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Condition: Hemorrhagic Stroke
Procedure: Radiography

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Total 175 results found since Jan 2013.

The detrimental clinical impact of severe angiographic vasospasm may be diminished by maximal medical therapy and intensive endovascular treatment
Conclusions An intensive endovascular approach of TBA and/or intra-arterial verapamil in combination with induced hypertension for severe aVSP may result in comparable clinical outcomes to those without vasospasm.
Source: Journal of NeuroInterventional Surgery - November 13, 2015 Category: Neurosurgery Authors: Mortimer, A. M., Steinfort, B., Faulder, K., Bradford, C., Finfer, S., Assaad, N., Harrington, T. Tags: Ischemic stroke Source Type: research

Body Mass Index and Aneurysmal Subarachnoid Hemorrhage: Decreasing Mortality with Increasing Body Mass Index
Conclusions In our SAH population, higher BMI resulted in less short-term and long-term mortality, but no difference in functional outcome.
Source: World Neurosurgery - December 10, 2015 Category: Neurosurgery Source Type: research

Apparent Diffusion Coefficient (ADC) Reversal as a Marker of Early Reperfusion in Acute Ischemic Stroke (AIS) Patients Treated with tPA (P2.298)
Conclusions: In our population, early ADC reversal, even when not sustained at 24 hours, was a marker for ERP, larger reductions in NIHSS from baseline, and less hemorrhagic transformation. Thus early fluctuations in ADC volume may be a more predictive radiographic marker for response to thrombolysis, and possibly clinical outcome, than 24-hour ADC volume.Disclosure: Dr. Simpkins has nothing to disclose. Dr. Benson has nothing to disclose. Dr. Hsia has nothing to disclose. Dr. Luby has nothing to disclose. Dr. Lynch has nothing to disclose. Dr. Nadareishvili has nothing to disclose. Dr. Latour has nothing to disclose. Dr. ...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Simpkins, A., Benson, R., Hsia, A., Luby, M., Lynch, J., Nadareishvili, Z., Latour, L., Leigh, R. Tags: Acute Therapy: IV t-PA Source Type: research

Delayed infarction following aneurysmal subarachnoid hemorrhage: Can the role of severe angiographic vasospasm really be dismissed?
Conclusions Severe angiographic vasospasm may be linked to infarction in patients who present late. These infarcts are mostly large despite maximal treatment. We question the notion that proximal vasospasm has a minor role in delayed ischemia.
Source: Journal of NeuroInterventional Surgery - July 13, 2016 Category: Neurosurgery Authors: Mortimer, A. M., Steinfort, B., Faulder, K., Harrington, T. Tags: Hemorrhagic stroke Source Type: research

MRI Characterization in the Acute Phase of Experimental Subarachnoid Hemorrhage
In conclusion, T2 lesion, WMI, and hydrocephalus were the most prevalent MRI characteristics 24 h after experimental SAH. The T2 lesion area matched with fibrinogen/fibrin positive staining in the acute phase of SAH. SAH induced more s evere brain injury in females compared to males in the acute phase of SAH.
Source: Translational Stroke Research - November 27, 2016 Category: Neurology Source Type: research

Early diagnosis of atherosclerosis with panoramic radiographs: a review
The objective of this study is to highlight the importance of panoramic radiographs for diagnosis of arterial disease, by means of a bibliographic review. The PubMed database was searched using the keywords “ atherosclerosis ” and “ panoramic ” , with the filters “ last 5 years ” and “ humans ” . Twenty articles were identified, six of which were chosen for this study because they were open access. The review concluded that panoramic radiographs enable early diagnosis of carotid artery calcification, resulting in earlier interventions, and offer an accessible cost.Resumo Doen ças das artérias carótidas e...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research

Success of Intravenous Infusion of Verapamil for Refractory Vasospasm in aneurysmal Subarachnoid Hemorrhage (P2.291)
Conclusions:This report indicates that intravenous continuous infusion of verapamil may be used for rescue therapy in transiently responsive cerebral vasospasm to IA verapamil. This therapy did not seem to compromise hemodynamic stability or increase ICP.Disclosure: Dr. Mehta has nothing to disclose. Dr. Kulhari has nothing to disclose. Dr. Z Arango has nothing to disclose. Dr. Suhan has nothing to disclose. Dr. DeCarvalho has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mehta, S., Kulhari, A., Arango, A., Suhan, L., DeCarvalho, B., Patel, A., Kirmani, J. F. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Radiographic Predictors of Prognosis In Intracerebral Hemorrhage: "If It Aint Broke, Dont Fix It" (S29.006)
Conclusions:Although clinicians often view radiographic evidence of herniation and midline shift as indicators of dire prognosis, incorporation of these features into a modification of the ICH score failed to improve upon the original scale.Disclosure: Dr. Pennington has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Singh has nothing to disclose. Dr. Lyerly has nothing to disclose. Dr. Gropen has nothing to disclose. Dr. Shapshak has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Pennington, A., Boehme, A., Albright, K., Singh, M., Lyerly, M., Gropen, T., Shapshak, A. H. Tags: Cerebrovascular Disease and Interventional Neurology: Critical Care and Hemorrhage Source Type: research

