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Subacute ischemic stroke rehabilitation outcomes in working-age adults: The role of aphasia in cognitive functional independence.
CONCLUSIONS: We identified no significant differences in C-FIM outcomes (gain, efficiency and effectiveness) either in LOS between PWA and patients without aphasia, though C-FIM differences were significant at admission and discharge. Aphasia was a significant predictor of C-FIM gain and C-FIM at discharge. PMID: 32967590 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 23, 2020 Category: Neurology Authors: García-Rudolph A, García-Molina A, Cegarra B, Opisso E, Saurí J, Tormos JM, Bernabeu M Tags: Top Stroke Rehabil Source Type: research
The role of microstructural integrity of major language pathways in narrative speech in the first year after stroke
Stroke is one of the most common acquired neurological disorders and the leading cause of disability, and one-third of stroke survivors suffer from varying degrees of aphasia.1-2 Post-stroke aphasia is a complex disorder that arises from heterogeneous pathologies in large convoluted networks in the brain;3-5 thus, revealing its natural progression and recovery patterns remains difficult.6 However, understanding post-stroke aphasia recovery patterns is equally crucial to individualize treatment intensity and strategies, as many diverse language deficits may persist.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Zafer Keser, Erin L. Meier, Melissa D. Stockbridge, Argye E. Hillis Source Type: research
Management for a patient of moyamoya disease presenting with ischemic stroke in the first trimester of pregnancy
We report an extremely rare case of a 27-year-old woman presenting with ischemic stroke as an initial manifestation of moyamoya disease in the first trimester of pregnancy. We conducted an artificial abortion when her neurological symptoms rapidly became refractory to optimal antithrombotic treatments. The progression of neurologic deficits stopped immediately after abortion, resulting in recovery to independence, with slight motor aphasia and right hemiparesis due to improved cerebral flow. We highlight rapid artificial abortion combined with antithrombotic treatment for patients of moyamoya disease with pregnancy-associa...
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Masashi Watanabe, Kanehisa Kohno, Tomoki Shinohara, Toshimoto Seno, Satoshi Fujiwara, Shinji Onoue, Shinya Fukumoto, Haruhisa Ichikawa, Shinji Iwata, Kensho Okamoto, Shiro Ohue Tags: Case Report Source Type: research
Response to Speech and Language Therapy According to Artery Involvement and Lesion Location in Post-stroke Aphasia
Aphasia is one of the most common complications after stroke and occurs in 21 –38% of the patients during acute period. The present study aimed to investigate the response to speech and language therapy according to artery involvement and lesion location in patients with post-stroke aphasia.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Berke Aras, Özgü İnal, Serdar Kesikburun, Evren Yaşar Source Type: research
Health-related quality of life, social support, and social networks in African-American stroke survivors with and without aphasia.
Health-related quality of life (HRQL) provides insight into the impact of a health condition on an individual's ability to lead a fulfilling life. Previous research has identified determinants of HRQL in stroke survivors to include communication, mobility, mental/emotional health, role, and social functioning. However, health disparities among minority populations may influence HRQL in stroke survivors with and without aphasia. The aim of this study was to explore the HRQL and social functioning in a homogenous sample of African-Americans with chronic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2020 Category: Neurology Authors: Davetrina Seles Gadson Tags: Poster 07 Source Type: research
Prevalence and Impact of Aphasia among Patients Admitted with Acute Ischemic Stroke
Aphasia is one of the most severe symptoms in stroke patients, affecting one-third of acute stroke patients. We aimed to investigate the prevalence and outcomes of aphasia in patients with acute ischemic stroke (AIS).
Source: Journal of Stroke and Cerebrovascular Diseases - March 11, 2020 Category: Neurology Authors: Cheng Wu, Yingyi Qin, Zhen Lin, Xiyan Yi, Xin Wei, Yiming Ruan, Jia He Source Type: research
Single Word Repetition Predicts Long-Term Outcome of Aphasia Caused by an Ischemic Stroke
Purpose: Better understanding of clinical predictors of aphasia outcome is of the utmost importance, in patients ’ rehabilitation planning, expectation management, and further physiopathology understanding.We aimed to identify clinical predictors of long-term poststroke aphasia's outcome. Methods: We conducted a prospective longitudinal observation study of patients with left-Middle Cerebral Artery stroke wi th aphasia. Patients were evaluated at baseline, day 7 and 6 months with National Institutes of Health Stroke Scale (NIHSS) and Aphasia Rapid Test Other demographic variables and vascular risk factors were collected.
