Anemia Predicts Poor Clinical Outcome in Mechanical Thrombectomy Patients with Fair or Good Collateral Circulation
Conclusions: Low hemoglobin on admission predicts poor clinical outcome in mechanical thrombectomy patients with fair or good collateral circulation.Cerebrovasc Dis Extra 2020;10:139 –147 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - October 22, 2020 Category: Neurology Source Type: research
The Challenging Clinical Management of Patients with Cranial Dural Arteriovenous Fistula and Secondary Parkinson ’s Syndrome: Pathophysiology and Treatment Options
Cranial dural arteriovenous fistula (cDAVF) may rarely lead to parkinsonism and rapid cognitive decline. Dysfunction of the extrapyramidal system and the thalamus, due to venous congestion of the Galenic system with subsequent parenchymal edema, is likely to represent an important pathophysiological mechanism. Here, we report a case of a 57-year-old man with a cDAVF of the straight sinus (Borden type III; DES-Zurich bridging vein shunt [BVS] type with direct, exclusive, and strained leptomeningeal venous drainage [LVD]) and subsequent edema of both thalami, the internal capsule, the hippocampi, the pallidum, and the mesenc...
Source: Cerebrovascular Diseases Extra - October 22, 2020 Category: Neurology Source Type: research
Prevalence and Risk Factors of Silent Brain Infarction in Patients with Aortic Stenosis
Conclusion: These findings indicate that AS is associated with a high prevalence of SBI, and that the CHA2DS2-VASc score and eGFR are useful for risk stratification.Cerebrovasc Dis Extra 2020;10:116 –123 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - October 8, 2020 Category: Neurology Source Type: research
Occurrence of Cerebrovascular Diseases Decreased after the Great East Japan Earthquake and Tsunami of 2011
Conclusions: The occurrence of CVDs in the flooded coastal areas did not increase in the year of the Great East Japan Earthquake and Tsunami; furthermore, it decreased for men according to the severity of flood damage in the subsequent years; this can be attributed to supportive activities for the tsunami victims and the migration of the population.Cerebrovasc Dis Extra 2020;10:105 –115 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - October 8, 2020 Category: Neurology Source Type: research
Readmissions for Depression and Suicide Attempt following Stroke and Myocardial Infarction
Conclusions: IS was associated with greater hazard of readmission due to depression compared to MI. Patients with a history of depression, smoking, and alcoholism were more likely to be readmitted with depression, while advanced age and discharge home were protective. It is unclear to what extent differences in type of ischemic tissue damage and disability contribute, and further investigation is warranted.Cerebrovasc Dis Extra 2020;10:94 –104 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - August 27, 2020 Category: Neurology Source Type: research
Endovascular Treatment of Intracranial Dural Arteriovenous Fistulas: A German Single-Center Experience
Conclusion: Endovascular treatment of intracranial DAVFs is feasible, safe, and effective with high rates of CO. In more than half of the patients, the DAVF was completely occluded after a single procedure. However, in tentorial DAVFs, multiple sessions were more often required.Cerebrovasc Dis Extra 2020;10:84 –93 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - August 26, 2020 Category: Neurology Source Type: research
Cortical and Internal Watershed Infarcts Might Be Key Signs for Predicting Neurological Deterioration in Patients with Internal Carotid Artery Occlusion with Mild Symptoms
Conclusion: In patients with mildly symptomatic ICA occlusion, CWIs and IWIs might be key signs for predicting neurological deterioration after hospitalization.Cerebrovasc Dis Extra 2020;10:76 –83 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - July 29, 2020 Category: Neurology Source Type: research
Measurement of Intraoperative Graft Flow Predicts Radiological Hyperperfusion during Bypass Surgery in Patients with Moyamoya Disease
Conclusions: Measuring intraoperative graft flow during bypass surgery may be an effective means of predicting hyperperfusion and could serve to facilitate early therapeutic intervention such as strict blood pressure control.Cerebrovasc Dis Extra 2020;10:66 –75 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - July 29, 2020 Category: Neurology Source Type: research
