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Source: Journal of Clinical Neuroscience
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Total 163 results found since Jan 2013.
Retinal embolization after carotid endarterectomy and stenting for carotid artery stenosis
Publication date: Available online 16 May 2015 Source:Journal of Clinical Neuroscience Author(s): Gang Song , Ran Sun , Yan Fei Chen , Yan Ma , Ya Bing Wang , Li Qun Jiao , Feng Ling To compare the incidence of retinal arterial embolism after carotid endarterectomy (CEA) or carotid artery stenting (CAS) as a treatment for carotid artery stenosis and to determine the risk factors for retinal artery embolization, this study included all consecutive severe carotid artery stenosis patients (70–99%), diagnosed by digital subtraction angiography, who underwent CEA or CAS between February 2014 and July 2014. The study include...
Source: Journal of Clinical Neuroscience - May 16, 2015 Category: Neuroscience Source Type: research
Three-year prognosis of first-ever primary pontine hemorrhage in a hospital-based registry
In conclusion, the short-term mortality rate and factors related to the prognosis of Chinese patients with PPH are similar to those reported for other populations. A low Glasgow coma scale score on admission and a large hematoma volume may be related to poor 3year prognosis after PPH.
Source: Journal of Clinical Neuroscience - May 16, 2015 Category: Neuroscience Source Type: research
Meta-analysis of telemonitoring to improve HbA1c levels: Promise for stroke survivors
Publication date: May 2015 Source:Journal of Clinical Neuroscience, Volume 22, Issue 5 Author(s): Bryan A Lieber , Blake Taylor , Geoff Appelboom , Kiran Prasad , Sam Bruce , Annie Yang , Eliza Bruce , Brandon Christophe , E. Sander Connolly Jr. Monitoring glycemic control is useful not only in the primary prevention of stroke in diabetics, but also in the rehabilitation from and secondary prevention of stroke. In an often functionally and neurocognitively impaired population, however, poor compliance with treatment regimens is a major problem. Wireless, telemonitoring glucometers – often integrated into the patient’...
Source: Journal of Clinical Neuroscience - April 28, 2015 Category: Neuroscience Source Type: research
Ischemic stroke related to an amniotic fluid embolism during labor
We report a young woman who survived multiple cerebral infarctions related to an amniotic fluid embolism (AFE) during labor. To our knowledge, an embolic stroke due to the coexistence of an AFE and patent foramen ovale (PFO) has not been reported. We describe the patient’s clinical and radiological features and discuss the stroke mechanism in relation to our AFE hypothesis. A 32-year-old woman presented to the emergency room after experiencing convulsions during labor (blood pressure, 64/28mmHg; oxygen saturation, 67%). She was in a stupor, and her response to painful stimuli on the right side was weaker than on the left...
Source: Journal of Clinical Neuroscience - February 21, 2015 Category: Neuroscience Source Type: research
In-hospital outcomes of thrombolysis for acute ischemic stroke in patients with primary brain tumors
Publication date: March 2015 Source:Journal of Clinical Neuroscience, Volume 22, Issue 3 Author(s): Santosh B. Murthy , Yogesh Moradiya , Shreyansh Shah , Aditi Shastri , Eric M. Bershad , Jose I. Suarez Data on thrombolysis outcomes in patients with primary brain tumors are limited. Our aim was to study stroke outcomes following thrombolysis in these patients in a population-based study. Patients with acute ischemic stroke who received thrombolysis were identified from the 2002–2011 USA Nationwide Inpatient Sample. We compared demographics, comorbidities, and outcomes between primary brain tumor-associated strokes (BT...
Source: Journal of Clinical Neuroscience - February 16, 2015 Category: Neuroscience Source Type: research
Cerebrovascular neurosurgery 2014
Publication date: Available online 14 February 2015 Source:Journal of Clinical Neuroscience Author(s): Mohamed Salem , Bradley A. Gross , Rose Du , Ajith J. Thomas Continued advances in our understanding of the management of cerebrovascular disease were made in 2014. A randomized trial for management of unruptured brain arteriovenous malformation (ARUBA) (Mohr et al. Lancet 2014;383:614–21.) and the Scottish intracranial vascular malformation study (Al-Shahi Salman et al. JAMA 2014;311:1661–9) were published and contrasted with reports based on extensive surgical experience. We highlight the results from the simvasta...
Source: Journal of Clinical Neuroscience - February 16, 2015 Category: Neuroscience Source Type: research
A male Fabry disease patient treated with intravenous thrombolysis for acute ischemic stroke
We report a 38-year-old man with acute aphasia and a left M2 segment of the middle cerebral artery thrombus with no recanalization who was finally diagnosed with Fabry disease after left ventricular hypertrophy of undetermined cause had been identified. A gene test revealed a R227X mutation typical of Fabry disease with the classical phenotype. To our knowledge our patient is the first reported male Fabry patient who was given intravenous thrombolytic therapy and the first reported Fabry patient who received intravenous thrombolytic therapy between 3 and 4.5hours of the symptom onset. Despite favorable prognostic indicator...
