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The Pterional Approach and Extradural Anterior Clinoidectomy to Clip Paraclinoid Aneurysms

Kim JS, Lee SI, Jeon KD, Choi BS

OBJECTIVE: The surgical clipping of paraclinoid segment internal carotid artery aneurysms is considered difficult because of the complex anatomical location and important neighboring structures. Our experiences of pterional craniotomy and...
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Giant Cystic Cerebral Cavernous Malformation with Multiple Calcification: Case Report

Kim IC, Kwon KY, Rhee JJ, Lee JW, Hur JW, Lee HK

Cerebral cavernous malformation with giant cysts is rare and literature descriptions of its clinical features are few. In this case study, the authors describe the clinical symptoms, radiological findings, and...
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Intraosseous Arteriovenous Malformation of the Sphenoid Bone Presenting with Orbital Symptoms Mimicking Cavernous Sinus Dural Arteriovenous Fistula: A Case Report

Park ES, Jung YJ, Yun JH, Ahn JS, Lee DH

Intraosseous arteriovenous malformation (AVM) in the craniofacial region is rare. When it occurs, it is predominantly located in the mandible and maxilla. We encountered a 43-year-old woman with Klippel-Trenaunay syndrome...
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Idiopathic Lenticulostriate Artery Pseudoaneurysm Protruding into the Lateral Ventricle: A Case Report

Kim T, Bang JS, Hwang G, Kwon OK, Oh CW, Nam KH

We report a rare case of an idiopathic pseudoaneurysm causing intraventricular hemorrhage (IVH). A 28-year-old man presented with sudden onset of severe headache. He underwent external ventricular drainage for an...
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Microsurgical Extraction of a Malfunctioned Pipeline Embolization Device Following Complete Deployment

Ding D, Liu KC

The Pipeline Embolization Device (PED) is an effective treatment approach for complex intracranial aneurysms. Intraprocedural complications during PED deployment are seldom reported. We report a rare complication of a PED...
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Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma

Lee SM, Park HS, Choi JH, Huh JT

Mycotic aneurysms are rare inflammatory neurovascular lesions. Ruptured mycotic aneurysm manifesting as subdural hematoma is extremely rare. A 72-year-old male patient was admitted to our hospital with headache and drowsiness....
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The Difference of Each Angiographic Finding After Multiple Stent According to Stent Type in Bilateral Vertebral Artery Dissection

Lee DH, Yoon WK, Baik MW, Kim H

We report a case of spontaneous bilateral intracranial vertebral artery dissecting aneurysms with subarachnoid hemorrhage. One dissecting lesion was treated with a coronary balloon-mounted stent (BMS) technique; however, due to...
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Vertebrobasilar Occlusion Presenting as Sudden Isolated Bilateral Sensorineural Hearing Loss: Case Report

Kim E, Son MK, Kang CK, Lee YB

Isolated bilateral deafness is a rare but possible symptom of vertebrobasilar ischemia, primarily due to occlusion of the anterior inferior cerebellar arteries or their branch, the internal auditory artery. We...
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Distal Subclavian Artery Occlusion Causing Multiple Cerebral Infarcts Consequence of Retrograde Flow of a Thrombus?

Baek JH, Shin DH, Kang CK, Lee YB

Intracranial embolization usually arises from the heart, a vertebrobasilar artery, a carotid artery, or the aorta, but rarely from the distal subclavian artery upstream of an embolus. We report on...
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The Outcomes of Spontaneous Intracerebral Hemorrhage in Young Adults - A Clinical Study

Go GO, Park H, Lee CH, Hwang SH, Han JW, Park IS

OBJECTIVE: Spontaneous intracerebral hemorrhage (ICH) in young adults is rare. The purpose of this study was to investigate causes, sites and other factors affecting the prognosis of ICH in young...
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Clinical and Radiological Spectrum of Posterior Reversible Encephalopathy Syndrome

