Scott Y. Rahimi
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View article: Tipping point in middle meningeal artery embolization: a cost-effectiveness and algorithm-based analysis
Tipping point in middle meningeal artery embolization: a cost-effectiveness and algorithm-based analysis Open
OBJECTIVE Chronic subdural hematoma (cSDH) is one of the most common diseases treated by neurosurgeons. While surgical evacuation has been the traditional way to address symptomatic lesions, there is expanding evidence of the beneficial us…
View article: Randomized Clinical Trials in Cerebrovascular Neurosurgery: Analysis of Discontinuation and Nonpublication Prevalence and Trends
Randomized Clinical Trials in Cerebrovascular Neurosurgery: Analysis of Discontinuation and Nonpublication Prevalence and Trends Open
Premature discontinuation was common among cerebrovascular trials in neurosurgery and frequently attributed to difficulties with patient enrollment. Nonpublication was especially common among discontinued trials. Our findings may highlight…
View article: Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with Intracranial Extension
Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with Intracranial Extension Open
Carcinoma ex-pleomorphic adenoma (CXPA) of the lacrimal gland is rare, and its management can be complex given its anatomic location. In this case report, we describe our approach to multidisciplinary management of a CXPA with intracranial…
View article: SOFIA Aspiration System as first-line Technique (SOFAST): a prospective, multicenter study to assess the efficacy and safety of the 6 French SOFIA Flow Plus aspiration catheter for endovascular stroke thrombectomy
SOFIA Aspiration System as first-line Technique (SOFAST): a prospective, multicenter study to assess the efficacy and safety of the 6 French SOFIA Flow Plus aspiration catheter for endovascular stroke thrombectomy Open
Background Mechanical thrombectomy (MT) is the standard of care for acute ischemic stroke (AIS) patients with large vessel occlusion (LVO). The SOFAST study collected clinical evidence on the safety and efficacy of the 6 French SOFIA Flow …
View article: Carotid artery dissection and non-aneurysmal subarachnoid hemorrhage following carotid endarterectomy
Carotid artery dissection and non-aneurysmal subarachnoid hemorrhage following carotid endarterectomy Open
Stroke continues to be a major public health issue resulting in high mortality and severe long-term disability. Carotid endarterectomy (CEA) plays an important role in the prevention of ischemic stroke. Complications associated with CEA ca…
View article: Experience with a hybrid recruitment approach of patient-facing web portal screening and subsequent phone and medical record review for a neurosurgical intervention trial for chronic ischemic stroke disability (PISCES III)
Experience with a hybrid recruitment approach of patient-facing web portal screening and subsequent phone and medical record review for a neurosurgical intervention trial for chronic ischemic stroke disability (PISCES III) Open
Background Recruitment of participants is the greatest risk to completion of most clinical trials, with 20–40% of trials failing to reach the targeted enrollment. This is particularly true of trials of central nervous system (CNS) therapie…
View article: Abstract 011: Endovascular therapy for acute ischemic stroke utilizing SOFia Aspiration System as first line Technique (SOFAST)
Abstract 011: Endovascular therapy for acute ischemic stroke utilizing SOFia Aspiration System as first line Technique (SOFAST) Open
Introduction Mechanical thrombectomy using stent retrievers and aspiration techniques has emerged as the standard of care for patients with acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (LVO). This study intended…
View article: Evaluating the Quality, Readability, and Activity of Online Information on Brain Arteriovenous Malformations
Evaluating the Quality, Readability, and Activity of Online Information on Brain Arteriovenous Malformations Open
Introduction Brain arteriovenous malformations (AVMs) are vascular deformities created by improper connections between arteries and veins, most commonly in the brain and spinal cord. The management is complex and patient-dependent; further…
View article: Methodological considerations in PISCES 3: a randomized, placebo-controlled study of intracerebral stem cells in subjects with disability following an ischemic stroke
Methodological considerations in PISCES 3: a randomized, placebo-controlled study of intracerebral stem cells in subjects with disability following an ischemic stroke Open
Background and hypothesis At present, there are no medical interventions proven to improve functional recovery in patients with subacute stroke. We hypothesize that the intraparenchymal administration of CTX0E03, a conditionally immortaliz…
