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Source: Neurology
Education: Teaching

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Total 120 results found since Jan 2013.

Association Between Anthropometric Measurements and Stroke in Patients with Low CHADS2 Score (P1.226)
Conclusion: In contrast to the available literature, we found that patients with low risk CHADS2 score with subsequent acute stroke were taller with statistical significance than those with high CHADS2 score. The implication of this finding is that such variations in anthropometric measurements might predispose patients with atrial fibrillation to higher risk of stroke regardless of their CHADS2 score. Accordingly, stroke risk stratification models should include these measurements in contemporary practice.Disclosure: Dr. Hassan has nothing to disclose. Dr. Villines has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Hassan, A., Villines, D. Tags: Cardiac Mechanisms and Complications of Stroke Source Type: research

Ultra-short door-to-needle times of 10 minutes or less in stroke thrombolysis - experience from 63 cases (S8.002)
Conclusions:An ultra-short DNT ≤10 minutes can be achieved safely in unequivocal clinical scenarios, with pre-notification of the multidisciplinary stroke team practically being a sine-qua-non.Disclosure: Dr. Topakian has nothing to disclose. Dr. Hörmanseder has nothing to disclose. Dr. Einsiedler has nothing to disclose. Dr. Straka has nothing to disclose. Dr. Oel has nothing to disclose. Dr. Metschitzer has nothing to disclose. Dr. Pischinger has nothing to disclose. Dr. Groicher has nothing to disclose. Dr. Müller has nothing to disclose. Dr. Vollmann has nothing to disclose. Dr. Kure has nothing to disclos...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Topakian, R., Hormanseder, B., Einsiedler, S., Straka, U., Oel, D., Metschitzer, B., Pischinger, B., Groicher, S., Muller, P., Vollmann, P., Kure, V., Farmer, D., Mezger, M., Wimmer, F., Sperl, W., Karrer, A., Funk, S., Lampl, R., Lugmayr, H., Schusterede Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Treatment Source Type: research

Thrombolytic Utilization in Ischemic Stroke Is Significantly Higher in US Hospitals with Neurology Residency Program (S02.006)
CONCLUSIONS: Stroke care at NR hospitals is associated with an increased thrombolytic utilization rate. The increased tPA utilization at NR between 2002-2006 may be related to the rapid increase in Primary Stroke Centers across the country.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Grant has nothing to disclose. Dr. Valsamis has nothing to disclose. Dr. Levine has received personal compensation in an editorical capacity for MEDLINK.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moradiya, Y., Grant, J., Valsamis, H., Levine, S. Tags: S02 Acute Stroke Therapy Source Type: research

Characteristics of Certified Stroke Center Programs Led by Vascular Neurologists (P3.123)
CONCLUSION: Vascular neurologists are more likely to be found leading stroke programs at larger hospitals with established teaching programs. This may be a reflection of the concentration of multiple subspecialties in such institutions.Disclosure: Dr. Ramirez has nothing to disclose. Dr. Krug has nothing to disclose. Dr. Perese has nothing to disclose. Dr. Gasparian has nothing to disclose. Dr. Kazaryan has nothing to disclose. Dr. Sanossian has received personal compensation for activities with Boehringer-Ingelheim Pharmaceutical Inc.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ramirez, L., Krug, A., Perese, J., Gasparian, G., Kazaryan, S., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research

