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Source: Journal of Neurology
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Total 399 results found since Jan 2013.
Cardiovascular magnetic resonance imaging and its role in the investigation of stroke: an update
AbstractRecent advances in complementary diagnostic exams have helped to clarify stroke etiology, not only by helping to confirm established stroke causes but also by unveiling new possible stroke mechanisms. Etiological investigation for cardioembolic stroke has benefited in the last years from information provided by studies analysing serum biomarkers, heart rhythm monitoring and imaging methods like cardiovascular magnetic resonance (CMR) imaging. CMR has been particularly important for the characterization of possible new cardioembolic stroke mechanisms including atrial cardiomyopathy, silent myocardial infarction and cardiomyopathies.
Source: Journal of Neurology - January 13, 2021 Category: Neurology Source Type: research
Pre-procedural predictive factors of symptomatic intracranial hemorrhage after thrombectomy in stroke
ConclusionsICH after MT was associated with several pre-procedural risk factors: prior use of antiplatelet therapies, high C-reactive protein and hyperglycemia at baseline, elevated mean arterial blood pressure, and low ASPECTS.
Source: Journal of Neurology - January 3, 2021 Category: Neurology Source Type: research
Early apixaban therapy after ischemic stroke in patients with atrial fibrillation
ConclusionsSymptomatic HT rates are likely to be low in randomized trials of DOAC initiation post-stroke. Recurrent ischemic stroke may be the major clinical outcome. These data may be used as expected event rates when calculating sample size requirements for future safety/efficacy trials of early versus late DOAC initiation after AF-related stroke.
Source: Journal of Neurology - January 3, 2021 Category: Neurology Source Type: research
Neurological update: use of cardiac troponin in patients with stroke
AbstractCardiac troponin is a specific and sensitive biomarker to identify and quantify myocardial injury. Myocardial injury is frequently detected after acute ischemic stroke and strongly associated with unfavorable outcomes. Concomitant acute coronary syndrome is only one of several possible differential diagnoses that may cause elevation of cardiac troponin after stroke. As a result, there are uncertainties regarding the correct interpretation and optimal management of stroke patients with myocardial injury in clinical practice. Elevation of cardiac troponin may occur as part of a ‘Stroke-Heart Syndrome’. The term â...
Source: Journal of Neurology - December 29, 2020 Category: Neurology Source Type: research
Endovascular stroke treatment in orally anticoagulated patients: an analysis from the German Stroke Registry-Endovascular Treatment
ConclusionsET can be performed safely and successfully in LVO stroke patients treated with OAC.Clinical trial registration-URLhttp://www.clinicaltrials.gov. Unique identifier: NCT03356392.
Source: Journal of Neurology - December 29, 2020 Category: Neurology Source Type: research
The role of ticagrelor in acute ischaemic stroke and high-risk TIA management
Source: Journal of Neurology - December 23, 2020 Category: Neurology Source Type: research
Strokectomy for malignant middle cerebral artery infarction: experience and meta-analysis of current evidence
In conclusion, strokectomy may be non-inferior, lower risk and cost saving relative to hemicraniectomy sufficiently to be worthy of further investigation and maybe a randomised trial.
Source: Journal of Neurology - December 19, 2020 Category: Neurology Source Type: research
Large artery ischemic stroke in severe COVID-19
Source: Journal of Neurology - November 19, 2020 Category: Neurology Source Type: research
What has caused the fall in stroke admissions during the COVID-19 pandemic?
Source: Journal of Neurology - November 19, 2020 Category: Neurology Source Type: research
Usefulness of a single-parameter tool for the prediction of large vessel occlusion in acute stroke
ConclusionOur results suggest that the presence of hemiplegia as witnessed by a bystander can predict LVO with high specificity. This single criterion could be used for decision-making about direct transfer to CSC for MT when the absence of emergency skilled staff precludes the patient ’s on-site assessment, especially in regions distant from a CSC.
Source: Journal of Neurology - November 3, 2020 Category: Neurology Source Type: research
MRI-visible perivascular spaces as an imaging biomarker in Fabry disease
ConclusionsPVS scores are more severe in FD than control subjects. Our findings have potential relevance for FD diagnosis and suggest that impaired interstitial fluid drainage might be a mechanism of white matter injury in FD.
Source: Journal of Neurology - October 19, 2020 Category: Neurology Source Type: research
Correction to: CT angiography vs echocardiography for detection of cardiac thrombi in ischemic stroke: a systematic review and meta-analysis
The original version of this article unfortunately contained a mistake.
Source: Journal of Neurology - September 19, 2020 Category: Neurology Source Type: research
Effect of the COVID-19 pandemic on acute stroke reperfusion therapy: data from the Lyon Stroke Center Network
ConclusionsOur study showed a decrease in the volume of IVT, whereas the volume of MT remained stable although intra-hospital delays increased for transferred patients during the COVID-19 pandemic. These results contrast in part with the national surveys and suggest that the impact of the pandemic may depend on local stroke care networks.
Source: Journal of Neurology - September 8, 2020 Category: Neurology Source Type: research
Inter-hospital transfer for mechanical thrombectomy within the supraregional stroke network NEVAS
ConclusionWithin a telemedicine network stroke care can successfully be organized as only a minority of patients has to be transferred. Our data provide clinical evidence that all MT-eligible patients should be shipped with the fastest transportation modality as possible.
Source: Journal of Neurology - September 4, 2020 Category: Neurology Source Type: research
Causality in COVID-19-associated stroke: a uniform case definition for use in clinical research
Source: Journal of Neurology - July 31, 2020 Category: Neurology Source Type: research
