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Ischemic and Hemorrhagic Stroke in Bahir Dar, Ethiopia: A Retrospective Hospital-Based Study
The epidemiology of stroke in sub-Saharan countries is poorly characterized because of lack of population-based studies and national vital statistics systems with complete death registration.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2018 Category: Neurology Authors: Samson Getachew Erkabu, Yinager Agedie, Dereje Desta Mihretu, Akiberet Semere, Yihun Mulugeta Alemu Source Type: research

The Burden of Diabetes and the Chance of a Previous Stroke: Thrombolysis for Recurrent Stroke in Diabetics
Intravenous thrombolysis with recombinant tissue plasminogen activator is still not approved by the European Medicines Agency for patients with diabetes mellitus and previous stroke. We assessed functional benefit and potential risk of thrombolysis in patients with diabetes and previous stroke and the influence of age, preexisting diabetic damage, as well as acute and chronic hyperglycemia on outcome, symptomatic intracranial hemorrhage, and in-hospital mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2018 Category: Neurology Authors: Alexandra Filipov, Anne D. Ebert, Eva Neumaier-Probst, Angelika Alonso Source Type: research

Revascularization for Aplastic or Twiglike Middle Cerebral Artery: A Case Report
We reported a case of Ap/T-MCA with transient ischemic attack, which was successfully treated with revascularization. A 19-year-old woman with a history of transient left upper limb hemiparesis, dysesthesia, and headache visited our hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - January 5, 2018 Category: Neurology Authors: Yuki Matsunaga, Tsuyoshi Izumo, Yoichi Morofuji, Nobutaka Horie, Kentaro Hayashi, Takayuki Matsuo Tags: Case Studies Source Type: research

Variability in Gastrostomy Tube Placement for Intracerebral Hemorrhage Patients at US Hospitals
We sought to characterize the variability among US hospitals with regard to gastrostomy tube placement for inpatients with intracerebral hemorrhage (ICH).
Source: Journal of Stroke and Cerebrovascular Diseases - December 6, 2017 Category: Neurology Authors: David Y. Hwang, Benjamin P. George, Adam G. Kelly, Eric B. Schneider, Kevin N. Sheth, Robert G. Holloway Source Type: research

Short-Term Outcome of Spontaneous Intracerebral Hemorrhage in Algarve, Portugal: Retrospective Hospital-Based Study
The objective of this study was to describe the predictors of 30-day in-hospital SICH mortality in Algarve, the southernmost region of Portugal.
Source: Journal of Stroke and Cerebrovascular Diseases - October 25, 2017 Category: Neurology Authors: Hipolito Nzwalo, Jerina Nogueira, Ana Catarina F élix, Patrícia Guilherme, Pedro Abreu, Teresa Figueiredo, Fátima Ferreira, Ana Marreiros, Lars Thomassen, Nicola Logallo Source Type: research

Variability in the Use of Platelet Transfusion in Patients with Intracerebral Hemorrhage: Observations from the Ethnic/Racial Variations of Intracerebral Hemorrhage Study
We examined platelet transfusion (PTx) in the Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) study, hypothesizing that rates of PTx would vary among hospitals and depend on whether patients were on an antiplatelet therapy or underwent intracerebral hemorrhage (ICH) surgical treatment.
Source: Journal of Stroke and Cerebrovascular Diseases - June 29, 2017 Category: Neurology Authors: Waldo R. Guerrero, Nicole R. Gonzales, Padmini Sekar, Jorge Kawano-Castillo, Charles J. Moomaw, Bradford B. Worrall, Carl D. Langefeld, Sharyl R. Martini, Matthew L. Flaherty, Kevin N. Sheth, Jennifer Osborne, Daniel Woo Source Type: research

Progressive Bilateral Vertebral Artery Dissection in a Case of Osteogenesis Imperfecta
A 32-year-old woman with osteogenesis imperfecta (OI) was admitted to the hospital because of a right-sided occipital headache and facial paresthesia. She was diagnosed with lateral medullary syndrome due to right vertebral artery (VA) dissection. She was treated conservatively without antithrombotic therapy. She developed subarachnoid hemorrhage because of contralateral VA dissection 18 days later. This clinical course may reflect the underlying weakness of the vessel wall in OI. In patients with OI, occlusion of a unilateral VA could cause dissection and subsequent rupture of the contralateral VA.
Source: Journal of Stroke and Cerebrovascular Diseases - January 11, 2017 Category: Neurology Authors: Yuji Kato, Harumitsu Nagoya, Tetsuya Abe, Takeshi Hayashi, Masanori Yasuda, Akira Uchino, Norio Tanahashi, Masaki Takao Tags: Case Studies Source Type: research

