Impact of patency of the carotid terminus and middle cerebral artery on early clinical outcomes in patients with acute internal carotid artery occlusion and mild symptoms
This study aimed to address the association between early clinical outcomes and patency of the ICT and middle cerebral artery (MCA) in patients with acute ICAO with mild symptoms. Methods: Of 1214 consecutive patients with acute ischemic stroke or transient ischemic attack due to large vessel occlusion, patients with ipsilateral ICAO and initial National Institutes of Health Stroke Scale score (NIHSS) ≤ 5 were retrospectively enrolled. We examined the associations between clinical factors including patency of the ICT and MCA and recurrence of stroke or early neurological deterioration (REND). Significant early neurologi...
Source: Cerebrovascular Diseases Extra - October 24, 2022 Category: Neurology Source Type: research

Outcomes of Mild Stroke and High-Risk Transient Ischemic Attack in Current Clinical Practice
Conclusion: Implementation of the up-to-date standard care in clinical practice would bring good clinical outcomes to the patients with mild stroke and high-risk TIA.Cerebrovasc Dis Extra 2022;12:109 –116 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - September 21, 2022 Category: Neurology Source Type: research

Outcomes of Mild Stroke and High-risk Transient Ischemic Attack in Current Clinical Practice
Early assessment and management of patients with mild stroke and transient ischemic attack (TIA) by specialists were recommended. Objectives: To evaluate the outcomes of these patients, and identify the predictive factors of clinical progression, unfavorable outcomes and recurrent stroke. Materials and Methods: Patients with mild ischemic stroke (NIHSS ≤5) and high-risk TIA were studied. All patients were managed by stroke specialists within 24 hours of stroke onset. The outcomes of the patients at 3 months and final follow-up were studied. Predictive factors of clinical progression, unfavorable outcomes, and recurrent s...
Source: Cerebrovascular Diseases Extra - September 21, 2022 Category: Neurology Source Type: research

Serum Prealbumin Levels on Admission as a Prognostic Marker in Stroke Patients Treated with Mechanical Thrombectomy
Conclusion: Lower prealbumin levels at admission behaved as an independent predictor of long-term mortality in patients treated with mechanical thrombectomy. These results should be replicated in other cohorts.Cerebrovasc Dis Extra 2022;12:103 –108 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - August 25, 2022 Category: Neurology Source Type: research

Serum prealbumin levels on admission as a prognostic marker in stroke patients treated with mechanical thrombectomy
Conclusion: Lower prealbumin levels at admission behaved as independent predictor of long-term mortality in patients treated with mechanical thrombectomy. These results should be replicated in other cohorts. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - August 25, 2022 Category: Neurology Source Type: research

Subarachnoid and Intraventricular Hemorrhage in a Patient with a Pure Arterial Malformation and Two Associated Aneurysms in the Posterior Inferior Cerebellar Artery: A Case Report and Literature Review
Conclusions: PAM natural history remains unknown, particularly in cases of coexistence with aneurysms. Patients so affected require careful observation. The description of PAMs as benign vascular malformations should be revised. Surgical management of hemorrhagic PAMs coexisting with aneurysms is possible and should be considered.Cerebrovasc Dis Extra 2022;12:117 –122 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - August 10, 2022 Category: Neurology Source Type: research

Subarachnoid and Intraventricular Hemorrhage in a Patient with a Pure Arterial Malformation and Two Associated Aneurysms in the Posterior Inferior Cerebellar Artery: a Case Report and Literature Review
Conclusions PAM natural history remains unknown, particularly in cases of coexistence with aneurysms. Patients so affected require careful observation. The description of PAMs as benign vascular malformations should be revised. Surgical management of hemorrhagic PAMs coexisting with aneurysms is possible and should be considered. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - August 10, 2022 Category: Neurology Source Type: research

