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Specialty: Neurology
Condition: Hemorrhagic Stroke

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Total 7056 results found since Jan 2013.

Mechanical Thrombectomy Outcomes With and Without Intravenous Thrombolysis in Stroke Patients Clinical Sciences
Conclusions—Our results demonstrated that MT+IVT patients had better functional outcomes, lower mortality, higher rate of successful recanalization, requiring lower number of device passes, and equal odds of symptomatic intracerebral hemorrhage compared with MT−IVT patients. The results support the current guidelines of offering intravenous thrombolysis to eligible patients even if they are being considered for mechanical thrombectomy. Because the data are compiled from studies where the 2 groups differed based on eligibility for intravenous thrombolysis, randomized trials are necessary to accurately evaluate the added...
Source: Stroke - August 28, 2017 Category: Neurology Authors: Eva A. Mistry, Akshitkumar M. Mistry, Mohammad Obadah Nakawah, Rohan V. Chitale, Robert F. James, John J. Volpi, Matthew R. Fusco Tags: Revascularization, Meta Analysis, Quality and Outcomes, Ischemic Stroke Original Contributions Source Type: research

Thrombectomy in Acute Stroke With Tandem Occlusions From Dissection Versus Atherosclerotic Cause Brief Report
Conclusions—We found no differences in the outcomes of patients with anterior circulation tandem atherosclerotic and dissection lesions treated with endovascular thrombectomy. Further studies are warranted.
Source: Stroke - October 23, 2017 Category: Neurology Authors: Benȷamin Gory, Michel Piotin, Diogo C. Haussen, Henrik Steglich–Arnholm, Markus Holtmannspotter, Julien Labreuche, Christian Taschner, Sebastian Eiden, Raul G. Nogueira, Panagiotis Papanagiotou, Maria Boutchakova, Adnan Siddiqui, Bertrand Lap Tags: Revascularization, Stent, Complications, Ischemic Stroke Brief Reports Source Type: research

Low-Dose Tirofiban Improves Functional Outcome in Acute Ischemic Stroke Patients Treated With Endovascular Thrombectomy Clinical Sciences
Conclusions—In patients with AIS undergoing ET, tirofiban is not associated with higher sICH, it seems to lead to lower odds of deaths and better odds of long-term functional independence. Further investigations are needed to determine the efficacy of tirofiban in preventing early reocclusion, the underlying mechanisms, and its optimal treatment protocol.
Source: Stroke - November 27, 2017 Category: Neurology Authors: Wenbo Zhao, Ruiwen Che, Shuyi Shang, Chuanjie Wu, Chuanhui Li, Longfei Wu, Jian Chen, Jiangang Duan, Haiqing Song, Hongqi Zhang, Feng Ling, Yuping Wang, David Liebeskind, Wuwei Feng, Xunming Ji Tags: Revascularization, Quality and Outcomes, Ischemic Stroke Original Contributions Source Type: research

Characteristics of Randomized Trials Focusing on Stroke due to Intracerebral Hemorrhage Clinical Sciences
Background and Purpose—The absence of treatments for intracerebral hemorrhage with significant consistent benefit in randomized controlled trials (RCTs) could be because of lack of treatment efficacy or the design of RCTs.Methods—We searched the Cochrane Stroke Group Trials Register in December 2015 for completed and published RCTs reporting clinical outcome in adults with intracerebral hemorrhage. We collected data on publication year and language, study characteristics, and effect size. We regarded RCTs to be at lower risk of bias if they performed ≥2 of describing randomization, using blinding, or specifying the p...
Source: Stroke - February 26, 2018 Category: Neurology Authors: Arina Tamborska, Michael T.C. Poon, Rustam Al-Shahi Salman Tags: Meta Analysis, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage Original Contributions Source Type: research

