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Source: Journal of Neurology
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Total 399 results found since Jan 2013.
Brainstem stroke presenting with uncontrollable laughter: be alert when nobody else is laughing
Source: Journal of Neurology - June 19, 2022 Category: Neurology Source Type: research
Serum anti-NMDA-receptor antibodies and cognitive function after ischemic stroke (PROSCIS-B)
ConclusionIn our study, NMDAR1-abs seropositivity did not affect CF over 3 years after a first mild to moderate ischemic stroke. CF differed according to NMDAR1-abs serum titer, with patients with high NMDAR1-abs titers having a less favorable cognitive outcome compared to seronegative patients.
Source: Journal of Neurology - June 19, 2022 Category: Neurology Source Type: research
Carotid web: the challenging diagnosis of an under-recognized entity
ConclusionKnowledge of CW and differentiating it from atheroma plaques is essential, as medical management seems to be insufficient in many cases. Revascularization, which has been shown to be safe and effective, might be the best treatment modality.
Source: Journal of Neurology - June 17, 2022 Category: Neurology Source Type: research
Cardiovascular medication seems to promote recovery of autonomic dysfunction after stroke
ConclusionsEven mild strokes compromised cardiovagal modulation and baroreflex sensitivity. After 3 months, CAM had almost completely recovered. Recovery might be related to the mild stroke severity. Presumably, CAM recovery was also promoted by the increased application of cardiovascular medication. Yet, slight CAM dysfunction after 6 months suggests continuing autonomic vulnerability.
Source: Journal of Neurology - June 12, 2022 Category: Neurology Source Type: research
Neuroimmune disorders in COVID-19
AbstractSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the aetiologic agent of the coronavirus disease 2019 (COVID-19), is now rapidly disseminating throughout the world with 147,443,848 cases reported so far. Around 30 –80% of cases (depending on COVID-19 severity) are reported to have neurological manifestations including anosmia, stroke, and encephalopathy. In addition, some patients have recognised autoimmune neurological disorders, including both central (limbic and brainstem encephalitis, acute disseminated encephalomyelitis [ADEM], and myelitis) and peripheral diseases (Guillain–Barré and Miller ...
Source: Journal of Neurology - May 20, 2022 Category: Neurology Source Type: research
New remote cerebral microbleeds in acute ischemic stroke: an analysis of the randomized, placebo-controlled WAKE-UP trial
Source: Journal of Neurology - May 19, 2022 Category: Neurology Source Type: research
Identifying gaps in the management of atrial fibrillation with anticoagulation for stroke prevention (GIANTS): a quality improvement initiative
ConclusionsAwareness of this finding is critical to overcome therapeutic inertia in the use of DOACs for ischemic stroke patients with AF. With stroke care becoming increasingly nuanced, peripheral centers may lack the ability to guide anticoagulation in a timely and effective manner. Creation of tertiary short-term follow-up stroke clinics with cardiology follow-up may be an effective strategy to ensure standard of care. Research into systems contributors affecting the appropriate use of DOACs should be elucidated.
Source: Journal of Neurology - May 10, 2022 Category: Neurology Source Type: research
Prevalence and In-hospital outcomes of diabetes among acute ischemic stroke patients in china: results from the Chinese Stroke Center Alliance
ConclusionDiabetes was highly prevalent among AIS patients in China and associated with worse in-hospital outcomes. Greater efforts to increase targeted approach to secondary prevention treatments of diabetes in AIS patients are warranted.
Source: Journal of Neurology - May 5, 2022 Category: Neurology Source Type: research
The efficacy and safety of insertable cardiac monitor on atrial fibrillation detection in patients with ischemic stroke: a systematic review and meta-analysis
AbstractAtrial fibrillation (AF) leads to a high risk of recurrent stroke, and the insertable cardiac monitor (ICM), as a new kind of electrocardiographic monitoring device, has been proven to enhance the recognition rate of AF. The aim of this systematic review was to evaluate the efficacy and safety of the ICM use in AF detection of patients with stroke. We pooled 1233 patients from three randomized controlled trials (RCTs). The detection rate of AF was superior in the ICM group to that in the control group at 6 months (risk ratio [RR], 4.63;P < 0.0001; 95% confidence interval [CI], 2.17–9.90) and 12 months ...
Source: Journal of Neurology - April 21, 2022 Category: Neurology Source Type: research
Correction to: Mechanical thrombectomy does not increase the risk of acute symptomatic seizures in patients with an ischaemic stroke: a propensity score matching study
Source: Journal of Neurology - April 8, 2022 Category: Neurology Source Type: research
Small vessel disease and collaterals in ischemic stroke patients treated with thrombectomy
ConclusionOur study provides evidence that in patients with AIS due to LVO treated with MT, the burden of SVD assessed by pre-treatment MRI is associated with poorer recruitment of leptomeningeal collaterals.
Source: Journal of Neurology - April 6, 2022 Category: Neurology Source Type: research
Ischemic stroke associated with COVID-19: a systematic review and meta-analysis
ConclusionIschemic stroke caused by COVID-19 has its own unique clinical features. Although common high-risk factors can also be observed, its importance may have changed. The major inflammatory storm of COVID-19 is more likely to occur in male patients. The increase in the proportion of cryptogenic stroke has also made stroke related to COVID-19 complicated.
Source: Journal of Neurology - March 22, 2022 Category: Neurology Source Type: research
Time trends in stroke severity in the years 2005 to 2020: results from the Austrian Stroke Unit Registry
ConclusionDespite an aging population and generally increasing AF frequency, we observed a consistent trend towards less disabling strokes on admission.
Source: Journal of Neurology - March 21, 2022 Category: Neurology Source Type: research
