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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Hypertension

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Total 220 results found since Jan 2013.

Left Thalamus Arteriovenous Malformation Secondary to Radiation Therapy of Original Vermian Arteriovenous Malformation: Case Report
A 70-year-old gentleman with history of hypothyroidism, hyperlipidemia, hypertension, and right superior cerebellar aneurysm presented to the neurosurgery service in 2008 with vertigo. Diagnostic cerebral angiography performed that year demonstrated a vermian arteriovenous malformations (AVM). The patient underwent stereotactic proton beam radiosurgery, which resulted in a decrease in flow and size of the lesion, and the patient was lost to follow-up. Now at the age of 80, the patient presented with acute gait instability.
Source: Journal of Stroke and Cerebrovascular Diseases - April 7, 2019 Category: Neurology Authors: Carlos Torres-Quinones, Matthew J. Koch, Scott B. Raymond, Aman Patel Tags: Case Report Source Type: research

Paradoxical Cerebral Embolism as Initial Manifestation of Chronic Thromboembolic Pulmonary Hypertension: A Case Report
Chronic thromboembolic pulmonary hypertension (CTEPH) is characterized by chronic thrombi in the pulmonary arteries, causing pulmonary hypertension and right heart failure. Early and accurate diagnosis are essential for successful treatment but are often difficult because clinical signs and symptoms can be nonspecific and risk factors, such as history of venous thromboembolism, may not always be present. Here, we report a case involving a 76-year-old woman who demonstrated paradoxical cerebral embolism as the initial manifestation of CTEPH.
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2019 Category: Neurology Authors: Akira Machida, Itsuki Soejima, Takeshi Bo, Eiichiro Amano, Kiyobumi Ota, Yoshinori Kanno, Tsunekazu Kakuta Tags: Case Report Source Type: research

Comorbid Atrial Fibrillation in Cerebral Amyloid Angiopathy-related Intracerebral Hemorrhage: Between a Rock and a Hard Place
Atrial fibrillation (AF) and intracerebral hemorrhage (ICH), including cerebral amyloid angiopathy (CAA)-related ICH, are age-related conditions that additionally share hypertension as a common risk factor. A Spanish population-based study reported a 50% increase in the prevalence of AF in ICH patients between 2003 (10.5%) and 2012 (15.5%).1 The prevalence of AF and ICH, and their ensuing comorbidity, are expected to continue increasing with global aging demographics.
Source: Journal of Stroke and Cerebrovascular Diseases - September 4, 2019 Category: Neurology Authors: Ashkan Shoamanesh, Andreas Charidimou, Kevin N. Sheth Source Type: research

Long-Term Follow-Up of Cerebral Amyloid Angiopathy-Associated Intracranial Hemorrhage Reveals a High Prevalence of Atrial Fibrillation
Goal: Cerebral amyloid angiopathy (CAA) is the second-most common cause of nontraumatic intracerebral hemorrhages (ICH), surpassed only by uncontrolled hypertension. We characterized the percentage, risk factors, and comorbidities of patients suffering from CAA-related ICH in relation to long-term outcomes. Material and Methods: We performed retrospective analyses and clinical follow-ups of individuals suffering from ICH who were directly admitted to neurosurgery between 2002 and 2016. Findings: Seventy-four of 174 (42%) spontaneous nontraumatic lobar ICH cases leastwise satisfied the modified Boston criteria definition fo...
Source: Journal of Stroke and Cerebrovascular Diseases - September 10, 2019 Category: Neurology Authors: Johanna Kaiser, Karl-Michael Schebesch, Alexander Brawanski, Ralf A. Linker, Felix Schlachetzki, Andrea Wagner Source Type: research

