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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Thrombosis
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Total 415 results found since Jan 2013.
A Case of Wallenberg's Syndrome Presenting with Spontaneous Thrombosis of a Vertebral Artery Aneurysm
Complete spontaneous thrombosis of intracranial aneurysms is uncommon. Although this type of thrombosis is largely asymptomatic, in rare cases it can be accompanied by parent artery occlusion and ischemic stroke. There are limited reports of complete thrombosis of an unruptured aneurysm of the internal carotid artery and middle cerebral artery. Furthermore, there are no reports of occlusion of the vertebral artery caused by thrombosis of an aneurysm. The mechanisms of spontaneous thrombosis are not established.
Source: Journal of Stroke and Cerebrovascular Diseases - November 10, 2019 Category: Neurology Authors: Misaki Kamogawa, Takashi Koide, Ryogo Kikuchi, Akiyoshi Nakamura, Asako Tagawa, Hiromichi Miyazaki Tags: Case Report 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
Clinical Risk Factors of Thromboembolic and Major Bleeding Events for Patients with Atrial Fibrillation Treated with Rivaroxaban in Japan
Background: It is important to understand the risk of thromboembolism and bleeding in patients with nonvalvular atrial fibrillation (NVAF) receiving direct oral anticoagulants; however, data on risk factors in Japanese patients are limited. Methods: XAPASS (Xarelto Post-Authorization Safety and Effectiveness Study in Japanese Patients with Atrial Fibrillation) is a prospective observational study examining the safety and effectiveness of rivaroxaban in Japanese real-world clinical practice. We investigated risk factors for stroke/noncentral nervous system systemic embolism (non-CNS SE)/myocardial infarction (MI) and major ...
Source: Journal of Stroke and Cerebrovascular Diseases - January 22, 2020 Category: Neurology Authors: Susumu Miyamoto, Takanori Ikeda, Satoshi Ogawa, Takanari Kitazono, Jyoji Nakagawara, Kazuo Minematsu, Yuji Murakawa, Sanghun Iwashiro, Makiko Takeichi, Yoko Kidani, Yutaka Okayama, Toshiyuki Sunaya, Shoichiro Sato, Satoshi Yamanaka Source Type: research
Computed Tomography Perfusion Showing Cerebral Hypoperfusion in a Patient with Acute Cerebral Venous Sinus Thrombosis —A Case Report
We report the case of a patient with acute CVST, showing perfusion abnormalities on computed tomography perfusion with perfusion defect in the relevant hemisphere. The defect was found in a region adjacent to the occluded sinus and was not corresponding to an arterial territory. To the best of our knowledge this is the first ever report on CT perfusion abnormalities few hours after acute symptom onset in CVST.
Source: Journal of Stroke and Cerebrovascular Diseases - February 17, 2020 Category: Neurology Authors: Robbert-Jan van Hooff, Jesper Gyllenborg, Kayal Jesuratnam-Nielsen, Troels Wienecke Tags: Case Report Source Type: research
Intracranial Aneurysms After Intravenous Thrombolysis in Patient with Atrial Myxoma: A Case Study
We administered intravenous thrombolytic therapy to a 51-year-old female patient with a 101-min stroke onset. The patient was unconscious during the manifestation of symptoms. Computed tomography angiography examination of the intracranial artery at the time of admission suggested that the left middle cerebral artery was occluded. The patient regained consciousness after the intravenous thrombolytic treatment was administered. On an urgent cerebral angiography, it was revealed that the recanalization of the left middle cerebral artery was successful.
Source: Journal of Stroke and Cerebrovascular Diseases - March 23, 2020 Category: Neurology Authors: Zhizhang Li, Xushen Xu, Liang Hu, Hongxian Sun, Yunhua Yue Tags: Case Report Source Type: research
Racial Disparities in Magnetic Resonance Imaging and Perfusion-Diffusion Mismatch
The central concept of mismatch between perfusion and diffusion targets identified by magnetic resonance imaging offers an approximation of the tissue at risk of infarction if reperfusion is not achieved. This measure is becoming increasingly relevant in determining eligibility for and prognosis following thrombolytic and endovascular treatments, particularly at extended time windows. A few studies have shown that Black stroke patients are more likely to suffer small-vessel ischemic strokes and fewer cardioembolic strokes occluding large vessels.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2020 Category: Neurology Authors: Benjamin Taylor King Tags: Poster 03 Source Type: research
Factors Associated with Pre-Hospital Delay and Intravenous Thrombolysis in China
Pre-hospital delay was a critical factor affecting stroke patients receiving intravenous thrombolytic therapy. The aim of this study was to explore the factors associated with pre-hospital delay and thrombolysis in China.
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2020 Category: Neurology Authors: Yafang Zhu, Xia Zhang, Shoujiang You, Xiaowei Cao, Xuan Wang, Wenjie Gong, Yan Qin, Xiaojun Huang, Yongjun Cao, Rongfang Shi Source Type: research
Cerebral venous thrombosis in Argentina: clinical presentation, predisposing factors, outcomes and literature review
Cerebral venous thrombosis (CVT) is an uncommon medical condition that primarily affects young individuals. Previous studies suggest an annual incidence rate of 1-12/1,000,000 cases, representing 0.5% to 3% of all stroke.1-4 CVT is more common in childbearing women, usually associated with a transient prothrombotic state (e.g. pregnancy, puerperium, exposure to oral contraceptives).5
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Mat ías Alet, Celina Ciardi, Alberto Alemán, Lucrecia Bandeo, Pablo Bonardo, Clarisa Cea, Juan Cirio, Jerónimo Cossio, María Cuculic, María Martha Esnaola, Fernando García-Pérez, Federico Giner, Maia Gómez-Schneider, Cristian Isaac, Sandra Lepera, Source Type: research
Thrombolysis Following Central Venous Catheter Placement
Since the importance of time in the treatment of hyperacute ischemic stroke became widely known, the frequency of thrombolysis has been gradually increasing.1,2 As thrombolytic agents are infusion formulations, securing a venous access route is mandatory.
