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Extra resources for Changing Aspects in Stroke Surgery: Aneurysms, Dissection, Moyamoya angiopathy and EC-IC Bypass
Case 1 Coronal T1-weighted (A) and sagittal T2-weighted (B) MR images of a 20-year-old woman, who presented with right sensorimotor disturbance and double vision, showing a cavernous malformation of 2 cm in size in the left thalamus (pulvinar). The CT scan obtained 2 days after surgery (C) showing the total removal of the thalamic CA. The follow-up MRI showing the recurrence of thalamic CA seven years later (D–F: T1, T1 and T2 weighted images). The postoperative MRIs showing the total removal of the thalamic CA (G–I: coronal, axial, and sagittal T1WIs) 32 N.
The hemorrhage rate seemingly increases after the initial hemorrhage. Pozzati  reported 12 cases of CA. 1%. They suggested that recurrent bleeding occurred preferentially during the first two years after the initial hemorrhage. 9% . The reported annual hemorrhage rate of the thalamic CA is higher than that generally attributed to CAs [3, 21]. This may result from the high neurologic sensitivity of the thalamus and the surrounding anatomical structures even to small hemorrhage or mass effect.
9)=6=À (100)=6=À (20)=6=À (100)=6=À Figures in parentheses are percentages (location on main vessels is in relation to total aneurysm number in the first column). Acomm Anterior communicating artery; BA-tip tip of basilar artery; MCA middle cerebral artery; MCA-M1 M1-segment of middle cerebral artery; MCA-bif middle cerebral artery bifurcation; MCA-dist distal middle cerebral artery; ICA internal carotid artery; ICA-CS cavernous segment of internal carotid artery; Ophtha ophthalmic artery; ICA-PS paraclinoid segment of internal carotid artery; Pcomm posterior communicating artery; Acho anterior choroidal artery; ICA-bif internal carotid artery bifurcation; ACA anterior cerebral artery; ACA-A1 A1-segment of anterior cerebral artery; ACA-A2 A2-segment of anterior cerebral artery; ACA-dist distal anterior cerebral artery; PCA posterior cerebral artery; PCA-P1 P1-segment of posterior cerebral artery; PCA-P2 P2-segment of posterior cerebral artery; BA basilar artery; BA-SCA basilar artery=superior cerebellar artery junction; VA vertebral artery; VAPICA vertebral artery=posterior inferior cerebellar artery junction; VA-trunk trunk of vertebral artery.