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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Ischemic Stroke
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Total 2464 results found since Jan 2013.
Frequency and Determinants of Intracranial Atherosclerotic Stroke in Urban Pakistan
Conclusions: ICAD accounted for one fifth of all strokes making it the most common ischemic stroke mechanism. In addition to aggressive risk factor control, data also indicated broader holistic efforts on ameliorating inequity, unemployment, and stress reduction to reduce stroke because of ICAD.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2014 Category: Neurology Authors: Ayeesha K. Kamal, Asif Rasheed, Khalid Mehmood, Muhammad Murtaza, Moazzam Zaidi, Maria Khan, Nabi Shah, Maria Samuel, Bilal Ahmed, Emmon Raza, Naveeduddin Ahmed, Jamal Ara, Tasnim Ahsan, Syed M. Munir, Shoukat Ali, Karim U. Maki, Muhammad M. Ahmed, Abdul Tags: Original Articles Source Type: research
Prevalence of Triggering Factors in Acute Stroke: Hospital-Based Observational Cross-sectional Study
Although chronic risk factors for stroke are reasonably well understood, the acute precipitants, or triggers, of stroke relatively remain understudied. Identification of particular time periods during which stroke risk is elevated could prove a valuable strategy to reduce stroke incidence through the introduction of appropriate prevention strategies during a period of vulnerability. The aim of this study was to determine the prevalence of trigger factors in acute stroke patients and to investigate the association of the presence of trigger factors with initial stroke severity at presentation (National Institutes of Health ...
Source: Journal of Stroke and Cerebrovascular Diseases - November 22, 2014 Category: Neurology Authors: Ashish Sharma, Kameshwar Prasad, M.V. Padma, Manjari Tripathi, Rohit Bhatia, Mamta Bhusan Singh, Anupriya Sharma Source Type: research
Clinical Characteristics of Driving-related Stroke Occurring as a Recurrent Stroke
Background: Although the number of seemingly healthy subjects who suffer a minor stroke increases, there are no data on how frequently they sustain another stroke while driving. Methods: A single-center, retrospective study was conducted to clarify the clinical characteristics of driving-related stroke occurring as a recurrent stroke by analyzing data prospectively acquired between January 2009 and June 2019 on 3452 acute stroke patients. Results: One hundred-thirty five patients (85 ischemic stroke [IS] and 50 hemorrhagic stroke [HS]) had suffered a driving-related stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - January 17, 2020 Category: Neurology Authors: Joji Inamasu, Kazuhiro Tomiyasu, Takeo Oshima, Masami Yoshii, Masashi Nakatsukasa Source Type: research
Stroke Awareness in Patients with Incident Stroke Compared to Patients without Stroke or Ischemic Heart Disease
Background: Stroke awareness is known to influence treatment seeking and risk reduction behavior, but there is limited data from Sri Lanka and South Asia. Aim: To describe stroke awareness in incident stroke patients and to compare with patients without stroke and/or ischemic heart disease (IHD) in a Sri Lankan tertiary-care center. Methods: We studied awareness of stroke in all incident stroke patients admitted to a tertiary-care center in Sri Lanka and compared with a group of age- and sex-matched patients without stroke and/or IHD, over 2 years.
Source: Journal of Stroke and Cerebrovascular Diseases - April 9, 2020 Category: Neurology Authors: Udaya Ranawaka, Chamila Mettananda, Chamila Thilakarathna, Anushka Peiris, Anuradhini Kasturiratna, Yasoma Tilakaratna Source Type: research
Clinical Features and Functional Outcome of Stroke After Transient Ischemic Attack
Conclusions: Atherothrombotic stroke with concomitant vascular risk factors were more frequent in the stroke patients with than without previous TIA. Antithrombotic therapy was conducted only in one-third of the patients even after TIA. The stroke patients with history of TIA were at great risk of disabling stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 17, 2011 Category: Neurology Authors: Takao Hoshino, Satoko Mizuno, Satoru Shimizu, Shinichiro Uchiyama Tags: Original Articles Source Type: research
Preclusion of Ischemic Stroke Patients from Intravenous Tissue Plasminogen Activator Treatment for Mild Symptoms Should Not be Based on Low National Institutes of Health Stroke Scale Scores
Conclusions: Language impairment, distal (hand) paresis, and gait disorder are common disabling deficits in patients with low NIHSS scores. Judgment of whether a stroke is disabling should not be based on the NIHSS score but on the assessment of the individual neurologic deficits and their impact on functional impairment.
