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Specialty: Neurology
Condition: Patent Foramen Ovale
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Total 305 results found since Jan 2013.
Differential Lesion Patterns on T2-weighted Magnetic Resonance Imaging and Fluid-attenuated Inversion Recovery Sequences in Cryptogenic Stroke Patients with Patent Foramen Ovale
Source: Journal of Stroke and Cerebrovascular Diseases - April 13, 2014 Category: Neurology Authors: Yang-Yang Huang, Bei Shao, Xian-Da Ni, Jian-Ce Li Tags: Original Articles Source Type: research
Paradoxical Consequence of Human Chorionic Gonadotropin Misuse
This report highlights the potential complications of hCG therapy, particularly when used for unapproved indications and without medical supervision.
Source: Journal of Stroke and Cerebrovascular Diseases - November 8, 2014 Category: Neurology Authors: Mehmet Yasir Pektezel, Demet Funda Bas, Mehmet Akif Topcuoglu, Ethem Murat Arsava Tags: Case Report 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
Clinical outcomes and a high prevalence of abnormalities on comprehensive arterial and venous thrombophilia screening in TIA or ischaemic stroke patients with a patent foramen ovale, an inter atrial septal aneurysm or both
Data are limited on the optimal management of cryptogenic TIA/stroke patients with a patent foramen ovale (PFO) ±inter-atrial septal aneurysm (IASA), especially with an inherited thrombophilia.
Source: Journal of the Neurological Sciences - April 11, 2017 Category: Neurology Authors: Soon Tjin Lim, Stephen J.X. Murphy, Deirdre R. Smith, Jennifer Williams, Silvia Gil Navarro, John McCabe, David P. Moore, Johnny McHugh, Dominick J.H. McCabe Source Type: research
Response by Merkler et al to Letter Regarding Article, “Safety Outcomes After Percutaneous Transcatheter Closure of Patent Foramen Ovale” Letter to the Editor
Source: Stroke - December 22, 2017 Category: Neurology Authors: Alexander E. Merkler, Gino Gialdini, Hooman Kamel Tags: Cerebrovascular Disease/Stroke, Cerebrovascular Procedures Letters to the Editor Source Type: research
Paradoxical Cerebral Embolism after Gastrointestinal Endoscopy in a Patient with Crohn's Disease
We describe a patient with Crohn's disease who developed paradoxical cerebral embolism after GE. Both an unstable venous thrombus in the superior vena cava and RLS through patent foramen ovale were thought to be responsible for the stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 28, 2018 Category: Neurology Authors: Hajime Ikenouchi, Naoto Sugeno, Takaaki Nakamura, Junpei Kobayashi, Ryuji Oshima, Hiroshi Kuroda, Masashi Aoki Tags: Case Studies Source Type: research
Additional Factors in Considering Patent Foramen Ovale Closure to Prevent Recurrent Ischemic Stroke
To the Editor In his Viewpoint, Kamel addresses some issues with the randomized clinical trials (RCTs) of patent foramen ovale (PFO) closure for preventing recurrent stroke and urges a judicious and evidence-based approach for patient selection. I would like to point out additional factors that further demonstrate need for extreme caution in selecting patients to undergo this procedure.
Source: JAMA Neurology - May 14, 2018 Category: Neurology Source Type: research
Additional Factors in Considering Patent Foramen Ovale Closure to Prevent Recurrent Ischemic Stroke —Reply
In Reply Powers raises several important issues that I did not address in detail in my Viewpoint about managing patent foramen ovale in patients with ischemic stroke. These additional points further highlight that many patients who are fully informed about the available data will reasonably choose medical therapy rather than patent foramen ovale closure.
Source: JAMA Neurology - May 14, 2018 Category: Neurology Source Type: research
Cryptogenic stroke and patent foramen ovale : S2e guidelines.
Möllmann H, Nef H, Sander D, Weimar C, Wöhrle J, Mattle H, die Schweizerische Neurologische Gesellschaft
PMID: 30255469 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - September 25, 2018 Category: Neurology Authors: Diener HC, die Deutsche Gesellschaft für Neurologie (DGN), Grau AJ, die Deutsche Schlaganfall-Gesellschaft (DSG), Baldus S, die Deutsche Gesellschaft für Kardiologie‑, Herz- und Kreislaufforschung (DGK), Ghanem A, Gröschel K, Liebetrau C, Massberg S, Tags: Nervenarzt Source Type: research
Closure of patent foramen ovale for cryptogenic stroke-"should be considered"!
PMID: 30255468 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - September 25, 2018 Category: Neurology Authors: Röther J, Köhrmann M, Steiner T, Steinmetz H Tags: Nervenarzt Source Type: research
Ischemic Stroke with Protein S Deficiency Treated by Apixaban
A 57-year-old man with atherosclerosis obliterans was admitted with sudden-onset sensory aphasia and right hemiparesis. Brain MRI revealed acute cerebral infarctions in the left temporal lobe and magnetic resonance angiography showed occlusion of the posterior branch of the left middle cerebral artery. Transesophageal echocardiography and ultrasonography respectively confirmed a patent foramen ovale and deep vein thrombosis in the bilateral femoral veins. Blood findings showed low protein S antigen, low protein S activity, and a missense mutation of the PROS 1 gene.
Source: Journal of Stroke and Cerebrovascular Diseases - January 12, 2020 Category: Neurology Authors: Ikkei Ohashi, Shinichi Wada, Fumitaka Yoshino, Takahiro Kuwashiro, Shinya Matsumoto, Taeko Hotta, Dongchong Kang, Yasushi Okada, Shun Shimohama, Masahiro Yasaka Tags: Case Report Source Type: research
Utility of Transthoracic Echocardiography in Diagnostic Evaluation of Ischemic Stroke
Conclusion: Our findings suggest that despite widespread use, the overall yield of TTE in AIS is low. Stratifying patients according to their likelihood of benefitting from it will be important toward better resource utilization.
Source: Frontiers in Neurology - February 17, 2020 Category: Neurology Source Type: research