Source: Journal of Stroke and Cerebrovascular Diseases - December 15, 2019 Category: Neurology Authors: Miguel T ábuas-Pereira, José Beato-Coelho, Joana Ribeiro, Ana Rita Nogueira, Luis Cruz, Fernando Silva, João Sargento-Freitas, Gustavo Cordeiro, Isabel Santana Source Type: research
Validation of stroke-specific protocols for the 10-meter walk test and 6-minute walk test conducted using 15-meter and 30-meter walkways.
Conclusions: Findings showed excellent test-retest reliability; measurement error values similar to current literature; and support for construct validity of the 10mWT, 6MWT15m, and 6MWT30m. Due to the shorter walkway, the 6MWT15m may be more feasible to implement than the 6MWT30m in hospital settings. A larger sample with more severe deficits is required to improve generalizability. PMID: 31752634 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 20, 2019 Category: Neurology Authors: Cheng DK, Nelson M, Brooks D, Salbach NM Tags: Top Stroke Rehabil Source Type: research
Vision, Aphasia, Neglect Assessment for Large Vessel Occlusion Stroke
Vision, Aphasia, Neglect (VAN) is a large vessel occlusion (LVO) screening tool that was initially tested in a small study where emergency department (ED) nurses were trained to perform VAN assessment on stroke code patients. We aimed to validate the VAN assessment in a larger inpatient dataset.
Source: Journal of Stroke and Cerebrovascular Diseases - November 4, 2019 Category: Neurology Authors: Digvijaya Navalkele, Farhaan Vahidy, Sarah Kendrick, Angela Traylor, Micelle Haydel, Stacy Drury, Sheryl Martin-Schild Source Type: research
Prevalence of aphasia after stroke in a hospital population in southern Brazil: a retrospective cohort study.
Conclusions: PWA may need more health care during hospitalization, because of the severity of the stroke, and their frailty. Further studies are needed to assess the direct impact of aphasia on inpatients. PMID: 31687916 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 4, 2019 Category: Neurology Authors: Lima RR, Rose ML, Lima HN, Cabral NL, Silveira NC, Massi GA Tags: Top Stroke Rehabil Source Type: research
Objective and subjective sleep problems and quality of life of rehabilitation in patients with mild to moderate stroke.
Conclusion: Objective sleep parameters (sleep onset latency and sleep efficiency) were found to be associated with quality of life during the early stage of rehabilitation in mild to moderate stroke patients. PMID: 31618116 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 15, 2019 Category: Neurology Authors: Kim WH, Yoo YH, Lim JY, Kang SG, Jung HY, Bae JN, Joa KL Tags: Top Stroke Rehabil Source Type: research
Audiovisual speech segmentation in post-stroke aphasia: a pilot study.
Conclusion: Our findings show that speech segmentation disorder may exist in PWA. This points to the importance of assessing and training speech segmentation after stroke. Further studies should investigate the characteristics of PWA who use visual speech cues during sentence processing. PMID: 31369358 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 31, 2019 Category: Neurology Authors: Basirat A, Allart É, Brunellière A, Martin Y Tags: Top Stroke Rehabil Source Type: research
Initial National Institute of Health Stroke Scale to Early Predict the Improvement of Swallowing in Patients with Acute Ischemic Stroke
Objectives: To study the applicability of National Institutes of Health Stroke Scale (NIHSS) in early predicting the prognosis of poststroke dysphagia in an acute ward. Methods: This is an observational retrospective cohort study including adult patients with ischemic stroke. Patients with various factors affecting swallowing were excluded to obtain a representative sample of 165 patients. The main outcome measure was the improvements of oral intake function. Results: The scores of facial palsy (NIHSS item 4) (odds ratio [OR]: 0.484, 95% confidence interval [CI]: 0.279-0.838, P = .0096] and language/aphasia (NIHSS item 9) ...
