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Source: Journal of Stroke and Cerebrovascular Diseases

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Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2023 Category: Neurology Source Type: research

Variation in Patterns of Telestroke Usage during the COVID-19 Pandemic
Early in the pandemic there was a substantial increase in telestroke uptake among hospitals. The motivations for using telestroke during the pandemic might be different than hospitals that adopted telestroke previously. We compared stroke care among hospitals that adopted telestroke prior to the pandemic to hospitals that adopted telestroke during the pandemic.
Source: Journal of Stroke and Cerebrovascular Diseases - February 5, 2023 Category: Neurology Authors: Carter H. Nakamoto, Andrew D. Wilcock, Lee H Schwamm, Kori S Zachrison, Lori Uscher-Pines, Ateev Mehrotra Source Type: research

A new clinical score to predict the possibility of stroke patients receiving intravenous thrombolysis
We aimed to develop and validate a clinical score to identify the factors which contribute to variation in, and influence clinician's decision-making about treating acute ischemic stroke (AIS) patients with Intravenous thrombolysis (IVT).
Source: Journal of Stroke and Cerebrovascular Diseases - February 4, 2023 Category: Neurology Authors: Dongqin Chen, Yafang Zhu, Yi Wang, Chongke Zhong, Yan Qin, Dan Peng, Yongjun Cao, Xia Zhang Source Type: research

Non-invasive brain stimulation for limb motor function and daily living activity improvement in acute stroke: A meta-analysis
To evaluate the effect of non-invasive brain stimulation (NIBS) in improving limb motor dysfunction and daily living activity during at the phase of acute stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 4, 2023 Category: Neurology Authors: Yirong Chen, Lining Yang, Xiaohong Li, Lu Tang, Yan Pi, Dingqun Bai Source Type: research

Enhanced phasic sensory afferents paired with controlled constraint force improve weight shift toward the paretic side in individuals post-stroke
The goal of this study was to determine whether enhanced phasic sensory afferent input paired with the application of controlled constraint force during walking would improve weight shift toward the paretic side and enhance use of the paretic leg.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2023 Category: Neurology Authors: Seoung Hoon Park, Weena Dee, Renee Keefer, Elliot J. Roth, William Z. Rymer, Ming Wu Source Type: research

Differences in the difficulty of subtasks comprising the toileting task among patients with subacute stroke: A cohort study
For stroke patients, toileting independence is an important predictor of a patient's discharge home1,2 and is one of the primary rehabilitation goals. While toileting is a frequent activity in daily life, it has a high risk of falling.3 –7 Thus, toileting independence is vital for achieving independence in activities of daily living (ADLs) for hospitalized stroke patients. Moreover, assisting stroke survivors with toileting is one of the most stressful tasks for caregivers8 and a significant psychological burden for the survivors .
Source: Journal of Stroke and Cerebrovascular Diseases - January 27, 2023 Category: Neurology Authors: Shin Kitamura, Yohei Otaka, Yudai Murayama, Kazuki Ushizawa, Yuya Narita, Naho Nakatsukasa, Daisuke Matsuura, Kunitsugu Kondo, Sachiko Sakata Source Type: research

Physical fitness training after stroke-a crucial and exciting field for service development and research
In this issue, Krawcyk and colleagues report one year follow up data from the High-Intensity Training in Patients with Lacunar Stroke (HITPALS).1 High-intensity interval training (HIIT) involves repeated intervals of high-intensity activity interspersed with rest or active lower-intensity recovery intervals; HIIT can achieve similar fitness benefits as continuous endurance workouts, but in shorter periods of time.2 Krawcyk et  al had previously shown that HIIT performed at home, guided by weekly motivational phone calls for three months, was feasible and safe in patients with lacunar stroke, but that there was no effect o...
Source: Journal of Stroke and Cerebrovascular Diseases - January 25, 2023 Category: Neurology Authors: Gillian E Mead Tags: Editorial Source Type: research

Practice variability in the perioperative management of pediatric moyamoya disease in North America
Revascularization surgery decreases the long-term risk of stroke in children with moyamoya, but ischemic complications occur after 10-20% of moyamoya surgeries, with stroke in 5-10%.1-5 Though single center institutional practices for perioperative moyamoya care have been published,6 evidence-based approaches to safe perioperative management of children with moyamoya are limited due to disease rarity. We aimed to understand the degree of practice variability in perioperative pediatric moyamoya care and to identify areas of equipoise in order to target future research and consensus-building efforts.
Source: Journal of Stroke and Cerebrovascular Diseases - January 25, 2023 Category: Neurology Authors: Lisa R. Sun, David S. Hersh, Edward R. Smith, Philipp R. Aldana, Lori C. Jordan Tags: Short Communication Source Type: research

