• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Combining transcranial ultrasound with intelligent communication methods to enhance the remote assessment and management of stroke patients: Framework for a technology demonstrator
With over 150,000 strokes in the United Kingdom every year, and more than 1 million living survivors, stroke is the third most common cause of death and the leading cause of severe physical disability among adults. A major challenge in administering timely treatment is determining whether the stroke is due to vascular blockage (ischaemic) or haemorrhage. For patients with ischaemic stroke, thrombolysis (i.e. pharmacological ‘clot-busting’) can improve outcomes when delivered swiftly after onset, and current National Health Service Quality Improvement Scotland guidelines are for thrombolytic therapy to be provid...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Mort, A., Eadie, L., Regan, L., Macaden, A., Heaney, D., Bouamrane, M.-M., Rushworth, G., Wilson, P. Tags: Articles Source Type: research

Frontal Cortical Atrophy as a Predictor of Poststroke Apathy
The aim of the study was to identify associations between the symptoms of poststroke apathy and sociodemographic, stroke-related (severity of stroke, degree of disability, and performance in activities of daily living), and radiological correlates. We determined the degree of cortical and subcortical brain atrophy, the severity of white matter and basal ganglia lesions on baseline computed tomography (CT) scans, and the localization of acute ischemia on control CT or magnetic resonance imaging scans in subacute stages of stroke. During follow-up examinations, in addition to the assessment of apathy symptoms using the Apath...
Source: Journal of Geriatric Psychiatry and Neurology - June 14, 2016 Category: Genetics & Stem Cells Authors: Mihalov, J., Mikula, P., Budis, J., Valkovic, P. Tags: Articles Source Type: research

Transient ischemic attack as an unusual initial manifestation of acute promyelocytic leukemia.
Abstract Patients with acute promyelocytic leukemia (APL) are prone to both bleeding and thrombosis. Both of these have a significant impact on the morbidity and mortality of patients with this disease. Here we report a case of a 41-year-old male, who presented with transient ischemic attack (TIA) and early neurological deterioration (END) as initial manifestations prior to an ultimate diagnosis of APL. This patient had no cerebrovascular risk factors or familial cerebrovascular disease. The patient experienced an acute ischemic stroke, verified by magnetic resonance imaging (MRI), in less than 24 h after his sec...
Source: International Journal of Hematology - March 16, 2016 Category: Hematology Authors: Liu L, Yuan X Tags: Int J Hematol Source Type: research

Cardiovascular Instability Preceded by Orolingual Angioedema after Alteplase Treatment.
Authors: Kageyama T, Okanoue Y, Takai R, Suenaga T Abstract An 87-year-old man taking antihypertensive medications, including 10 mg enalapril, daily visited our hospital complaining of motor aphasia, dysarthria, and right hemiparesis. Magnetic resonance imaging revealed an ischemic lesion in the left frontal lobe including the insular cortex and severe stenosis of the left middle cerebral artery. After he received intravenous alteplase infusion, he developed orolingual angioedema followed by transient bradycardia with subsequent hypotension, resulting in the deterioration of his neurological signs and expansion of ...
Source: Internal Medicine - February 17, 2016 Category: Internal Medicine Tags: Intern Med Source Type: research

Carotid Body Tumor as a Cause of Stroke.
Authors: Budincevic H, Piršic A, Bohm T, Trajbar T, Ivkošic A, Pavlovic T, Bielen I, Soldo-Butkovic S Abstract We herein report a case of a 78-year-old woman who was admitted to our hospital due to a stroke with left-sided hemiparesis. Ultrasound of the carotid arteries showed a carotid body tumor on the bifurcation of the right common carotid artery, which was subsequently confirmed by a further neuroradiological investigation. Magnetic resonance imaging of the head confirmed an acute ischemic lesion located in the right periventricular region. The carotid body tumor (CBT) was surgically removed and confirmed on...
Source: Internal Medicine - February 4, 2016 Category: Internal Medicine Tags: Intern Med Source Type: research