Source: Journal of Clinical Neuroscience - January 14, 2015 Category: Neuroscience Source Type: research
National data on stroke outcomes in Thailand
In conclusion, the prevalence and outcomes of stroke in Thailand were comparable with other countries. The era of thrombolytic therapy has just begun in Thailand.
Source: Journal of Clinical Neuroscience - January 14, 2015 Category: Neuroscience Source Type: research
Remote intracerebral haemorrhage post intravenous thrombolysis: Experience from an Australian stroke centre
Publication date: February 2015 Source:Journal of Clinical Neuroscience, Volume 22, Issue 2 Author(s): Yuan Gao , Leonid Churilov , Sarah Teo , Bernard Yan Remote intracerebral haemorrhage (rICH) is defined as intracerebral haemorrhage (ICH) post thrombolysis in brain regions without visible ischaemic changes. There is uncertainty that clinical outcomes and risk factors for rICH are different to those for local ICH. We investigated the morbidity, mortality and factors associated with rICH. We hypothesised that a previous history of cerebral ischaemic events is associated with increased risk of rICH. We included consecuti...
Source: Journal of Clinical Neuroscience - January 14, 2015 Category: Neuroscience Source Type: research
Increased risk of ischemic stroke in patients with pneumoconiosis
Publication date: February 2015 Source:Journal of Clinical Neuroscience, Volume 22, Issue 2 Author(s): Yuan-Yang Cheng , Kuo-Hsuan Hsu , Yi-Huei Chen , Ching-Heng Lin Although past studies have confirmed that chronic dust exposure is a risk factor for cardiovascular disease, the relationship between it and cerebrovascular disease is still unclear. We aimed to determine whether pneumoconiosis is related to increased incidence of ischemic stroke in the following 5 to 11years. We selected 1238 patients with pneumoconiosis from Taiwan’s National Health Insurance database as our study cohort. After matching for age, sex and...
Source: Journal of Clinical Neuroscience - January 14, 2015 Category: Neuroscience Source Type: research
Saving the ischemic penumbra: Endovascular thrombolysis versus medical treatment
We present the first study to our knowledge comparing the ischemic penumbra saved with endovascular versus medical therapy. A retrospective review of 21 patients undergoing endovascular intervention for stroke from 2010 to 2011 was contrasted with 21 consecutive patients treated with antiplatelet agents alone. Immediate computed tomography perfusion (CTP) scan of the head and neck was obtained in all patients. Patients with lacunar and posterior circulation infarcts, and those who were medically unstable for MRI post-operatively were excluded. CTP and MRI underwent volumetric calculation. CTP penumbra was correlated with d...
Source: Journal of Clinical Neuroscience - November 29, 2014 Category: Neuroscience Source Type: research
Ischemic complications after tailored carotid artery stenting in different subpopulations with high-grade stenosis: Feared but rare
Publication date: Available online 28 November 2014 Source:Journal of Clinical Neuroscience Author(s): José E. Cohen , J. Moshe Gomori , Eyal Itshayek , Stylianos Pikis , Galina Keigler , Roni Eichel , Ronen R. Leker Although the procedural and postoperative safety profile of carotid artery stenting (CAS) has been steadily improving, many centers still recommend carotid endarectomy (CEA) over CAS. We assessed outcomes (procedural and postoperative stroke) following tailored CAS in a cohort of patients managed at a single academic medical center. Outcomes for patients with carotid artery stenosis treated from 2005–2013...
Source: Journal of Clinical Neuroscience - November 29, 2014 Category: Neuroscience Source Type: research
Safety, efficacy, and cost of intraoperative indocyanine green angiography compared to intraoperative catheter angiography in cerebral aneurysm surgery
Publication date: August 2014 Source:Journal of Clinical Neuroscience, Volume 21, Issue 8 Author(s): Douglas A. Hardesty , Harjot Thind , Joseph M. Zabramski , Robert F. Spetzler , Peter Nakaji Intraoperative angiography in cerebrovascular neurosurgery can drive the repositioning or addition of aneurysm clips. Our institution has switched from a strategy of intraoperative digital subtraction angiography (DSA) universally, to a strategy of indocyanine green (ICG) videoangiography with DSA on an as-needed basis. We retrospectively evaluated whether the rates of perioperative stroke, unexpected postoperative aneurysm residu...
Source: Journal of Clinical Neuroscience - November 3, 2014 Category: Neuroscience Source Type: research
