejčl, J. Lodin, P. Vachata, M. Sameš,
- 520 9_
- $a Aneurysms located on the posterior inferior cerebellar artery are rare, and treatment guidelines for them have not yet been established. In this paper, we present the results of a retrospective study which analyzes the management and treatment of 15 patients with posterior inferior cerebellar artery aneurysms from 2004 to 2013. The aneurysms were ruptured and presented with a subarachnoid hemorrhage. Of the 15 aneurysms, ten were of saccular, three fusiform, and two were dissecting. Computed tomography angiography or digital subtraction angiography revealed other aneurysms or intracerebral artery hypoplasia in seven patients. Either surgical or endovascular treatment was performed depending on the localization and morphology of the aneurysm. Six aneurysms were coiled, and surgery was performed in nine cases. Of the nine surgically treated patients, six (75%) had good outcomes. Of the six patients treated using endovascular procedures, three patients (50%) recovered. Patient outcomes were classified using the Hunt&Hess scale. Patients with Hunt&Hess 1-3 recovered without a neurological deficit. On the other hand, patients with Hunt&Hess 4-5 had a risk of up to 93% of death or a poor outcome. In two cases of endovascular and in two cases before any therapy, aneurysmal rebleeding occurred and resulted in deterioration of clinical state of the patient and a poor prognosis with high risk of death. This study shows the necessity of acute treatment of posterior inferior cerebellar artery aneurysm, of thorough diagnostic, and of interdisciplinary cooperation.
- 650 _2
- $a dospělí $7 D000328
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a senioři nad 80 let $7 D000369
- 650 _2
- $a digitální subtrakční angiografie $7 D015901
- 650 _2
- $a nemoci mozečku $x mortalita $x chirurgie $7 D002526
- 650 _2
- $a mozková angiografie $7 D002533
- 650 _2
- $a endovaskulární výkony $x metody $x mortalita $7 D057510
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a intrakraniální aneurysma $x mortalita $x chirurgie $7 D002532
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a mikrochirurgie $x metody $x mortalita $7 D008866
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a neurochirurgické výkony $x metody $x mortalita $7 D019635
- 650 _2
- $a prognóza $7 D011379
- 650 _2
- $a retrospektivní studie $7 D012189
- 650 _2
- $a počítačová rentgenová tomografie $7 D014057
- 650 _2
- $a výsledek terapie $7 D016896
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a práce podpořená grantem $7 D013485
- 700 1_
- $a Cihlář, F $u Radiology Department, Masaryk Hospital, Ústí nad Labem, Czech Republic.
- 700 1_
- $a Hejčl, A $u Neurosurgery Department, J.E. Purkinje University, Masaryk Hospital, Sociální péče 12A, Ústí nad Labem, 401 13, Czech Republic. International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
- 700 1_
- $a Lodin, J $u 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.
- 700 1_
- $a Vachata, P $u Neurosurgery Department, J.E. Purkinje University, Masaryk Hospital, Sociální péče 12A, Ústí nad Labem, 401 13, Czech Republic. International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic.
- 700 1_
- $a Sameš, Martin $u Neurosurgery Department, J.E. Purkinje University, Masaryk Hospital, Sociální péče 12A, Ústí nad Labem, 401 13, Czech Republic. Martin.Sames@kzcr.eu.
- 773 0_
- $w MED00003513 $t Neurosurgical review $x 1437-2320 $g Roč. 39, č. 1 (2016), s. 159-68; discussion 168
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/26296429 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y a $z 0
- 990 __
- $a 20170103 $b ABA008
- 991 __
- $a 20181029081124 $b ABA008
- 999 __
- $a ok $b bmc $g 1180186 $s 961613
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2016 $b 39 $c 1 $d 159-68; discussion 168 $e 20150823 $i 1437-2320 $m Neurosurgical review $n Neurosurg Rev $x MED00003513
- LZP __
- $a Pubmed-20170103