Thrombolytic utilization for ischemic stroke in US hospitals with neurology residency program
Conclusions: Acute stroke care in NR hospitals is associated with an increased thrombolytic utilization. The disparities between the thrombolysis rate in NR and that in OT and NT hospitals are greater among elderly patients.
Source: Neurology - December 2, 2013 Category: Neurology Authors: Moradiya, Y., Crystal, H., Valsamis, H., Levine, S. R. Tags: Medical care, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Teaching NeuroImages: Hemigeographic tongue following an acute ischemic stroke
We present 2 patients with a hemigeographic tongue following a left acute hemispheric stroke: a 70-year-old man (figure 1, A–B) and a 43-year-old man (figure 2, A–B). Trigeminal trophic syndrome (TTS) is an unusual complication of trigeminal injury that causes a neuropathic disorder with ulceration of the nasal ala.1,2 Nerve section and brainstem stroke have been described as TTS cause.1,2 However, the presence of a not previously described hemigeographic tongue following a hemispheric acute stroke points toward a central trigeminal disturbance, probably related to a cortical connection lesion. This suggests a ...
Source: Neurology - July 3, 2016 Category: Neurology Authors: Delgado, M. G., Calleja, S. Tags: All Cerebrovascular disease/Stroke, Infarction RESIDENT AND FELLOW SECTION Source Type: research

Increasing utilization of tissue plasminogen activator in acute ischemic stroke with staff changes (P4.281)
Conclusions:There was a significant increase in iv t-PA utilization during phase 2, without any change in patient demographics, inclusion or exclusion criteria, and with an actual reduction in iv t-PA eligible AIS patients. We believe this change occurred because the attending physician was present in the hospital to personally evaluate all AIS patients and therefore more likely to administer iv t-PA to eligible patients.Disclosure: Dr. Majeed has nothing to disclose. Dr. Cummings has nothing to disclose. Dr. Zand has nothing to disclose. Dr. Groody has nothing to disclose. Dr. Holland has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Majeed, M., Cummings, C., Zand, R., Groody, A., Holland, N. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research

Teaching NeuroImages: Extracranial internal carotid artery aneurysm causing embolic stroke
A 42-year-old man with no history of trauma experienced acute numbness in his right arm and leg. A pulsating left cervical tumor was noted on clinical examination. Carotid ultrasound demonstrated significant widening of the left proximal internal carotid artery (ICA) and a large nonocclusive hypoechoic structure compatible with an aneurysm and intraluminal thrombus (figure, B, D, and E). MRI confirmed a fusiform extracranial ICA aneurysm and showed a left-sided small embolic stroke (figure, A and C). The patient underwent anticoagulation with low-molecular-weight heparin and eventually surgical treatment (i.e., resection a...
Source: Neurology - July 14, 2014 Category: Neurology Authors: Barlinn, K., Kepplinger, J., Puetz, V., Bodechtel, U. Tags: Stroke in young adults, MRI, Ultrasound, Embolism RESIDENT AND FELLOW SECTION Source Type: research

Long Term Impact of ACGME Duty Hour Restrictions on Mortality Rate for Acute Ischemic Stroke (P1.183)
Conclusions: Our results indicate that the ACGME duty hour restrictions had a positive impact on patient safety for AIS while reducing the weekly hours worked by residents. Both hospital types showed significant reduction in mortality rate over the 13 years. More research to determine the long-term impact of ACGME restrictions on mortality rate for other common diseases and surgical procedures is needed.Disclosure: Dr. Berry has nothing to disclose. Dr. Seifi has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Berry, K., Seifi, A. Tags: Ischemic Stroke Outcomes Source Type: research

Rate of Endovascular Therapy in Octogenarian/Nonagenarian Acute Ischemic Stroke Patients Compared to Younger Patients (I2.007)
Conclusions: Frequency of EVT and IV-TPA use in AIS patients 蠅80years are increasing but rates remain significantly lower compared with younger patients. Disparity in EVT use in octogenarian/nonagenarian also exists by race and hospital factors. Targeted efforts are needed to lessen this disparity.Disclosure: Dr. Otite has nothing to disclose. Dr. Khandelwal has nothing to disclose. Dr. Tipirneni has nothing to disclose. Dr. Fellman has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Covidien/evV3 as a consultant and Steering Committee Member...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Otite, F., Khandelwal, P., Tipirneni, A., Fellman, M., Malik, A., Yavagal, D., Chaturvedi, S. Tags: Stroke in the Elderly and Young: Challenges for the Next Decade Data Blitz Presentations Source Type: research

