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Total 93 results found since Jan 2013.

Transcranial Magnetic Stimulation (TMS) Clinical Applications: Therapeutics
The number and type of neuropsychiatric conditions being treated by transcranial magnetic stimulation (TMS) is ever increasing. In addition, the parameters utilized to treat these conditions are ever evolving. In this chapter, we explore the evidence concerning the efficacy of TMS to treat a number of psychiatric and physiological conditions: including depression, obsessive compulsive disorder, schizophrenia, post traumatic stress disorder, chronic pain, tinnitus, stroke, and Parkinson’s disease. In addition, we outline the most commonly utilized protocols and parameters to treat each of the above conditions.
Source: Springer protocols feed by Neuroscience - May 22, 2014 Category: Neuroscience Source Type: news

Teaching NeuroImages: Carotid-cavernous fistula caused by fibromuscular dysplasia
A 26-year-old woman developed headache, diplopia, and pulsatile tinnitus in 10 days. Neurologic examination revealed limitation of left eye movement, left dilated pupil with optic disc swelling and mild decreased vision, and a bruit over the left superior orbit. Her family history, laboratory data, and cerebral MRI showed normal findings. Cerebral CT angiography suggested left carotid-cavernous fistula (CCF). Follow-up angiography confirmed left CCF (figure 1). Nevertheless, multiple stenoses interspersed with aneurysmal dilation segments of carotid, vertebral, and renal arteries were found (figure 2). A diagnosis of fibro...
Source: Neurology - April 14, 2014 Category: Neurology Authors: Zhang, Y., Zheng, H., Zhou, M., He, L. Tags: Other cerebrovascular disease/ Stroke, Diplopia (double vision) RESIDENT AND FELLOW SECTION Source Type: research

Intracranial Arterial Dissection (P2.013)
CONCLUSIONS:IAD represent a substantial proportion of CAD and may be a frequently underdiagnosed cause of stroke. Intraparenchymal hemorrhage seemed to occur less frequently in our series than previously reported.Study Supported by:Disclosure: Dr. Dossi has nothing to disclose. Dr. Farez has received personal compensation for activities with Merck Serono. Dr. Farez has received research support from Novartis. Dr. Arena has nothing to disclose. Dr. Pujol Lereis has nothing to disclose. Dr. Povedano has nothing to disclose. Dr. Ameriso has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Dossi, D., Farez, M., Arena, J., Pujol Lereis, V., Povedano, G., Ameriso, S. Tags: Cerebrovascular Disease and Interventional Neurology I Source Type: research

Cerebral Varicella Zoster Vasculopathy Sine Herpete: Atypical Ramsay-Hunt Syndrome Presentation in an Immunocompetent Patient (P6.258)
CONCLUSIONS:VZV CNS vasculopathy may present with atypical clinical and CSF characteristics. Patients with suspected CNS vasculitis without pathological confirmation should be tested for this treatable condition, regardless of their immune status.Disclosure: Dr. Gonzalez Otarula has nothing to disclose. Dr. Bruno has nothing to disclose. Dr. Pujol-Lereis has nothing to disclose. Dr. Ameriso has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Gonzalez Otarula, K., Bruno, V., Pujol-Lereis, V., Ameriso, S. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Recent advances in acute hearing loss due to posterior circulation ischemic stroke
Abstract: Acute hearing loss (AHL) has traditionally been considered to be a neglected and underestimated symptom of stroke. However, because the blood supply to the auditory system originates from the vertebrobasilar system, stroke in the distribution of the vertebrobasilar circulation can present with acute hearing loss (AHL) and/or tinnitus. Approximately one-tenth of vertebrobasilar ischemic stroke (VBIS) is accompanied by AHL. Sometimes, AHL is a warning symptom of impending VBIS (mainly in the anterior inferior cerebellar artery). In this case, the MRI is normal, and the clinician must rely on other clinical features...
Source: Journal of the Neurological Sciences - January 16, 2014 Category: Neurology Authors: Hyung Lee Tags: Reviews Source Type: research

Differences and Similarities Between Spontaneous Dissections of the Internal Carotid Artery and the Vertebral Artery
There are clinical, pathologic, and outcome differences in spontaneous dissections of the internal carotid artery vs those of the vertebral artery. Spontaneous cervical artery dissection is a major cause of stroke in younger patients. Spontaneous cervical artery dissection causes up to 25% of all ischemic strokes in patients 15 to 49 years of age (Putaala J et al, Stroke 2009;40:1195-203). Although constitutional and environmental factors are both thought to play a role in spontaneous cervical artery dissection, precise causes are poorly understood. Significant differences between spontaneous internal carotid artery disse...
Source: Journal of Vascular Surgery - December 27, 2013 Category: Surgery Authors: M. von Babo, G.M. De Marchis, H. Sarikaya Tags: Abstracts Source Type: research

In Context September, 2013
Preclinical Alzheimer's disease (Article, October)Vos SJ, Xiong C, Visser PJ, et al. Preclinical Alzheimer's disease and its outcome: a longitudinal cohort study. Lancet Neurol12: 957–65.Ischaemic stroke (Review, October)Markus HS, van der Worp HB, Rothwell PM. Posterior circulation ischaemic stroke and transient ischaemic attack: diagnosis, investigation, and secondary prevention. Lancet Neurol12: 989–98.Tinnitus (Review, September)Langguth B, Kreuzer PM, Kleinjung T, De Ridder D. Tinnitus: causes and clinical management.
Source: Lancet Neurology - November 14, 2013 Category: Neurology Authors: The Lancet Neurology Tags: In Context Source Type: research

