Laurent Thinès

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We describe a patient with a symptomatic left giant carotido-ophthalmic aneurysm who initially underwent coil embolization with subtotal obliteration. The patient's symptoms were initially stable, but 1 year later, she presented with a rapidly progressive contralateral visual deficit. Although angiogram showed a stable neck remnant, MR confirmed aneurysm(More)
OBJECT The purpose of this study was to evaluate the authors' initial experience with the integration of high-resolution rotational and biplanar angiography during neurovascular operative procedures. METHODS Eight patients with intracerebral arteriovenous malformations (AVMs) and aneurysms underwent surgical treatment of their lesions in a combined(More)
In this focus, we review, in the light of the recent literature, the modalities and indications of surgical cerebral revascularization for Moyamoya (MM) disease or syndrome. We also report our experience in the surgical management of adult MM. In symptomatic forms, with presence of severe disturbances of perfusion or cerebrovascular reactivity on multimodal(More)
OBJECTIVES Posterior fossa brain arteriovenous malformations (PFbAVMs) are rare lesions. Management is complicated by eloquence of adjacent neurological structures, multimodality treatment is often necessary, and obliteration is not always possible. We describe a 15-year experience in the management of posterior fossa brain AVMs with a focus on clinical(More)
BACKGROUND AND PURPOSE Transforaminal lumbar interbody fusion (TLIF) is an effective technique, which can achieve a fusion rate of up to 90%. The minimally invasive approach has become increasingly popular because it is able to minimize iatrogenic soft tissue and muscle injury. Although the minimally invasive TLIF technique has gained popularity, its(More)
BACKGROUND AND PURPOSE The neuroradiologic location of asymptomatic paraclinoid aneurysms is decisive for patient management. In a preliminary study, we designed a paraclinoid MR protocol (PMP) including high-resolution T2-weighted images in 2 orthogonal planes to define the inferior limit of the distal dural ring plane that represents the borderline(More)
AIM The distal dural ring plane (DDRP) separates the intracavernous from the supracavernous paraclinoid internal carotid artery. The purpose of this MRI protocol is to evaluate the position of this plane for the characterization of paraclinoid aneurysms. METHOD The protocol uses a T2 weighted sequence in two orthogonal planes (diaphragmatic and carotid(More)
OBJECTIVE The aim of this study was to determine the accuracy of multi-detector row computed tomography angiography (CTA) for the triage of patients with acutely ruptured aneurysms, and to assess how therapeutic decisions based on this method compared with digital subtraction angiography (DSA). METHODS Twenty-seven consecutive patients with acute(More)
BACKGROUND Multidetector computerized tomography angiography (MDCTA) is now a widely accepted technique for the management of intracranial aneurysms. OBJECTIVE To evaluate its accuracy for the postoperative assessment of clipped intracranial aneurysms. METHODS We analyzed a consecutive series of 31 patients that underwent direct surgical clipping(More)
Anomalous arterial supply of temporal and occipital lobes by anterior choroidal artery: angiographic study. Fig. 4. a Type 3 Takahashi anomaly. A hy-perplastic AChorA supplies the parieto-occipital and calcarine branches, while the PCA proper gives rise to the temporal branches. b Type 4 Takahashi anomaly. The PCA territory is almost completely fed by a(More)