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Tactile unawareness in acute right hemispheric stroke (P1.207)
CONCLUSIONS:Tactile unawareness is common in acute right MCA stroke. Bedside findings can help dissociate primary sensory deficit from somatosensory hemi-inattention. The importance of spatial attention in tactile awareness is substantiated by the lesion sites associated with the disorder: regions crucial for multi-sensory integration and bodily awareness. Study Supported by:Disclosure: Dr. Antoniello has nothing to disclose. Dr. Gottesman has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Antoniello, D., Gottesman, R. Tags: Aging, Dementia, Cognitive, and Behavioral Neurology: Attention and Aphasia Source Type: research

Steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) with stroke like symptoms. A case report. (P5.104)
Conclusion: Clinicians should consider SREAT in the differential diagnosis of patients presenting with stroke like symptoms/vasculitis especially if investigations fail to establish a diagnosis.Disclosure: Dr. Javalkar has nothing to disclose. Dr. Abbas has nothing to disclose. Dr. Harris has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Javalkar, V., Abbas, S., Harris, M. Tags: Edema, Encephalopathy, and Encephalitis Source Type: research

Case Report: "Dystextia" as a Sole Manifestation of Expressive Aphasia in Acute Ischemic Stroke (P03.175)
CONCLUSIONS: Text messaging is a common practice of communication with >75 billion texts/month. Evaluation of "dystextia" may become a vital tool in determining language deficits in addition to the routine assessment. It also may help establish time of stroke symptom onset in patients who are in consideration for receiving acute stroke interventions as text messaging is always time/date stamped.Disclosure: Dr. Kaskar has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Miller has nothing to disclose. Dr. Angus has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Kaskar, O., Patel, K., Miller, D., Angus, E. Tags: P03 Cerebrovascular Disease III Source Type: research

Clinical Reasoning: A woman with recurrent aphasia and visual field defects
A 73-year-old woman with a history of hypertension and a recent stroke presented with recurrent nonsensical speech and visual problems. One month prior, she had been diagnosed with a stroke, after sudden-onset speech and visual difficulties that resolved after a few hours. Thirteen days before, she had had a second episode of similar symptoms. She was seen in our institution after a few hours of sudden-onset unintelligible speech. Her vital signs were within normal limits. She was not in distress, but appeared frustrated. Her general physical examination was unremarkable. She had no carotid, ophthalmic, or cranial bruits. ...
Source: Neurology - November 4, 2013 Category: Neurology Authors: Nourbakhsh, B., Rojas, J. C., Banerjee, C., Novakovic, R. L., Warnack, W. Tags: Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke, Aphasia RESIDENT AND FELLOW SECTION Source Type: research

Lateral Eye Deviation and Post-Stroke Spatial Neglect (P1.208)
CONCLUSIONS: Why CBS-defined and BIT-defined neglect resulted in different patterns of eye deviation is unclear. This could reflect greater sensitivity of functional performance testing for neglect, or greater relation of spontaneous behavior assessed by the CBS with eye deviation, as contrasted with responses directly elicited during neuropsychological testing. Research to identify specific mechanisms predisposing patients to rightward eye deviation may be helpful to develop a more complex model to evaluate for potential clinical screening. Study Supported by: NIH, NIDRR, Kessler Foundation, Wallerstein FoundationDisclosu...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Barrett, A., Shirodkar, S., Yao, B., Chen, P. Tags: Aging, Dementia, Cognitive, and Behavioral Neurology: Attention and Aphasia Source Type: research

Monitoring Treatment Effects of Transcranial Magnetic and Direct Current Stimulation in Patients with Post-stroke Aphasia: A Meta-Analysis Study (P5.168)
CONCLUSIONS: Both TMS and tDCS appear to be promising modalities for enhancing post-stroke aphasia recovery. However, treatment effects are greatly confounded by study design and/or stroke chronicity. Larger-scale clinical trials are required to further substantiate these claims.Disclosure: Dr. Shah has nothing to disclose. Dr. Gervits has nothing to disclose. Dr. Torres has nothing to disclose. Dr. Purcell has nothing to disclose. Dr. Hamilton has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Shah, P., Gervits, F., Torres, J., Purcell, J., Hamilton, R. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Rehabilitation Source Type: research

Ischemic Stroke After Plasma Donation (P4.365)
Conclusions: Plasma donation may result in arterial thrombosis in patients with a mild hypercoagulable disorder, which is otherwise not phenotypically expressed. Further studies are needed to evaluate plasma donation as a potential etiology for ischemic stroke.Disclosure: Dr. Salahuddin has nothing to disclose. Dr. Hussaini has nothing to disclose. Dr. Tietjen holds stock and/or stock options in Johnson & Johnson and Stryker.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Salahuddin, H., Hussaini, S., Tietjen, G. Tags: Cerebrovascular Case Reports Source Type: research

