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Total 838 results found since Jan 2013.

Selective hand motor cortex lesions masquerading as & #8220;Pseudoperipheral Nerve Palsy & #8221;
Bhaskara P Shelley, Prakash Harishchandra, Acharya K DevadasAnnals of Indian Academy of Neurology 2020 23(5):688-693 Strategic cortical lesions involving the hand motor cortex (HMC) presenting acutely as distal upper limb pure motor weakness certainly do need to be differentiated on clinical grounds from “pseudoperipheral palsy.” This rare phenotype can imitate peripheral motor nerve deficits and should not be easily overlooked. The? isolated “central hand and finger weakness” presenting as an acute onset of varying combinations such as pseudomedian, pseudoradial,...
Source: Annals of Indian Academy of Neurology - December 8, 2020 Category: Neurology Authors: Bhaskara P Shelley Prakash Harishchandra Acharya K Devadas Source Type: research

Pre-hospital stroke screening and notification of patients with reperfusion-eligible acute ischaemic stroke using modified Face Arm Speech Time test.
CONCLUSION: Implementation of pre-hospital stroke screening using criteria based on a modified version of the FAST test, together with pre-arrival notification, significantly shortened the door-to-reperfusion therapy time for patients with ischaemic stroke. Pre-hospital stroke screening during ambulance transport by EMS personnel who complete a 2-hour focused training session is effective for identifying reperfusion-eligible patients with stroke. PMID: 33284132 [PubMed - as supplied by publisher]
Source: Hong Kong Med J - December 7, 2020 Category: General Medicine Authors: Leung WCY, Teo KC, Kwok WM, Lam LHC, Choi OMY, Tse MMY, Lui WM, Tsang TC, Tsang ACO Tags: Hong Kong Med J Source Type: research

18756 Skin biopsy for the diagnosis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy: A report of two cases
Skin biopsy has become a useful tool for the diagnosis of extracutaneous diseases as a relatively benign procedure with a good performance. The evaluation of dermal and epidermal innervation and vasculature show distinct changes that support the diagnosis of specific neurologic diseases. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited angiopathy caused by mutations in the NOTCH3 gene on chromosome 19. It is characterized by stroke and vascular cognitive impairment in the young and other neurological manifestations.
Source: Journal of the American Academy of Dermatology - November 28, 2020 Category: Dermatology Authors: Maria Pereira, Khanty Loyola, Gonzalo Hevia, Ximena Fajre, Diego Rocha, Pablo Brinck, Marcela Schultz Source Type: research

16834 Risk of hemorrhagic and ischemic stroke subsequent to diagnosis for hidradenitis suppurativa: Real-world data from a large urban Midwestern US patient population
Background: Although hidradenitis suppurativa (HS) has been reported to be associated with cardiovascular events, the risk for stroke has been inconsistently reported. The aim of this study is to determine the incidence of stroke in HS patients from real world data within a large urban midwestern US dermatology patient population.
Source: Journal of the American Academy of Dermatology - November 28, 2020 Category: Dermatology Authors: Jennifer Parker, Eran Gwillim, Yasmeen Ali, David Randall Pease, Anne E. Laumann, Dennis P. West, Beatrice Nardone Source Type: research

Intracranial artery calcification to screen patients at high risk of recurrent stroke: abridged secondary publication.
PMID: 33229619 [PubMed - in process]
Source: Hong Kong Med J - November 26, 2020 Category: General Medicine Authors: Wong KS, Chen XY, Leung TWH, Siu YW, Xiong L, Leng X Tags: Hong Kong Med J Source Type: research

Lutein for alleviating early high mortality and brain pathology after experimental stroke in a genetic type I diabetic mouse model: abridged secondary publication.
PMID: 33229618 [PubMed - in process]
Source: Hong Kong Med J - November 26, 2020 Category: General Medicine Authors: Lai AKW, Ng DTC, Tam BKC, Fung FKC, Chung SK, Lo ACY Tags: Hong Kong Med J Source Type: research

Rapid movement therapy to improve balance recovery in stroke survivors: a randomised controlled trial: abridged secondary publication.
PMID: 33229604 [PubMed - in process]
Source: Hong Kong Med J - November 26, 2020 Category: General Medicine Authors: Tong RKY, Cheng KCC, Junata M, Man HS Tags: Hong Kong Med J Source Type: research

