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Specialty: Neurology
Condition: Hemorrhagic Stroke
Management: Hospitals
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Total 258 results found since Jan 2013.
Prevention and Management of Poststroke Complications
This article provides a synopsis of the immediate and delayed medical complications of stroke, with an emphasis on prevention and management of these complications.
Recent Findings: Meta-analysis of the trials for endovascular treatment of acute stroke shows no significant increase in hemorrhagic events. Rehabilitation guidelines published by the American Heart Association and American Stroke Association in 2016 aid in providing the best clinical practice for patients with stroke, from the time of their initial hospitalization to their return to the community.
Summary: Medical complications from stroke are common and are...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research
Antithrombotic therapy in patients with cerebral microbleeds
Purpose of review: Cerebral microbleeds (CMBs) are a radiological marker of cerebral small vessel disease corresponding to small haemosiderin foci identified by blood-sensitive MRI. CMBs are common in older community populations, and in individuals with ischaemic stroke or transient ischaemic attack (TIA), and intracerebral haemorrhage (ICH). We summarize how CMBs might contribute to assessing the future risk of ischaemic stroke and ICH to inform antithrombotic (antiplatelet or anticoagulant) decisions.
Recent findings: CMBs are a risk factor for future ischaemic stroke and ICH in all community and hospital populations st...
Source: Current Opinion in Neurology - February 1, 2017 Category: Neurology Tags: CEREBROVASCULAR DISEASE: Edited by Jean-Louis Mas and David Calvet Source Type: research
Endovascular stroke treatment in a small ‐volume stroke center
DiscussionThe use of general interventional radiologists in EVT of LVO may be a possible approach for improving EVT coverage where availability of specialized neurointerventionalists is challenging. EVT for LVO stroke performed by general interventional radiologists in close cooperation with diagnostic neuroradiologists and stroke neurologists can be safe and efficacious despite the low number of annual procedures.
The use of general interventional radiologists in EVT of LVO may be a possible approach for improving EVT coverage where availability of specialized neurointerventionalists is challenging. Our results show that...
Source: Brain and Behavior - January 31, 2017 Category: Neurology Authors: Gry N. Behzadi, Lars Fjetland, Rajiv Advani, Martin W. Kurz, Kathinka D. Kurz Tags: ORIGINAL RESEARCH Source Type: research
Progressive Bilateral Vertebral Artery Dissection in a Case of Osteogenesis Imperfecta
A 32-year-old woman with osteogenesis imperfecta (OI) was admitted to the hospital because of a right-sided occipital headache and facial paresthesia. She was diagnosed with lateral medullary syndrome due to right vertebral artery (VA) dissection. She was treated conservatively without antithrombotic therapy. She developed subarachnoid hemorrhage because of contralateral VA dissection 18 days later. This clinical course may reflect the underlying weakness of the vessel wall in OI. In patients with OI, occlusion of a unilateral VA could cause dissection and subsequent rupture of the contralateral VA.
Source: Journal of Stroke and Cerebrovascular Diseases - January 11, 2017 Category: Neurology Authors: Yuji Kato, Harumitsu Nagoya, Tetsuya Abe, Takeshi Hayashi, Masanori Yasuda, Akira Uchino, Norio Tanahashi, Masaki Takao Tags: Case Studies Source Type: research
Development and Validation of a Grading Scale for Primary Pontine Hemorrhage Clinical Sciences
Background and Purpose—We aimed to develop and validate a grading scale for predicting 30-day mortality and 90-day functional outcome in patients with primary pontine hemorrhage (PPH).Methods—We retrospectively reviewed records of consecutive patients with first-ever pontine hemorrhage from 3 teaching hospitals between 2005 and 2012. Independent factors associated with 30-day mortality were identified by logistic regression to establish a risk stratification scale, named the new PPH score. For validation of the new PPH score, we prospectively recruited subjects from 10 units between December 2014 and November 2015. The...