Predictors of hematoma expansion predictors after intracerebral hemorrhage.
Authors: Chen S, Zhao B, Wang W, Shi L, Reis C, Zhang J Abstract Despite years of effort, intracerebral hemorrhage (ICH) remains the most devastating form of stroke with more than 40% 30-day mortality worldwide. Hematoma expansion (HE), which occurs in one third of ICH patients, is strongly predictive of worse prognosis and potentially preventable if high-risk patients were identified in the early phase of ICH. In this review, we summarize data from recent studies on HE prediction and classify those potential indicators into four categories: clinical (severity of consciousness disturbance; blood pressure; blood glu...
Source: Oncotarget - July 26, 2017 Category: Cancer & Oncology Tags: Oncotarget Source Type: research

Alcohol Consumption and Aneurysmal Subarachnoid Hemorrhage
AbstractAlcohol consumption may be a modifiable risk factor for rupture of intracranial aneurysms. Our aim is to evaluate the association between ruptured aneurysms and alcohol consumption, intensity, and cessation. The medical records of 4701 patients with 6411 radiographically confirmed intracranial aneurysms diagnosed at the Brigham and Women ’s Hospital and Massachusetts General Hospital between 1990 and 2016 were reviewed. Individuals were divided into cases with ruptured aneurysms and controls with unruptured aneurysms. Univariable and multivariable logistic regression analyses were performed to determine the assoc...
Source: Translational Stroke Research - July 27, 2017 Category: Neurology Source Type: research

Magnesium, hemostasis, and outcomes in patients with intracerebral hemorrhage
Conclusions: These data support the hypothesis that magnesium exerts a clinically meaningful influence on hemostasis in patients with ICH.
Source: Neurology - August 21, 2017 Category: Neurology Authors: Liotta, E. M., Prabhakaran, S., Sangha, R. S., Bush, R. A., Long, A. E., Trevick, S. A., Potts, M. B., Jahromi, B. S., Kim, M., Manno, E. M., Sorond, F. A., Naidech, A. M., Maas, M. B. Tags: All Cerebrovascular disease/Stroke, Critical care, Intracerebral hemorrhage ARTICLE Source Type: research

What Causes Microcephaly?
Discussion Microcephaly is usually defined as an occipitofrontal head circumference (OFC) more than 2 standard deviations (SD) below the mean for sex, age and ethnicity. Severe microcephaly is used for OFC < 3 standard deviations. Rates of microcephaly range from 0.5-12 patients/10,000 live births. The OFC should be measured at every well child visit and at other opportunities and plotted on standard growth charts. The OFC is measured using a nonelastic tape measure around the largest part of the head with the tape measure held above the eyebrows and ears. It is a highly reproducible measurement. There are several diff...
Source: PediatricEducation.org - September 25, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

O-035 Risk factors for delayed deterioration after cerebral venous thrombosis: a model to identify patients for early aggressive endovascular therapy
Conclusion We found that decreased mental status, seizure activity, papilledema, number of involved sinuses, sodium level, and platelet level to be the most important factors in predicting deterioration after CVT. This group may represent a subset of patients in who early thrombectomy may be considered. Further prospective trials are needed to confirm this hypothesis. Abstract O-035 Figure 1Odds ratios of clinical deterioration for the predictors of the multivariable logistic regression model. To get the ratio of deterioration for catergory 1 versus 0, one needs to take the reciprocal Disclosures S. Bushnaq: None. T. ...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Bushnaq, S., Thacker, T., Abbas, M., Qeadan, F., Carlson, A. Tags: Oral Abstracts Source Type: research

Predictors of hematoma expansion predictors after intracerebral hemorrhage.
Authors: Chen S, Zhao B, Wang W, Shi L, Reis C, Zhang J Abstract Despite years of effort, intracerebral hemorrhage (ICH) remains the most devastating form of stroke with more than 40% 30-day mortality worldwide. Hematoma expansion (HE), which occurs in one third of ICH patients, is strongly predictive of worse prognosis and potentially preventable if high-risk patients were identified in the early phase of ICH. In this review, we summarize data from recent studies on HE prediction and classify those potential indicators into four categories: clinical (severity of consciousness disturbance; blood pressure; blood glu...
Source: Oncotarget - November 29, 2017 Category: Cancer & Oncology Tags: Oncotarget Source Type: research

Impact of Asynchronous Training on Radiology Learning Curve among Emergency Medicine Residents and Clerkship Students.
CONCLUSION: Incorporating asynchronous WBL modules into EM clerkship and residency curriculum provides early radiographic exposure in their clinical training and can enhance diagnostic head CT scan interpretation. PMID: 29272248 [PubMed - in process]
Source: The Permanente journal - December 24, 2017 Category: General Medicine Tags: Perm J Source Type: research