Bilateral movement computer games to improve motor function of upper limb and quality of life in patients with sub-acute stroke: a randomised controlled trial: abridged secondary publication.
PMID: 33229602 [PubMed - in process]
Source: Hong Kong Med J - November 26, 2020 Category: General Medicine Authors: Lam SSL, Ng SSM, Lai CWK, Woo J Tags: Hong Kong Med J Source Type: research

Behavioural dysexecutive syndrome after stroke: abridged secondary publication.
PMID: 33229601 [PubMed - in process]
Source: Hong Kong Med J - November 26, 2020 Category: General Medicine Authors: Tang WK, Wong KSL, Mok VCT, Chu CWW, Wang D, Wong A Tags: Hong Kong Med J Source Type: research

An unusual artery causing an unusual stroke
This article describes a patient with bilateral thalamic infarction caused by occlusion in the artery of Percheron, an anatomic variant thought to be present in 4% to 12% of the population.
Source: Journal of the American Academy of Physician Assistants - November 25, 2020 Category: Primary Care Tags: Case Report Source Type: research

Eye Emergencies.
Abstract Central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments are eye emergencies that can result in permanent vision loss if not treated urgently. Family physicians should be able to recognize the signs and symptoms of each condition and be able to perform a basic eye examination. Patients with a central retinal artery occlusion require urgent referral for stroke evaluation and should receive therapy to lower intraocular pressure and vasodilating agents to minimize retinal ischemia. Chemical injuries require immediate irrigation of the eye to neutralize the pH o...
Source: American Family Physician - October 30, 2020 Category: Primary Care Authors: Gelston CD, Deitz GA Tags: Am Fam Physician Source Type: research

Routing to Endovascular Treatment of Ischemic Stroke in Korea: Recognition of Need for Process Improvement.
CONCLUSION: Two-thirds of EVT candidates were initially routed to PSHs despite greater chance of receiving EVT and having favorable outcomes if routed to a TCH in Korea. Process improvement is needed to direct appropriate patients to TCHs. PMID: 33107228 [PubMed - in process]
Source: J Korean Med Sci - October 26, 2020 Category: General Medicine Authors: Kang J, Kim SE, Park HK, Cho YJ, Kim JY, Lee KJ, Park JM, Park KY, Lee KB, Lee SJ, Lee JS, Lee J, Yang KH, Choi AR, Kang MY, Choi NC, Gorelick PB, Bae HJ Tags: J Korean Med Sci Source Type: research

Response to Letter to the Editor
We thank Drs. Lewis and Greer for their detailed comments and for highlighting the work of the World Brain Death Project, WBDP.1 Their view that our patient's findings preclude a determination of death by neurologic criteria (BD/DNC) is the view we supported.2 On the other hand, this determination would have been consistent with the American Academy of Neurology AAN 2010 standard for BD/DNC with coma, absence of brainstem reflexes, and apnea.3 Our patient had no reflexive eye movements in response to vestibular reflex testing and even no eye movements to vertical oculocephalic reflex; this is akin to Shulgman's case, where...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2020 Category: Neurology Authors: Deema Fattal, Gregory Schmidt Source Type: research

Ocular movements preclude brain death determination: Response to Fattal et al.
We read with interest Fattal et al. ’s article, “Subtle ocular movements in a patient with brain death.”1 The authors describe a patient with a cerebellar hemorrhage leading to posterior fossa edema and brainstem compression and report the clinical examination demonstrated severe neurologic injury consistent with the 2010 Americ an Academy of Neurology (AAN) standards for brain death/death by neurologic criteria (BD/DNC). However, the authors delayed determination of BD/DNC because the patient had subtle spontaneous vertical eye movements.
Source: Journal of Stroke and Cerebrovascular Diseases - October 2, 2020 Category: Neurology Authors: Ariane Lewis, David Greer Tags: Letter to the Editor Source Type: research

Where are we now with aphasia after stroke ?
Pam Enderby, Laura SuttonAnnals of Indian Academy of Neurology 2020 23(8):57-62 Objective: To provide a brief review of research literature relating to the current state of knowledge regarding speech and language therapy for people with aphasia and place these research findings within the context of outcome data of non-selected patients receiving usual therapy in the UK. Methods: Part 1 presents a literature search aimed at exploring up-to-date information related to the nature and evolution of aphasia, the impact of therapy and the changing nature of therapy. This provides the context of what may be achieved in rehabilit...
Source: Annals of Indian Academy of Neurology - September 24, 2020 Category: Neurology Authors: Pam Enderby Laura Sutton Source Type: research