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Source: Journal of Stroke and Cerebrovascular Diseases
Procedure: MRI Scan

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Total 349 results found since Jan 2013.

High-resolution Magnetic Resonance Imaging of Symptomatic Middle Cerebral Artery Dissection
Dissection of the middle cerebral artery (MCA) is less frequent compared with dissection of vessels in the vertebrobasilar system or dissection of the carotid artery. High-resolution cross-sectional magnetic resonance imaging (HRMRI) has emerged as a potential technique for atherosclerotic plaque imaging in MCA. We enrolled 3 patients with MCA dissection on whom HRMRI was performed for evaluation of MCA stenosis. Two patients had an embolic infarction in the MCA territory and focal dissection. One patient had a massive infarction in the MCA territory and long-segment dissection of the MCA. On HRMRI, our objectives had an i...
Source: Journal of Stroke and Cerebrovascular Diseases - April 30, 2013 Category: Neurology Authors: Hyo Sung Kwak, Seung Bae Hwang, Gyung Ho Chung, Seul-Ki Jeong Tags: Case Reports Source Type: research

A Case of Sinus Arrest and Post-hiccup Cough Syncope in Medullary Infarction
We describe asymptomatic sinus arrest and post-hiccup cough syncope in a patient with medullary infarction. A 78-year-old woman developed arrhythmia, hiccup, and cough syncope attacks. Neurological examination was not remarkable. Cough syncope occurs after hiccup attacks. Bradycardia and decreased blood pressure were also present after the beginning cough. Holter 24-hour electrocardiography monitor exhibited 65 episodes of asymptomatic sinus arrest more than 3 seconds. Magnetic resonance imaging disclosed acute infarction in the bilateral medial regions and the right tegmentum of the upper and middle medulla oblongata. Ce...
Source: Journal of Stroke and Cerebrovascular Diseases - May 8, 2013 Category: Neurology Authors: Takanori Takazawa, Ken Ikeda, Osamu Kano, Takayuki Kabuki, Kiyokazu Kawabe, Yasuo Iwasaki Tags: Case Reports Source Type: research

Postoperative Dural Arteriovenous Fistula in a Patient with Cowden Disease: A Case Report
We report the case of a 37-year-old male with Cowden disease that caused a gradual neurological deficit because of rupture of a brain stem cavernous hemangioma. Removal of the hemangioma and hematoma was performed with an infrafacial triangle approach. Nine months after the operation, magnetic resonance imaging showed abnormal vessels on the cerebellar surface. Digital subtraction angiography showed a dural arteriovenous fistula (dAVF) from part of the meningeal artery to the ectatic inferior vermian vein with cortical reflux. After embolization, surgical obliteration of the dAVF was performed. Surgical findings showed ne...
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2013 Category: Neurology Authors: Hirokazu Sadahiro, Hideyuki Ishihara, Hisaharu Goto, Fumiaki Oka, Satoshi Shirao, Hiroshi Yoneda, Michiyasu Suzuki Tags: Case Reports Source Type: research

A New Classification System for Ischemia Using a Combination of Deep and Periventricular White Matter Hyperintensities
In this study, we aimed to evaluate the validity of the CREDOS ischemia classification system. A total of 352 patients with cognitive impairments were included. Their WMH scores were rated using the CREDOS WMH visual rating scale. These patients were divided into 3 groups according to the CREDOS ischemia classification system. The volume of WMH was also automatically measured. The number of lacunes and microbleeds (MBs) were counted. The CREDOS ischemia classification system was revised with factor analysis using vascular risk factors and cerebrovascular disease (CVD) markers (WMH volume, lacunes, and MBs). External valida...
Source: Journal of Stroke and Cerebrovascular Diseases - July 17, 2013 Category: Neurology Authors: Young Noh, Yunhwan Lee, Sang Won Seo, Jee H. Jeong, Seong Hye Choi, Joung Hwan Back, Sook-Young Woo, Geon Ha Kim, Ji Soo Shin, Chi Hun Kim, Hanna Cho, Joon Sung Park, Jong-Min Lee, Chang Hyung Hong, Sang Yun Kim, Jae-Hong Lee, Seong Yoon Kim, Kee Hyung Pa Tags: Original Articles Source Type: research

