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Analysis of Run Sheets of EMS Serving a Metropolitan Comprehensive Stroke Center (P1.268)
Conclusions:Patients with acute stroke transported by EMS have better quality metrics and higher chance of receiving acute treatment. EMS documented assessment allows for the diagnosis or stroke in general but cannot identify LVO because the assessment of cortical signs is very limited.Disclosure: Dr. Hussein has nothing to disclose. Dr. Kashyap has nothing to disclose. Dr. Erickson has nothing to disclose. Dr. Forsberg has nothing to disclose. Dr. Burnett has nothing to disclose. Dr. Stanfield has nothing to disclose. Dr. Wewerka has nothing to disclose. Dr. Terwilliger has nothing to disclose. Dr. Hanson has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Hussein, H., Kashyap, B., Erickson, L., Forsberg, A., Burnett, A., Stanfield, S., Wewerka, S., Terwilliger, A., Hanson, L. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

A rare cause of stroke in young: PHACE syndrome (P1.253)
Conclusions:Neurocutaneous syndromes are typically diagnosed in childhood and can be a rare cause of stroke in young. Our patient suffered an ischemic stroke secondary to sequelae of undiagnosed PHACE syndrome. Early identification of neurocutaneous syndromes allows for proper surveillance, evaluation, and preventative education for development of complications.Disclosure: Dr. Fitzgerald has nothing to disclose. Dr. Chandra has nothing to disclose. Dr. Dannenbaum has nothing to disclose. Dr. Sharrief has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Fitzgerald, K., Chandra, S., Dannenbaum, M., Sharrief, A. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research

Stroke and nonstroke brain attacks in children
Conclusions: Brain attack etiologies differ from adults, with stroke being the fourth most common diagnosis. These findings will inform development of ED clinical pathways for pediatric brain attacks.
Source: Neurology - April 21, 2014 Category: Neurology Authors: Mackay, M. T., Chua, Z. K., Lee, M., Yock-Corrales, A., Churilov, L., Monagle, P., Donnan, G. A., Babl, F. E. Tags: Childhood stroke, All Cerebrovascular disease/Stroke, All Pediatric, Prevalence studies ARTICLE Source Type: research

Vessel wall MRI of an inflamed aneurysm with atherosclerosis in a patient with ischemic stroke
This report of a patient with ischemic stroke shows the association of a symptomatic inflamed aneurysm with atherosclerotic plaque on IVWM.
Source: Neurology - August 14, 2016 Category: Neurology Authors: de Havenon, A., Park, M., McNally, S. Tags: MRI, DWI, Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke NEUROIMAGES Source Type: research

Teaching Video NeuroImages: Thalamic infarct with pseudo-abducens and vertical gaze palsies and an unusual stroke mechanism
A 32-year-old man presented with confusion and diplopia. His examination showed complete vertical gaze palsy with relatively preserved vertical vestibulo-ocular reflexes, convergence nystagmus on attempted upgaze, alternating adducting hypertrophic skew deviation, limited right eye abduction with esotropia, and right limb ataxia (video on the Neurology® Web site at Neurology.org). MRI showed a left paramedian thalamic infarct (figure 1). Vertical gaze palsy results from damage to the rostral interstitial nucleus of the medial longitudinal fasciculus. The contralateral abduction limitation is consistent with pseudo-abdu...
Source: Neurology - August 7, 2016 Category: Neurology Authors: Khayambashi, S., Fridhandler, J. D., Teal, P., Barton, J. J. S., Mann, S. K. Tags: Diplopia (double vision), All Cerebrovascular disease/Stroke, Embolism RESIDENT AND FELLOW SECTION Source Type: research

Clinical Features and Management of Ischemic Stroke in Pakistan (P02.031)
CONCLUSIONS: Risk factors for stroke in Pakistan are similar to patients in North America. However the majority of patients are either unaware or have poor management of stroke risk factors. Efforts at risk factor management are important to reduce the burden of stroke in this population.Disclosure: Dr. Khan has nothing to disclose. Dr. Shuaib has nothing to disclose. Dr. Khatri has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Farooq has nothing to disclose. Dr. Mehboob has nothing to disclose. Dr. Khattak has nothing to disclose. Dr. Nazir has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Khan, H., Shuaib, U., Khatri, I., Malik, S., Farooq, U., Mehboob, N., Khattak, J., Nazir, R. Tags: P02 Cerebrovascular Disease II Source Type: research

Creutzfeldt-Jakob Disease Presenting as Stroke: Case Report and Literature Review (P1.022)
CONCLUSIONS CJD develops primarily within a population in whom stroke risk factors are common and represents a rare but important stroke mimic. Negative sensitive imaging in elderly patients with apparent acute vascular syndromes should prompt diagnostic review including consideration of prion diseases.Disclosure: Dr. Van Heuven has nothing to disclose. Dr. Boggild has nothing to disclose. Dr. White has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Van Heuven, A., Boggild, M., White, R. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

What factors predict Fitbit adherence in Stroke and Parkinson disease? (P6.029)
Conclusions:The strongest predictor of adherence to daily activity monitoring was level of medical co-morbidity. Other determinants of adherence were self-efficacy for managing conditions, e-Health literacy and pain. Age and level of disability did not affect daily use of small wireless monitors to track activity in stroke and PD.Disclosure: Dr. Schrader has nothing to disclose. Dr. Mentis has nothing to disclose. Dr. Phipps has nothing to disclose. Dr. Barr has nothing to disclose. Dr. Gruber-Baldini has nothing to disclose. Dr. Yarbrough has nothing to disclose. Dr. Von Coelln has nothing to disclose. Dr. Shulman has rec...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Schrader, K., Mentis, H., Phipps, M., Barr, E., Gruber-Baldini, A., Yarbrough, K., Von Coelln, F. R., Shulman, L. Tags: Movement Disorders: Tics, Tremor & amp;amp; Ataxia II Source Type: research

