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Source: Neurology
Education: Teaching
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Total 120 results found since Jan 2013.
Variability in Approach to Treatment of Acute Central Retinal Artery Occlusion in US Teaching Hospitals (S47.006)
CONCLUSIONS: There is currently no consensus on how patients with acute CRAO should be managed and there is resulting wide variability in treatment trends. We propose an evidence-based protocol for acute management of these patients.Disclosure: Dr. Schrag has nothing to disclose. Dr. Youn has nothing to disclose. Dr. Patrylo has nothing to disclose. Dr. Schindler has nothing to disclose. Dr. Lavin has nothing to disclose. Dr. Kirshner has nothing to disclose. Dr. Greer has received personal compensation for activities with Bard Medical. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Schrag, M., Youn, T., Patrylo, M., Schindler, J., Lavin, P., Kirshner, H., Greer, D. Tags: IV-tPA and Endovascular Therapy Source Type: research
Teaching NeuroImages: Longitudinally extensive transverse myelitis in MELAS
A 16-year-old girl presented with acute-onset flaccid quadriparesis with urinary incontinence. Medical history unveiled generalized epilepsy since age 7 years and status epilepticus 3 years before. Multisystem compromise was absent. Family history was unremarkable. Two days after admission, generalized refractory status epilepticus occurred. Neuroimaging studies disclosed laminar cortical necrosis and longitudinally extensive transverse myelitis (LETM) in cervical and thoracic spinal cord levels (figure). Muscle biopsy disclosed subsarcolemmal mitochondrial proliferation and ragged-red fibers (figure). Genetic testing conf...
Source: Neurology - January 25, 2016 Category: Neurology Authors: Souza, P. V. S. d., Pinto, W. B. V. d. R., Oliveira, A. S. B. Tags: MRI, Metabolic disease (inherited), Spinal cord tumor, All Epilepsy/Seizures, Mitochondrial disorders RESIDENT AND FELLOW SECTION Source Type: research
Teaching NeuroImages: Hyperintense acute reperfusion marker in ischemic stroke with transient symptoms
A 67-year-old man with 45-minute onset left hemiparesis underwent 3.0T gadolinium-enhanced MRI (reported iodine contrast allergy) with right frontoparietal small infarcts on diffusion-weighted images without vascular obstruction. No reperfusion therapy was given due to complete spontaneous symptoms regression. Twenty-four hours later, a second MRI showed right parietal CSF space enhancement on fluid-attenuated inversion recovery. Neither MRI nor CT had sign of hemorrhage (figure).
Source: Neurology - January 11, 2016 Category: Neurology Authors: Patroclo, C. B., Picanco, M. R., Bandeira, A. C. N., Carvalho, V. S. d., Bezerra, D. d. C. Tags: All Imaging, MRI, Embolism, Infarction, Subarachnoid hemorrhage RESIDENT & amp;amp; FELLOW SECTION Source Type: research
Teaching NeuroImages: Isolated peripheral facial palsy due to ipsilateral pontine infarction
A 72-year-old woman presented left peripheral facial palsy for 1 day. Neurologic examination revealed isolated left peripheral facial palsy (figure 1). She did not have additional pontomedullary symptoms or signs, such as diplopia, abduction weakness, facial sensory loss, vertigo, nystagmus, or dysarthria. A brain diffusion-weighted MRI scan showed a hyperintense signal in the left dorsal pons (figure 2) in the region of the seventh nerve nucleus. Infranuclear facial palsy with isolated facial weakness has been reported rarely, and may be misdiagnosed as Bell palsy.1,2
Source: Neurology - July 6, 2015 Category: Neurology Authors: Oh, S.-i., Kim, E.-G., Jeong, H. W., Kim, S. J. Tags: MRI, All Cerebrovascular disease/Stroke, Infarction RESIDENT AND FELLOW SECTION Source Type: research
Teaching NeuroImages: Fetal deep medullary vein thrombosis presenting as progressive intracerebral hemorrhage
A 27-year-old pregnant woman underwent ultrasonography at 36 weeks gestation, which revealed unilateral echogenic lesion (figure 1). Her previous week's scan was normal. Possibilities of intracerebral hemorrhage and neoplasm were considered. The neonate, delivered 7 days later, had seizures on day 1. The MRI revealed bilateral extensive supratentorial intracerebral hemorrhages (figure 2). The baby died 3 days later due to continuing seizures and raised intracranial pressure. The MRI was characteristic of deep medullary vein (DMV) thrombosis with secondary hemorrhagic infarction. Prothrombotic workup revealed antithrombin I...