Sulfonylurea Pretreatment and In-Hospital Use Does Not Impact Acute Ischemic Strokes (AIS) Outcomes Following Intravenous Thrombolysis
Preliminary studies have indicated that sulfonylurea drugs (SUD) may confer protection against cerebral swelling and hemorrhagic transformation in severe acute ischemic stroke (AIS). We sought to determine whether pretreatment and in-hospital use of SUD may be associated with better outcomes in diabetic AIS patients treated with intravenous thrombolysis (IVT).
Source: Journal of Stroke and Cerebrovascular Diseases - November 15, 2016 Category: Neurology Authors: Georgios Tsivgoulis, Nitin Goyal, Sulaiman Iftikhar, Ramin Zand, Jason J. Chang, Lucas Elijovich, Anne W. Alexandrov, Marc D. Malkoff, Andrei V. Alexandrov Source Type: research

Electrocardiographic Abnormalities Predict Adverse Clinical Outcomes in Patients with Subarachnoid Hemorrhage
We conducted a retrospective cohort study of a large sample to assess whether electrocardiographic (ECG) abnormalities are independently associated with the occurrence of neurogenic pulmonary edema (NPE), delayed cerebral ischemia (DCI), and in-hospital death after nontraumatic subarachnoid hemorrhage (SAH).
Source: Journal of Stroke and Cerebrovascular Diseases - July 28, 2016 Category: Neurology Authors: Limin Zhang, Sihua Qi Source Type: research

Concurrence of Aneurysmal Subarachnoid Hemorrhage and Stanford Type A Acute Aortic Dissection
We report a rare case of concurrent aneurysmal subarachnoid hemorrhage (SAH) and acute aortic dissection (AAD). A 38-year-old man visited our hospital complaining of severe headache, and brain computed tomography (CT) revealed the presence of SAH. Thoracic to neck computed tomography angiography (CTA), performed in addition to brain CTA, suggested a tear in the aortic arch, and subsequent CT aortography established the diagnosis of Stanford type A AAD. The AAD in our patient, who reported no episodes of chest or back pain, was detected incidentally by thoracic to neck CTA.
Source: Journal of Stroke and Cerebrovascular Diseases - April 11, 2016 Category: Neurology Authors: Joji Inamasu, Takeya Suzuki, Akira Wakako, Akiyo Sadato, Yuichi Hirose Tags: Case Studies Source Type: research

Postprandial Hypotension and Coma Following Subarachnoid Hemorrhage in a Patient with Parkinson's Disease
A 79-year-old woman with a history of Parkinson's disease was admitted to our hospital because of a subarachnoid hemorrhage. She underwent clipping the next day. On postoperative days 7-9, she exhibited hypotension and disturbance of consciousness after each meal. The administration of midodrine relieved the hypotension, and postprandial coma was no longer observed. In this case, the autonomic dysfunction in Parkinson's disease and impairment of cerebral autoregulation during cerebral vasospasm may have been involved in the postprandial hypotension (PPH) and coma.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2016 Category: Neurology Authors: Jun Watanabe, Jun Maruya, Kenjyu Hara, Keiichi Nishimaki Tags: Case Studies Source Type: research

Dysphagia Following Putaminal Hemorrhage at a Rehabilitation Hospital
Dysphagia occurs frequently during the acute phase of cerebral hemorrhage; however, there are few reports of dysphagia associated with cerebral hemorrhage in the subacute and chronic phase. We focused on putaminal hemorrhage at a rehabilitation hospital and evaluated the relationships between the frequencies of dysphagia, focus, and hematoma volume and type.
Source: Journal of Stroke and Cerebrovascular Diseases - November 25, 2015 Category: Neurology Authors: Shinichiro Maeshima, Hideto Okazaki, Sayaka Okamoto, Shiho Mizuno, Naoki Asano, Tetsuya Tsunoda, Mitsuko Masaki, Shinichiro Tanaka, Shigeru Sonoda Source Type: research

Hospital Readmission after Intracerebral Hemorrhage
Intracerebral hemorrhage (ICH) is the most severe form of stroke, but limited literature exists on readmission after ICH. We aimed to assess frequencies, causes, and predictors of early and late readmissions within 1 year after ICH.
Source: Journal of Stroke and Cerebrovascular Diseases - October 16, 2015 Category: Neurology Authors: Anna T. Bjerkreim, Lars Thomassen, Ulrike Waje-Andreassen, Henriette A. Selvik, Halvor Næss Source Type: research

Resource Utilization for Patients with Intracerebral Hemorrhage Transferred to a Comprehensive Stroke Center
As a comprehensive stroke center (CSC), we accept transfer patients with intracerebral hemorrhage (ICH) in our region. CSC guidelines mandate receipt of patients with ICH for higher level of care. We determined resource utilization of patients accepted from outside hospitals compared with patients directly arriving to our center.
Source: Journal of Stroke and Cerebrovascular Diseases - October 9, 2015 Category: Neurology Authors: Claude Nguyen, Osman Mir, Farhaan Vahidy, Tzu-Ching Wu, Karen Albright, Amelia Boehme, Rigoberto Delgado, Sean Savitz Source Type: research

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