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Source: Neurology
Condition: Headache
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Total 267 results found since Jan 2013.
Neurologic Complications of Osler-Weber-Rendu Syndrome: A Case Report and Literature Review (P3.058)
CONCLUSIONS: Brain abscess or ischemic stroke must be expected in patients with history of OWRS who present with neurologic manifestations. Family members of such patients should be screened for OWRS with appropriate genetic testing. All the patients with OWRS, whether symptomatic or not, should be screened for pulmonary AVMs. If found, pulmonary AVM’s should be treated to prevent paradoxical embolism which can result in brain abscess or ischemic stroke, both of which can be potentially fatal. Endovascular embolization is the treatment of choice for pulmonary AVMS and a long term follow-up is recommended after the pr...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Farooq, S., Mowla, A., AbdelRazek, M., Iqbal, A., Sawyer, R. Tags: Headache II Source Type: research
Review of Primary Intraventricular Hemorrhage Reveals Dichotomous Outcomes (P3.089)
Conclusion: PIVH is rare, with high morbidity and mortality, though in our study, a substantial percentage had a good outcome. Decreased LOC was the most common presentation. Hypertension was the most common contributing factor, followed by coagulopathy. Vascular lesions were less common than expected. More research is needed to fully understand this rare disease entity.Disclosure: Dr. Sirdar has nothing to disclose. Dr. Song has nothing to disclose. Dr. Ess has nothing to disclose. Dr. Jhu has nothing to disclose. Dr. Cutting has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sirdar, B., Song, S., Ess, K., Jhu, R., Cutting, S. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage Source Type: research
Self-reported sleep problems and incidence of dementia (P2.173)
CONCLUSIONS: Our results suggest that increased daytime sleepiness is independent risk factor for dementia in older adults. Study Supported by: WHICAP grant numer:R01AG037212, Felloship in memory of 'Maria Zaousi'Disclosure: Dr. Tsapanou has nothing to disclose. Dr. Gu has nothing to disclose. Dr. Scarmeas has received personal compensation for activities with Novartis. Dr. Stern has received personal compensation for activities with Elan, Bayer Pharmaceuticals Corporation, Cephalon, and GalaxoSmithKlein as a consultant.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Tsapanou, A., Gu, Y., Scarmeas, N., Stern, Y. Tags: Aging, Dementia, Cognitive, and Behavioral Neurology: Memory, Olfaction, and Alzheimer ' s Disease Risk Factors Source Type: research
A Case Report of Rheumatoid Meningitis, an unusual complication of Rheumatoid Arthritis (P4.056)
CONCLUSIONS: Rheumatoid Meningitis is an extremely uncommon complication of Rheumatoid Arthritis. Initial presentations can vary from altered mental status (most common), cranial neuropathies, hemiparesis/paraparesis, seizure, headache and very rarely stroke like symptoms. This patient with Rheumatoid Arthritis presented with multiple stroke like episodes, lepomeningeal enhancement. Diagnosis was established on the basis of Imaging and Histopathology after excluding other potential causes of granulomatous meningitis. Study Supported by: Not applicableDisclosure: Dr. roy has nothing to disclose. Dr. Brink has nothing to dis...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Roy, B., Brink, J., Bakradze, E., Al Zahmi, F., Uphoff, D., Silverman, I. Tags: MS and CNS Inflammatory Diseases: CNS Inflammatory Diseases and Differential Diagnosis Source Type: research
Methotrexate Encephalopathy as a Cause of Alternating Hemiplegia (P3.143)
CONCLUSIONS: Transient neurologic dysfunction with reversible MRI abnormality is a recognized consequence of intrathecal methotrexate chemotherapy in childhood ALL. Patients present with dramatic fluctuating neurologic symptoms with associated MRI changes and may be mistaken for stroke or a seizure disorder. Once the syndrome is recognized patients typically recover with supportive management and rehabilitation.Disclosure: Dr. Sullivan has nothing to disclose. Dr. Quealy has nothing to disclose. Dr. Olsevskaite has nothing to disclose. Dr. MacEneaney has nothing to disclose. Dr. Ryan has nothing to disclose. Dr. O'Toole ha...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sullivan, C., Quealy, J., Olsevskaite, J., MacEneaney, P., Ryan, C., O'Toole, O. Tags: Neuro-oncology: CNS Lymphoma and Other Hematologic Malignancies Source Type: research