Source: Neurology - July 6, 2015 Category: Neurology Authors: Konanki, R., Varma, D. R., Ratha, C., Lingappa, L., Shah, N. Tags: All Cerebrovascular disease/Stroke, Intracerebral hemorrhage, Cerebral venous thrombosis RESIDENT AND FELLOW SECTION Source Type: research
Teaching NeuroImages: Drug-induced parkinsonism with asymmetrical putaminal DaT binding
A 64-year-old patient developed shuffling gait and postural instability over 8 months, in parallel to risperidone intake. Examination showed symmetric parkinsonian syndrome and mild left hemiparesis with spasticity, related to right middle cerebral artery stroke 10 years before. Within 1 month of risperdone withdrawal, parkinsonism disappeared, confirming drug-induced etiology. While degenerative parkinsonism is associated with reduction in striatal dopamine transporters binding in absence of structural lesions to basal ganglia, binding in drug-induced parkinsonism is normal.1 In our case, SPECT anomaly was incidental, rel...
Source: Neurology - May 18, 2015 Category: Neurology Authors: Bridel, C., Garibotto, V. Tags: MRI, SPECT, Parkinson's disease/Parkinsonism, Basal ganglia RESIDENT AND FELLOW SECTION Source Type: research
Teaching Video NeuroImages: Movement of a paralyzed arm with yawning
A 63-year-old man presented with aphasia and right arm paralysis (Medical Research Council [MRC] grade 0), sparing the leg (video 1 on the Neurology® Web site at Neurology.org). With yawning, his right arm consistently rose to his chest (video 2). Paralysis resumed after yawning. MRI confirmed an acute ischemic stroke in the left middle cerebral artery distribution (figure). This movement ceased after 2 weeks following partial recovery of arm strength (MRC grade 4). This phenomenon, first described in the 1844, was recently coined parakinesia brachialis oscitans. It is speculated to be a release event in which damaged ...
Source: Neurology - April 20, 2015 Category: Neurology Authors: Kang, P., Dhand, A. Tags: Clinical neurology examination, All Movement Disorders, All Education, Infarction RESIDENT AND FELLOW SECTION Source Type: research
Differences in Ischaemic and Haemorrhagic Strokes in Sri Lanka: 7-year data from the Ragama Stroke Registry (P1.092)
CONCLUSIONS:Clinical and risk factor profiles were different between ICH and IS patients. Stroke severity and functional disability were higher among ICH patients. Study Supported by:Ragama Stroke Registry has been partly supported by research grants from the University of Kelaniya and Research Institute, International Medical Centre of Japan.Disclosure: Dr. Ranawaka has nothing to disclose. Dr. Peiris has nothing to disclose. Dr. Thirumavalavan has nothing to disclose. Dr. Premawansa has nothing to disclose. Dr. Kasthuriratne has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ranawaka, U., Peiris, A., Thirumavalavan, K., Premawansa, G., Kasthuriratne, A. Tags: Neuroepidemiology: Cerebrovascular Disease, Critical Care, Epilepsy, Child Neurology, and Sleep Source Type: research
Effectiveness Of A Structured Teaching Programme In Improving The Knowledge And Skills Of The Care Givers And Preventing Secondary Complications In Hospitalized Stroke Patients (P5.147)
Conclusion: The structured teaching program was effective in improving the knowledge and skill of the caregivers and decreasing the complications in the hospitalized stroke patients.Disclosure: Dr. Bhatia has nothing to disclose. Dr. Thomas has nothing to disclose. Dr. Agarwal has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bhatia, R., Thomas, A., Agarwal, M. Tags: Cerebrovascular Disease and Interventional Neurology: Quality Research and Initiatives Source Type: research
Short-Term Functional Outcome and its Predictors in a Hospital-Based Cohort of Nigerians with Acute Stroke (P5.171)
CONCLUSIONS: About 1 in 3 stroke patients in this cohort had poor functional outcome. In order to improve functional outcome and reduce the burden of stroke in Nigeria, public health education on early recognition and hospital presentation is needed. In acute stroke management, complications should be prevented while speech and language therapy should be instituted to improve functional outcome.Disclosure: Dr. Wahab has nothing to disclose. Dr. Sanya has nothing to disclose. Dr. Ademiluyi has nothing to disclose. Dr. Bello has nothing to disclose. Dr. Alaofin has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Wahab, K., Sanya, E., Ademiluyi, B., Bello, A., Alaofin, W. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Rehabilitation Source Type: research
Accessing Care for Intracerebral Hemorrhage: An Unexpected Paradox? (P3.095)
Conclusions: Our data suggest that patients arriving by private vehicle were at lower odds of having an unfavorable outcome at discharge. Although this appears to be a paradox to traditional public health teaching, in reality, we would argue that patients presenting by private car should not be directly compared to patients arriving by EMS. Future research should be cognizant of this potential pitfall in an effort to avoid reporting erroneous relationships.Disclosure: Dr. Lyerly has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Bavarsad Shahripour has nothing to disclose. Dr. Sands has nothing to disclose....
