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Specialty: Neurology
Source: Neurology Clinical Practice

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Total 200 results found since Jan 2013.

Sequential Gaze-Shifting Approach to Reconstruct Self-portrait and Daily Activities in Hemispatial Neglect After Stroke: A Case Report
Discussion The effects of existing rehabilitation approaches can be difficult to generalize and apply to the performance of each individual ADL in patients with hemispatial neglect after stroke. Sequential gaze shifting may be a viable compensation strategy in directing attention to the neglected space and restoring the ability to perform each ADL.
Source: Neurology Clinical Practice - January 17, 2023 Category: Neurology Authors: Takaya, S., Kato, T. Tags: Clinical/Scientific Note Source Type: research

Practice Current: Variability in Smoking Cessation Intervention Practice Patterns After Ischemic Stroke and Transient Ischemic Attack
People who continue to smoke after ischemic stroke and transient ischemic attack (TIA) are at increased risk for subsequent stroke and cardiovascular events. Although effective smoking cessation strategies exist, smoking rates after stroke remain high. Through case-based discussions with 3 international vascular neurology panelists, this article seeks to explore practice patterns and barriers to smoking cessation for patients with stroke/TIA. We sought to answer these questions: What are the barriers to using smoking cessation interventions for patients with stroke/TIA? Which interventions are most used for hospitalized pa...
Source: Neurology Clinical Practice - January 17, 2023 Category: Neurology Authors: Ganesh, A., Parikh, N. S., Restifo, D., Ganesh, A., Kamel, H. Tags: Commentary Source Type: research

Acute Symptomatic Seizure Associated With Chronic Antiseizure Medication Use After Stroke
Discussion Chronic ASM use is highly associated with electrographic, rather than convulsive, ASyS. However, long-term ASM use is independently associated with PSE and its risk factors, including convulsive ASyS. With the ubiquity of stroke-related ASyS concerns in routine clinical practice, comparative effectiveness studies to guide ASM management are needed.
Source: Neurology Clinical Practice - December 13, 2022 Category: Neurology Authors: Byrnes, M., Chandan, P., Newey, C., Hantus, S., Punia, V. Tags: Research Article Source Type: research

Inpatient Teleneurology Follow-up Has Comparable Outcomes to In-Person Neurology Follow-up
Discussion Teleneurology follow-up resulted in comparable outcomes to in-person neurology follow-up, with few transfers after admission. For select neurology and ischemic stroke patients, teleneurology follow-up provides an alternative to transfer for hospitals lacking neurology coverage.
Source: Neurology Clinical Practice - December 13, 2022 Category: Neurology Authors: Zha, A. M., Trevino, A. D., Ankrom, C. M., Chu, K. M., Joseph, M. M., Patni, T., Cossey, T. D., Savitz, S. I., Wu, T.-C., Jagolino-Cole, A. Tags: Research Article Source Type: research

Single-Center Description of Therapeutic Anticoagulation Practices and Outcomes in Large Hemispheric Infarctions
Discussion Although radiographic HT is common among patients with LHI, it does not always portend symptomatic clinical deterioration. Further research regarding AC timing and safety is necessary.
Source: Neurology Clinical Practice - December 13, 2022 Category: Neurology Authors: Breit, H., Sterenstein, A., Abburi, N., Song, S., John, S., Da Silva, I., Koffman, L. Tags: Research Article Source Type: research

Consensus Statement on Visual Rehabilitation in Mild Traumatic Brain Injury
Optometric visual rehabilitation therapy has been used for a variety of visual disorders. Descriptively named entities such as posttrauma visual syndrome, visual midline shift syndrome, and vertical heterophoria syndrome are frequently diagnosed by neuro-optometrists and/or behavioral optometrists in patients after stroke or head injury or in the setting of dizziness and/or headache. The scientific underpinnings of these diagnoses and treatments are weak, and published clinical studies comprise case reports and case series without comparison to control populations. Neuro-ophthalmologists are frequently questioned by patien...
Source: Neurology Clinical Practice - December 13, 2022 Category: Neurology Authors: Subramanian, P. S., Barton, J. J. S., Ranalli, P., Smith, C., Francis, C. E., Frishberg, B. Tags: Commentary Source Type: research

Risk Factors for New Neurologic Diagnoses in Hospitalized Patients With COVID-19: A Case-Control Study in New York City
Discussion Hospitalized patients with SARS-CoV-2 and new neurologic diagnoses have significant morbidity and mortality postdischarge. Further research is needed to define the effect of neurologic diagnoses during acute hospitalization on longitudinal post-COVID-19–related symptoms including neurocognitive impairment.
Source: Neurology Clinical Practice - August 9, 2022 Category: Neurology Authors: Thakur, K. T., Chu, V. T., Hughes, C., Kim, C. Y., Fleck-Derderian, S., Barrett, C. E., Matthews, E., Balbi, A., Bilski, A., Chomba, M., Lieberman, O., Jacobson, S. D., Agarwal, S., Roh, D., Park, S., Ssonko, V., Silver, W. G., Vargas, W. D., Geneslaw, A. Tags: Research Article Source Type: research