How often is CADASIL diagnosed as multiple sclerosis? (P4.076)
CONCLUSIONS: CADASIL presents in young adults with subcortical ischemic events. Clinically, similar to MS, these are episodes of recurrent acute focal neurologic deficit with partial or complete recovery. MRI shows diffuse asymmetric T2 white matter abnormalities in periventricular and subcortical white matter. With advent of immune modulating therapy, MS has become more amenable to treatment whereas there is no treatment for CADASIL, which may make clinicians more inclined to diagnose MS. Close attention must be paid to history of migraine with aura as well as family history of migraine, stroke and dementia to accurately ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sathe, S., Nunziato, E. Tags: MS and CNS Inflammatory Diseases: CNS Inflammatory Diseases and Differential Diagnosis Source Type: research
Recurrent ischemic strokes and headaches originating from Lambl's excrescence (P2.273)
CONCLUSIONS: The association between recurrent strokes and late-age onset migraine with aura should raise clinical suspicion of a cardiogenic valvular etiology. Early TEE use is necessary to diagnose cardiac valvular strands like LE. LE associated with migraine headaches should prompt a treatment with anti-thrombotic agent. While anticoagulants and cardiothoracic surgery are indicated for recurrent strokes, a combined antiplatelet therapy was effective in our patient.Disclosure: Dr. Dumitrascu has nothing to disclose. Dr. Tsimerinov has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dumitrascu, O., Tsimerinov, E. Tags: Cerebrovascular Disease and Interventional Neurology: PFO and Other Cardiac Disease Source Type: research
Clinical Characteristics of PFO Stroke in Pregnancy (P2.274)
CONCLUSIONS: PFO may pose unique risks compared to non-PFO related stroke in pregnancy. Novel risk factors such as May-Thurner’s anatomy, which promote venous clotting with the increase in abdominal girth are important during pregnancy. For high risk individuals (such as those with known hypercoagulable state), screening for PFO may be of clinical utility in preventing strokes. Further studies are ongoing to validate these preliminary findings. Study Supported by: None.Disclosure: Dr. Chen has nothing to disclose. Dr. Deng has nothing to disclose. Dr. Wickham has nothing to disclose. Dr. McMullin D has nothing to dis...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Chen, L., Deng, W., Wickham, T., McMullin D, D., Eng H, L., Buonanno, F., Ning, M. Tags: Cerebrovascular Disease and Interventional Neurology: PFO and Other Cardiac Disease Source Type: research
Recreational drug use and RCVS: should toxicity screens become standard in RCVS diagnostics? (P2.284)
CONCLUSIONS: As we transition into a new culture of researching marijuana derivatives to treat a multitude of neurologic diseases including pain syndromes, epilepsy, and multiple sclerosis we must also consider the vasoactive properties of the substance and potential vascular complications. This also raises the importance of improving drug screening in such patients with high suspicion of RCVS on admission and identifying high risk patients to prevent further vascular complications. Study Supported by:Disclosure: Dr. Mirchandani has nothing to disclose. Dr. Khan has nothing to disclose. Dr. Wajnsztajn has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mirchandani, N., Khan, I., Wajnsztajn, F. Tags: Cerebrovascular Disease and Interventional Neurology: RCVS and Malignant Cerebral Edema Source Type: research
Primary Angiitis of the Central Nervous System (PACNS) Presenting with Intracerebral Hemorrhage (P2.293)