Rescue Stenting for Failed Mechanical Thrombectomy in Acute Ischemic Stroke Clinical Sciences
Conclusions—RS was independently associated with good outcomes without increasing symptomatic intracranial hemorrhage or mortality. RS seemed considered in MT-failed internal carotid artery or middle cerebral artery M1 occlusion.
Source: Stroke - March 26, 2018 Category: Neurology Authors: Yoonkyung Chang, Byung Moon Kim, Oh Young Bang, Jang-Hyun Baek, Ji Hoe Heo, Hyo Suk Nam, Young Dae Kim, Joonsang Yoo, Dong Joon Kim, Pyoung Jeon, Seung Kug Baik, Sang Hyun Suh, Kyung-Yul Lee, Hyo Sung Kwak, Hong Gee Roh, Young-Jun Lee, Sang Heum Kim, Chan Tags: Revascularization, Stent, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Geotopographic and Environmental Characteristics of Communities and the Seasonality of Stroke Occurrences
We read with great interest the study by Takizawa et al that was recently published in the Journal of Stroke and Cerebrovascular Diseases describing seasonality in the occurrence of stroke in Japan. The authors analyzed 35,631 registered stroke cases (29,238 ischemic and 6,393 hypertensive hemorrhagic stroke patients) occurring between 1998 and 2007 from the Japanese Standard Stroke Registry Study (JSSRS) database, which is currently the world’s largest hospital-based stroke database, accumulating records from 163 Japanese institutions throughout Japan. To examine seasonal variation in the incidence of ischemic and noni...
Source: Journal of Stroke and Cerebrovascular Diseases - November 24, 2011 Category: Neurology Authors: Tanvir Chowdhury Turin, Adrian V. Specogna, Nahid Rumana Tags: Letter to the Editor Source Type: research

Types of stroke recurrence in patients with ischemic stroke: A substudy from the PRoFESS trial
ConclusionsRisk predictors for stroke recurrence and for brain hemorrhage differ by index ischemic stroke subtype, information that is important when initiating secondary prevention therapy.
Source: International Journal of Stroke - October 22, 2013 Category: Neurology Authors: Danilo Toni, Emanuele Di Angelantonio, Maria Teresa Di Mascio, Richard Vinisko, Philip MW Bath, Tags: Research Source Type: research

Association of baseline dyslipidemia with stroke recurrence within five‐years after ischemic stroke
ConclusionsOur results showed that DL is related to the recurrent strokes in patients with ischemic stroke within five‐years after ischemic stroke, specifically to the large‐artery disease subtype.
Source: International Journal of Stroke - August 4, 2014 Category: Neurology Authors: Emre Kumral, Dilek Evyapan, Figen Gökçay, Bedriye Karaman, Mehmet Orman Tags: Research Source Type: research

Imaging Negative Stroke: Diagnoses and Outcomes in Intravenous Tissue Plasminogen Activator–Treated Patients
Conclusions: Because most INS patients were found to have NNCI, which may represent either transient ischemic attack or aborted stroke, and there were no intracerebral hemorrhages in the INS group, our data support the safety of administering IV t-PA to all patients in whom acute ischemic stroke is clinically suspected. We have demonstrated that NNCI patients and stroke mimics are common, and future larger scale prospective studies are required to delineate the true frequencies of each and to evaluate differences in outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Ilana Spokoyny, Rema Raman, Karin Ernstrom, Brett C. Meyer, Thomas M. Hemmen Tags: Original Articles Source Type: research

Trimming the fat in acute ischemic stroke: an assessment of 24‐h CT scans in tPA patients
ConclusionsOur results demonstrate that routine 24‐h computed tomography scan in patients without 24‐h National Institute of Health Stroke Scale worsening (especially those with baseline National Institute of Health Stroke Scale ≤10) is less likely to yield information that results in a deviation from standard acute stroke care. No patient without worsening and baseline National Institute of Health Stroke Scale ≤10 had parenchymal hematoma on 24‐h computed tomography. Application of the National Institute of Health Stroke Scale to distinguish patients who should have 24‐h follow‐up imaging from those who will...
Source: International Journal of Stroke - June 3, 2014 Category: Neurology Authors: Alexander J. George, Amelia K. Boehme, Casey R. Dunn, T. Beasley, James E. Siegler, Karen C. Albright, Ramy El Khoury, Sheryl Martin‐Schild Tags: Research Source Type: research