Teaching NeuroImages: Crying thalamus: Manifestation of acute ischemic stroke
This report serves to remind clinicians of the importance of detailed neurologic assessment under such circumstances.
Source: Neurology - February 26, 2017 Category: Neurology Authors: Obeidat, A. Z., Broderick, J. P. Tags: MRI, DWI, All Clinical Neurology, All Cerebrovascular disease/Stroke, Infarction RESIDENT AND FELLOW SECTION Source Type: research

Teaching Video NeuroImages: Thalamic infarct with pseudo-abducens and vertical gaze palsies and an unusual stroke mechanism
A 32-year-old man presented with confusion and diplopia. His examination showed complete vertical gaze palsy with relatively preserved vertical vestibulo-ocular reflexes, convergence nystagmus on attempted upgaze, alternating adducting hypertrophic skew deviation, limited right eye abduction with esotropia, and right limb ataxia (video on the Neurology® Web site at Neurology.org). MRI showed a left paramedian thalamic infarct (figure 1). Vertical gaze palsy results from damage to the rostral interstitial nucleus of the medial longitudinal fasciculus. The contralateral abduction limitation is consistent with pseudo-abdu...
Source: Neurology - August 7, 2016 Category: Neurology Authors: Khayambashi, S., Fridhandler, J. D., Teal, P., Barton, J. J. S., Mann, S. K. Tags: Diplopia (double vision), All Cerebrovascular disease/Stroke, Embolism RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Bilateral hypertrophic olivary degeneration following posterior circulation stroke
A 40-year-old comatose man was brought to the hospital with a history of posterior circulation stroke 4 months earlier due to hypertension. On examination, he had spastic quadriplegia, bilateral extensor plantar reflex, and palatal myoclonus. MRI revealed enlarged olives (figure 1) and chronic infarcts involving midbrain and pons (figure 2) suggestive of hypertrophic olivary degeneration seen after 4 months of insult. Hypertrophic olivary degeneration is a transsynaptic degeneration involving interconnecting fibers of inferior olivary nucleus, red nucleus, and contralateral dentate nucleus forming the 3 corners of the Guil...
Source: Neurology - October 30, 2017 Category: Neurology Authors: Venkatesh, M., Prasad, V. R. S., Basha, S. U., Priya, G. H. J. Tags: MRI, Coma, All Cerebrovascular disease/Stroke, All Education, Infarction RESIDENT AND FELLOW SECTION Source Type: research

Ischemic Stroke Outcomes in Oman: Experience of a University Hospital Based Stroke Registry (P6.278)
Conclusions:Ischemic stroke in Oman reflects the high morbidity/mortality seen in most communities in the region. Characteristics of incident stroke such as stroke recurrence, type, severity and cardiovascular comorbidity are likely the major determinants of stroke outcome. A relatively lower prevalence of extracranial artery disease and possible greater prevalence of multiple stroke mechanisms may also influence on outcomes and merit further study.Disclosure: Dr. Gujjar has nothing to disclose. Dr. Ramachandiran has nothing to disclose. Dr. Al-Asmi has nothing to disclose. Dr. Ganguly has nothing to disclose. Dr. Shoaib h...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gujjar, A., Ramachandiran, N., Al-Asmi, A., Ganguly, S., Shoaib, R., Al-Asmi, A. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Prehospital Factors Associated with Stroke Misdiagnosis by EMS Providers (S35.006)
Conclusions: LICH EMS providers missed 41% of strokes and our findings suggest that greater clinical suspicion for stroke should be exercised in patients who have a higher prehospital systolic blood pressure, who have a dispatch call of stroke, past medical history of diabetes or stroke and in those who are unconscious.Study support: NIH grants 1U01NS044364, R01 HL096944, 1U10NS077378 and 1U10NS080377.Disclosure: Dr. Brandler has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Helzner has nothing to disclose. Dr. Levine has received personal compensation in an editorial capacity for MedLink. Dr. Levine has rec...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Brandler, E., Sharma, M., Helzner, E., Levine, S. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Treatment Source Type: research