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Source: Journal of Clinical Neuroscience
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Total 328 results found since Jan 2013.
Acute ischemic dissection of an “S”-shaped carotid artery: The “one-stop” value of using a detachable Solitaire AB stent
This study aimed to evaluate the efficacy and safety of endovascular repair using detachable Solitaire AB stents for acute ischemic dissection of “S”-shaped carotid arteries. From May 2015 to December 2016, a total of 127 patients with acute ischemic stroke (AIS) underwent endovascular treatment in our center. Among them, five AISs were due to acute dissection of an “S”-shaped carotid artery. Coexisting carotid embolism was identified in all five patients, who first underwent successful Solitaire AB stent-based retrieval of the embolism. All patients then underwent Solitaire AB stenting to reopen the occluded carot...
Source: Journal of Clinical Neuroscience - July 5, 2018 Category: Neuroscience Source Type: research
Comparison of magnetic resonance spectroscopy (MRS) with arterial spin labeling (ASL) in the differentiation between mitochondrial encephalomyopathy, lactic Acidosis, plus stroke-like episodes (MELAS) and acute ischemic stroke (AIS)
Publication date: Available online 18 June 2018Source: Journal of Clinical NeuroscienceAuthor(s): Xiaodi Li, Yuzhou Wang, Zhanhang Wang, Jianjun Lu, Yan Xu, Jinlong Ye, Zuying Kuang, Bo Li, Mengqiu Pan, Wenming Chen, Shuisheng Lu, Ziyang Zhou, Lina Cheng, Honghao WangAbstractTo compare the utility and limitation of magnetic resonance spectroscopy (MRS) and arterial spin labeling (ASL) in the differentiation between mitochondrial encephalomyopathy, lactic acidosis, plus stroke-like episodes (MELAS) and acute ischemic stroke (AIS), a retrospective review of 17 MELAS and 26 AIS patients were performed. In all patients both MR...
Source: Journal of Clinical Neuroscience - July 5, 2018 Category: Neuroscience Source Type: research
Metastatic prostate cancer mimicking a subdural hematoma: A case report and literature review
Publication date: Available online 4 July 2018 Source:Journal of Clinical Neuroscience Author(s): Andrew Nunno, Mahlon D. Johnson, Guan Wu, Yan Michael Li Occurrences of metastatic prostate cancer imitating a subdural hematoma are limited to a small number of case reports, even though prostate cancer spreads to the dura more than other types of cancer. Here, we present the case of a 64 year-old male whose prostate carcinoma’s metastasis mimicked a subdural hematoma, and he suffered a middle cerebral artery stroke. Prostate cancer’s high rate of progression to the dura is disproportionate to its relatively low rate o...
Source: Journal of Clinical Neuroscience - July 4, 2018 Category: Neuroscience Source Type: research
Genetic diagnosis of CADASIL in three Hong Kong Chinese patients: A novel mutation within the intracellular domain of NOTCH3
We report here the clinical and molecular findings of three unrelated Hong Kong Chinese families with CADASIL syndrome. Sanger sequencing of genomic DNA revealed a novel heterozygous variant NM_000435.2(NOTCH3):c.[5903_5904insATAA];[5903_5904=] NP_000426.2:p.(Asp1969∗);(Asp1969=) and two previously reported heterozygous mutations NM_000435.2(NOTCH3):c.[328C>T];[328C=] NP_000426.2:p.[(Arg110Cys)];[(Arg110=)] and NM_000435.2(NOTCH3):c.[580T>A];[580T=] NP_000426.2:p.(Cys194Ser);(Cys194=) in the three families respectively. Molecular basis of CADASIL in these three patients were further established. Genetic ana...
Source: Journal of Clinical Neuroscience - July 4, 2018 Category: Neuroscience Source Type: research
Survival after in-hospital cardiac arrest among cerebrovascular disease patients
Publication date: Available online 19 May 2018 Source:Journal of Clinical Neuroscience Author(s): Corey R. Fehnel, Alissa Trepman, Dale Steele, Muhib A. Khan, Brian Silver, Susan L. Mitchell Stroke is a leading cause of death and disability, and while preferences for cardiopulmonary resuscitation (CPR) are frequently discussed, there is limited evidence detailing outcomes after CPR among acute cerebrovascular neurology (inclusive of stroke, subarachnoid hemorrhage (SAH)) patients. Systematic review and meta-analysis of PubMed and Cochrane libraries from January 1990 to December 2016 was conducted among stroke patients und...
Source: Journal of Clinical Neuroscience - May 20, 2018 Category: Neuroscience Source Type: research
Acute ischemic dissection of an “S”-shaped carotid artery: The “one-stop” value of using a detachable Solitaire AB stent
This study aimed to evaluate the efficacy and safety of endovascular repair using detachable Solitaire AB stents for acute ischemic dissection of “S”-shaped carotid arteries. From May 2015 to December 2016, a total of 127 patients with acute ischemic stroke (AIS) underwent endovascular treatment in our center. Among them, five AISs were due to acute dissection of an “S”-shaped carotid artery. Coexisting carotid embolism was identified in all five patients, who first underwent successful Solitaire AB stent-based retrieval of the embolism. All patients then underwent Solitaire AB stenting to reopen the occluded carot...