Medullary Compression Due to Ectatic Vertebral Artery —Case Report and Review of Literature
Medullary compression syndrome due to anomalous course of blood vessels is a rare disease most commonly seen in the adult population. The offending vessels causing this syndrome are mostly posterior inferior cerebellar artery or the vertebral artery. The symptoms of this syndrome vary from most common hypertension to various other neurologic deficits like hemiplegia, dysesthesia, and dysarthria. Intractable dizziness is a rare symptom of this disease. The definite management plan for this disease is microvascular decompression.
Source: Journal of Stroke and Cerebrovascular Diseases - November 5, 2019 Category: Neurology Authors: Raja K. Kutty, Yasuhiro Yamada, Katsumi Takizawa, Yoko Kato Tags: Case Report Source Type: research

Risk Factors of Intracerebral Hemorrhage: A Case-Control Study
Background: Hypertension is a well-known risk factor for intracerebral hemorrhage (ICH). On many of the other potential risk factors, such as smoking, diabetes, and alcohol intake, results are conflicting. We assessed risk factors of ICH, taking also into account prior depression and fatigue. Methods: This is a population-based case-control study of 250 primary ICH patients, conducted in Helsinki University Hospital, Finland. The controls (n  = 750) were participants of the FINRISK study, a large Finnish population survey on risk factors of chronic noncommunicable diseases, matched with cases by sex and age.
Source: Journal of Stroke and Cerebrovascular Diseases - January 16, 2020 Category: Neurology Authors: Hanne Sallinen, Arto Pietil ä, Veikko Salomaa, Daniel Strbian Source Type: research

Cryptogenic Intracranial Hemorrhagic Strokes Associated with Hypervitaminosis E and Acutely Elevated α-Tocopherol Levels
Objectives: Up to 41% of intracerebral hemorrhages (ICH) are considered cryptogenic despite a thorough investigation to determine etiology. Certain over-the-counter supplements may increase proclivity to bleeding, and we hypothesize that specifically vitamin E may have an association with ICH and acutely elevated serum levels of α-tocopherol. Our aim is to report 3 cases of recently admitted patients with hypervitaminosis E and otherwise cryptogenic ICH. Methods: At our institution between January and December 2018, 179 patients were admitted with ICH with 73 imputed to be “cryptogenic” (without clear etiology as per ...
Source: Journal of Stroke and Cerebrovascular Diseases - March 5, 2020 Category: Neurology Authors: Nicole K. Le, Tigran Kesayan, Jane Y. Chang, David Z. Rose Source Type: research

D-dimer and the Risk of Incident Hypertension in Black and White Americans
The underlying causes of hypertension remain ill-defined as are the reasons for the increased risk among black Americans. Research suggests D-dimer, a procoagulant marker higher in black Americans, is a risk marker for hypertension. However, these data are mostly cross-sectional, and the impact on racial disparities in hypertension incidence has not been studied. We hypothesized that those with higher D-dimer levels will be at a higher risk of developing incident hypertension, and D-dimer modifies racial differences in hypertension risk.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2020 Category: Neurology Authors: Debora Kamin Mukaz Tags: Poster 18 Source Type: research

Cerebral Small Vessel Disease among US minority Survivors of Intracerebral Hemorrhage
Black and Hispanic survivors of Intracerebral Hemorrhage (ICH) are at higher risk of recurrent intracranial bleeding when compared to their white counterparts. While established differences in hypertension severity after ICH play a role, they do not fully account for this health disparity. MRI-based markers of chronic Cerebral Small Vessel Disease (CSVD) are consistently associated with increased risk of recurrent ICH. We therefore sought to investigate whether differences in CSVD subtype and/or severity exist among self-reported race/ethnicity groups.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2020 Category: Neurology Authors: Juan Pablo Castello Tags: Poster 15 Source Type: research

Renal-Cerebral Pathophysiology: The Interplay Between Chronic Kidney Disease and Cerebrovascular Disease
Cerebrovascular disease has increasingly been linked to overall vascular health. Pathologic conditions like diabetes, hypertension, and kidney disease have been shown to affect brain health and cerebrovascular and nervous systems. Acute kidney injury (AKI) and chronic Kidney Disease (CKD) represent a variety of vascular insults that can adversely affect cerebral health. Hypertension, fluctuations in blood pressure, and diabetic vasculopathy are known risk factors for cerebrovascular disease associated with CKD.
Source: Journal of Stroke and Cerebrovascular Diseases - November 13, 2020 Category: Neurology Authors: Ramy M Hanna, Antoney Ferrey, Connie M Rhee, Kamyar Kalantar-Zadeh Source Type: research

