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Surgery for spontaneous supratentorial intracerebral haemorrhage.
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Department of Neurosurgery, Radboud University Medical Centre, Nijmegen, Netherlands.
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Objectives: To assess the benefits and harms of surgery plus standard medical management, compared to standard medical management alone, in people with spontaneous supratentorial ICH, and to assess whether the effect of surgery differs according to the surgical technique used.
Simple Microvascular Decompression for Hemifacial Spasm Caused by Dolichoectatic Vertebral Artery.
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Department of Neurological Surgery, University Hospitals Cleveland Medical Center/Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Background And Importance: Hemifacial spasm (HFS) secondary to a dolichoectatic vertebral artery (VA) is a rare but debilitating condition. Macrovascular displacement of the vessel away from the nerve using a Teflon sling is an effective, but not always feasible, method. Transection, relocation, and reanastomosis of the dolichoectatic VA has also been described but presents a significant surgical challenge and carries a higher risk profile.
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Spontaneous (non-traumatic) intracerebral haemorrhage (ICH) affects ~3.4 million people worldwide each year, causing ~2.8 million deaths.
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Arterial Hypertension After Macrovascular Decompression of Vertebrobasilar Dolichoectasia: Rethinking the Cause-Effect Relationship.
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Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, Milan, Italy.
Objective: This study evaluates the short-term and long-term efficacy, safety, and blood pressure (BP) outcomes in patients with hyperactive dysfunction syndromes (HDSs) caused by neurovascular conflict (NVC) from vertebrobasilar dolichoectasia (VBDE) treated with macrovascular decompression (MaVD), with a focus on BP changes postsurgery.
Methods: We retrospectively analyzed 38 patients with HDS due to VBDE who underwent MaVD at Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Neurologico Carlo Besta, Milan. Patients were grouped based on BP changes: worsened hypertension (HT), de novo HT, stable HT, and no HT.