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Specialty: Neurology
Education: Teaching
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Total 273 results found since Jan 2013.
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
Cryptic Loss of Consciousness in a 36-Year-Old Woman Illustrative Teaching Cases
Source: Stroke - June 22, 2015 Category: Neurology Authors: Martinez Majander, N., Sinisalo, J., Sundararajan, S., Strbian, D., Putaala, J. Tags: Acute Cerebral Infarction Illustrative Teaching Cases Source Type: research
Immediate Hemorrhagic Transformation After Intravenous Tissue-Type Plasminogen Activator Injection in 2 Cocaine Users Illustrative Teaching Cases
Source: Stroke - June 22, 2015 Category: Neurology Authors: Baud, M. O., Brown, E. G., Singhal, N. S., Hemphill, J. C. Tags: Computerized tomography and Magnetic Resonance Imaging, Thrombolysis Illustrative Teaching Cases Source Type: research
Short Door-to-Needle Times in Acute Ischemic Stroke and Prospective Identification of Its Delaying Factors
Background: The clinical benefit of intravenous thrombolysis (IVT) in acute ischemic stroke is time dependent. Several studies report a short median door-to-needle time (DNT; 20 min), mainly in large tertiary referral hospitals equipped with a level 1 emergency department, a dedicated stroke team available 24/7, and on-site neuroimaging facilities. Meanwhile, in daily practice, the majority of stroke patients are admitted to secondary care hospitals, and in practice, even the generous benchmark of the American Heart Association (a DNT of 60 min in>80% of the cases) is met for a minority of patients treated with IVT. The fi...
Source: Cerebrovascular Diseases Extra - June 15, 2015 Category: Neurology Source Type: research
Acute Cerebral Infarction Presenting With Weakness in Both Legs and One Arm Illustrative Teaching Case
Source: Stroke - May 22, 2015 Category: Neurology Authors: Kumar, K., Strbian, D., Sundararajan, S. Tags: Acute Stroke Syndromes Illustrative Teaching Case 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
Early Mobilization in Ischemic Stroke: A Pilot Randomized Trial of Safety and Feasibility in a Public Hospital in Brazil
This report presents the feasibility and safety findings for the pilot phase of this trial. Methods: The primary outcomes were time to first mobilization, total duration of mobilization, complications during early mobilization, falls within 3 months, mortality within 3 months, and medical complications of immobility. We included adult patients with CT- or MRI-confirmed ischemic stroke within 48 h of symptom onset who were admitted from March to November 2012 to the acute vascular unit or general emergency unit of a large urban emergency department (ED) at the Hospital de Clínicas de Porto Alegre. The severity of the neuro...
Source: Cerebrovascular Diseases Extra - April 27, 2015 Category: Neurology Source Type: research
Acute Chest Pain and Paraparesis Illustrative Teaching Cases
Source: Stroke - April 27, 2015 Category: Neurology Authors: Raty, S., Rantanen, K., Sundararajan, S., Strbian, D. Tags: Acute Stroke Syndromes Illustrative Teaching Cases 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
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
