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  1. Book: Case-based interventional neuroradiology

    Krings, Timo / Geibprasert, Sasikhan / Brugge, Karel G. ter

    2011  

    Author's details Timo Krings ; Sasikhan Geibprasert ; Karel G. ter Brugge
    Keywords Cerebrovascular Disorders / radiotherapy ; Radiology, Interventional / methods ; Central Nervous System / blood supply
    Language English
    Size XV, 446 S. : zahlr. Ill., 28 cm
    Edition 1. Aufl.
    Publisher Thieme
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    Note Literaturangaben
    Accompanying material Zugang zu zusätzlichem Internetmaterial über Code
    HBZ-ID HT016667038
    ISBN 978-1-60406-373-8 ; 1-60406-373-4
    Database Catalogue ZB MED Medicine, Health

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  2. Book: Case-based interventional neuroradiology

    Krings, Timo / Geibprasert, Sasikhan / Brugge, K. G. ter

    2011  

    Author's details Timo Krings, Sasikhan Geibprasert, Karel G. ter Brugge
    MeSH term(s) Cerebrovascular Disorders/radiotherapy ; Radiology, Interventional/methods ; Central Nervous System/blood supply
    Language English
    Size xv, 446 p. :, ill.
    Publisher Thieme ; Department of Medical Imaging, University of Toronto
    Publishing place New York ; Toronto
    Document type Book
    ISBN 9781604063738 ; 1604063734
    Database Catalogue of the US National Library of Medicine (NLM)

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  3. Article ; Online: Classification and endovascular management of pediatric cerebral vascular malformations.

    Krings, Timo / Geibprasert, Sasikhan / Terbrugge, Karel

    Neurosurgery clinics of North America

    2010  Volume 21, Issue 3, Page(s) 463–482

    Abstract: Pediatric vascular malformations of the central nervous system differ from those seen in adults. Their classification may be based on symptoms, pathomechanics, patient's age, morphologic features, or presumed etiology. This review describes the different ...

    Abstract Pediatric vascular malformations of the central nervous system differ from those seen in adults. Their classification may be based on symptoms, pathomechanics, patient's age, morphologic features, or presumed etiology. This review describes the different classification schemes and the endovascular management options of these rare and challenging diseases. The proposed etiologic classification of pediatric vascular malformations may add to our understanding of these diseases in general because the phenotypic expression of a given vascular malformation can shed light on the nature and timing of the causative agent, thereby potentially opening up treatment modalities in the future that are directed against the triggering event rather than against the clinical manifestations or the morphologic appearance. With current endovascular methods, most vascular diseases can be approached safely and with good clinical results.
    MeSH term(s) Adhesives/therapeutic use ; Central Nervous System Vascular Malformations/classification ; Central Nervous System Vascular Malformations/surgery ; Central Nervous System Vascular Malformations/therapy ; Cerebral Arteries/abnormalities ; Cerebral Arteries/diagnostic imaging ; Cerebral Arteries/surgery ; Cerebral Veins/abnormalities ; Cerebral Veins/diagnostic imaging ; Cerebral Veins/surgery ; Child ; Embolization, Therapeutic/methods ; Embolization, Therapeutic/standards ; Humans ; Intracranial Arteriovenous Malformations/classification ; Intracranial Arteriovenous Malformations/physiopathology ; Intracranial Arteriovenous Malformations/therapy ; Radiography
    Chemical Substances Adhesives
    Language English
    Publishing date 2010-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196855-2
    ISSN 1558-1349 ; 1042-3680
    ISSN (online) 1558-1349
    ISSN 1042-3680
    DOI 10.1016/j.nec.2010.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Neurovascular anatomy in interventional neuroradiology

    Krings, Timo / Geibprasert, Sasikhan / Cruz, Juan Pablo / Brugge, K. G. ter

    a case-based approach

    2015  

    Abstract: This book employs a cased-based format similar to the earlier Krings book, Case-Based Interventional Neuroradiology. After describing a clinical scenario the relevant anatomic structure or variation will be described and explained (embryological ... ...