Source: Neurology - April 8, 2015 Category: Neurology Authors: Lyerly, M., Albright, K., Bavarsad Shahripour, R., Sands, K., Shiue, H., Sisson, A., Harrigan, M. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage Source Type: research
Smoker's Paradox in Hospitalizations with Acute ischemic Stroke: An Analysis of Nationwide Inpatient Sample Data (S5.006)
Conclusion: Among AIS hospitalizations in a large nationally representative database, current or previous smokers had a lower adjusted in-hospital mortality compared with non-smokers. Thus, we lay the groundwork for further in depth exploration of the association of smoking and favorable outcomes, the so-called ‘smoker’s paradox’. Disclosure: Dr. Patel has nothing to disclose. Dr. Jani has nothing to disclose. Dr. Nadkarni has nothing to disclose. Dr. dave has nothing to disclose. Dr. Mahajan has nothing to disclose. Dr. Hussain has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Patel, A., Jani, V., Nadkarni, G., Dave, M., Mahajan, A., Yassin-Kassab, M., Hussain, S. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Outcome Source Type: research
Predictors of Poor Outcome in Bacterial Meningitis: Retrospective Analysis of Nationwide Inpatient Sample (P5.046)
CONCLUSIONS: In this retrospective study, every decade increase in age, teaching hospital status and development of complications like hydrocephalus, ischemic stroke, seizures, intracranial abscess and respiratory failure were predictors of poor outcome. Every calendar year increase was a negative predictor of poor outcome. Study Supported by:Disclosure: Dr. Dharaiya has nothing to disclose. Dr. Modi has nothing to disclose. Dr. Maraka has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dharaiya, D., Modi, S., Maraka, S. Tags: Neuroepidemiology: Headache, Global Health, and Infectious Disease Source Type: research
Port Harcourt Stroke Registry: A Prospective Hospital Based Study. (P1.074)
CONCLUSION: This Stroke Registry, first of its kind from this region of Nigeria presents a handy tool to track the epidemiology of stroke in this region. It will contribute to stroke prevention by providing the evidence required to formulate policies and measures required to control identified risk factors.Disclosure: Dr. Okunoye has nothing to disclose. Dr. Asekomeh has nothing to disclose. Dr. Iyagba has nothing to disclose. Dr. Onwuchekwa has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Okunoye, C., Asekomeh, G., Iyagba, A., Onwuchekwa, A. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research
Contemporary Trends In The Ischemic Stroke "Weekend Effect" On Iv Thrombolytic Use, In-hospital Mortality, Discharge Disposition, Hospital Charges, And Length Of Stay (P6.242)
Conclusion: Admission on a weekend is a predictor of higher utilization of IVT and discharge to a long-term facility , but there was no difference in in-hospital mortality or cost.Disclosure: Dr. Jani has nothing to disclose. Dr. Lahewala has nothing to disclose. Dr. Arora has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Majid has nothing to disclose. Dr. Hussain has nothing to disclose. Dr. Razak has nothing to disclose. Dr. Safdar has nothing to disclose. Dr. Khan has nothing to disclose. Dr. Herial has nothing to disclose. Dr. Shell has nothing to disclose. Dr. Bey has nothing to disclose. Dr. Mitchell ha...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Jani, V., Lahewala, S., Arora, S., Patel, A., Majid, A., Hussain, S., Razak, A., Safdar, A., Khan, A., Herial, N., Shell, E., Bey, J., Mitchell, M., Maaz, A., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Thrombolysis Complications Source Type: research
