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Procedure: Cervical Discectomy

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Total 171 results found since Jan 2013.

Endovascular Management of Tandem Occlusion Stroke Related to Internal Carotid Artery Dissection Using a Distal to Proximal Approach: Insight from the RECOST Study EXTRACRANIAL VASCULAR
CONCLUSIONS: Mechanical endovascular treatment of carotid artery dissection tandem occlusions is safe and effective compared with isolated anterior circulation occlusion stroke therapy. Hence, a more conservative approach with stent placement only in cases of circle of Willis insufficiency may be a reliable and safe strategy.
Source: American Journal of Neuroradiology - July 13, 2016 Category: Radiology Authors: Marnat, G., Mourand, I., Eker, O., Machi, P., Arquizan, C., Riquelme, C., Ayrignac, X., Bonafe, A., Costalat, V. Tags: EXTRACRANIAL VASCULAR Source Type: research

The migraine-stroke connection: A genetic perspective
Conclusion A wealth of data supports a genetic link between migraine and vascular disease. Based on growing high-throughput data-sets, new genotyping techniques and in-depth phenotyping, further insights are expected for the future.
Source: Cephalalgia - June 1, 2016 Category: Neurology Authors: Malik, R., Winsvold, B., Auffenberg, E., Dichgans, M., Freilinger, T. Tags: Review Articles Source Type: research

Safety and Efficacy of Thrombolysis in Cervical Artery Dissection-Related Ischemic Stroke: A Meta-Analysis of Observational Studies
Conclusion: Thrombolysis seems to be equally safe and will achieve an efficacy similar to the efficacy of non-thrombolysis in patients with acute ischemic stroke due to CAD. It is also as effective as thrombolysis in stroke from miscellaneous causes. Therefore, CAD patients experiencing a stroke should not be denied thrombolysis therapy. However, this will need to be confirmed in large-scale randomized studies, especially involving intravenous thrombolysis treatment.Cerebrovasc Dis 2016;42:272-279
Source: Cerebrovascular Diseases - May 20, 2016 Category: Neurology Source Type: research

Spontaneous Bilateral Cervical Internal Carotid and Vertebral Artery Dissection in a Japanese Patient without Collagen Vascular Disease with Special Reference to Single-Nucleotide Polymorphisms
Spontaneous cervical artery dissection (sCAD) is a major cause of ischemic stroke in young adults. Frequently, sCAD involves multiple neck arteries, accounting for 13%-28% of the total sCAD cases. However, little is known about factors related to multiple sCAD. In this case, a 52-year-old man was admitted due to headache without aura. There was a personal history of migraine with aura and a family history of similar symptoms. The patient's younger brother had a left vertebral artery (VA) dissecting aneurysm and underwent endovascular occlusion of his parent artery at the age of 48.
Source: Journal of Stroke and Cerebrovascular Diseases - May 19, 2016 Category: Neurology Authors: Arata Abe, Chikako Nito, Yuki Sakamoto, Akane Nogami, Hiroyuki Hokama, Shiro Takahashi, Kumiko Kirita, Masayuki Ueda, Yoshiro Ishimaru, Kazumi Kimura Tags: Case Studies Source Type: research

Prognostic significance of pulsatile tinnitus in cervical artery dissection
ConclusionThe presence of PT in CeAD is associated with a benign clinical course and predicts a favourable outcome.
Source: European Journal of Neurology - April 27, 2016 Category: Neurology Authors: L. Kellert, M. Kloss, A. Pezzini, S. Debette, D. Leys, V. Caso, V. N. Thijs, A. Bersano, E. Touzé, T. Tatlisumak, C. Traenka, P. A. Lyrer, S. T. Engelter, T. M. Metso, C. Grond‐Ginsbach, Tags: Original Article Source Type: research

Acute carotid artery stenting in symptomatic high-grade cervical carotid artery stenosis
Abstract The safety and efficacy of emergency carotid artery stenting (CAS) for patients with acute ischemic stroke resulting from internal carotid artery stenosis are not established. In this retrospective study, we evaluated outcomes for CAS performed within 2 weeks of acute ischemic stroke for 16 patients treated between December 2009 and February 2014. Cases of internal carotid artery occlusion, internal carotid dissection, or intracranial major arterial trunk occlusion were excluded. Five patients were treated with CAS during the hyperacute phase (within 24 h of stroke onset), three in the advanced phase (w...
Source: Neurosurgical Review - April 26, 2016 Category: Neurosurgery Source Type: research

Commentary on the Cervical Artery Dissection in Stroke Study Trial Emerging Therapy Critiques
Source: Stroke - April 24, 2016 Category: Neurology Authors: Bae, H.-J., Debette, S. Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke Emerging Therapy Critiques Source Type: research

