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Association of Dental Infections with Intracranial Atherosclerotic Stenosis
Introduction: Periodontal disease (PD) and dental caries are oral infections leading to tooth loss that are associated with atherosclerosis and cerebrovascular disease. We assessed the hypothesis that PD and caries are associated with asymptomatic intracranial atherosclerosis (ICAS) in the Atherosclerosis Risk in Communities (ARIC) study. Methods: Full-mouth clinical periodontal measurements (7-indices) collected at 6 sites per tooth from 6155 subjects from the Dental Atherosclerosis Risk in Communities Study (DARIC) without prior stroke were used to differentiate seven periodontal disease stages (PPC-I to VII) and dental...
Source: Cerebrovascular Diseases - April 28, 2023 Category: Neurology Source Type: research

How to Avoid Misdiagnosing Spontaneous Cervical Spinal Epidural Hematoma as Ischemic Stroke: 3 Case Reports and Literature Review
We reported 3 SCEH patients who were initially suspected as IS in our center between Jun 2020 and April 2022 and analyzed their clinical characteristics together with 48 patients reported in the literature from Jan 1995 to April 2022. Two of the 3 SCEH patients had neck symptoms, while none of them presented cranial nerve symptoms. Cranial computed tomography (CT) scans were negative; however, abnormal signals in the cervical spinal canal were observed during cranial computed tomography angiography (CTA) and subsequent cervical CT confirmed the diagnosis of SCEH. All of them avoid mistreatment with recombinant tissue plasm...
Source: Cerebrovascular Diseases - December 14, 2022 Category: Neurology Source Type: research

Multiparametric Neuroimaging and Its Association with Non-Contrast Computed Tomography in Late-Window Large Vessel Occlusion Acute Stroke
Conclusions: A great majority of patients who presented a LVO in the late window fulfilled guidelines imaging criteria to undergo EVT, especially those with high ASPECTS ( ≥6). Our data suggest that NCCT with CT angiography could be a reasonable approach for AIS treatment selection also in the late window.Cerebrovasc Dis
Source: Cerebrovascular Diseases - November 1, 2022 Category: Neurology Source Type: research

Localized Elevation of Wall Shear Stress Is Linked to Recent Symptoms in Patients with Carotid Stenosis
Conclusions: Patients with carotid artery stenosis are more likely to experience acute ischemic cerebrovascular accidents if they have higher WSS. Simultaneous assessment with hemodynamic parameters like WSS along with stenosis severity may aid risk stratification in patients with asymptomatic carotid artery stenosis.Cerebrovasc Dis
Source: Cerebrovascular Diseases - October 21, 2022 Category: Neurology Source Type: research

Clinical Predictors for Early Mortality of Patients with Acute Basilar Artery Occlusion
Conclusions: Recanalization failure, herniation, gastrointestinal hemorrhage, and pneumonia are potentially modifiable risk factors for early mortality in basilar artery occlusion.Cerebrovasc Dis
Source: Cerebrovascular Diseases - October 11, 2022 Category: Neurology Source Type: research

Significance of Low Signal in Intracranial Vertebral Artery Wall Observed on Susceptibility-Weighted Angiography
Conclusion: Low signals on susceptibility-weighted angiography were frequently observed in vertebral artery dissection and atherothrombosis, reflecting intramural hematoma in all of the former and predominantly calcification in the latter.Cerebrovasc Dis
Source: Cerebrovascular Diseases - July 6, 2022 Category: Neurology Source Type: research

Temporal Trend of Transient Ischemic Attack Management over a 10-Year Period: Data from the Rh ône County, France
Conclusion: Our study demonstrated an increasing rate of adequate TIA management, mainly driven by a marked increase of vessel imaging within 24 h of admission, over a 10-year period in the Rh ône county in France.Cerebrovasc Dis
Source: Cerebrovascular Diseases - March 29, 2022 Category: Neurology Source Type: research

Radiomics versus Conventional Assessment to Identify Symptomatic Participants at Carotid Computed Tomography Angiography
Conclusion: Radiomics-based ML analysis improves the discriminatory power of carotid CTA in the identification of recent ischemic symptoms in patients with carotid artery atherosclerosis.Cerebrovasc Dis
Source: Cerebrovascular Diseases - March 8, 2022 Category: Neurology Source Type: research

ASPECTS-Based Attenuation Changes on CT Angiography as an Imaging Biomarker to Predict Hemorrhagic Transformation in Acute Ischemic Stroke
Conclusion: CTASI-ASPECTS-HU is a reliable radiological predictor of HT and PH in patients with AIS. Its predictive efficacy is moderately improved when combined with NIHSS score.Cerebrovasc Dis
Source: Cerebrovascular Diseases - January 4, 2022 Category: Neurology Source Type: research

Association of Multiple Passes during Mechanical Thrombectomy with Incomplete Reperfusion and Lesion Growth
Conclusions: Our findings suggest that incomplete reperfusion on post-EVT MRI is present even in some patients with successful recanalization at the time of EVT and is associated with multiple-pass thrombectomy, lesion growth, and worse outcome. Future studies are needed to investigate whether patients with residual hypoperfusion may benefit from immediate adjunctive therapy to limit lesion growth and improve clinical outcome.Cerebrovasc Dis
Source: Cerebrovascular Diseases - December 13, 2021 Category: Neurology Source Type: research

Automated Large Artery Occlusion Detection in Stroke: A Single-Center Validation Study of an Artificial Intelligence Algorithm
Conclusion: Automated AI reading allows for fast and accurate identification of LVO strokes with timely notification to emergency teams, enabling quick decision-making for reperfusion therapies or transfer to specialized centers if needed.Cerebrovasc Dis
Source: Cerebrovascular Diseases - October 28, 2021 Category: Neurology Source Type: research

Spontaneous Spinal Epidural Hematoma Mimicking Stroke and Its Outcome post Intravenous Thrombolysis
Conclusions: Though a rare disease, awareness toward SSEH presenting as stroke mimic should be raised.Cerebrovasc Dis
Source: Cerebrovascular Diseases - September 15, 2021 Category: Neurology Source Type: research

High Triglyceride Glucose Index Is Associated with Poor Outcomes in Ischemic Stroke Patients after Reperfusion Therapy
Conclusions: IR, represented by a high TyG index, may predict poor 3-month functional outcomes in patients with AIS who undergo reperfusion therapy.Cerebrovasc Dis
Source: Cerebrovascular Diseases - July 6, 2021 Category: Neurology Source Type: research

Renal Dysfunction Is Associated with Middle Cerebral Artery Pulsatility Index and Total Burden of Cerebral Small Vessel Disease
Conclusions: Renal dysfunction is independently associated with a high PI of MCA. Renal dysfunction leads to systemic arterial stiffness including stiffness in cerebral arteries, thus increasing the burden of cSVD. Therefore, noninvasive screening for high PI by TCD in kidney failure patients might be helpful.Cerebrovasc Dis
Source: Cerebrovascular Diseases - July 1, 2021 Category: Neurology Source Type: research

Real-World Field Performance of the Los Angeles Motor Scale as a Large Vessel Occlusion Screen: A Prospective Muticentre Study
Conclusions: This real-world field study validates the LAMS as an effective tool for prehospital assessment of suspected strokes in determining transport decisions, with predictive validity for interventions performed.Cerebrovasc Dis
Source: Cerebrovascular Diseases - May 18, 2021 Category: Neurology Source Type: research

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