Internet+Continuing Nursing (ICN) Program Promotes Motor Function Rehabilitation of Patients With Ischemic Stroke
Conclusion:
These results suggested that the ICN program may promote the recovery of patients after ischemic stroke. (Source: The Neurologist)
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
Is Selenium Supplementation Beneficial in Acute Ischemic Stroke?
This study proposed to investigate the effect of intravenous Se (Selenase) administration in patients with acute ischemic stroke (AIS) on neurological outcomes, antioxidant enzyme activity, and inflammatory marker levels.
Methods:
AIS patients (n=50) were recruited from a neurology unit of a university-affiliated hospital. Patients were randomly assigned to receive either Selenase or placebo (saline) for 5 days. The modified ranking scale, the national institute of health stroke scale, and the mini-mental state examination, as primary outcomes, and the serum GPx concentration, total antioxidant activity, and tumor n...
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
Effect of the Implementation of a Local Care Pathway on the Transient Ischemic Attack Management in Emergency Departments
Background:
Recent studies have demonstrated that urgent care decreases the risk of subsequent stroke after transient ischemic attack (TIA). In response to heterogeneous TIA management observed in our area, we developed a structured pathway, in accordance with current guidelines and adapted to local resources. We aim to assess the effect of local implementation of this care pathway on TIA management in emergency departments (EDs) in the Rhône area (France).
Patients and Methods:
EDs of 5 centers that had a minimum of 30 TIA/year in Lyon and Bourgoin-Jallieu participated. The first 30 consecutive patients who ha...
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
High Serum Levels of Resistin is Associated With Acute Cerebral Infarction
This study investigated the association of serum resistin level with acute cerebral infarction (ACI). We also investigated its association with the short-term functional outcome.
Methods:
This study included 106 patients with ACI and 106 age-matched and sex-matched healthy control subjects. Serum resistin level was assessed by using enzyme-linked immunosorbent sandwich assay. The association of serum resistin levels with ACI was analyzed by logistic regression analysis.
Results:
The serum resistin level was significantly higher in patients with ACI than the control group [median (interquartile range), 35.7 ...
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
MR Three-Territory Sign in Cancer-Associated Hypercoagulation Stroke (Trousseau Syndrome): An Overlooked Diagnostic Feature: MR Three-Territory Sign
Conclusion:
TTS is a frequently missed diagnostic magnetic resonance feature in cancer-associated hypercoagulation stroke and often heralds occult malignancy. (Source: The Neurologist)
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
Marfan Syndrome Presenting as Spontaneous Coronary Artery Dissection and Arteriopathy
Conclusion:
Although rare, it is important to consider underlying connective tissue disorders in patients presenting with spontaneous coronary artery dissection and arteriopathy without underlying cardiovascular risk factors. (Source: The Neurologist)
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research
HSV-Encephalitis Resembling Acute Cerebral Infarction in a Patient With Atrial Fibrillation: Beware of Stroke Mimics
Conclusion:
HSV-encephalitis might occasionally result in the development of unilateral brain MRI lesions with extensive cytotoxic edema, resembling an acute ischemic stroke. Therefore, HSV-encephalitis must be considered in the differential diagnosis of acute ischemic stroke with atypical presentation. The presence of a significant dissociation between the brain MRI lesion volume and the neurological deficits, as well as certain brain MRI imaging discrepancies might serve as “red flags” to extend the diagnostic workup. (Source: The Neurologist)
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research
Saturday Night Myelopathy: Flexion Myelopathy Related to Drug Intoxication
Conclusions:
The clinician should consider the possibility of flexion-related myelopathy particularly in cases of drug intoxication or prolonged unconsciousness. Signal change within cervical musculature may provide additional clues and allow diagnosis in a timely manner. (Source: The Neurologist)
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research
Cause-Specific Mortality as a Sequalae of Perioperative Stroke Following Cardiac and Vascular Surgery
In this study, we aim to establish the risk of cause-specific mortality associated with perioperative stroke following cardiac and vascular procedures at 30 days, 90 days, and 1-year postoperative. It is hoped that this fund of knowledge will enhance perioperative risk stratification and medical management for patients who have suffered a perioperative stroke.
Methods:
This is a retrospective cohort study evaluating 277,654 cardiac and vascular surgical patients dually documented within the Inpatient Discharge Claims Database and the Pennsylvania Department of Health Death Statistics database. A univariate assessmen...
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Original Article Source Type: research
Randomized Controlled Trials for Neuromyelitis Optica Spectrum Disorder: A Review of Trial Architecture
Conclusions:
Ethical considerations for the use of placebo should change in light of the approval of 3 therapies for seropositive NMOSD. Remaining challenges for clinical trials in NMOSD include the assessment of long-term safety and efficacy, standardization of trial design and endpoints, and head-to-head study designs. (Source: The Neurologist)
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Review Article Source Type: research
Posturographic Findings in Patients With Psychological Dizziness
Conclusion:
Judging from scores in Romberg ratios using foam rubber and foam rubber ratios when eyes were closed, foam posturography might have the potential to differentiate PSY from PVD. (Source: The Neurologist)
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
Simulation-Based Training Improves Fellows’ Competence in Brain Death Discussion and Declaration
Background:
Despite well-defined American Academy of Neurology guidelines for death by whole brain criteria (brain death), there is marked variability in national practice, which some have attributed to lack of formal education. Further, communication with surrogates and families about brain death is integral to brain death declaration. As such, we developed a targeted brain death curriculum combining didactics and simulation-based education to improve examination and subsequent communication skills with families.
Methods:
Multidisciplinary critical care fellows participated in (1) didactic and case-based curric...
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
Study on the Correlation Between Ischemic Leukoaraiosis and Cerebral Large Artery Stenosis Using the Stages of the Preinfarction Period Based on the Result of Computed Tomography Perfusion
Background and Objective:
The influence of cerebral large artery stenosis (CLAS) on ischemic leukoaraiosis (LA) remains elusive. Based on the proposed stages of the preinfarction period, this study aimed to adopt the staging system to assess the correlation between ischemic LA and CLAS.
Materials and Methods:
Patients with unilateral CLAS ≥50% and without cerebral stroke were screened. The severity and distribution of stenosis were evaluated on computed tomography angiography images. The degree of regional cerebral perfusion was rated according to the stages of preinfarction period: 0=normal, 1=stage Ia, 2=sta...
Source: The Neurologist - January 1, 2022 Category: Neurology Tags: Original Articles Source Type: research
Subacute Herpes Simplex Type 1 Encephalitis: Case Report With Literature Review: Erratum
No abstract available (Source: The Neurologist)
Source: The Neurologist - November 1, 2021 Category: Neurology Tags: Erratum Source Type: research
Lp-PLA2 Predicts the Risk of Ischemic Stroke: A Prospective Cohort Study in the Chinese Population
No abstract available (Source: The Neurologist)
Source: The Neurologist - November 1, 2021 Category: Neurology Tags: Letter to the Editor Source Type: research