Source: Journal of Stroke and Cerebrovascular Diseases - July 26, 2019 Category: Neurology Authors: Wen-Chih Lin, Chih-Yuan Huang, Lin-Fu Lee, Yun-Wen Chen, Chung-Han Ho, Yuan-Ting Sun Source Type: research
Significance of speech production errors on cross-linguistic processing in Sepedi-English individuals with bilingual aphasia: a case series analysis.
CONCLUSIONS: Participants with bilingual aphasia may use typical cross-linguistic and word retrieval mechanisms, concurring with current theories of bilingualism. Findings are preliminary, warranting investigations of other language tasks, modalities, pairs, and related variables. PMID: 30913996 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 26, 2019 Category: Neurology Authors: van Zyl M, Pillay B, Kritzinger A, Lekganyane M, Graham M Tags: Top Stroke Rehabil Source Type: research
Factors Influencing Quality of Life in Stroke Patients: Focus on Eating Habits
This study aimed to identify lifestyle factors about eating habits that may affect the quality of life (QOL) in elderly stroke patients. Methods: Fifty elderly patients with a first-ever stroke were enrolled. QOL was assessed by the Stroke and Aphasia QOL Scale-39-J. Lifestyle factors about eating habits were collected using questionnaires (Questions 1-17) for the intake of salt, calcium, magnesium, potassium, taurine, fiber, and protein, and the frequency of breakfast.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2019 Category: Neurology Authors: Reina Chiba, Saya Tominaga, Kasumi Mikami, Maiko Kitajima, Mayumi Urushizaka, Toshiko Tomisawa, Junko Chiba, Joji Hagii, Minoru Yasujima, Tomohiro Osanai Source Type: research
Community ambulation of stroke survivors at 6 months follow-up: an observational study on sociodemographic and sub-acute clinical indicators.
CONCLUSIONS: The presence of risk factors and clinical complications delay significantly the walking ability restoration and return to social life. Such status consistently with the patient's compliance must not postpone the rehabilitation relatively, rehabilitation must be facilitated with targeted programs taking care particularly of people with negative indicators for recovery of community ambulation 6 months post-stroke. CLINICAL REHABILITATION IMPACT: Early indicators are considerable in order to predict a targeted prognosis and better provide a tailored rehabilitation program. PMID: 30543267 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Authors: Pornajaf S, Goffredo M, Agosti M, Massucci M, Ferro S, Franceschini M, Italian Study Group on Implementation of Stroke Care (ISC Study) Tags: Eur J Phys Rehabil Med Source Type: research
Psychometric properties of the Chinese-version Stroke and Aphasia Quality of Life Scale 39-generic version (SAQOL-39g).
CONCLUSIONS: The Chinese-version SAQOL-39g has excellent reliability, validity, and feasibility for measuring the QOL of Chinese post-stroke aphasia patients. The consistency between self-report and proxy-report forms was good, implying that the proxy-report form can be used to assess the QOL of post-stroke aphasia patients. PMID: 30451594 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 19, 2018 Category: Neurology Authors: Qiu W, Guan H, Chen Z, Yu Y, Wu H, Yu WS, Qiu G, Feng X, Lee KYS Tags: Top Stroke Rehabil Source Type: research
Psychometric properties of the Dutch SAQOL-39NL in a generic stroke population.
CONCLUSIONS: These data provide further evidence for the acceptability, internal consistency, and initial promising data on validity of the SAQOL-39NLg. Further research on structural validity and responsiveness to change is needed. PMID: 30380373 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 31, 2018 Category: Neurology Authors: Van Ewijk L, Ter Wal N, Okx G, Goossens P, Groeneveld I Tags: Top Stroke Rehabil Source Type: research
Participants' perceptions of an aphasia-friendly occupational therapy home program.
CONCLUSIONS: Overall participants in this study with aphasia perceived the modifications to home programs including aphasia friendly written instructions and music to facilitate successful home practice. PMID: 30296202 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 8, 2018 Category: Neurology Authors: Wallace SE, Donoso Brown EV, Saylor A, Lapp E Tags: Top Stroke Rehabil Source Type: research
The role of subjective cognitive complaints and depressive symptoms in social re-integration following stroke: a mediation explanation in a cross-sectional sample.
