The effects of five sessions of continuous theta burst stimulation over contralesional sensorimotor cortex paired with paretic skilled motor practice in people with chronic stroke.
CONCLUSIONS: Multiple sessions of STT practice can improve paretic arm function and decrease TCI bilaterally, with no additional benefit of prior cTBS. Our results suggest that improvement in STT practice following M1c cTBS scaled with change in paretic arm function in some individuals. Our results highlight the need for a better understanding of the mechanisms of cTBS to effectively identify who may benefit from this form of brain stimulation. PMID: 31227676 [PubMed - in process]
Conclusion: Hyperuricemia and its accompanying dyslipidemia can be considered as the risk factor for acute ischemic stroke. PMID: 31325266 [PubMed - in process]
Conclusion: Septic CVT prognosis had better than non septic CVT. Hence, CVT presents with wide range of presentations and anticoagulation is the treatment. Septic CVT if intervened timely with proper antibiotics have better prognosis. Antibiotics are the mainstay of therapy for septic CVT. PMID: 31325261 [PubMed - in process]
Conclusion: In patients of ischemic stroke platelet indices may be used for predicting severity of motor deficit. Although larger sample size and multivariate analysis is required before this can be used regularly in clinical practice. PMID: 31325260 [PubMed - in process]
Authors: Patil P, Darshan A, Ao S, Kothiwale VA Abstract Objective: To study the association of MPV (mean platelet volume) and acute ischemic stroke in patients of type 2 diabetes mellitus (DM). Material: This was a 1-year cross-sectional hospital-based study involving 79 patients presented with acute ischemic stroke. Among them, 25 were diabetic and 54 were nondiabetic. Demographic data and history of the patients were recorded. Investigations such as haemoglobin estimation, platelet count, MPV, HbA1c, imaging studies were conducted and evaluated for acute ischemic brain stroke. All the patients underwent neur...
Conclusion: Coronary Angiography remains the near gold standard in diagnosing ischemic heart disease but is associated with serious complications like stroke, arrhythmias, acute renal failure, infection, etc. Though Myocardial perfusion imaging cannot replace coronary angiogram, it can be used as a reliable and sensitive non-invasive alternate investigation to diagnose stable ischemic heart disease in high risk individuals who are unwilling for angiogram. PMID: 31324083 [PubMed - in process]
The need for surveillance and optimal management of recurrent stenosis after carotid endarterectomy (CEA) or carotid artery stenting (CAS) and whether carotid restenosis is associated with an increased risk of recurrent ipsilateral stroke are controversial.1-3 The recently reported Society for Vascular Surgery (SVS) practice guidelines on follow-up after vascular surgery arterial procedures recommend surveillance with Duplex ultrasonography (DUS) after CEA and CAS at baseline, every 6 months for 2 years, and annually thereafter until stable (ie, until no restenosis or in-stent restenosis [ISR] has been observed ...
Considering carotid endarterectomy (CEA), reporting treatment delay, symptom status, and surgical complication rates separately gives an incomplete picture of efficacy; therefore, the aim was to combine these factors and develop a reporting standard that better describes the number of potentially prevented strokes. With a real life cohort and theoretical inclusion scenarios, the aim was to explore the stroke prevention potential of different carotid practices.
Transcarotid artery revascularization (TCAR) with the ENROUTE transcarotid neuroprotection and stent system (Silk Road Medical Inc, Sunnyvale, Calif) has provided vascular surgeons with a promising new tool for treating carotid artery stenosis. Results from the Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure (ROADSTER), a prospective, single-arm, multicenter trial evaluating TCAR efficacy, demonstrated a 30-day stroke rate of 1.4%. These initial results are encouraging and have led to widespread adoption of this technology.
Carotid webs are a rare and difficult-to-diagnose cause of stroke. There are currently few cases reported in the existing literature. We reviewed our recent institutional experience and performed a systematic review of the literature to provide diagnostic and management recommendations.
Condition: Acute Ischemic Stroke Interventions: Device: remote ischemic conditioning; Device: sham remote ischemic conditioning Sponsor: Yi Yang Not yet recruiting