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Specialty: Neurology
Condition: Stroke
Education: Academia
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Total 363 results found since Jan 2013.
Elevated ventricular CSF lactate within the first week after aneurysmal subarachnoid hemorrhage is associated with poor outcome (P5.068)
Conclusions:Elevated CSF lactate drawn within the first week of hospitalization following aSAH correlates with outcome. Larger prospective studies are needed to test the validity of this data for predicting outcome and for understanding the pathophysiologic mechanisms.Study Supported by: No funding was received for this study.Disclosure: Dr. Renfrow has nothing to disclose. Dr. Wilson has nothing to disclose. Dr. Arnel has nothing to disclose. Dr. Wolfe has nothing to disclose. Dr. Datar has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Renfrow, J., Wilson, T., Arnel, M., Wolfe, S., Datar, S. Tags: Neurocritical Care: Subarachnoid Hemorrhage Source Type: research
Early Clinical Improvement in Central Retinal Artery Occlusion is Associated with Central Retinal Artery Recanalization (P4.262)
Conclusions:In our case series, no patient without early recanalization of the CRA had ECI. Further studies are merited to determine the impact of CRA recanalization timing and, furthermore, whether fibrinolytic therapy is associated with improved CRA recanalization rates and long-term visual acuity in CRAO patients.Disclosure: Dr. Alkuwaiti has nothing to disclose. Dr. Male has nothing to disclose. Dr. Hendriksen has nothing to disclose. Dr. Engel has nothing to disclose. Dr. Reshi has nothing to disclose. Dr. Ezzeddine has received personal compensation for activities with Air Liquide as a Scientific Advisory Board membe...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Alkuwaiti, M., Male, S., Hendriksen, S., Engel, K., Reshi, R. A., Ezzeddine, M., Emiru, T., Logue, C., Streib, C. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Symptomatic Intracranial Hemorrhage after IV tPA for Acute Ischemic Stroke Patients with Relative Contraindications to Treatment (P4.267)
Conclusions:12 AIS patients with Class 3 exclusion criteria were treated with IV tPA. Our eight cases of IV tPA in pICH patients adds substantially to the existing literature. In this study, 25% of patients with pICH developed symptomatic ICH after IV tPA. Although the low number of eligible patients limits interpretation of our findings, continued caution when considering IV tPA for AIS patients with pICH may be warranted. More data is needed to clarify the impact these relative contraindications have on the treatment of AIS.Disclosure: Dr. Smith has nothing to disclose. Dr. Alkuwaiti has nothing to disclose. Dr. Bell has...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Smith, K., Alkuwaiti, M., Bell, C., Lindsay, D., Heyer, A., Reshi, R., Ezzeddine, M., Streib, C. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Time Trend Analysis of Intravenous Thrombolytic Delivery across the Academic Year: an Academic Tertiary Medical Center Experience (P4.278)
Conclusions:Although not statistically significant, there is a decrease in DTN time (4.38 minutes) from the first academic quarter to the last quarter. Over the course of academic year, residents become more efficient in managing AIS, but ample attending supervision is the key to resident confidence and best patient care.Disclosure: Dr. Mehla has nothing to disclose. Dr. Shah has nothing to disclose. Dr. Lail has nothing to disclose. Dr. Vaughn has nothing to disclose. Dr. Joshi has nothing to disclose. Dr. Deline has nothing to disclose. Dr. Sawyer has nothing to disclose. Dr. Ching has nothing to disclose. Dr. Mowla has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mehla, S., Shah, H., Lail, N., Vaughn, C., Joshi, S., Deline, C., Sawyer, R., Ching, M., Mowla, A. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Target Stroke Implementation: Best Practice Strategies Cut Thrombolysis Time to < 30 minutes in a 1,550 Bed Academic Urban County Hospital (P4.280)