A Dilated Surface Appearance on Basiparallel Anatomic Scanning–Magnetic Resonance Imaging Is a Useful Tool for the Diagnosis of Spontaneous Vertebral Artery Dissection in Lateral Medullary Infarction
Spontaneous dissection of the vertebral artery (VA) is a major vascular lesion causing lateral medullary infarction (LMI). A dilated surface appearance of the VA is a feature of VA dissection and can be observed on basiparallel anatomic scanning (BPAS)–magnetic resonance imaging (MRI). The aim of this study was to validate BPAS-MRI in the diagnosis of VA dissection in patients with LMI. The subjects of the present study were 41 consecutive patients with LMI within 7 days of onset. The diagnosis of VA dissection was made with the clinical criteria-based diagnosis. Percent (%) dilatation of the VA on BPAS-MRI was calculat...
Source: Journal of Stroke and Cerebrovascular Diseases - August 19, 2013 Category: Neurology Authors: Ryo Itabashi, Etsuro Mori, Eisuke Furui, Shoichiro Sato, Yukako Yazawa, Kenta Kawata, Satoru Fujiwara Tags: Original Articles Source Type: research

Early Menopause and the Risk of Silent Brain Infarction in Community-Dwelling Elderly Subjects: The Sefuri Brain MRI Study
Our previous study showed that the male predominance of silent brain infarction (SBI) was largely because of higher prevalence of alcohol habit and smoking in men than in women. In the present study, we further conducted an analysis of brain magnetic resonance imaging findings to examine whether early menopause contributes to SBI in community-dwelling subjects. Women were queried as to the age and cause of menopause, the total number of children, and the age at giving birth to her last child. Among 306 female subjects aged 60 years or older, univariate analysis showed that early menopause (total or natural) was significan...
Source: Journal of Stroke and Cerebrovascular Diseases - September 16, 2013 Category: Neurology Authors: Kenji Fukuda, Yuki Takashima, Manabu Hashimoto, Akira Uchino, Takefumi Yuzuriha, Hiroshi Yao Tags: Original Articles Source Type: research

Ipsilateral Intracranial Edema Associated with Drainage Patterns of Dural Arteriovenous Fistula
Conclusion: The present study indicated that severe ipsilateral edema, with reflux flow initially in vein of the Labbe, was associated with the increased number of reflux anatomic veins in transverse sinus DAVF.
Source: Journal of Stroke and Cerebrovascular Diseases - December 19, 2013 Category: Neurology Authors: Yi Dong, Wenjie Cao, Lei Huang, Linxin Li, Yue Zhang, Qiang Dong, Xiaolong Zhang Tags: Original Articles Source Type: research

Loading Dose of Clopidogrel in Combination with Other Antithrombotic Therapy for Capsular Warning Syndrome
A 66-year-old man had repeated stereotypical transient ischemic attacks (TIAs) of dysarthria and left hemiparesis. His symptoms were considered capsular warning syndrome (CWS), for which the responsible lesion was found on magnetic resonance imaging to be in the right putamen expanding to the corona radiata. Although administration of antithrombotic therapy including aspirin was ineffective, no further TIAs occurred after a loading dose of clopidogrel was added. A loading dose of clopidogrel combined with other antithrombotic therapy might be an effective treatment for CWS.
Source: Journal of Stroke and Cerebrovascular Diseases - October 17, 2013 Category: Neurology Authors: Hiroyuki Kawano, Makoto Nakajima, Yuichiro Inatomi, Toshiro Yonehara, Yukio Ando Tags: Case Reports Source Type: research

Cerebral Venous Thrombosis: Clinical Features, Risk Factors, and Long-term Outcome in a Tunisian Cohort
Conclusions: Our Tunisian population presented distinct risk factors profile with high frequency of thrombophilia, infections, and postpartum state. Oral contraceptive use is not a major risk factor in our population. The overall prognosis was good.
Source: Journal of Stroke and Cerebrovascular Diseases - January 24, 2014 Category: Neurology Authors: Youssef Sidhom, Malek Mansour, Mariem Messelmani, Hajer Derbali, Nejiba Fekih-Mrissa, Jamel Zaouali, Ridha Mrissa Tags: Original Articles Source Type: research