High White Blood Cell Count Is a Risk Factor for Contrast-Induced Nephropathy following Mechanical Thrombectomy for Acute Ischemic Stroke
Conclusions: This study found that CIN occurred in 8.8% of patients with AIS following mechanical thrombectomy. High WBC count was associated with an increased risk of CIN and may be helpful for predicting CIN.Cerebrovasc Dis Extra 2020;10:59 –65 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - July 1, 2020 Category: Neurology Source Type: research
Efficacy and Safety of Endovascular Treatment in Acute Tandem Carotid Occlusions: Analysis of a Single-Center Cohort
Conclusions: Our results suggest that endovascular treatment with emergent carotid stenting and intracranial thrombectomy in patients with acute stroke due to tandem occlusions is an effective and safe procedure.Cerebrovasc Dis Extra 2020;10:50 –58 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - June 24, 2020 Category: Neurology Source Type: research
Rates and Determinants for the Use of Anticoagulation Treatment before Stroke in Patients with Known Atrial Fibrillation
Conclusions: Only 21.9% of the patients hospitalized for a stroke or TIA with known AF before the event were adequately treated according to recent treatment guidelines. It is important to improve medical information about the risk of AF and the efficacy of anticoagulants in stroke prevention.Cerebrovasc Dis Extra 2020;10:44 –49 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - May 6, 2020 Category: Neurology Source Type: research
The Hyperdense Middle Cerebral Artery Sign in Drip-and-Ship Models of Acute Stroke Management
Conclusion: When clinical data are provided, detection of HMCAS on thinly sliced NCCT could be enough to decide on transfer for thrombectomy in drip-and-ship models of acute stroke management, especially in situations where CTA is less available and referral centers for thrombectomy fewer and further apart.Cerebrovasc Dis Extra 2020;10:36 –43 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - April 28, 2020 Category: Neurology Source Type: research
Does Intravenous Thrombolysis Influence the Time of Recanalization and Success of Mechanical Thrombectomy during the Acute Phase of Cerebral Infarction?
Conclusions: There was no difference in terms of procedure times in patients treated by IVT and MT vs. patients treated by MT alone either in the full cohort or in the successful revascularization subgroup. The data from the successful revascularization subgroup may be useful for studying revascularization times, provided that data from procedures that were stopped prematurely by the operator due to the length of time since symptom onset is removed.Cerebrovasc Dis Extra 2020;10:28 –35 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - April 28, 2020 Category: Neurology Source Type: research
Cognitive Impairment Correlates Linearly with Mean Flow Velocity by Transcranial Doppler below a Definable Threshold
Conclusions: In high-grade, asymptomatic carotid artery stenosis, cognitive impairment correlated linearly with lower flow in the hemisphere fed by the occluded internal carotid artery, but only below a threshold of MFV = 45 cm/s. Identifying a hemodynamic threshold for cognitive decline using a simple, noninvasive method may influence revascularization decision-making in otherwise “asymptomatic” carotid disease.Cerebrovasc Dis Extra 2020;10:21 –27 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - April 14, 2020 Category: Neurology Source Type: research
Biomarkers Associated with Atrial Fibrillation in Patients with Ischemic Stroke: A Pilot Study from the NOR-FIB Study
Conclusions: Our results demonstrate an association between inflammation and AF and that multiple proteins alone and in combination may potentially be used as indicators of AF in CS and TIA patients. However, further studies including larger samples sizes are needed to support these findings. In the ongoing NOR-FIB study, we plan further biomarker assessments in patients with CS and TIA undergoing long-term cardiac rhythm monitoring with insertable cardiac monitors.Cerebrovasc Dis Extra 2020;10:11 –20 (Source: Cerebrovascular Diseases Extra)
Source: Cerebrovascular Diseases Extra - February 6, 2020 Category: Neurology Source Type: research
