Meta-Analysis of Perioperative Stroke and Mortality in CABG Patients With Carotid Stenosis
Conclusions: Together, these data suggest an association between stroke and mortality in the perioperative period in patients undergoing CABG, demonstrating a need for improved monitoring, screening, and treatment of stroke before, during, and shortly after surgery. (Source: The Neurologist)
Source: The Neurologist - September 1, 2020 Category: Neurology Tags: Original Articles Source Type: research

Spontaneous Intracranial Hypotension Followed by Intracranial Hypertension
Discussion: Spontaneous intracranial hypotension may predispose to subarachnoid hemorrhage through vascular compensatory changes. Blood in subarachnoid space may seal the hidden cerebrospinal fluid leak or trigger an inflammatory reaction, leading to rebound intracranial hypertension, a well-known epidural blood patch complication. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

GABA-B Receptor Encephalitis Triggered by Enterovirus Encephalitis in a Patient With Small Cell Lung Cancer: A Case Report
Conclusion: In cases of infectious encephalitis with an atypical recurrent course, the possibility of newly onset autoimmune encephalitis should be considered. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

Reversible Cerebral Vasoconstriction Syndrome Following Carotid Endarterectomy: A Case Report
Conclusion: The authors advise clinicians to consider RCVS as a cause of thunderclap headache or recurrence of a severe headache shortly after CEA—particularly with the presence of a nonaneurysmal convexity SAH. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

Guillain-Barré Syndrome as a Neurological Complication of Novel COVID-19 Infection: A Case Report and Review of the Literature
Conclusion: Our cases revealed the familial occurrence of Guillain-Barré syndrome after COVID-19 infection. The authors emphasize neurological complications of COVID-19. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

Is Noninvasive Vagus Nerve Stimulation a Safe and Effective Alternative to Medication for Acute Migraine Control?
Conclusions: When comparing nVNS with sham, no statistically significant differences were found with regards to the primary endpoint of pain freedom at 120 minutes, although differences were found with various secondary endpoints and post hoc analysis. nVNS is likely a safe alternative to medications. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Critically Appraised Topics Source Type: research

Neurological Morbidity and Mortality in a Neurological Low-Resource Setting: A 2-Year Audit of a Nigerian Hospital
The objective of this study was to report the burden of neurological disorders, including morbidity and mortality, in adult patients at a Northwestern Nigerian tertiary hospital over a 2-year period. Materials and Methods: An audit of adult medical admissions from July 1, 2015, to June 30, 2017, was conducted. Anonymized data on medical admissions were retrieved from admission registries. Primary and secondary outcomes of interest were neurological diagnoses and clinical outcomes, respectively. The Pearson χ2 and independent t tests were used to test for differences between neurological and general medical proportions ...
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Original Articles Source Type: research

Treatment of Status Epilepticus: What Are the Guidelines and Are We Following Them?
Conclusions: This retrospective review demonstrates how guidelines and recommendations for SE are not consistently followed. Under dosing of AEDs and aggressive weaning of anesthetic agents may result in higher morbidity and mortality. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Original Articles Source Type: research

The Incidence of Central Neurological Disorders Among Patients With Isolated Dizziness and the Diagnostic Yield of Neuroimaging Studies
Conclusions: Isolated dizziness is rarely associated with central neurological pathologies. Neuroimaging studies, especially cranial CT, have low diagnostic yield in isolated dizziness and should therefore not be routine in the evaluation process. (Source: The Neurologist)
Source: The Neurologist - July 1, 2020 Category: Neurology Tags: Original Articles Source Type: research

Wall-Eyed Bilateral Internuclear Ophthalmoplegia by Ischemic Stroke: Case Report and Literature Review
Conclusion: Gaze-evoked upward nystagmus on upward gaze and bilateral limb ataxia accompanied by WEBINO due to a small brainstem lesion were the characteristic findings of our case. (Source: The Neurologist)
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

Blepharospasm With Photophobia Secondary to Midbrain Tuberculoma and Thalamic Infarct
Conclusions: Our patient had tuberculoma in the midbrain and chronic infarcts in the thalamus, and both lesions may cause blepharospasm and photophobia independently, so it is difficult to ascertain the causative lesion in our patient. However, it is possible that these heterogenous lesions are all part of a single functionally connected brain network and further studies are required to confirm this hypothesis. (Source: The Neurologist)
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

Morvan Syndrome and Diffuse Large B-Cell Lymphoma in the Central Nervous System
Conclusions: This is a first reported case of a patient who was concurrently diagnosed with Morvan syndrome and diffuse large B-cell lymphoma in the CNS. Additional studies are needed to determine whether aberrantly proliferating B lymphocytes are responsible for the production of Caspr2 antibodies. (Source: The Neurologist)
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

When the Temporal Artery Biopsy is Negative: A Case Series of Headache Attributed to Polymyalgia Rheumatica
Conclusions: Headache attributed to PMR is a steroid-responsive syndrome which should be considered in an older adult presenting with features of PMR, when the TAB is negative. Diagnostic criteria for headache attributed to PMR are proposed. (Source: The Neurologist)
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research

Effects of Baseline Systolic Blood Pressure on Outcome in Ischemic Stroke Patients With Intravenous Thrombolysis Therapy: A Systematic Review and Meta-Analysis
This study aimed to assess the relationship between baseline SBP and outcome. Materials and Methods: Studies that evaluated the association between the baseline SBP and the outcome of patients undergoing thrombolytic therapy were sought. Data were extracted according to a predefined data extraction form and then analyzed by STATA 12.0 software. The primary endpoint was the occurrence of good outcomes measured by a modified Rankin Scale score at 3 months, while the secondary endpoint was the occurrence of intracranial hemorrhage and death. Results: Eleven studies involving a total of 33,263 patients were included. Poo...
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Original Articles Source Type: research

The Impact of Deep Brain Stimulation on the Sexual Function of Patients With Parkinson’s Disease
Conclusions: Sexual function in both sexes of patients with PD does not seem to be influenced by DBS-STN itself, but by psychological and clinical features. (Source: The Neurologist)
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Original Articles Source Type: research