Conclusions Subjective cognitive complaints are common in long-term outcome following stroke and predict difficulty in community reintegration. However, this relationship is mediated by variation in emotional status. Therefore, addressing cognitive complaints through cognitive rehabilitation programs that include components to improve mood (for example, building self-efficacy or confidence) may also improve community reintegration post-stroke. PMID: 30040053 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 24, 2018 Category: Neurology Authors: Kimonides S, Cavuoto MG, De Silva L, Kinsella GJ Tags: Top Stroke Rehabil Source Type: research
Ischemic Stroke Secondary to Paradoxical Embolism Through a Pulmonary Arteriovenous Malformation: Case Report and Review of the Literature
We report a 32-year-old man who presented with an abrupt onset of right facial weakness and expressive aphasia. Brain magnetic resonance imaging revealed an acute infarct in the left middle cerebral artery territory and chronic infarcts in the bilateral cerebellar hemispheres. A cardioembolic mechanism was initially considered in the setting of perimyocarditis diagnosed a few months earlier.
Source: Journal of Stroke and Cerebrovascular Diseases - April 5, 2018 Category: Neurology Authors: Ryan Cappa, Jeanette Du, Joseph F. Carrera, Jimmy V. Berthaud, Andrew M. Southerland Tags: Case Studies Source Type: research
Predictors of Thrombolysis Administration in Mild Stroke Clinical Sciences
Conclusions—Mild acutely presenting stroke patients are more likely to receive thrombolysis if they are young, white, or Hispanic and arrive early to the hospital with more severe neurological presentation. Identification of predictors of thrombolysis is important in design of future studies to assess the use of thrombolysis for mild stroke.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Negar Asdaghi, Kefeng Wang, Maria A. Ciliberti-Vargas, Carolina Marinovic Gutierrez, Sebastian Koch, Hannah Gardener, Chuanhui Dong, David Z. Rose, Enid J. Garcia, W. Scott Burgin, Juan Carlos Zevallos, Tatjana Rundek, Ralph L. Sacco, Jose G. Romano Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke, Transient Ischemic Attack (TIA) Original Contributions Source Type: research
Wants Talk Psychotherapy but Cannot Talk: EMDR for Post-stroke Depression with Expressive Aphasia
CONCLUSION This is the first reported case demonstrating that EMDR can be effective for depression, even in those with severe expressive aphasia. In our case, there was no reluctance to disclose information, simply a neurological inability to do so. Through preparation, patience, perseverance, and plasticity (clinician flexibility, though perhaps also neuroplasticity), the patient’s PSD gradually improved, and she was able to reinvent her life within her limitations. ACKNOWLEDGMENTS The authors gratefully acknowledge Eugene Schwartz, E.C. Hurley, and Mark Hubner for providing consultation during patient care. REFERENCES ...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Case Report Current Issue Neurologic Systems and Symptoms Neurology Psychotherapy Stroke aphasia depression EMDR Source Type: research
Histology of Thrombectomy Specimen Reveals Cardiac Tumor Embolus in Cryptogenic Young Stroke
A 25-year-old woman presented with acute onset of right hemiplegia and global aphasia with National Institutes of Health Stroke Scale score of 19. Computed tomography angiography demonstrated occlusion of the left proximal middle cerebral artery. She was thrombolysed with intravenous recombinant tissue plasminogen activator (0.6 mg/kg) within 3 hours of onset of symptoms and was taken up for mechanical thrombectomy. The retrieved specimen appeared pale white and soft; histopathologic examination revealed a papillary neoplasm composed of papillae with hyalinized cores lined by endothelium, consistent with papillary fibro...
Source: Journal of Stroke and Cerebrovascular Diseases - December 12, 2017 Category: Neurology Authors: Kizhakkaniyakath Abdu Salam, Mohammed Rafeeque, Hisham Hashim, Neena Mampilly, Mohan Leslie Noone Tags: Case Studies Source Type: research
Cognitive performance and aphasia recovery.
Conclusions The Matrix Reasoning Test may contribute to predict aphasia recovery. Cognitive performance is a measure of network disruption but may also indicate the availability of recovery strategies. PMID: 29072540 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 26, 2017 Category: Neurology Authors: Fonseca J, Raposo A, Martins IP Tags: Top Stroke Rehabil Source Type: research
Coprolalia in aphasic patients with stroke: a longitudinal observation from the BLAS2T database.
