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Early Spontaneous Recanalization of Symptomatic Carotid Occlusion: When Should We Be Looking? (P01.238)
CONCLUSIONS: Spontaneous recanalization of an occluded carotid artery may occur in a subacute fashion. Clinical deterioration, even minor, should prompt an investigation into possible recanalization.Disclosure: Dr. Cutting has received personal compensation for activities with F1000. Dr. Conners has nothing to disclose. Dr. Prabhakaran has nothing to disclose. Dr. Song has received personal compensation in an editorial capacity for serving as Advocacy Editor for AAN.com.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Cutting, S., Conners, J., Prabhakaran, S., Song, S. Tags: P01 Cerebrovascular Disease I Source Type: research

Ultra Hyperacute MR Findings in Reperfusion Hemorrhage (P01.243)
CONCLUSIONS: The clinician should be aware that hypointense signal on GRE typically associated with hyperacute intracerebral hemorrhage may be absent if imaged very early.Disclosure: Dr. Samuels has nothing to disclose. Dr. Jhaveri has nothing to disclose. Dr. Conners has nothing to disclose. Dr. Cutting has received personal compensation for activities with F1000. Dr. Prabhakaran has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Samuels, J., Jhaveri, M., Conners, J., Cutting, S., Prabhakaran, S., Lee, V. Tags: P01 Cerebrovascular Disease I Source Type: research

Herpes-Simplex Virus 2: A New Player in Cerebral Vasculitis (P03.259)
CONCLUSIONS: The spectrum of atypical CNS manifestations related to HSV is emerging. We report a case of cerebral vasculitis, which was masked by the initial presentation as thalamic hemorrhage and followed by an encephalitic syndrome and multifocal ischemic stroke. The work-up revealed HSV-2 as a new and treatable cause of infectious vasculitis.Supported by: JS is supported by a scientific fellowship from the European Federation of Neurological Societies.Disclosure: Dr. Sellner has nothing to disclose. Dr. Wunderlich has nothing to disclose. Dr. Förschler has nothing to disclose. Dr. Nadas has nothing to disclose. Dr...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Sellner, J., Wunderlich, S., Forschler, A., Nadas, K., Hemmer, B., Zepper, P. Tags: P03 Infections I Source Type: research

Is Intracranial Intra-Arterial Thrombolysis and Thrombectomy Expertise Necessary for Carotid Artery Stent Procedures in Contemporary Practice? (P02.046)
CONCLUSIONS: Although neurological deterioration following CAS can be infrequently seen, the rate and value of intra-arterial thrombolysis and thrombectomy for cerebral ischemic events is very low.Disclosure: Dr. Hartmann has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Allam has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. ATACH Investigators has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Hartmann, A., Chaudhry, S., Allam, H., Seeman, E., Qureshi, A. Tags: P02 Cerebrovascular Disease II Source Type: research

Global Aphasia Without Hemiparesis: The Underlying Mechanism Examined by Transcranial Magnetic Stimulation
Conclusions: We recommend that GAWH was caused by the sparing of the decussated pyramidal tract. The pyramidal tract was intact in cases of GAWH caused by cardioembolism and subclinically impaired by other causes.
Source: The Neurologist - January 1, 2013 Category: Neurology Tags: Original Articles Source Type: research

Repeated Episodes of Ischemic Stroke over a Short Period in a Patient with Essential Thrombocythemia on Anticoagulant Therapy
A 69-year-old man who had essential thrombocythemia, for which he was taking no medications, suddenly developed aphasia and right hemiplegia and was admitted to the hospital. He was thought to have had an embolic stroke and was initially treated with warfarin. Although the international normalized ratio was in the therapeutic range, he had 3 additional ischemic stroke episodes with the same symptoms after the index stroke. Magnetic resonance angiographic examinations revealed serial changes in middle cerebral artery stenosis. After administration of an antiplatelet agent and hydroxyurea, he had no additional strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - August 14, 2012 Category: Neurology Authors: Masaki Naganuma, Kazuya Isoda, Shinsuke Nishi, Kiyotaka Ito, Teruyuki Hirano Tags: Case Reports Source Type: research

Simultaneous Onset of Anterior and Middle Cerebral Artery Dissections with an Old Vertebral Artery Dissection
We report a patient with infarctions caused by simultaneous arterial dissections in the right anterior cerebral artery and the left middle cerebral artery and discuss the characteristic feature of this vascular disorder. A 53-year-old woman presented with a severe headache and a mild aphasia. Magnetic resonance imaging revealed multiple acute cerebral infarctions in the left temporal and right frontal lobes. The initial angiographic findings revealed arterial dissections of the anterior cerebral, left middle cerebral, and right vertebral arteries. The follow-up angiographic examination found improvement of the stenosis in ...
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2012 Category: Neurology Authors: Tatsuya Kato, Takashi Yagi, Hideyuki Yoshioka, Masakazu Ogiwara, Toru Horikoshi, Hiroyuki Kinouchi Tags: Original Articles Source Type: research

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