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Source: Journal of Stroke and Cerebrovascular Diseases
Procedure: Angiography
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Total 337 results found since Jan 2013.
Isolated Cortical Vein Thrombosis Associated with Prothrombin Gene Mutation
We report a 47-year-old female patient who had a frontal hemorrhage with headache associated with contralateral hemiparesis and hemisensory deficit on presentation. This hemorrhagic stroke was localized in a nonarterial territory, and it was caused by ipsilateral and isolated thrombosis of the vein of Labbe found on catheter angiogram that demonstrated a filling defect of the vein of Labbe at its connection with the transverse sinus. There were no filling defects in the superficial middle cerebral veins. Our patient had a family history of cardiovascular disease, stroke, and factor V Leiden mutation and cigarette smoking a...
Source: Journal of Stroke and Cerebrovascular Diseases - July 8, 2013 Category: Neurology Authors: Elias A. Giraldo, Rohan Arora, Robert A. Koenigsberg Tags: Case Reports Source Type: research
Early Clinical Signs, Lesion Localization, and Prognostic Factors in Unilateral Symptomatic Internal Carotid Artery Occlusion
Conclusions: In unilateral symptomatic intracranial carotid artery occlusion, poor prognosis and high mortality–associated territorial stroke pattern is frequently observed. Besides, presence of severe stenosis or occlusion and absence of collateral circulation in MCA are associated with poor prognosis.
Source: Journal of Stroke and Cerebrovascular Diseases - April 18, 2014 Category: Neurology Authors: Sibel Güler, Ufuk Utku, Özer Aynaci Tags: Original Articles Source Type: research
Intracerebral Hemorrhage Associated with Oral Phenylephrine Use: A Case Report and Review of the Literature
Conclusions: It is scientifically plausible that phenylephrine may cause strokes, consistent with the pharmacologic properties and adverse event profiles of similar amphetamine-like sympathomimetics. As RCVS has been well described in association with over-the-counter sympathomimetics, a likely, although not definitive, causal relationship between phenylephrine and ICH is proposed.
Source: Journal of Stroke and Cerebrovascular Diseases - August 25, 2014 Category: Neurology Authors: Brian E. Tark, Steven R. Messe, Clotilde Balucani, Steven R. Levine Tags: Original Articles Source Type: research
Recurrence in Intracranial Atherosclerotic Disease: A Stenosis-based Analysis
Background: Intracranial atherosclerotic disease is a common cause of stroke; its incidence and prevalence vary widely by ethnicity. The aim of our study was to analyze the recurrence rate of cerebrovascular events in patients with symptomatic and asymptomatic intracranial stenosis (IS).Methods: We conducted a historical cohort study including all patients admitted in our hospital for stroke or transient ischemic attack (TIA) during 2011 and 2012 with information on intracranial circulation (ultrasonography and/or computed tomography angiography). We identified patients with symptomatic and asymptomatic IS and studied the ...
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Ana Gouveia, João Sargento-Freitas, Joana Penetra, Fernando Silva, Cristina Machado, Gustavo Cordeiro, Luís Cunha Tags: Original Articles Source Type: research
Detection of Vessel Wall Lesions in Spontaneous Symptomatic Vertebrobasilar Artery Dissection Using T1-weighted 3-dimensional Imaging
Conclusions: The T1W 3D-VWI can directly visualize vessel wall iVBD lesions during the acute period of stroke compared with multisequence MRI.
Source: Journal of Stroke and Cerebrovascular Diseases - August 29, 2014 Category: Neurology Authors: Tatsunori Natori, Makoto Sasaki, Mitsuharu Miyoshi, Hideki Ohba, Mao Yamaguchi Oura, Shinsuke Narumi, Taisuke Harada, Hiroyuki Kabasawa, Yasuo Terayama Tags: Original Articles Source Type: research
Recurrent Large Volume Silent Strokes in Sickle Cell Disease
We report a 30-year-old woman who presented a large volume silent stroke followed 2 months later by a second large volume stroke that manifested only with transient arm weakness. In the acute phase, magnetic resonance angiography revealed a segmental stenosis of the 2 different large intracranial vessels supplying the stroke territories. Partial regression of vascular stenosis was revealed by a follow-up magnetic resonance imaging.