Yoon SD, Cho BM, Oh SM, Park SH, Jang IB, Lee JY

OBJECTIVE: Symptoms of posterior reversible encephalopathy syndrome (PRES) include headache, altered mental status, visual disturbances, and seizures. Typical radiological features include edema of the parieto-occipital lobes. The purpose of this...
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Comparative Results of the Patients with Intracerebral and Intra-sylvian Hematoma in Ruptured Middle Cerebral Artery Aneurysms

Lee JG, Moon CT, Chun YI, Roh HG, Choi JW

OBJECTIVE: To clarify the prognosis of the patients with intra-sylvian hematoma (ISH) and intracerebral hematoma (ICH) in ruptured middle cerebral artery (MCA) aneurysms. METHODS: We categorized hematoma into ISH and ICH...
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Thirteen-year Experience of 44 Patients with Adult Hemorrhagic Moyamoya Disease from a Single Institution: Clinical Analysis by Management Modality

Choi WS, Lee SB, Kim DS, Huh PW, Yoo DS, Lee TG, Cho KS

Our objective was a retrospective assessment of the management modalities that provided the most beneficial treatment in hemorrhagic moyamoya disease during the last 13 years at our institution. The clinical...
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Single-session Coil Embolization of Multiple Intracranial Aneurysms

Oh K, Lim YC

OBJECTIVE: There is no clear treatment strategy for the management of multiple intracranial aneurysms because of variable anatomical distribution, difficult identification of the aneurysm ruptured, and poor overall outcomes. The...
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Pterional-subolfactory Approach for Treatment of High Positioned Anterior Communicating Artery Aneurysms

Kim H, Kim TS, Joo SP, Moon HS

OBJECTIVE: The purpose of this study is to compare the surgical outcomes of pterional-subolfactory approach for the high positioned anterior communicating artery (ACoA) aneurysm with the conventional pterional approach. METHODS: Between...
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The Role of Adiponectin in Secondary Inflammatory Reaction in Cerebral Ischemia

Jung YS, Ha SK, Kim SD, Kim SH, Lim DJ, Choi JI

OBJECTIVE: In this study, we investigate the role of adiponectin in the interaction between leukocytes and endothelium in the secondary inflammatory reaction of cerebral ischemia. METHODS: Adiponectin knock-out mice group (APN-KO)...
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Two Indices Affecting the Directions of the Sylvian Fissure Dissection in Middle Cerebral Artery Bifurcation Aneurysms

Park HW, Chung SY, Park MS, Kim SM, Yoon BH, Kim HK

OBJECTIVE: This study proposes more objective methods for deciding the appropriate direction of the sylvian fissure dissection during surgical clipping in middle cerebral artery (MCA) bifurcation aneurysms. METHODS: We reviewed data...
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Clinical and Angiographic Outcomes of Wide-necked Aneurysms Treated with the Solitaire AB Stent

Lee SY, Chae KS, Rho SJ, Choi HK, Park HS, Ghang CG

OBJECTIVE: This study investigated the clinical and angiographic outcomes of treatment with stent-assisted coil embolization using the Solitaire AB stents for wide-necked intracranial aneurysms. METHODS: From October 2010 to December 2011,...
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Association Between the Daily Temperature Range and Occurrence of Spontaneous Intracerebral Hemorrhage

Jeong TS, Park CW, Yoo CJ, Kim EY, Kim YB, Kim WK

OBJECTIVE: We have observed, anecdotally, that the incidence of primary spontaneous intracerebral hemorrhage (sICH), as well as spontaneous subarachnoid hemorrhage, varies in accordance with seasonality and meteorological conditions. This retrospective...
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The Anatomy of the Superficial Temporal Artery in Adult Koreans Using 3-Dimensional Computed Tomographic Angiogram: Clinical Research

Kim BS, Jung YJ, Chang CH, Choi BY

OBJECTIVE: The increased use of bypass surgery in the treatment of ischemic cerebrovascular diseases requires a better understanding of the superficial temporal artery (STA) anatomy. This study is to describe...
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