Implementation of a Community-Based Triage for Patients with Suspected Transient Ischemic Attack or Minor Stroke Study: A Prospective Multicenter Observational Study
Japan has the highest number of magnetic resonance imaging units in the world, and citizens can freely choose medical care at any hospital or clinic. We aimed to investigate the triage of patients with suspected transient ischemic attack (TIA) or minor stroke in this unique Japanese healthcare system.
Source: Journal of Stroke and Cerebrovascular Diseases - January 13, 2016 Category: Neurology Authors: Hiroki Taguchi, Yasuhiro Hasegawa, Kuniaki Bandoh, Hideki Koyasu, Yuukou Watanabe, Kohei Yamashita, Kenji Shimazaki, Hiroshi Shima, Masaaki Miyakawa, Yoshikazu Niwa, COMBAT-TIA Study Investigators Source Type: research

Stroke : How can "time is brain" be translated into clinical practice?
DISCUSSION: Measures to optimize therapy times are mostly organizational and cause little or no extra costs. When implemented these measures can lead to a significant improvement in therapy times and functional patient outcome. PMID: 26728155 [PubMed - as supplied by publisher]
Source: Der Radiologe - January 4, 2016 Category: Radiology Authors: Ragoschke-Schumm A Tags: Radiologe Source Type: research

A Case of Recurrent Ischemic Stroke Involving Subacute, Progressive Intracranial Cerebral Arterial Sclerosis Prior to Diagnosis with -mutated Polycythemia Vera
A 58-year-old man presenting with no vascular risk factors visited our hospital with right hemiparesis and total aphasia. Diffusion-weighted magnetic resonance imaging of the brain showed multiple hyperintensities in watershed distributions in the left hemisphere. Magnetic resonance angiography (MRA) revealed stenosis of the middle cerebral artery, despite normal MRA findings 2 months prior. One year after the first stroke, the patient experienced a recurrent ischemic stroke involving the left anterior choroidal artery, pulmonary embolism, and deep venous thrombosis.
Source: Journal of Stroke and Cerebrovascular Diseases - September 29, 2015 Category: Neurology Authors: Tomohisa Nezu, Shiro Aoki, Kazuhide Ochi, Sayaka Sugihara, Tetsuya Takahashi, Naohisa Hosomi, Hirofumi Maruyama, Masayasu Matsumoto Tags: Case Studies Source Type: research

Trends in emergency department visits for ischemic stroke and transient ischemic attack: United States, 2001-2011.
Authors: Talwalkar A, Uddin S Abstract KEY FINDINGS: From 2001 through 2011, the rate of emergency department visits for ischemic stroke or transient ischemic attack (TIA) decreased 35% for patients aged 18 and over and 51% for patients aged 55-74. From 2004 through 2011, the percentage of emergency department visits for ischemic stroke or TIA in which the patient arrived by ambulance decreased 41% for patients under 75. The percentage of emergency department visits for ischemic stroke or TIA in which a magnetic resonance imaging (MRI) or computed tomography (CT) test was ordered or provided increased 39% from 2001...
Source: NCHS data brief - May 4, 2015 Category: American Health Tags: NCHS Data Brief Source Type: research

Acute ‘limited’ magnetic resonance imaging in childhood stroke—an illustrative case
We present the case of a 4-year-old boy who presented to the Emergency Department with acute hemiparesis. To target the provisional diagnosis of an acute ischaemic stroke, we requested magnetic resonance imaging (MRI) limited to two sequences only: diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI). We were able to confirm the diagnosis of acute ischaemic stroke within 90 min of presentation to hospital.
Source: Emergency Radiology - March 19, 2015 Category: Emergency Medicine Source Type: research

Moyamoya disease and syndromes: from genetics to clinical management
Stéphanie Guey,1,3 Elisabeth Tournier-Lasserve,1,2 Dominique Hervé,1,3 Manoelle Kossorotoff4 1Inserm UMR-S1161, Université Paris 7 Denis Diderot, Sorbonne Paris Cité, Paris, France; 2AP-HP, Groupe hospitalier Lariboisière-Saint-Louis, Service de génétique neurovasculaire, Paris, France; 3Service de Neurologie, Centre de Référence des maladies Vasculaires Rares du Cerveau et de l'Œil (CERVCO), Groupe Hospitalier Saint-Louis Lariboisière-Fernand Widal, Assistance Publique-Hôpitaux de Paris, Paris, France; 4Pediatric Neurology Department, Fr...
Source: Application of Clinical Genetics - February 16, 2015 Category: Genetics & Stem Cells Tags: The Application of Clinical Genetics Source Type: research