Conclusions:Individualized hospital gap analysis identifies targeted interventions to shorten treatment times. DTN and DTG time can be reduced with implementation of simple, low-cost interventions, with persistent effect and no increase in symptomatic intracranial hemorrhage or stroke mimic treatment.Disclosure: Dr. Marulanda-Londoño has nothing to disclose. Dr. Bhatt has nothing to disclose. Dr. Atchaneeyasakul has nothing to disclose. Dr. Asdaghi has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Akram has nothing to disclose. Dr. Zhang has nothing to disclose. Dr. D’Amour has nothing to disclos...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Marulanda-Londono, E., Bhatt, N., Atchaneeyasakul, K., Asdaghi, N., Malik, A., Akram, N., Zhang, T., DAmour, D., Hesse, K., Sacco, R., Romano, J. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Rapidly improving neurological deficit of stroke; case series in Academic institute, KAUH, Jeddah (P4.283)
Conclusions:Rapidly improving patient represent a challenge to whether tPA should be given. However, the good outcome with thrombolytic therapy observed in our study, will hopfuly support the decision to treat.Study Supported by: nonDisclosure: Dr. khoja has nothing to disclose. Dr. Alshaer has nothing to disclose. Dr. al-Turkistani has nothing to disclose. Dr. Al-Mekhalfi has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: khoja, a., Al-Shaer, D., al-Turkistani, a., Al-Mekhalfi, M. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Resident door to needle Analysis: A retrospective Chart rEview (RACE) (P4.285)
Conclusions:Recognition and token awards for neurology residents can lead to shorter DTN times which could, in turn, improve outcomes in AIS. However, this approach requires a continued review of diagnostic accuracy and adverse events to ensure quality of care is not compromised for the sake of speed.Disclosure: Dr. Patel has nothing to disclose. Dr. Mehta has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Patel, N., Mehta, S. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Analysis of current clinical practice on initiation of anticoagulation in patients with acute ischemic stroke. (P4.298)
Conclusions:Physicians with a subspecialty in vascular neurology, those with more years of experience in practice, and those practicing at academic institutions tended to initiate anticoagulation later.Disclosure: Dr. Olivas has nothing to disclose. Dr. Ajani has nothing to disclose. Dr. Yao has nothing to disclose. Dr. Sangha has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Olivas, E., Ajani, Z., Yao, J., Sangha, N. Tags: In-Hospital Stroke Care Source Type: research
Prevalence of spasticity in patients suffering from ischemic stroke in the internal carotid artery territory - the results of interim analysis of the national registry SONAR (P4.313)
Conclusions:Spasticity was noted in 44.9 % patients with neurological deficit due to first-ever stroke in carotid territory during the first 10 days after stroke onset. Severe spasticity was rare.Study Supported by:This study was conducted on an academic basis and supported by the AZV of the Ministry of Health of the Czech Republic no. 15-31921A; Ministry of Health of the Czech Republic MH CZ – DRO (FNOL, 00098892)–2016 and by a grant from the Internal Grant Agency of Palacky University IGA UP LF-2016-017.Disclosure: Dr. Kanovsky has received research support from Merz. Dr. Dornák has nothing to disclose...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kaňovsky, P., Dorňak, T., Maria, J., Jech, R., Bareš, M., Dušek, L., Mužik, J., Hoskovcova, M., Konvalinkova, R., Srp, M., Řiha, M., Navratilova, D., Otruba, P. Tags: Neuroepidemiology: Cerebrovascular Disease II Source Type: research
Improving Stroke Clinical Trial Enrollment via the Use of Telemedicine (S6.007)
Conclusions:Our results indicate it is feasible to enroll acute stroke patients into clinical trials through the use of remote telemedicine consultations. Telemedicine can increase the rate of enrollment in stroke clinical trials. As telemedicine is increasingly utilized, this novel approach can be used to successfully accelerate the completion of clinical trials.Disclosure: Dr. Noroozi has nothing to disclose. Dr. Sangha has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Noroozi, J., Sangha, N. Tags: Research Methdology and Education: Education Research Source Type: research
Thrombectomy Outcomes in Acute Ischemic Stroke due to Middle Cerebral Artery M2 Occlusion with Stent-Retriever, Aspiration, and MERCI: Multi-Center Experience (P5.251)
