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Specialty: Neurology
Condition: Hemorrhagic Stroke
Procedure: Craniotomy

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Total 26 results found since Jan 2013.

Nonconvulsive Status Epilepticus in Acute Intracerebral Hemorrhage Brief Report
Conclusions—NCSE is not a rare complication of acute ICH. Craniotomy and lobar involvement are independently associated with NCSE in patients with acute ICH.
Source: Stroke - June 25, 2018 Category: Neurology Authors: Soichiro Matsubara, Shoichiro Sato, Tomohiro Kodama, Satoshi Egawa, Hidetoshi Nakamoto, Kazunori Toyoda, Yuichi Kubota Tags: Cerebrovascular Disease/Stroke, Intracranial Hemorrhage Brief Reports Source Type: research

From Cerebellar Apoplexy in 1849 to Cerebellar Stroke in the 2020s: Robert Dunn ’s Contribution
AbstractStroke of the cerebellum represents about 10% of strokes of the brain. Both infarction and hemorrhage manifest with symptoms related to the location and extent of the lesion(s). Bilateral cerebellar infarcts constitute up to one third of all cerebellar infarctions. The leading cause of cerebellar infarcts is emboli of cardiac origin or from intra-arterial sources. Potential complications include brainstem compression and hydrocephalus. Malignant cerebellar edema is a life-threatening complication of ischemic posterior circulation stroke requiring urgent management. The advent of MRI has revolutionized the early dia...
Source: The Cerebellum - March 1, 2021 Category: Neurology Source Type: research

A modified murine photothrombotic stroke model: a minimally invasive and reproducible cortical and sub-cortical infarct volume and long-term deficits
In conclusion, this modified model helps to understand stroke pathogenesis and minimize the animals' numbers which help to increase the scientific and statistical potential in pre-clinical studies.PMID:37656197 | DOI:10.1007/s00221-023-06696-5
Source: Brain Research - September 1, 2023 Category: Neurology Authors: Mohd Salman Saifudeen Ismael Tauheed Ishrat Source Type: research

Cangrelor and Stenting in Acute Ischemic Stroke
ConclusionCangrelor might be a  safe and effective antiplatelet medication owing to its on/off activity for acute stenting in the setting of acute ischemic stroke. Further investigations through randomized studies with larger samples are necessary.
Source: Clinical Neuroradiology - May 6, 2020 Category: Neurology Source Type: research

Rates and Outcomes of Neurosurgical Intervention for Thromboytic-Related Intracerebral Hemorrhage in Patients with Acute Ischemic Stroke (P01.221)
CONCLUSIONS: Craniotomy for post-thrombolytic ICH in acute stroke is a salvage treatment offered to a small proportion of patients. In current practice, most patients undergoing craniotomy either die or are discharged to a long-term care facility.Disclosure: Dr. Norby has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Rahman has nothing to disclose. Dr. Siddiq has nothing to disclose. Dr. ATACH Investigators has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Norby, K., Adil, M., Rahman, H., Siddiq, F., Qureshi, A. Tags: P01 Cerebrovascular Disease I Source Type: research

Emergency Management of Ischemic Stroke in Children
Opinion statement Children who present with acute neurological symptoms suggestive of a stroke need immediate clinical assessment and urgent neuroimaging to confirm diagnosis. Magnetic resonance imaging (MRI) is the investigation of first choice due to limited sensitivity of computed tomography (CT) for detection of ischaemia. Acute monitoring should include monitoring of blood pressure and body temperature, and neurological observations. Surveillance in a paediatric high dependency or intensive care unit and neurosurgical consultation are mandatory in children with large infarcts at risk of developing malignant ...
Source: Current Treatment Options in Neurology - April 9, 2015 Category: Neurology Source Type: research

Is Prophylactic Anticoagulation for Deep Venous Thrombosis Common Practice After Intracerebral Hemorrhage? Clinical Sciences
Conclusions— Less than 20% of patients with ICH receive anticoagulation for deep venous thrombosis in the United States. When used, the time to initiation is <2 days in less than half of the patients. Further study should focus on understanding variations in practice and emphasize guideline-driven care.
Source: Stroke - January 26, 2015 Category: Neurology Authors: Prabhakaran, S., Herbers, P., Khoury, J., Adeoye, O., Khatri, P., Ferioli, S., Kleindorfer, D. O. Tags: Health policy and outcome research, Deep vein thrombosis, Acute Cerebral Hemorrhage, Other Stroke Treatment - Medical Clinical Sciences Source Type: research

Prophylactic Antiepileptic Drug Use and Outcome in the Ethnic/Racial Variations of Intracerebral Hemorrhage Study Brief Reports
Conclusions— We found no evidence that AED use (predominantly levetiracetam) is independently associated with poor outcome. A prospective study is required to assess for a more modest effect of AED use on outcome after ICH.
Source: Stroke - November 23, 2015 Category: Neurology Authors: Sheth, K. N., Martini, S. R., Moomaw, C. J., Koch, S., Elkind, M. S. V., Sung, G., Kittner, S. J., Frankel, M., Rosand, J., Langefeld, C. D., Comeau, M. E., Waddy, S. P., Osborne, J., Woo, D., for the ERICH Investigators Tags: Cerebrovascular Disease/Stroke, Intracranial Hemorrhage Brief Reports Source Type: research