Source: Journal of Stroke and Cerebrovascular Diseases - February 25, 2013 Category: Neurology Authors: Matthias Wendt, Serdar Tütüncü, Jochen B. Fiebach, Jan F. Scheitz, Heinrich J. Audebert, Christian H. Nolte Tags: Original Articles Source Type: research
Interleukin-6 Gene -174 G/C Promoter Polymorphism Predicts Severity and Outcome in Acute Ischemic Stroke Patients from North India
Conclusions: Patients with the GC genotype had more severe strokes with poorer short and long-term outcomes and increased mortality. The GG genotype was associated with less severe strokes, better short and long-term prognosis, and survival. The GG genotype appears to be protective against stroke severity, outcome, and mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - March 12, 2012 Category: Neurology Authors: Baidarbhi Chakraborty, Debashish Chowdhury, Gaurav Vishnoi, Binita Goswami, Jugal Kishore, Sarita Agarwal Tags: Original Articles Source Type: research
Alkaline Phosphatase and Risk of Stroke Among Japanese: The Circulatory Risk in Communities Study (CIRCS)
Although serum alkaline phosphatase (ALP) levels have been associated with mortality from all-cause and from either ischemic or hemorrhagic stroke, no study has been published of the associations between ALP and the incidence of stroke. We therefore examined the associations of ALP with risk of stroke among Japanese, stratified by drinking status because ALP is known as an enzyme affected by alcohol consumption. We conducted a prospective cohort study of 10,754 Japanese subjects (4098 men and 6656 women) aged 40-69 years and living in 4 communities under systematic surveillance for stroke incidence. During the 16-year foll...
Source: Journal of Stroke and Cerebrovascular Diseases - July 30, 2012 Category: Neurology Authors: Yuji Shimizu, Hironori Imano, Tetsuya Ohira, Akihiko Kitamura, Masahiko Kiyama, Takeo Okada, Yoshinori Ishikawa, Takashi Shimamoto, Kazumasa Yamagishi, Takeshi Tanigawa, Hiroyasu Iso, CIRCS Investigators Tags: Original Articles Source Type: research
Dysphagia Screening and Hospital-acquired Pneumonia in Patients with Acute Ischemic Stroke: Findings from Get with the Guidelines–Stroke
Conclusions: HAP occurs in 1 of 17 hospitalized stroke patients and is associated with a greater than 5-fold increase in mortality. DS did not occur in 31.1% of eligible patients, with increased screening among those with more severe strokes and those who developed HAP. The attenuation of the relationship between DS and HAP risk when controlling for NIHSS score suggests the association between screening and pneumonia is confounded by severity. Controlled trials are needed to determine DS effectiveness.
Source: Journal of Stroke and Cerebrovascular Diseases - January 9, 2013 Category: Neurology Authors: Shihab Masrur, Eric E. Smith, Jeffrey L. Saver, Mathew J. Reeves, Deepak L. Bhatt, Xin Zhao, DaiWai Olson, Wenqin Pan, Adrian F. Hernandez, Gregg C. Fonarow, Lee H. Schwamm Tags: Original Articles Source Type: research
Migraine Improves after Ischemic Stroke
Objective: To assess if migraine frequency spontaneously changes after stroke.Background: Patent foramen ovale (PFO) closure has been reported to decrease migraine attacks. Because many closures are carried out after an ischemic stroke, it is possible that migraine spontaneously improves after stroke.Methods: We have prospectively collected all patients with ischemic stroke and active migraine admitted to our stroke unit and have compared their migraine frequency before and 6, 12, and 24 months after stroke.Results: We studied 43 patients. Mean follow-up was 1.3 ± .5 years. The mean number of migraine attacks per month de...
