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Immediate Hemorrhagic Transformation After Intravenous Tissue-Type Plasminogen Activator Injection in 2 Cocaine Users Illustrative Teaching Cases
Source: Stroke - June 22, 2015 Category: Neurology Authors: Baud, M. O., Brown, E. G., Singhal, N. S., Hemphill, J. C. Tags: Computerized tomography and Magnetic Resonance Imaging, Thrombolysis Illustrative Teaching Cases Source Type: research

Teaching NeuroImages: Fetal deep medullary vein thrombosis presenting as progressive intracerebral hemorrhage
A 27-year-old pregnant woman underwent ultrasonography at 36 weeks gestation, which revealed unilateral echogenic lesion (figure 1). Her previous week's scan was normal. Possibilities of intracerebral hemorrhage and neoplasm were considered. The neonate, delivered 7 days later, had seizures on day 1. The MRI revealed bilateral extensive supratentorial intracerebral hemorrhages (figure 2). The baby died 3 days later due to continuing seizures and raised intracranial pressure. The MRI was characteristic of deep medullary vein (DMV) thrombosis with secondary hemorrhagic infarction. Prothrombotic workup revealed antithrombin I...
Source: Neurology - July 6, 2015 Category: Neurology Authors: Konanki, R., Varma, D. R., Ratha, C., Lingappa, L., Shah, N. Tags: All Cerebrovascular disease/Stroke, Intracerebral hemorrhage, Cerebral venous thrombosis RESIDENT AND FELLOW SECTION Source Type: research

Pre-hospital emergency skills for medical students
Conclusion These results show that there is some anxiety amongst students about being able to manage pre-hospital emergencies in which the public might expect them to cope or in which they feel obliged to help. The results show that although students would be willing to help they may not posess the necessary knowledge to do so. They show that there is a demand for teaching focussed on these skills but that there is not necessarily a need for it taking into account the frequency of incidents encountered. A trial teaching programme will take place in July.
Source: Emergency Medicine Journal - November 23, 2015 Category: Emergency Medicine Authors: Wheeler, C. Tags: Stroke RCEM LIGHTNING PRESENTATIONS Source Type: research

Teaching NeuroImages: Hyperintense acute reperfusion marker in ischemic stroke with transient symptoms
A 67-year-old man with 45-minute onset left hemiparesis underwent 3.0T gadolinium-enhanced MRI (reported iodine contrast allergy) with right frontoparietal small infarcts on diffusion-weighted images without vascular obstruction. No reperfusion therapy was given due to complete spontaneous symptoms regression. Twenty-four hours later, a second MRI showed right parietal CSF space enhancement on fluid-attenuated inversion recovery. Neither MRI nor CT had sign of hemorrhage (figure).
Source: Neurology - January 11, 2016 Category: Neurology Authors: Patroclo, C. B., Picanco, M. R., Bandeira, A. C. N., Carvalho, V. S. d., Bezerra, D. d. C. Tags: All Imaging, MRI, Embolism, Infarction, Subarachnoid hemorrhage RESIDENT & amp;amp; FELLOW SECTION Source Type: research

Aneurysmal Subarachnoid and Spinal Hemorrhage Associated With Systemic Lupus Erythematosus Illustrative Teaching Case
Source: Stroke - February 22, 2016 Category: Neurology Authors: Harriott, A., Faye, E. C., Abreu, N., Silverman, S., Rordorf, G. Tags: Cerebral Aneurysm, Intracranial Hemorrhage Illustrative Teaching Case Source Type: research

Evaluation of time to aneurysm treatment following subarachnoid hemorrhage: comparison of patients treated with clipping versus coiling
Conclusions Older patients with SAH and those treated at non-teaching hospitals were more likely to have delays to aneurysm clipping procedures. These associations were unique to open surgery as age and hospital teaching status did not affect time to coiling procedures.
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Attenello, F. J., Reid, P., Wen, T., Cen, S., Kim-Tenser, M., Sanossian, N., Russin, J., Amar, A., Giannotta, S., Mack, W. J., Tenser, M. Tags: Hemorrhagic stroke Source Type: research

Teaching Video NeuroImages: Foville syndrome
A 68-year-old man with a pontine telangiectasia on anticoagulation developed a left conjugate gaze palsy and right hemiparesis (figure; video on the Neurology® Web site at Neurology.org). Brain MRI showed acute pontine hemorrhage extending dorsally and to the left.
Source: Neurology - May 8, 2016 Category: Neurology Authors: Selvadurai, C., Rondeau, M. W., Colorado, R. A., Feske, S. K., Prasad, S. Tags: Clinical neurology examination, Ocular motility, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Thiamine Deficiency Presenting as Intraventricular Hemorrhage Illustrative Teaching Case
Source: Stroke - May 22, 2016 Category: Neurology Authors: Al-Bayati, A. R., Nichols, J., Jovin, T. G., Jadhav, A. P. Tags: Diet and Nutrition, Cognitive Impairment, Intracranial Hemorrhage Illustrative Teaching Case Source Type: research