    Author's details Timo Krings, Sasikhan Geibprasert, Juan Pablo Cruz, Karel G. terBrugge
    Abstract "This book employs a cased-based format similar to the earlier Krings book, Case-Based Interventional Neuroradiology. After describing a clinical scenario the relevant anatomic structure or variation will be described and explained (embryological background) and its impact on treatment decisions and treatment modalities are explained. Potential complications that may arise if not properly recognized are indentified. Images of other similar cases are added to show the spectrum of the anatomy and its variations. References to the pertinent literature are provided for each case. Cases are grouped to allow for smooth reading cover to cover and at the same time to quickly get one up to speed prior to performing a procedure where one encounters a similar variation. Imaging includes conventional angiography but will also include MR/MRA and CT/CTA when appropriate"--Provided by publisher.
    MeSH term(s) Cerebrovascular Disorders/radiotherapy ; Radiology, Interventional/methods ; Central Nervous System/blood supply
    Language English
    Size xi, 231 pages :, illustrations.
    Document type Book
    ISBN 9781604068399 ; 9781604068405 ; 1604068396 ; 160406840X
    Database Catalogue of the US National Library of Medicine (NLM)

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  5. Article ; Online: Alcohol-induced changes in the brain as assessed by MRI and CT.

    Geibprasert, Sasikhan / Gallucci, Massimo / Krings, Timo

    European radiology

    2009  Volume 20, Issue 6, Page(s) 1492–1501

    Abstract: This review provides an overview of structural magnetic resonance imaging and computed tomography findings of direct and indirect alcohol-related toxic effects on the brain. In addition to ethanol-related changes to the brain, this article will also ... ...

    Abstract This review provides an overview of structural magnetic resonance imaging and computed tomography findings of direct and indirect alcohol-related toxic effects on the brain. In addition to ethanol-related changes to the brain, this article will also describe imaging findings in the acute setting of methanol and ethylene glycol poisoning. Alcohol will lead to brain atrophy, osmotic myelinolysis, Marchiafava-Bignami disease and, especially when related to malnutrition, may also cause Wernicke encephalopathy. Brain atrophy can be reversible if alcohol abuse is stopped. If not treated, Wernicke encephalopathy can lead to coma and death and an early diagnosis is important for immediate initiation of thiamine substitution. As clinical symptoms are often unspecific, the radiologist plays an important role in the detection of alcohol abuse and its related clinical conditions.
    MeSH term(s) Alcoholic Intoxication/diagnosis ; Brain/diagnostic imaging ; Brain/drug effects ; Brain/pathology ; Brain Diseases/chemically induced ; Brain Diseases/diagnosis ; Ethanol/poisoning ; Humans ; Magnetic Resonance Imaging/methods ; Methanol/poisoning ; Tomography, X-Ray Computed/methods
    Chemical Substances Ethanol (3K9958V90M) ; Methanol (Y4S76JWI15)
    Language English
    Publishing date 2009-12-08
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-009-1668-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Pathomechanisms and treatment of pediatric aneurysms.

    Krings, Timo / Geibprasert, Sasikhan / terBrugge, Karel G

    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

    2009  Volume 26, Issue 10, Page(s) 1309–1318

    Abstract: Pediatric aneurysms are rare diseases distinct from classical adult aneurysms and therefore require different treatment strategies. Apart from saccular aneurysms that are more commonly found in older children, three major pathomechanisms may be ... ...

