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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Hemorrhagic Stroke
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Total 1025 results found since Jan 2013.
Vitamin K Antagonist–associated Intracerebral Hemorrhage: Lessons from a Devastating Disease in the Dawn of the New Oral Anticoagulants
Conclusions: VKA-associated ICH presents in a particularly vulnerable population and has a poor prognosis that may be reliably predicted by several clinicoradiologic features.
Source: Journal of Stroke and Cerebrovascular Diseases - August 19, 2013 Category: Neurology Authors: Marta Suárez-Pinilla, Ángeles Fernández-Rodríguez, Lorena Benavente-Fernández, Sergio Calleja-Puerta Tags: Original Articles Source Type: research
Detection of Vessel Wall Lesions in Spontaneous Symptomatic Vertebrobasilar Artery Dissection Using T1-weighted 3-dimensional Imaging
Conclusions: The T1W 3D-VWI can directly visualize vessel wall iVBD lesions during the acute period of stroke compared with multisequence MRI.
Source: Journal of Stroke and Cerebrovascular Diseases - August 29, 2014 Category: Neurology Authors: Tatsunori Natori, Makoto Sasaki, Mitsuharu Miyoshi, Hideki Ohba, Mao Yamaguchi Oura, Shinsuke Narumi, Taisuke Harada, Hiroyuki Kabasawa, Yasuo Terayama Tags: Original Articles Source Type: research
Catastrophic Intracranial Hemorrhages after IV tPA in a Patient with Insidious Onset of Fever and Back Pain
We present a patient who had a history of recent and persistent fever, an acute ischemic stroke treated with intravenous tissue plasminogen activator (IV tPA), and severe, multifocal intracerebral hemorrhage as a complication of tPA treatment. Suspected infective endocarditis in a stroke patient should most likely be considered a contraindication to IV tPA.
Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2016 Category: Neurology Authors: Steven Tversky, Richard B. Libman, Evan R. Schloss, Rohan Arora, Anand V. Patel, Elliot J. Salamon, Paul Wright, Jeffrey M. Katz Tags: Case Studies Source Type: research
Large Amount of Cannabis Ingestion Resulting in Spontaneous Intracerebral Hemorrhage: A Case Report
Although multiple cases of cannabis-associated ischemic stroke have been reported, there are only 2 reported cases of hemorrhagic stroke with an associated cerebral vasoconstriction. To our knowledge, we present the first case of basal ganglia hemorrhage after a large-volume oral ingestion of cannabis without other identified risk factors. In our case, cerebral digital subtraction angiography within 24 hours of presentation did not reveal vasoconstriction leading to a possible alternative explanation for hemorrhagic stroke, including cannabis-induced transient arterial hypertension and autoregulation disruption.
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2017 Category: Neurology Authors: Kunakorn Atchaneeyasakul, Luis F. Torres, Amer M. Malik Tags: Case Studies Source Type: research
Factors Associated With Hemorrhagic Transformation in Infarctions Involving the Posterior Circulation System
This study aimed at examining the rate of HT and its risk factors in patients enduring acute ischemic stroke in the territories of the vertebral, basilar, and posterior-cerebral arteries. Materials and Methods: A total of 217 consecutive patients the risk factors for ischemic stroke were recorded and comprehensive biochemical, cardiac assessments, and neuroimaging were performed.
Source: Journal of Stroke and Cerebrovascular Diseases - May 24, 2019 Category: Neurology Authors: Burcu Selbest Demirtas, Levent Ocek, Yasar Zorlu, Ozgur Oztekin Source Type: research
Renal Dysfunction Associated with Symptomatic Intracranial Hemorrhage after Intravenous Thrombolysis
Background and Aim: Renal dysfunction (RD) is prevalent in patients with acute ischemic stroke requiring intravenous thrombolysis. The relationship between renal function and thrombolysis related intracranial hemorrhagic (ICH) complications is contradictory according to previous studies. The current study is to clarify whether RD could increase the risk of symptomatic intracranial hemorrhage (SICH) after recombinant tissue plasminogen activator (IV rtPA) in acute ischemic stroke patients. Methods: In this observational study, acute ischemic stroke patients who received IV rtPA within 4.5 hours of symptom onset were retrospectively analyzed.
Source: Journal of Stroke and Cerebrovascular Diseases - September 5, 2019 Category: Neurology Authors: Juehua Zhu, Xiahong Shen, Chunyan Han, Chunhao Mei, Yun Zhou, Hui Wang, Yan Kong, Yongjun Jiang, Qi Fang, Xiuying Cai Source Type: research
Association between Serum Lipid and Hematoma Expansion after Spontaneous Intracerebral Hemorrhage in Chinese Patients
Intracerebral hemorrhage (ICH) occurs in about 10%-20% of all stroke patients, and the overall incidence is approximately 25 of 100 000 per year1 and is expected to increase, given the increasing age of the population globally. Compared with ischemic stroke, ICH is correlated with a worse outcome, a mortality rate of around 40% and a dearth of effective treatments.1,2 It has been proven that serum lipid plays a vital role in the progression of cardiovascular disease and ischemic stroke.3 Nevertheless, the relationship between serum lipid concentrations and ICH remains unclear.
Source: Journal of Stroke and Cerebrovascular Diseases - March 26, 2020 Category: Neurology Authors: Bin Cai, Lin Peng, Zhi-bin Wang, Mei Zhang, Bin Peng Source Type: research
Triggering factors in non-traumatic intracerebral hemorrhage
Intracerebral hemorrhage (ICH), caused by a rupture of a brain artery into brain parenchyma, is the second most common form of stroke after ischemic stroke.1 Approximately 40% of the patients die within one month, and many remain with major disabilities.2 There is no effective medical or surgical treatment option, and those in clinical use are mainly supportive in nature, even though management in dedicated stroke units will likely reduce mortality and morbidity.3 Several chronic risk factors such as hypertension, older age, and high alcohol consumption have been shown to associate with ICH.