Source: Journal of Stroke and Cerebrovascular Diseases - September 17, 2014 Category: Neurology Authors: Massimo Marano, Carlo Quattrocchi, Ombretta Annibali, Giuseppe Avvisati, Vincenzo Di Lazzaro Tags: Case Report Source Type: research
Large Amount of Cannabis Ingestion Resulting in Spontaneous Intracerebral Hemorrhage: A Case Report
Although multiple cases of cannabis-associated ischemic stroke have been reported, there are only 2 reported cases of hemorrhagic stroke with an associated cerebral vasoconstriction. To our knowledge, we present the first case of basal ganglia hemorrhage after a large-volume oral ingestion of cannabis without other identified risk factors. In our case, cerebral digital subtraction angiography within 24 hours of presentation did not reveal vasoconstriction leading to a possible alternative explanation for hemorrhagic stroke, including cannabis-induced transient arterial hypertension and autoregulation disruption.
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2017 Category: Neurology Authors: Kunakorn Atchaneeyasakul, Luis F. Torres, Amer M. Malik Tags: Case Studies Source Type: research
Recurrent Intracerebral Hemorrhage in Patients With Hypertension is Associated With APOE Gene Polymorphism: A Preliminary Study
This study evaluates the roles of apolipoprotein E (APOE) and α-1 antichymotrypsin (ACT) genes in patients with recurrent hypertensive ICH and compares patients with nonrecurring hypertensive ICH and normal controls.Methods: Thirty-three recurrent and 101 nonrecurrent patients with hypertension and ICH were included. The demographic, stroke risk factors, and computed tomographic or magnetic resonance imaging findings were recorded. Magnetic resonance angiography or digital subtraction angiography and vasculitic profile were done in recurrent group to exclude secondary causes of ICH. APOE and ACT gene polymorphisms were as...
Source: Journal of Stroke and Cerebrovascular Diseases - March 12, 2012 Category: Neurology Authors: Usha K. Misra, Jayantee Kalita, Bindu I. Somarajan Tags: Original Articles Source Type: research
Accuracy of Computed Tomographic Angiography Compared to Digital Subtraction Angiography in the Diagnosis of Intracranial Stenosis and its Impact on Clinical Decision-making
Conclusions: CTA has a high sensitivity and specificity compared to DSA to diagnose intracranial stenosis. The addition of DSA to CTA may not affect clinical management in most patients with suspected stenosis.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2012 Category: Neurology Authors: E. Jesus Duffis, Pinakin Jethwa, Gaurav Gupta, Kristin Bonello, Chirag D. Gandhi, Charles J. Prestigiacomo Tags: Original Articles Source Type: research
Selection of Carotid Artery Stenting or Endarterectomy Based on Magnetic Resonance Plaque Imaging Reduced Periprocedural Adverse Events
Conclusions: Treatment selection based on preoperative plaque imaging appears useful for reducing periprocedural events of carotid artery revascularizations.
Source: Journal of Stroke and Cerebrovascular Diseases - August 31, 2012 Category: Neurology Authors: Shinichi Yoshimura, Kiyofumi Yamada, Masanori Kawasaki, Takahiko Asano, Masayuki Kanematsu, Masafumi Miyai, Yukiko Enomoto, Yusuke Egashira, Toru Iwama Tags: Original Articles Source Type: research
The Association between Hyperintense Vessel Sign and Final Ischemic Lesion Differ in Its Location
Background: The hyperintense vessel sign (HVS) on fluid-attenuated inversion recovery images can frequently be detected in patients with acute cerebral infarction attributable to large artery stenosis or occlusion. The prognostic values and clinical characteristics of HVS remain to be elucidated. The aim of this study was to evaluate the association of HVS with ischemic lesions and severity of neurologic deficit.Methods: A total of 96 consecutive acute ischemic stroke patients (54 women, median age 76.5 [range 39-97] years), who had symptomatic severe stenosis or occlusion in the proximal middle cerebral artery that was de...