Experience with vertebral artery origin stenting and ostium dilatation: results of treatment and clinical outcomes
Conclusions Safety and feasibility were demonstrated using the Ostial Flash system for VAO stenting and angioplasty. No permanent perioperative complications were seen.
Source: Journal of NeuroInterventional Surgery - April 13, 2016 Category: Neurosurgery Authors: Rangel-Castilla, L., Gandhi, S., Munich, S. A., Cress, M. C., Sonig, A., Krishna, C., Hopkins, L. N., Snyder, K. V., Levy, E. I., Siddiqui, A. H. Tags: Ischemic stroke Source Type: research

Intraarterial Treatment for Acute Ischemic Stroke: Analysis of Outcomes of Dissection vs. Non-Dissection Mechanism in 445 patients (P4.380)
Conclusions: Intraarterial treatment appears to be as safe and effective when used in patients with ischemic stroke due to CAD as in AIS patients with other causes. Following the major advances in IAT for AIS in the general population, IAT should be considered in patients with AIS due to a CAD.Disclosure: Dr. Jensen has nothing to disclose. Dr. Salottolo has nothing to disclose. Dr. McCarthy has nothing to disclose. Dr. Loy has nothing to disclose. Dr. Frei has received personal compensation for activities with Microvention, Covidien, Stryker, Siemens, and Penumbra as a consultant. Dr. Wagner has received personal compensa...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jensen, J., Salottolo, K., McCarthy, K., Loy, D., Frei, D., Wagner, J., Whaley, M., Bar-Or, D. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

When a Single Antiplatelet Agent for Stroke Prevention Is Not Enough: Current Evidence and Future Applications of Dual Antiplatelet Therapy.
Abstract OPINION STATEMENT: For secondary stroke prevention, long-term dual antiplatelet therapy is not recommended due to increased bleeding risks. There is no specific evidence for using dual antiplatelet therapy for cervical artery dissection or for adding a second antiplatelet agent after a stroke while taking aspirin monotherapy. For patients with atrial fibrillation and stroke/TIA unable to tolerate warfarin, aspirin monotherapy is reasonable. Dual antiplatelet therapy carries a similar risk of major bleeding as warfarin that offsets reductions in stroke risk. Dual antiplatelet therapy is recommended for end...
Source: Atherosclerosis - February 27, 2016 Category: Cardiology Authors: Yuan K, Kim AS Tags: Curr Treat Options Cardiovasc Med Source Type: research

When a Single Antiplatelet Agent for Stroke Prevention Is Not Enough: Current Evidence and Future Applications of Dual Antiplatelet Therapy
Opinion statement For secondary stroke prevention, long-term dual antiplatelet therapy is not recommended due to increased bleeding risks. There is no specific evidence for using dual antiplatelet therapy for cervical artery dissection or for adding a second antiplatelet agent after a stroke while taking aspirin monotherapy. For patients with atrial fibrillation and stroke/TIA unable to tolerate warfarin, aspirin monotherapy is reasonable. Dual antiplatelet therapy carries a similar risk of major b...
Source: Current Treatment Options in Cardiovascular Medicine - February 24, 2016 Category: Cardiology Source Type: research

Post-IV thrombolytic headache and hemorrhagic transformation risk in acute ischemic stroke
Conclusion: tPA-associated headache does not predict increased risk of HT and has no other prognostic importance in patients with AIS. Prospective studies with a larger cohort may be needed to further explore this relationship.
Source: Neurology Clinical Practice - February 15, 2016 Category: Neurology Authors: Chaudhry, S. A., Kwon, S. Y., Kneale, H., Al Jajeh, A., Hussain, S., Razak, A. Tags: All Cerebrovascular disease/Stroke, Embolism, Intracerebral hemorrhage Research Source Type: research

Severity and outcomes according to stroke etiology in patients under 50 years of age with ischemic stroke
Abstract To analyze the association of stroke etiological subtypes with severity and outcomes at 3 and 12 months in patients ≤50 years. Observational study of patients admitted to a stroke unit (2007–2013). Variables: demographic data, vascular risk factors, comorbidities, severity on admission (NIHSS), and good functional outcome (mRS ≤ 1) at 3 and 12 months. We used multivariate analyses to evaluate the influence of stroke etiology on severity and outcomes. We included 214 patients, 58.3 % men, mean age 41.4 years. General linear models showed all etiologies were more severe than lacunar strokes (P...
Source: Journal of Thrombosis and Thrombolysis - February 5, 2016 Category: Hematology Source Type: research

Ischemic Cervical Myelopathy Caused by Vertebral Artery Dissection: The Clinical Utility of a Motor-evoked Potential Study
Conclusions: When there is diagnostic ambiguity between the upper and lower motor neuron lesions in VAD, motor-evoked potential study can be helpful to diagnose peripheral neurological complication of VAD.
Source: The Neurologist - December 28, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research