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The use of greater omentum vascularized free flaps for neurosurgical disorders requiring reconstruction

Daniel L. Barrow, Foad Nahai, and George T. Tindall

neoplasms or trauma. 3 This technique has provided adequate coverage and good aesthetic results, and has resulted in establishment of well vascularized tissue under which further bone reconstruction may be performed. In certain clinical situations involving primarily soft-tissue loss, replacement by a free omental graft is, in our opinion, the procedure of choice. When the defect involves primarily subcutaneous tissue loss resulting in an abnormal contour, an omental free flap provides effective coverage and restoration of contour. In addition, the inherent capability

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Treatment of Intracranial Vascular Disorders with the Aid of Profound Hypothermia and Total Circulatory Arrest: Three Years' Experience

Collin S. MacCarty, John D. Michenfelder, and Alfred Uihlein

circulatory arrest, but is often impossible to carry out if the aneurysm remains full of blood under normotensive or near-normotensive conditions. The third indication is an aneurysm which is difficult to expose without resort to considerable manipulation, thereby increasing the danger of rupture of the aneurysm, with the end result of sacrifice of the parent vessel. An aneurysm of this type is best manipulated and repaired under conditions of circulatory arrest. The fourth indication is an anomalous vascular configuration in which sacrifice of a parent vessel, such as

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Echolucent carotid plaque is associated with restenosis after carotid endarterectomy

Qing Li, Beibei Liu, Yue Zhao, Yumei Liu, Mingjie Gao, Lingyun Jia, Liqun Jiao, and Yang Hua

. It would be beneficial to distinguish a specific in vivo indication that can predict restenosis after CEA. Carotid atherosclerosis can manifest as intraplaque hemorrhage and calcification. Katano and Yamada 9 quantified carotid plaque calcification to analyze the relationship between the calcium score and restenosis 1 year after CEA surgery. 10 Their study reminds us that other methods can be used to quantify carotid plaque to investigate its correlation with restenosis. Vascular ultrasound, a noninvasive and convenient device, plays an irreplaceable

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Echolucent carotid plaque is associated with restenosis after carotid endarterectomy

Qing Li, Beibei Liu, Yue Zhao, Yumei Liu, Mingjie Gao, Lingyun Jia, Liqun Jiao, and Yang Hua

distinguish a specific in vivo indication that can predict restenosis after CEA. Carotid atherosclerosis can manifest as intraplaque hemorrhage and calcification. Katano and Yamada 9 quantified carotid plaque calcification to analyze the relationship between the calcium score and restenosis 1 year after CEA surgery. 10 Their study reminds us that other methods can be used to quantify carotid plaque to investigate its correlation with restenosis. Vascular ultrasound, a noninvasive and convenient device, plays an irreplaceable role in carotid screening and follow-up studies

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Removal of malformation in cerebral proliferative angiopathy: illustrative case

Gwang Yoon Choi, Hyuk Jai Choi, Jin Pyeong Jeon, Jin Seo Yang, Suk-Hyung Kang, and Yong-Jun Cho

Cerebral proliferative angiopathy (CPA) is a rare vascular disorder that is defined angiographically as a diffuse vascular network forming a poorly defined nidus, which is supplied by multiple similar-sized feeding vessels and transdural channels. Interspersed normal brain parenchyma differentiates CPA from classic arteriovenous malformations (AVMs). 1 Resection of the abnormal vessels can be challenging owing to the possibility of damaging the healthy tissues within. This case describes successful surgical removal of a CPA malformation in an 11-year-old patient

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Malignant intravascular lymphomatosis associated with venous stenosis

Case report

Kenichi Amagasaki, Hiromichi Yamazaki, Kimie Ohmori, Hidehito Koizumi, Kazuhiro Hashizume, and Nobuo Sasaguchi

lymphomatosis that demonstrated an unusual association with venous stenosis manifesting as multifocal vascular disease and rapidly progressive dementia. This disease is one of the diagnostic possibilities that must be considered in any patient with a multifocal vascular disorder and rapidly progressive dementia. Case Report This 55-year-old man presented at another neurosurgical institution with paraparesis, sensory disturbance of the lower extremities, and dysuria. Neurological examination revealed paraparesis with hypoactive reflexes of the lower extremities and sensory

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Combined surgical and endovascular treatment of complex high-flow conus medullaris arteriovenous fistula associated with Parkes Weber syndrome: case report

Arya N. Bagherpour, Gustavo J. Rodriguez, Chetan Moorthy, Todd T. Trier, and Alberto Maud

P arkes Weber syndrome (PWS) is a rare congenital overgrowth disorder characterized by limb, axial, and visceral hypertrophy; capillary malformations of the skin; and the presence of significant arteriovenous (AV) shunting/high-flow vascular malformations. 11 , 15 , 16 It is a heterogeneous disorder and most often arises sporadically, although familial cases have been described. 2 A genetic link related to a mutation in the RASA1 gene has been reported to account for familial PWS. This variant is seen primarily in patients with multiple capillary

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Developmental venous anomalies and sinus pericranii in the blue rubber-bleb nevus syndrome

Case report

Patrik Gabikian, Richard E. Clatterbuck, Philippe Gailloud, and Danielle Rigamonti

B lue rubber-bleb nevus syndrome is a developmental disorder originally identified by the presence of distinctive cutaneous and gastrointestinal hemangiomas. It is now recognized that the number of affected organs is larger and that the disorder includes CNS vascular malformations. 3, 6, 7, 10, 11, 13, 14 Initially described by Bean 1 in 1958, BRBNS consists of multiple bluish hemangiomas of the skin and gastrointestinal tract. The cutaneous lesions, which are the hallmark of this syndrome, are characterized as rubbery, erectile nevi that are bluish

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The critical role of hemodynamics in the development of cerebral vascular disease

A review

Alexander M. Nixon, Murat Gunel, and Bauer E. Sumpio

R esearch over the past few decades has identified numerous risk factors predisposing patients to vascular diseases such as atherosclerosis and saccular aneurysm formation. Factors that are common to both disorders include smoking, hypertension, and familial predisposition. 63 , 131 Because the entire vasculature is exposed to the same potentially harmful influences, it might be expected that pathological lesions would be seen in a random distribution throughout the arterial tree. In reality the distribution of such lesions proves to be far from random, and

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Early description of synchronous double spinal vascular malformations by Łucja Frey in 1928

Philippe Gailloud

anterior fissure into the cord; V 2 , = pial vessel. C: T-10, H & E coloration (reproduction of Frey's Fig. 3 ). a = intramural aneurysms in a dilated vessel, located in the center of the cord. Public domain. Figure is available in color online only. Vascular anomalies dominate our case's anatomopathological picture. Two different forms can be distinguished: 1) the multiplication of vessels of various calibers within the nervous substance of the cord and 2) the multiplication and hypertrophy of pial vessels. Which type of vascular disorder is our case showing