• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Web of the carotid artery: An under-recognized cause of ischemic stroke
We describe here an additional case of ischemic stroke caused by a carotid web in a young healthy woman. Detection of this vascular abnormality required the use of CT angiography and cerebral digital subtraction angiography. Although there is little evidence regarding the optimal management of this condition, under medical treatment with dual antiplatelet therapy our patient remained free of recurrent stroke events. This case report study illustrates that the web of the carotid artery is an uncommon cause of stroke which should always be considered and ruled out, especially in young patients with otherwise cryptogenic stro...
Source: Journal of Clinical Neuroscience - March 16, 2018 Category: Neuroscience Source Type: research

Modified CHADS2 and CHA2DS2-VASc scores to predict atrial fibrillation in acute ischemic stroke patients
Publication date: Available online 23 February 2018 Source:Journal of Clinical Neuroscience Author(s): Rixia Liu, Xiaomeng Yang, Shuya Li, Yong Jiang, Yilong Wang, Yongjun Wang It is important to identify candidates who warrant extended cardiac monitoring after ischemic stroke. We investigated the predictive performance of the CHADS2 and CHA2DS2-VASc scores for previously unknown atrial fibrillation during in-hospital electrocardiographic monitoring. Patients were selected from a prospective trial in China. The clinical prediction of the scores was examined using the C statistic. Multivariate logistic regressions were per...
Source: Journal of Clinical Neuroscience - February 24, 2018 Category: Neuroscience Source Type: research

What does best evidence tell us about robotic gait rehabilitation in stroke patients: A systematic review and meta-analysis
Conclusions The evaluation of the results confirm that the use of robotics can positively affect the outcome of a gait rehabilitation in patients with stroke. The effects of different devices seems to be similar on the most commonly outcome evaluated by this review.
Source: Journal of Clinical Neuroscience - January 6, 2018 Category: Neuroscience Source Type: research

Utility of cone-beam computed tomography angiography for the assessment of vertebral artery dissection
In conclusion, CBCT-A provides detailed luminal and wall morphology of VADs. CBCT-A is useful for the accurate diagnosis of VADs.
Source: Journal of Clinical Neuroscience - January 6, 2018 Category: Neuroscience Source Type: research

Long-term effect of repetitive transcranial magnetic stimulation on disability in patients with stroke
Publication date: January 2018 Source:Journal of Clinical Neuroscience, Volume 47 Author(s): Kyung Eun Nam, Leechan Jo, So Yeon Jun, Won Jin Sung, Joon Sung Kim, Bo Young Hong, Bomi Sul, Seong Hoon Lim High-frequency repetitive transcranial magnetic stimulation (rTMS) is widely used to improve motor function in stroke patients. However, the long-term effects of rTMS on disability and motor function are not clear. We investigated the effects of high-frequency rTMS administered within 1 month of stroke on disability and motor function 6 months after stroke onset. The study was conducted by an open-label longitudinal study...
Source: Journal of Clinical Neuroscience - December 16, 2017 Category: Neuroscience Source Type: research

Acute treatment of stroke due to spontaneous calcified cerebral emboli causing large vessel occlusion
Conclusions Given the small sample reported in literature and no reported randomised studies, definitive recommendations could not be reached. However, considering thrombus composition, thrombolysis is most probably not sufficient and priority should be given to EVT.
Source: Journal of Clinical Neuroscience - November 6, 2017 Category: Neuroscience Source Type: research

Incidence of poststroke seizures: A meta-analysis
Conclusion Our results are relevant to the epidemiology of late-onset poststroke seizure, with 14 days being the ideal cutoff time point. The pooled incidence density of late-onset poststroke seizure was 1.12 per 100 person-years in 4 cohort studies.
Source: Journal of Clinical Neuroscience - November 4, 2017 Category: Neuroscience Source Type: research

High prevalence of small vessel disease long after cranial irradiation
In conclusion, small vessel disease is not a rare complication after cranial irradiation, even in young patients. Patients after cranial irradiation should be followed up with MR imaging including a hemosiderin-sensitive sequence.
Source: Journal of Clinical Neuroscience - October 27, 2017 Category: Neuroscience Source Type: research