45. Patient presenting with transient phosphenes and headache: A case of fibromuscular dysplasia
Fibromuscular dysplasia (FMD), is a nonatherosclerotic, noninflammatory vascular disease commonly affecting the renal, extracranial carotid and vertebral arteries (VA). Etiology remains unknown. Clinical presentation is determined by distribution of arteries affected. Carotid artery involvement is associated with headache, TIA, stroke, pulsatile tinnitus, or may be asymptomatic. Treatment is being recommended in symptomatic cases. A 49-year-old Caucasian woman, was presented to our emergency department for transient phosphenes in right eye, followed by front-temporal headache. Cranial CT was normal, cervical duplex ultraso...
Source: Clinical Neurophysiology - October 21, 2013 Category: Neuroscience Authors: F. Sartucci, E. Giorli, A. Chiti, I. Pesaresi, M. Puglioli, G. Orlandi, U. Bonuccelli Tags: Society Proceedings Source Type: research

Spontaneous intracranial hypotension: clinical features in eight cases
Conclusions SIH is an under–recognised but fairly common disorder. Clinical examination is usually normal, and confirmation of the diagnosis requires investigations and treatment not used routinely in the management of headache. Investigations, including contrast–enhanced neuroimaging, are often normal in the acute or chronic phase. Clinical history taking skills are therefore paramount in recognising this disorder. Characteristic features include a new daily persistent headache in a cranio–cervical distribution, with often bizarre sounding additional symptoms. Our results challenge the prevailing notions...
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Anderson, J., Corkill, R. Tags: Headache (including migraine), Pain (neurology), Stroke, Ear, nose and throat/otolaryngology Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

MicroTransponder completes $3.4M in funding, gets key patent
Dallas-based MicroTransponder Inc., a privately-held medical device company, has completed a $3.39 million funding round this summer, which will enable the company to accelerate development of its wireless pain platform. The funding will allow MicroTransponder to complete three additional clinical trials using its neurostimulation system to treat both stroke patients and tinnitus patients, Jordan Curnes, co-founder, president and chief operating officer, told me. Tinnitus is the medical term for…
Source: bizjournals.com Health Care:Pharmaceuticals headlines - August 30, 2013 Category: Pharmaceuticals Authors: Bill Hethcock Source Type: research

Why acupuncture is giving sceptics the needle
Acupuncture has been prescribed by half of Britain's doctors, but after 3,000 clinical trials its efficacy remains unproven. So is the NHS making a grave error in supporting this ancient treatment?• Are vitamin pills a sham? Q&A with Dr. Paul OffitYou can't get crystal healing on the NHS. The Department of Health doesn't fund faith healing. And most doctors believe magnets are best stuck on fridges, not patients. But ask for a treatment in which an expert examines your tongue, smells your skin and tries to unblock the flow of life force running through your body with needles and the NHS will be happy to oblige.The govern...
Source: Guardian Unlimited Science - July 26, 2013 Category: Science Authors: David Derbyshire Tags: Culture Health Science and scepticism Features NHS Alternative medicine The Observer Source Type: news

Rotational Vertebral Artery Occlusion: Mechanisms and Long-term Outcome Clinical Sciences
Conclusions— RVAO has various patterns of vertebral artery compression, and favorable long-term outcome with conservative treatments. In most patients with RVAO, the symptoms may be ascribed to asymmetrical excitation of the bilateral labyrinth induced by transient ischemia or by disinhibition from inferior cerebellar hypoperfusion. Conservative management might be considered as the first-line treatment of RVAO.
Source: Stroke - June 24, 2013 Category: Neurology Authors: Choi, K.-D., Choi, J.-H., Kim, J.-S., Kim, H. J., Kim, M.-J., Lee, T.-H., Lee, H., Moon, I. S., Oh, H. J., Kim, J.-I. Tags: Angiography Clinical Sciences Source Type: research

Differences and Similarities Between Spontaneous Dissections of the Internal Carotid Artery and the Vertebral Artery Clinical Sciences
Conclusions— sICAD and sVAD patients differ in many aspects. Future studies should perform separate analyses of these 2 entities.
Source: Stroke - May 24, 2013 Category: Neurology Authors: von Babo, M., De Marchis, G. M., Sarikaya, H., Stapf, C., Buffon, F., Fischer, U., Heldner, M. R., Gralla, J., Jung, S., Simonetti, B. G., Mattle, H. P., Baumgartner, R. W., Bousser, M.-G., Arnold, M. Tags: Carotid and Vertebral A. Dissection Clinical Sciences Source Type: research

Bilateral carotid artery dissection in a severe preeclamptic setting: An unusual cause of postpartum headache.
Abstract A 30-year-old woman with severe preeclampsia presented at 27weeks of amenorrhea with left headache, neck pain, blurred vision and numbness of left hemiface that resolved spontaneously within 2hours. A week later, hypertension remained poorly controlled despite combination of nicardipine and labetalol intravenous therapy; an urgent caesarean section was eventually performed due to onset of HELLP syndrome. At day 5 postpartum, the patient had a Horner syndrome with right ipsilateral disabling tinnitus. A CT-angiography of supra-aortic trunks was performed urgently; it showed a bilateral carotid arterial dis...
Source: Annales Francaises d'Anesthesie et de Reanimation - April 1, 2013 Category: Anesthesiology Authors: Hoffmann C, Augé M, Falzone E, Martel-Jacob S, Mercier FJ Tags: Ann Fr Anesth Reanim Source Type: research