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Source: Journal of Stroke and Cerebrovascular Diseases
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Total 317 results found since Jan 2013.
Dermatomal Sensory Manifestations in Lateral Medullary Infarction
In conclusion, lateral medullary infarction is an important entity to consider in the differential diagnosis of dermatomal sensory manifestations.
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2012 Category: Neurology Authors: Hiroki Hongo, Yasutaka Tanaka, Yoshiaki Shimada, Ryota Tanaka, Nobutaka Hattori, Takao Urabe Tags: Case Reports Source Type: research
A Ruptured Aneurysm Arising at the Leptomeningeal Collateral Circulation from the Extracranial Vertebral Artery to the Posterior Inferior Cerebellar Artery Associated with Bilateral Vertebral Artery Occlusion
We report an extremely rare case of a small ruptured aneurysm of the leptomeningeal collateral circulation from the vertebral artery (VA) to the posterior inferior cerebellar artery (PICA); this aneurysm was associated with bilateral VA occlusion. A 72-year-old woman with sudden headache, nausea, and subarachnoid hemorrhage (SAH) was admitted to our hospital. On admission, no evidence of cerebral signs or cranial nerve palsy was found. Computed tomography imaging showed SAH predominantly in the posterior fossa, and digital subtraction angiography revealed bilateral VA occlusion and the left VA aneurysm located proximal to ...
Source: Journal of Stroke and Cerebrovascular Diseases - December 9, 2013 Category: Neurology Authors: Masashi Chonan, Shinjitu Nishimura, Naoto Kimura, Masayuki Ezura, Hiroshi Uenohara, Teiji Tominaga Tags: Case Reports Source Type: research
Retrosplenial Amnesia without Topographic Disorientation Caused by a Lesion in the Nondominant Hemisphere
We report the case of a 68-year-old right-handed man who was admitted to our hospital because of sudden onset of headache. On admission, he presented with left homonymous hemianopsia, disorientation, and recent memory disturbance; however, he had normal remote memory and digit span. He was able to recall the room layout of his house and describe the route from the nearest station to his home on a map. However, at the hospital, he sometimes lost his way because of amnesia. Computed tomography (CT) and magnetic resonance imaging revealed a subcortical hematoma in the right occipital forceps and the parietal lobe, involving t...
Source: Journal of Stroke and Cerebrovascular Diseases - April 22, 2013 Category: Neurology Authors: Shinichiro Maeshima, Aiko Osawa, Fumitaka Yamane, Tomoyuki Yoshihara, Ryuzaburo Kanazawa, Shoichiro Ishihara Tags: Original Articles Source Type: research
Posterior Circulation Hyperperfusion Syndrome after Superficial Temporal Artery–Superior Cerebellar Artery Bypass for Vertebral Artery Dissection
We report the first case of posterior circulation hyperperfusion syndrome after STA–SCA bypass and provide a review of the relevant literature.
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2013 Category: Neurology Authors: Kenji Fukuda, Hiroshi Abe, Tetsuya Ueba, Masakazu Okawa, Toshio Higashi, Tooru Inoue Tags: Case Reports Source Type: research
Effects of Carotid Endarterectomy or Stenting on Arterial Diameters in the Circle of Willis
Conclusions: Carotid revascularization improves anterior collateralization and reduces reliance on posterior collateral pathways via the CoW. Carotid stenting and endarterectomy appear to have different early effects on collateralization.
Source: Journal of Stroke and Cerebrovascular Diseases - July 17, 2013 Category: Neurology Authors: Rianne B.C. Bost, Jeroen Hendrikse, Ale Algra, Gert J. de Borst, Laurens Jaap Kappelle, Lisa M. Jongen, Martin M. Brown, Hendrik Bart van der Worp Tags: Original Articles Source Type: research
Successful Treatment of Growing Basilar Artery Dissecting Aneurysm by Pipeline Flow Diversion Embolization Device
We describe a case of successful management of a growing basilar artery dissecting aneurysm by the Pipeline flow diversion embolization device (PED). A 48-year-old woman presented with severe headache, neck pain, and altered consciousness. Computed tomography showed subarachnoid hemorrhage located in basal cisterns, with a pontine infarct shown on magnetic resonance imaging. Digital subtraction angiography showed dissecting aneurysm of the trunk of the basilar artery, with growth over time on repeated imaging. Repeated imaging demonstrated growth in size of the aneurysm. The aneurysm was treated with PED with complete obl...
Source: Journal of Stroke and Cerebrovascular Diseases - January 6, 2014 Category: Neurology Authors: Dasen Gong, Bernard Yan, Richard Dowling, Peter Mitchell Tags: Case Reports Source Type: research
Multiple Ischemic Strokes Caused by Nonbacterial Thrombotic Endocarditis Because of Gallbladder Cancer: A Case Report
We report a case of a 62-year-old woman with multiple ischemic strokes caused by nonbacterial thrombotic endocarditis (NBTE) because of gallbladder cancer. Transesophageal echocardiography showed NBTE on the mitral valve. The NBTE disappeared with anticoagulation treatment for 2 weeks. Abdominal computed tomography showed a gallbladder tumor that was surgically resected. Histopathologic studies showed poorly differentiated tumor cells and the production of mucin. Trousseau syndrome with gallbladder cancer is very rare. We suggest that the development of NBTE is related to the production of mucin.
Source: Journal of Stroke and Cerebrovascular Diseases - March 3, 2014 Category: Neurology Authors: Akiko Yamane, Hirokazu Sadahiro, Hisaharu Goto, Akinori Inamura, Hideyuki Ishihara, Fumiaki Oka, Takayuki Oku, Tomoko Kondo, Michiyasu Suzuki Tags: Case Reports Source Type: research
Magnetic Resonance Imaging Versus Computed Tomography for Identification and Quantification of Intraventricular Hemorrhage
Conclusions: MRI identifies small volumes of IVH in cases not detected by CT and yields higher estimates of intraventricular blood volume. These data indicate that consideration of technical differences is needed when comparing images from the 2 modalities in the evaluation for IVH.
