ABSTRACT
The Pipeline Embolization Device (PED) is a flow diverting stent used in the treatment of a wide variety of intracranial aneurysms. The device differs from traditional stents used in stent-assisted coil embolization in that it has a tighter lattice structure with smaller cell sizes designed specifically to disrupt blood flow into aneurysms rather than only to retain coils within aneurysms. While the PED has been shown to be safe and effective, it has a unique risk profile that includes side branch and perforator vessel occlusion. Side branch occlusion in particular has been noted in several articles to occur at a relatively high rate with coverage of the ophthalmic artery origin by the PED. In this series, we present two cases of ophthalmic artery occlusion after PED placement with reconstitution of flow via an endoleak.
Subject(s)
Cerebrovascular Disorders/diagnostic imaging , Embolization, Therapeutic/adverse effects , Endoleak/diagnostic imaging , Ophthalmic Artery/diagnostic imaging , Stents/adverse effects , Aged , Blood Vessel Prosthesis/adverse effects , Cerebrovascular Disorders/etiology , Cerebrovascular Disorders/surgery , Embolization, Therapeutic/instrumentation , Endoleak/etiology , Female , Humans , Male , Middle Aged , Ophthalmic Artery/surgery , Treatment OutcomeABSTRACT
Connections of the cortical-thalamic-cerebellar-cortical regions provide a framework for studying the neural substrates of schizophrenia. A novel diffusion tensor tractography method was used to evaluate the differences in white matter connectivity between 12 patients with schizophrenia and 10 controls. For the tract tracing, we focused on the connection between the cerebellum and the thalamus. Fractional anisotropy (FA) measures along the fiber tracks were compared between patients and the control sample. Fiber tracts located between the cerebellar white matter and the thalamus exhibit a reduced FA in patients with schizophrenia in comparison with controls. The FA values along the defined fiber tracts were not overall reduced but exhibited a reduction in the anisotropy in the region in the superior cerebellar peduncles projecting towards the red nucleus.