Methotrexate Neurotoxicity Mimicking Stroke (P2.296)
Conclusion: It is important for clinicians to recognize methotrexate-induced neurotoxcity as a possible stroke mimic.Disclosure: Dr. Pham has nothing to disclose. Dr. Ermak has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Pham, Q., Ermak, D. Tags: Cerebrovascular Disease and Interventional Neurology: Inflammation and Immunology Source Type: research

Is It Possible to Treat "Stroke-Like Symptoms" with Hemodialysis? (P4.390)
CONCLUSIONS • Diabetic patients with ESRD on HD can present with stroke-like symptoms associated with bilateral basal ganglia hypoattenuation . This presentation can be confused initially with a stroke. • Brain imaging can assist with making the diagnosis. The clinical presentation in our cases included slurred speech, ataxia, and bilateral lower extremity weakness. • Hemodialysis leaded to clinical improvement.Disclosure: Dr. Rodriguez Alvarez has nothing to disclose. Dr. Pillai has nothing to disclose. Dr. Gomez has nothing to disclose. Dr. Avagyan has nothing to disclose. Dr. Gold has nothing to disclose....
Source: Neurology - April 3, 2016 Category: Neurology Authors: Rodriguez Alvarez, M., Pillai, A., Gomez, E., Avagyan, A., Gold, M., Sternman, D., Thompson, L. Tags: General Neurology: Vascular Disease and Imaging Source Type: research

Early Diagnosis of Posterior Fossa Stroke with Brainstem Evoked Potentials (I1-3B)
Conclusion: BAP is more sensitive for diagnostic purposes towards posterior fossa small strokes and should be considered in patients when the initial MRI brain is negative. This will allow for correct diagnosis and treatment regimen without causing a delay for the patient.Disclosure: Dr. Duggal has nothing to disclose. Dr. Ahmed has nothing to disclose. Dr. Duggal has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Duggal, N., Ahmed, I., Duggal, N. Tags: New Windows into the Brain: Technological Advances in Frontline Neurologic Diagnosis via the Visual and Oculomotor Systems Data Blitz Presentations Source Type: research

Improving Tremor Detection and Quantification with Automated Measurements of Stroke Energy (P3.014)
Conclusions:The DCTE feature reliably and precisely quantifies stroke energy associated with tremor severity, with no additional clinician or patient burden. DCTclock’s stroke energy measurement correlates with clinician judgment and can accurately distinguish ET from HC.Disclosure: Dr. Musicus has received personal compensation for activities with Aptec Group and Digital Cognition Technologies, Inc. Dr. Medlock has received personal compensation for activities with Digital Cognition Technologies, Inc. Dr. Oppenheim has received personal compensation for activities with Digital Cognition Technologies, Inc as Advisor....
Source: Neurology - April 17, 2017 Category: Neurology Authors: Musicus, B., Medlock, C., Oppenheim, A., Davis, R., Apetauerova, D., Leegwater-Kim, J., Palmer, E., Penney, D., Souillard-Mandar, W. Tags: Movement Disorders: Tics, Tremor & amp;amp; Ataxia I Source Type: research

Interrater Reliability of the National Institutes of Health Stroke Scale: Rating by Emergency Room Physicians and Neurologists in a Population-Based Study (P5.140)
CONCLUSIONS:Overall, there was excellent agreement in total NIHSS between ED physicians and neurologist. The NIHSS components gaze, visual fields, ataxia, sensory, and extinction are areas improvement of assessment and documentation in the ED, and should be specifically evaluated in AIS patients whose scores are considered too mild for rt-PA eligibility. Study Supported by: Disclosure: Dr. Katz has nothing to disclose. Dr. Khoury has nothing to disclose. Dr. Alwell has nothing to disclose. Dr. Moomaw has received research support from the National Institutes of Health. Dr. Kleindorfer has received personal compensation for...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Katz, B., Khoury, J., Alwell, K., Moomaw, C., Kleindorfer, D. Tags: Cerebrovascular Disease and Interventional Neurology: Clinical Research Tools, Methods, and Innovations Source Type: research

Thiamine Deficiency While on Total Parenteral Nutrition Mimicking Acute Stroke: A Case Report (P3.217)
CONCLUSIONS: Thiamine deficiency mimicking stroke while on total parenteral nutrition has been rarely documented. Recognition of this syndrome is critical as prompt treatment may reverse symptoms.Disclosure: Dr. Parker has nothing to disclose. Dr. Marafie has nothing to disclose. Dr. Wolf has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Parker, A., Marafie, D., Wolf, V. Tags: Neurocritical Care: Clinical Science and Therapeutics Source Type: research

A Rare Presentation of Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS) as Acute Ischemic Stroke (P6.112)
CONCLUSIONS: This case illustrates not only a classic clinical and radiographic case of CLIPPERS, but also that this recently recognized disorder can be easily misdiagnosed as a neuromuscular disease in the early stages, and stroke in the more severe stages. Rarely, the inflammatory infiltrate can result in stroke in these patients, and is likely the cause of the acute exacerbation of our patient’s symptoms. This case also demonstrates the need for contrast imaging whenever possible, as the non-contrast imaging failed to identify the characteristic diffuse enhancing punctate lesions.Disclosure: Dr. Gadhia has nothing...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Gadhia, R., Smith, S., Lai, E., Lee, A. Tags: MS and CNS Inflammatory Disease: CNS Inflammatory Diseases and Differential Diagnosis Source Type: research

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