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Atypical presentation of Sturge-Weber Syndrome. (P3.289)
Conclusions:This is an unusual presentation of SWS. Commonly, patients present at early age with seizure and unlike our case patient presented with SAH and stroke like symptoms.Disclosure: Dr. Lee has nothing to disclose. Dr. E-Ghanmh has nothing to disclose. Dr. Said Said has nothing to disclose. Dr. Wu has nothing to disclose. Dr. Muhammad has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Lee, A., E-Ghanmh, M., Said, S. S., Wu, N., Muhammad, I. Tags: Cerebrovascular Disease Case Reports II Source Type: research

Intra-Arterial Stem Cell Therapy for a Persistent Vegetative State Patient: A DTI Analysis of Recovery (P6.066)
Conclusion Assessing minor neurological improvements in this patient remains challenging but advances in neuroimaging as an evaluating tool helps to detect those changes. Future assessments and imaging will be performed to better clarify the findings mentioned above.Disclosure: Dr. Ramdas has nothing to disclose. Dr. Guada has nothing to disclose. Dr. Pafford has nothing to disclose. Dr. Haussen has nothing to disclose. Dr. Pattany has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Covidien/evV3 as a consultant and Steering Committee Member.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Ramdas, K., Guada, L., Pafford, R., Haussen, D., Pattany, P., Yavagal, D. Tags: Cerebrovascular Disease: Miscellaneous Interventions Source Type: research

How temporal evolution of intracranial collaterals in acute stroke affects clinical outcomes
Conclusions: Not all collateral recruitment is beneficial; delayed collateral recruitment may be different from early recruitment and can result in worse outcomes and higher mortality. Prethrombolysis collateral status and recanalization are determinants of how intracranial collateral evolution affects functional outcomes.
Source: Neurology - February 1, 2016 Category: Neurology Authors: Yeo, L. L. L., Paliwal, P., Low, A. F., Tay, E. L. W., Gopinathan, A., Nadarajah, M., Ting, E., Venketasubramanian, N., Seet, R. C. S., Ahmad, A., Chan, B. P. L., Teoh, H. L., Soon, D., Rathakrishnan, R., Sharma, V. K. Tags: CT, All Cerebrovascular disease/Stroke, Infarction ARTICLE Source Type: research

Dual antiplatelet therapy in stroke and ICAS: Subgroup analysis of CHANCE
Conclusions: The results indicated higher rate of recurrent stroke in minor stroke or high-risk TIA patients with ICAS than in those without. However, there was no significant difference in the response to the 2 antiplatelet therapies between patients with and without ICAS in the CHANCE trial. Classification of evidence: This study provides Class II evidence that for patients with acute minor stroke or TIA with and without ICAS identified by MRA, clopidogrel plus aspirin is not significantly different than aspirin alone in preventing recurrent stroke.
Source: Neurology - September 28, 2015 Category: Neurology Authors: Liu, L., Wong, K. S. L., Leng, X., Pu, Y., Wang, Y., Jing, J., Zou, X., Pan, Y., Wang, A., Meng, X., Wang, C., Zhao, X., Soo, Y., Johnston, S. C., Wang, Y., For the CHANCE Investigators Tags: 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

Pearls & Oy-sters: Cerebral venous air embolism after central catheter removal: Too much air can kill
A 95-year-old woman with a history of hypertension presented from a long-term care facility for altered mental status in the context of dehydration and hypoglycemia. Multiple attempts to obtain a peripheral IV failed, and a triple lumen catheter was placed into the right internal jugular vein using the Seldinger technique under ultrasound guidance. No complications followed the procedure. The patient was then rehydrated and given multiple ampules of D50, leading to prompt resolution of the hypoglycemia and improvement in her mental status. After resolution of symptoms, the central line was removed, with the head of the bed...
Source: Neurology - March 30, 2015 Category: Neurology Authors: Bartolini, L., Burger, K. Tags: MRI, All Clinical Neurology, All Cerebrovascular disease/Stroke, Embolism RESIDENT AND FELLOW SECTION Source Type: research

Collateral Circulation Recruitment and Failure in Acute Ischemic Stroke Patients Treated with IV rTPA. (P3.102)
Conclusion: substantial recruitment of collaterals is strongly associated with symptomatic bleeding after treatment with IV-rTPA.Disclosure: Dr. Yeo has nothing to disclose. Dr. Paliwal has nothing to disclose. Dr. Teoh has nothing to disclose. Dr. Seet has nothing to disclose. Dr. Ting has nothing to disclose. Dr. Chan has nothing to disclose. Dr. Rathakrishnan has nothing to disclose. Dr. Ong has nothing to disclose. Dr. Sharma has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Yeo, L., Paliwal, P., Teoh, H. L., Seet, C. S., Ting, E., Chan, B., Rathakrishnan, R., Ong, J., Sharma, V. Tags: Cerebrovascular Disease and Interventional Neurology: t-PA Source Type: research