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Condition: Headache
Procedure: Angiography

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Total 380 results found since Jan 2013.

Spontaneous Dissection of Both Vertebral Arteries Diagnosed with Three-Dimensional T1-Weighted Image
A 48-year-old woman spontaneously developed occipital pain, without any other neurological deficit. A brain magnetic resonance angiography showed narrowing, irregular dilatation, and aneurysmal formation in both the vertebral arteries (VA). According to these findings and the clinical course, we diagnosed the patient with spontaneous VA dissection. There was no finding suggesting cerebral infarction or subarachnoid hemorrhage. Three-dimensional T1-weighted magnetic resonance imaging performed 27days after first onset of headache revealed a crescent-shaped high-intensity lesion in both the VA walls.
Source: Journal of Stroke and Cerebrovascular Diseases - March 17, 2019 Category: Neurology Authors: Takanori Iwamoto, Naoki Oyama, Takaya Kitano, Toshiaki Goda, Junichi Uemura, Yoshiki Yagita Tags: Case Reports Source Type: research

Epidemiology, diagnosis and treatment of moyamoya disease.
Authors: Zhang H, Zheng L, Feng L Abstract Moyamoya disease (MMD) is a type of chronic cerebrovascular occlusion disease, which frequently occurs in East Asian populations, including pediatric and adult patients, and may lead to ischemic or hemorrhagic stroke, headache, epilepsy or transient ischemic attack. To date, the underlying mechanisms of MMD have remained to be fully elucidated, but certain studies have indicated that genetic factors may be an important component of its development. Cerebral angiography is the best approach for diagnosing MMD. However, with technological advances, non-invasive techniques ar...
Source: Experimental and Therapeutic Medicine - March 15, 2019 Category: General Medicine Tags: Exp Ther Med Source Type: research

Primary angiitis of the central nervous system: Clinical profiles and outcomes of 45 patients
Conclusion: In this cohort, severe deficits and cognitive symptoms at onset and an abnormal EEG were associated with a poor 6-month outcome.
Source: Neurology India - March 6, 2019 Category: Neurology Authors: Soumya Sundaram Deepak Menon Pooja Khatri Sapna Erat Sreedharan ER Jayadevan Prabhakaran Sarma Christian Pagnoux PN Sylaja Source Type: research

Circle of Willis variations in migraine patients with ischemic stroke
ConclusionWe found no significant difference in the completeness of the CoW in acute stroke patients with migraine compared to those without.
Source: Brain and Behavior - February 16, 2019 Category: Neurology Authors: Arend M. Hamming, Marianne A. A. van Walderveen, Inge A. Mulder, Irene C. van der Schaaf, L. Jaap Kappelle, Birgitta K. Velthuis, Michel D. Ferrari, Gisela M. Terwindt, Marieke C. Visser, Wouter Schonewille, Ale Algra, Marieke J. H. Wermer, On Tags: ORIGINAL RESEARCH Source Type: research

High resolution vessel wall MR imaging in prestenotic intracranial atherosclerotic disease
We present a case of intracranial hemorrhage presumably due to intracranial atherosclerotic disease (ICAD) identified by VWI and silent on lumen-based imaging modalities. A 66-year-old female presented with sudden onset headache and dysarthria. A head CT showed intracranial hemorrhage centered in the right basal ganglia. Further imaging by CT angiography, MR angiography and a conventional catheter angiogram were negative. MRI of the brain, including VWI, showed abnormal enhancement in the right middle cerebral artery vessel wall, suggesting intracranial atherosclerotic changes in a prestenotic vessel. As a potential noninv...
Source: Journal of Clinical Neuroscience - January 23, 2019 Category: Neuroscience Source Type: research

Carotid artery stenting without using any embolic protective device A single Centre experience.
CONCLUSION: Revascularisation interventions to be able to prevent the development of stroke are evaluated as important treatment options in patients with symptomatic or severe carotid stenosis. With careful patient selection in experienced centres and a multi-disciplinary approach both before and after the procedure, pleasing results can be obtained without the use of embolic protective devices. KEY WORDS: Carotid artery stenting, Embolic protective device, Stroke. PMID: 30665216 [PubMed - in process]
Source: Annali Italiani di Chirurgia - January 23, 2019 Category: Surgery Tags: Ann Ital Chir Source Type: research

