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Stroke Due to Air Embolism Related to Laser Ablation of Accessory Vein (P4.357)
Conclusions: Air embolism leading to devastating stroke may occur few hours after laser treatment of varicose veins. Chest symptoms associated with the procedure should raise the possibility of air embolism. Immediate therapeutic measures like 100[percnt] oxygen, hyperbaric oxygen chamber and/or hypothermia should be considered to prevent neurologic complications.Disclosure: Dr. Kale has nothing to disclose. Dr. Javed has nothing to disclose. Dr. Pednekar has nothing to disclose. Dr. Sahni has nothing to disclose. Dr. Resor has nothing to disclose. Dr. Tenner has nothing to disclose. Dr. Ahluwalia-Singh has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kale, P., Javed, B., Pednekar, N., Sahni, R., Resor, L., Tenner, M., Ahluwalia-Singh, B. Tags: Cerebrovascular Case Reports Source Type: research

Can Transthoracic Echocardiography Be Useful Detecting Patent Foramen Ovale In Stroke? The Of Valsalva Maneuver (P4.231)
CONCLUSIONS: TTE and TCD can be more useful than TEE to detect right-to-left shunt. This outcome may be related with the better effectiveness of the Valsalva maneuver with TTE or TCD than with TEE. The shunt detection by TTE or TEE was not related with its magnitude.Study Supported by: NoDisclosure: Dr. Iglesias Mohedano has nothing to disclose. Dr. Diaz Otero has nothing to disclose. Dr. García Pastor has nothing to disclose. Dr. Yotti has nothing to disclose. Dr. Vazquez Alen has nothing to disclose. Dr. Dominguez Rubio has nothing to disclose. Dr. Romero Delgado has nothing to disclose. Dr. Muñoz Gonz&aacu...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Iglesias Mohedano, A., Diaz Otero, F., Garcia Pastor, A., Yotti, R., Vazquez Alen, P., Dominguez Rubio, R., Romero Delgado, F., Munoz Gonzalez, A., Sobrino Garcia, P., Fernandez Bullido, Y., Villanueva Osorio, A., Gil-Nunez, A. Tags: Cerebrovascular Disease and Interventional Neurology: Cardiac Source Type: research

Amusia: Unique Presentation of Stroke (P6.261)
CONCLUSIONS:Even though music and speech are similar in principle and execution they are functions of different hemispheres of the brain. Unlike aphasia, anatomical localization of amusia has not been established but it is known that right non dominant hemisphere is concerned with musical ability. Impairment of musical ability in the presence of intact speech can be the only presenting finding in stroke. Their identification is the key to early and appropriate treatment.Study Supported by:NoneDisclosure: Dr. Ramchandani has nothing to disclose. Dr. Alsmaan has nothing to disclose. Dr. Schwarz has nothing to disclose. Dr. A...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ramchandani, C., Alsmaan, F., Schwarz, H., Alkhoury, Z. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Teaching NeuroImages: Hyperdense posterior cerebral artery sign
A 38-year-old man presented to the emergency department with right-sided weakness, sensory loss, and hemianopsia. CT head showed a left hyperdense posterior cerebral artery sign (HPCAS) (figure 1). CT angiogram of the head confirmed a left posterior cerebral artery (PCA) occlusion (figure 2). MRI demonstrated a left PCA infarct. Transesophageal echocardiogram revealed an atrial septal aneurysm and patent foramen ovale. He was treated with antiplatelet therapy. The HPCAS has been considered a marker for acute ischemia in the PCA territory.1 Recognizing the HPCAS on CT in acute stroke may help in the diagnosis and treatment ...
Source: Neurology - November 10, 2014 Category: Neurology Authors: Capampangan, D. J., Lee-Ianotti, J. K., Riordan, K. C., Kramer, C. L. Tags: CT, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Pearls & Oy-sters: Cerebral venous air embolism after central catheter removal: Too much air can kill
A 95-year-old woman with a history of hypertension presented from a long-term care facility for altered mental status in the context of dehydration and hypoglycemia. Multiple attempts to obtain a peripheral IV failed, and a triple lumen catheter was placed into the right internal jugular vein using the Seldinger technique under ultrasound guidance. No complications followed the procedure. The patient was then rehydrated and given multiple ampules of D50, leading to prompt resolution of the hypoglycemia and improvement in her mental status. After resolution of symptoms, the central line was removed, with the head of the bed...
Source: Neurology - March 30, 2015 Category: Neurology Authors: Bartolini, L., Burger, K. Tags: MRI, All Clinical Neurology, All Cerebrovascular disease/Stroke, Embolism RESIDENT AND FELLOW SECTION Source Type: research