Intracranial Fibromuscular Dysplasia in a Middle-Aged Woman with Recurrent Ischemic Stroke (P4.388)
Conclusions: FMD is a rare disease and has very rarely been described in the intracranial arteries. This case illustrates the natural history and progression of FMD in this patient and elucidates the limited treatment options for preventing disease progression and secondary complications. FMD most predominantly affects younger to middle-aged females and if the disease process goes unrecognized it can have devastating consequences. It is important to continue research endeavors into the genetic and biologic determinants of FMD in order to develop better prevention and therapeutic strategies for this condition.Disclosure: Dr...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Beaton, N., Malik, A., Maque-Acosta, Y., Koch, S. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

Stroke-like migraine attacks in long term survivors of high grade glioma. (P1.174)
Conclusions:Stroke-like migraine attacks are difficult to treat and the pathophysiology is unknown. With more sophisticated imaging techniques, a better understanding of this phenomenon will aid in the treatment and prophylaxis of the syndrome with a goal of improving quality of life for this small but slowly growing population.Disclosure: Dr. New has nothing to disclose. Dr. Mirza has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: New, P., Mirza, H. Tags: Neuro-oncology: Gliomas I Source Type: research

SMART Syndrome (Stroke-Like Migraine Attacks after Radiation Therapy) in Adult and Pediatric Patients (P03.007)
CONCLUSIONS: SMART syndrome appears to be a reversible and recurrent long term complication of cranial irradiation. A review of the data indicates that age and gender may play a role in the development of the disease. Additionally, we postulate other mechanisms of SMART syndrome including possible genetic and hormonal influences.Disclosure: Dr. Armstrong has nothing to disclose. Dr. DiMario has received personal compensation for activities with E-Pocrates.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Armstrong, A., DiMario, F. Tags: P03 Child Neurology II Source Type: research

Recurrent Stroke-like Events Preceding the X-linked Charcot-Marie-Tooth Disease Diagnosis (P6.011)
CONCLUSIONS:The transient encephalopathic syndrome with focal paresis, dysarthria, and ataxia is an under recognized early presentation of CMT1X and it continues to be clinically challenging due to its rarity. Thus, this case emphasizes the need for awareness among practitioners to consider CMT1X in the differential diagnosis of acute encephalopathy with symmetric cerebral white matter signal alterations with restricted diffusion to avoid unnecessary work-up and the associated costs.Study Supported by: noneDisclosure: Dr. Kimbason has nothing to disclose. Dr. Anilkumar has nothing to disclose. Dr. Bronov has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Kimbason, T., Anilkumar, A., Bronov, O. Tags: Child Neurology V Source Type: research

Brain Herniation Due To Mitochondrial Encephalomyopathy, Lactic Acidosis, Stroke Like Events (MELAS) With 3256 Mutation Responsive To Decompressive Craniotomy (P6.257)
CONCLUSIONS:In our MELAS case, decompessive craniotomy is life saving for brain herniation due to SLE. Headache refractory to narcotics and increased lactic acid level are early warning signs of acute SLE since MRI can be normal. Steriod might be indicated for acute treatment of cortical edema.Disclosure: Dr. Cui has nothing to disclose. Dr. Schwendimann has received research support from Lundbeck.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Cui, C., Schwendimann, R. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Individualized Treatment With Transcranial Direct Current Stimulation In Patients With Chronic Nonfluent Aphasia Due To Stroke (S21.007)
CONCLUSIONS: Consistent with prior investigations, tDCS may be a promising technique for enhancing post-stroke aphasia recovery in a persistent manner. Optimal electrode arrangement appears to vary across participants, suggesting that individualized treatment may further improve language outcomes.Disclosure: Dr. Shah has nothing to disclose. Dr. Norise has nothing to disclose. Dr. Garcia has nothing to disclose. Dr. Torres has nothing to disclose. Dr. Faseyitan has nothing to disclose. Dr. Hamilton has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Shah, P., Norise, C., Garcia, G., Torres, J., Faseyitan, O., Hamilton, R. Tags: Neuro-rehabilitation and Neural Repair Source Type: research

Induction of Functional and Structural Plasticity by Intermittent Theta Burst Stimulation in Post-Stroke Aphasia (I10-2E)
CONCLUSIONS: The involvement of left frontal areas in verb generation after iTBS increased. iTBS applied to the affected left hemispheric language areas may facilitate re-organization of cortical language networks and restore inhibition of right frontal areas during language tasks.Disclosure: Dr. Griffis has nothing to disclose. Dr. Nenert has nothing to disclose. Dr. Allendorfer has nothing to disclose. Dr. Szaflarski has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Griffis, J., Nenert, R., Allendorfer, J., Szaflarski, J. Tags: The Dynamic Brain in Health and Disease: Plasticity and Reprogramming Poster Presentations Source Type: research

"Spicy Strokes": Synthetic Cannabis and Strokes in Young (P7.123)
CONCLUSIONS: Our case is unique that there was an association between the use of synthetic cannabis and presentation of stroke. However, the JWH-018 that was previously implicated in the stroke causation was absent. More extensive research is needed in future to find other metabolites and contaminants of street preparation of ‘spice’ that may potentially cause strokes.Disclosure: Dr. El Kouzi has nothing to disclose. Dr. Siddiqui has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: El Kouzi, A., Siddiqui, F. Tags: Cerebrovascular Disease and Interventional Neurology: Stroke in Young Source Type: research

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