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Source: Neurology
Condition: Bleeding

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Total 78 results found since Jan 2013.

Hemorrhagic stroke following use of the synthetic marijuana "spice"
The association between the street drug spice (K-2 or herbal incense), a synthetic marijuana, and intracranial hemorrhage (ICH) has not yet been described, but it has with acute ischemic stroke (AIS),1 seizure, and myocardial infarction.2 Two young patients (31 and 25 years old) independently presented to our hospital with subarachnoid hemorrhage (SAH) after spice inhalation. The first also had 2 large intraparenchymal hemorrhages (IPH); the other also had AIS. Both were previously healthy without hypertension, coagulopathy, bleeding diathesis, thrombocytopenia, intracranial aneurysm, arteriovenous malformation, connective...
Source: Neurology - September 28, 2015 Category: Neurology Authors: Rose, D. Z., Guerrero, W. R., Mokin, M. V., Gooch, C. L., Bozeman, A. C., Pearson, J. M., Burgin, W. S. Tags: Stroke in young adults, Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke, Other toxicology, Intracerebral hemorrhage CLINICAL/SCIENTIFIC NOTES Source Type: research

Potential new uses of non-vitamin K antagonist oral anticoagulants to treat and prevent stroke
Conclusion: There may be a role for NOACs in stroke prevention and treatment beyond atrial fibrillation. Randomized controlled trials are needed to compare NOACs to current stroke prevention and treatment strategies in certain subgroups of patients with cerebrovascular disease.
Source: Neurology - September 21, 2015 Category: Neurology Authors: Yaghi, S., Kamel, H., Elkind, M. S. V. Tags: Stroke prevention, All Cerebrovascular disease/Stroke, Infarction, Cerebral venous thrombosis VIEWS & amp;amp; REVIEWS Source Type: research

Complications and mortality in hereditary hemorrhagic telangiectasia: A population-based study
Conclusions: Patients with HHT are at substantially increased risk of serious neurologic and hemorrhagic complications of the disease. Because a diagnosis of HHT is associated with a significantly poorer survival compared with those who have no disease, evaluation of new strategies to improve clinical management is required.
Source: Neurology - May 4, 2015 Category: Neurology Authors: Donaldson, J. W., McKeever, T. M., Hall, I. P., Hubbard, R. B., Fogarty, A. W. Tags: Arteriovenous malformation, All epidemiology ARTICLE Source Type: research

Neurologic Complications of Osler-Weber-Rendu Syndrome: A Case Report and Literature Review (P3.058)
CONCLUSIONS: Brain abscess or ischemic stroke must be expected in patients with history of OWRS who present with neurologic manifestations. Family members of such patients should be screened for OWRS with appropriate genetic testing. All the patients with OWRS, whether symptomatic or not, should be screened for pulmonary AVMs. If found, pulmonary AVM’s should be treated to prevent paradoxical embolism which can result in brain abscess or ischemic stroke, both of which can be potentially fatal. Endovascular embolization is the treatment of choice for pulmonary AVMS and a long term follow-up is recommended after the pr...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Farooq, S., Mowla, A., AbdelRazek, M., Iqbal, A., Sawyer, R. Tags: Headache II Source Type: research

Stroke in a Young Woman Caused by Carotid Web (P1.024)
CONCLUSIONS: A carotid web increases stroke risk through thromboembolism. Unlike in other forms of carotid FMD, endarterectomy removes the focus of thrombosis without need for anticoagulation. Alternatively, anticoagulation or antiplatelet therapy might decrease stroke risk but would burden a young patient with increased lifetime risk of bleeding. Study Supported by: N/ADisclosure: Dr. Petrsoric has nothing to disclose. Dr. DeNiro has nothing to disclose. Dr. Labovitz has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Petrsoric, J., DeNiro, L., Labovitz, D. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Recanalization and initial poor collateral circulation determine the effect of collateral recruitment on functional outcomes. (P3.068)
Conclusion: Delayed collateral recruitment results in higher mortality. Pre-thrombolysis collateral status and recanalization of the occluded artery are important determinants of how intracranial collateral evolution affects functional outcome in IV-tPA treated AIS patients.Disclosure: Dr. Tan has nothing to disclose. Dr. Yee has nothing to disclose. Dr. Teoh has nothing to disclose. Dr. Seet has nothing to disclose. Dr. Chan has nothing to disclose. Dr. Rathakrishnan has nothing to disclose. Dr. Soon has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Yeo has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Tan, B. Y. Q., Yee, K., Teoh, H. L., Seet, R., Chan, B., Rathakrishnan, R., Soon, D., Sharma, V., Yeo, L. Tags: Cerebrovascular Disease and Interventional Neurology: Ischemic Stroke Outcome Source Type: research

Clinical Outcomes of Metastatic Intra-cerebral Hemorrhage and Role of Acute Radiotherapy (P3.077)
CONCLUSIONS: Early recognition of metastatic disease as the etiology of ICH is important, particularly when it is the presenting manifestation. Despite the overall poor prognosis of metastatic cancer, early radiotherapy may increase survival and offer quality of life in selected group of patients. A larger case series is needed.Disclosure: Dr. Afzal has nothing to disclose. Dr. Mendoza has nothing to disclose. Dr. Latorre has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Afzal, U., Mendoza, M., Latorre, J. Tags: Cerebrovascular Disease and Interventional Neurology: Hemorrhagic and Ischemic Stroke Source Type: research

