Filtered By:
Source: Neurology
Procedure: Dialysis

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 18 results found since Jan 2013.

In-Hospital Mechanisms of Stroke in Patients on Hemodialysis: A 10-Year Retrospective Study (P6.044)
Conclusions: Cardioembolism is the commonest mechanism of in-hospital strokes in patients with ESRD on HD. Atrial fibrillation and infective endocarditis are likely sources of embolism. Further large scale studies should be directed towards stroke prevention in this population.Disclosure: Dr. Sachar has nothing to disclose. Dr. Sunbulli has nothing to disclose. Dr. Rajamani has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sachar, P., Sunbulli, M., Rajamani, K. Tags: In-Hospital Stroke and Stroke Complications Source Type: research

Outcomes of Thrombolytic Treatment for Acute Ischemic Stroke in Dialysis Dependant Patients in the United States (S02.003)
CONCLUSIONS: The three fold higher odds of in-hospital mortality associated with administration of IV thrombolytics in dialysis dependant patients who present with acute ischemic stroke warrants a careful assessment of risk benefit ratio in this population.Disclosure: Dr. Adil has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Irfan has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. ATACH Investigators has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Tariq, N., Adil, M., Irfan, M., Chaudhry, S., Qureshi, A. Tags: S02 Acute Stroke Therapy Source Type: research

Procedure- Related and Perioperative Strokes in Patients on Hemodialysis: A 10-Year Retrospective Study (P6.046)
Conclusion: Peri-procedural and peri-operative strokes are common in patients on Hemodialysis and highest risk is in the period soon after the procedure. Further studies should be directed towards better surgical risk stratification and stroke prevention pre-operatively in these patients.Disclosure: Dr. Sunbulli has nothing to disclose. Dr. Sachar has nothing to disclose. Dr. Rajamani has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sunbulli, M., Sachar, P., Rajamani, K. Tags: In-Hospital Stroke and Stroke Complications Source Type: research

Is It Possible to Treat "Stroke-Like Symptoms" with Hemodialysis? (P4.390)
CONCLUSIONS • Diabetic patients with ESRD on HD can present with stroke-like symptoms associated with bilateral basal ganglia hypoattenuation . This presentation can be confused initially with a stroke. • Brain imaging can assist with making the diagnosis. The clinical presentation in our cases included slurred speech, ataxia, and bilateral lower extremity weakness. • Hemodialysis leaded to clinical improvement.Disclosure: Dr. Rodriguez Alvarez has nothing to disclose. Dr. Pillai has nothing to disclose. Dr. Gomez has nothing to disclose. Dr. Avagyan has nothing to disclose. Dr. Gold has nothing to disclose....
Source: Neurology - April 3, 2016 Category: Neurology Authors: Rodriguez Alvarez, M., Pillai, A., Gomez, E., Avagyan, A., Gold, M., Sternman, D., Thompson, L. Tags: General Neurology: Vascular Disease and Imaging Source Type: research

Variables affecting Stroke Outcome for TPA received between 3 to 4.5 hours (P2.301)
Conclusions: Age, NIHSS and renal dysfunction were significantly associated with worse outcome in patients who had received t-PA between 3 to 4.5 hours. Our findings were consistent but more robust than previous studies showing poorer outcome with renal dysfunction (Meta-analysis OR1.06 NS). After controlling for age and NIHSS, diabetes or hypertension did not additionally contribute to poor outcome. Prognostic and risk stratification scales are useful as predictors of outcome but do not imply efficacy of t-PA therapy or lack thereof.Disclosure: Dr. Yeo has nothing to disclose. Dr. McCane has nothing to disclose. Dr. Katz ...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Yeo, C., McCane, D., Katz, L., Ling, K., Capetillo, A., Bledsoe, D., Chiu, D. Tags: Acute Therapy: IV t-PA Source Type: research

