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Condition: Reflex Sympathetic Dystrophy

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Total 1447 results found since Jan 2013.

Characteristics of the severely impaired hand in survivors of stroke with chronic impairments
Conclusions: Survivors of severe, chronic hemiparetic stroke experience profound weakness of both flexion and extension that arises from increased involuntary antagonist activation and decreased voluntary activation. The lack of correlation amongst hypertonicity measures suggests that these phenomena may arise from multiple, potentially independent mechanisms that could require different treatments.PMID:33657985 | DOI:10.1080/10749357.2021.1894660
Source: Topics in Stroke Rehabilitation - March 4, 2021 Category: Neurology Authors: Alexander J Barry Derek G Kamper Mary Ellen Stoykov Kristen Triandafilou Elliot Roth Source Type: research

Gastroesophageal Reflux during Enteral Feeding in Stroke Patients: A 24-hour Esophageal pH-monitoring Study
Conclusions: GER is associated with aspiration pneumonia and occurs more often in patients with stroke lesions in the left hemisphere.
Source: Journal of Stroke and Cerebrovascular Diseases - August 19, 2011 Category: Neurology Authors: Yukie Satou, Hiroaki Oguro, Yo Murakami, Keiichi Onoda, Shingo Mitaki, Chizuko Hamada, Ryo Mizuhara, Shuhei Yamaguchi Tags: Original Articles Source Type: research

Comment: Natriuretic peptides as predictive biomarkers of stroke outcome
B-type natriuretic peptide (BNP), along with an inactive N-terminal peptide fragment (NT-proBNP), is secreted by cardiac ventricular myocytes in response to excessive myocardial stretching. The plasma half-life of these peptides is 0.3 and 2.0 hours, respectively, so a single measurement mostly reflects recent cardiac stress that may for example reflect sympathetic stimulation in response to acute stroke. Results from a variety of clinical studies indicate that these peptides may be useful as biomarkers for a variety of both cardiac and cerebrovascular events. In a carefully performed meta-analysis, García-Berrocoso...
Source: Neurology - December 2, 2013 Category: Neurology Authors: Coull, B. M. Tags: All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Effect of Dysphagia Screening Strategies on Clinical Outcomes After Stroke: A Systematic Review for the 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke AHA/ASA Systematic Review
Conclusions—There were insufficient RCT data to determine the effect of dysphagia screening protocols on reducing the rates of pneumonia, death, or dependency after stroke. Additional trials are needed to compare the validity, feasibility, and clinical effectiveness of different screening methods for dysphagia.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Eric E. Smith, David M. Kent, Ketan R. Bulsara, Lester Y. Leung, Judith H. Lichtman, Mathew J. Reeves, Amytis Towfighi, William N. Whiteley, Darin B. Zahuranec Tags: Statements and Guidelines AHA/ASA Systematic Review Source Type: research

The Dysphagia in Stroke Protocol Reduces Aspiration Pneumonia in Patients with Dysphagia Following Acute Stroke: a Clinical Audit
AbstractCough reflex testing has been evaluated as a component of the clinical swallowing assessment as a means of identifying patients at risk of aspiration during swallowing. A previous study by our research group found good sensitivity and specificity of the cough reflex test for identifying patients at risk of aspiration post-stroke, yet its use did not decrease pneumonia rates, contrary to previous reports. The aim of this study was to expand on our earlier work by implementing a clinical management protocol incorporating cough reflex testing within the same healthcare setting and compare patient outcomes to those fro...
Source: Translational Stroke Research - March 30, 2018 Category: Neurology Source Type: research

The muscle shortening maneuver in individuals with stroke: a consideration-of-concept randomized pilot trial
CONCLUSIONS: The MSM seems able to modulate the TSRTs in individuals with stroke. Although with the limitations due to the pilot design, the variation in participants' responses appear to be promising. Many methodological issues have to be clarified and specified conceiving the progression toward a confirmatory trial.PMID:36398746 | DOI:10.1080/10749357.2022.2145741
Source: Topics in Stroke Rehabilitation - November 18, 2022 Category: Neurology Authors: Diego Longo Guido Santini Giulio Cherubini Daniela Melchiorre Francesco Ferrarello Maria Angela Bagni Source Type: research