French Intensive Care Society, International congress - Réanimation 2016.
C, Sauneuf B, Verrier P, Pottier V, Orabona M, Samba D, Viquesnel G, Lermuzeaux M, Hazera P, Hanouz JL, Parienti JJ, Du Cheyron D, Demoule A, Clavel M, Rolland-Debord C, Perbet S, Terzi N, Kouatchet A, Wallet F, Roze H, Vargas F, Guérin C, Dellamonica J, Jaber S, Similowski T, Quenot JP, Binquet C, Vinsonneau C, Barbar SD, Vinault S, Deckert V, Lemaire S, Hssain AA, Bruyère R, Souweine B, Lagrost L, Adrie C, Jung B, Daurat A, De Jong A, Chanques G, Mahul M, Monnin M, Molinari N, Lheureux O, Trepo E, Hites M, Cotton F, Wolff F, Surin R, Créteur J, Vincent JL, Gustot T, Jacobs F, Taccone FS, Neuville M, Timsit JF, El-Hel...
Source: Australian Family Physician - May 31, 2016 Category: Primary Care Authors: Jaillette E, Girault C, Brunin G, Zerimech F, Chiche A, Broucqsault-Dedrie C, Fayolle C, Minacori F, Alves I, Barrailler S, Robriquet L, Delaporte E, Thellier D, Delcourte C, Duhamel A, Nseir S, Valette X, Desmeulles I, Savary B, Masson R, Seguin A, Daubi Tags: Ann Intensive Care Source Type: research

Teaching NeuroImages: Multicompartmental intracranial hemorrhage in a pediatric patient
A previously healthy 9-year-old girl presented with sudden-onset headache followed by confusion. In the emergency department, she was hypertensive, bradycardic, and no longer responsive to any stimuli. An emergent head CT scan demonstrated a left frontal intraparenchymal hematoma with intraventricular and subarachnoid extension as well as subfalcine herniation (figure). She underwent decompressive hemicraniectomy, and digital subtraction angiography confirmed a 7-mm left middle cerebral artery aneurysm (figure).
Source: Neurology - December 4, 2016 Category: Neurology Authors: Siegler, J. E., Ichord, R. N. Tags: Childhood stroke, Intracerebral hemorrhage, Subarachnoid hemorrhage RESIDENT AND FELLOW SECTION Source Type: research

Development and Validation of a Grading Scale for Primary Pontine Hemorrhage Clinical Sciences
Background and Purpose—We aimed to develop and validate a grading scale for predicting 30-day mortality and 90-day functional outcome in patients with primary pontine hemorrhage (PPH).Methods—We retrospectively reviewed records of consecutive patients with first-ever pontine hemorrhage from 3 teaching hospitals between 2005 and 2012. Independent factors associated with 30-day mortality were identified by logistic regression to establish a risk stratification scale, named the new PPH score. For validation of the new PPH score, we prospectively recruited subjects from 10 units between December 2014 and November 2015. The...
Source: Stroke - December 22, 2016 Category: Neurology Authors: Kaibin Huang, Zhong Ji, Lihua Sun, Xiaoya Gao, Shaopeng Lin, Tao Liu, Shanfang Xie, Qishan Zhang, Wenchuan Xian, Saijun Zhou, Youquan Gu, Yongming Wu, Shengnan Wang, Zhenzhou Lin, Suyue Pan Tags: Clinical Studies, Prognosis, Quality and Outcomes, Intracranial Hemorrhage Original Contributions Source Type: research

Teaching NeuroImages: Superficial siderosis due to a dural cervical arteriovenous fistula
A 58-year-old man presented to our hospital with cerebellar ataxia, pyramidal signs, dysarthria, bilateral deafness, and cognitive impairment. These symptoms were consistent with superficial siderosis (SS) of the CNS, confirmed by MRI (figure A).1 Cerebral angiography showed a dural arteriovenous fistula perispinal and pontic with venous drainage in the left foramen C1-C2, fed by meningeal branches of the vertebral artery (figure, B). The fistulous point was clipped. SS of CNS is a rare disease resulting from hemosiderin deposition on the surface of the CNS and cranial nerves.2 At diagnosis, the etiology may...
Source: Neurology - February 19, 2017 Category: Neurology Authors: Madkouri, R., Grelat, M. Tags: All Cerebrovascular disease/Stroke, All Spinal Cord, Arteriovenous malformation, Subarachnoid hemorrhage RESIDENT AND FELLOW SECTION Source Type: research

Post-Subdural Hematoma Transient Ischemic Attacks Illustrative Teaching Cases
Source: Stroke - February 26, 2017 Category: Neurology Authors: Ayham M. Alkhachroum, Guadalupe Fernandez-Baca Vaca, Sophia Sundararajan, Michael DeGeorgia Tags: Intracranial Hemorrhage, Transient Ischemic Attack (TIA) Illustrative Teaching Case Source Type: research

Trends and Predictors of Utilization of Endovascular Coiling vs Microsurgical Clipping of Ruptured Intracranial Aneurysms (P2.292)
Conclusions:Study highlights significant increase in utilization rates of coiling over the past eleven years for RIA in USA.Disclosure: Dr. Balasetti has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Jani has nothing to disclose. Dr. To has nothing to disclose. Dr. Fessler has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Balasetti, V., Patel, U., Jani, V., To, C. Y., Fessler, R. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Patient With Severe Moyamoya Disease Who Presents With Acute Cortical Blindness Illustrative Teaching Cases
Source: Stroke - April 24, 2017 Category: Neurology Authors: Aparna Sajja, Deki Tsering, Annie C. Mooser, Tiffani A. DeFreitas, Jessica Carpenter, Suresh N. Magge Tags: Revascularization, Intracranial Hemorrhage, Moyamoya, Transient Ischemic Attack (TIA) Illustrative Teaching Case Source Type: research

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