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Total 33 results found since Jan 2013.

Influence of Sex on Stroke Prognosis: A Demographic, Clinical, and Molecular Analysis
Conclusion Our data suggest that women who suffer from IS present with a poorer functional outcome than men at 3-months, regardless of other preclinical and clinical factors during the acute phase. These relationships seem to be mediated by atrial dysfunction and inflammation. The inflammatory response is slightly higher in women; however, there are no sex differences in their functional behavior. There is a probable relationship between the molecular marker of atrial dysfunction NT-proBNP and worse functional outcome in women, and the connection seems to be more important in cardioembolic stroke patients. In patients wi...
Source: Frontiers in Neurology - April 16, 2019 Category: Neurology Source Type: research

Status epilepticus mimicking stroke recurrence.
CONCLUSION: Status epilepticus is not infrequent in patients with previous stroke and may present with negative neurological symptoms, thus mimicking a stroke recurrence. EEG should be considered as a potential diagnostic tool in the acute stroke setting, at least in patients with previous stroke. This article is part of the Special Issue "Seizures & Stroke". PMID: 31629647 [PubMed - as supplied by publisher]
Source: Epilepsy and Behaviour - October 15, 2019 Category: Neurology Authors: Pauletto G, Bax F, Gigli GL, Lorenzut S, Verriello L, Corazza E, Valente M Tags: Epilepsy Behav Source Type: research

Status epilepticus mimicking stroke recurrence
This article is part of the Special Issue “Seizures & Stroke”
Source: Epilepsy and Behavior - October 17, 2019 Category: Neurology Source Type: research

Endovascular Stroke Therapy Results Improve over Time: The ‘Learning Curve' at a New Comprehensive Stoke Center
Conclusions: At a new community-based CSC, improved outcome occurred from year 1 to year 2, and trends towards decreased mortality, fewer complications, and improved revascularization were observed. Furthermore, the data shows that improvement in NIHSS score after EST is associated with decreased mortality following stroke in this setting, implying a net benefit.Cerebrovasc Dis Extra 2014;4:235-242
Source: Cerebrovascular Diseases Extra - January 13, 2015 Category: Neurology Source Type: research

Stroke assessment with intravoxel incoherent motion diffusion‐weighted MRI
This study aimed to determine the potential utility of IVIM in characterizing brain diffusion and perfusion properties for clinical stroke. The multi‐b‐value diffusion‐weighted images of 101 patients diagnosed with acute/subacute ischemic stroke were retrospectively evaluated. The diffusion coefficient D, representing the water apparent diffusivity, was obtained by fitting the diffusion data with increasing high b‐values to a simple mono‐exponential model. The IVIM‐derived perfusion parameters, pseudodiffusion coefficient D*, vascular volume fraction f and blood flow‐related parameter fD*, were calculated wit...
Source: NMR in Biomedicine - January 8, 2016 Category: Radiology Authors: Shiteng Suo, Mengqiu Cao, Wanqiu Zhu, Lei Li, Jun Li, Fei Shen, Jinyan Zu, Zien Zhou, Zhiguo Zhuang, Jianxun Qu, Zengai Chen, Jianrong Xu Tags: Research article Source Type: research

P-006 evaluation of baseline ct aspects and admission neutrophil-lymphocyte ratio in perfusion-guided selected ica/mca stroke patients for endovascular reperfusion therapy
ConclusionsIn our cohort, baseline CT ASPECTS inversely correlated with admission NLR in anterior circulation AIS patients who had favorable perfusion imaging profile for IA reperfusion therapy. Additionally, in this subgroup of patients, NLR of 5 or less discriminated favorable from unfavorable ASPECTS.DisclosuresA. Honarmand: None. A. Shaibani: None. F. Syed: None. A. Elmokadem: None. M. Hurley: None. S. Ansari: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Honarmand, A., Shaibani, A., Syed, F., Elmokadem, A., Hurley, M., Ansari, S. Tags: SNIS 12th Annual Meeting Oral Poster Abstracts Source Type: research

O-028 Opercular Index Score (OIS): A Novel Predictor of Collateral Robustness and Neurologic Outcomes in the Endovascular Management of Acute Ischemic Stroke
ConclusionOIS is a practical, noninvasive scoring system that can be used to predict collateral robustness and good clinical outcome among patients undergoing endovascular recanalization in the treatment of acute ischemic stroke.DisclosuresA. Copelan: None. M. Chehab: None. S. Xli: None. W. Brinjikji: None. Z. Wilseck: None. D. Kallmes: None. J. Wilseck: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Copelan, A., Chehab, M., Xli, S., Brinjikji, W., Wilseck, Z., Kallmes, D., Wilseck, J. Tags: Oral abstracts Source Type: research