View article: Teaching NeuroImage: Calcifying Pseudoneoplasm of the Neuraxis in the Setting of Hereditary Hemorrhagic Telangiectasia and Seizures
Teaching NeuroImage: Calcifying Pseudoneoplasm of the Neuraxis in the Setting of Hereditary Hemorrhagic Telangiectasia and Seizures Open
We report a 50-year-old man presenting with grand-mal seizures.Workup included MRI brain demonstrating a heterogeneously enhancing focus, likely hemorrhagic, in the left occipital region (Figure 1).A vascular etiology was presumed due to p…
View article: Computed Tomography Perfusion Deficit as an Indicator for Reperfusion in Large-vessel Occlusions with Low National Institutes of Health Stroke Scale Scores in Acute Ischaemic Stroke: A Retrospective Review
Computed Tomography Perfusion Deficit as an Indicator for Reperfusion in Large-vessel Occlusions with Low National Institutes of Health Stroke Scale Scores in Acute Ischaemic Stroke: A Retrospective Review Open
Background : Endovascular thrombectomy (EVT) has proven to be successful in acute ischaemic stroke (AIS) with a National Institutes of Health Stroke Scale (NIHSS) score of >8, but remains controversial in AIS with an NIHSS score of <8. Thi…
View article: The History of Neurosurgical Management of Ischemic Stroke
The History of Neurosurgical Management of Ischemic Stroke Open
Stroke remains a major public health issue and the second leading cause of death worldwide. The Hippocratic Corpus used the word apoplexy to describe a person collapsing while retaining pulse and respiration. This is believed to be the fir…
View article: Abstract 1122‐000094: EVD Weaning Criteria Decreases VPS/ETV Placement and Hospital Stay in Subarachnoid Hemorrhage Patients
Abstract 1122‐000094: EVD Weaning Criteria Decreases VPS/ETV Placement and Hospital Stay in Subarachnoid Hemorrhage Patients Open
Introduction : The Neurocritical Care Society encourages an external ventricular drain (EVD) wean “as quickly as is clinically feasible” but guidelines on achieving it are limited (1). This study aims to improve quality of care by sharing …
View article: Endoscopic third ventriculostomy may decrease shunt-dependency in patients with post-hemorrhagic hydrocephalus following aneurysmal subarachnoid hemorrhage
Endoscopic third ventriculostomy may decrease shunt-dependency in patients with post-hemorrhagic hydrocephalus following aneurysmal subarachnoid hemorrhage Open
Objective: Ventriculoperitoneal shunting (VPS) is associated with high complication rates. Here, we investigate whether endoscopic third ventriculostomy (ETV) can reduce shunt-dependency in patients suffering from hydrocephalus following a…
View article: Concomitant central venous sinus thrombosis and subdural hematoma in acute promyelocytic leukemia: middle meningeal artery embolization enables safe anticoagulation. Illustrative case
Concomitant central venous sinus thrombosis and subdural hematoma in acute promyelocytic leukemia: middle meningeal artery embolization enables safe anticoagulation. Illustrative case Open
BACKGROUND Acute promyelocytic leukemia (APL) has long been associated with coagulation disorders. The proposed mechanism is a combination of fibrinolysis, proteolysis, platelet dysfunction, thrombocytopenia, and possibly disseminated intr…
View article: Arteriogenic Thoracic Outlet Syndrome Presenting as Cervical Radiculopathy
Arteriogenic Thoracic Outlet Syndrome Presenting as Cervical Radiculopathy Open
Thoracic outlet syndrome (TOS) is an infrequent entity encountered by medical practitioners attributed to compression of the neurovascular structures passing through the thoracic outlet. Here, we report the presentation of a young adult wh…
View article: Granular cell astrocytoma: Case report
Granular cell astrocytoma: Case report Open
Granular Cell Astrocytoma (GCA) is a rare astrocytic brain tumor histologically composed of plump astrocytic cells with abundant eosinophilic granular cytoplasm that exhibits immunoreactivity for GFAP and S100 proteins. It is associated wi…
View article: The Evolution of the Neurosurgical Treatment of Ischemic Stroke
The Evolution of the Neurosurgical Treatment of Ischemic Stroke Open
The neurosurgical approach to the management of ischemic stroke has evolved dramatically over the past century with the bulk of these changes occurring over the past 25 years. With recent advances in technology and continued refinements in…
View article: Arteriovenous fistula mimicking vestibular schwannoma
Arteriovenous fistula mimicking vestibular schwannoma Open
A 59-year-old woman presented with progressive left-sided sensorineural hearing loss. Workup revealed an enhancing lesion of the internal auditory canal (IAC) consistent with vestibular schwannoma (figure 1).