The co-existence of brain tumors with cerebral aneurysms is extremely rare, an estimated incidence 0,5-4,5%. priority for surgical treatment these two pathologies not clear, where surgery on a aneurysm sometimes performed initially before removal tumor. Treatment in patients history clipping has its own challenges the field anesthesia, anesthetic action goal reducing risk rupture, preventing is...

Case Report A 60-year-old man presented with slow decreasing visual acuity for 3 months. Sudden deterioration in the right side vision, accompanied by severe headache and vomiting, was noted 1 day prior to admission. Physical examination revealed mild fever, neck stiffness and blunting of consciousness. Emergent brain CT showed a bright mass within the sella which was thought compatible with pi...

IMPORTANCE Brain aneurysms have traditionally been treated with surgical clipping or endovascular coiling techniques. With these modalities, many large or complex aneurysms remain difficult to treat. A new option, flow diversion, is now available to treat aneurysms. OBJECTIVE To summarize the clinical progression of flow diversion technology, from an experimental treatment to a commonly used ...

The diagnosis of cerebrovascular accident is extremely common in emergency medicine; however, CVA resulting from hemorrhage following mycotic brain aneurysm following embolic stroke is extremely uncommon. This case reports such an event.

aortoenteric fistula is a rare but significant clinical entity associated with high morbidity and mortality if remain untreated. clinical presentation and imaging findings may be subtle and prompt diagnosis can be difficult. herein, we present a patient who initially presented with abdominal pain and computed tomography showed an aortic aneurysm compressing duodenum without any air bubbles. one...

INTRODUCTION Multi-detector computer tomography angiography (CTA) provides a fast non-invasive assessment of the cerebral vessels, is readily available in an acute setting and can potentially replace invasive digital subtraction angiography (DSA) for the diagnosis of intracranial vascular lesions in an emergency setting. We report our experience in the use of emergent cerebral CTA versus DSA in...

#### Notable in Neurology This Week This issue features an article that examines the link between lateropulsion and spatial neglect patients with acute stroke; another investigates association cholinesterase inhibitors cognitive decline Alzheimer dementia. A featured Views & Reviews incidence prevalence of drug-resistant epilepsy. ### Association White Matter Hyperintensity Markers on MRI Lon...

BACKGROUND AND PURPOSE MR imaging findings of aneurysm enlargement, aneurysm wall enhancement, perianeurysmal edema, and embolic phenomena following deployment of flow-diverting stents may be relevant to those patients who subsequently experience procedure-related intracranial hemorrhage. We sought to document the routine early postoperative MR imaging findings following flow-diverting stent in...

OBJECTIVE Ruptured middle cerebral artery (MCA) aneurysm with intrasylvian hematoma usually accompanied by progressive cerebral swelling with poorer outcomes. The authors present characteristics and importance of intrasylvian hematoma removal in the aneurysm surgery. MATERIALS AND METHODS From 2012 February to 2014 March, 24 aneurysm surgeries for ruptured MCA aneurysms with intrasylvian hema...

BACKGROUND AND PURPOSE Surface irregularity and bleb formation are anatomical factors that are associated with aneurysm rupture. The perianeurysmal environment has been proposed as one factor that may influence aneurysm morphology. We have developed a fusion imaging technique of 3D MR cisternography and angiography that allows clear visualization of an aneurysm and its environment. This techniq...