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2013 Category: Neurology Authors: Bruno Censori, Tania Partziguian, Marco Poloni Tags: Original Articles Source Type: research
Greater Stroke Severity Predominates over All Other Factors for the Worse Outcome of Cardioembolic Stroke
Conclusion: Greater stroke severity predominates over all other factors for the worse outcome of CE stroke. Primary prevention and more efficient acute therapy for stroke victims should be given top priorities to reduce the burden of CE strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - May 21, 2013 Category: Neurology Authors: Keun-Sik Hong, Juneyoung Lee, Hee-Joon Bae, Ji Sung Lee, Dong-Wha Kang, Kyung-Ho Yu, Moon-Ku Han, Yong-Jin Cho, Pamela Song, Jong-Moo Park, Mi-Sun Oh, Jaseong Koo, Byung-Chul Lee Tags: Original Articles Source Type: research
A Proposal for the Classification of Etiologies of Neurologic Deterioration after Acute Ischemic Stroke
Conclusions: In the present study, the authors identified probable etiologies of ND after ischemic stroke. Delineating the cause of ND could play an important role in the management of the patient and help set expectations for prognosis after ND has occurred. Prospective studies are needed to validate these proposed definitions of ND.
Source: Journal of Stroke and Cerebrovascular Diseases - July 17, 2013 Category: Neurology Authors: James E. Siegler, Amelia K. Boehme, Karen C. Albright, Alexander J. George, Dominique J. Monlezun, T. Mark Beasley, Sheryl Martin-Schild Tags: Original Articles Source Type: research
Factors Associated with the Administration of Tissue Plasminogen Activator for Acute Ischemic Stroke
Conclusions: Our findings suggest that ambulance utilization is an important factor for improving the likelihood of t-PA administration in patients with stroke and may underline a need for educational programs to the general public that promote the use of ambulances for suspected stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2013 Category: Neurology Authors: Susumu Kunisawa, Daisuke Kobayashi, Jason Lee, Tetsuya Otsubo, Hiroshi Ikai, Chiaki Yokota, Kazuo Minematsu, Yuichi Imanaka Tags: Original Articles Source Type: research
Discrimination of Acute Ischemic Stroke from Nonischemic Vertigo in Patients Presenting with Only Imbalance
We examined 332 consecutive patients with an acute feeling of imbalance who showed no neurologic findings or responsible lesions on CT scan at the hyperacute phase. We examined their clinical backgrounds, physical findings, and laboratory examinations, with ischemic stroke diagnosed by later CT and/or magnetic resonance imaging (MRI). We identified 41 (12.3%) ischemic stroke patients. Atrial fibrillation (odds ratio 4.1; 95% confidence interval 1.4-11.5), white blood cell count (103/μL, 1.4; 1.2-1.6), head and/or neck pain (4.6; 2.1-10.3), first attack of imbalance feeling (3.3; 1.1-12.2), and dizziness (3.7; 1.7-8.3) wer...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2013 Category: Neurology Authors: Shoji Honda, Yuichiro Inatomi, Toshiro Yonehara, Yoichiro Hashimoto, Teruyuki Hirano, Yukio Ando, Makoto Uchino Tags: Original Articles Source Type: research
Evaluating Clinical Effectiveness of Pneumococcal Vaccination in Preventing Stroke: The CAPAMIS Study, 3-Year Follow-up
This study assessed clinical effectiveness of PPV23 in preventing ischemic stroke in people older than 60 years.Methods: We conducted a population-based cohort study involving 27,204 individuals of 60 years or older in Tarragona, Spain, who were prospectively followed from December 01, 2008, until November 30, 2011. Outcomes were neuroimaging-confirmed ischemic stroke, 30-day mortality from stroke, and all-cause death. Pneumococcal vaccination effectiveness was evaluated by Cox regression analyses, estimating hazard ratios (HRs) adjusted for age, sex, comorbidities, and influenza vaccine status.Results: Cohort members were...
Source: Journal of Stroke and Cerebrovascular Diseases - March 21, 2014 Category: Neurology Authors: Angel Vila-Corcoles, Olga Ochoa-Gondar, Teresa Rodriguez-Blanco, Cinta de Diego-Cabanes, Eva Satue-Gracia, Angel Vila-Rovira, Cristina Torrente Fraga, EPIVAC Research Group Tags: Original Articles Source Type: research