Cholinergic Pathway Suppresses Pulmonary Innate Immunity Facilitating Pneumonia After Stroke Basic Sciences
Conclusions— Thus, cholinergic pathways play a pivotal role in the development of pulmonary infections after acute central nervous system injury.
Source: Stroke - October 26, 2015 Category: Neurology Authors: Engel, O., Akyuz, L., da Costa Goncalves, A. C., Winek, K., Dames, C., Thielke, M., Herold, S., Bottcher, C., Priller, J., Volk, H. D., Dirnagl, U., Meisel, C., Meisel, A. Tags: Animal models of human disease, Pulmonary biology and circulation, Acute Cerebral Infarction Basic Sciences Source Type: research

Cortisol is More Important than Metanephrines in Driving Changes in Leukocyte Counts after Stroke
In this study, we assessed the role of the neuroendocrine and sympathetic nervous systems in stroke-induced changes of WBCs within distinct leukocyte subsets, as well as the effect of these changes on stroke outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - October 30, 2017 Category: Neurology Authors: Dannielle Zierath, Patricia Tanzi, Dean Shibata, Kyra J. Becker Source Type: research

Bladder Autonomic Dysfunction after a Parietal Stroke
We describe a case of a 57-year-old man who, immediately after a right parietal ischemic stroke, showed urodynamically determined bladder sensory decrement during filling and an underactive detrusor during voiding, both of which were ameliorated during the course of his treatment. The lower urinary tract symptom (LUTS) occurs in stroke in up to 60% of patients, when it involves the frontal and insular cortices. In addition, LUTS does occur in parietal stroke as seen in our patient, presumably by sensory deafferentiation within the brain that is relevant to the central regulation of the micturition reflex.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2020 Category: Neurology Authors: Fuyuki Tateno, Ryuji Sakakibara, Yosuke Aiba, Osamu Takahashi, Ayami Shimizu, Megumi Sugiyama, Tsuyoshi Ogata, Nobuo Takada Tags: Case Report Source Type: research

Motion Perception without Nystagmus—A Novel Manifestation of Cerebellar Stroke
Conclusions: This study discovered a novel presentation of cerebellar stroke where only motion perception was affected, but there was an absence of objective neurologic signs.
Source: Journal of Stroke and Cerebrovascular Diseases - November 21, 2013 Category: Neurology Authors: Aasef G. Shaikh Tags: Original Articles Source Type: research

Acute ischemic stroke due to Left Ventricular Noncompaction Syndrome from a novel mutation of the Lamin A/C gene (P2.254)
Conclusion: LVNC is a risk factor for cardioembolic ischemic stroke particularly in young patients that is not well known. Patients with suspected LVNC by echocardiography should undergo cardiac MRI for confirmation and genetic testing in particular for mutations in the LMNA gene. The prognosis of those with LVNC syndrome is poor; most worsen over time and need ultimately transplantation. Close follow-up is required.Disclosure: Dr. Vongveeranonchai has nothing to disclose. Dr. Mittal has nothing to disclose. Dr. Ramos Estebanez has nothing to disclose. Dr. DeGeorgia has received personal compensation for activities with OS...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Vongveeranonchai, N., Mittal, S., Ramos Estebanez, C., De Georgia, M. Tags: Cerebrovascular Disease and Interventional Neurology: Genetics and Stroke Source Type: research

Chemical Sympathectomy, but not Adrenergic Blockade, Improves Stroke Outcome
A robust adrenergic response following stroke impairs lymphocyte function, which may prevent the development of autoimmune responses to brain antigens. We tested whether inhibition of the sympathetic response after stroke would increase the propensity for developing autoimmune responses to brain antigens.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2018 Category: Neurology Authors: Dannielle Zierath, Theresa Olmstead, Astiana Stults, Angela Shen, Allison Kunze, Kyra J. Becker Source Type: research