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Condition: Hemorrhagic Stroke
Procedure: CT Scan

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Total 1192 results found since Jan 2013.

Detection of Intraparenchymal Hemorrhage After Endovascular Therapy in Patients with Acute Ischemic Stroke Using Immediate Postprocedural Flat‐Panel Computed Tomography Scan
CONCLUSIONThe absence of hyperdense lesions on immediate postprocedural flat‐panel CT scan of ischemic stroke patients can exclude IPH with a high sensitivity and negative predictive value. The hyperdense parenchymal lesions visualized on flat‐panel versus multidetector CT studies may have comparable sensitivity and negative predictive value for the detection of IPH.
Source: Journal of Neuroimaging - August 19, 2015 Category: Radiology Authors: Seyedmehdi Pavabvash, Asif A. Khan, Mushtaq H. Qureshi, Omar Saeed, M. Fareed K. Suri, Adnan I. Qureshi Tags: Clinical Investigative Study Source Type: research

Worsening Cervical Epidural Hematoma After Tissue Plasminogen Activator Administration for Stroke Like Symptoms
Conclusion. To our knowledge, only three cases of cervical SEH with hemiparesis erroneously treated with tPA resulting in neurological decline because of the enlargement of an existing hematoma, including the current case, have been reported in the English literature. It is important for physicians, especially those who administer tPA treatment, to include cervical SEH in the differential diagnosis of stroke in patients presenting with sudden back pain followed by the onset of neurological deficits including hemiparesis. Level of Evidence: 5
Source: Spine - March 26, 2016 Category: Orthopaedics Tags: Case Report Source Type: research

Reliability of Detection of Intracranial Hemorrhage After Endovascular Intervention for Acute Stroke (P1.200)
CONCLUSIONS: Hyperdensity is frequently seen on CT post-endovascular intervention. This imaging differentiates hemorrhage from contrast in 62.5[percnt] of patients. In instances where the basis of CT density cannot be determined, 83[percnt] will ultimately be due to contrast extravasation. Still, a more reliable method is needed to distinguish hemorrhage from contrast post-endovascular intervention in acute stroke.Disclosure: Dr. Stein has nothing to disclose. Dr. Wilson has nothing to disclose. Dr. Mocco has received personal compensation from Concentric Inc. for consulting services. Dr. Fifi has nothing to disclose. Dr. ...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Stein, L., Wilson, N., Mocco, J., Fifi, J., Delman, B., Tuhrim, S. Tags: Acute Endovascular Therapy: Outcomes and Safety Source Type: research

S100β as a biomarker for differential diagnosis of intracerebral hemorrhage and ischemic stroke.
CONCLUSION: S100β could serve as a potential biomarker for differentiating between ICH and IS and predicting short-term functional outcome after ICH. PMID: 27078704 [PubMed - as supplied by publisher]
Source: Neurological Research - April 16, 2016 Category: Neurology Tags: Neurol Res Source Type: research

Middle cerebral artery fusiform aneurysm presented with stroke and delayed subarachnoid hemorrhage trapping, thrombectomy, and bypass.
CONCLUSION: Our case describes a complex aneurysm treatment that consisted of aneurysm trapping, thrombus removal and an STA-M3 MCA branch bypass creation for the protection of the patent M3 insular MCA branch and prevention of further ischemia. This procedure rewarded us with an excellent clinical result. PMID: 27127709 [PubMed]
Source: Surgical Neurology International - April 30, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Prospective, open‐label safety study of intravenous recombinant tissue plasminogen activator in wake‐up stroke
ObjectiveIt is estimated that one of four ischemic strokes are noticed upon awakening and are not candidates for intravenous recombinant tissue plasminogen activator (rtPA) because their symptoms are >3 hours from last seen normal (LSN). We tested the safety of rtPA in a multicenter, single‐arm, prospective, open‐label study (NCT01183533) in patients with wake‐up stroke (WUS). MethodsWe aimed to enroll 40 WUS patients with disabling deficits. Patients were 18 to 80 years of age, National Institutes of Health Stroke Scale (NIHSS) ≤25, and selected only on the appearance of noncontrast computed tomography (ie, ove...
Source: Annals of Neurology - July 11, 2016 Category: Neurology Authors: Andrew D. Barreto, Christopher V. Fanale, Andrei V. Alexandrov, Kevin C. Gaffney, Farhaan S. Vahidy, Claude B. Nguyen, Amrou Sarraj, Mohammad Rahbar, James C. Grotta, Sean I. Savitz, Tags: Research Article Source Type: research

Chapter 66 Endovascular treatment of acute ischemic stroke
Publication date: 2016 Source:Handbook of Clinical Neurology, Volume 136 Author(s): Thabele Leslie-Mazwi, James Rabinov, Joshua A. Hirsch Endovascular thrombectomy is an effective treatment for major acute ischemic stroke syndromes caused by major anterior circulation artery occlusions (commonly referred to as large vessel occlusion) and is superior to intravenous thrombolysis and medical management. Treatment should occur as quickly as is reasonably possible. All patients with moderate to severe symptoms (National Institutes of Health stroke scale >8) and a treatable occlusion should be considered. The use of ...
Source: Handbook of Clinical Neurology - July 16, 2016 Category: Neurology Source Type: research