This report discusses linguistic performance in four cases from the BLAS2T database who demonstrated coprolalia as an irresistible urge to say obscene words. Coprolalia was found to partly resolve in a 30-day follow-up in three cases. Recognition of coprolalia and language recovery patterns in bilingual aphasic patients with stroke would potentially lead to their even better individualized care and neurolinguistic/cognitive rehabilitation. PMID: 29027506 [PubMed - as supplied by publisher]
Source: Neurocase - October 13, 2017 Category: Neurology Authors: Afshangian F, Nami M, Abolhasani Foroughi A, Rahimi A, Husak R, Fabbro F, Tomasino B, Kremer C, BLAS2T (Bilingual Aphasia in Stroke-Study Team) Tags: Neurocase Source Type: research
Fidelity to a motivational interviewing intervention for those with post-stroke aphasia: a small-scale feasibility study.
This study aimed to explore the feasibility of motivational interviewing (MI) in people with post-stroke aphasia. METHODS: In a small-scale feasibility study, consecutive patients admitted to an acute stroke ward were screened for eligibility. People with moderate to severe aphasia were eligible. Those consenting received an intervention consisting of up to eight MI sessions delivered twice per week over four weeks. Sessions were modified using aids and adaptations for aphasia. Session quality was measured using the Motivational Interviewing Skills Code (MISC) to assess MI fidelity. RESULTS: Three consenting pati...
Source: Topics in Stroke Rehabilitation - September 27, 2017 Category: Neurology Authors: Holland EJ, Watkins CL, Boaden E, Lightbody CE Tags: Top Stroke Rehabil Source Type: research
Effect of informed consent on patient characteristics in a stroke thrombolysis trial
Conclusions: Patients recruited by proxy consent were older, had more severe strokes, and had higher prevalence of aphasia than those with capacity to give personal consent. Variations in the manner of consent across countries may influence trial results. Clinicaltrials.gov and Clinicaltrialsregister.eu identifiers: NCT01525290 (clinicaltrials.gov); 2011-005906-32 (clinicaltrialsregister.eu).
Source: Neurology - September 25, 2017 Category: Neurology Authors: Thomalla, G., Boutitie, F., Fiebach, J. B., Simonsen, C. Z., Nighoghossian, N., Pedraza, S., Lemmens, R., Roy, P., Muir, K. W., Heesen, C., Ebinger, M., Ford, I., Cheng, B., Cho, T.-H., Puig, J., Thijs, V., Endres, M., Fiehler, J., Gerloff, C. Tags: MRI, All Clinical trials, All Cerebrovascular disease/Stroke, Clinical trials Methodology/study design, All Ethics in Neurology/Legal issues ARTICLE Source Type: research
The Nottingham Fatigue After Stroke (NotFAST) study: results from follow-up six months after stroke.
Conclusions Half the stroke survivors reported fatigue at six months post-stroke. Reduced independence in activities of daily living and higher anxiety levels were associated with the level of fatigue. Persistent and delayed onset fatigue may affect independence and participation in rehabilitation, and these findings should be used to inform the development of appropriate interventions. PMID: 28891760 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 11, 2017 Category: Neurology Authors: Hawkins L, Lincoln NB, Sprigg N, Ward NS, Mistri A, Tyrrell P, Worthington E, Drummond A Tags: Top Stroke Rehabil Source Type: research
Social participation in working-age adults with aphasia: an updated systematic review.
CONCLUSIONS: While the ICF conceptual framework is increasingly used, no studies used the A-FROM. There is greater use of standardized assessments and larger sample sizes. PMID: 28851257 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - August 29, 2017 Category: Neurology Authors: Pike C, Kritzinger A, Pillay B Tags: Top Stroke Rehabil Source Type: research
Rehabilitation and the Neural Network After Stroke
AbstractStroke remains a major cause of disability throughout the world: paralysis, cognitive impairment, aphasia, and so on. Surgical or medical intervention is curative in only a small number of cases. Nearly all stroke cases require rehabilitation. Neurorehabilitation generally improves patient outcome, but it sometimes has no effect or even a mal-influence. The aim of this review is the clarification of the mechanisms of neurorehabilitation. We systematically reviewed recently published articles on neural network remodeling, especially from 2014 to 2016. Finally, we summarize progress in neurorehabilitation and discuss future prospects.