Early high-dose intravenous immunoglobulin for refractory heparin-induced thrombocytopenia with stroke: Two case reports
Heparin-induced thrombocytopenia (HIT) is a drug reaction caused by anti-platelet factor 4 (PF4)/heparin antibodies of the IgG class that activate through Fc γ receptors on platelets and monocytes. They consume platelets and increase thrombin generation.1 HIT occurs 5 to 14 days after the start of heparinization.2 Management of HIT involves discontinuing heparin and switching to an alternative anticoagulant to prevent thrombosis and normalize platelet l evels.3–5 Autoimmune HIT (aHIT), which maintains marked heparin-independent platelet activation even after discontinuing heparin, has recently attracted attention.
Source: Journal of Stroke and Cerebrovascular Diseases - January 24, 2023 Category: Neurology Authors: Naoki Makita, Tomoyuki Ohara, Yukiko Tsuji, Tetsuhiro Ueda, Takuma Nakamura, Toshiki Mizuno, Masahiro Makino Tags: Case Report Source Type: research

Effect of cyborg-type robot Hybrid Assistive Limb on patients with severe walking disability in acute stroke: A randomized controlled study
To investigate whether early gait training using Hybrid Assistive Limb (HAL) is feasible and improves walking and independency compared with conventional physical therapy (CPT) in patients with severe walking disability after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - January 24, 2023 Category: Neurology Authors: Chiaki Yokota, Kenta Tanaka, Katsuhiro Omae, Masatoshi Kamada, Hiroyasu Nishikawa, Masatoshi Koga, Masafumi Ihara, Yasuyuki Fujimoto, Yoshiyuki Sankai, Takashi Nakajima, Manabu Minami Source Type: research

Comment on vaccine associated benign headache and cutaneous hemorrhage after ChAdOx1 nCoV-19 vaccine
Dear Editor, we would like to share ideas on the publication “Vaccine associated benign headache and cutaneous hemorrhage after ChAdOx1 nCoV-19 vaccine: A cohort study1.” If these symptoms are a minor form of VITT, with a possibility for worsening, such as in the case of a second vaccination dose, or a new entity of vaccine consequences, Schultz et al. ex plored this1. The combination of headaches and subcutaneous hemorrhage, according to Schultz et al., did not indicate VITT, and no other distinct coagulation problem or cerebral pathology was discovered.
Source: Journal of Stroke and Cerebrovascular Diseases - January 23, 2023 Category: Neurology Authors: Rujittika Mungmunpuntipantip, Viroj Wiwanitkit Tags: Letter to the Editor Source Type: research

Attitudes of Canadian stroke physicians regarding palliative care for patients with acute severe stroke: A national survey
Palliative care (PC) aims to enhance the quality of life for patients and their families when confronted with serious illness.   As stroke continues to inflict high morbidity and mortality, the integration of palliative care within acute stroke care remains an important aspect of quality inpatient care.
Source: Journal of Stroke and Cerebrovascular Diseases - January 23, 2023 Category: Neurology Authors: Houman Khosravani, Meera Mahendiran, Sandra Gardner, Camilla Zimmermann, Giulia- Anna Perri Source Type: research

Cost effectiveness analysis of the East of England stroke telemedicine service
Stroke is the fourth single leading cause of death in the UK with more than 100,000 people diagnosed with stroke annually. Timely access to urgent care and treatments, such as thrombolysis, is crucial for survival and recovery but there are national variations in care access.
Source: Journal of Stroke and Cerebrovascular Diseases - January 22, 2023 Category: Neurology Authors: Oyewumi Afolabi, Krishnali Parsekar, Lynda Sibson, Anita Patel, Richard Fordham Source Type: research

Recombinant tissue plasminogen activator (rTPA) management for first onset acute Ischemic Stroke with covid -19 and non-covid -19 patients
In this study we compare the efficacy and safety of Tissue plasminogen activator (rTPA) in acute ischemic stroke (AIS) patients with or without Covid-19 infection.
Source: Journal of Stroke and Cerebrovascular Diseases - January 22, 2023 Category: Neurology Authors: Eman M Khedr, Ahmed Abdelwarith, Gehad M Moussa, Mostafa Saber Source Type: research

Enlarged left atrium may be associated with laterality of anterior circulation cardioembolic stroke
In this study, we compared the hemispheric differences among patients with AF-stroke and identified factors associated with lesion laterality.
Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2023 Category: Neurology Authors: Sang Hee Ha, So Young Yang, Soo Jeong, Jae Young Park, Jun Young Chang, Dong-Wha Kang, Sun U. Kwon, Jong-Sung Kim, Bum Joon Kim Tags: Short Communication Source Type: research