Prospective, open ‐label safety study of intravenous recombinant tissue plasminogen activator in wake‐up stroke
ObjectiveIt is estimated that one of four ischemic strokes are noticed upon awakening and are not candidates for intravenous recombinant tissue plasminogen activator (rtPA) because their symptoms are >3 hours from last seen normal (LSN). We tested the safety of rtPA in a multicenter, single‐arm, prospective, open‐label study (NCT01183533) in patients with wake‐up stroke (WUS). MethodsWe aimed to enroll 40 WUS patients with disabling deficits. Patients were 18 to 80 years of age, National Institutes of Health Stroke Scale (NIHSS) ≤25, and selected only on the appearance of noncontrast computed tomography (ie, ove...
Source: Annals of Neurology - July 11, 2016 Category: Neurology Authors: Andrew D. Barreto, Christopher V. Fanale, Andrei V. Alexandrov, Kevin C. Gaffney, Farhaan S. Vahidy, Claude B. Nguyen, Amrou Sarraj, Mohammad Rahbar, James C. Grotta, Sean I. Savitz, Tags: Research Article Source Type: research

Early introduction of direct oral anticoagulants in cardioembolic stroke patients with non-valvular atrial fibrillation
AbstractDirect oral anticoagulants (DOACs) are superior to warfarin in reduction of the intracranial bleeding risk. The aim of the present study was to assess whether early DOAC introduction (1 –3 days after onset) in stroke patients with non-valvular atrial fibrillation (nVAF) may be safe and effective, compared with DOAC introduction after 4–7 days. We conducted a prospective analysis based on data collected from 147 consecutive nVAF patients who started DOAC within 7 days after stro ke onset. In all patients, we performed pre-DOAC CT scan 24–36 h after onset and follow-up CT scan at 7 days after DOAC introduction...
Source: Journal of Thrombosis and Thrombolysis - September 3, 2016 Category: Hematology 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

Visual hallucinations in patients with acute stroke: a prospective exploratory study
ConclusionsVisual hallucinations are relatively frequent in patients with acute stroke and they are self‐limited. Patients with occipital lesions and sleep disturbances are more likely to suffer them.
Source: European Journal of Neurology - March 23, 2017 Category: Neurology Authors: E. Morenas ‐Rodríguez, P. Camps‐Renom, A. Pérez‐Cordón, A. Horta‐Barba, M. Simón‐Talero, E. Cortés‐Vicente, D. Guisado‐Alonso, E. Vilaplana, C. García‐Sánchez, A. Gironell, C. Roig, R. Delgado‐Mederos, J. Martí‐Fàbregas Tags: Original Article Source Type: research

Prognostic parameters for symptomatic intracranial hemorrhage after intravenous thrombolysis in acute ischemic stroke in an Asian population.
Abstract Symptomatic intracranial hemorrhage (sICH) is a major complication after intravenous thrombolysis leading to severe disability and death. The incidence was higher in Asian than in westernized countries. Prognostic factors across ethnicities are presumably different. Studies in Asian populations are limited. Clinical data from January 2008 to September 2016 in one provincial and four regional hospitals in the northern part of Thailand were retrospectively reviewed. Patients were those with acute ischemic stroke, to whom recombinant tissue plasminogen activator (rt-PA) had been prescribed. They were classif...
Source: Current Neurovascular Research - March 27, 2017 Category: Neurology Authors: Lokeskrawee T, Muengtaweepongsa S, Patumanond J, Tiamkao S, Thamangraksat T, Phankhian P, Pleumpanupatand P, Sribussara P, Kitjavijit T, Supap A, Rattanaphibool W, Prisiri J Tags: Curr Neurovasc Res Source Type: research

Magnetic inductive phase shift: a new method to differentiate hemorrhagic stroke from ischemic stroke on rabbit
The major therapy for ischemic stroke is thrombolytic treatment, but severe consequences occur when this method is used to treat hemorrhagic stroke. Currently, computed tomography and magnetic resonance imagin...
Source: BioMedical Engineering OnLine - May 30, 2017 Category: Biomedical Engineering Authors: Qingguang Yan, Gui Jin, Ke Ma, Mingxin Qin, Wei Zhuang and Jian Sun Source Type: research

Hyper-attenuating brain lesions on CT after ischemic stroke and thrombectomy are associated with final brain infarction.
Conclusions Hyper-attenuating lesions on head NCCT scans performed after endovascular treatment of AIS may predict final brain infarcted areas. The prediction appears to be higher in the deep brain regions compared with the cortical regions. PMID: 28950737 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - September 28, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Clinico-epidemiological profile of stroke patients admitted in a tertiary care Hospital of Assam
Conclusionhaemorrhagic CVA constitutes a larger percentage of stroke subtypes on this side of the globe effecting poor to lower middle class. Proper strategy to prevent and treat haemorrhagic CVA in this part of the world is the need of the hour.
Source: Clinical Epidemiology and Global Health - July 5, 2018 Category: Epidemiology Source Type: research