Obesity Paradox in Patients Hospitalized for Acute Ischemic Stroke: An Analysis of Nationwide Inpatient Sample Data (S47.008)
Conclusions: Among patients hospitalized for AIS, obese patients had lower risk adjusted in-hospital mortality. Similar trend persisted among IV-tpa and non IV-tpa group. The association of obesity and better prognosis, also known as the "obesity paradox" holds true for AIS. This is the first study of its kind on the largest all payer database. However, further studies are required to establish causal relationship for this phenomenon.Disclosure: Dr. Lunagariya has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Savani has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Jani has nothing to disclose. ...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Lunagariya, A., Patel, A., Savani, C., Patel, U., Jani, V., Hussain, S., Mehta, S. Tags: IV-tPA and Endovascular Therapy Source Type: research

Spinal ischemic stroke following dialysis: clinical and radiologic findings
Spinal cord ischemia (SCI) is a relatively common cause of noncompressive myelopathy.1 SCI frequently involves the thoracic or lumbar cord manifesting as acute painful paraparesis but may also involve the posterior columns and autonomic fibers.2 Most infarcts affect the central parts of the anterior spinal artery supply.2–4 Outcome depends on the initial severity of the neurologic deficits and may be surprisingly benign especially if proprioception remains intact.1,2 Because hypoperfusion may cause SCI,5,6 our goal was to describe SCI as a potential complication of hemodialysis-associated hypoperfusion.
Source: Neurology - February 25, 2013 Category: Neurology Authors: Honig, A., Gomori, J. M., Schneider, R., Makranz, C., Leker, R. R. Tags: All Medical/Systemic disease, All Cerebrovascular disease/Stroke, All Spinal Cord, Spinal cord infarction, Infarction CLINICAL/SCIENTIFIC NOTES Source Type: research

Teaching NeuroImages: Eagle syndrome: Cerebrovascular complications
A 70-year-old man developed acute onset of aphasia and right-sided hemiplegia in the setting of mild hypotension after hemodialysis. Brain MRI (figure, D and E) revealed diffusion restriction in the left anterior and middle cerebral artery territories. Brain CT (figure, A–C) was significant for an elongated styloid process causing mild compression of the left internal carotid artery. A comprehensive workup for stroke etiology was otherwise unremarkable.
Source: Neurology - July 10, 2016 Category: Neurology Authors: Kavi, T., Lahiri, S. Tags: CT, MRI, All Cerebrovascular disease/Stroke, All Neurotology, Critical care RESIDENT AND FELLOW SECTION Source Type: research

Serpiginous cranial arterial calcification in uremia
A 65-year-old man with chronic kidney disease (CKD) on hemodialysis presented with a subcortical stroke. Unenhanced CT scan of the brain revealed widespread arterial calcification, notably involving the carotid siphons (figure 1) and external carotid artery branches (figure 2, A and B). Vascular calcification in CKD closely resembles ossification, and may involve the intima (as in atherosclerosis) or more commonly the media.1 Both patterns of calcification are associated with increased cardiovascular mortality, though no specific treatment has been shown to modify this risk.2 This example is particularly striking for the s...
Source: Neurology - October 2, 2017 Category: Neurology Authors: Shamy, M. C., Yogendrakumar, V., Iancu, D., Bourque, P. R. Tags: CT, All Medical/Systemic disease, All Cerebrovascular disease/Stroke NEUROIMAGES Source Type: research