Source: Stroke - December 22, 2016 Category: Neurology Authors: Kaibin Huang, Zhong Ji, Lihua Sun, Xiaoya Gao, Shaopeng Lin, Tao Liu, Shanfang Xie, Qishan Zhang, Wenchuan Xian, Saijun Zhou, Youquan Gu, Yongming Wu, Shengnan Wang, Zhenzhou Lin, Suyue Pan Tags: Clinical Studies, Prognosis, Quality and Outcomes, Intracranial Hemorrhage Original Contributions Source Type: research
Noninvasive Neuromonitoring: Current Utility in Subarachnoid Hemorrhage, Traumatic Brain Injury, and Stroke
AbstractNoninvasive neuromonitoring is increasingly being used to monitor the course of primary brain injury and limit secondary brain damage of patients in the neurocritical care unit. Proposed advantages over invasive neuromonitoring methods include a lower risk of infection and bleeding, no need for surgical installation, mobility and portability of some devices, and safety. The question, however, is whether noninvasive neuromonitoring is practical and trustworthy enough already. We searched the recent literature and reviewed English-language studies on noninvasive neuromonitoring in subarachnoid hemorrhage, traumatic b...
Source: Neurocritical Care - December 20, 2016 Category: Neurology Source Type: research
Primary intraventricular hemorrhage in adults: etiological causes and prognostic factors in Chinese population
AbstractPrimary intraventricular hemorrhage (PIVH) is a rare type of hemorrhagic stroke that is poorly understood. We aimed to explore the features of this disease in Chinese population via an institutional prospective study. Adult patients diagnosed with PIVH from January 2013 to January 2016 were enrolled in this study. Data, including clinical variables, radiological features, and yield of angiography, were collected to evaluate the clinical features, etiological causes, and prognostic factors of this disease. A total of 67 patients (73.6%) were diagnosed with PIVH which constituted 3.2% of contemporary patients with he...
Source: Journal of Neurology - December 19, 2016 Category: Neurology Source Type: research
Sulfonylurea Pretreatment and In-Hospital Use Does Not Impact Acute Ischemic Strokes (AIS) Outcomes Following Intravenous Thrombolysis
Preliminary studies have indicated that sulfonylurea drugs (SUD) may confer protection against cerebral swelling and hemorrhagic transformation in severe acute ischemic stroke (AIS). We sought to determine whether pretreatment and in-hospital use of SUD may be associated with better outcomes in diabetic AIS patients treated with intravenous thrombolysis (IVT).
Source: Journal of Stroke and Cerebrovascular Diseases - November 15, 2016 Category: Neurology Authors: Georgios Tsivgoulis, Nitin Goyal, Sulaiman Iftikhar, Ramin Zand, Jason J. Chang, Lucas Elijovich, Anne W. Alexandrov, Marc D. Malkoff, Andrei V. Alexandrov Source Type: research
Rheumatic Mitral Valve Disease Is Associated With Worse Outcomes in Stroke Clinical Sciences
We examined the association between RMVD and both serious and common cardiovascular and noncardiovascular (respiratory and infective) complications in a cohort of hospitalized stroke patients based in Thailand. Factors associated with in-hospital mortality were also explored. Data were obtained from a National Insurance Database. All hospitalized strokes between October 1, 2004, and January 31, 2013, were included in the current study. Characteristics and outcomes were compared for RMVD and non-RMVD patients. Logistic regression, propensity score matching, and multivariate models were used to assess study outcomes.Results...
Source: Stroke - October 23, 2016 Category: Neurology Authors: Wood, A. D., Mannu, G. S., Clark, A. B., Tiamkao, S., Kongbunkiat, K., Bettencourt-Silva, J. H., Sawanyawisuth, K., Kasemsap, N., Barlas, R. S., Mamas, M., Myint, P. K. Tags: Rheumatic Heart Disease, Valvular Heart Disease, Complications, Mortality/Survival, Cerebrovascular Disease/Stroke Original Contributions Source Type: research
Cerebral white matter lesions and post ‐thrombolytic remote parenchymal hemorrhage
This article is protected by copyright. All rights reserved.