Source: Journal of Stroke and Cerebrovascular Diseases - January 13, 2014 Category: Neurology Authors: Tomoyuki Kono, Hiromitsu Naka, Eiichi Nomura, Naohisa Hosomi, Shiro Aoki, Eiji Imamura, Yoshimasa Sueda, Tomohisa Nezu, Tomoya Mukai, Tomohiko Ohshita, Toshiho Ohtsuki, Shinichi Wakabayashi, Masayasu Matsumoto Tags: Original Articles Source Type: research
Three Cases of Cervicocephalic Artery Dissection in an Amusement Park
About 20 cases of cerebrovascular accidents in amusement parks have been documented. However, only a few cases of amusement park stroke (APS) after roller coaster rides have been reported. Here, we present triggers of stroke, clinical characteristics, and the angiographic appearance of 3 consecutive patients of APS. Their clinical characteristics included young age, absence of atherosclerotic risk factors, and severe injuries. Serial changes in angiographic appearance led to the diagnosis of cervicocephalic artery dissection (CAD).
Source: Journal of Stroke and Cerebrovascular Diseases - September 25, 2014 Category: Neurology Authors: Naohide Kurita, Yuji Ueno, Masao Watanabe, Nobukazu Miyamoto, Hideki Shimura, Senshu Nonaka, Satoshi Tsutsumi, Yukimasa Yasumoto, Nobutaka Hattori, Takao Urabe Tags: Case Report Source Type: research
Early Relapsing Calcified Cerebral Embolism
Calcified cerebral emboli are rarely reported, but may be recurrent and devastating. Misdiagnosis at interpretation of initial brain computed tomography (CT) scan may occur in up to 27% of cases. The purpose of this case report was to describe clinical, CT, and CT angiography findings in a 79-year-old woman undergoing early recurrent stroke from calcified cerebral embolism. Neuroradiology should not overlook calcified cerebral embolism, and this confirms the role of CT in the assessment of stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - March 25, 2015 Category: Neurology Authors: Alfonso Cerase, Irene Grazzini Tags: Case Report Source Type: research
Endovascular Embolization of a Nondominant Vertebral Artery Compressed by an Osteophyte to Prevent Recurrence of Vertebrobasilar Infarctions
Vertebral artery compression by cervical osteophyte is a rare cause of vertebrobasilar ischemic stroke. This mechanism of stroke has been reported as the Bow Hunter syndrome defined by vertebrobasilar insufficiency because of mechanical stenosis of the vertebral artery at the cervical level triggered by head movement. The most common treatment is surgical decompression. However, in most cases, a dominant vertebral artery is involved, and its dynamic extrinsic compression is demonstrated on angiography.
Source: Journal of Stroke and Cerebrovascular Diseases - July 6, 2015 Category: Neurology Authors: Benjamin Thomas, Xavier Barreau, Vincent Pointillart, Igor Sibon, Pauline Renou Tags: Case Report Source Type: research
Role of Radiological Eye Deviation in Imaging Occult Cases of Acute Large Vessel Occlusion
The recent article from McCluskey et al “Radiological Eye Deviation as a Predictor of Large Vessel Occlusion in Acute Ischaemic Stroke” J of Stroke and Cerebrovasc Dis. 2019; 28:2318-23231 provides valuable information that may lead to early stroke intervention. They found that subjective visual detection of radiographic eye deviation on nonenhanced computed tomography (NECT) brain is strongly associated with large vessel occlusion (LVO). This compelling association may expedite patients for timely angiographic testing and endovascular therapy.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2020 Category: Neurology Authors: Nan N. Jiang, Wei Wu, Crystal Fong, Demetrios J. Sahlas, Ramiro Larrazabal Tags: Letter to the Editor Source Type: research