Source: Translational Stroke Research - July 5, 2017 Category: Neurology Source Type: research
Repetitive transcranial magnetic stimulation therapy for post-stroke non-fluent aphasia: A critical review.
CONCLUSION: There are some strong studies evaluating the efficacy of rTMS in non-fluent stroke patients but further research is required to fully establish the usefulness of this treatment. Future directions and limitations are presented. PMID: 28549391 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 26, 2017 Category: Neurology Authors: Kapoor A Tags: Top Stroke Rehabil Source Type: research
The FAST-ED App: A Smartphone Platform for the Field Triage of Patients With Stroke Clinical Sciences
Conclusions—The FAST-ED smartphone application has great potential to improve the triage of patients with acute ischemic stroke, as it seems capable to optimize resources, reduce hospital arrivals times, and maximize the use of both intravenous tissue-type plasminogen activator and endovascular treatment ultimately leading to better clinical outcomes. Future field studies are needed to properly evaluate the impact of this tool in stroke outcomes and resource utilization.
Source: Stroke - April 24, 2017 Category: Neurology Authors: Raul G. Nogueira, Gisele S. Silva, Fabricio O. Lima, Yu-Chih Yeh, Carol Fleming, Daniel Branco, Arthur H. Yancey, Jonathan J. Ratcliff, Robert Keith Wages, Earnest Doss, Mehdi Bouslama, Jonathan A. Grossberg, Diogo C. Haussen, Teppei Sakano, Michael R. Fr Tags: Quality and Outcomes, Cerebrovascular Procedures, Ischemic Stroke Original Contributions Source Type: research
MELAS Syndrome: How Stroke-like are the Stroke episodes? (P1.255)
Conclusions:Patients with MELAS syndrome may present with recurrent strokes in the arterial territory rather than SLEs. Clinicians should entertain the possibility of a mitochondrial disease in young patients with cryptogenic stroke and pursue appropriate diagnostic evaluations and treatment.Disclosure: Dr. Liaw has nothing to disclose. Dr. Lewis has nothing to disclose. Dr. Saini has nothing to disclose. Dr. Gultekin has nothing to disclose. Dr. Koch has nothing to disclose. Dr. Asdaghi has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Liaw, N., Lewis, R., Saini, V., Gultekin, S. H., Koch, S., Asdaghi, N. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research
Analysis of Run Sheets of EMS Serving a Metropolitan Comprehensive Stroke Center (P1.268)
Conclusions:Patients with acute stroke transported by EMS have better quality metrics and higher chance of receiving acute treatment. EMS documented assessment allows for the diagnosis or stroke in general but cannot identify LVO because the assessment of cortical signs is very limited.Disclosure: Dr. Hussein has nothing to disclose. Dr. Kashyap has nothing to disclose. Dr. Erickson has nothing to disclose. Dr. Forsberg has nothing to disclose. Dr. Burnett has nothing to disclose. Dr. Stanfield has nothing to disclose. Dr. Wewerka has nothing to disclose. Dr. Terwilliger has nothing to disclose. Dr. Hanson has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Hussein, H., Kashyap, B., Erickson, L., Forsberg, A., Burnett, A., Stanfield, S., Wewerka, S., Terwilliger, A., Hanson, L. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research
Gender Differences in Post Stroke Fatigue (P5.290)
Conclusions:In our urban predominately minority cohort, women had more severe PSF than men. The basis for the protective effect of HTN on PSF severity is unclear and deserves further study.Disclosure: Dr. Balucani has nothing to disclose. Dr. Gilles has nothing to disclose. Dr. Singer has nothing to disclose. Dr. Stefanov has nothing to disclose. Dr. Halket has nothing to disclose. Dr. Mlastabi has nothing to disclose. Dr. Huang has nothing to disclose. Dr. Weingast has nothing to disclose. Dr. Levine has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Balucani, C., Gilles, N., Singer, J., Stefanov, D., Halket, D., Mlastabi, J., Huang, A., Weingast, S., Levine, S. Tags: Stroke Recovery and Rehabilitation Source Type: research
Motor recovery in post-stroke patients with aphasia: the role of specific linguistic abilities.
