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3. Basilar Artery Hypoplasia

Author

Caranci, F., primary, Napoli, M., additional, Cirillo, M., additional, Briganti, G., additional, Brunese, L., additional, and Briganti, F., additional

Published
2012
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5. Spontaneous Resolution of Chiari Type 1 Malformation: A Case Report and Literature Review

Author

Francesco Maiuri, G. Briganti, Giuseppe Leone, Giuseppe Orefice, Francesco Briganti, Ferdinando Caranci, Briganti, Francesco, G., Leone, G., Briganti, Orefice, Giuseppe, Caranci, Ferdinando, Maiuri, Francesco, Briganti, F, Leone, G, Briganti, G, Orefice, G, and Maiuri, F.

Subjects
medicine.medical_specialty, cranial posterior fossa, congenital, hereditary, and neonatal diseases and abnormalities, Ataxia, Urinary urgency, Remission, Spontaneous, Postural instability, Chiari type 1 malformation, spontaneous resolution, cranial posterior fossa, tonsillar descent, Neurological examination, Article, Cerebellum, Medicine, Humans, Radiology, Nuclear Medicine and imaging, medicine.diagnostic_test, business.industry, Follow up studies, Magnetic resonance imaging, General Medicine, Middle Aged, Complete resolution, Magnetic Resonance Imaging, Arnold-Chiari Malformation, tonsillar descent, Chiari type 1 malformation, spontaneous resolution, Positive Romberg sign, Female, Neurology (clinical), Radiology, medicine.symptom, business, Follow-Up Studies
Abstract

We describe a 62-year-old woman who presented with a history of ataxia, dizziness and urinary urgency. Neurological examination disclosed a positive Romberg sign, ataxia and postural instability. A magnetic resonance imaging (MRI) scan showed Chiari type 1 malformation (CM1). Forty-eight months later, the patient was clinically improved and underwent a second MRI examination, which showed complete resolution of the Chiari 1 malformation. Spontaneous resolution of CM1 is exceptionally rare and has to be considered in the radiological and clinical management.

Published
2013

7. Endovascular occlusion of dural cavernous fistulas through a superior ophthalmic vein approach.

Author

Briganti F, Caranci F, Leone G, Napoli M, Cicala D, Briganti G, Tranfa F, and Bonavolontà G

Subjects
Adolescent, Adult, Aged, Carotid-Cavernous Sinus Fistula diagnostic imaging, Central Nervous System Vascular Malformations diagnostic imaging, Eye diagnostic imaging, Female, Humans, Male, Middle Aged, Radiography, Treatment Outcome, Carotid-Cavernous Sinus Fistula surgery, Central Nervous System Vascular Malformations surgery, Endovascular Procedures methods
Abstract

Dural cavernous fistulas are low-flow vascular malformations with usually benign clinical course and a high rate of spontaneous resolution. Cases with symptom progression must be treated with an endovascular approach by arterial or venous route. We report 30 patients with dural cavernous fistulas treated by coil embolization using surgical exposure and retrograde catheterization of the superior ophthalmic vein (SOV). The procedure resulted in closure of the fistula without other endovascular treatments in all 30 patients and clinical remission or improvement in 20 and eight patients, respectively. Embolization via a SOV approach is a safe and easy endovascular procedure, particularly indicated for dural cavernous fistulas with exclusive or prevalent internal carotid artery feeders and anterior venous drainage.

Published
2013
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