Conclusions:Thrombectomy for AIS patients with MCA M2 ELVO with Stent-retriever appears to be feasible with a significantly higher rate of recanalization, lower sICH rate, and favorable 90-day mRS when compared to Aspiration and MERCI.Disclosure: Dr. Atchaneeyasakul has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Medtronic and Guidepoint as a consultant. Dr. Bouslama has nothing to disclose. Dr. Haussen has nothing to disclose. Dr. Kenmuir has nothing to disclose. Dr. Jadhav has nothing to disclose. Dr. Jovin has received personal compensation f...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Atchaneeyasakul, K., Malik, A., Yavagal, D., Bouslama, M., Haussen, D., Kenmuir, C., Jadhav, A., Jovin, T., Nogueira, R. Tags: Acute Cerebrovascular Interventional Therapies Source Type: research
Mechanical Thrombectomy in Large Vessel Occlusion Stroke Patients with Low CT ASPECT score (P5.258)
Conclusions:ET in LVO patients with low ASPECTS result in high rate of sICH, especially in ASPECTS 0–5 compared to 6–7. Utilizing stent-retriever results in a significantly better rate of recanalization and favorable mRS-90 days with trend to lower sICH rate.Study Supported by: Not applicable.Disclosure: Dr. Bhatt has nothing to disclose. Dr. Atchaneeyasakul has nothing to disclose. Dr. Marulanda-Londoño has nothing to disclose. Dr. DeSousa has nothing to disclose. Dr. Chaubal has nothing to disclose. Dr. Condes has nothing to disclose. Dr. Guada has nothing to disclose. Dr. Ramdas has nothing to disclos...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bhatt, N., Atchaneeyasakul, K., Marulanda-Londono, E., DeSousa, K., Chaubal, V., Condes, D., Guada, L., Ramdas, K., Chaturvedi, S., Yavagal, D., Malik, A. Tags: Acute Cerebrovascular Interventional Therapies Source Type: research
Local Experience with a new retrievable stent (ERIC) in academic Center (P5.269)
Conclusions:In this study, the use of new ERIC retrieval device was technically feasible, safe, and effective in acute ischemic stroke with large-vessel occlusionDisclosure: Dr. Alshaer has nothing to disclose. Dr. Alturkustani has nothing to disclose. Dr. Khoja has nothing to disclose. Dr. Almekhlafi has nothing to disclose. Dr. Ayoub has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: AlShaer, D., Alturkustani, A., Khoja, A., Almekhlafi, M., Ayoub, O. Tags: Acute Cerebrovascular Interventional Therapies Source Type: research
Temporal Trends in the Rates of Endovascular Treatment for Patients Presenting with Acute Ischemic Stroke (P5.272)
Conclusions:At two major academic stroke centers, rates of EVT increased sharply after high quality evidence supporting its use were presented. An ongoing national emphasis on improving door to tPA times appears to be working, and to be associated with improvements in EVT delivery as well. Further work is needed to improve prehospital triage and in hospital delays to increase access to rapid EVT.Disclosure: Dr. Hameed has nothing to disclose. Dr. Ali has nothing to disclose. Dr. Onteddu has nothing to disclose. Dr. Leslie-Mazwi has nothing to disclose. Dr. Schwamm has received personal compensation for activities with Lund...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Hameed, N., Ali, S., Onteddu, S., Leslie-Mazwi, T., Schwamm, L. Tags: Acute Cerebrovascular Interventional Therapies Source Type: research
Race/Ethnic Disparities for In-Hospital Mortality and Disability at Discharge after Acute Ischemic Stroke: Florida Puerto Rico Collaboration to Reduce Stroke Disparities (P5.287)
Conclusions:In our large Florida Stroke Registry, we observed lower in-hospital mortality, but greater disability at discharge after stroke among blacks in comparison to whites. This paradox needs further exploration to design and implement interventions to improve stroke outcome and reduce disparities in post-stroke disability.Disclosure: Dr. Simonetto has nothing to disclose. Dr. Gardener has nothing to disclose. Dr. Wang has nothing to disclose. Dr. Gutierrez has nothing to disclose. Dr. Ciliberti has nothing to disclose. Dr. Dong has nothing to disclose. Dr. Foster has nothing to disclose. Dr. Waddy has nothing to disc...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Simonetto, M., Gardener, H., Wang, K., Gutierrez, C., Ciliberti, M., Dong, C., Foster, D., Waddy, S., Romano, J., Rundek, T., Sacco, R. Tags: Stroke Recovery and Rehabilitation Source Type: research
