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Clinical outcomes in spontaneous coronary artery dissection
Conclusions In this large prospective cohort of patients with SCAD, prognosis was overall favourable, with events mainly driven by reinfarctions or unplanned revascularisations. History of hypothyroidism, proximal vessel involvement, type 2 IMH and DAPT at discharge were associated with MACCE. Trial registration number NCT03607981.
Source: Heart - September 12, 2022 Category: Cardiology Authors: Garcia-Guimaraes, M., Masotti, M., Sanz-Ruiz, R., Macaya, F., Roura, G., Nogales, J. M., Tizon-Marcos, H., Velazquez-Martin, M., Veiga, G., Flores-Rios, X., Abdul-Jawad Altisent, O., Jimenez-Kockar, M., Camacho-Freire, S., Moreu, J., Ojeda, S., Santos-Mar Tags: Coronary artery disease Source Type: research

A case of cerebral vasculitis due to neurobartonellosis
We report a case of a 60-year-old right-handed woman with hypertension, hyperlipidemia, and hypothyroidism who presented with a three-week history of recurrent thunderclap headaches accompanied by photophobia, phonophobia, nausea, and vomiting. She reported one brief episode of slurred speech, expressive aphasia, right facial droop, and right hemiparesis suggestive of a TIA. Family history was remarkable for primary angiitis of the CNS (PACNS) in the mother. Neurologic examination was unremarkable. CT of the head was negative; CT angiography (CTA) of the head and neck suggested fibromuscular dysplasia in bilateral cervical...
Source: Neurology Neuroimmunology and Neuroinflammation - June 3, 2020 Category: Neurology Authors: Poursheykhi, M., Mithani, F., Garg, T., Cajavilca, C., Jaijakul, S., Fung, S., Klucznik, R., Gadhia, R. Tags: All Headache, Vasculitis, All Cerebrovascular disease/Stroke Clinical/Scientific Notes Source Type: research

Neurological Involvement in Primary Systemic Vasculitis
Conclusion Neurological involvement is a common complication of PSV (Table 1), and neurologists play an important role in the identification and diagnosis of PSV patients with otherwise unexplained neurological symptoms as their chief complaint. This article summarizes the neurological manifestations of PSV and hopes to improve neuroscientists' understanding of this broad range of diseases. TABLE 1 Table 1. Common CNS and PNS involvements of primary systemic vasculitis. Author Contributions SZ conceived the article and wrote the manuscript. DY and GT reviewed and edited the manuscript. All authors ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Left Thalamus Arteriovenous Malformation Secondary to Radiation Therapy of Original Vermian Arteriovenous Malformation: Case Report
A 70-year-old gentleman with history of hypothyroidism, hyperlipidemia, hypertension, and right superior cerebellar aneurysm presented to the neurosurgery service in 2008 with vertigo. Diagnostic cerebral angiography performed that year demonstrated a vermian arteriovenous malformations (AVM). The patient underwent stereotactic proton beam radiosurgery, which resulted in a decrease in flow and size of the lesion, and the patient was lost to follow-up. Now at the age of 80, the patient presented with acute gait instability.
Source: Journal of Stroke and Cerebrovascular Diseases - April 7, 2019 Category: Neurology Authors: Carlos Torres-Quinones, Matthew J. Koch, Scott B. Raymond, Aman Patel Tags: Case Report Source Type: research

Basilar artery occlusion presenting as refractory status epilepticus
We report in best of our knowledge the first case of refractory status epilepticus in the brainstem stroke and review the relevant literature. We present a case of 45-year-old hypothyroid female presented with loss of consciousness followed by generalized tonic-clonic seizures which turned out into refractory status epilepticus as benzodiazepines and antiepileptic drugs were ineffective. Magnetic resonance imaging and angiography of brain revealed basilar artery occlusion with infarcts of midbrain, bilateral thalami and cerebellum without cortical involvement. Emergency physician should be aware of this unusual presentatio...
Source: Journal of Acute Medicine - June 2, 2015 Category: Emergency Medicine Source Type: research

Influence of gender on the risk of death and adverse events in patients with acute myocardial infarction undergoing pharmacoinvasive strategy
Abstract Pharmacoinvasive treatment is an acceptable alternative for patients with ST-segment elevation myocardial infarction (STEMI) in developing countries. The present study evaluated the influence of gender on the risks of death and major adverse cardiovascular events (MACE) in this population. Seven municipal emergency rooms and the Emergency Mobile Healthcare Service in São Paulo treated STEMI patients with tenecteplase. The patients were subsequently transferred to a tertiary teaching hospital for early (<24 h) coronary angiography. A total of 469 patients were evaluated [329 men (70.1 %)]. Compared ...
Source: Journal of Thrombosis and Thrombolysis - October 2, 2014 Category: Hematology Source Type: research