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Source: Frontiers in Neurology

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Total 2557 results found since Jan 2013.

Predicting DWI-FLAIR mismatch on NCCT: the role of artificial intelligence in hyperacute decision making
ConclusionThe DWI-FLAIR mismatch may be reckoned using NCCT images through advanced artificial intelligence techniques.
Source: Frontiers in Neurology - June 12, 2023 Category: Neurology Source Type: research

Delirium detection using wearable sensors and machine learning in patients with intracerebral hemorrhage
ConclusionsWe found that actigraphy in conjunction with machine learning models improves clinical detection of delirium in patients with stroke, thus paving the way to make actigraph-assisted predictions clinically actionable.
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Predictive effect of the decline in CD4+ T cell levels in blood on infection in patients with severe hemorrhagic stroke and mechanism
ConclusionReduced blood CD4+ T-cell counts among patients who had severe hemorrhagic stroke increased the risk of early infection. CSF IL-6 and IL-8 may be involved in inducing the migration of CD4+ T cells into the CSF and decreasing blood CD4+ T-cell levels.
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Feasibility of a serious game system including a tangible object for post stroke upper limb rehabilitation: a pilot randomized clinical study
ConclusionThe Ergotact system for upper limb rehabilitation was well accepted and induced participant satisfaction. It complies with current recommendations for people with stroke to autonomously perform intensive active exercises in a fun context, in addition to conventional rehabilitation sessions with therapists.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/NCT03166020?term=NCT03166020&draw=2&rank=1, identifier NCT03166020.
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Inflammation in stroke: initial CRP levels can predict poor outcomes in endovascularly treated stroke patients
ConclusionPoor outcome and death occur significantly more often in stroke patients with elevated CRP levels before MT. Our findings suggest that stroke patients with atrial fibrillation and elevated inflammatory markers are of particular risk for poor outcomes.
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Effect of the physical rehabilitation program based on self-care ability in patients with acute ischemic stroke: a quasi-experimental study
ConclusionThe physical rehabilitation program based on self-care ability after stroke was beneficial for acute ischemic stroke patients and improved the patient's myodynamia, quality of life, and self-care ability within the third month.
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Prediction of subjective cognitive decline after corpus callosum infarction by an interpretable machine learning-derived early warning strategy
ConclusionOur study firstly demonstrated that the LR-model with 9 common variables has the best-performance to predict the risk of post-stroke SCD due to CC infarcton. Particularly, the combination of LR-model and SHAP-explainer could aid in achieving personalized risk prediction and be served as a decision-making tool for early intervention since its poor long-term outcome.
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Higher intensity walking improves global cognition during inpatient rehabilitation: a secondary analysis of a randomized control trial
Cognitive deficits are common poststroke. Cognitive rehabilitation is typically used to improve cognitive deficits. It is unknown whether higher doses of exercise to promote motor recovery influence cognitive outcomes. Our recent trial, Determining Optimal Post-Stroke Exercise (DOSE), shows more than double the steps and aerobic minutes can be achieved during inpatient rehabilitation versus usual care, and translates to improved long-term walking outcomes. Thus, the secondary analysis aim was to determine the effect of the DOSE protocol on cognitive outcomes over 1-year poststroke. The DOSE protocol progressively increased...
Source: Frontiers in Neurology - June 9, 2023 Category: Neurology Source Type: research

Case report: Flow changes in routes of collateral circulation in patients with LVO and low NIHSS: a point favor to treat
In this study, we present the case of a 62-year-old individual, with left internal carotid occlusion stroke and low NIHSS, who had compensatory collateral flow from Willis polygon via the anterior communicating artery. The patient subsequently exhibited neurological deterioration and collateral flow failure from Willis polygon, indicating the need for urgent intervention. The study of collaterals in patients with large vessel occlusion stroke has garnered considerable attention, with research suggesting that individuals with low NIHSS scores and poor collateral profiles may be at a heightened risk of early neurological det...
Source: Frontiers in Neurology - June 8, 2023 Category: Neurology Source Type: research

Prognostic value of inflammatory markers for in-hospital mortality in intensive care patients with acute ischemic stroke: a retrospective observational study based on MIMIC-IV
ConclusionThe in-hospital mortality of patients with AIS and the SII were positively correlated, but not linearly. A high SII was associated with a worse prognosis in patients with AIS. The SII had a modest level of discrimination for forecasting in-hospital mortality. The SII was slightly better than the NLR and significantly better than the PLR and total bilirubin for predicting in-hospital mortality in patients with AIS.
Source: Frontiers in Neurology - June 8, 2023 Category: Neurology Source Type: research

Branch-site occlusion sign predicts the embolic origin of acute ischemic stroke: a meta-analysis
ConclusionThe BSO sign could be a valid and precise imaging marker to predict embolism caused ILVO-AIS and recanalization success by SR without rescue therapy.
Source: Frontiers in Neurology - June 7, 2023 Category: Neurology Source Type: research

Evidence of neuroplasticity with brain –computer interface in a randomized trial for post-stroke rehabilitation: a graph-theoretic study of subnetwork analysis
ConclusionBrain–computer interface can promote the recovery of upper limbs after stroke by regulating VN and DAN. The correlation trend of weak intensity proves that functional recovery in stroke patients is likely to be related to the brain’s visuospatial processing ability, which can be used to optimize BCI strategies.Clinical Trial RegistrationThe trial is registered in the Chinese Clinical Trial Registry, number ChiCTR2000034848. Registered 21 July 2020.
Source: Frontiers in Neurology - June 6, 2023 Category: Neurology Source Type: research

Red blood cell distribution width combined with age as a predictor of acute ischemic stroke in stable COPD patients
ConclusionThe combination of RDW and age in patients with stable COPD might be a potential predictor for the onset of AIS.
Source: Frontiers in Neurology - June 5, 2023 Category: Neurology Source Type: research

The role of high-sensitivity C-reactive protein serum levels in the prognosis for patients with stroke: a meta-analysis
ConclusionHs-CRP levels are strongly associated with mortality, risk of stroke recurrence and poor prognosis in stroke patients. Therefore, hs-CRP levels may contribute to the prognosis prediction of these patients.
Source: Frontiers in Neurology - June 5, 2023 Category: Neurology Source Type: research

Supporting stroke survivors to meet their personal rehabilitation needs in community-based arm rehabilitation: development of initial programme theories to explore what may work for whom, how and under what circumstances
ConclusionThis realist-informed study enabled the development of initial programme theories to explain how and in what circumstances the augmented arm rehabilitation intervention may have enabled participants to meet their personal rehabilitation needs. Encouraging participants’ sense of intrinsic motivation and building therapeutic relationships appeared instrumental. These initial programme theories require further testing, refinement, and integration with the wider literature.
Source: Frontiers in Neurology - June 2, 2023 Category: Neurology Source Type: research