Angiographic Systems for Classifying Distal Arterial Occlusions
Background: Extensive randomized controlled clinical trials for endovascular thrombectomy in anterior circulation large vessel occlusions (internal carotid arteries and M1 segment of middle cerebral arteries) have been published over the past decade, but there have not been randomized controlled trials for distal arterial occlusions to date. Distal arterial occlusion randomized controlled trials are essential to decide on patient selection, imaging criteria, and endovascular approach to improve the outcome and reduce complications.Summary: The definition of distal arterial occlusion is however unclear, and we believe that ...
Source: Cerebrovascular Diseases - November 24, 2022 Category: Neurology Source Type: research
Predictors of Symptomatic Intracranial Hemorrhage after Endovascular Thrombectomy in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis
Conclusions: This study identified many predictors of sICH. Some of the results lack robust evidence given the limitations of the study. Therefore, larger cohort studies are needed to confirm these predictors.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 24, 2022 Category: Neurology Source Type: research
Association of 24 h Blood Pressure on Functional Outcome in Patients with Acute Ischemic Stroke Post Intravenous Thrombolysis
Conclusion: An elevated mean SBP and greater SBP variability were predictive of poor functional outcomes, whereas a high SBP variability predicted sICH. Our study emphasizes the need for BP control and minimizing large fluctuations to achieve good poststroke outcomes.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 24, 2022 Category: Neurology Source Type: research
Prelims
Cerebrovasc Dis 2022;51:I –II (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 23, 2022 Category: Neurology Source Type: research
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Cerebrovasc Dis 2022;51:I –II (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 23, 2022 Category: Neurology Source Type: research
Asia Pacific Stroke Conference 2022: Stroke Care Reform through Collaboration and Cooperation
Cerebrovasc Dis 2022;51(suppl 1):III –IV (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 23, 2022 Category: Neurology Source Type: research
Asia Pacific Stroke Conference 2022: Stroke Care Reform through Collaboration and Cooperation
The Asian Pacific Stroke Organization (APSO) and the Taiwan Stroke Society (TSS) are pleased to have this year's Asia Pacific Stroke Conference (APSC) in conjunction with the annual meeting of TSS in Kaohsiung, Taiwan. APSC, the flagship meeting of APSO, is held every year after receiving applications from member societiesCerebrovasc Dis 2022;51:1 –153 (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 23, 2022 Category: Neurology Source Type: research
Urinary Immunoglobulin G Is Associated with Deep and Infratentorial Cerebral Microbleeds in Stroke Patients
Conclusions: Urinary IgG was associated with the prevalence of D/I or mixed location CMBs in TIA or ischemic stroke patients. Our findings provide new insights into the association between urinary IgG and the distribution of CMBs.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 8, 2022 Category: Neurology Source Type: research
Multiparametric Neuroimaging and Its Association with Non-Contrast Computed Tomography in Late-Window Large Vessel Occlusion Acute Stroke
Conclusions: A great majority of patients who presented a LVO in the late window fulfilled guidelines imaging criteria to undergo EVT, especially those with high ASPECTS ( ≥6). Our data suggest that NCCT with CT angiography could be a reasonable approach for AIS treatment selection also in the late window.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 1, 2022 Category: Neurology Source Type: research
Treatment Delays and Chance of Reperfusion Therapy in Patients with Acute Stroke: A Danish Nationwide Study
Conclusions: Patient delay remains the most important barrier for use of reperfusion therapy among acute ischemic stroke patients calling 1-1-2, whereas system delay seems independent of patient delay.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 31, 2022 Category: Neurology Source Type: research
Jamaican Susumber Berry Poisoning Mimicking Acute Stroke
Conclusions: SB toxicity can cause neurological symptoms that mimic an acute stroke typically with a posterior circulation symptom complex. Altered SB toxins (from post-harvest stressors or temperature changes) might stimulate muscarinic/nicotinic cholinergic receptors or inhibit acetylcholinesterase, causing gastrointestinal, neurological, and autonomic symptoms. In cases of multiple patients presenting simultaneously to the ED with stroke-like symptoms or when stroke-like symptoms fail to localize, a toxicological etiology (such as SB toxicity) should be considered.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 25, 2022 Category: Neurology Source Type: research
Clinical Significance of Plasma D-Dimer and Fibrinogen in Outcomes after Stroke: A Systematic Review and Meta-Analysis
Conclusion: Fibrinogen and D-dimer may be associated with adverse outcomes in patients with stroke, suggesting that they may serve as possible biomarkers for post-stroke adverse outcomes.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 24, 2022 Category: Neurology Source Type: research
White Matter Hyperintensities and Poststroke Apathy: A Fully Automated MRI Segmentation Study
Conclusion: This is an exploratory study that supports the view of PSA as a distinct syndrome from PSD mediated mainly by diffuse white matter hyperintensities, which suggests that WM disruption is an important pathway to the development of apathy in stroke patients.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 24, 2022 Category: Neurology Source Type: research
Cerebral Small Vessel Disease Burden and Futile Reperfusion after Endovascular Treatment for Patients with Acute Ischemic Stroke
Conclusions: We demonstrated that cerebral SVD assessed with baseline brain MRI is associated with the futility of successful recanalization after EVT and any hemorrhagic transformation but not with early stroke progression or recurrence. Nevertheless, our findings do not justify withholding EVT in otherwise eligible patients with AIS based on the presence of severe SVD.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 21, 2022 Category: Neurology Source Type: research
Localized Elevation of Wall Shear Stress Is Linked to Recent Symptoms in Patients with Carotid Stenosis
Conclusions: Patients with carotid artery stenosis are more likely to experience acute ischemic cerebrovascular accidents if they have higher WSS. Simultaneous assessment with hemodynamic parameters like WSS along with stenosis severity may aid risk stratification in patients with asymptomatic carotid artery stenosis.Cerebrovasc Dis (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 21, 2022 Category: Neurology Source Type: research