Quantitative assessment of hyperacute cerebral infarction with intravoxel incoherent motion MR imaging: Initial experience in a canine stroke model
ConclusionIVIM imaging could simultaneously evaluate the diffusion and microvascular perfusion characteristics in hyperacute strokes.Level of Evidence:2J. Magn. Reson. Imaging 2016
Source: Journal of Magnetic Resonance Imaging - November 29, 2016 Category: Radiology Authors: Qian ‐Qian Gao, Shan‐Shan Lu, Xiao‐Quan Xu, Cheng‐Jiang Wu, Xing‐Long Liu, Sheng Liu, Hai‐Bin Shi Tags: Original Research Source Type: research

O-007 Recanalization and Outcome Comparisons in Acute Ischemic Stroke Patients Treated with Mechanical Thrombectomy Selected by CT/MR Perfusion Imaging Versus CT Angiography
ConclusionsMechanical thrombectomy patients selected by CTA or perfusion imaging demonstrated no difference in successful recanalization rate, but higher level of recanalization/reperfusion and a trend of improved outcomes with CTA selection that may be attributed to improved treatment times.DisclosuresA. Honarmand: None. A. Shaibani: None. M. Hurley: None. P. Golnari: None. M. Potts: None. B. Jahromi: None. S. Ansari: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Honarmand, A., Shaibani, A., Hurley, M., Golnari, P., Potts, M., Jahromi, B., Ansari, S. Tags: Oral abstracts Source Type: research

Utility of digital subtraction angiography ‐based collateral evaluation in medically treated acute symptomatic basilar artery stenosis
ConclusionsThe DSA‐based collateral scoring of the BA large branches might predict long‐term outcome in medically treated symptomatic basilar artery stenosis with mild initial severity. Evaluation of BA collateral perfusion status might be useful to determine appropriate treatment strategies.
Source: European Journal of Neurology - July 14, 2017 Category: Neurology Authors: W. ‐J. Lee, K.‐H. Jung, Y. J. Ryu, J.‐M. Kim, S.‐T. Lee, K. Chu, M. Kim, S. K. Lee, J.‐K. Roh Tags: Original Article Source Type: research

A Serious Diagnosis Lacking Common Symptoms
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; & AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regi...
Source: The Case Files - May 28, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Comparison of Levosimendan versus Dobutamine in Patients with Moderate to Severe Left Ventricular Dysfunction Undergoing Off-pump Coronary Artery Bypass Grafting: A Randomized Prospective Study.
CONCLUSIONS: Levosimendan was associated with statistically significant increase in indices of contractility (CI, LVSWI, and RVSWI) and decrease in PCWP during and after OPCAB. Levosimendan group had lower incidence of atrial fibrillation, shorter length of ICU, and hospital stay. PMID: 28393781 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - April 1, 2017 Category: Anesthesiology Authors: Kandasamy A, Simon HA, Murthy P, Annadurai M, Ali MM, Ramanathan G Tags: Ann Card Anaesth Source Type: research

Severe Symptoms, but a Truly Treatable Disease
​BY NOURA MAHDI; DARRON LEWIS; JEREMY OSBORNE; & AHMED RAZIUDDIN, MDA 73-year-old man was brought to the emergency department from his nursing home for rectal bleeding and anemia. The patient mentioned he had had episodes of bright red rectal bleeding and constipation for a few months. A colonoscopy had been done prior to the visit, which revealed a large intestine tumor and biopsy confirming adenocarcinoma. He was awaiting an appointment with his surgeon.The patient reported bloody rectal leakage, and a CBC done at the nursing home showed a hemoglobin level of 7.2. He also complained of dyspnea but denied any other ...
Source: The Case Files - March 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Decompressive Craniectomy for Traumatic Brain Injury: Postoperative Cerebral Hemodynamic Evaluation
Conclusion: There is a wide heterogeneity of postoperative cerebral hemodynamic findings among TBI patients who underwent DC, including hemodynamic heterogeneity between their cerebral hemispheres. DC was proved to be effective for the treatment of cerebral oligoemia. Our data support the concept of heterogeneous nature of the pathophysiology of the TBI and suggest that DC as the sole treatment modality is insufficient. Introduction Decompressive craniectomy (DC) may effectively decrease intracranial pressure (ICP) and increase cerebral perfusion pressure (CPP) in traumatic brain injury (TBI) patients with refracto...
Source: Frontiers in Neurology - April 11, 2019 Category: Neurology Source Type: research

Decompressive Craniectomy for Traumatic Brain Injury: Postoperative TCD Cerebral Hemodynamic Evaluation
Conclusion: There is a wide heterogeneity of postoperative cerebral hemodynamic findings among TBI patients who underwent DC, including hemodynamic heterogeneity between their cerebral hemispheres. DC was proved to be effective for the treatment of cerebral oligoemia. Our data support the concept of heterogeneous nature of the pathophysiology of the TBI and suggest that DC as the sole treatment modality is insufficient. Introduction Decompressive craniectomy (DC) may effectively decrease intracranial pressure (ICP) and increase cerebral perfusion pressure (CPP) in traumatic brain injury (TBI) patients with refracto...
Source: Frontiers in Neurology - April 11, 2019 Category: Neurology Source Type: research