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Slip Clip after successful microsurgery of a blister aneurysm: Should bypass always be the first option?

Paiva ALC, Aguiar GBd, Flores JAC, Veiga JCE

Blood Blister-like aneurysms are intracranial non-saccular aneurysms with higher rupture risk due to its fragile wall. Diagnosis is performed in the acute phase of a subarachnoid hemorrhage. There are several...
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Usefulness of delta neutrophil index to predict neurologic outcome in patients with aneurysmal subarachnoid hemorrhage

Lee Y, You JS, Kong T, Lee HS, Jeon S, Lee JW, Hwang H, Lee H, Chung HS, Park I, Chung SP

  • KMID: 2519736
  • J Korean Soc Emerg Med.
  • 2021 Aug;32(4):315-327.
Objective: Aneurysmal subarachnoid hemorrhage (SAH) is a common emergency condition, resulting in high morbidity and mortality. The delta neutrophil index (DNI), which reflects the fraction of circulating immature granulocytes, is...
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Profiling of T Cell Receptor β-Chain Complimentary Determining Regions 3 Repertoire in Subarachnoid Hemorrhage Patients Using High-Throughput Sequencing

Kim BJ, Ahn JH, Youn DH, Jeon JP

Objective : The adaptive immune response following subarachnoid hemorrhage (SAH) is not well understood. We evaluated and compared the T cell receptor (TCR) immune repertoire of good-grade and poor-grade SAH...
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Flow diversion via telescoping stent with Low-profile Visualized Intraluminal Support Junior for treatment of ruptured dissecting aneurysm located at proximal posterior inferior cerebellar artery

Shin HK, Koo HW, Sohn MJ, Park YK

Dissecting aneurysm involving the posterior inferior cerebellar artery (PICA) are challenging because of its nature and anatomic relationship to medulla and lower cranial nerve. We introduce a case of ruptured...
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Short and Long-term Outcomes of Subarachnoid Hemorrhage Treatment according to Hospital Volume in Korea: a Nationwide Multicenter Registry

Lee JY, Heo NH, Lee MR, Ahn JM, Oh HJ, Shim JJ, Yoon SM, Lee BY, Shin JH, Oh JS

Background: Subarachnoid hemorrhage is a potentially devastating cerebrovascular attack with a high proportion of poor outcomes and mortality. Recent studies have reported decreased mortality with the improvement in devices and...
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Subarachnoid Hemorrhage Caused by Aneurysm Rupture after Ingestion of Sildenafil

Song YM

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Optic Tract Injury Caused by Subarachnoid Hemorrhage in Perimesencephalic Cistern

Lee SJ, Bae S, Kim HY

Purpose: A case of optic tract injury caused by subarachnoid hemorrhage in the perimesencephalic cistern is reported. Case summary: A 26-year-old female with a history of traumatic subdural hemorrhage along the...
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The Effect of Locally Administered Fibrinolytic Drugs Following Aneurysmal Subarachnoid Hemorrhage : A Meta-Analysis with Eight Randomized Controlled Studies

Jang KM, Choi HH, Nam TK, Park YS, Kwon JT, Byun JS, Hwang D

Objective : Rapid dissolution of blood clots reduces vasospasm and hydrocephalus after subarachnoid hemorrhage (SAH), and locally administered fibrinolytic drugs (LAFDs) could facilitate the dissolution. However, the efficacy of LAFDs...
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Characteristics of patients with ruptured very small intracranial aneurysm sized less than 3 mm

Park GT, Kim JH, Jung YJ, Chang CH

Objective: If the size of an intracranial aneurysm is below 3 mm, clinicians rarely treat them because of the low risk of rupture. But subarachnoid hemorrhage (SAH) due to the...
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Impact of Off-Hour Hospital Presentation on Mortality in Different Subtypes of Acute Stroke in Korea : National Emergency Department Information System Data

Kim T, Jwa C

Objective : Several studies have reported inconsistent findings among countries on whether off-hour hospital presentation is associated with worse outcome in patients with acute stroke. However, its association is yet...
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Dual antiplatelet treatment associated with reduced risk of symptomatic vasospasm and delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage

Sun GU, Park E, Kim DW, Kang SD

Objective: Cerebral vasospasm and delayed cerebral ischemia (DCI) are considered complications after aneurysmal subarachnoid hemorrhage (aSAH). Several hypotheses involving platelet activation have been asserted in the pathophysiology of cerebral vasospasm...
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Clinical analysis of young adult patients with ruptured intracranial aneurysms: a single-center study of 113 consecutive patients

Lee WJ, Kim MK, Lim YC

Objective: Intracranial aneurysm most frequently occurs in old aged patients; however, aneurysmal subarachnoid hemorrhage (SAH) has been occasionally reported in young adults. This study aimed to compare patients with intracranial...
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Influence of Triggering Events on the Occurrence of Spontaneous Intracranial Hemorrhage : Comparison of Non-Lesional Spontaneous Intraparenchymal Hemorrhage and Aneurysmal Subarachnoid Hemorrhage

Na JH, Kim JH, Kang HI, Bae IS, Kim DR, Moon BG

Objective : Spontaneous intracranial hemorrhage is a life-threatening disease, and non-lesional spontaneous intraparenchymal hemorrhage (nIPH) and aneurysmal subarachnoid hemorrhage (aSAH) are the leading causes of spontaneous intracranial hemorrhage. Only a...
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Stent-Jack Technique for Ruptured Vertebral Artery Dissecting Aneurysm Involving the Origin of Posterior Inferior Cerebellar Artery

Terakado T, Nakai Y, Ikeda G, Tsukada K, Hanai S, Akutagawa K, Igarashi H, Konishi T, Shiigai M, Uemura K

We herein report a case of a ruptured vertebral artery dissecting aneurysm involving the origin of the posterior inferior cerebellar artery that was treated using the stent-jack technique. After parent...
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Unusual presentation of infectious intracranial aneurysm with sequential hemorrhagic and ischemic components

Bae TW, Chung J, Ahn JS, Ko JH

Infectious intracranial aneurysm (IIA), a rare type of cerebral aneurysm, is often observed in patients with infective endocarditis. Hemorrhage or infarction often occurs; however, the presentation of both hemorrhagic and...
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Robotically assisted transcranial Doppler with artificial intelligence for assessment of cerebral vasospasm after subarachnoid hemorrhage

Esmaeeli S, Hrdlicka CM, Bastos AB, Wang J, Gomez-Paz S, Hanafy KA, Lioutas VA, Ogilvy CS, Thomas AJ, Shaefi S, Fehnel CR, Nozari A

Background: Transcranial Doppler (TCD) ultrasound is an essential tool for the detection of cerebral vasospasm after subarachnoid hemorrhage (SAH) but is limited by the availability of skilled operators. We examined...
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Acute Stroke Care in Korea in 2013–2014: National Averages and Disparities

Kim JY, Lee KJ, Kang J, Kim BJ, Kim SE, Oh H, Park HK, Cho YJ, Park JM, Park KY, Lee KB, Lee SJ, Kim T, Lee JS, Lee J, Yang KH, Choi AR, Kang MY, Bae HJ

Background: This study aimed to describe the current status of acute stroke care in Korea and explore disparities among hospitals and regions. Methods: The 2013 and 2014 national stroke audit data...
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Inconspicuous longitudinal tears of the intracranial vertebral artery in traumatic basal subarachnoid hemorrhage

Kim S

Blunt force trauma to the head or neck region can cause traumatic basal subarachnoid hemorrhage (TBSAH), which can result in rapid loss of consciousness and death; however, detecting such a...
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Borden Type I Sigmoid Sinus Dural Arteriovenous Fistula Presenting as Subarachnoid Hemorrhage from a Feeding Artery Aneurysm of the Anterior Inferior Cerebellar Artery: A Case Report

Kim M, Park ST

Dural arteriovenous fistula is an acquired vascular anomaly that can cause various symptoms. Here, we report a rare case of Borden type I sigmoid sinus dural arteriovenous fistula presenting as...
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National Trends in the Treatment of Ruptured Cerebral Aneurysms in Korea Using an Age-adjusted Method

Park HR, Kim JH, Park S, Chang JC, Park SQ

Background: Two primary treatment methods are used for ruptured cerebral aneurysms, surgical clipping and endovascular coiling. In recent decades, endovascular coiling has shown remarkable progress compared to surgical clipping, along...
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