Cerebrovacular Reserve Predicts the Cerebral Hyperperfusion Syndrome After Carotid Endarterectomy
Cerebral hyperperfusion syndrome is a rare but potentially severe complication of carotid artery revascularisation that develops under conditions of resistant postoperative hypertension and impaired cerebrovascular autoregulation.
Source: Journal of Stroke and Cerebrovascular Diseases - September 22, 2020 Category: Neurology Authors: Vladimir Manojlovic, Nebojsa Budakov, Slavko Budinski, Djordje Milosevic, Dragan Nikolic, Vladimir Manojlovic Source Type: research

Spontaneous Neuronal Plasticity in the Contralateral Motor Cortex and Corticospinal Tract after Focal Cortical Infarction in Hypertensive Rats
In this study, we investigated the spontaneous neural plasticity on the contralateral side in hypertensive rats, including the expression of nerve growth factors (synaptophysin [SYN] and growth-associated protein 43 [GAP-43]), and the association between nerve fiber sprouting and redistribution, and the recovery of motor functions following sensorimotor cortical infarction. Methods: Initially, Sprague-Dawley rats were induced with renal hypertension by the bilateral renal arteries clips method.
Source: Journal of Stroke and Cerebrovascular Diseases - September 15, 2020 Category: Neurology Authors: Xiaoqin Huang, Xiaoting Wang, Mengqi Yang, Xueying Pan, Meiyi Duan, Xianlong Wen, Hui Cai, Guimiao Jiang, Li Chen Source Type: research

Cerebrovascular disease integration of chronic kidney disease and hypertension
Hanna et  al. rightfully detail the complexity of neural-renal interactions on the genesis and progression of cerebrovascular disease.1 Part of the dilemma with having the scientific and medical communities more fully grasp this interplay is the praeexistens confusion in approaching the definition of cerebr ovascular disease.2 Further to the latter is the general lost art of cerebrovascular disease classification that was duly intended to purposely bridge the gap between the basic and clinical sciences.
Source: Journal of Stroke and Cerebrovascular Diseases - December 4, 2020 Category: Neurology Authors: Nevio Cimolai Tags: Letter to the Editor Source Type: research

Association of Carotid Plaques and Common Carotid Intima-media Thickness with Modifiable Cardiovascular Risk Factors
Most interventions for the treatment or prevention of atherosclerosis are focused in modifiable traditional cardiovascular risk factors (CVRF), such as smoking, diabetes mellitus, hypertension, and hypercholesterolemia.1 However, there are numerous approaches for the detection and measurement of subclinical atherosclerosis. The B-mode ultrasound examination is arguably one of the best methods for detecting early stages of atherosclerotic disease in the carotid arteries.2 Assessments of atherosclerosis using carotid ultrasound imaging include carotid intima-media thickness (IMT) measurement and plaque detection.
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Pedro J. Santos-Neto, Eduardo H. Sena-Santos, Danilo P. Meireles, M árcio Sommer Bittencourt, Itamar S. Santos, Isabela M. Bensenor, Paulo A. Lotufo Source Type: research

External Validation of the PHASES Score in Patients with Multiple Intracranial Aneurysms
This study sought to assess whether the Population, Hypertension, Age, Size, Earlier Subarachnoid Hemorrhage, Site (PHASES) score can do risk stratification of patients with multiple aneurysms (MIAs).
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Xin Feng, Xin Tong, Jigang Chen, Fei Peng, Hao Niu, Jiaxiang Xia, Xiaoxin He, Peng Qi, Jun Lu, Yang Zhao, Weitao Jin, Zhongxue Wu, Yuanli Zhao, Aihua Liu, Daming Wang Source Type: research