Endovascular treatment of acute tandem occlusion strokes and stenting first experience
This study demonstrates the radiologic and clinical findings, etiologies and intervention strategy in 8 acute ischemic stroke patients with tandem occlusions. The mean age was 57 and mean NIHSS score was 19. Stent-assisted thrombectomy (SAT) was performed on all of the patients. Additionally, 6 patients underwent carotid artery stenting before SAT. Recanalization with TICI≥2b was attained in 7/8 patients. The 90thday median mRS was 2 and mortality was 1/8. The etiologies of the tandem occlusions were either extracranial high grade ICA stenosis/occlusion or cervical ICA dissection. When the stent-first approach was applie...
Source: Journal of Clinical Neuroscience - October 9, 2017 Category: Neuroscience Source Type: research

The current role of decompressive craniectomy for severe traumatic brain injury
Publication date: September 2017 Source:Journal of Clinical Neuroscience, Volume 43 Author(s): S. Honeybul, K.M. Ho, C.R.P. Lind, G.R. Gillett There is little doubt that decompressive craniectomy can reduce mortality however, the results of a recent study has provided more evidence to inform the debate regarding clinical and ethical concerns that it merely converts death into survival with severe disability or in a vegetative state. The recently published RESCUEicp trial compared last-tier secondary decompressive craniectomy with continued medical management for refractory intracranial hypertension after severe traumatic ...
Source: Journal of Clinical Neuroscience - August 1, 2017 Category: Neuroscience Source Type: research

Access disparities to Magnet hospitals for ischemic stroke patients
We examined the association of African–American race with Magnet status hospitalization after ischemic stroke. A mixed effects propensity adjusted multivariable regression analysis was used to control for confounding. During the study period, 176,557 patients presented with ischemic stroke, and met the inclusion criteria. Overall, 4,624 (13.7%) African-Americans, and 27,468 (19.2%) non African-Americans with ischemic stroke were admitted to Magnet hospitals. Using a multivariable logistic regression, we demonstrate that African-Americans were associated with lower admission rates to Magnet institutions (OR 0.70; 95% CI, ...
Source: Journal of Clinical Neuroscience - August 1, 2017 Category: Neuroscience Source Type: research

Flow diversion within seven days after stroke onset is associated with favorable outcome in anterior circulation stroke
Publication date: Available online 21 July 2017 Source:Journal of Clinical Neuroscience Author(s): Fei Wu, Wenjie Cao, Yifeng Ling, Lumeng Yang, Xin Cheng, Qiang Dong Anterior cerebral artery (ACA) flow diversion (FD), defined as ipsilateral mean velocity (MV) of at least 30% greater than the contralateral artery, could be seen an indirect sign of leptomeningeal collateralization in the setting of middle cerebral artery occlusion. The purpose of the study was to evaluate the association between dynamic FD and functional outcome in acute anterior stroke patients with large artery occlusion. Acute middle cerebral artery (MC...
Source: Journal of Clinical Neuroscience - July 21, 2017 Category: Neuroscience Source Type: research

Association between nocturnal blood pressure variation and wake-up ischemic stroke
In this study, we used ambulatory blood pressure monitoring (ABPM) to examine the association between WUS and variation in nocturnal BP. A total of 369 patients with ischemic stroke within one week were consecutively enrolled. ABPM was applied 1–2weeks after the ictus because of possible reactive increments of BP; antihypertensive medications were delayed until ABPM. Patients were classified into two groups: WUS and non-WUS. Clinical characteristics, including ABPM parameters, were compared. Sixty-seven (18%) patients had WUS. In univariate analysis, patients with WUS had more severe stroke symptoms than patients with no...
Source: Journal of Clinical Neuroscience - July 20, 2017 Category: Neuroscience Source Type: research

Perioperative stroke after cerebral aneurysm clipping: Risk factors and postoperative impact
This study assesses patient-specific independent predictors of perioperative stroke in relation to surgical aneurysm clipping. Additionally, this study evaluates the postoperative complications of stroke. We performed a retrospective chart review of 437 patients with ruptured and unruptured intracranial aneurysms, which underwent surgical clipping from 2006 to 2013. Multivariate logistical regression was utilized to assess the effect of age, race, gender, subarachnoid hemorrhage, Hunt and Hess (H/H) grade, aneurysm location, and intraoperative somatosensory evoked potentials (SSEPs) changes on the frequency of perioperativ...
Source: Journal of Clinical Neuroscience - July 13, 2017 Category: Neuroscience Source Type: research

Perioperative stroke as a predictor of mortality and morbidity in patients undergoing CABG
This study emphasizes the importance of prevention and early intervention in patients at risk for perioperative stroke.
Source: Journal of Clinical Neuroscience - July 8, 2017 Category: Neuroscience Source Type: research

Pages: 1  2  3  4  5  6  7  8  9  10  11