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: Hanne Sallinen, Jukka Putaala, Daniel Strbian Source Type: research
Follow-up Imaging After Thrombolysis: FIAT, A Randomized Trial
Current protocols for treatment of acute ischemic stroke with intravenous thrombolytics, such as alteplase (tPA) and tenecteplase (tNK), recommend the completion of a routine non-contrast head CT at 24 hours post treatment to evaluate for hemorrhage prior to the initiation of antiplatelet therapy for secondary stroke prevention. This guideline was instituted because it had been part of the protocol in the NINDS multicenter randomized placebo-controlled trial that showed the benefit of IV thrombolytics within 3 hours of stroke onset.
Source: Journal of Stroke and Cerebrovascular Diseases - April 15, 2023 Category: Neurology Authors: Burton Tabaac, Leah Dickstein, Kristen Gurnea, Argye E. Hillis Source Type: research
Pharmacological inhibition of histone deacetylases ameliorates cognitive impairment after intracerebral hemorrhage with epigenetic alteration in the hippocampus
Post-stroke cognitive impairment (PSCI) interferes with neurorehabilitation in patients with stroke. Epigenetic regulation of the hippocampus has been targeted to ameliorate cognitive function. In particular, the acetylation level of histones is modulated by exercise, a potent therapy for patients with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 29, 2023 Category: Neurology Authors: Misato Okamura, Takahiro Inoue, Yasuyuki Takamatsu, Hiroshi Maejima Source Type: research
Height and Risk of Incident Intraparenchymal Hemorrhage: Atherosclerosis Risk in Communities and Cardiovascular Health Study Cohorts
Conclusions: This large prospective study provides evidence that shorter height may be a risk factor for incident IPH in women.
Source: Journal of Stroke and Cerebrovascular Diseases - December 16, 2011 Category: Neurology Authors: Lindsay G. Smith, Hiroshi Yatsuya, Bruce M. Psaty, W.T. Longstreth, Aaron R. Folsom Tags: Original Articles Source Type: research
Recurrent Intracerebral Hemorrhage in Patients With Hypertension is Associated With APOE Gene Polymorphism: A Preliminary Study
This study evaluates the roles of apolipoprotein E (APOE) and α-1 antichymotrypsin (ACT) genes in patients with recurrent hypertensive ICH and compares patients with nonrecurring hypertensive ICH and normal controls.Methods: Thirty-three recurrent and 101 nonrecurrent patients with hypertension and ICH were included. The demographic, stroke risk factors, and computed tomographic or magnetic resonance imaging findings were recorded. Magnetic resonance angiography or digital subtraction angiography and vasculitic profile were done in recurrent group to exclude secondary causes of ICH. APOE and ACT gene polymorphisms were as...
Source: Journal of Stroke and Cerebrovascular Diseases - March 12, 2012 Category: Neurology Authors: Usha K. Misra, Jayantee Kalita, Bindu I. Somarajan Tags: Original Articles Source Type: research
Cerebral Hemorrhage in a Paucisymptomatic Young Patient with Fabry Disease
Fabry disease is an inborn error of glycosphingolipid catabolism caused by deficient activity of the lysosomal exoglycohydrolase α-galactosidase A. It has an X-linked inheritance and occurs in all ethnic groups, with an incidence of 1 in 40,000 in the general population. The incidence of cerebrovascular accidents in patients affected by Fabry disease is much higher than in the general population. Moreover, there is a greater prevalence of hypertension, cardiac disease, and renal disease in patients affected by Fabry disease that have suffered a stroke. Here we present the case of a paucisymptomatic young man affected by F...
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2013 Category: Neurology Authors: Vincenzo Di Lazzaro, Fabio Pilato, Paolo Profice, Claudio Feliciani, Rosaria Renna Tags: Case Reports Source Type: research
Impaired Renal Function Is Not Associated with Increased Volume of Intracerebral Hemorrhage
Background: Patients with low glomerular filtration rate (GFR) are at risk for hemorrhagic stroke and experience poor long-term outcomes after stroke. These associations may be mediated by hematoma volume. We investigated the relationship between impaired renal function (GFR
Source: Journal of Stroke and Cerebrovascular Diseases - November 5, 2012 Category: Neurology Authors: Shawna Cutting, Chloe Castro, Vivien H. Lee, Shyam Prabhakaran Tags: Original Articles Source Type: research
Prognosis of Intracerebral Hemorrhage after Conservative Treatment
Background: The aim of this population-based study was to determine the short-term prognosis of patients treated conservatively for spontaneous intracerebral hemorrhage (ICH), a disease with a high rate of mortality.Methods: During a 39-month period beginning in October 2007, 594 patients (mean age 72 ± 12 years; 52% female; median National Institutes of Health Stroke Scale [NIHSS] score 9) with spontaneous ICH were enrolled in this prospective, population-based study.Results: Of 594 patients, 74 (12%) died during hospitalization (10.3 ± 7 days). Adjusted logistic regression analyses revealed that the in-hospital mor...
Source: Journal of Stroke and Cerebrovascular Diseases - January 28, 2013 Category: Neurology Authors: Mohamed Al-Khaled, Jürgen Eggers, QugSS2 Study Tags: Original Articles Source Type: research
