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Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan
This study is aimed at determining the reliability and validity of the Japanese version of the KF-NAP (KF-NAP-J), evaluating the improvement of neglect assessment with KF-NAP-J, and comparing it with the original CBS for subacute stroke patients. We assessed subacute stroke patients admitted to our intensive rehabilitation hospital. Two KF-NAP-trained occupational therapists (OTs) assessed 22 patients. Before implementing the KF-NAP at the hospital, two other OTs assessed the other 23 patients using the CBS. We evaluated the interrater reliability of the KF-NAP and CBS using intraclass correlation coefficients (ICC) for th...
Source: Behavioural Neurology - February 25, 2021 Category: Neurology Authors: Daisuke Nishida Katsuhiro Mizuno Masatoshi Tahara Shiori Shindo Yuki Watanabe Hiroki Ebata Tetsuya Tsuji Source Type: research

Relationship Between Acute Neurological Function and Long-Term Prognosis in Patients with Large Arterial Occlusions
To clarify the relationship between early neurological symptoms and long-term functional outcomes of acute ischemic stroke, which would be beneficial for patient management and determining clinical study criteria of novel therapeutic interventions.
Source: Journal of Stroke and Cerebrovascular Diseases - January 23, 2021 Category: Neurology Authors: Kotaro Tatebayashi, Shinichi Yoshimura, Nobuyuki Sakai, Kazutaka Uchida, Hiroto Kageyama, Hiroshi Yamagami, Takeshi Morimoto, RESCUE-Japan Registry 2 investigators Source Type: research

Acute Stroke Care in the With-COVID-19 Era: Experience at a Comprehensive Stroke Center in Japan
Conclusions: In our institute, the number of stroke admissions, workflow time metrics, and imaging modalities for reperfusion therapy were affected by the COVID-19 pandemic.
Source: Frontiers in Neurology - January 18, 2021 Category: Neurology Source Type: research

Reliability of the Modified Rankin Scale Assessment Using a Simplified Questionnaire in Japanese
We developed a Japanese version of the simplified modified Rankin Scale questionnaire, of which the agreement between patients or their family members and neurologists was verified in a previous single-center study. In the present study, the reliability of the questionnaire was evaluated in another hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - December 4, 2020 Category: Neurology Authors: Kenichiro Yi, Yuichiro Inatomi, Makoto Nakajima, Toshiro Yonehara, Mitsuharu Ueda Source Type: research

Impact of COVID-19 on Stroke Admissions and the Medical Care System in the Tokyo Metropolitan Area
Conclusion: The COVID-19 pandemic had a major impact on stroke care in Tokyo, including stroke admissions and medical care systems, resulting in a significant reduction in thrombolysis and thrombectomy. The extent of the drop may be the result of the number of COVID-19 patients.
Source: Frontiers in Neurology - November 30, 2020 Category: Neurology Source Type: research

Clinical Features for Identifying the Possibility of Toileting Independence after Convalescent Inpatient Rehabilitation in Severe Stroke Patients: A Decision Tree Analysis Based on a Nationwide Japan Rehabilitation Database
This study aimed to identify the factors affecting toileting independence in severe stroke patients using ML.
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2020 Category: Neurology Authors: Takeshi Imura, Yu Inoue, Ryo Tanaka, Junji Matsuba, Yasutaka Umayahara Source Type: research

Association of Admission Hyperglycemia with Clinical Outcomes in Japanese Patients with Acute Large Vessel Occlusion Stroke: A post hoc Analysis of the Recovery by Endovascular Salvage for Cerebral Ultra-Acute Embolism Japan Registry 2
Conclusions: Admission hyperglycemia in Japanese patients with large vessel occlusion stroke is associated with an unfavorable functional outcome at 90 days, mortality within 90 days, and the occurrence of SICH within 72 h.Cerebrovasc Dis
Source: Cerebrovascular Diseases - November 25, 2020 Category: Neurology Source Type: research

Factors Influencing Sitting Ability During the Acute Post-Stroke Phase: A Multicenter Prospective Cohort Study in Japan
Stroke is the second leading cause of both death and disability worldwide.1 In Japan, stroke is the fourth leading cause of death2 and the second leading cause of being bedridden3 due to residual neurological and neuropsychological disorders. Long-term prognoses for stroke patients can be improved through acute stroke rehabilitation.4 Therefore, appropriate rehabilitation and mobilization at an early stage are necessary to improve functional prognoses after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - November 6, 2020 Category: Neurology Authors: Kazuhiro Fukata, Yuji Fujino, Masahide Inoue, Mamiko Inoue, Daisuke Sekine, Misato Tsutsumi, Tetsuya Okihara, Masayuki Mano, Hiroshi Miki, Hirofumi Sato, Yohei Kobayashi, Koki Hasegawa, Yota Kunieda, Shunichi Ishihara, Shigeru Makita, Hidetoshi Takahashi, Source Type: research

The Clinical Characteristics and Treatment Considerations for Intracranial Aneurysms Associated With Middle Cerebral Artery Anomalies: A Systematic Review
Conclusions: The pathophysiological genesis of intracranial aneurysms associated with MCA anomalies is still obscure. The inflicted patients tend to have other concurrent cerebrovascular anomalies, which denotes that congenital defect in cerebrovascular development might play a role in this process. Most of the affected patients could experience a good recovery after treatment.
Source: Frontiers in Neurology - October 27, 2020 Category: Neurology Source Type: research

Occurrence of Cerebrovascular Diseases Decreased after the Great East Japan Earthquake and Tsunami of 2011
Conclusions: The occurrence of CVDs in the flooded coastal areas did not increase in the year of the Great East Japan Earthquake and Tsunami; furthermore, it decreased for men according to the severity of flood damage in the subsequent years; this can be attributed to supportive activities for the tsunami victims and the migration of the population.Cerebrovasc Dis Extra 2020;10:105 –115
Source: Cerebrovascular Diseases Extra - October 8, 2020 Category: Neurology Source Type: research

Secondary stroke prevention with apixaban in nonvalvular atrial fibrillation: A subgroup analysis of the STANDARD study
Data on independent risk factors for stroke recurrence in Japanese patients with nonvalvular atrial fibrillation are limited.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Masahiro Yasaka, Michiaki Umeyama, Hirohide Kataoka, Hiroshi Inoue Source Type: research

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