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Specialty: Neurosurgery
Condition: Hemorrhagic Stroke

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Total 2080 results found since Jan 2013.

Endovascular stroke intervention in young patients with large vessel occlusions.
Conclusions The results of this study demonstrate that endovascular therapy provides remarkably high rates of arterial recanalization and favorable outcomes in young patients with acute ischemic stroke and large vessel occlusions. These findings support aggressive interventional strategies in these patients. Randomized, controlled trials reflecting modern acute ischemic stroke treatment will be needed to confirm the findings of this study. PMID: 24380483 [PubMed - in process]
Source: Neurosurgical Focus - January 1, 2014 Category: Neurosurgery Authors: Chalouhi N, Tjoumakaris S, Starke RM, Hasan D, Sidhu N, Singhal S, Hann S, Gonzalez LF, Rosenwasser R, Jabbour P Tags: Neurosurg Focus Source Type: research

O-035 The Dotter Technique Revisited: Early Experience using this Technique for Treating Tandem Lesions in Acute Stroke
Conclusion The Dotter Stroke technique is a safe alternative to carotid stenting, and may be useful in patients at increased risk for haemorrhage. In this small series, a post-Dotter stenosis >75% is associated with re-occlusion, and stenting should be performed to prevent re-occlusion. No re-occlusion was identified at 30 days with post-Dotter stenosis <= 65%. Disclosures B. Woodward: None. E. Nyberg: None. S. Wegryn: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Woodward, B., Nyberg, E., Wegryn, S. Tags: Oral abstracts Source Type: research

P-014 arts (ace-retriever technique for stroke): initial clinical experience
ConclusionsMechanical thrombectomy utilizing combined 5 MAX ACE aspiration catheter and Stent Retrievers Technique for Stroke treatment (ARTS) is a fast, safe and effective method for endovascular recanalization of large vessel occlusions presenting within the context of AIS.DisclosuresF. Massari: None. N. Henninger: None. J. Lozano: None. M. Howk: None. M. Perras: None. C. Brooks: None. M. Gounis: 1; C; NIH, Philips Healthcare, Covidien, Codman, Stryker, Wyss Institute, Tay Sachs Foundation. 2; C; Stryker (fee per hour). A. Wakhloo: 1; C; Philips Medical. 2; C; Stryker. 3; C; Harvard Postgraduate Course, Miami Baptist Vas...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Massari, F., Henninger, N., Lozano, J., Howk, M., Perras, M., Brooks, C., Gounis, M., Wakhloo, A., Puri, A. Tags: SNIS 12th Annual Meeting Oral Poster Abstracts Source Type: research

E-036 age, stroke severity, use of stent retrievers, general anesthesia, and hemorrhagic conversion may predict outcome in stroke patients who undergo successful intra-arterial therapy
ConclusionAge, NIHSS score, use of stent retrievers, mode of anesthesia, and symptomatic ICH might affect functional outcome in stroke patients who achieve successful recanalization via intra-arterial therapy. Prospective studies, or a meta-analysis of sub-groups in the recently published prospective trials are needed to confirm the association between those factors, or others, and functional outcome. Identification of such predictors might help in screening acute stroke patients for intra-arterial therapy.DisclosuresM. Noufal: None. J. Mankad: None. D. Shirilla: None. A. Lakraj: None. J. Cox: None. A. Sattar: None. W. Wal...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Noufal, M., Mankad, J., Shirilla, D., Lakraj, A., Cox, J., Sattar, A., Wally, W., Sallowm, Y., Lynch, J., Zaidat, O. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

The association between carotid intraplaque hemorrhage and outcomes of carotid stenting: a systematic review and meta-analysis
Conclusions Our systematic review and meta-analysis demonstrated that patients with IPH on pre-carotid stenting MRI had higher rates of silent ischemia as well as of a composite outcome of perioperative stroke, death, and MI compared with those without IPH.
Source: Journal of NeuroInterventional Surgery - August 17, 2017 Category: Neurosurgery Authors: Brinjikji, W., Lehman, V. T., Huston, J., Murad, M. H., Lanzino, G., Cloft, H. J., Kallmes, D. F. Tags: Ischemic stroke Source Type: research