    Abstract Pediatric aneurysms are rare diseases distinct from classical adult aneurysms and therefore require different treatment strategies. Apart from saccular aneurysms that are more commonly found in older children, three major pathomechanisms may be encountered: trauma, infection, and dissection. The posterior circulation and more distal locations are more commonly encountered in children compared to adults, and there is an overall male predominance. Clinical findings are not only confined to subarachnoid hemorrhage but may also comprise mass effects, headaches or neurological deficits. In traumatic aneurysms, the skull base and distal anterior communicating artery are commonly affected, and the hemorrhage occurs often delayed (2-4 weeks following the initial trauma). Infectious aneurysms are mostly bacterial in origin, and hemorrhage occurs early after a septic embolic shower. Dissecting aneurysms are the most often encountered aneurysm type in children and can lead to mass effect, hemorrhage, or ischemia depending on the fate of the intramural hematoma. Treatment strategies in pediatric aneurysms include endosaccular coil treatment only for the "classical berry-type" aneurysms; in the other instances, parent vessel occlusion, flow reversal, surgical options, or a combined treatment with bypass and parent vessel occlusion have to be contemplated.
    MeSH term(s) Adult ; Age Factors ; Aneurysm/etiology ; Aneurysm/physiopathology ; Aneurysm/surgery ; Aneurysm, Dissecting/physiopathology ; Aneurysm, Dissecting/surgery ; Aneurysm, Infected/physiopathology ; Aneurysm, Infected/surgery ; Brain Injuries/complications ; Brain Injuries/physiopathology ; Cerebral Angiography ; Child ; Embolization, Therapeutic/methods ; Female ; Humans ; Intracranial Aneurysm/physiopathology ; Intracranial Aneurysm/surgery ; Male ; Sex Factors ; Subarachnoid Hemorrhage/etiology
    Language English
    Publishing date 2009-12-24
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-009-1054-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus.

    Geibprasert, Sasikhan / Pongpech, Sirintara / Jiarakongmun, Pakorn / Krings, Timo

    Journal of neurosurgery. Spine

    2009  Volume 11, Issue 4, Page(s) 427–431

    Abstract: Spinal dural arteriovenous fistulas (DAVFs) are the spinal vascular malformations that are encountered most often, and they are usually encountered in the lower thoracic region. Cervical spine DAVFs are exceedingly rare and may be difficult to ... ...

    Abstract Spinal dural arteriovenous fistulas (DAVFs) are the spinal vascular malformations that are encountered most often, and they are usually encountered in the lower thoracic region. Cervical spine DAVFs are exceedingly rare and may be difficult to differentiate from radicular arteriovenous malformations, epidural arteriovenous shunts, or perimedullary AVFs. Typical angiographic findings in spinal DAVFs include a slow-flow shunt with converging feeding vessels from radiculomeningeal arteries draining via a radicular vein centripetally into perimedullary veins. The MR imaging findings such as spinal cord edema and perimedullary dilated vessels may be used to direct the spinal angiography that is needed to localize and classify the shunt. When the shunt is distant from the pathological imaging findings, the diagnosis may be difficult to establish, especially when the shunt is present at an atypical location such as the cervical spine. The authors present the case of a 51-year-old man presenting with lower thoracic and conus medullaris congestive edema due to a cervical spine DAVF that was located at the C-5 level. Transarterial embolization with N-butyl cyanoacrylate closed the proximal vein and completely obliterated the fistula. Clinical and imaging follow-up confirmed occlusion of the fistula, with improvement in clinical symptoms.
    MeSH term(s) Angiography, Digital Subtraction ; Central Nervous System Vascular Malformations/diagnostic imaging ; Central Nervous System Vascular Malformations/pathology ; Central Nervous System Vascular Malformations/surgery ; Cervical Vertebrae ; Diagnosis, Differential ; Humans ; Hyperemia/diagnostic imaging ; Hyperemia/pathology ; Hyperemia/surgery ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Spinal Cord Compression/diagnostic imaging ; Spinal Cord Compression/pathology ; Spinal Cord Compression/surgery
    Language English
    Publishing date 2009-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2158643-3
    ISSN 1547-5646 ; 1547-5654
    ISSN (online) 1547-5646
    ISSN 1547-5654
    DOI 10.3171/2009.4.SPINE08118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Cerebrovascular trauma.

    Krings, Timo / Geibprasert, Sasikhan / Lasjaunias, Pierre L

    European radiology

    2008  Volume 18, Issue 8, Page(s) 1531–1545

    Abstract: Vascular injury of the head and neck region is a rare and often life-threatening complication of head or neck trauma and is due to two major pathomechanisms: penetrating or blunt trauma. Both the arterial and the venous site of the CNS vasculature can be ...

