AHA News: What Migraine Sufferers Need to Know About Stroke Risk

Title: AHA News: What Migraine Sufferers Need to Know About Stroke RiskCategory: Health NewsCreated: 6/21/2019 12:00:00 AMLast Editorial Review: 6/24/2019 12:00:00 AM
Source: MedicineNet Migraine General - Category: Neurology Source Type: news

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When a person has kaleidoscope vision, it is because their brain has created a visual illusion of fractured or bright colors. Ocular migraine is what most often causes kaleidoscope vision, but this visual symptom can also indicate a stroke. Learn about the causes, symptoms, treatments, and when to see a doctor here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Headache / Migraine Source Type: news
Abstract The pituitary adenylate cyclase-activating polypeptide (PACAP)-selective PAC1 receptor (PAC1R, ADCYAP1R1) is a member of the vasoactive intestinal peptide (VIP)/secretin/glucagon family of G protein-coupled receptors (GPCRs). PAC1R has been shown to play crucial roles in the central and peripheral nervous systems. The activation of PAC1R initiates diverse downstream signal transduction pathways, including adenylyl cyclase, phospholipase C, MEK/ERK and Akt pathways that regulate a number of physiological systems to maintain functional homeostasis. Accordingly, at times of tissue injury or insult, PACAP/PAC...
Source: Current Topics in Medicinal Chemistry - Category: Chemistry Authors: Tags: Curr Top Med Chem Source Type: research
Intracranial artery dissection secondary to autosomal dominant polycystic kidney disease is far less common than cerebral aneurysm. A 55-year-old man presented a sudden onset of headache and disturbed consciousness caused by ischemic stroke in the bilateral frontal lobes with minor subarachnoid hemorrhage. The bilateral anterior cerebral arteries were firstly occluded and re-perfused with irregular narrowing and dilation in 3 days after stroke onset, indicating dissection. He was diagnosed with autosomal dominant polycystic kidney disease by abdominal CT findings and by his family history though his renal function was almost normal.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Tags: Case Report Source Type: research
DiscussionWhich subacute STEMI should go to the cath lab?Simplified:IF there is subacute STEMI by ECG or other criteria AND:1. Symptoms onset is within 48 hours AND2. There are persistent symptoms OR persistent ST ElevationThen the patient should go for emergent angiogram/PCI.I think it makes sense to extend this beyond 48 hours because ischemia can be so intermittent.Schomig et al. randomized patients with:STEMI12-48 hours of symptomsNo persistent symptomsPersistent ST ElevationNo hemodynamic or electrical instability, no pulmonary edemaThe patients who received emergent PCI had significantly smaller median left ventricul...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Stroke mimic (SM) is a set of conditions with clinical presentation similar to that of an acute ischemic stroke (AIS), albeit not caused by an ischemic event [1]. From 1% to 41% of patients presenting stroke-like symptoms at admission to the Emergency Department are actually SM [2]. The most common SM etiologies are seizure (38%), migraine with aura (37%), and conversion disorder (21%) [3]. Other conditions of SM are metabolic, infectious, neurodegenerative disorder, peripheral neuropathy and syncope [3].
Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Source Type: research
ConclusionPICAD with ischemic stroke is likely under-diagnosed due to the following reasons; 1) patients present with neurological deficits that are non-specific and mild, 2) DSA, which is a gold standard of diagnosing PICAD is not regularly performed in these patients, 3) lack of predisposing factors associated with PICAD in some patients. The mild and non-specific clinical presentation in young adults with PICAD with ischemia probably due to their ability to compensate better given low incidences of other comorbidities. Further investigation regarding the underlying etiology of isolated PICAD, association of proximal PIC...
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research
An 18-year-old male adolescent was brought to the emergency department by ambulance from a residential substance use disorder treatment program. His chief complaint was weakness. Medics reported that approximately 2 hours prior to arrival at the emergency department, the patient told program staff that he had weakness in his right hand and a headache. The patient maintained normal vital signs during transport and demonstrated no objective neurologic deficits. The patient ’s medical history included polysubstance use disorder (alcohol, marijuana, and benzodiazepines), migraine headaches, and a recent sinus infection.
Source: Journal of Emergency Nursing: JEN - Category: Nursing Authors: Tags: Pediatric Update Source Type: research
This article reviews the benefits of a minimally invasive approach in obese patients and provides a thorough guide to perioperative management of obese patients undergoing robotic gynecologic surgery. A useful set of tips and tricks to overcome many of the technical challenges in performing robotic surgery in the obese patients is included.Recent FindingsIn the USA, obesity has risen to affect 39.8% of the population, which leads to increased incidence of mortality, hypertension, diabetes, heart disease, and stroke. Moreover, obese patients are at greater risk of perioperative complications during gynecologic surgery. With...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
The main clinical manifestations of Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are migraine with aura, ischemic strokes, and progressive cognitive decline. Intracerebral hemorrhage (ICH) has been described in CADASIL, but is not widely recognized. Here we report a case with CADASIL that presented with fatal ICH. A 57-year-old right-handed man of Pakistani descent with history of genetically confirmed CADASIL, hypertension, and mood disorder presented to the emergency department via Emergency Medical Services (EMSs) after he was found down. Initial neurological exami...
Source: The Neurologist - Category: Neurology Tags: Case Report/Case Series Source Type: research
THURSDAY, June 27, 2019 -- Remote poststroke headache is common among pediatric stroke survivors, according to a study recently published in Neurology: Clinical Practice. Ana B. Chelse, M.D., from Northwestern University in Chicago, and colleagues...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
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