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Total 6508 results found since Jan 2013.

Association of obstructive sleep apnoea (osa) with incident stroke: a systematic review and meta-analysis
Conclusion As OSA appears to be independently associated with stroke (and continuous positive airway pressure (CPAP) reduces such cardiovascular outcomes in OSA6), clinicians should look out for the symptoms in stroke patients so appropriate risk mitigation strategies may be implemented. Equally, patients with OSA but no history of stroke should receive appropriate management to lower their cardiovascular risk, be it through treatment of OSA with CPAP or modification of traditional risk factors such as obesity and hypertension.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: William L Brown, J., Loke, Y., Kwok, C. S., Niruban, A., Myint, P. Tags: Stroke, Hypertension Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Stress resilience in male adolescents and subsequent stroke risk: cohort study
Conclusions Stress susceptibility and, therefore, psychosocial stress may be implicated in the aetiology of stroke. This association may be explained, in part, by poorer physical fitness. Effective prevention might focus on behaviour/lifestyle and psychosocial stress.
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 17, 2014 Category: Neurosurgery Authors: Bergh, C., Udumyan, R., Fall, K., Nilsagard, Y., Appelros, P., Montgomery, S. Tags: Open access, Stroke, Hypertension Cerebrovascular disease Source Type: research

Post-stroke fatigue: new evidence of a possible biological cause
Impaired corticomotor excitability might contribute to the aetiology of post-stroke fatigue, and provide a biological target for treatment. Fatigue after stroke affects around 40% of stroke survivors and is one of the most distressing post-stroke symptoms.1 It may resolve spontaneously over time, but for many patients, it remains a persistent and disabling problem. There are no effective treatments. Stroke survivors, caregivers and health professionals have rated fatigue as one of the top 10 priorities for stroke research.2 Some stroke survivors report that fatigue starts at the time of the stroke, and that the nature of f...
Source: Journal of Neurology, Neurosurgery and Psychiatry - July 14, 2015 Category: Neurosurgery Authors: Mead, G. E. Tags: Long term care, Pain (neurology), Stroke, Mood disorders (including depression) Editorial commentaries Source Type: research

Stroke recurrence rates among patients with symptomatic intracranial vertebrobasilar stenoses: systematic review and meta-analysis
Conclusions Our results showed that the risk of stroke recurrence or death or the risk of stroke recurrence alone was comparable between the medical and endovascular therapy groups. A small preventive effect of endovascular therapy may exist, particularly if the 30 day postprocedural risk is reduced.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Abuzinadah, A. R., Alanazy, M. H., Almekhlafi, M. A., Duan, Y., Zhu, H., Mazighi, M., Lutsep, H. L., Donnon, T., Hill, M. D. Tags: Ischemic stroke Source Type: research

Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last?
Conclusions Blood pressure elevation persists throughout ECP treatment, which consists of 35 sessions. However, cerebral blood flow augmentation may last at least 3 weeks and then appears to return to baseline 1 month after acute stroke onset.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 13, 2016 Category: Neurosurgery Authors: Xiong, L., Lin, W., Han, J., Chen, X., Leung, T., Soo, Y., Wong, K. S. Tags: Stroke, Hypertension Cerebrovascular disease Source Type: research

Discrepancy between early neurological course and mid-term outcome in older stroke patients after mechanical thrombectomy
Conclusions Older patients exhibit a similar early neurological course and responsiveness to mechanical thrombectomy as younger patients, but this is not reflected in mid-term functional outcome scores. This indicates that post-stroke complications and other factors that are not, or only indirectly, related to the brain tissue damage induced by the incident stroke have a dominant role in their poor prognosis.
Source: Journal of NeuroInterventional Surgery - June 13, 2016 Category: Neurosurgery Authors: Kleine, J. F., Boeckh-Behrens, T., Prothmann, S., Zimmer, C., Liebig, T., Poppert Tags: Ischemic stroke Source Type: research

General medical skills on neurology and stroke wards
This study looks at the difference in the general medical care required in neurology and stroke units and the different skill set required. Methods Prospective data regarding diagnosis and medical complications were collected from 100 patients admitted to a neurology and a stroke ward. Results Stroke unit patients were older (mean age 71.4 yrs; standard deviation 16.3) than those on the neurology ward (47.9;16.8, p=<0.001). The primary diagnosis was neurological in all patients on the neurology ward, but 16% of those on the stroke ward had not had a recent stroke. Attention to general medical issues was required ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 14, 2016 Category: Neurosurgery Authors: Ingram, G., Hughes, T. Tags: Stroke ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research