Symptomatic Cerebral Air Embolism after Central Venous Catheter Removal. (P1.034)
CONCLUSIONS: Central air embolism is a rare complication of central venous catheter removal or insertion. GRE or DWI is useful for diagnosis of cerebral air embolism. Clinician should be aware of this uncommon complication and take the necessary precaution to prevent it.Disclosure: Dr. Ferdous has nothing to disclose. Dr. Tantikittichaikul has nothing to disclose. Dr. Hasan has nothing to disclose. Dr. Eldokla has nothing to disclose. Dr. Kim has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ferdous, J., Tantikittichaikul, S., Hasan, R., Eldokla, A., Kim, J. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Temporary Discontinuation Of Warfarin For Endovascular Procedures And Risk Of Ischemic Stroke (P4.301)
Conclusions: The risk of ischemic stroke during discontinuation of warfarin is higher than expected and requires a careful evaluation of risk and benefits.Disclosure: Dr. Malik has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Zeb has nothing to disclose. Dr. Defillo has nothing to disclose. Dr. Thompson has nothing to disclose. Dr. Suri has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Malik, A., Qureshi, M., Zeb, H., Defillo, A., Thompson, M., Suri, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

Patients with known atrial fibrilation and first ischemic stroke. Assessing of anticoagulation status. (P1.055)
Conclusions: This preliminary observation suggests that despite the extended evidence of the indication of primary prevention with OA in AF patients, there is still an important number of patients without treatment, being older age one of the main causes for not indicating OA although this is not a formal contraindication. Another observation though not significant, is that patients with no OA tend to have more severe strokes as it is reported in the literature.Disclosure: Dr. Parisi has nothing to disclose. Dr. Rattagan has nothing to disclose. Dr. Persi has nothing to disclose. Dr. Gatto has received personal compensatio...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Parisi, V., Rattagan, M. L., Persi, G., Gatto, E. Tags: Cerebrovascular Disease and Interventional Neurology: Atrial Fibrillation and Cardio-embolic Stroke Source Type: research

A dedicated Stroke Prevention in Atrial Fibrillation (SPAF) clinic for the acute assessment and initiation of anticoagulation in patients with atrial fibrillation. (P1.056)
CONCLUSIONS: This confirms the feasibility of a dedicated AF anticoagulation clinic and it’s ability to significantly increase anticoagulation rates among patients with AF. The intention is to expand this service to primary care initially through engagement in a cluster randomized trial (see next poster).Disclosure: Dr. Jolliffe has nothing to disclose. Dr. Rosemergy has nothing to disclose. Dr. Lanford has nothing to disclose. Dr. Abernethy has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Jolliffe, E., Rosemergy, I., Lanford, J., Abernethy, D. Tags: Cerebrovascular Disease and Interventional Neurology: Atrial Fibrillation and Cardio-embolic Stroke Source Type: research

Low fixed dose of IV heparin as adjunct to internal carotid artery angioplasty and stent placement in patients with recent ischemic symptoms: A prospective protocol (P2.263)
CONCLUSION: Fixed low dose intravenous heparin as adjunct to CAS in patients with carotid artery stenosis and recent ischemic symptoms is associated with acceptable rates of adverse events and low rates of bleeding complications.Disclosure: Dr. Suri has nothing to disclose. Dr. Jahangir has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Suri, M., Jahangir, N., Qureshi, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Carotid Disease and IMT Source Type: research

Delay of Percutaneous Gastrostomy Tube (PEG) Placement in Patients with Ischemic Stroke in a Large Urban Hospital. (P1.063)
CONCLUSIONS: Our study shows that hypertension, use of AA agents and use of tPA puts stroke patients at risk of having a delay in PEG placement. Prior studies have shown that aspirin use is not associated with increased bleeding complications during PEG placement. Education can help avoid delay in PEG tube placement due to aspirin use. Early PEG placement in ischemic stroke patients may improve clinical outcome and decrease hospital costs.Disclosure: Dr. Raval has nothing to disclose. Dr. Rayi has nothing to disclose. Dr. Jacob has nothing to disclose. Dr. Hillen has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Raval, B., Rayi, A., Jacob, M., Hillen, M. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Stroke Awareness In Outpatients. (P2.302)
CONCLUSIONS: General knowledge about CVRF is still insufficient in the outpatient population, even when assessed in the cardiology or neurology clinic. We believe that increased knowledge about stroke in outpatients, compared to inpatients, is due to higher educational level and a higher amount of family members with a history of stroke. Study Supported by:Disclosure: Dr. Pagani Cassara has nothing to disclose. Dr. Gonzalez Toledo has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Moschini has nothing to disclose. ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Nadile, D., Gonzalez Toledo, M., Gomez, Y., Munoz Giacomelli, F., Delfitto, M., Moschini, J., Pagani Cassara, F., Tamargo, A., Thomson, A., Klein, F. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research

Transient ischemic attacks in post-menopausal women with history of migraines have lower risk for subsequent ischemic strokes (P2.306)
CONCLUSIONS: The risk of ischemic stroke is lower following TIA in women with migraine history (compared with those without migraine) suggesting potentially different pathophysiology in such women.Disclosure: Dr. Rahman has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Thomas has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Rahman, H., Malik, A., Thomas, A., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research