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ASPECT Score and Its Application to Vasospasm in Aneurysmal Subarachnoid Haemorrhage: a Case –Control Study
AbstractDelayed cerebral ischaemia (DCI) is a significant complication of aneurysmal subarachnoid haemorrhage (aSAH) and is strongly associated with poorer outcome. The Alberta Stroke Program Early Computer Tomography (ASPECT) score is an established scoring tool, used in acute ischaemic stroke, to quantify early ischaemic changes on CT head scans. We aim to identify if ASPECT scoring correlates with functional outcome in DCI following aSAH. Retrospective case –control study. Inclusion criteria: admission to the Department of Neurosurgery at Leeds Teaching Hospitals NHS Trust (a tertiary neurosurgical centre in the Unite...
Source: Translational Stroke Research - August 9, 2022 Category: Neurology Source Type: research

Endoscopy Is Relatively Safe in Patients with Acute Ischemic Stroke and Gastrointestinal Hemorrhage
ConclusionsGastrointestinal endoscopy can be safely performed in a substantial number of patients with AIS and GIH.
Source: Digestive Diseases and Sciences - December 5, 2018 Category: Gastroenterology Source Type: research

199 Mechanical thrombectomy for acute ischaemic stroke - outcomes from Sheffield
Conclusions Outcomes from mechanical thrombectomy at Sheffield teaching hospitals are good, with nearly half of patients having a good functional recovery. However, outcomes in the subgroup of patients aged over 80 were significantly poorer, with high complication and mortality rates; this warrants further study.
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 12, 2022 Category: Neurosurgery Authors: Moore, S., Dyde, R., Tse, G., Nagaraja, S., Endean, K., Redgrave, J., Lindert, R., Harkness, K. Tags: Poster presentations Source Type: research

The Outcome of Status Epilepticus and Long-Term Follow-Up
Conclusion: This study highlights the importance of regular care and patient follow-up. Introduction Status epilepticus (SE) is a condition and most extreme form of epilepsy (1), which leads to abnormal and prolonged seizure (at least 5 min). In case SE persists over 30 min, it may have severe long-term consequences (2). Referring to the new classification scheme of SE, there are two operational dimensions of the definition: time point 1 (T1) is associated with abnormally prolonged seizure, when therapy should be initiated, while time point 2 (T2) is related to the time of on-going seizure activity involving a risk...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Clinico-Radiological Profile of Strokes in Kashmir Valley, North-West India: A Study from a University Hospital (P03.172)
CONCLUSIONS: Intracerebral hemorrhage was the commonest stroke-type observed in Kashmir accounting for close to two third of strokes with male preponderance.Disclosure: Dr. Shah has nothing to disclose. Dr. Bardi has nothing to disclose. Dr. Dar has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Shah, P., Bardi, G., Dar, A. Tags: P03 Cerebrovascular Disease III Source Type: research

Intracerebral Hemorrhage Transfer Rates from U.S. Emergency Departments: Findings from the National Hospital Ambulatory Medical Care Survey (P5.148)
CONCLUSIONS: Ischemic stroke and ICH transfer rates are not increasing over time. One in four ICH cases is transferred from the presenting ED to another institution. Attempts should be made to improve pre-hospital triage of ICH and deliver patients to hospitals with resources to provide definitive care.Study Supported by:Disclosure: Dr. Donnelly has nothing to disclose. Dr. Mullen has nothing to disclose. Dr. Albright has received research support from The Agency for Healthcare Research and Quality, and the National Institute on Minority Health and Health Disparities. Dr. Blackburn has nothing to disclose. Dr. Cucchiara ha...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Donnelly, J., Mullen, M., Albright, K., Blackburn, J., Cucchiara, B., Lo, A. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage Source Type: research

Atrial fibrillation in older inpatients: are there any differences in clinical characteristics and pharmacological treatment between the frail and the non‐frail?
ConclusionsFrailty status had little impact on antithrombotic prescription and no impact on anti‐arrhythmic prescription.
Source: Internal Medicine Journal - September 19, 2015 Category: Internal Medicine Authors: T. N. Nguyen, R. G. Cumming, S. N. Hilmer Tags: Original Article Source Type: research

