Kao Lun Wang

• Taichung Veterans General Hospital

Intracranial carotid dissection is an underrecognized cause of childhood stroke, and, in the face of limited therapeutic experience, its management is controversial. Reported here is the case of a 12-year-old girl who experienced an intracranial carotid artery dissection with progressive and symptomatic occlusion of the middle cerebral artery. Endo...

The aim of this prospective study is to evaluate the diagnostic and prognostic usefulness of F-18 sodium fluoride (NaF) positron emission tomography-computed tomography (PET-CT) relative to Tc-99m methylene diphosphonate (MDP) planar bone scintigraphy with no CT (BS) for hepatocellular carcinoma (HCC) patients with suspicious bone metastasis. Both...

Transient left ventricular apical ballooning syndrome is a unique, reversible cardiomyopathy usually found in postmenopausal women, presenting with evolutional electrocardiographic changes and elevated cardiac biomarkers suggestive of acute ST-segment elevation myocardial infarction without angiographic coronary artery stenosis. We present a 62-yea...

Direct carotid cavernous fistulas (CCF) are generally well managed by simple endovascular treatment. We report an 8-year-old boy who required subsequent direct puncture of the cavernous sinus to completely obliterate the residual fistula after both transarterial and transvenous embolization had been performed. He presented with a mild right frontal...

Objective: Because of the improvements in cardiac transplantation technology, pharmacology, and diagnostic imaging, the survival rate of patients who have undergone heterotopic heart transplantation has significantly increased, which makes postoperative evaluation of these patients increasingly important. Monitoring patients who have undergone het...

Radiosurgery has been established as an important alternative to microsurgery. We report our experience with radiosurgery for tumor control and the complications of unilateral vestibular schwannomas. We reviewed our early experience regarding clinical presentation, management and outcomes in 45 patients with acoustic schwannomas who underwent gamma...

The case of a 43-year-old Taiwanese man who presented with spinal epidural hematoma following intravenous administration of recombinant tissue plasminogen activator (rTPA) and heparin therapy for acute myocardial infarction (AMI) is reported. Upper back pain and progressive neurological dysfunction ensued, secondary to spinal epidural hematoma with...

Patients with hypertensive intracerebral hemorrhage (ICH) are at risk for delayed neurological deterioration, especially during the second week after onset. Mass effect due to vasogenic edema caused by ICH has been shown to cause later deterioration. Control of brain edema and increased intracranial pressure (ICP) are related events that determine...

Back ground. Pa tients with hy per ten sive intracerebral hem or rhage (ICH) are at risk for de layed neu ro log i cal de te ri o ra tion, es pe cially dur ing the sec ond week af ter on set. Mass ef fect due to vasogenic edema caused by ICH has been shown to cause later de te ri o ra tion. Con trol of brain edema and in creased intracranial pres s...