Source: Annals of Neurology - August 16, 2016 Category: Neurology Authors: Sami Curtze, Jukka Putaala, Gerli Sibolt, Susanna Melkas, Satu Mustanoja, Elena Haapaniemi, Tiina Sairanen, Marjaana Tiainen, Turgut Tatlisumak, Daniel Strbian Tags: Research Article Source Type: research
Swollen superficial temporal artery in dural arteriovenous fistula
A 55-year-old man with no antecedent events was brought to the emergency department by ambulance soon after he suddenly felt motor weakness in the left extremities. Emergency CT demonstrated a right frontal cerebral hemorrhage (figure, A). On admission, he was well-oriented and had left-sided hemiparesis. He could barely lift his left knee, and his left upper extremity was completely paralytic. The bilateral superficial temporal arteries (STAs) were notably swollen (figure, B), which the patient reported he had noticed about 1 year prior. Carotid angiography disclosed multiple dural arteriovenous fistulas (dAVFs) at the su...
Source: Neurology Clinical Practice - August 14, 2016 Category: Neurology Authors: Haisa, T., Shojima, M. Tags: All Cerebrovascular disease/Stroke, Arteriovenous malformation, Intracerebral hemorrhage Case Source Type: research
Electrocardiographic Abnormalities Predict Adverse Clinical Outcomes in Patients with Subarachnoid Hemorrhage
We conducted a retrospective cohort study of a large sample to assess whether electrocardiographic (ECG) abnormalities are independently associated with the occurrence of neurogenic pulmonary edema (NPE), delayed cerebral ischemia (DCI), and in-hospital death after nontraumatic subarachnoid hemorrhage (SAH).
Source: Journal of Stroke and Cerebrovascular Diseases - July 28, 2016 Category: Neurology Authors: Limin Zhang, Sihua Qi Source Type: research
Functional outcomes of pre-hospital thrombolysis in a mobile stroke treatment unit compared with conventional care: an observational registry study
This study is registered with ClinicalTrials.gov, number NCT02358772. Findings Between Feb 5, 2011, and March 5, 2015, 427 patients were treated within the STEMO vehicle and their data were entered into a pre-hospital registry. 505 patients received conventional care and their data were entered into an in-hospital thrombolysis registry. Of these, 305 patients in the STEMO group and 353 in the conventional care group met inclusion criteria and were included in the analysis. 161 (53%) patients in the STEMO group versus 166 (47%) in the conventional care group had an mRS score of 1 or lower (p=0·14). Compared with conventio...
Source: The Lancet Neurology - July 15, 2016 Category: Neurology Source Type: research
And why not thrombolysis in the ambulance (at least for some)?
The fear that alteplase may aggravate primary intracerebral hemorrhages has led to the mandatory prerequisite for prealteplase imaging in all acute stroke patients in order to exclude such hemorrhages. Consequently, in a situation in which "time is brain," administration of alteplase is delayed until the patients are transferred to a hospital where such imaging is available, at the cost of additional ischemic damage to the brain parenchyma. Yet, theoretical considerations and empirical data suggest that alteplase's effects on primary intracerebral hemorrhages may not be that detrimental. Moreover, at least some of the pati...
Source: Neurology - July 10, 2016 Category: Neurology Authors: Rosenberg, G., Steiner, I. Tags: CT, All Clinical trials, All Cerebrovascular disease/Stroke, Intracerebral hemorrhage VIEWS & amp;amp; REVIEWS Source Type: research
In Context Charlotte Cordonnier
Charlotte Cordonnier is Professor of Neurology in the Lille University Hospital, France, where she heads the Department of Neurology & Stroke Centre. Her research focus is on cerebral haemorrhagic lesions in a translational spirit among the Inserm U1171 research unit dedicated to neurodegenerative and vascular cognitive disorders. She was elected Vice-President of the European Stroke Organisation on May 11, 2016.
Source: Lancet Neurology - June 7, 2016 Category: Neurology Tags: In Context Source Type: research
