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Total 127 results found since Jan 2013.

Mycoplasma pneumoniae infection presenting as stroke and meningoencephalitis with aortic and subclavian aneurysms without pulmonary involvement- a rare case report (P5.122)
Conclusion Mycoplasma infection should be considered in patients presenting with fever, aseptic meningitis and stoke even in absence of respiratory symptoms. Early detection and treatment with appropriate antibiotics offers excellent outcome.Disclosure: Dr. Inshasi has nothing to disclose. Dr. Sarathchandran has nothing to disclose. Dr. Almadani has nothing to disclose. Dr. Alrukn has nothing to disclose. Dr. Alboudi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Inshasi, J., Sarathchandran, P., Almadani, A., Alrukn, S., Alboudi, A. Tags: Ischemia, Myelitis, and Vascular Malformations Source Type: research

Carotid spot sign: an early marker of carotid artery injury (P5.162)
Conclusion TBI patients need prompt evaluation for TVI. A hyperdense artery sign is an early indicator of TVI in patients with otherwise normal CT and non-focal exam.Disclosure: Dr. Gyang has nothing to disclose. Dr. Latorre has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Gyang, T., Latorre, J. Tags: Cerebrovascular Disease and Interventional Neurology: Dissection Source Type: research

Predictors of hematoma volume in the patients treated with intravenous alteplase (P4.297)
CONCLUSIONS: Hematoma volume is related with short and long-term clinical outcomes. Atrial fibrillation and early CT changes are independent predictors of large hematoma volume.Disclosure: Dr. Heo has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Hwang has nothing to disclose. Dr. Chang has nothing to disclose. Dr. Bu has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Heo, S. H., Lee, J. H., Lee, D., Hwang, K. J., Chang, D.-I., Bu, S. H., Song, J. M., Woo, H.-G. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Treatment Source Type: research

Correlation between Flat Panel Computed Tomography and Conventional Computed tomography for Detection of Post Endovascular Treatment Hemorrhages. (P4.300)
Conclusion: Flat-panel CT head scan seems to be a comparable and more practical alternative to post procedural standard CT scans in patients undergoing endovascular treatment for acute ischemic stroke.Disclosure: Dr. Khan has nothing to disclose. Dr. Payabvash has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Saeed has nothing to disclose. Dr. Suri has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Khan, A., Payabvash, S., Qureshi, M., Saeed, O., Suri, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

"Reverse Locked-in Syndrome": A rare presentation after endovascular recanalization of top-of-the-basilar artery occlusion (P4.302)
CONCLUSION: Complete opthalmoplegia, bilateral ptosis, and arreactive mydriasis without appendicular motor dysfunction, a "reverse locked-in" state, is a rare presentation after ischemic stroke involving the paramedian midbrain tegmentum. This syndrome is the opposite of locked-in syndrome, which is cause by ventral pontine infarction. Timely endovascular thrombectomy, even when a patient presents in coma, may offer dramatic recovery with good functional outcome.Disclosure: Dr. Raibagkar has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Kaplan has nothing to disclose. Dr. Chavali has nothing to disclose. Dr. Ni...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Raibagkar, P., Kim, J., Kaplan, T., Chavali, R., Nitka, M., Chou, S., Edlow, B. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

Significance of Periclot MMP-9 in Ischemic Stroke Patients Undergoing Intra-arterial Interventions (P4.303)
CONCLUSIONS: Decreased periclot MMP-9 may be predictive of HT after ischemic stroke, contrasting with previous work demonstrating elevated peripheral MMP-9 as predictive of HT. Increased periclot MCP-4 and angiogenin expression, as well as decreased numbers of circulating monocytes, may serve as additional predictive markers of HT. Future work should measure the activity of periclot MMP-9. Study Supported by: Shimojani, LLC and NIH (DJ).Disclosure: Dr. Song has nothing to disclose. Dr. Prager has nothing to disclose. Dr. Brennan has nothing to disclose. Dr. Uchino has nothing to disclose. Dr. Hussain has nothing to disclos...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Song, A., Prager, B., Brennan, C., Uchino, K., Hussain, M., Rasmussen, P., Janigro, D. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