Diagnostic and Management Challenges in Patients with Left Atrial Myxoma (P1.229)
Conclusions:Cardiac myxomas are rare tumors, mostly arising from the left atrium that may cause ischemic or hemorrhagic strokes, intracranial aneurysms, or myxomatous metastases.Disclosure: Dr. Orjuela has nothing to disclose. Dr. McGinley has nothing to disclose. Dr. Sweis has nothing to disclose. Dr. Prabhu has nothing to disclose. Dr. Bakhos has nothing to disclose. Dr. Biller has received personal compensation in an editorial capacity for the Journal of Stroke and Cerebrovascular Diseases, Frontier in Neurology and Up-To-Date.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Orjuela, K., McGinley, M., Sweis, R., Prabhu, V., Bakhos, M., Biller, J. Tags: Cardiac Mechanisms and Complications of Stroke Source Type: research

Is there a correlation between embolic strokes of undetermined source (ESUS) and patent foramen ovale (PFO)? - A contrasted Transcranial Doppler Ultrasound (cTCD) study. (P6.287)
Conclusions:Massive shunt (the so-called "curtain pattern") during Valsalva maneuver at cTCD was predictive of ESUS in patients with stroke and PFO. The presence of RLS at rest was not statiscally relevant, probably because of the small sample size.Disclosure: Dr. Scavasine has nothing to disclose. Dr. Chamma has nothing to disclose. Dr. Bruch has nothing to disclose. Dr. Braga has nothing to disclose. Dr. Bazan has nothing to disclose. Dr. Massaro has nothing to disclose. Dr. Germiniani has nothing to disclose. Dr. Lange has nothing to disclose. Dr. Zetola has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Scavasine, V., Chamma, J., Bruch, T., Braga, G., Bazan, R., Massaro, A., Germiniani, F., Lange, M., Zetola, V. Tags: Prevention of Cerebrovascular Disease Source Type: research

The value of transesophageal echocardiography for embolic strokes of undetermined source
Conclusions: Abnormal TEE findings may decisively affect the selection of appropriate therapeutic strategy in approximately 1 of 7 patients with ESUS.
Source: Neurology - September 4, 2016 Category: Neurology Authors: Katsanos, A. H., Bhole, R., Frogoudaki, A., Giannopoulos, S., Goyal, N., Vrettou, A.-R., Ikonomidis, I., Paraskevaidis, I., Pappas, K., Parissis, J., Kyritsis, A. P., Alexandrov, A. W., Triantafyllou, N., Malkoff, M. D., Voumvourakis, K., Alexandrov, A. V Tags: Cardiac, Embolism ARTICLE Source Type: research

Thrombosis at the Site of Pulmonary Venous Anastomosis Following Lung Transplantation Presenting with Multiple, Bilateral, Supra- and Infra-Tentorial Ischemic Strokes in the Setting of a Known Patent Foramen Ovale (P4.355)
CONCLUSIONS: PFO-related stroke risk over time remains a controversial matter and so does its prevention by closure, as there is no current evidence-based data to justify this procedure except on anecdotal basis. LT patients may represent a subset population who could benefit from pre-operative PFO screening and closure, especially if they have a history of prior strokes.Disclosure: Dr. Yeung has nothing to disclose. Dr. Bakhos has nothing to disclose. Dr. Biller has received personal compensation in an editorial capacity for the Journal of Stroke and Cerebrovascular Diseases, Frontier in Neurology and Up-To-Date.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Yeung, S., Bakhos, M., Biller, J. Tags: Cerebrovascular Case Reports Source Type: research

