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Stroke and the Bovine Aortic Arch: Incidental or Deliberate ? A Comparative Study and our Experience
Conclusions: Bovine aortic arch is a risk factor for young-onset anterior circulation stroke. Bilateral and left-sided infarcts were more common. Endovascular procedures are difficult to perform through conventional routes, so brachioradial access is preferred.
Source: Neurology India - May 3, 2022 Category: Neurology Authors: Swapnil Samadhiya Dilip Maheshwari Vijay Sardana Bharat Bhushan Source Type: research

Cryptogenic Stroke Secondary to Rare Carotid Web ?
We describe here a case of ischemic stroke caused by a CW in a healthy man. Detection of this vascular abnormality required the use of computed tomography angiography. CW is a specific anatomical structure. Its imaging and clinical manifestations are different from atherosclerosis. It's also is a latent etiology to cryptogenic stroke. CW should be considered in patients with otherwise cryptogenic stroke, otherwise healthy patients presenting with stroke and without the typical risk factors for atherosclerotic carotid disease and stroke.
Source: Neurology India - February 27, 2020 Category: Neurology Authors: Hongwei Liu Wenxia Wang Xiaolian Xing Jing Shi Xiaolong Wang Weirong Li Source Type: research

Predictors of Concomitant Coronary Artery Disease and Major Cardiovascular Events in Patients with Acute Ischemic Stroke
Conclusion: Our study suggests stroke patients with higher Framingham Heart Study Risk Score and troponin I levels and carotid plaques be further investigated for the presence of concomitant CAD.
Source: Neurology India - September 2, 2021 Category: Neurology Authors: Cigdem Ileri Beste Ozben Zekeriya Dogan Murat Sunbul Burcu Bulut Kursat Tigen Nurten Sayar Ipek Midi Yelda Basaran Source Type: research

Intracranial Large Artery Disease is Independently Associated with Poor Functional Outcome in a Cohort of Ethnic South Asian Ischemic Stroke Patients
Conclusions: The presence of ICLAD rendered poorer functional prognosis after stroke. These findings support the specific evaluation of the benefits of known acute stroke treatments such as thrombolysis, as well as investigation of potential novel strategies such as acute stenting.
Source: Neurology India - October 30, 2021 Category: Neurology Authors: Deidre A De Silva Chee-Keong Wee Fung-Peng Woon Hui-Meng Chang Meng-Cheong Wong Source Type: research

Propensity of stroke in standard versus various aortic arch variants: A 200 patients study
Conclusions: Standard aortic arch Type 2, bovine aortic arch Type A, and Type B are associated with an early age at stroke presentation. During routine carotid evaluation by CT or MR angiography in stroke patients, it would be better to evaluate the aortic arch as well, especially in young patients.
Source: Annals of Indian Academy of Neurology - September 9, 2022 Category: Neurology Authors: Swapnil Samadhiya Vijay Sardana Bharat Bhushan Dilip Maheshwari Seeta Ram Yadav Ravi Goyal Source Type: research

Mineralizing angiopathy with basal ganglia stroke after minor head trauma; a clinical profile and follow up study of a large series of paediatric patients from North India
CONCLUSION: Minor head trauma leading to basal ganglia stroke in children was the most common cause of paediatric stroke in our patients. In follow-up most patients had recovered fully, though a significant minority did not recover completely.PMID:34077857 | DOI:10.1016/j.ejpn.2021.05.011
Source: European Journal of Paediatric Neurology - June 2, 2021 Category: Neurology Authors: Roshni Bahri Radhe Shyam Sharma Vivek Jain Source Type: research

Prevalence of Aortic Plaques in Cryptogenic Ischemic Stroke: Correlation to Vascular Risk Factors and Future Events
Conclusions: Aortic plaques are an under-recognized cause of cryptogenic stroke. The significant risk factors in aortic plaque group highlight the importance of aggressive risk factor control for secondary stroke prevention.
Source: Neurology India - February 28, 2022 Category: Neurology Authors: K Arun Poornima N Nambiar Santhosh Kumar Kannath Sapna E Sreedharan Sajith Sukumaran Sankara Sarma PN Sylaja Source Type: research

Mechanical Thrombectomy in Acute Ischemic Stroke: Angiographic Predictors of Outcome
Conclusion: Lower clot burden and less degree of recanalization were associated with poor outcome in acute ischemic stroke due to Large vessel occlusion (LVO). The presence of ICAD also predicted poor outcome.
Source: Neurology India - August 30, 2022 Category: Neurology Authors: Jayadevan E Rajan Santhosh K Kannath Sekar Sabarish K Arun P Ravi P Varma Sapna E Sreedharan Sajith Sukumaran PN Sylaja Source Type: research

Endovascular Treatment for Acute Tandem Occlusion Stroke: Results from Case Series of 17 Patients
Conclusion: Our study determined a promising outcome with reasonable good recanalization and clinical recovery for endovascular intervention in tandem ischemic. In the subgroup of treatment, “extracranial stent first” had more complex disease with completed ICA occlusion which required longer procedure time may lead to worse outcome.
Source: Annals of Indian Academy of Neurology - January 20, 2020 Category: Neurology Authors: Luu Vu-Dang Quang-Anh Nguyen Trang Nguyen-Thi-Thu Anh-Tuan Tran Cong Le-Chi Kien Le-Hoang Thien Nguyen-Tat An Nguyen-Huu Thong Pham-Minh Thien Chu-Dinh Dinh-Toi Chu Source Type: research

Rescue strategies in anterior circulation stroke with failed mechanical thrombectomy & #8212;A retrospective observational study (RAFT)
Conclusions: Rescue stenting and/or angioplasty after failed MT is a safe and effective recanalization method for AIS in anterior circulation without increasing mortality or morbidity.
Source: Annals of Indian Academy of Neurology - December 17, 2021 Category: Neurology Authors: Amit Ashok Bhatti Niranjan P Mahajan Devashish Dhiren Vyas Mudasir Mushtaq Shah Vikram Huded Source Type: research

Endovascular Treatment of a Primary Extracranial Vertebral Artery Aneurysm Causing Ischemic Stroke
Conclusion: Although aneurysms of this location are traditionally repaired with open aneurysmectomy, we show that endovascular treatment can be a safe and effective alternative approach. In the case reported here, primary extracranial vertebral artery aneurysm presenting with embolic stroke was successfully treated with a covered stent. Complete exclusion of the aneurysm from blood circulation is advisable to achieve full resolution of the embolic source.
Source: Neurology India - February 24, 2021 Category: Neurology Authors: Yabing Wang Liqun Jiao Source Type: research

Assessment of Collaterals Using Multiphasic CT Angiography in Acute Stroke: Its Correlation with Clinical Outcomes
Conclusion: Multiphase CT collateral system was superior to single-phase angiography in predicting the long-term functional outcomes. Prediction of the hemorrhagic transformation risk was also observed to be better for multiphase CT.
Source: Neurology India - December 23, 2021 Category: Neurology Authors: Rajendran Adhithyan Santhosh Kannath Bejoy Thomas Enakshy Jayadevan PN Sylaja Chandrasekharan Kesavadas Source Type: research

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