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Source: Journal of Neurology
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Total 399 results found since Jan 2013.
Correction to: Intracerebral haemorrhage on the acute stroke unit
The article Intracerebral haemorrhage on the acute stroke unit
Source: Journal of Neurology - July 14, 2020 Category: Neurology Source Type: research
Telling friend from foe in emergency vertigo and dizziness: does season and daytime of presentation help in the differential diagnosis?
The objective of the present study was to analyze frequency and distribution patterns of specific vestibular and non-vestibular diagnoses in an interdisciplinary university emergency room (ER), including data on daytime and season of presentation. A retrospective chart analysis of all patients seen in a one-year period was performed. In the ER 4.23% of all patients presented with VD (818 out of 19,345). The most frequent-specific diagnoses were BPPV (19.9%), stroke/transient ischemic attack (12.5%), acute unilateral vestibulopathy/vestibular neuritis (UVH; 8.3%), and functional VD (8.3%). Irrespective of the diagnosis, the...
Source: Journal of Neurology - July 10, 2020 Category: Neurology Source Type: research
Repetitive transcranial magnetic stimulation as an alternative therapy for stroke with spasticity: a systematic review and meta-analysis
AbstractRepetitive transcranial magnetic stimulation (rTMS) and intermittent theta-burst stimulation (iTBS) can be used to manage post-stroke spasticity, but a meta-analysis of the recent randomized-controlled trials (RCTs) is lacking. Our aim is to perform a meta-analysis of the RCTs that investigated the efficacy of rTMS in patients with post-stroke spasticity. PubMed, Embase, and Cochrane Library databases were searched for eligible papers published up to February 2020. The primary outcome was the Modified Ashworth Scale (MAS), measured as the effect of rTMS compared with controls and after rTMS (using a change score ca...
Source: Journal of Neurology - July 10, 2020 Category: Neurology Source Type: research
Clinical and radiological differences between patients with probable cerebral amyloid angiopathy and mixed cerebral microbleeds
ConclusionsCAA and mixed CMB demonstrate radiological differences in the absence of macrohaemorrhages. However, more clinically available biomarkers are needed to elucidate the contribution of CAA and hypertensive angiopathy in mixed CMB patients.
Source: Journal of Neurology - July 7, 2020 Category: Neurology Source Type: research
Relationship between stroke etiology and collateral status in anterior circulation large vessel occlusion
ConclusionsPreexisting CAS ≥ 50% was associated with better collateral status in LVO stroke patients. However, functional 90-day outcome was independent from CAS, which could be related to a higher rate of adverse events.
Source: Journal of Neurology - June 24, 2020 Category: Neurology Source Type: research
Reversible Encephalopathy Syndrome (PRES) in a COVID-19 patient
AbstractRecently WHO has declared novel coronavirus disease 2019 (COVID-19) outbreak a pandemic. Acute respiratory syndrome seems to be the most common manifestation of COVID-19. Besides pneumonia, it has been demonstrated that SARS-CoV-2 infection affects multiple organs, including brain tissues, causing different neurological manifestations, especially acute cerebrovascular disease (ischemic and hemorrhagic stroke), impaired consciousness and skeletal muscle injury. To our knowledge, among neurological disorders associated with SARS-CoV2 infection, no Posterior Reversible Encephalopathy Syndrome (PRES) has been described...
Source: Journal of Neurology - June 23, 2020 Category: Neurology Source Type: research
Characteristics and clinical course of Covid-19 patients admitted with acute stroke
Source: Journal of Neurology - June 23, 2020 Category: Neurology Source Type: research
Early cognitive and emotional outcome after stroke is independent of discharge destination
ConclusionsCognitive and emotional problems at two months post stroke were comparable between patients discharged home and those discharged to inpatient rehabilitation. For patients discharged home, cognitive complaints were predictive of long-term participation.
Source: Journal of Neurology - June 23, 2020 Category: Neurology Source Type: research
Investigation of poststroke epilepsy (INPOSE) study: a multicenter prospective study for prediction of poststroke epilepsy
ConclusionsPoststroke epilepsy occurs in almost 6% of patients within 3 years after stroke onset. Hemorrhagic stroke and subcortical lesion appear to be significantly associated with likelihood of developing epilepsy. Thus, prophylactic administration of antiepileptic drugs could be useful for stroke patients with these two risk factors.
Source: Journal of Neurology - June 18, 2020 Category: Neurology Source Type: research
Neurological involvement of coronavirus disease 2019: a systematic review
ConclusionsNeurological manifestations of COVID-19 are not rare, especially large vessel stroke, Guillain –Barre syndrome, and meningoencephalitis. Moving forward, further studies are needed to clarify the prevalence of the neurological complications of SARS-CoV-2 infection, investigate their biological backgrounds, and test treatment options. Physicians should be cautious not to overlook other neurol ogical diagnoses that can mimic COVID-19 during the pandemic.
Source: Journal of Neurology - June 18, 2020 Category: Neurology Source Type: research
Correction to: Heritable and non-heritable uncommon causes of stroke
The original version of this article unfortunately contained a mistake. Figure 3 caption is incorrect and co-author name should be E.Tournier-Lasserve.
Source: Journal of Neurology - June 17, 2020 Category: Neurology Source Type: research
Correction to: MR ‑imaging pattern is not a predictor of occult atrial fibrillation in patients with cryptogenic stroke
The original version of this article unfortunately contained a mistake.
Source: Journal of Neurology - June 14, 2020 Category: Neurology Source Type: research
Modern machine-learning can support diagnostic differentiation of central and peripheral acute vestibular disorders
ConclusionsEstablished clinical scores (such as HINTS) provide a valuable baseline assessment for stroke detection in acute vestibular syndromes. In addition, machine-learning methods may have the potential to increase sensitivity and selectivity in the establishment of a correct diagnosis.
Source: Journal of Neurology - June 10, 2020 Category: Neurology Source Type: research
CHA 2 DS 2 -VASc score as predictor of stroke and all-cause death in stable ischaemic heart disease patients without atrial fibrillation
ConclusionsHigher CHA2DS2-VASc score values were associated with higher risk of stroke and all-cause mortality during long-term follow-up in this real-world sample of patients with sIHD in sinus rhythm.
Source: Journal of Neurology - June 10, 2020 Category: Neurology Source Type: research
Platelet function/reactivity testing and prediction of risk of recurrent vascular events and outcomes after TIA or ischaemic stroke: systematic review and meta-analysis
DiscussionAntiplatelet –HTPR may predict risks of recurrent vascular events/outcomes in CVD patients. Given the heterogeneity between studies, further prospective, multi-centre studies are warranted.
Source: Journal of Neurology - June 8, 2020 Category: Neurology Source Type: research