Prevalence of Patent Foramen Ovale in Cryptogenic Strokes of North Indian population (P1.007)
CONCLUSIONS:TCD with bubble contrast is an excellent tool for the diagnosis of RLS in cryptogenic young strokes .North Indian cryptogenic strokes have a high prevalence of PFO as indicated by RLS. This is the first study on prevalence of PFO in Indian population Study Supported by:NoDisclosure: Dr. Petluri has nothing to disclose. Dr. Khurana has nothing to disclose. Dr. Prabhakar has nothing to disclose. Dr. Bahl has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Petluri, G., Khurana, D., Prabhakar, S., Bahl, A. Tags: Cerebrovascular Disease and Interventional Neurology Poster Discussion Session Source Type: research

Paradoxical Embolism in the Setting of Inferior Vena Cava Filter Removal (P1.283)
Conclusions:Although clinically relevant events secondary to IVC filter migration and fracture are rare, they can be life-threatening. Care should be taken when choosing to place these devices, and alternative therapies should be considered when possible. They should be removed when no longer needed, as fracture rates are increased with longer dwell times. Up to half of complications can be avoided with retrieval within 3 months.Disclosure: Dr. Yost has nothing to disclose. Dr. Klaas has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yost, M., Klaas, J. Tags: Cerebrovascular Disease Case Reports I Source Type: research

Correlation of Atrial Septal Defect Size as Measured by Intracardiac Echocardiography and Transcranial Doppler Ultrasound in Children and Young Adults (P02.102)
CONCLUSIONS: Curtain result on TCD bubble studies is associated with significantly larger ASDs and other cardiac abnormalities in children and young adults.Disclosure: Dr. Doan has nothing to disclose. Dr. Barreto has nothing to disclose. Dr. Fulep has nothing to disclose. Dr. Bui has nothing to disclose. Dr. Butler has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Doan, D., Barreto, A., Fulep, E., Bui, T.-T., Butler, I. Tags: P02 Child Neurology I Source Type: research

RoPE: A safety line but tangles remain
In our health care system, we strive to provide the right patients with the right care at the right time. The charter of the Institute of Medicine Roundtable on Value & Science-Driven Health Care states: "By the year 2020, 90% of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence."1 The optimal management of patients with ischemic stroke and a patent foramen ovale (PFO) remains unclear, although we applaud the novel analytic approach from the Tufts-based international consortium.2
Source: Neurology - July 14, 2014 Category: Neurology Authors: Carroll, J. D., Fuller, C. J. Tags: EDITORIALS Source Type: research

Non-traumatic Cerebral Fat Embolism in Sickle Cell Disease (P3.234)
Conclusions:Our case series illustrates the following clinical pearls: a) SCD-related CFES is vastly under-diagnosed, as it closely mimics sepsis, vasculitis or hypoxic ischemic encephalopathy; b) The diagnosis is confirmed with SWI that demonstrates pathognomonic microbleeds in the splenium and subcortical location; c) SCD-related CFES carries considerable morbidity and mortality.Disclosure: Dr. Ramachandiran has nothing to disclose. Dr. Raniga has nothing to disclose. Dr. Al Kindi has nothing to disclose. Dr. Dennison has nothing to disclose. Dr. Al Farsi has nothing to disclose. Dr. Al Busaidi has nothing to disclose. D...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Ramachandiran, N., Raniga, S., Al Kindi, S., Dennison, J., Al Farsi, K., Al Busaidi, M., Al Hashim, A., Al Azri, F., Gujjar, A., Al-Asmi, A. Tags: Stroke in the Young Source Type: research

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