Source: Journal of Clinical Neuroscience - May 9, 2018 Category: Neuroscience Source Type: research
Dangers of outpatient nimodipine use after spontaneous subarachnoid hemorrhage in accordance with the Comprehensive Stroke Center guidelines
This report underscores the danger of outpatient nimodipine use and questions the optimal length of nimodipine therapy, especially in patients with low risk of vasospasm. Future studies, including randomized controlled trials and cost-effectiveness studies, are necessary to clarify the benefit of 21-day nimodipine therapy compared to a shortened duration of nimodipine.
Source: Journal of Clinical Neuroscience - April 12, 2018 Category: Neuroscience Source Type: research
Role of early partial recanalization and intravenous thrombolysis for acute ischemic stroke
Publication date: Available online 6 April 2018 Source:Journal of Clinical Neuroscience Author(s): Luis Moscote-Salazar
Source: Journal of Clinical Neuroscience - April 7, 2018 Category: Neuroscience Source Type: research
Web of the carotid artery: An under-recognized cause of ischemic stroke
We describe here an additional case of ischemic stroke caused by a carotid web in a young healthy woman. Detection of this vascular abnormality required the use of CT angiography and cerebral digital subtraction angiography. Although there is little evidence regarding the optimal management of this condition, under medical treatment with dual antiplatelet therapy our patient remained free of recurrent stroke events. This case report study illustrates that the web of the carotid artery is an uncommon cause of stroke which should always be considered and ruled out, especially in young patients with otherwise cryptogenic stro...
Source: Journal of Clinical Neuroscience - March 16, 2018 Category: Neuroscience Source Type: research
Cerebrovascular disorders and Fahr's disease: Report of two cases and literature review
We report two cases of patients with cerebrovascular disorders and Fahr's disease. In the first case, a 69-years-old woman with right internal capsule-basal ganglia haemorrhage. In the second case, a 72-years-old woman with ischemic stroke and pericallosal artery aneurysm. The physiopathology is discussed and concerning literature is reviewed.
Source: Journal of Clinical Neuroscience - March 16, 2018 Category: Neuroscience Source Type: research
Successful deep brain stimulation for central post-stroke pain and dystonia in a single operation
Conclusions Deep brain stimulation targeting multiple brain networks in one operation is feasible and safe. Deep brain stimulation may be considered in some refractory cases of central post-stroke pain; however, it requires meticulous programming.
Source: Journal of Clinical Neuroscience - March 16, 2018 Category: Neuroscience Source Type: research
Modified CHADS2 and CHA2DS2-VASc scores to predict atrial fibrillation in acute ischemic stroke patients
Publication date: Available online 23 February 2018 Source:Journal of Clinical Neuroscience Author(s): Rixia Liu, Xiaomeng Yang, Shuya Li, Yong Jiang, Yilong Wang, Yongjun Wang It is important to identify candidates who warrant extended cardiac monitoring after ischemic stroke. We investigated the predictive performance of the CHADS2 and CHA2DS2-VASc scores for previously unknown atrial fibrillation during in-hospital electrocardiographic monitoring. Patients were selected from a prospective trial in China. The clinical prediction of the scores was examined using the C statistic. Multivariate logistic regressions were per...
Source: Journal of Clinical Neuroscience - February 24, 2018 Category: Neuroscience Source Type: research
Rapid progressive visual decline and visual field defects in two patients with the Heidenhain variant of Creutzfeld-Jakob disease
Conclusions Loss of visual acuity and a decline in visual fields without corresponding MRI findings and marked changes in behaviour should lead to a diagnosis of HvCJD. Corresponding diagnostic tests should be performed for confirmation. The prognosis for survival is poor and should be immediately communicated to affected patients and their relatives.
Source: Journal of Clinical Neuroscience - February 21, 2018 Category: Neuroscience Source Type: research
Orolingual angioedema treated with Icatibant post-thrombolysis for ischaemic stroke
Publication date: March 2018 Source:Journal of Clinical Neuroscience, Volume 49 Author(s): Patrick J. Salvaris, Joshua Laing
Source: Journal of Clinical Neuroscience - February 4, 2018 Category: Neuroscience Source Type: research
Does epiaortic ultrasound screening reduce perioperative stroke in patients undergoing coronary surgery? A topical review
Publication date: Available online 3 February 2018 Source:Journal of Clinical Neuroscience Author(s): Asad Ikram, Hafsa Mohiuddin, Aisha Zia, Hafiz Umair Siddiqui, Hoda Javadikasgari, Marijan Koprivanac, Sajjad Raza, Atif Zafar Although the occurrence of stroke in patients undergoing coronary artery bypass grafting (CABG) is decreasing, it remains an important concern. Therefore, it is important to identify and adopt strategies that can decrease the incidence of stroke in these patients. One of the strategies that have demonstrated the potential to decrease the rate of post-CABG stroke is an assessment of aorta for athero...
Source: Journal of Clinical Neuroscience - February 3, 2018 Category: Neuroscience Source Type: research
