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Glycemic Gap Predicts in-Hospital Mortality in Diabetic Patients with Intracerebral Hemorrhage
The relationship between admission hyperglycemia and intracerebral hemorrhage (ICH) outcome remains controversial. Glycemic gap (GG) is a superior indicator of glucose homeostatic response to physical stress compared to admission glucose levels. We aimed to evaluate the association between GG and in-hospital mortality in ICH.
Source: Journal of Stroke and Cerebrovascular Diseases - February 24, 2021 Category: Neurology Authors: Elaheh Zarean, Simona Lattanzi, Mehdi Azizmohammad Looha, Mario Di Napoli, Sherry H-Y Chou, Alibay Jafarli, Michel Torbey, Afshin A Divani Source Type: research

A Triage Model for Interhospital Transfers of Low Risk Intracerebral Hemorrhage Patients
Spontaneous intracerebral hemorrhage (ICH) has an annual incidence of about 30 per 100,000 adults in the US and continues to carry a high morbidity and mortality.1,2 ICH is a dynamic condition with up to one-third of patients having neurologic deterioration after presentation.3,4 Despite paucity of ICH-specific therapies to improve outcomes, some data suggest that management in specialized neurocritical care units reduces mortality.5 Further, the 2015 American Heart Association (AHA) guidelines recommend acute treatment of ICH at tertiary care centers with “neurology, neuroradiology, neurosurgery, and critical care facil...
Source: Journal of Stroke and Cerebrovascular Diseases - January 19, 2021 Category: Neurology Authors: Safa Kaleem, Michael W. Lutz, Christian E. Hernandez, Jennifer H. Kang, Michael L. James, Keith E. Dombrowski, Christa B. Swisher, Joshua D. VanDerWerf Source Type: research

Association Between Plasma Total Homocysteine Levels and Risk of Early Hemorrhagic Transformation in Patients with Acute Ischemic Stroke: A Hospital-Based Study
In this study, we investigated the association between plasma total homocysteine(tHcy) levels and the risk of early hemorrhagic transformation(HT) in patients with acute ischemic stroke(AIS).
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2020 Category: Neurology Authors: Xin Wang, Qiuju Cao, Yali Lai, Xindong Liu, Yi Zhou, Le Yang, Lijuan Zhang Source Type: research

Development of Internal Carotid Artery Dissection During Masturbation
Sexual intercourse is known as one of the daily activities triggering spontaneous cervicocephalic artery dissection (sCAD), however, it has been unclear if masturbation can trigger the development of sCAD. Herein, we report a case of sCAD in association with masturbation. A 51-year-old right-handed man developed subarachnoid hemorrhage during masturbation. The dissection of the left internal carotid artery was evident on the 9th hospital day. Finally, he was treated with stenting and coiling and discharged with a good prognosis.
Source: Journal of Stroke and Cerebrovascular Diseases - November 11, 2020 Category: Neurology Authors: Masahiro Oomura, Takumi Kitamura, Kenichi Adachi, Yusuke Nishikawa, Mitsuhito Mase Tags: Case Report Source Type: research

Intracranial hemorrhage in hospitalized SARS-CoV-2 Patients: A Case Series
The SARS-CoV-2 virus causing Coronavirus Disease 2019 (COVID-19) is a global pandemic with almost 30 million confirmed worldwide cases. Prothrombotic complications arising from those affected with severe symptoms have been reported in various medical journals. Currently, clinical trials are underway to address the questions regarding anticoagulation dosing strategies to prevent thrombosis for these critically ill patients. However, given the increasing use of therapeutic anticoagulation in patients admitted with COVID-19 to curtail this prothrombotic state, our institution has witnessed six cases of devastating intracrania...
Source: Journal of Stroke and Cerebrovascular Diseases - October 31, 2020 Category: Neurology Authors: Fady Mousa-Ibrahim, Stephanie Berg, Oluwatobi Odetola, Michael Teitcher, Sean Ruland Source Type: research

Hydrocephalous as a Complication of Perimesencephalic Nonaneurysmal Subarachnoid Hemorrhage
JLSM, male, 71 years old, admitted into a private hospital in the city of Joinville, Brazil, complaining of persistent and severe headache. The patient reported onset of the condition three days before, after sexual activity, associated with nausea, vomiting and dizziness. He has a medical history of epilepsy, under regular use of Phenobarbital. The physical examination evidenced slight nuchal rigidity. Cranial computed tomography (CT) showed subarachnoid hemorrhage (SAH) in cisterns around the brainstem (Fig.
Source: Journal of Stroke and Cerebrovascular Diseases - October 20, 2020 Category: Neurology Authors: Guilherme Zini Reis, Fernanda Subtil de Moraes Machado, Wladimir Kummer de Paula, Fl ávio Diniz Ribas, Felipe Ibiapina dos Reis Tags: Case Report Source Type: research

Aging Changes of Aneurysmal Subarachnoid Hemorrhage: A 35-year, Hospital-Based Study
The etiology and background factors which cause decreases in the size of ruptured intracranial aneurysms remain unclear.
Source: Journal of Stroke and Cerebrovascular Diseases - August 28, 2020 Category: Neurology Authors: Hideo Ohba, Fusao Ikawa, Toshikazu Hidaka, Michitsura Yoshiyama, Shingo Matsuda, Yasuhiko Akiyama, Hiroki Ohkuma, Shuhei Yamaguchi, Tetsuji Inagawa, Kaoru Kurisu Source Type: research