Ischemic Stroke Differential Diagnose: Spontaneous Spinal Epidural Hematoma can be fatal
Spontaneous Spinal Epidural Hematoma (SSEH) is rarely seen, it is the important reason for the spinal cord compression. Patients generally visit the doctor due to the acute pain in the neck and interscapular area. The male patient 58years old was admitted to the emergency service of our hospital with the sudden onset neck pain and followed by rapidly right hemiparesis He arrived at our hospital 120minutes after the onset of her symptoms with suspected acute stroke. We assessed for acute stroke performed clinical examinations necessary for intravenous thrombolytic treatment with alteplase, No abnormality was observed in his...
Source: The American Journal of Emergency Medicine - January 21, 2015 Category: Emergency Medicine Authors: Huseyin Buyukgol, M. Kemal Ilik, Faik Ilik Source Type: research

Flow Reversal Versus Filter Protection: A Pilot Carotid Artery Stenting Randomized Trial
During carotid artery stenting (CAS) using a femoral approach, filter protection is more effective than flow reversal in reducing ischemic brain lesions. Embolic protection devices (EPDs) have been associated with improved clinical outcomes in CAS (Kastrup A et al, Stroke 2003;34:813-9; and Garg N et al, J Endovasc Ther 2009;16:412-27). The most widely used EPDs are distal protective techniques using filter devices. An alternative strategy to protect the brain during CAS procedures is to use proximal protective techniques. With proximal protection, common and external carotid arteries are occluded promoting flow arrest or...
Source: Journal of Vascular Surgery - February 25, 2014 Category: Surgery Authors: L.H. de Castro-Afonso, L.G. Abud, J.G. Rolo Tags: Abstracts Source Type: research

Response to a letter regarding a paper entitled, “Post-intervention TCD examination may be useful to predict outcome in acute ischemic stroke patients with successful intra-arterial intervention”
We thank Dr. Dale Ding for his thoughtful comments regarding our previous study, entitled “Post-intervention TCD examination may be useful to predict outcome in acute ischemic stroke patients with successful intra-arterial (IA) intervention” . He clearly presented the potential utility of the pulsatility index (PI) of the middle cerebral artery citing a recent study reported by Uzuner et al. . As he pointed out, our study has a limitation regarding the definition of the poor outcome. Because our study was retrospective and limited to hospitalization records, we defined poor outcomes as in-hospital death or decompressiv...
Source: Journal of the Neurological Sciences - January 21, 2014 Category: Neurology Authors: Junya Aoki, Larry N. Raber, Irene L. Katzan, Muhammad Shazam Hussain, Ferdinand K. Hui, Ken Uchino Tags: Letters to the Editor Source Type: research

Outcomes after Tissue Plasminogen Activator Administration under the Drip and Ship Paradigm May Differ According to the Regional Stroke Care System
The drip and ship paradigm for stroke patients enhances the rate of using intravenous tissue plasminogen activator (IVT) in community hospitals. The safety and outcomes of patients treated with IVT for acute ischemic stroke (AIS) under the drip and ship paradigm were compared with patients directly treated at a comprehensive stroke center in the Busan metropolitan area of Korea. This was a retrospective study of patients with AIS treated with IVT between January 2009 and January 2012. Information on patients' baseline characteristics, neuroimaging, symptomatic intracerebral hemorrhage (sICH), and outcome 90 days after usi...
Source: Journal of Stroke and Cerebrovascular Diseases - October 23, 2013 Category: Neurology Authors: Jae-Kwan Cha, Hyun-Wook Nah, Myung-Jin Kang, Dae-Hyun Kim, Hyun-Seok Park, Sang-Beom Kim, Eun Hwan Jeong, Jae-Taeck Huh Tags: Original Articles Source Type: research

Pages: 1  2  3  4  5  6  7  8  9  10  11  12  13