Stroke and Craniectomy
AbstractNeurosurgical involvement in the care of major stroke complications has yielded striking results in the subtentorial region but equivocal outcomes in the supratentorial compartment. Most neurosurgeons want to see some degree of deterioration before proceeding; thus, timing will be debated. Viewpoints have changed over the years regarding surgical or medical intervention, but in many patients the procedure has not produced a definitive change in outcome other than preventing death from terminal brainstem shift. The introduction of craniectomy (and craniotomy) to treat swollen ischemic brain or intracranial hemorrhag...
Source: Neurocritical Care - December 22, 2017 Category: Neurology Source Type: research

Long-Term Follow-up in Patients with Spontaneous Intracerebral Hemorrhage Treated With or Without Surgical Intervention: a Large-Scale Retrospective Study
AbstractDebates regarding the most beneficial medical or surgical procedures for patients with spontaneous intracerebral hemorrhage (sICH) are still ongoing. We aimed to evaluate the risk of subsequent vascular disease and mortality in patients with sICH treated with and without surgical intervention, in a large-scale Asian population. Patients hospitalized within 2000 to 2013 who were newly diagnosed with sICH were identified using the National Health Insurance Research Database of Taiwan. Neuroendoscopy and craniotomy groups comprised patients who underwent surgical treatment within 1  week, while those in the control g...
Source: Neurotherapeutics - February 20, 2019 Category: Neurology Source Type: research

Surveillance neuroimaging and neurologic examinations affect care for intracerebral hemorrhage
Conclusions: More than 25% of surgical interventions performed after ICH were prompted by delayed imaging or clinical findings. Serial neurologic examinations and neuroimaging are important and effective surveillance techniques for monitoring patients with ICH.
Source: Neurology - July 8, 2013 Category: Neurology Authors: Maas, M. B., Rosenberg, N. F., Kosteva, A. R., Bauer, R. M., Guth, J. C., Liotta, E. M., Prabhakaran, S., Naidech, A. M. Tags: Diagnostic test assessment, Critical care, Intracerebral hemorrhage ARTICLE Source Type: research

STICH 2: does decompression have a role in superficial intracerebral hematoma?
The recently published second Surgical Trial in Intracerebral Haemorrhage (STICH‐2) tested whether surgical evacuation of superficial spontaneous intracerebral haemorrhage was effective at reducing death and disability at 6 months after onset. Participants were randomised to a policy of early surgical intervention or initial medical management alone within 48 hours of symptom onset. After enrolling 601 patients across 78 centres in 27 countries, intention to treat analysis showed no difference in outcome. Time to intervention was a median of 26 hours after symptom onset in the surgical arm, and craniotomy accounted for 9...
Source: International Journal of Stroke - September 11, 2013 Category: Neurology Authors: Keith W. Muir Tags: Leading opinion Source Type: research

Subdural and Intracerebral Hemorrhage Caused by Spontaneous Bleeding in the Middle Meningeal Artery after Coil Embolization of a Cerebral Aneurysm
Nontraumatic acute subdural hemorrhage (SDH) with intracerebral hemorrhage (ICH) is rare and is usually caused by severe bleeding from aneurysms or arteriovenous fistulas. We encountered a very rare case of spontaneous bleeding from the middle meningeal artery (MMA), which caused hemorrhage in the temporal lobe and subdural space 2 weeks after coil embolization of an ipsilateral, unruptured internal cerebral artery aneurysm in the cavernous portion. At onset, the distribution of hematoma on a computed tomography scan led us to believe that the treated intracavernous aneurysm could bleed into the intradural space. Emergenc...
Source: Journal of Stroke and Cerebrovascular Diseases - August 18, 2014 Category: Neurology Authors: Shinya Kohyama, Yoshiaki Kakehi, Fumitaka Yamane, Hidetoshi Ooigawa, Hiroki Kurita, Shoichiro Ishihara Tags: Case Reports Source Type: research

Minimally invasive surgery treatment for the patients with spontaneous supratentorial intracerebral hemorrhage (MISTICH): protocol of a multi-center randomized controlled trial
DiscussionThe MISTICH trial is a randomized controlled trial designed to determine whether minimally invasive surgeries could improve the prognosis for patients with spontaneous intracerebral hemorrhage compared with craniotomy. (ChiCTR-TRC-12002026. Registered 23 March 2012).
Source: BMC Neurology - October 10, 2014 Category: Neurology Authors: Jun ZhengHao LiRui GuoSen LinXin HuWei DongLu MaYuan FangAnqi XiaoMing LiuChao You Source Type: research