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Specialty: Neurology
Condition: Stroke
Education: Academia

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Total 363 results found since Jan 2013.

Early Loss of Immediate Reperfusion While Stent Retriever in Place Predicts Successful Final Reperfusion in Acute Ischemic Stroke Patients Brief Reports
Conclusions— ELOIR during the embedding period after deployment of stent retrievers is associated with successful final reperfusion, likely because of greater thrombus engagement with the stent retriever. ELOIR may be a useful finding to guide duration of embedding time in clinical practice and design of novel stent retrievers.
Source: Stroke - October 26, 2015 Category: Neurology Authors: Okawa, M., Tateshima, S., Liebeskind, D., Rao, N., Jahan, R., Gonzalez, N., Szeder, V., Ali, L., Kim, D., Saver, J., Duckwiler, G. Tags: Acute Cerebral Infarction, Acute Stroke Syndromes, Embolic stroke Brief Reports Source Type: research

Tobacco Use and Cryptogenic Stroke in Young Adults
Objective: Cryptogenic stroke is the leading subtype of ischemic stroke in the young. We sought to evaluate the association between traditional cardiovascular risk factors and cryptogenic stroke by using a case–control study. Methods: Patients aged 18-54 years, consecutively treated for first-ever cryptogenic ischemic stroke in an academic stroke unit, were compared with subjects from the general population living in the same geographic area. Control subjects were matched for age and sex with patients.
Source: Journal of Stroke and Cerebrovascular Diseases - October 5, 2015 Category: Neurology Authors: Aude Jaffre, Jean Bernard Ruidavets, Nathalie Nasr, Brigitte Guidolin, Jean Ferrieres, Vincent Larrue Source Type: research

Does treatment with t-PA increase the risk of developing epilepsy after stroke?
This study failed to identify treatment with t-PA as an independent risk factor for PSE.
Source: Journal of Neurology - July 24, 2015 Category: Neurology Source Type: research

Do efforts to decrease door-to-needle time risk increasing stroke mimic treatment rates?
An unintended consequence of rapid thrombolysis may be more frequent treatment of stroke mimics, nonvascular conditions that simulate stroke. We explored the relationship between door-to-needle (DTN) times and thrombolysis of stroke mimics at a single academic center by analyzing consecutive quartiles of patients who were treated with IV tissue plasminogen activator for suspected stroke from January 1, 2010 to February 28, 2014. An increase in the proportion of stroke mimic patients (6.7% in each of the 1st and 2nd, 12.9% in the 3rd, and 30% in the last consecutive case quartile; p = 0.03) and a decrease in median DTN time...
Source: Nature Clinical Practice - June 8, 2015 Category: Neurology Authors: Liberman, A. L., Liotta, E. M., Caprio, F. Z., Ruff, I., Maas, M. B., Bernstein, R. A., Khare, R., Bergman, D., Prabhakaran, S. Tags: Harm/ risk (analysis), All Cerebrovascular disease/Stroke, Infarction Eye on Practice Source Type: research

Emerging Subspecialties in Neurology: Telestroke and teleneurology
In 2013, Dall et al.1 projected that by 2025, the societal need for neurologists will exceed availability by 19%. This number failed to account for the disproportionate number of neurologists practicing in urban and academic centers, likely underestimating the gap in rural populations. In a recent effort to improve access to neurologic services in these areas, telestroke and teleneurology networks have being championed as the solution. With the emergence of these networks come unique challenges and opportunities in the distribution and breadth of neurologic care that fellows and residents will need to understand to optimal...
Source: Neurology - June 1, 2015 Category: Neurology Authors: Mutgi, S. A., Zha, A. M., Behrouz, R. Tags: All Clinical Neurology, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