Relationship between Carotid Artery Remodeling and Plaque Vulnerability with T1-Weighted Magnetic Resonance Imaging
Background: The aim of this study was to validate the relationship between carotid artery remodeling defined as the carotid remodeling index (CRI) and plaque vulnerability by comparing the degree of outward remodeling calculated using 3-dimensional inversion recovery-based T1-weighted imaging (magnetization-prepared rapid acquisition gradient echo [MPRAGE]) with the symptomatology and histology of plaques extracted during carotid endarterectomy.Methods: Sixty-one patients with 50% stenosis or more (North American Symptomatic Carotid Endarterectomy Trial criteria) were included. The average rate of stenosis was 79.8%. The C...
Source: Journal of Stroke and Cerebrovascular Diseases - March 3, 2014 Category: Neurology Authors: Kenji Fukuda, Koji Iihara, Daisuke Maruyama, Naoaki Yamada, Hatsue Ishibashi-Ueda Tags: Original Articles Source Type: research

Cerebral Microbleeds and Asymptomatic Cerebral Infarctions in Patients with Atrial Fibrillation
Conclusions: Patients with AF had a significantly higher prevalence of CMBs. The presence of CMBs in the baseline MRI may predict the consequent onset of an ACI and increase in CMBs in patients with AF.
Source: Journal of Stroke and Cerebrovascular Diseases - March 31, 2014 Category: Neurology Authors: Tsukasa Saito, Yuichiro Kawamura, Yasuko Tanabe, Asuka Asanome, Kae Takahashi, Jun Sawada, Takayuki Katayama, Nobuyuki Sato, Hitoshi Aizawa, Naoyuki Hasebe 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

Dual Task Walking Reveals Cognitive Dysfunction in Community-dwelling Elderly Subjects: The Sefuri Brain MRI Study
The aim of our study was to investigate the effects of subclinical brain lesions and cognitive function on gait performance with or without concurrent cognitive task in community-dwelling elderly subjects. Participants without dementia (92 men and 109 women with a mean age of 67.8 years) underwent brain magnetic resonance imaging, neuropsychologic tests, and gait measurements. Impaired gait velocity of the Timed Up and Go test was associated with deep white matter lesions (odds ratio [OR], 2.338; 95% confidence interval [CI], 1.120-4.880) and diabetes mellitus (OR, 2.725; 95% CI, 1.120-6.630) after adjusted for age, sex, ...
Source: Journal of Stroke and Cerebrovascular Diseases - June 23, 2014 Category: Neurology Authors: Manabu Hashimoto, Yuki Takashima, Akira Uchino, Takefumi Yuzuriha, Hiroshi Yao Tags: Original Articles Source Type: research

In Vitro and In Vivo Evaluation of a Magnetic Resonance Imaging–guided Focused Ultrasound System for Dissolving Clots in Combination with Thrombolytic Drugs
Conclusions: The MRgFUS technique was proven successful in dissolving clots in vitro and in vivo. It was found that the volume of dissolved clot increases with acoustic intensity and beam size and decreases with frequency. With this system, it was possible to push ultrasound through a plastic phantom skull using a .5 MHz transducer. The beam of ultrasound through the phantom skull was monitored using the MRI technique of fast spoiled gradient. Finally, the thrombus in the in vivo model (ear artery) was successfully destroyed with the therapeutic protocols investigated in the in vitro models. This study shows that FUS ...
Source: Journal of Stroke and Cerebrovascular Diseases - May 1, 2014 Category: Neurology Authors: Christakis Damianou, Venediktos Hadjisavvas, Kleanthis Ioannides Tags: Original Articles Source Type: research

Cerebral Dural Sinus Thrombosis Associated with Adenomyosis: A Case Report
This report emphasizes the possible relationship between CVT and adenomyosis.
Source: Journal of Stroke and Cerebrovascular Diseases - May 2, 2014 Category: Neurology Authors: Kenya Nishioka, Ryota Tanaka, Satoshi Tsutsumi, Kazuo Yamashiro, Mariko Nakahara, Hideki Shimura, Nobutaka Hattori, Takao Urabe Tags: Case Reports Source Type: research