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Georgiana Ion, A. Chiriac and I. Poeata

Abstract

A giant unrupted middle cerebral artery aneurysm partially thrombosed, previously endovascularly treated after a mild right hemiparesis remitted. After 12 months, in routine check we discovered a reperfusion of the aneurysm and decide ECIC bypass and clipping, with a good outcome

Open access

A. Chiriac, B. Iliescu, Z. Faiyad and I. Poeata

Abstract

Traumatic intracranial aneurysms are rare conditions that can be a result of vast head trauma. Different aspects as history, etiology, histopathology, clinical manifestations, diagnosis and treatment options are discussed regarding the literature. A particular case of a pericalosal aneurysm is presented to highlight the importance of keeping in mind that this location can be a site of such aneurysms

Open access

A. Chiriac, Georgiana Ion, Z. Faiyad and I. Poeată

Abstract

Treatment of giant thrombosed aneurysm is still a challenge for most of neurosurgeons. We present our experience of a patient with a thrombosed giant middle cerebral artery aneurysm manifesting as headache that developed over a 15-year period. Magnetic resonance (MR), computed tomographic angiography (CTA), and digital subtraction angiography (DSA) have clarified the vascular lesion and directed the therapeutic protocol. An open craniotomy with direct clipping and thrombectomy was performed successfully with an uneventful postoperative course.

Open access

A. Chiriac, Georgiana Ion, N. Dobrin and I. Poeata

Abstract

Extracranial internal carotid artery aneurysms are rare lesions that still represent a challenge from diagnosis and treatment point of view. Giant complex aneurysms of extracranial internal carotid artery are usually completely excluded by surgical approaches. We present a case of a patient with an extracranial internal carotid artery aneurysm treated by a combined treatment, along with a short review of this pathology.

Open access

A. Chiriac, Z. Faiyad, C. Popescu, B. Costachescu and I. Poeata

Abstract

Vertebral body reconstruction after corpectomy using expandable cage has become a common surgical procedure especially at thoracic level. The recent published papers describe the successful use of expandable cages for cervical vertebral body reconstruction. In this paper we present our first experience with expandable cervical cage in the reconstruction of the cervical spine in a patient with cervical spondylotic myelopathy (CSM)

Open access

Georgiana Ion, A. Chiriac, N. Dobrin and I. Poeată

Open access

Georgiana Ion, A. Chiriac, N. Dobrin and I. Poeata

Abstract

A 16-year old male presented with a ruptured aneurysm of the proximal segment of the anterior cerebral artery, with symptoms like sudden headache. Paraclinical explorations revealed a fusiform aneurysm of the right A1 segment. The optimal treatment used was the microsurgical one via right pterional approach. The aneurysm was associated with a saccular pseudoneurysm at the proximal part. The saccular portion was clipped and the fusiform one was wrapped with muscle. The postoperative evolution was favorable, without neurological deficits.

Open access

A. Chiriac, Georgian Ion, N. Dobrin, Z. Faiyad and I. Poeata

Abstract

Spontaneous dissecting aneurysm of vertebral artery is known as a rare pathological condition causing a subarachnoid hemorrhage in the posterior circulation. The treatment of ruptured vertebral artery dissecting aneurysms is still an important subject of debates in the literature. We present a particular case of ruptured vertebral artery dissecting aneurysms that was treated by only endovascular Guglielmi detachable coils occlusion. A brief review of technical possibilities of treatment of these types of vascular lesions, with their advantages and disadvantages are discussed.

Open access

A. Chiriac, Georgiana Ion, N. Dobrin, Z. Faiyad and I. Poeată

Abstract

The cerebral vasospasm is still considered the most devastating complication for the patients with aneurysmal subarachnoid haemorrhage. The aim of this study was to evaluate the efficiency of intra-arterial nimodipine administration in cerebral vasospasm diminutions and outcome of the patients.

Open access

A. Chiriac, N. Dobrin, Georgiana Ion, V. Costan and I. Poeata

Abstract

Complex cavernous sinus fistulae (CCF) are still a technical challenge to neurovascular team. The most commonly performed treatment consists in endovascular embolization of the lesion through an arterial or venous approach. Not always these conventional routes are feasible, requiring alternative routes. We report a case of a 44-year-old woman with a complex indirect (Barrow D) carotid cavernous sinus fistula treated by two interventional sessions that imposing a retrograde direct transvenous approach via the superior ophthalmic vein.