CT within 6 hours of headache onset to rule out subarachnoid hemorrhage in nonacademic hospitals
Conclusions: Our results support a change of practice wherein a lumbar puncture can be withheld in patients with a head CT scan performed <6 hours after headache onset and reported negative for the presence of SAH by a staff radiologist in the described nonacademic setting.
Source: Neurology - May 11, 2015 Category: Neurology Authors: Blok, K. M., Rinkel, G. J. E., Majoie, C. B. L. M., Hendrikse, J., Braaksma, M., Tijssen, C. C., Wong, Y. Y., Hofmeijer, J., Extercatte, J., Kerklaan, B., Schreuder, T. H. C. M. L., ten Holter, S., Verheul, F., Harlaar, L., Pruissen, D. M. O., Kwa, V. I. Tags: All Headache, Diagnostic test assessment, CT, Subarachnoid hemorrhage ARTICLE Source Type: research

Does Emergency department length of stay affect the 90-day functional outcome after acute ischemic stroke? (P3.073)
Conclusion: In our cohort, there was no association between the ED-LOS and 90-day functional outcome. Further study is ongoing to assess whether ED-LOS adversely affects outcome measures not captured by the mRS.Disclosure: Dr. Patel has nothing to disclose. Dr. Minaeian has nothing to disclose. Dr. Tunguturi has nothing to disclose. Dr. Goddeau has nothing to disclose. Dr. Henninger has received personal compensation in an editorial capacity for Stroke.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Patel, A., Minaeian, A., Tunguturi, A., Goddeau, R., Henninger, N. Tags: Cerebrovascular Disease and Interventional Neurology: Ischemic Stroke Outcome Source Type: research

Admission Hypomagnesemia Predicts Primary Intracerebral Hemorrhage Volume (P3.093)
CONCLUSIONS: Hypomagnesemia was associated with higher admission ICH volumes in patients with lower ICH severity. While the study was limited by small numbers, a similar relationship between magnesium and ICH volume was not detected amongst patients with more severe ICH. Future studies are needed to determine if correction improves functional outcome in any targeted group of patients with ICH.Disclosure: Dr. Shiue has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Sands has nothing to disclose. Dr. Martin-Schild has received personal compensation for activities with Genentech as a speakers bureau participant....
Source: Neurology - April 8, 2015 Category: Neurology Authors: Shiue, H., Boehme, A., Sands, K., Martin-Schild, S., Hays Shapshak, A., Lyerly, M., Gadpaille, A., Khawaja, A., Sisson, A., Alvi, M., George, A., Harrigan, M. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage Source Type: research

Pineal Apoplexy With Cerebral Infarction (P1.033)
CONCLUSIONS:Although it appears that the infarcts were caused by the apoplexy due to their temporal progression, we conclude that pineal apoplexy was unlikely to cause the patient’s stroke and that the potential culprit of both events was a proximal source such as a cardiac or aortic thromboembolism.Disclosure: Dr. Truong has nothing to disclose. Dr. Young has nothing to disclose. Dr. Naderi has nothing to disclose. Dr. Brizuela has nothing to disclose. Dr. Handwerker has nothing to disclose. Dr. Al-Khoury has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Truong, A., Young, M., Naderi, N., Brizuela, A., Handwerker, J., Al-Khoury, L. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Extensive Workup for Embolic Sources in Lacunar Strokes: Prevalence in an Academic Setting (P1.043)
CONCLUSIONS: Lacunar strokes represent a substantial fraction of the ischemic strokes admitted in this urban hospital setting. These patients typically receive extensive work-up for thromboembolic sources similar to that applied to large artery strokes. Examination of clinical features and outcomes of lacunar stroke, and of the clinical utility of the extensive imaging, is warranted to guide best clinical practices.Disclosure: Dr. Wang has nothing to disclose. Dr. Choi has nothing to disclose. Dr. Gallardo has nothing to disclose. Dr. Nwaneri has nothing to disclose. Dr. Brorson has received personal compensation for activ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Wang, Y., Choi, Y., Gallardo, J., Nwaneri, I., Brorson, J. Tags: Cerebrovascular Disease and Interventional Neurology: The Spectrum of Small Vessel Cerebrovascular Disease Source Type: research

