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Time to ct scan imaging after symptom onset among ischeamic stroke patients presenting to a quaternary hospital in ghana
This study sought to determine the time of onset of symptoms to the time a CT imaging was done among patients presenting with acute stroke at the Korle-Bu Teaching Hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, B. Agbinko-Djobalar, P. Pekyi-Boateng, M. Amerwornu, P Adjei, A Akpalu, K Nkromah Source Type: research

MRI for all: Cheap portable scanners aim to revolutionize medical imaging
.news-article__hero--featured .parallax__element{ object-position: 47% 50%; -o-object-position: 47% 50%; } The patient, a man in his 70s with a shock of silver hair, lies in the neuro intensive care unit (neuro ICU) at Yale New Haven Hospital. Looking at him, you’d never know that a few days earlier a tumor was removed from his pituitary gland. The operation didn’t leave a mark because, as is standard, surgeons reached the tumor through his nose. He chats cheerfully with a pair of research associates who have come to check his progress with a new and potentially revolutionary device they are testing. The cylind...
Source: Science of Aging Knowledge Environment - February 23, 2023 Category: Geriatrics Source Type: research

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

Prognostic Factors of the Lethality of Stroke at the Sour ô Sanou University Teaching Hospital of Burkina Faso
Conclusion: The study has identified three prognostic factors of lethality that are the hemorrhagic stroke type, the altered state of consciousness, and the central facial paralysis. Given the high case fatality, it is important to develop and implement effective prevention and management strategies adapted to the resources for the optimal control of stroke in Africa.Cerebrovasc Dis Extra 2022;12:36 –46
Source: Cerebrovascular Diseases Extra - March 2, 2022 Category: Neurology Source Type: research

Risk factors of stroke recurrence in a low income country: case of Senegal (P6.289)
Conclusions:Stroke recurrence is relatively frequent in Senegal. Frequently, patients are irregularly followed up sometimes because of the unavailability of neurologists and neurology unit in peripheral regions and the cost of treatment. Effort should be done to improve the management of cardiovascular risk factors.Disclosure: Dr. Gams Massi has nothing to disclose. Dr. Nyassinde has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Massi, D. G., Nyassinde, J. Tags: Prevention of Cerebrovascular Disease Source Type: research

Sonothrombolysis for acute ischemic stroke - Break on through to the other side
Conclusions: Sonothrombolysis appears to be a safe way to augment the effect of tPA without increasing the door to needle time with the added advantage of observing flow through the occluded artery in real time.
Source: Neurology India - January 11, 2017 Category: Neurology Authors: Sanjith Aaron Sunithi Mani AT Prabhakar P Suresh Babu Sanjeev Kumar Rohith Ninan Benjamin Ajith Sivadasan Karthik Muthusamy Anil Kumar B Patil Vivek Mathew Mathew Alexander Source Type: research

Teaching NeuroImages: Intracranial vertebral dissection in a 15-year-old boy with sickle cell disease
A 15-year-old boy with sickle cell disease became unresponsive after sudden-onset headache. There was no antecedent trauma. A head CT scan demonstrated subarachnoid hemorrhage at the medulla (figure). Magnetic resonance angiography of the head and neck identified the patient's known bilateral internal carotid artery stenosis (a moyamoya-like arteriopathy associated with stroke in sickle cell disease) and a new right vertebral artery dissection, which was confirmed on conventional angiography (figure). Prior MRI performed as part of routine cerebral monitoring did not reveal any preexisting abnormality of the vertebral artery.
Source: Neurology - December 11, 2016 Category: Neurology Authors: Siegler, J. E., Banwell, B., Ichord, R. N. Tags: Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke RESIDENT AND FELLOW SECTION 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

A multi-modal approach to quality improvement: reducing 'door-to-ct' time in potenitally thombolysable stroke patients
Conclusion Early thrombolysis has been shown to improve outcomes in patients with ischaemic stroke.2 Reducing ‘Door-to-CT' scan time in the ED is an important step in enabling a reduction in the overall DTN time. This can be achieved by stream-lining key processes in the patient journey through the ED. A multi-modal approach ensured this change was introduced safely and effectively whilst re-enforcing a core change to standard working practice. Further work on process mapping and the delivery of thrombolysis is the next obvious step in further reduction in DTN time. Figure 1Quality Improvement Run Chart 'Door-t...
Source: Emergency Medicine Journal - November 17, 2016 Category: Emergency Medicine Authors: Waterson, F., Braithwaite, I., Tuck, I., Alcock, R. Tags: Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM Lightning presentations Source Type: research

Validation of Siriraj Stroke Score in southeast Nigeria
Innocent Ijezie Chukwuonye,1 Kenneth Arinze Ohagwu,2 Enoch Ogbonnaya Uche,3,4 Abali Chuku,5 Rowland Ihezuo Nw.e,2 Christopher Chukwuemeka Ohagwu,6 Ignatius U Ezeani,7 Collins Ogbonna Nwabuko,8 Martin Anazodo Nnoli,9 Efosa Oviasu,4,10 Okechukwu Samuel Ogah4,11 1Division of Nephrology, 2Division of Neurology, Department of Internal Medicine, Federal Medical Centre, Umuahia, Nigeria; 3Division of Neurosurgery, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria; 4Federal Medical Centre, Umuahia, Nigeria; 5Department of Ophthalmology, Federal Medical Centre, Umuahia, Nigeria; 6Department of Radiograp...
Source: International Journal of General Medicine - October 23, 2015 Category: Journals (General) Tags: International Journal of General Medicine Source Type: research

Port Harcourt Stroke Registry: A Prospective Hospital Based Study. (P1.074)
CONCLUSION: This Stroke Registry, first of its kind from this region of Nigeria presents a handy tool to track the epidemiology of stroke in this region. It will contribute to stroke prevention by providing the evidence required to formulate policies and measures required to control identified risk factors.Disclosure: Dr. Okunoye has nothing to disclose. Dr. Asekomeh has nothing to disclose. Dr. Iyagba has nothing to disclose. Dr. Onwuchekwa has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Okunoye, C., Asekomeh, G., Iyagba, A., Onwuchekwa, A. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Pineal Calcification Is Associated with Symptomatic Cerebral Infarction
Conclusions: Pineal calcification may be a potential new contributor to cerebral infarction.
Source: Journal of Stroke and Cerebrovascular Diseases - February 22, 2013 Category: Neurology Authors: Amnat Kitkhuandee, Kittisak Sawanyawisuth, Nutjaree Pratheepawanit Johns, Jaturat Kanpittaya, Jeffrey Johns Tags: Original Articles 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