Treatment in a stroke unit and risk factor control reduce recurrent stroke risk
Conclusion: The index stroke treated in a comprehensive stroke care unit and control of risk factors can reduce recurrent stroke risk among stroke survivors. This population attributable risk is important in planning secondary stroke prevention strategies. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - July 6, 2022 Category: Neurology Source Type: research

Treatment in stroke unit and risk factor control reduce recurrent stroke risk
Conclusion: The index stroke treated in a comprehensive stroke care unit and control of risk factors can reduce recurrent stroke risk among stroke survivors. This population attributable risk is important in planning secondary stroke prevention strategies. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - July 6, 2022 Category: Neurology Source Type: research

Stroke severity among men and women acute ischemic stroke patients in the telestroke network
This study investigates gender differences among stroke patients treated in the telestroke network using specific risk factors that contribute to stroke severity. Methods. We examined gender differences in stroke severity among 454 patients hospitalized with acute ischemic stroke (AIS). The logistic regression model was used to predict clinical risk factors associated with stroke severity in men and women AIS patients. Results. In the adjusted analysis, among women patients, increasing age [Odd ratio(OR) = 1.05, 95% CI, 1.017-1.085, P = 0.003], and higher heart rate (OR = 1.031, 95% CI, 1.005-1.058, P=0.021) were associa...
Source: Cerebrovascular Diseases Extra - June 8, 2022 Category: Neurology Source Type: research

Impact of the COVID-19 Pandemic in the Acute Stroke Admissions and Outcomes in a Philippine Tertiary Hospital
CONCLUSIONS: There was reduction in total stroke admissions, mild and transient stroke during the pandemic. There was significantly higher proportion of stroke patients having moderate and severe stroke. The discharge outcome of stroke patients is functionally poorer during the pandemic and more stroke patients have died compared to before COVID-19 pandemic. keywords: Stroke, Philippines, COVID-19, acute stroke (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - May 19, 2022 Category: Neurology Source Type: research

Comparison of Stroke Risk Factors Between Symptomatic and Asymptomatic Patients in a North American Moyamoya Disease Cohort
Conclusions: No significant differences in the prevalence of stroke risk factors between MMD cohorts was found, corroborating evidence provided in a recent Japanese-based study. There were no apparent associations between s troke risk factors and interval cerebrovascular events in an asymptomatic group of MMD patients. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - May 19, 2022 Category: Neurology Source Type: research

Low-Cost Feedback Program for Reducing the Door-to-Computed Tomography Time
Conclusions The low-cost interventions successfully reduced both the mean DTC time and variation, suggesting an improvement in the quality and consistency of medical s ervices. The result of our fine-grained analysis with a field-experiment design supports the role of feedback in achieving early treatment, as suggested in the Target: Stroke initiative. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - April 28, 2022 Category: Neurology Source Type: research

Stroke Burden in Malaysia
Malaysia is located in the heart of South East Asia with two land masses, Peninsular Malaysia and East Malaysia which are separated by the South China Sea. Stroke or cerebrovascular disease is Malaysia ’s third leading cause of death. There were 47, 911 incident cases, 19,928 deaths, 443,995 prevalent cases, and 512,726 DALYs lost due to stroke in 2019. Successive national health and morbidity surveys from 2006 demonstrated a continuous rise in the prevalence of risk factor such as diabetes, hyp erlipidaemia and obesity. These risk factors are implicated in an increase in stroke incidence in those under 65 years of age, ...
Source: Cerebrovascular Diseases Extra - March 24, 2022 Category: Neurology Source Type: research

Stroke Burden and Stroke Services in Indonesia
Stroke is a major cause of death and disability in Indonesia. Stroke requires high quality, fast and precise management to prevent and avoid disability and death. Stroke can be prevented by adequately controlling for risk factors and encouraging healthy life styles. Efforts are needed to organize health promotion programs at the community level. More and a better distribution of neurologists and neurointerventionalists is needed. All hospitals should have a CT scan machine and stroke units. Telemedicine for stroke patient is very promising endeavor for an integrated acute stroke management system. (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - March 21, 2022 Category: Neurology Source Type: research