Conclusion: Primary CNS vasculitis should be suspected even in patients presenting initially with intracerebral hemorrhage in association with only moderate headaches.Disclosure: Dr. Alkhalifah has nothing to disclose. Dr. Fayad has received research support from the National Institute of Neurological Disorders and Stroke and St. Jude Medical. Dr. Omojola has nothing to disclose. Dr. Hearth-Holmes has nothing to disclose. Dr. McComb has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Alkhalifah, M., Fayad, P., Omojola, M., Hearth-Holmes, M., McComb, R. Tags: Cerebrovascular Disease and Interventional Neurology: Inflammation and Immunology Source Type: research
Stroke Awareness In Outpatients. (P2.302)
CONCLUSIONS: General knowledge about CVRF is still insufficient in the outpatient population, even when assessed in the cardiology or neurology clinic. We believe that increased knowledge about stroke in outpatients, compared to inpatients, is due to higher educational level and a higher amount of family members with a history of stroke. Study Supported by:Disclosure: Dr. Pagani Cassara has nothing to disclose. Dr. Gonzalez Toledo has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Moschini has nothing to disclose. ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Nadile, D., Gonzalez Toledo, M., Gomez, Y., Munoz Giacomelli, F., Delfitto, M., Moschini, J., Pagani Cassara, F., Tamargo, A., Thomson, A., Klein, F. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research
Transient ischemic attacks in post-menopausal women with history of migraines have lower risk for subsequent ischemic strokes (P2.306)
CONCLUSIONS: The risk of ischemic stroke is lower following TIA in women with migraine history (compared with those without migraine) suggesting potentially different pathophysiology in such women.Disclosure: Dr. Rahman has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Thomas has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Rahman, H., Malik, A., Thomas, A., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research
Is CT Scan in Patients with Suspected TIA Necessary: A quality improvement initiative (P2.307)
CONCLUSIONS: Patients with suspected TIA and low risk for intracranial hemorrhage could undergo MRI rather than CT plus MRI. This practice would prevent unnecessary radiation dose from CT, decrease cost, and increase availability of the CT scanner for other patients in the ED.Disclosure: Dr. Baghshomali has nothing to disclose. Dr. Bishop has nothing to disclose. Dr. Hiestand has nothing to disclose. Dr. Reynolds has nothing to disclose. Dr. Bushnell has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Baghshomali, S., Bishop, L., Hiestand, B., Reynolds, P., Bushnell, C. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research
Neuro-Behcet's Syndrome:Case Reports Emphasizing Challenges of Early Diagnosis (P2.075)
CONCLUSIONS: In both cases, NBS was ultimately diagnosed based on characteristic MRI findings, particularly fluctuating brain stem-diencephalic involvement, superimposed on supportive clinical and CSF profiles. Challenges to early diagnosis are highlighted by our cases and by the literature. The differential diagnosis is often broad at onset. Mucocutaenous symptoms can be a clue but may not be present. Awareness of NBS and its neuroimaging correlates is critical to enable timely diagnosis, particularly given that this condition can favorably respond to steroids and steroid-sparing agents.Disclosure: Dr. Feldman has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Feldman, E. Tags: Neurological Consequences of Autoimmune Disease Source Type: research
Demographics, Comorbidities and Clinical Features in Hospitalized Patients with Myoclonus (P3.022)
CONCLUSIONS: Myoclonus was particularly associated with renal impairment in the presence of a toxic exposure, most commonly opioids or anticonvulsants, and unlike patients with anoxia or hepatic impairment, more often featured a negative semiology.Disclosure: Dr. Ehrlich has nothing to disclose. Dr. Swan has nothing to disclose. Dr. Robbins has received personal compensation for activities with MedLink and Prova Education. Dr. Robbins has received personal compensation in an editorial capacity for Current Pain and Headache Reports. Dr. Herskovitz has nothing to disclose. Dr. Milstein has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ehrlich, D., Swan, M., Robbins, M., Herskovitz, S., Milstein, M. Tags: Movement Disorders: Myoclonus, Paroxysmal Dyskinesias, and Parkinson ' s Disease Source Type: research