CONCLUSIONS: Motor function at admission resulted as the variable that most affects the motor recovery of post-stroke patients with aphasia after rehabilitation. A linguistic test requiring also non-linguistic abilities, including attention and working memory (i.e. Token test) is an independent predictor as well. PMID: 28322130 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 21, 2017 Category: Neurology Authors: Ginex V, Veronelli L, Vanacore N, Lacorte E, Monti A, Corbo M Tags: Top Stroke Rehabil Source Type: research
Different Perfusion Patterns in a Patient with Acute Ischemic Stroke
A 29-year-old male patient with aphasia and mild weakness of the right arm arrived at the emergency room 4 hours after symptom onset. The computed tomography perfusion showed a typical delay in the time-based maps in the left occipital lobe and another hyperperfused area in the left frontal lobe. The follow-up magnetic resonance imaging confirmed cortical ischemic lesions in both areas. This case shows that besides hypoperfusion, hyperperfusion can also be found in the first stages of acute stroke, and it is highly suggestive of established ischemic lesions.
Source: Journal of Stroke and Cerebrovascular Diseases - March 9, 2017 Category: Neurology Authors: Salvatore Rudilosso, Carlos Laredo, Xabier Urra, Ángel Chamorro Tags: Case Studies Source Type: research
Recurrent stroke in a patient with vitamin B12 deficiency and MTHFR mutation
We report an unusual case of recurrent stroke in a patient with vitamin B12 deficiency who was also homozygous for the methylene tetrahydrofolate reductase (MTHFR) gene mutation. The patient was a 35-year-old male vegetarian with no known medical history who initially presented with global aphasia, slurred speech, right facial weakness, and right-sided hemiplegia and was found to have a stroke (NIH Stroke Scale score of 25). At that time a CT scan of the head ruled out intracranial hemorrhage and a CT angiogram of the head and neck was done. The patient was found to have occlusion of the M1 segment of the left middle cereb...
Source: Neurology Clinical Practice - February 12, 2017 Category: Neurology Authors: Zacharia, G., Shani, D., Ortiz, R. A. Tags: Stroke in young adults, Stroke prevention, Hematologic, All Cerebrovascular disease/Stroke Case Source Type: research
Stroke vision, aphasia, neglect (VAN) assessment--a novel emergent large vessel occlusion screening tool: pilot study and comparison with current clinical severity indices
Conclusions The VAN screening tool accurately identified ELVO patients and outperformed a NIHSS ≥6 severity threshold and may best allow clinical teams to expedite care and mobilize resources for ELVO patients. A larger study to both validate this screening tool and compare with others is warranted.
Source: Journal of NeuroInterventional Surgery - January 12, 2017 Category: Neurosurgery Authors: Teleb, M. S., Ver Hage, A., Carter, J., Jayaraman, M. V., McTaggart, R. A. Tags: Open access, Ischemic stroke Source Type: research
Stress and depression scales in aphasia: relation between the aphasia depression rating scale, stroke aphasia depression questionnaire-10, and the perceived stress scale.
CONCLUSIONS: The SADQ-10 and ADRS appear to be acceptable measures of depressive symptoms in aphasia patients. Measurements of perceived stress may also be an important factor in assessment of depressive symptoms. PMID: 27348232 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - June 26, 2016 Category: Neurology Authors: Laures-Gore JS, Farina M, Moore E, Russell S Tags: Top Stroke Rehabil Source Type: research
Assessing chronic stroke survivors with aphasia sheds light on prevalence of spatial neglect.
CONCLUSIONS: This study demonstrates the need to administer functional neglect assessments in left-brain stroke and to include individuals with aphasia in research. PMID: 27322860 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - June 19, 2016 Category: Neurology Authors: Hreha K, Mulry C, Gross M, Jedziniak T, Gramas N, Ohevshalom L, Sheridan A, Szabo G, Davison C, Barrett AM Tags: Top Stroke Rehabil Source Type: research
Picturing the Size and Site of Stroke With an Expanded National Institutes of Health Stroke Scale Clinical Sciences
Conclusions— Brief picture description analysis complements NIHSS scores in predicting stroke volume and location.