Comparison of outcomes of patients with inpatient or outpatient onset ischemic stroke
Conclusions Using a comprehensive all-payer cohort of patients with ischemic stroke in New York State, we identified an association of inpatient stroke onset with fewer stroke-related interventions and increased mortality, rate of discharge to rehabilitation, and LOS.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Bekelis, K., Missios, S., Coy, S., MacKenzie, T. A. Tags: Ischemic stroke Source Type: research

Thrombectomy in acute ischemic stroke: estimations of increasing demands
Conclusions When the new recommendations are implemented broadly, there may be a substantial increase in demand for thrombectomies. Our study highlights the need for policymakers and healthcare professionals to prepare for the increasing demands for advanced endovascular stroke treatment.
Source: Journal of NeuroInterventional Surgery - August 17, 2017 Category: Neurosurgery Authors: Kuntze Söderqvist, A., Andersson, T., Ahmed, N., Wahlgren, N., Kaijser, M. Tags: Ischemic stroke Source Type: research

Long-term prognosis of aphasia after stroke
Conclusions The outcome of aphasia at 1 year after stroke can be predicted in the first week by the phonology score, the Barthel Index score, age, educational level and stroke subtype, with phonology being the strongest predictor.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: El Hachioui, H., Lingsma, H. F., van de Sandt-Koenderman, M. W. M. E., Dippel, D. W. J., Koudstaal, P. J., Visch-Brink, E. G. Tags: Stroke Cerebrovascular disease Source Type: research

Ischaemic stroke: the ocular motor system as a sensitive marker for motor and cognitive recovery
Conclusions Standard neurological assessments of stroke patients are weighted significantly towards motor and sensory function, underestimating cognitive deficits. Ocular motor assessment demonstrates cognitive effects of even mild stroke and may provide improved quantifiable measurements of cognitive recovery post stroke. We demonstrated abnormality in patients just after onset, extending beyond 3 months, when there was apparent full recovery of motor and sensory function, implying more widespread disruption of cognitive mechanisms, consistent with the subjective complaints received from patients. This may provide in...
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: Dong, W., Yan, B., Johnson, B. P., Millist, L., Davis, S., Fielding, J., White, O. B. Tags: Open access, Editor's choice, Stroke, Ophthalmology, Memory disorders (psychiatry) Cognitive neurology Source Type: research

The NINDS-Canadian stroke network vascular cognitive impairment neuropsychology protocols in Chinese
Conclusions The Chinese NINDS-CSN VCI protocols are valid and reliable for cognitive assessment in Chinese patients with mild stroke.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 8, 2013 Category: Neurosurgery Authors: Wong, A., Xiong, Y.-y., Wang, D., Lin, S., Chu, W. W. C., Kwan, P. W. K., Nyenhuis, D., Black, S. E., Wong, K. S. L., Mok, V. Tags: Dementia, Stroke, Memory disorders (psychiatry) Cognition Source Type: research

CT perfusion improves diagnostic accuracy and confidence in acute ischaemic stroke
Conclusions CTP in suspected stroke is widely applicable, rapid and increases diagnostic confidence.
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 7, 2013 Category: Neurosurgery Authors: Campbell, B. C. V., Weir, L., Desmond, P. M., Tu, H. T. H., Hand, P. J., Yan, B., Donnan, G. A., Parsons, M. W., Davis, S. M. Tags: Stroke Cerebrovascular disease Source Type: research

Progression of cognitive impairment in stroke/TIA patients over 3 years
Conclusions In poststroke patients, cognitive decline was not greater than in comparison subjects, except for verbal memory, unless they had another stroke/TIA. However, dementia incidence was higher in patients, as might be expected from their poorer baseline cognitive functioning. Smaller hippocampi were associated with an increased risk of decline in memory, and APOE 4 was a risk factor in those without a subsequent stroke/TIA.
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 17, 2014 Category: Neurosurgery Authors: Sachdev, P. S., Lipnicki, D. M., Crawford, J. D., Wen, W., Brodaty, H. Tags: Genetics, Dementia, Stroke, Memory disorders (psychiatry), Radiology, Radiology (diagnostics) Cerebrovascular disease Source Type: research

Complexity of heart rate variability predicts outcome in intensive care unit admitted patients with acute stroke
Conclusions In ICU-admitted patients with acute stroke, early assessment of the complexity of HRV by MSE can help in predicting outcomes in patients without AF.
Source: Journal of Neurology, Neurosurgery and Psychiatry - December 17, 2014 Category: Neurosurgery Authors: Tang, S.-C., Jen, H.-I., Lin, Y.-H., Hung, C.-S., Jou, W.-J., Huang, P.-W., Shieh, J.-S., Ho, Y.-L., Lai, D.-M., Wu, A.-Y., Jeng, J.-S., Chen, M.-F. Tags: Stroke Cerebrovascular disease Source Type: research