Neurosurgery

A paper by Byrne et al. [23] records their 5-year experience using coil embolization for ruptured intracranial aneurysms and looks at outcomes and the incidence of late re-bleeding. In their study during the 5-year period, 317 patients presenting with aneurysmal subarachnoid hemorrhage were successfully treated by coil embolization within 30 days of hemorrhage. The authors followed patients to assess the stability of aneurysm occlusion and its longer-term efficacy in protecting patients against re-bleeding. They showed stable angio-graphic filling in 86.4% of small and 85.2% of large aneurysms, with recurrent filling in 38 (14.7% of 259 aneurysms). Re-bleeding was caused by aneurysmal recurrence in four patients and by rupture of a coincidental untreated aneurysm in one patient. Annual re-bleeding rates were 0.8% in the first year, 0.6% in the second year and 2.4% in the third year after aneurysm embolization, with no re-bleeding in subsequent years. Re-bleeding occurred in 3 (7.9%) of 38 recurrent aneurysms and in 1 (0.4%) of 220 aneurysms that appeared stable on angiography.

They also state in a discussion of their paper that coil compaction and aneurysm recurrence take time, usually greater than 6 months, to develop. We and others have also observed the fact that coiled aneurysms may appear stable at 6 months and even at the 2-year angiogram, but may re-grow at a later date. Thus, close follow up is strongly advisable.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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