Why are most stroke patients deemed poor candidates for intraaterial therapy? A prospective study (P4.306)
Conclusion: The majority of patients presenting to a large tertiary referral center with AIS due to a large vessel occlusion were found to be poor IA candidates, with more than half excluded for a single reason. Such data addressing the volume and proportion of patients found ineligible for IA therapy in real-world practice can help target efforts to develop new interventional options and improve future clinical trial design.Disclosure: Dr. Damania has nothing to disclose. Dr. Noto has nothing to disclose. Dr. Kung has nothing to disclose. Dr. Liew has nothing to disclose. Dr. Finley has nothing to disclose. Dr. Mangla has...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Damania, D., Noto, A., Kung, N., Liew, J., Finley, H., Mangla, R., Miranpuri, A., Sahin, B., Jahromi, B. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

Rate of Peri-Hematomal Edema Expansion Predicts Outcome after Intracerebral Hemorrhage (S39.005)
CONCLUSIONS: PHE expansion rate predicts outcome in ICH and may represent a novel therapeutic target. Study Supported by: NIH-K12-NS049453 (LB); NINDS K23NS076597 (WTK); Leon Rosenberg, MD Medical Student Research Fund in Genetics, Yale School of Medicine; 2014 Student Scholarship in Cerebrovascular Disease and Stroke, AHA Stroke Council (SU)Disclosure: Dr. Urday has nothing to disclose. Dr. Beslow has nothing to disclose. Dr. Goldstein has nothing to disclose. Dr. Dai has nothing to disclose. Dr. Zhang has nothing to disclose. Dr. Vashkevich has received research support from the National Institutes of Health. Dr. Ayres h...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Urday, S., Beslow, L., Goldstein, D., Dai, F., Zhang, F., Vashkevich, A., Ayres, A., Battey, T., Simard, M., Rosand, J., Kimberly, W., Sheth, K. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage Source Type: research

PDSA Cycle and Implementation of World-wide Best Practices to Achieve Faster Door to Needle (P7.328)
Conclusions We successfully created a delivery model of faster iv tpa with concerted efforts and implementation across multiple disciplines and departments. Further work for other DTN metrics are in place using the same infrastructure.Disclosure: Dr. Tai has nothing to disclose. Dr. Casal has nothing to disclose. Dr. Baumann has nothing to disclose. Dr. Marsh has nothing to disclose. Dr. Albers has received personal compensation for activities with Genentech, Inc. and Lundbeck Research USA, Inc. as an advisor.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Tai, W., Casal, S., Baumann, J., Marsh, D., Albers, G. Tags: Practice, Policy, and Ethics Source Type: research

Nationwide Patterns of Magnetic Resonance Imaging Utilization among Stroke and Transient Ischemic Attack Patients in the Emergency Department (P2.309)
CONCLUSIONS: Nationwide patterns of MRI utilization among ischemic stroke and TIA patients demonstrate variations given an urban vs. rural setting and the patient’s triage status. These results characterize factors associated with MRI use in the ED and may guide efforts in better understanding MRI use in EDs among ischemic stroke and TIA patients on a nationwide basis.Disclosure: Dr. Ng has nothing to disclose. Dr. Fu has nothing to disclose. Dr. He has nothing to disclose. Dr. Cen has nothing to disclose. Dr. Mack has nothing to disclose. Dr. Liebeskind has received personal compensation for activities with Stryker ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ng, A., Fu, K., He, S., Cen, S., Mack, W., Liebeskind, D., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research