Spontaneous Subarachnoid Haemorrhage as a Cause of Out-of-Hospital Death
Spontaneous subarachnoid haemorrhage (SAH) is a neurological emergency with high mortality and morbidity. The overall incidence rate has declined over the last centuries, but is still 6.3 per 100.000 persons per year in Europe.1 Older studies found that 12% of patients with SAH died before they reached medical attention.2,3 Prehospital systems have undergone major changes in recent years, but we have been unable to identify any recent European studies that could elucidate if these numbers remain stable.
Source: Journal of Stroke and Cerebrovascular Diseases - August 26, 2020 Category: Neurology Authors: Asger Sonne, Emilie Stokholm B ækgaard, Jytte Banner, Lars Simon Rasmussen Source Type: research

Hospital admissions prior to primary intracerebral haemorrhage and relevant factors associated with survival
We reported hospital admissions prior to primary ICH and investigated factors associated with survival.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Wenwen Zhang, Craig S Anderson, Monique F Kilkenny, Joosup Kim, Helen M Dewey, Nadine E Andrew, Natasha A Lannin, Amanda G Thrift, Rohan Grimley, Vijaya Sundararajan, Dominique A Cadilhac Source Type: research

Weekend Effect on in-Hospital Mortality for Ischemic and Hemorrhagic Stroke in US Rural and Urban Hospitals
Previous studies have reported a “weekend effect” on stroke mortality, whereby stroke patients admitted during weekends have a higher risk of in-hospital death than those admitted during weekdays.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Birook Mekonnen, Guijing Wang, Janani Rajbhandari-Thapa, Lu Shi, Kiran Thapa, Zheng Zhang, Donglan Zhang Source Type: research

In-hospital venous thromboembolism is associated with poor outcome in patients with spontaneous intracerebral hemorrhage: A multicenter, prospective study
Patients with intracerebral hemorrhage are susceptible to venous thromboembolism, but the relationship between venous thromboembolism and outcome is largely unknown. We aim to investigate the association of in-hospital venous thromboembolism with functional outcome in patients with intracerebral hemorrhage.
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: Jinxin Li, Dandan Wang, Wenjuan Wang, Jiaokun Jia, Kaijiang Kang, Jia Zhang, Xingquan Zhao Source Type: research

Risk factors and pathogenic microorganism characteristics for pneumonia in convalescent patients with stroke: A retrospective study of 380 patients from a rehabilitation hospital
Stroke significantly impacts public health and ranks among the leading causes of death and disabilities, resulting in enormous costs measured in both health care resources and lost productivity. It results primarily from embolus or thrombosis for ischemic stroke and hypertension for hemorrhagic stroke, respectively [1]. In 2016, there were 5.5 million deaths and 116.4 million disability-adjusted life-years (DALYs) owed to stroke [2]. As reported, the impact of stroke on the Chinese population is more severe compared to average global levels, and the prevalence of stroke continues to surpass that of ischemic heart disease [3 –4].
Source: Journal of Stroke and Cerebrovascular Diseases - May 13, 2020 Category: Neurology Authors: Jia Xu, Zhiling Yang Source Type: research

Combined STA-MCA Bypass and Encephalodurosynangiosis Versus Encephalodurosynangiosis Alone in Adult Hemorrhagic Moyamoya Disease: A 5 -Year Outcome Study
This study included 123 adult patients admitted to Beijing Tiantan Hospital with hemorrhagic MMD between 2010 and 2015. The surgical procedures included combined revascularization of STA-MCA anastomosis with EDAS (n  = 79) or EDAS alone (n = 44). We recorded basic demographic data as well as several risks factors, and used multivariate regression analysis to evaluate the predictive factor of overall survival and rebleeding-free survival.
Source: Journal of Stroke and Cerebrovascular Diseases - April 17, 2020 Category: Neurology Authors: Mingzhe Zhang, Raynald, Dong Zhang, Xingju Liu, Rong Wang, Yan Zhang, Jizong Zhao Source Type: research

Lactate and Lactate Dehydrogenase in Cistern as Biomarkers of Early Brain Injury and Delayed Cerebral Ischemia of Subarachnoid Hemorrhage
Objective: The pathophysiology of delayed cerebral ischemia (DCI) following aneurysmal subarachnoid hemorrhage (aSAH) has not been fully evaluated. The aim of this study was to evaluate the dynamics of lactate and lactate dehydrogenase (LDH) in carotid cisternal cerebrospinal fluid (CSF), and to discuss their effectiveness as markers of early brain injury (EBI) and DCI following aSAH. Patients and Methods: Among 91 consecutive aSAH patients treated between January 2012 and March 2019 at National Hospital Organization Beppu Medical Center, 19 patients (20.9%) were eligible for this retrospective study.
Source: Journal of Stroke and Cerebrovascular Diseases - March 11, 2020 Category: Neurology Authors: Mitsuhiro Anan, Yasuyuki Nagai, Hirotaka Fudaba, Minoru Fujiki Source Type: research

A Case of Subcortical Hemorrhage in the Left Temporal Lobe Caused by Multiple Dural Arteriovenous Fistulas
We present a case of TS-SS dAVF and ACC dAVF that developed subcortical hemorrhage of left temporal lobe. A 66-year-old woman with no past history was transferred to our hospital for sudden-onset consciousness disturbance, and was urgently admitted after the detection of a subcortical hemorrhage in the left temporal lobe.
Source: Journal of Stroke and Cerebrovascular Diseases - February 20, 2020 Category: Neurology Authors: Ryo Usui, Daisuke Ishima, Yuki Abe, Yu Sato, Ayato Kimura, Takuma Kimoto, Makoto Nagashima, Tomomi Adachi, Naomi Nagata, Jun Niki, Daisuke Yamamoto, Tsugio Akutsu, Kazutoshi Nishiyama Tags: Case Report Source Type: research

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