Cervical Artery Dissection in Young Women: Risk of Recurrence During Subsequent Pregnancies
Conclusion In this study, there were no CAD recurrences during subsequent pregnancies or postpartum, irrespective of the type of delivery. Thus, pregnancy after a history of CAD appears to be safe.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Assif, M., Lamy, C., De Gaalon, S., Caroit, Y., Bourcier, R., Preterre, C., Guillon, B. Tags: Stroke in young adults, Carotid artery dissection Research Source Type: research

Sex Differences in the Risk of 30-Day Death After Acute Ischemic Stroke
Conclusions When adjusting for confounders, the female sex was associated with a lower risk of 30-day death after stroke, which could be explained by a female survival advantage in poststroke infections. Sex-specific strategies are needed to reduce early stroke deaths. Classification of Evidence This is a Class I prognostic study because it is a prospective population-based cohort with objective outcomes. Female sex appears to be protective against early stroke deaths and post stroke infections.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Irie, F., Matsuo, R., Nakamura, K., Wakisaka, Y., Ago, T., Kamouchi, M., Kitazono, T., on behalf of the Fukuoka Stroke Registry Investigators, on behalf of the Fukuoka Stroke Registry Investigators Tags: Class I, Inclusion, Diversity, Equity, Anti-racism, and Social Justice (IDEAS), Infarction Research Source Type: research

Aspiration Pneumonia in Adults Hospitalized With Stroke at a Large Academic Hospital in Zambia
Discussion PSAP is common and life threatening in Zambia, especially among older participants with severe stroke presentations. PSAP was associated with significantly increased mortality independent of initial stroke severity, suggesting that interventions to mitigate PSAP may improve stroke outcomes in Zambia and other resource-limited settings.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Prust, M. L., Nutakki, A., Habanyama, G., Chishimba, L., Chomba, M., Mataa, M., Yumbe, K., Zimba, S., Gottesman, R. F., Bahouth, M. N., Saylor, D. R. Tags: All Cerebrovascular disease/Stroke, All global neurology Research Source Type: research

Improved Cognitive Function in the Tromso Study in Norway From 2001 to 2016
Discussion Cognitive results were better in more recent-born birth cohorts compared with earlier born, assessed at the same age. The improvement was present in all cognitive domains, suggesting an overall improvement in cognitive performance. The 80-year-olds assessed in 2015–2016 performed like 60-year-olds assessed in 2001. The improved scores were associated with increased education level, increase in modest drinking frequency, increased physical activity, and, for men, smoking cessation and increased height.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Johnsen, B., Strand, B. H., Martinaityte, I., Mathiesen, E. B., Schirmer, H. Tags: Intelligence, Cognitive aging, Cognitive neuropsychology in dementia, Cohort studies, Risk factors in epidemiology Research Source Type: research

Early Experience With Tenecteplase at a Comprehensive Stroke Center
Purpose of Review Tenecteplase has been studied and recommended as an alternative thrombolytic agent in patients with acute stroke. A brief review of clinical trials and guidelines pertinent to our clinical decision algorithm is described. This is followed by operational steps that were made to create and implement a clinical pathway based on available evidence in which tenecteplase is used in select patients with stroke at our comprehensive stroke center. Recent Findings A number of patients have been treated at our center with IV tenecteplase. A case is presented to illustrate the successful implementation of this new p...
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Panezai, S., Dubinsky, I., Sahito, S., Gadallah, N., Suhan, L., Mehta, S., Kirmani, J. Tags: Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke, Infarction Review Source Type: research

Administration of Recombinant Tissue Plasminogen Activator for Sulcal Artery Syndrome
The use of rtPA can result in clinical improvement in symptoms from spinal cord infarction. Spinal cord infarction is a rare type of ischemic stroke and often an elusive diagnosis. The study of recombinant tissue plasminogen activator (rtPA) in spinal cord infarction has been limited due to the rarity of this condition. Here, we present the case of an adult man with spinal cord infarction in a sulcal artery distribution who clinically improved following rtPA administration.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Lawson, E. C., Hu, R., Silver, M., Greene, J. G. Tags: All Cerebrovascular disease/Stroke, All Spinal Cord, Spinal cord infarction, Infarction Case Source Type: research

Preserved Cognition After Right Hemispherectomy
Consider the potential for the perseveration of cognitive function after complete right hemispherectomy in a previously healthy adult.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Bowren, M., Tranel, D., Boes, A. D. Tags: MRI, All Neuropsychology/Behavior, All Cerebrovascular disease/Stroke, Neuropsychological assessment Case Source Type: research

Spontaneous Heparin-Induced Thrombocytopenia Presenting as Acute Ischemic Stroke
Consider spontaneous heparin-induced thrombocytopenia in the differential diagnosis of a patient presenting with acute ischemic stroke in the setting of thrombocytopenia.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Becker, C. J., Heston, A. L., Carrera, J. F. Tags: Autoimmune diseases, All Clinical Neurology, All Cerebrovascular disease/Stroke, Infarction Case Source Type: research