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Paradoxical Embolism in the Setting of Inferior Vena Cava Filter Removal (P1.283)
Conclusions:Although clinically relevant events secondary to IVC filter migration and fracture are rare, they can be life-threatening. Care should be taken when choosing to place these devices, and alternative therapies should be considered when possible. They should be removed when no longer needed, as fracture rates are increased with longer dwell times. Up to half of complications can be avoided with retrieval within 3 months.Disclosure: Dr. Yost has nothing to disclose. Dr. Klaas has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yost, M., Klaas, J. Tags: Cerebrovascular Disease Case Reports I Source Type: research

Contrast induced encephalopathy mimicking reperfusion injury (P3.285)
Conclusions:Diagnostic or therapeutic angiography is frequently performed for acute ischemic or hemorrhagic stroke. Clinicians should be aware of contrast induced encephalopathy and consider it in cases of neurologic deterioration after angiography in order to initiate appropriate treatment and avoid unnecessary invasive tests.Disclosure: Dr. Bakradze has nothing to disclose. Dr. Pasquale has nothing to disclose. Dr. Kirchoff-Torres has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bakradze, E., Pasquale, D., Kirchoff-Torres, K. Tags: Cerebrovascular Disease Case Reports II Source Type: research

Validation of Safer and Faster CT Imaging Technique to Assess Clot Size and Vessel Diameter in Acute Ischemic Stroke Interventions (P5.274)
Conclusions:Thin-sliced reconstructions of standard cranial nonenhanced CT raw data can be reliably used to detect and measure the thrombus size in LVOs. It also reliably measures the vessel diameter, making intervention planning possible. Larger multicenter trials are needed to validate our data.Disclosure: Dr. Kulhari has nothing to disclose. Dr. Mehta has nothing to disclose. Dr. Z Arango has nothing to disclose. Dr. Suhan has nothing to disclose. Dr. Panezai has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kulhari, A., Mehta, S., Arango, A., Suhan, L., Panezai, S., Kirmani, J. F. Tags: Acute Cerebrovascular Interventional Therapies Source Type: research

Pattern of Utilization of Carotid Endarterectomy in Acute Ischemic Stroke Patients Undergoing Early Carotid Endarterectomy According to Severity of Neurological Deficits and Infarct Size (P5.277)
Conclusions:CEA was performed in ischemic stroke patients with minor or moderate infarction on CT scan with an acceptable rate of recurrent stroke and death and without any adverse functional outcome.Disclosure: Dr. Ahrar has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Saleem has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Ahrar, A., Qureshi, A., Saleem, M. Tags: SubAcute Interventional Therapies in Cerebrovascular Disease Source Type: research

Reduction in time to treatment in prehospital telemedicine evaluation and thrombolysis
Conclusion: Compared with the traditional ambulance model, telemedicine-enabled ambulance-based thrombolysis resulted in significantly decreased time to imaging and treatment.
Source: Neurology - April 3, 2017 Category: Neurology Authors: Taqui, A., Cerejo, R., Itrat, A., Briggs, F. B. S., Reimer, A. P., Winners, S., Organek, N., Buletko, A. B., Sheikhi, L., Cho, S.-M., Buttrick, M., Donohue, M. M., Khawaja, Z., Wisco, D., Frontera, J. A., Russman, A. N., Hustey, F. M., Kralovic, D. M., Ra Tags: All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Plaque Inflammation in Recently Symptomatic Carotid Stenosis Predicts Recurrent Cerebral Ischemia (P1.233)
Conclusions: FDG-PET/CT and HR-MRI aid in the imaging of plaque inflammation and identification of patients with higher risk of subsequent cerebral ischemic events. This ongoing study intends to develop a robust prediction model for risk stratification based on luminal stenosis and plaque characteristics for better therapeutic decision-making.Disclosure: Dr. Woo has nothing to disclose. Dr. Bharatendu has nothing to disclose. Dr. Sinha has nothing to disclose. Dr. Ting has nothing to disclose. Dr. Paliwal has nothing to disclose. Dr. Kulkarni has nothing to disclose. Dr. Teoh has nothing to disclose. Dr. Chan has nothing t...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Woo, J. W., Bharatendu, C., Sinha, A., Ting, E., Paliwal, P., Kulkarni, A., Teoh, H. L., Chan, B., Hong, C., Heng, C. Y., Chen, J. T., Du, Z., Wong, L., Asp, S., Sharma, V. Tags: Carotid Disease Source Type: research

Stroke Code Simulation Lab; Save Time Save Brain! (P2.375)
CONCLUSIONS: The stroke code simulation lab met its objectives of improving the neurology residents’ knowledge and experience managing stroke codes. It was perceived as a valuable exercise. Further data will determine if the stroke code simulation lab improves patient care.Disclosure: Dr. Mao has nothing to disclose. Dr. Zidan has nothing to disclose. Dr. Afzal has nothing to disclose. Dr. Cherukuri has nothing to disclose. Dr. Qadeer has nothing to disclose. Dr. Bradshaw has received research support from Cytokinetcs.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Mao, Y., Zidan, A., Afzal, U., Cherukuri, R., Qadeer, U., Bradshaw, D. Tags: Research Methodology and Education: Patient Safety and Quality Source Type: research

Septic Thromboembolic Stroke via Atrial-Esophageal Fistula as a Delayed Complication of Cardiac Ablation (P6.018)
Conclusions: In the perioperative period following CA, diagnostic testing to rule out the often fatal complication of an A-E fistula may be non-revealing. A high index of suspicion should nonetheless be maintained that an occult A-E fistula is a cause of delayed presentation of septic cerebral thromboembolism.Disclosure: Dr. Derani has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Sachdeva has nothing to disclose. Dr. Long has nothing to disclose. Dr. Hughes has nothing to disclose. Dr. Kumar has nothing to disclose. Dr. Chang has nothing to disclose. Dr. Razak has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Derani, T., Chaudhry, S., Sachdeva, G., Long, D., Hughes, K., Kumar, S., Chang, H., Razak, A. Tags: Cerebrovascular Disease and Interventional Neurology ePoster Session Source Type: research