The importance of atrial fibrillation and selected echocardiographic parameters for the effectiveness and safety of thrombolytic therapy in patients with stroke
ConclusionsThe presence of atrial fibrillation worsens the patient's prognosis in terms of the functional status and survival during the acute period of stroke in patients treated with intravenous thrombolysis.Higher NIHSS and CHA2DS2VASc scores and reduced EF in patients with stroke treated with thrombolysis are the predictors of unfavorable short-term prognosis.
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Clinical and neuroradiological characteristics of ischemic stroke and subarachnoid hemorrhage in isolated posterior inferior cerebellar artery dissection: Literature review and report of 2 cases
ConclusionPICAD with ischemic stroke is likely under-diagnosed due to the following reasons; 1) patients present with neurological deficits that are non-specific and mild, 2) DSA, which is a gold standard of diagnosing PICAD is not regularly performed in these patients, 3) lack of predisposing factors associated with PICAD in some patients. The mild and non-specific clinical presentation in young adults with PICAD with ischemia probably due to their ability to compensate better given low incidences of other comorbidities. Further investigation regarding the underlying etiology of isolated PICAD, association of proximal PIC...
Source: Interdisciplinary Neurosurgery - July 30, 2019 Category: Neurosurgery Source Type: research

Review of Toyoda K, et al. Dual antiplatelet therapy using cilostazol for secondary prevention in patients with high-risk ischemic stroke in Japan. Lancet Neurol. 2019 Jun;18(6):539-548.
Conclusion: This RCT demonstrated the safety of dual therapy, consisting of cilostazol/aspirin or cilostazol/ clopidogrel, in preventing secondary ischemic stroke in a high-risk Japanese population. Further studies are required to generalize these findings to other patient populations worldwide. PMID: 32363048 [PubMed]
Source: Surgical Neurology International - May 5, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Flow-augmentation bypass in the treatment of acute ischemic stroke.
CONCLUSIONS: The literature about flow augmentation bypass for treatment of acute ischemic stroke is scarce and heterogenous, with only 19 studies. The results of the present systematic review encourage further study to explore and validate the use of EC-IC bypass in the treatment of anterior circulation acute ischemic stroke in highly selected patients (symptomatic and with persistent penumbra despite best medical/endovascular treatment). PMID: 33297606 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgical Sciences - December 13, 2020 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

E-074 Predictors of hemorrhagic conversion following mechanical thrombectomy for acute ischemic stroke (AIS)
ConclusionHistory of prior stroke, radiographic evidence of infarct burden, and radiographic success of thrombectomy may be considered significant predictors for hemorrhagic conversion following AIS in patients who undergo mechanical thrombectomy.Disclosures A. Boyke: None. K. Javed: None. J. Dardick: None. I. Naidu: None. J. Ryvlin: None. D. Kadaba: None. N. Haranhalli: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Boyke, A., Javed, K., Dardick, J., Naidu, I., Ryvlin, J., Kadaba, D., Haranhalli, N. Tags: Electronic poster abstracts Source Type: research

Impact of COVID-19 on the Volume of Acute Stroke Admissions: A Nationwide Survey in Japan
In conclusion, the acute stroke admission volume declined by 2.51% in 2020 relative to 2019 in Japan, especially during the months of high infection, and in highly infected prefectures. Overwhelmed healthcare systems and infection control practices may have been associated with the decline in the stroke admission volume during the COVID-19 pandemic.PMID:35753763 | DOI:10.2176/jns-nmc.2022-0099
Source: Neurologia Medico-Chirurgica - June 26, 2022 Category: Neurosurgery Authors: Takeshi Yoshimoto Hiroshi Yamagami Nobuyuki Sakai Kazunori Toyoda Yoichiro Hashimoto Teruyuki Hirano Toru Iwama Rei Goto Kazumi Kimura Satoshi Kuroda Yuji Matsumaru Susumu Miyamoto Kuniaki Ogasawara Yasushi Okada Yoshiaki Shiokawa Yasushi Takagi Teiji Tom Source Type: research