Source: Journal of Stroke and Cerebrovascular Diseases - September 3, 2020 Category: Neurology Authors: Kenichi Sakuta, Ryoji Nakada, Shinji Miyagawa, Izumu Hasegawa, Hiroshi Yaguchi Tags: Case Report Source Type: research
Bilateral Internal Carotid Artery Agenesis and Posterior Circulation Stroke: A Rare Association
We report the clinical presentation, imaging findings and management of a unique case of a 25 year old man having bilateral internal carotid agenesis with cerebellar ischemic lesions secondary to thrombus formation in dolichoectatic basilar artery.
Source: Journal of Stroke and Cerebrovascular Diseases - October 8, 2020 Category: Neurology Authors: Suresh Giragani, Komal Kumar RN, Ashok Reddy Kasireddy, Surender Alwala Tags: Case Report Source Type: research
Left Atrial Spinning Ball Thrombus in a Patient with Cardioembolic Stroke: A Case Report
Left atrial thrombi are found in 2.5 –18% of patients with atrial fibrillation and are the main cause of thromboembolic events.1 Abe et al advocated the classification of left atrial thrombi into three types; movable ball type, fixed ball type and mountain type, and demonstrated that the rate of embolism in the movable type group wa s significantly higher than that in the other groups.2,3 However, there is no previous report that specifically describes what kind of movement has a poor prognosis in movable left atrial thrombi.
Source: Journal of Stroke and Cerebrovascular Diseases - October 3, 2020 Category: Neurology Authors: Akira Machida, Yasuhito Kawana, Itsuki Soejima, Takeshi Bo, Eiichiro Amano Tags: Case Report Source Type: research
Patterns of Care and Clinical Outcomes in Patients with Cerebral Sinus Venous Thrombosis
Cerebral venous sinus thrombosis (CVST) is a rare type of stroke, occurring in an estimated 13 –15 people per million per year.1, 2 Middle-aged adults, primarily women, are the most affected.3 Prognosis is generally good, but an estimated 15–20% of patients may experience poor outcomes.4 While the diagnosis, treatment and prognosis of CVST has been the focus of current research,5, 6 patte rns of care for these patients has been largely ignored.
Source: Journal of Stroke and Cerebrovascular Diseases - September 26, 2020 Category: Neurology Authors: Andrea Holcombe, Nicholas Mohr, Mudassir Farooqui, Sudeepta Dandapat, Biyue Dai, Cynthia B. Zevallos, Darko Quispe-Orozco, Fazeel Siddiqui, Santiago Ortega-Gutierrez Source Type: research
Malignant Left Atrial Appendage Morphology: Current Classification vs H-L System
In non-valvular atrial fibrillation (AF), more than 90% of thrombus formation occurs in the left atrial appendage (LAA).1-3 Current guidelines have established direct oral anticoagulants (DOACs) as the treatment of choice in patients with AF and high risk of stroke or transient ischemic attack (TIA), while vitamin K antagonists (VKA) can be considered in patients not suitable for DOACs.4,5 This strategy significantly reduces the risk of thromboembolism; however, there is a subset of patients that suffer recurrent embolic strokes despite appropriate anticoagulant therapy, known as malignant LAA.
Source: Journal of Stroke and Cerebrovascular Diseases - December 30, 2020 Category: Neurology Authors: Paloma Parra-D íaz, Luisa Salido-Tahoces, Ana Pardo-Sanz, Álvaro Beltrán-Corbellini, Fernando Rodríguez-Jorge, Juan Luis Chico-García, Sebastián García-Madrona, Consuelo Matute-Lozano, Rocío Vera-Lechuga, Antonio Cruz-Culebras, Jaime Masjuan, Alic Source Type: research
Changes in Informed Consent Policy and Treatment Delays in Stroke Thrombolysis
The efficacy of thrombolytic therapy with tissue plasminogen activator (tPA) is highly time dependent. Although clinical guidelines do not recommend written informed consent as it may cause treatment delays, local policy can supersede and require it. From 2014 to 2017, three out of five public hospitals in Singapore changed from written to verbal consent at different time points. We aimed to examine the association of hospital policy changes regarding informed consent on door-to-needle (DTN) times.
Source: Journal of Stroke and Cerebrovascular Diseases - December 19, 2020 Category: Neurology Authors: Hanzhang Xu, Deidre Anne De Silva, Fung Peng Woon, Marcus Eng Hock Ong, David B. Matchar, Janet Prvu Bettger, Daniel T. Laskowitz, Ying Xian Source Type: research
Cerebral Venous Sinus Thrombosis in COVID-19 Patients: A Multicenter Study and Review of Literature
COVID-19 infection has been known to predispose patients to both arterial and venous thromboembolic events such as deep venous thrombosis, pulmonary embolism, myocardial infarction, and stroke. A few reports from the literature suggest that Cerebral Venous Sinus Thrombosis (CVSTs) may be a direct complication of COVID-19.
Source: Journal of Stroke and Cerebrovascular Diseases - March 4, 2021 Category: Neurology Authors: Mohamad Abdalkader, Shamsh P. Shaikh, James E. Siegler, Anna M. Cervantes-Arslanian, Cristina Tiu, Razvan Alexandru Radu, Vlad Eugen Tiu, Dinesh V. Jillella, Ossama Yassin Mansour, V íctor Vera, Ángel Chamorro, Jordi Blasco, Antonio López, Mudassir Far Source Type: research
