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Intracranial aneurysms are rare in the pediatric population, while fusiform middle cerebral artery (MCA) aneurysms are more common. Although surgical clipping is the generally preferred treatment strategy for aneurysms, occasional recurrence may still occur after successful clipping. As expertise in the use of flow diverters in adults has developed, they have also been applied in the management of aneurysms in children. This study aims to report a case of recurrence of MCA aneurysm after clipping, which was effectively treated using the Tubridge flow diverter. In the event of a recurrently clipped aneurysm, the implementation of a flow diverter treatment may be considered. Furthermore, we investigated the use of dual antiplatelet protocols during the perioperative period in children.
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http://dx.doi.org/10.5137/1019-5149.JTN.46817-24.2 | DOI Listing |
Neurol Med Chir (Tokyo)
September 2025
Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
Intra-aneurysmal thrombus formation is crucial for the healing of endovascularly treated aneurysms. This study evaluated whether T1-weighted black blood imaging can monitor thrombus formation by examining the relationship between chronological signal intensity changes and aneurysm occlusion status after flow diverter stenting and coil embolization. We retrospectively analyzed 78 patients with 83 aneurysms (flow diverter stenting: 28, coil embolization: 55) who underwent T1-weighted black blood imaging at 1 week, 3 months, and 6 months post-treatment.
View Article and Find Full Text PDFJ Neurointerv Surg
September 2025
Department of Neurology, Division of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Background: Blister-like intracranial aneurysms are rare fragile lesions with a high risk of rupture leading to acute subarachnoid hemorrhage (aSAH) and significant morbidity. Flow diversion (FD) has emerged as a promising endovascular treatment, particularly for complex cases unsuitable for clipping or coiling, but evidence in ruptured settings remains limited due to challenges such as the risks of dual antiplatelet therapy. This study aimed to evaluate the efficacy and safety of FD in ruptured blister-like aneurysms during aSAH through a systematic review and meta-analysis.
View Article and Find Full Text PDFJ Neurointerv Surg
September 2025
Geisinger Medical Center, Danville, Pennsylvania, USA.
Background: SURF was a prospective, multicenter, single-arm, observational study with core lab adjudication of radiographic data, assessing embolization of intracranial aneurysms (IAs) using WAVE Extra Soft Coils as part of SMART Coil System.
Methods: Adults undergoing IA embolization with the SMART Coil System (Penumbra, Inc.) comprising 75% of implanted coils and WAVE as the final finishing coil were enrolled at 43 global centers.
Turk Neurosurg
October 2024
Department of Neurosurgery.
Intracranial aneurysms are rare in the pediatric population, while fusiform middle cerebral artery (MCA) aneurysms are more common. Although surgical clipping is the generally preferred treatment strategy for aneurysms, occasional recurrence may still occur after successful clipping. As expertise in the use of flow diverters in adults has developed, they have also been applied in the management of aneurysms in children.
View Article and Find Full Text PDFJ Med Cases
August 2025
Department of Anatomy, Faculty of Medicine, European University of Lefke, Mersin 10, Lefke 99728, Northern Cyprus, Turkey.
Hemifacial spasm (HFS) is a neurological disorder characterized by involuntary, paroxysmal contractions of the muscles innervated by the facial nerve on one side of the face. While primary HFS is most often caused by vascular compression at the root exit zone (REZ) of the facial nerve, secondary causes such as tumors, arteriovenous malformations, and intracranial aneurysms are rare. The management of HFS due to aneurysmal compression remains challenging, and the literature on endovascular treatment, particularly with flow diverter stents, is limited.
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