Imaging of Carotid Dissection
AbstractPurpose of ReviewHere, we describe the four primary imaging modalities for identification of carotid artery dissection, advantages, limitations, and clinical considerations. In addition, imaging characteristics of carotid dissection associated with each modality will be described.Recent FindingsRecent advances in etiopathogenesis describe the genetic factors implicated in cervical artery dissection. MRI/MRA (magnetic resonance angiography) with fat suppression is regarded as the best initial screening test to detect dissection. Advances in magnetic resonance imaging for the diagnosis of dissection include the use o...
Source: Current Pain and Headache Reports - January 19, 2019 Category: Neurology Source Type: research

A case report on middle cerebral artery aneurysm treated by rapid ventricular pacing: A CARE compliant case report
Rationale: Cerebral aneurysm is a common cause of intracranial hemorrhage, stroke, and death. It is treated with vascular surgeries, such as coil embolism and artery clipping. However, surgery itself is a risk factor that may cause rupture of aneurysm, and leads to irreversible brain damage, and even death. Rapid ventricular pacing (RVP) is a procedure that temporarily lowers blood pressure by increasing heart rate and reducing ventricular filling time. RVP has been widely used to reduce blood vessel tension in many cardiovascular surgeries. Patient concerns: A 46-year-old man came to our hospital with intermittent ri...
Source: Medicine - November 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Internal carotid artery dissection without intracranial infarct following a minor shoulder trauma: The second pediatric case and review of the literature
ConclusionIn carotid artery dissections, prodromal symptoms such as transient ischemic attack, like in our patient, are rarely present in children. For good long term outcomes, it is very important to suspect, diagnose and initiate appropriate treatment in a rapid manner in carotid artery dissection before severe neurological findings such as acute ischemic stroke develops.
Source: Journal of Clinical Neuroscience - July 22, 2018 Category: Neuroscience Source Type: research

Vertebral Artery Dissection Masquerading as Concussion in an Adolescent
Conclusions Detailed history and thorough neurological examination in conjunction with appropriate imaging are necessary to distinguish between brainstem/cerebellar ischemia from vertebral artery dissection and concussion.
Source: Pediatric Emergency Care - May 1, 2018 Category: Emergency Medicine Tags: Illustrative Cases Source Type: research

Response to Letter to the Editor Regarding “Yield of Computed Tomography (CT) Angiography in Patients with Acute Headache, Normal Neurological Examination, and Normal Non Contrast CT: A Meta-Analysis.”
Thank you for the interesting letter concerning the outcomes and conclusions of our article “Yield of Computed Tomography (CT) Angiography in Patients with Acute Headache, Normal Neurological Examination and Normal Non Contrast CT: A Meta-Analysis”. We would like to respond and clarify, as some of the uttered concerns are ours as well, as we had already stipulated in our discussion.
Source: Journal of Stroke and Cerebrovascular Diseases - March 27, 2018 Category: Neurology Authors: Imanda M.E. Alons, Ben F.J. Goudsmit, Korne Jellema, Marianne A.A. van Walderveen, Marieke J.H. Wermer, Ale Algra Tags: Letter to the Editor Source Type: research

Severe Symptoms, but a Truly Treatable Disease
​BY NOURA MAHDI; DARRON LEWIS; JEREMY OSBORNE; & AHMED RAZIUDDIN, MDA 73-year-old man was brought to the emergency department from his nursing home for rectal bleeding and anemia. The patient mentioned he had had episodes of bright red rectal bleeding and constipation for a few months. A colonoscopy had been done prior to the visit, which revealed a large intestine tumor and biopsy confirming adenocarcinoma. He was awaiting an appointment with his surgeon.The patient reported bloody rectal leakage, and a CBC done at the nursing home showed a hemoglobin level of 7.2. He also complained of dyspnea but denied any other ...
Source: The Case Files - March 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Letter to the Editor Regarding “Yield of Computed Tomography (CT) Angiography in Patients with Acute Headache, Normal Neurological Examination, and Normal Non Contrast CT: A Meta-Analysis”
We would like to commend authors Alons et  al. for their study assessing the yield of computed tomography angiography (CTA) in patients with acute headache, no neurologic deficits, and normal CT.1 However, we have a few comments and concerns about the conclusions.
Source: Journal of Stroke and Cerebrovascular Diseases - March 20, 2018 Category: Neurology Authors: Ajay Malhotra, Xiao Wu, Kimberly Seifert, Long Tu Tags: Letter to the Editor Source Type: research