Prevalence and healing rates of Duplex detected carotid plaque ulcers (P2.270)
CONCLUSIONS: We report a low prevalence of Duplex detected carotid plaque ulcers. The carotid ulcer healed in approximately half of patients with follow-up Duplex, and, in a minority of patients, a new ulcer developed during serial studies. Factors associated with ulcer healing and development remain poorly understood. Study Supported by: NoneDisclosure: Dr. Dharmadhikari has nothing to disclose. Dr. Bennett has nothing to disclose. Dr. Romano has received personal compensation for activities with NovaVision. Dr. Campo has nothing to disclose. Dr. Koch has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dharmadhikari, S., Bennett, A., Romano, J., Campo, N., Koch, S. Tags: Cerebrovascular Disease and Interventional Neurology: Carotid Disease and IMT Source Type: research

Cerebral Ischemic Events Associated with Transcatheter Aortic Valve Replacement (TAVR): A Systematic Review (P2.275)
Conclusions: In comparison to SAVR, existing data indicates marginally higher incidence of stroke with TAVR during the peri-procedural period. Inconsistencies were noted in long term clinical outcomes including stroke/TIA incidence with TAVR. Future research should focus on patient selection, improvement in valve technology and procedural techniques to minimize the observed risk.Disclosure: Dr. Herial has nothing to disclose. Dr. Mohammad has nothing to disclose. Dr. Morad has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Herial, N., Mohammad, N., Morad, C., Qureshi, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: PFO and Other Cardiac Disease Source Type: research

Exploring Self-Reported Lifestyle and Career Choices Among Vascular Neurology Fellows (P2.304)
CONCLUSIONS: This survey is the first systematic attempt to describe lifestyle and career choices of vascular neurology trainees. Although less than half of the programs responded, none of the queried trainees aspired to a career in private practice, consistent with the academic profile of their training programs.Disclosure: Dr. Bulic has nothing to disclose. Dr. Levine has received personal compensation for activities with NCME and as a medical legal consultant. Dr. Levine has received personal compensation in an editorial capacity for Medlink, and for editing a book on TIAs. Dr. Khandelwal has nothing to disclose. Dr. Au...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bulic, S., Levine, S., Khandelwal, P., Auerbach, E., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research

Consensus Opinion of US Neurologists on Practice Patterns in Radiologically or Clinically Isolated Syndromes and Relapsing-Remitting Multiple Sclerosis (P3.234)
CONCLUSION: These findings show considerable conformity in treatment practices among US MS specialists, who are adopting a more aggressive approach to early treatment of the disease. These results may offer key insights into harmonizing MS care. Supported by Biogen IdecDisclosure: Dr. Tornatore has received personal compensation for activities with Biogen Idec, Novartis, and Genzyme Corporation as an advisory board member and/or speakers bureau member. Dr. Phillips has received personal compensation for activities with Acorda Therapeutics, Biogen Idec, Genzyme, Merck Serono, and Sanofi-Aventis Pharmaceuticals, Inc. as a co...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Tornatore, C., Phillips, J. T., Khan, O., Miller, A. Tags: MS and CNS Inflammatory Diseases: Tools for Clinical Assessment and Therapeutic Response Source Type: research

Prevalence and healing rates of Duplex detected carotid plaque ulcers (I2-5A)
CONCLUSIONS: We report a low prevalence of Duplex detected carotid plaque ulcers. The carotid ulcer healed in approximately half of patients with follow-up Duplex, and, in a minority of patients, a new ulcer developed during serial studies. Factors associated with ulcer healing and development remain poorly understood. Study Supported by: NoneDisclosure: Dr. Dharmadhikari has nothing to disclose. Dr. Bennett has nothing to disclose. Dr. Romano has received personal compensation for activities with NovaVision. Dr. Campo has nothing to disclose. Dr. Koch has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dharmadhikari, S., Bennett, A., Romano, J., Campo, N., Koch, S. Tags: Management of Asymptomatic Cerebrovascular Lesions Poster Presentations Source Type: research