Source: Journal of Stroke and Cerebrovascular Diseases - September 1, 2014 Category: Neurology Authors: Anna L. Romanova, Alexander J. Nemeth, Michael D. Berman, James C. Guth, Eric M. Liotta, Andrew M. Naidech, Matthew B. Maas Tags: Original Articles Source Type: research
A Case of Bilateral Giant Internal Carotid Artery Aneurysms at the Cavernous Portion Managed by 2-stage Extracranial–Intracranial Bypass with Parent Artery Occlusion: Consideration for Bypass Selection and Timing of Surgeries
In conclusion, high-flow EC-IC bypass with PAO is recommended in the first stage of surgery on a unilaterally symptomatic side to minimize postoperative hemodynamic stress to the contralateral aneurysm. Once the contralateral side becomes symptomatic, second stage EC-IC bypass with PAO, either low-flow or high-flow bypass, is recommended based on the results of balloon test occlusion.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2014 Category: Neurology Authors: Miki Fujimura, Kenichi Sato, Naoto Kimura, Takashi Inoue, Hiroaki Shimizu, Teiji Tominaga Tags: Case Reports Source Type: research
Efficacy of Extracranial–Intracranial Bypass for Progressive Middle Cerebral Artery Occlusion Associated with Active Sjögren's Syndrome: Case Report
Sjögren syndrome affecting the major cerebral arteries is rare, and an optimal therapeutic strategy to counteract such a lesion has not yet been established. We herein report a case of a 39-year-old woman with a history of primary Sjögren syndrome, which had previously been treated with immunosuppressive therapy, manifesting with a crescendo transient ischemic attack because of left middle cerebral artery stenosis. Despite the administration of high doses of prednisolone and azathioprine for active Sjögren syndrome, the frequency of crescendo transient ischemic attacks increased with the progression of stenosis and magn...
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2014 Category: Neurology Authors: Hiroyuki Sakata, Miki Fujimura, Kenichi Sato, Hiroaki Shimizu, Teiji Tominaga Tags: Case Reports Source Type: research
Carotid Artery Dissection Associated with an Elongated Hyoid Bone
A 36-year-old man presented with acute cerebral infarction in the right frontal lobe associated with right internal carotid artery dissection (CAD). Enhanced computed tomography revealed right greater horn of the hyoid bone in close proximity to the right internal carotid artery (ICA). It was speculated that mechanical compression of the internal carotid artery by the hyoid bone induced by neck rotation was related to ICA dissection. Greater knowledge of the association between the hyoid bone and the CAD will lead to increased awareness and appropriate diagnosis.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Satomi Yukawa, Shiro Yamamoto, Hitoshi Hara Tags: Case Reports Source Type: research
“Contrast-Less” Stent-Assisted Coiling of an A1 Aneurysm
Conclusions: Further development of and experience with this technique is needed to improve its safety and efficacy.
Source: Journal of Stroke and Cerebrovascular Diseases - August 25, 2014 Category: Neurology Authors: Stephan A. Munich, Heike Theessen, Andrew K. Johnson, Demetrius K. Lopes Tags: Original Articles Source Type: research
Subdural and Intracerebral Hemorrhage Caused by Spontaneous Bleeding in the Middle Meningeal Artery after Coil Embolization of a Cerebral Aneurysm
Nontraumatic acute subdural hemorrhage (SDH) with intracerebral hemorrhage (ICH) is rare and is usually caused by severe bleeding from aneurysms or arteriovenous fistulas. We encountered a very rare case of spontaneous bleeding from the middle meningeal artery (MMA), which caused hemorrhage in the temporal lobe and subdural space 2 weeks after coil embolization of an ipsilateral, unruptured internal cerebral artery aneurysm in the cavernous portion. At onset, the distribution of hematoma on a computed tomography scan led us to believe that the treated intracavernous aneurysm could bleed into the intradural space. Emergenc...
Source: Journal of Stroke and Cerebrovascular Diseases - August 18, 2014 Category: Neurology Authors: Shinya Kohyama, Yoshiaki Kakehi, Fumitaka Yamane, Hidetoshi Ooigawa, Hiroki Kurita, Shoichiro Ishihara Tags: Case Reports Source Type: research
Safety of Intravenous Tissue Plasminogen Activator Administration with Computed Tomography Evidence of Prior Infarction
Source: Journal of Stroke and Cerebrovascular Diseases - March 28, 2014 Category: Neurology Authors: Michael J. Lyerly, J. Thomas Houston, Amelia K. Boehme, Karen C. Albright, Reza Bavarsad Shahripour, Paola Palazzo, Muhammed Alvi, Pawan V. Rawal, Niren Kapoor, April Sisson, Anne W. Alexandrov, Andrei V. Alexandrov Tags: Original Articles Source Type: research
Collateral Flow and Brain Changes on Computed Tomography Angiography Predict Infarct Volume on Early Diffusion-weighted Imaging
We investigated whether a computed tomography (CT)–based score could predict a large infarct (≥80 mL) on early diffusion-weighted magnetic resonance imaging (DWI).
Source: Journal of Stroke and Cerebrovascular Diseases - October 16, 2014 Category: Neurology Authors: Junya Aoki, Yohei Tateishi, Christopher L. Cummings, Esteban Cheng-Ching, Paul Ruggieri, Muhammad Shazam Hussain, Ken Uchino Source Type: research