Source: Stroke - May 22, 2016 Category: Neurology Authors: Agis, D., Goggins, M. B., Oishi, K., Oishi, K., Davis, C., Wright, A., Kim, E. H., Sebastian, R., Tippett, D. C., Faria, A., Hillis, A. E. Tags: Magnetic Resonance Imaging (MRI), Cognitive Impairment, Ischemic Stroke Clinical Sciences Source Type: research
Damage to the Left Precentral Gyrus Is Associated With Apraxia of Speech in Acute Stroke Clinical Sciences
Conclusions— Damage to the left precentral gyrus is associated with AOS in acute to subacute stroke patients, suggesting a role of this brain region in motor speech production.
Source: Stroke - December 28, 2015 Category: Neurology Authors: Itabashi, R., Nishio, Y., Kataoka, Y., Yazawa, Y., Furui, E., Matsuda, M., Mori, E. Tags: Computerized Tomography (CT), Magnetic Resonance Imaging (MRI), Cerebrovascular Disease/Stroke, Cognitive Impairment, Ischemic Stroke Clinical Sciences Source Type: research
Methodological Factors in Determining Risk of Dementia After Transient Ischemic Attack and Stroke: (III) Applicability of Cognitive Tests Clinical Sciences
Conclusions— Substantial numbers of patients with TIA and stroke are untestable with short cognitive tests. Future studies should report data on untestable patients and those with problems with testing in whom the likelihood of dementia is high.
Source: Stroke - October 26, 2015 Category: Neurology Authors: Pendlebury, S. T., Klaus, S. P., Thomson, R. J., Mehta, Z., Wharton, R. M., Rothwell, P. M., for the Oxford Vascular Study Tags: Behavioral Changes and Stroke Clinical Sciences Source Type: research
Prevalence of Stroke and Its Risk Factors in Urban Sri Lanka: Population-Based Study Brief Reports
Conclusions— Age-adjusted stroke prevalence in urban Sri Lanka lies between high-income and low-/middle-income countries. The prevalence of stroke and its risk factors were higher among men.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Chang, T., Gajasinghe, S., Arambepola, C. Tags: Cerebrovascular disease/stroke, Acute Cerebral Hemorrhage, Acute Cerebral Infarction Brief Reports Source Type: research
Functional Gain After Inpatient Stroke Rehabilitation: Correlates and Impact on Long-Term Survival Brief Reports
Conclusions— Several factors are independently associated with functional gain after SR. Our findings strongly suggest that the magnitude of functional improvement is a powerful predictor of long-term mortality in patients admitted for SR.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Scrutinio, D., Monitillo, V., Guida, P., Nardulli, R., Multari, V., Monitillo, F., Calabrese, G., Fiore, P. Tags: Other Stroke Treatment - Medical Brief Reports Source Type: research
In-Hospital Stroke Recurrence and Stroke After Transient Ischemic Attack: Frequency and Risk Factors Clinical Sciences
Conclusions— In-hospital stroke recurrence was low with optimal current management. Patients with a history of TIA, severe symptomatic carotid stenosis, or uncommon causes of stroke were at higher risk. Pneumonia was associated with a higher risk of stroke recurrence in patients with initial TIA or minor stroke but not in the overall population studied. Aphasia may bias the detection rate by concealing new neurological symptoms.
Source: Stroke - March 23, 2015 Category: Neurology Authors: Erdur, H., Scheitz, J. F., Ebinger, M., Rocco, A., Grittner, U., Meisel, A., Rothwell, P. M., Endres, M., Nolte, C. H. Tags: Acute Cerebral Infarction, Carotid Stenosis, Emergency treatment of Stroke, Antiplatelets Clinical Sciences Source Type: research
Methodological Factors in Determining Rates of Dementia in Transient Ischemic Attack and Stroke: (I) Impact of Baseline Selection Bias Clinical Sciences
Conclusions— Exclusion of patients unavailable for assessment, and other widely used selection criteria, results in underestimation of the measured rate of dementia associated with transient ischemic attack and stroke.
Source: Stroke - February 23, 2015 Category: Neurology Authors: Pendlebury, S. T., Chen, P.-J., Bull, L., Silver, L., Mehta, Z., Rothwell, P. M., for the Oxford Vascular Study Tags: Behavioral Changes and Stroke Clinical Sciences Source Type: research