Browsing by Author "Jayadevan, ER"
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Item Cerebral arteriovenous malformation embolized through persistent primitive hypoglossal artery - A case report (vol 11, pg 241, 2005)(INTERVENTIONAL NEURORADIOLOGY, 2005)Carotid-vertebral anastomoses are commonly detected as incidental findings. But sometimes these channels are important for the clinical condition of the patient. Here a case of right thalamo-capsular arteriovenous malformation is described where a persistent primitive hypoglossal artery was the only route for embolization of the arteriovenous malformation.Item Development of novel prototype mechanical clot retriever for the treatment of acute cerebral ischemic stroke (Project - 8179)(SCTIMST, 2021-06-30) Santhosh Kumar, K; Sujesh Sreedharan; Jayadevan, ER; Muraleedharan, CVItem Inferior petrous sinus sampling after nasal desmopressin stimulation: A new technique in the diagnostic evaluation of ACTH-dependent Cushing's syndrome(NEUROLOGY INDIA, 2012) Harsha, KJ; Jayadevan, ER; Jagtap, S; Almpath, P; Kannath, SItem MECHANICAL THROMBECTOMY IN ACUTE ISCHEMIC STROKE: INDIAN EXPERIENCE AT A TERTIARY CARE CENTER(INTERNATIONAL JOURNAL OF STROKE, 2016) Nagesh, C; Jayadevan, ER; Kumar, S; Sylaja, PN; Sajith, S; Sreedharan, SE; Abraham, MItem Moyamoya disease: A comparison of long term outcome of conservative and surgical treatment in India(JOURNAL OF THE NEUROLOGICAL SCIENCES, 2014) Sundaram, S; Sylaja, PN; Menon, G; Sudhir, J; Jayadevan, ER; Sukumaran, S; Sreedharan, SE; Sarma, SBackground: Revascularization surgery (RS) is the therapy of choice in moyamoya disease (MMD). Due to rarity of disease and ethical concerns, randomized controlled trials about the treatment options are lacking. Very little information is available on the long-term outcome of conservatively treated moyamoya patients. Aim: We compared the long-term outcome of moyamoya patients treated conservatively to those who underwent RS. Methods: Our study population included all patients with moyamoya disease/syndrome from 2002 to 2012. The demographic, clinical characteristic and imaging details were reviewed. The outcome was obtained prospectively. Results: Of the 36 patients, 26 (72.2%) had MMD and 10 (27.8%) had moyamoya syndrome. The median age at onset of symptoms was 17.5 years (range, 10 months-55 years). Fifteen patients belonged to pediatric group and 21 were adults. All the pediatric patients had ischemic events at onset and 10 (47.6%) of the adults presented with hemorrhage. Twenty (55.6%) patients received conservative treatment and 16 (44.4%) underwent revascularization procedures. The median duration of follow-up was 28 months (range, 3-90 months). Three (18%) of the surgically treated patients had recurrent ischemic events on follow-up, but none of the conservatively treated patients had events. An excellent outcome (Modified Rankin Scale of <= 2) was seen in 12 (75%) surgically treated and 16 (94%) conservatively treated patients (p = 0.17). Conclusion: Compared to East Asians, our patients had a lower stroke recurrence rate and good functional outcome even with conservative treatment. Future studies should focus on clinical and imaging predictors of progression to select moyamoya patients for RS. (C) 2013 Elsevier B.V. All rights reserved.Item Moyamoya Syndrome Comparison of Long Term Outcome of Conservative and Surgical treatment in India.(STROKE, 2013) Sylaja, PN; Sundaram, S; Menon, G; Jayadevan, ER; Sukumaran, S; Sreedharan, SItem Persistent trigeminal artery associated with intracranial vertebral artery fenestration in a patient with carotid-cavernous fistula - A case report(RIVISTA DI NEURORADIOLOGIA, 2005) Purkayastha, S; Gupta, AK; Jayadevan, ERThe association of persistent trigeminal artery (PTA) with intracranial vertebral artery fenestration is very rare. The commonest associations of PTA are with intracranial aneurysms, arteriovenous malformations, absence of internal carotid artery and vertebral arteries. We describe a case of persistent trigeminal artery associated with intracranial vertebral artery fenestration in a patient with right-sided type I carotid-cavernous fistula. To our knowledge, this is the first report of such an association.Item Skull Base Osseous Arteriovenous Fistula—A Rare Clinical Entity: Case Report and Literature Review(World Neurosurgery, 2016-11) Aneesh, Mohimen; Santhosh Kumar, Kannath; Jayadevan, ERPurpose To describe a rare clinical entity of intraosseous skull base arteriovenous fistula managed with transvenous fistula embolization. Case Presentation A 57-year-old woman presented with complaints of headache and episodic tinnitus with progressive left-sided visual deterioration. Cross-sectional imaging of the head revealed multiple vascular channels in the sphenoid bone and in bilateral masticator spaces. Catheter angiography showed the presence of a large osseous arteriovenous fistula epicentered in the body of sphenoid and left pterygoid plates with arterial feeders from bilateral external carotid arteries and venous drainage into bilateral cavernous sinuses and the pterygoid venous plexus. She was managed by transvenous coil and liquid embolic agent (Squid 18) embolization of the venous sac with significant reduction of shunt. In the postprocedure period, the patient developed paradoxical worsening of symptoms due to central retinal vein occlusion. Conclusions Skull base osseous fistulae are uncommon clinical entities and fistulae centered within the sphenoid bone are very rare. The aim of this report was to highlight management issues associated with such a case and review the available literature on the subject.Item Spinal venous hypertension secondary to pelvic extra-spinal arteriovenous fistula-a previously unreported cause of congestive myelopathy(SPINE JOURNAL, 2016) Mohimen, A; Kumar, KS; Jayadevan, ER; Jain, NK; Kapilamoorthy, TRItem Successful mechanical thrombectomy of acute middle cerebral artery occlusion due to vegetation from infective endocarditis(NEUROLOGY INDIA, 2012) Sukumaran, S; Jayadevan, ER; Mandilya, A; Sreedharan, SE; Harikrishnan, S; Radhakrishnan, N; Sylaja, PNItem Suction thrombectomy of thrombotic occlusion of the subclavian artery in a case of Takayasu's arteritis(CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2006)Takayasu's arteritis, also known as pulseless disease, is a chronic inflammatory arteritis affecting large vessels, predominantly the aorta and its main branches. Vessel inflammation leads to wall thickening, fibrosis, stenosis, and thrombus formation. Percutaneous removal of arterial thrombus with the use of several devices has been reported, with mixed results. We present a case of Takayasu's arteritis with thrombotic occlusion of the subclavian artery in which pulsed urokinase injection and suction thrombectomy were used to revascularize a threatened limb and to establish the sole arterial supply to the brain.Item Transient ventricular bigeminy during vertebral artery catheterization(NEUROLOGY INDIA, 2012) Harsha, KJ; Jayadevan, ER; Kannath, SK