    Abstract Vascular injury of the head and neck region is a rare and often life-threatening complication of head or neck trauma and is due to two major pathomechanisms: penetrating or blunt trauma. Both the arterial and the venous site of the CNS vasculature can be involved, the latter one being often overlooked. Concerning arterial lesions, depending on how many layers of the arterial vessel are affected and on the spatial relationship to adjacent structures, dissections, false aneurysms or arteriovenous fistulae may develop. On the venous side, dural tears, compressive effects on pial veins and a deranged clotting system may lead to delayed venous thrombosis. In this review we describe clinical and imaging findings, as well as diagnostic and treatment strategies in these lesions.
    MeSH term(s) Cerebral Arteries/diagnostic imaging ; Cerebral Arteries/injuries ; Cerebral Arteries/pathology ; Cerebral Veins/diagnostic imaging ; Cerebral Veins/injuries ; Cerebral Veins/pathology ; Craniocerebral Trauma/diagnosis ; Craniocerebral Trauma/therapy ; Humans ; Magnetic Resonance Imaging/methods ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2008-04-08
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-008-0915-z
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  9. Article ; Online: Partial "targeted" embolisation of brain arteriovenous malformations.

    Krings, Timo / Hans, Franz-Josef / Geibprasert, Sasikhan / Terbrugge, Karel

    European radiology

    2010  Volume 20, Issue 11, Page(s) 2723–2731

    Abstract: The treatment of pial arteriovenous brain malformations is controversial. Little is yet known about their natural history, their pathomechanisms and the efficacy and risks of respective proposed treatments. It is known that only complete occlusion of the ...

    Abstract The treatment of pial arteriovenous brain malformations is controversial. Little is yet known about their natural history, their pathomechanisms and the efficacy and risks of respective proposed treatments. It is known that only complete occlusion of the AVM can exclude future risk of haemorrhage and that the rates of curative embolisation of AVMs with an acceptable periprocedural risk are around 20 to 50%. As outlined in the present article, however, partial, targeted embolisation also plays a role. In acutely ruptured AVMs where the source of bleeding can be identified, targeted embolisation of this compartment may be able to secure the AVM prior to definitive treatment. In unruptured symptomatic AVMs targeted treatment may be employed if a defined pathomechanism can be identified that is related to the clinical symptoms and that can be cured with an acceptable risk via an endovascular approach depending on the individual AVM angioarchitecture. This review article gives examples of pathomechanisms and angioarchitectures that are amenable to this kind of treatment strategy.
    MeSH term(s) Cerebral Angiography ; Embolization, Therapeutic/methods ; Humans ; Intracranial Arteriovenous Malformations/diagnostic imaging ; Intracranial Arteriovenous Malformations/physiopathology ; Intracranial Arteriovenous Malformations/therapy
    Language English
    Publishing date 2010-06-11
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-010-1834-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Abnormal fetal cerebral laminar organization in cobblestone complex as seen on post-mortem MRI and DTI.

    Widjaja, Elysa / Geibprasert, Sasikhan / Blaser, Susan / Rayner, Tammy / Shannon, Patrick

    Pediatric radiology

    2009  Volume 39, Issue 8, Page(s) 860–864

    Abstract: We report a unique case of cobblestone complex using post-mortem MR and diffusion tensor imaging to assess the laminar organization of the fetal cerebrum. The imaging findings were correlated with autopsy findings. Abnormal cortical development in ... ...

    Abstract We report a unique case of cobblestone complex using post-mortem MR and diffusion tensor imaging to assess the laminar organization of the fetal cerebrum. The imaging findings were correlated with autopsy findings. Abnormal cortical development in cobblestone complex resulted in disruption of normal laminar organization of the fetal brain, which was seen as interruption and nodularity of the high-signal T1 cortical band with increased anisotropy and medium diffusivity extending beyond the cortical band into the cerebral mantle on post-mortem MR and diffusion tensor imaging.
    MeSH term(s) Autopsy ; Brain/embryology ; Brain/pathology ; Cobblestone Lissencephaly/psychology ; Humans ; Magnetic Resonance Imaging ; Male
    Language English
    Publishing date 2009-05-05
    Publishing country Germany
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-009-1255-0
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