Frequency and Predictors of Stroke After Acute Myocardial Infarction: Specific Aspects of In-Hospital and Postdischarge Events Clinical Sciences
Conclusions— The present study describes specific predictors of in-hospital and postdischarge stroke in patients with AMI. It showed a marked increase in the risk of death, both during hospitalization and in the year after AMI. After hospital discharge, stroke remains a rare event and is mostly associated with high cardiovascular risk.
Source: Stroke - November 24, 2014 Category: Neurology Authors: Hachet, O., Guenancia, C., Stamboul, K., Daubail, B., Richard, C., Bejot, Y., Yameogo, V., Gudjoncik, A., Cottin, Y., Giroud, M., Lorgis, L. Tags: Acute myocardial infarction, Epidemiology Clinical Sciences Source Type: research

Cause-specific Mortality after Stroke: Relation to Age, Sex, Stroke Severity, and Risk Factors in a 10-Year Follow-up Study
We investigated cause-specific mortality in relation to age, sex, stroke severity, and cardiovascular risk factor profile in the Copenhagen Stroke Study cohort with 10 years of follow-up. In a Copenhagen community, all patients admitted to the hospital with stroke during 1992-1993 (n = 988) were registered on admission. Evaluation included stroke severity, computed tomography scan, and a cardiovascular risk profile. Cause of death within 10 years according to death certificate information was classified as stroke, heart/arterial disease, or nonvascular disease. Competing-risks analyses were performed by cause-specific Co...
Source: Journal of Stroke and Cerebrovascular Diseases - May 14, 2012 Category: Neurology Authors: Ulla Brasch Mogensen, Tom Skyhøj Olsen, Klaus Kaae Andersen, Thomas Alexander Gerds Tags: Original Articles Source Type: research

Differences in wake‐up and unknown onset stroke examined in a stroke registry
ConclusionWUS has lower rates of ICH but similar stroke severity and outcomes to AOS. UOS prevalence appears to be increasing, with higher stroke severity and worse prognosis.
Source: International Journal of Stroke - October 1, 2014 Category: Neurology Authors: John M. Reid, Dingwei Dai, Bharath Cheripelli, Christine Christian, Yvette Reidy, Gord J. Gubitz, Stephen J. Phillips Tags: Research Source Type: research

The European Stroke Organisation Guidelines: a standard operating procedure
In 2008, the recently founded European Stroke Organisation published its guidelines for the management of ischemic stroke and transient ischemic attack. This highly cited document was translated in several languages and was updated in 2009. Since then, the European Stroke Organisation has published guidelines for the management of intracranial aneurysms and subarachnoidal hemorrhage, for the establishment of stroke units and stroke centers, and recently for the management of intracerebral hemorrhage. In recent years, the methodology for the development of guidelines has evolved significantly. To keep pace with this progres...
Source: International Journal of Stroke - July 6, 2015 Category: Neurology Authors: George Ntaios, Natan M. Bornstein, Valeria Caso, Hanne Christensen, Jacques De Keyser, Hans‐Christoph Diener, Exuperio Diez‐Tejedor, Jose M. Ferro, Gary A. Ford, Armin Grau, Emanuella Keller, Didier Leys, David Russell, Danilo Toni, Guillaume Turc, Ba Tags: Guidelines Source Type: research

One‐year case fatality rate following stroke in the Mashhad Stroke Incidence Study: a population‐based study of stroke in Iran
ConclusionDespite the younger age of stroke occurrence in Iran, the one‐year case fatality rate following stroke is similar to that reported in developed countries.
Source: International Journal of Stroke - August 26, 2015 Category: Neurology Authors: Ali Shoeibi, Maryam Salehi, Amanda G. Thrift, Moira K. Kapral, Mohammad Taghi Farzadfard, Amir Azarpazhooh, Parvaneh Layegh, Peyman Hashemi, Amin Amiri, Naghmeh Mokhber, Bahare Hassankhani, Mahmoud Reza Azarpazhooh Tags: Research Source Type: research