Volumetric Measurements of Cytotoxic and Vasogenic Edema Following Traumatic Brain Injury Using Magnetic Resonance Imaging (P7.156)
CONCLUSIONS: While edema over the first week after TBI is primarily vasogenic, cytotoxic edema makes a significant contribution, as well. Cytotoxic edema peaks around 3-4 days post-injury, while vasogenic edema peaks around 6-7 days post-injury. This data may be informative for the design of clinical trials of drugs targeting post-traumatic edema. Study Supported by: Center for Neuroscience and Regenerative Medicine and the National Institute of Neurological Disorders and Stroke.Disclosure: Dr. Stephens has nothing to disclose. Dr. Spessert has nothing to disclose. Dr. Knaysi has nothing to disclose. Dr. Cota has nothing t...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Stephens, B., Spessert, E., Knaysi, G., Cota, M., Latour, L., Diaz-Arrastia, R. Tags: Neuro Trauma, Critical Care, and Sports Neurology Source Type: research

Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit (S21.001)
CONCLUSIONS: The Houston MSU is enrolling patients into a randomized protocol.Disclosure: Dr. Grotta has received personal compensation for activities with Lundbeck Research USA, Inc., Frazer Healthcare, Specialists on Call Inc., Haemonetics, Genentech, and Covidien.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Grotta, J. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

Pre-hospital imaging and thrombolysis in acute stroke in an urban US setting: results of the Cleveland Pre-Hospital Acute Stroke Treatment (PHAST) study group. (S21.002)
CONCLUSIONS: Close to a fifth of patients received acute stroke treatment on MSTU. These findings demonstrate the successful reduction in time to diagnosis and treatment of acute stroke patients using a MSTU. Study Supported by:Disclosure: Dr. Briggs has nothing to disclose. Dr. Taqui has nothing to disclose. Dr. Cerejo has nothing to disclose. Dr. Itrat has nothing to disclose. Dr. Donohue has nothing to disclose. Dr. Organek has nothing to disclose. Dr. Buletko has nothing to disclose. Dr. Sheikhi has nothing to disclose. Dr. Buttrick has nothing to disclose. Dr. Khawaja has nothing to disclose. Dr. Wisco has nothing to ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Briggs, F., Taqui, A., Cerejo, R., Itrat, A., Donohue, M., Organek, N., Buletko, A., Sheikhi, L., Buttrick, M., Khawaja, Z., Wisco, D., Winners, S., Reimer, A., Frontera, J., Manno, E., Hustey, F., Kralovic, D., Peter, R., Hussain, M., Uchino, K. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

A Door-to-Needle Time Under 30 Minutes Can Be Achieved and Can Improve Functional Outcomes (S21.004)
CONCLUSIONS:Streamlining the initial evaluation process for suspected AIS patients can reduce DTN times, and was also associated with improvements in functional outcomes at discharge. There was no change in sICH rates.Disclosure: Dr. Whaley has nothing to disclose. Dr. Caputo has nothing to disclose. Dr. Kozlowski has nothing to disclose. Dr. Fanale has received personal compensation for activities with Genentech, Inc. as a speaker. Dr. Wagner has received personal compensation for activities with Genentech, Inc. Dr. Bar-Or has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Whaley, M., Caputo, L., Kozlowski, M., Fanale, C., Wagner, J., Bar-Or, D. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

Teaching NeuroImages: Cortical blindness following acute obstructive hydrocephalus by a colloid cyst
A 46-year-old woman was admitted for acute headache, postseizure confusion, and visual loss. Urgent head CT scan showed obstructive hydrocephalus due to a colloid cyst (figure 1). External ventricular drains inserted emergently demonstrated CSF under pressure, above 40 mm H2O. MRI confirmed the suspected diagnosis of a colloid cyst and highlighted bilateral occipital lobe infarcts (figure 2). CT angiography showed no thrombosis of the posterior cerebral arteries (PCAs). After neurosurgical excision of the colloid cyst, the patient remained blind. The presumed mechanism of infarction was acute compression of the PCAs agains...
Source: Neurology - February 9, 2015 Category: Neurology Authors: Champeaux, C., Grivas, A. Tags: Hydrocephalus, Stroke in young adults, MRI, Clinical neurology examination, Visual loss RESIDENT AND FELLOW SECTION Source Type: research