Debilitating Headache after an Excited Reaction
​BY GREGORY TAYLOR, DO, & MATTHEW WARPINSKI, DOA 35-year-old man with a history of uncontrolled hypertension and medical noncompliance was brought to the emergency department by EMS complaining of a headache. The family said the patient was watching football and developed an acute headache after he stood up screaming in excitement.His family said he had not taken his blood pressure medication for years. He was afebrile, his blood pressure was 245/129 mm Hg, his respiratory rate was 18 bpm, his heart rate was 68 bpm, and he weighed 340 pounds. The patient was obtunded with a Glasgow Coma Scale score of 4 and was subse...
Source: The Case Files - November 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Predictors of Poor Outcome in Bacterial Meningitis: Retrospective Analysis of Nationwide Inpatient Sample (P5.046)
CONCLUSIONS: In this retrospective study, every decade increase in age, teaching hospital status and development of complications like hydrocephalus, ischemic stroke, seizures, intracranial abscess and respiratory failure were predictors of poor outcome. Every calendar year increase was a negative predictor of poor outcome. Study Supported by:Disclosure: Dr. Dharaiya has nothing to disclose. Dr. Modi has nothing to disclose. Dr. Maraka has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dharaiya, D., Modi, S., Maraka, S. Tags: Neuroepidemiology: Headache, Global Health, and Infectious Disease Source Type: research

Abstract 072: Impact of Chronic Diabetes on Periprocedural Outcomes Among Patient With Atrial Fibrillation and Flutter Who Underwent Radiofrequency Catheter Ablation Therapy (RFA). Report From the NIS 2014. Session Title: Poster Session I
Conclusions: RFA has a similar procedural safety in diabetics when compared to non-diabetic patients. It remains a safe procedure in diabetics with drug-refractory atrial fibrillation and flutter. Renal failure, CHF, type of Insurance, hospital location and teaching status are predictors of complications after RFA.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Alliu, S. E., Adejumo, A., Durojaiye, M., Emmanuel, A., Wolf, L., Lichstein, E., Hecht, M., Stephan, K., Adegbala, O., Onyeakusi, N., Ajayi, T. Tags: Session Title: Poster Session I Source Type: research

Impact of resident and fellow changeovers on patient outcomes: a nationwide cross-sectional study
ConclusionOur findings provide some reassurance regarding cohort changeover and mortality even if they suggest a loss of efficiency in some cases.
Source: The European Journal of Public Health - May 25, 2017 Category: General Medicine Source Type: research

Treatment course and outcomes after revascularization surgery for moyamoya disease in adults
ConclusionsThis analysis of nationally representative US data suggests that although readmission after RS for MMD is not uncommon, cerebral hemorrhagic events during the 90-day postoperative period are rare.
Source: Journal of Neurology - September 8, 2018 Category: Neurology Source Type: research

Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors.
In conclusion, our study showed a poor frequency of spontaneous subarachnoid haemorrhage with high mortality. Hypertension was the most common cause of spontaneous subarachnoid haemorrhage. PMID: 31210989 [PubMed]
Source: Neurology Research International - June 19, 2019 Category: Neurology Tags: Neurol Res Int Source Type: research

Admission to Intensive Care Unit due to non-traumatic coma: etiology and outcome
Conclusion: Intracerebral hemorrhage was the leading cause of NTC, followed by respiratory failure and sepsis. Acute kidney injury was the best predictor of ICU mortality.
Source: European Respiratory Journal - November 20, 2019 Category: Respiratory Medicine Authors: Chrysanthopoulou, E., Karampela, I., Patsilinakou, S., Konstantopoulou, G., Franzeskaki, F., Kontogiorgi, M., Diakaki, C., Theodorakopoulou, M., Tsagkaris, I., Armaganidis, A. Tags: Acute critical care Source Type: research

Increased Hemoglobin A1c Level Is Associated with Decreased Hematoma Volume in Patients with Spontaneous Intracerebral Hemorrhage (P03.176)
CONCLUSIONS: Our data showed inverse correlation between HbA1c levels and BHV. This contradiction may suggest that acute hyperglycemia in response to acute stress is the effect rather than cause of severe ICH. Further studies to determine if increased HbA1c levels lead to the early activation of clotting factors in ICH patients, or increased HbA1c levels lead to changes in the structure of the vessel wall is warranted.Disclosure: Dr. Mehta has nothing to disclose. Dr. Dass has nothing to disclose. Dr. Moussavi has nothing to disclose. Dr. Sodhi has nothing to disclose. Dr. Nizam has nothing to disclose. Dr. Korya has nothi...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Mehta, S., Dass, P., Moussavi, M., Sodhi, R., Nizam, A., Korya, D., Dababneh, H., Ibrahim, M., Kirmani, J. Tags: P03 Cerebrovascular Disease III Source Type: research

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