Prevalence and Etiology of Acute Ischemic Events During Hemodialysis (P1.076)
CONCLUSIONS: Over a third of stroke patients with ESRD/HD admitted over the study period had onset of ischemia during or shortly after HD. While clinicians may be tempted to dismiss neurologic changes after HD to metabolic etiologies, they should also be aware the HD represents a period of elevated risk for acute ischemia.Disclosure: Dr. Cherian has nothing to disclose. Dr. Conners has nothing to disclose. Dr. Cutting has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Song has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Cherian, L., Conners, J., Cutting, S., Lee, V., Song, S. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Strategy to a 5 Minute Door to Needle Time (S5.005)
CONCLUSIONS:Our experience suggests that the "Target: Stroke" strategies (EMS initiation of stroke codes, rapid triage, rt-PA before labs), SMART criteria, and three question tool to predict abnormal coagulation can significantly reduce the time to thrombolysis. However, a multi-disciplinary team, educated and dedicated to providing rapid ischemic stroke treatment, and the development of a culture in which faster treatment is a goal, is a factor that’s impact cannot be measured.Study Supported by:Disclosure: Dr. Parker has nothing to disclose. Dr. Swanson-Devlin has nothing to disclose. Dr. Jahnel has received person...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Parker, S., Swanson-Devlin, T., Jahnel, J., McNeil, C., Talkad, A., Beck, J., Nair, D., Wang, D. Tags: Cerebrovascular Disease and Interventional Neurology: Pre-hospital, Telemedicine, and Related Topics Source Type: research

Racial Differences and Outcomes of Strokes in Patients on Hemodialysis: A 10-Year Retrospective Study (P1.081)
CONCLUSIONS: AIS was a common complication in HD patients affecting LOS as well as mortality. African Americans patients were younger compared to Caucasians, who had higher incidence of atrial fibrillation. Overall mortality was high and infections were an independent predictor of mortality in HD patients with stroke. Study Supported by: NoneDisclosure: Dr. Sunbulli has nothing to disclose. Dr. Dhakar has nothing to disclose. Dr. Rajamani has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sunbulli, M., Dhakar, M., Rajamani, K. Tags: Neuroepidemiology: Cerebrovascular Disease Source Type: research

Retrograde Thromboembolism to Basilar Artery During Arteriovenous Graft Thrombectomy (P4.353)
Conclusion: This case suggests that the use of thrombectomy devices that alter hydrodynamics within the arterial circulation can result in retrograde emboli and stroke. Rapid treatment of ischemic strokes can minimize long-term morbidity and mortality.Disclosure: Dr. Salahuddin has nothing to disclose. Dr. Jumaa has nothing to disclose. Dr. Tietjen holds stock and/or stock options in Johnson & Johnson and Stryker. Dr. Zaidi has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Salahuddin, H., Jumaa, M., Tietjen, G., Zaidi, S. Tags: Cerebrovascular Case Reports Source Type: research

Frequency of and risk factors for poor cognitive performance in hemodialysis patients
Conclusions: There is a high frequency of poor cognitive performance in hemodialysis patients, primarily affecting executive function. Risk factors for worse executive function include vascular risk factors as well as vascular disease. Normal performance on the MMSE does not preclude impaired cognitive function, because individuals with MMSE score ≥24 also have a high frequency of poor cognitive performance.
Source: Neurology - January 28, 2013 Category: Neurology Authors: Sarnak, M. J., Tighiouart, H., Scott, T. M., Lou, K. V., Sorensen, E. P., Giang, L. M., Drew, D. A., Shaffi, K., Strom, J. A., Singh, A. K., Weiner, D. E. Tags: All Cerebrovascular disease/Stroke, Memory, Neuropsychological assessment, Executive function ARTICLE Source Type: research

Lacunar Infarct Presenting Like Axillary Nerve Lesion: A Case Report (P6.250)
Conclusion: Our case was thought like an axillary nerve lession primarily as a result of history and physical examination. But after the tests our diagnosis was an infarct. We can’t find affected only proximal upper extremities like axillary nerve lesion in the literature. We want to point to lacuner infarct that can be presented like peripheral nerve lesion.Disclosure: Dr. Oz has nothing to disclose. Dr. Tasdemir has nothing to disclose. Dr. Akgun has nothing to disclose. Dr. Alay has nothing to disclose. Dr. Cetiz has nothing to disclose. Dr. Odabasi has nothing to disclose. Dr. Demirkaya has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Oz, O., Tasdemir, S., Akgun, H., Alay, S., Cetiz, A., Odabasi, Z., Demirkaya, S. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research