Aortic Sarcoma Mimicking a Thrombus Filling Vascular Lumen: A Rare Cause of Cerebral Infarction (P4.364)
Conclusion- Primary aortic sarcoma is an extremely rare cause of stroke. This sarcoma may be misinterpreted as a thrombus filling vascular lumen on CT angiography, but no elevation of D-dimer is incompatible with a large thrombus. The final diagnosis can be made by surgical biopsy.Disclosure: Dr. Kim has nothing to disclose. Dr. Jeon has nothing to disclose. Dr. Park has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Kwon has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kim, H., Jeon, S.-B., Park, K.-W., Kim, H., Kim, B. J., Kwon, S. Tags: Cerebrovascular Case Reports Source Type: research

Correlation between Flat Panel Computed Tomography and Conventional Computed tomography for Detection of Post Endovascular Treatment Hemorrhages. (P4.300)
Conclusion: Flat-panel CT head scan seems to be a comparable and more practical alternative to post procedural standard CT scans in patients undergoing endovascular treatment for acute ischemic stroke.Disclosure: Dr. Khan has nothing to disclose. Dr. Payabvash has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Saeed has nothing to disclose. Dr. Suri has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Khan, A., Payabvash, S., Qureshi, M., Saeed, O., Suri, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

"Reverse Locked-in Syndrome": A rare presentation after endovascular recanalization of top-of-the-basilar artery occlusion (P4.302)
CONCLUSION: Complete opthalmoplegia, bilateral ptosis, and arreactive mydriasis without appendicular motor dysfunction, a "reverse locked-in" state, is a rare presentation after ischemic stroke involving the paramedian midbrain tegmentum. This syndrome is the opposite of locked-in syndrome, which is cause by ventral pontine infarction. Timely endovascular thrombectomy, even when a patient presents in coma, may offer dramatic recovery with good functional outcome.Disclosure: Dr. Raibagkar has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Kaplan has nothing to disclose. Dr. Chavali has nothing to disclose. Dr. Ni...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Raibagkar, P., Kim, J., Kaplan, T., Chavali, R., Nitka, M., Chou, S., Edlow, B. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

Improvement in Rates of Thrombolytic Therapy in Acute Stroke by a Telestroke Program in Rural Northern Wisconsin (P1.011)
Conclusion: Following development of a Telestroke program in northern Wisconsin, rural stroke patients benefited from dramatic increases in access to neurological expertise and acute thrombolytic treatment. Patients and providers have embraced the program with plans to expand Telestroke to other remote access hospitals.Disclosure: Dr. Kartje has nothing to disclose. Dr. Klemm has nothing to disclose. Dr. Heil has nothing to disclose. Dr. Antoniotti has nothing to disclose. Dr. Martin has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kartje, R., Klemm, S., Heil, L., Antoniotti, N., Martin, T. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research

Systems and Care Process Parameters as Determinants of Onset-to-Treatment Times in Acute Ischemic Stroke: A Simulation Study (P1.018)
CONCLUSIONS: We employed a realistic simulation of AIS care to explore performance characteristics of proposed AIS care process configurations during the narrow window of opportunity to deliver thrombolytic therapy. This simulation methodology provides a model for prototyping process reengineering, in which essential details and assumptions in AIS care are identified for critical review by stakeholders. Study Supported by: Genentech, Inc.Disclosure: Dr. Levy has received personal compensation for activities with Genentech. Dr. Norris has received personal compensation for activities with Genentech. Dr. Tayama has received ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Levy, D., Norris, D., Tayama, D. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research

Teaching NeuroImages: Cortical blindness following acute obstructive hydrocephalus by a colloid cyst
A 46-year-old woman was admitted for acute headache, postseizure confusion, and visual loss. Urgent head CT scan showed obstructive hydrocephalus due to a colloid cyst (figure 1). External ventricular drains inserted emergently demonstrated CSF under pressure, above 40 mm H2O. MRI confirmed the suspected diagnosis of a colloid cyst and highlighted bilateral occipital lobe infarcts (figure 2). CT angiography showed no thrombosis of the posterior cerebral arteries (PCAs). After neurosurgical excision of the colloid cyst, the patient remained blind. The presumed mechanism of infarction was acute compression of the PCAs agains...
Source: Neurology - February 9, 2015 Category: Neurology Authors: Champeaux, C., Grivas, A. Tags: Hydrocephalus, Stroke in young adults, MRI, Clinical neurology examination, Visual loss RESIDENT AND FELLOW SECTION Source Type: research

Comparison of Thrombolytic Treatment for Acute Ischemic Stroke Pre- and Post-Telemedicine Implementation in the Spoke Hospital Setting (PL1.002)
CONCLUSIONS: Results from the study demonstrate that the percent of patients treated with rtPA with telemedicine increased more than 50% as compared to the pre-telemedicine time period. Smaller hospitals showed the most significant increase in rtPA treatment rate. This finding supports previous findings that telemedicine improves appropriate use of thrombolytic treatment for AIS patients and highlights the impact in smaller hospital settings.Study Supported by: Genentech Inc.Disclosure: Dr. William has received personal compensation for activities with Premier Inc. Dr. Chen has received personal compensation for activities...
Source: Neurology - April 9, 2014 Category: Neurology Authors: William, M., Chen, E., Krukas, M., Tayama, D., Ernst, F., Wagner, J. Tags: Contemporary Clinical Issues Plenary Session Source Type: research

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