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Clipping Versus Coiling for Ruptured Intracranial Aneurysms: A Systematic Review and Meta-Analysis Original Contributions
Conclusions— Coiling yields a better clinical outcome, the benefit being greater in those with a good preoperative grade than those with a poor preoperative grade. However, coiling leads to a greater risk of rebleeding. Well-designed randomized trials with special considerations to the aspect are needed.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Li, H., Pan, R., Wang, H., Rong, X., Yin, Z., Milgrom, D. P., Shi, X., Tang, Y., Peng, Y. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma, Other Stroke Treatment - Surgical Original Contributions Source Type: research

Delayed Cerebral Ischemia After Subarachnoid Hemorrhage: A Systematic Review of Clinical, Laboratory, and Radiological Predictors Original Contributions
Conclusions— There is strong evidence that smoking is a predictor of delayed cerebral ischemia. For several other potential predictions the evidence is moderate, limited, or inconsistent.
Source: Stroke - December 24, 2012 Category: Neurology Authors: de Rooij, N. K., Rinkel, G. J. E., Dankbaar, J. W., Frijns, C. J. M. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Original Contributions Source Type: research

Physical Activity and Risk of Cerebrovascular Disease in the European Prospective Investigation Into Cancer and Nutrition-Spain Study Original Contributions
Conclusions— Recreational PA of moderate intensity was inversely associated with stroke incidence in women, whereas PA showed no effect on CVD risk in men. Increasing time dedicated to activities such as walking would be expected to help to reduce the stroke burden in women.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Huerta, J. M., Chirlaque, M.-D., Tormo, M.-J., Gavrila, D., Arriola, L., Moreno-Iribas, C., Amiano, P., Ardanaz, E., Barricarte, A., Dorronsoro, M., Egues, N., Larranaga, N., Molina-Montes, E., Quiros, J. R., Sanchez, M.-J., Gonzalez, C. A., Navarro, C. Tags: Obesity, Cerebrovascular disease/stroke, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Risk Factors for Stroke, Epidemiology Original Contributions Source Type: research

Clusters of Spreading Depolarizations Are Associated With Disturbed Cerebral Metabolism in Patients With Aneurysmal Subarachnoid Hemorrhage Brief Reports
Conclusion— SDs can propagate in nonischemic human brain tissue. Clusters of SDs are related to metabolic changes suggestive of ongoing secondary damage in primarily nonischemic brain tissue.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Sakowitz, O. W., Santos, E., Nagel, A., Krajewski, K. L., Hertle, D. N., Vajkoczy, P., Dreier, J. P., Unterberg, A. W., Sarrafzadeh, A. S. Tags: Acute Cerebral Infarction, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma, Other Vascular biology Brief Reports Source Type: research

A Randomized Controlled Trial of Prophylactic Intra-aortic Balloon Counterpulsation in High-Risk Aneurysmal Subarachnoid Hemorrhage Brief Reports
Conclusions— In this study, prophylactic IABC did not improve perfusion indices or confer any clinical benefit following subarachnoid haemorrhage in patients with normal cardiac function. The study was small, however, and cannot be extrapolated to patients with cardiac failure and medically refractory symptomatic cerebral vasospasm. Clinical Trial Registration— This trial was not registered because enrolment began prior to July 1, 2005.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Bulters, D. O., Birch, A. A., Hickey, E., Tatlow, I., Sumner, K., Lamb, R., Lang, D. Tags: Other Treatment, CV surgery: other, Brain Circulation and Metabolism, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma Brief Reports Source Type: research

Stroke-Related Early Tracheostomy Versus Prolonged Orotracheal Intubation in Neurocritical Care Trial (SETPOINT): A Randomized Pilot Trial Original Contributions
Conclusions— Early tracheostomy in ventilated intensive care stroke patients is feasible, and safe, and presumably reduces sedation need. Whether the suggested benefits in mortality and outcome truly exist has to be determined by a larger multicenter trial. Clinical Trial Registration— http://www.clinicaltrials.gov. Unique identifier: NCT01261091.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Bosel, J., Schiller, P., Hook, Y., Andes, M., Neumann, J.-O., Poli, S., Amiri, H., Schonenberger, S., Peng, Z., Unterberg, A., Hacke, W., Steiner, T. Tags: Other Treatment, Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Other Stroke Treatment - Surgical Original Contributions Source Type: research

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