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Source: Journal of Clinical Neuroscience
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Total 328 results found since Jan 2013.
What does best evidence tell us about robotic gait rehabilitation in stroke patients: A systematic review and meta-analysis
Conclusions The evaluation of the results confirm that the use of robotics can positively affect the outcome of a gait rehabilitation in patients with stroke. The effects of different devices seems to be similar on the most commonly outcome evaluated by this review.
Source: Journal of Clinical Neuroscience - January 6, 2018 Category: Neuroscience Source Type: research
Utility of cone-beam computed tomography angiography for the assessment of vertebral artery dissection
In conclusion, CBCT-A provides detailed luminal and wall morphology of VADs. CBCT-A is useful for the accurate diagnosis of VADs.
Source: Journal of Clinical Neuroscience - January 6, 2018 Category: Neuroscience Source Type: research
Ketamine infusion for refractory status epilepticus: A case report of cardiac arrest
Conclusion Ketamine is utilized to treat refractory status epilepticus, but should be used with caution in patients with subarachnoid hemorrhage, as there may be an increased risk of life threatening arrhythmias and cardiac arrest.
Source: Journal of Clinical Neuroscience - December 16, 2017 Category: Neuroscience Source Type: research
Long-term effect of repetitive transcranial magnetic stimulation on disability in patients with stroke
Publication date: January 2018 Source:Journal of Clinical Neuroscience, Volume 47 Author(s): Kyung Eun Nam, Leechan Jo, So Yeon Jun, Won Jin Sung, Joon Sung Kim, Bo Young Hong, Bomi Sul, Seong Hoon Lim High-frequency repetitive transcranial magnetic stimulation (rTMS) is widely used to improve motor function in stroke patients. However, the long-term effects of rTMS on disability and motor function are not clear. We investigated the effects of high-frequency rTMS administered within 1 month of stroke on disability and motor function 6 months after stroke onset. The study was conducted by an open-label longitudinal study...
Source: Journal of Clinical Neuroscience - December 16, 2017 Category: Neuroscience Source Type: research
Acute treatment of stroke due to spontaneous calcified cerebral emboli causing large vessel occlusion
Conclusions Given the small sample reported in literature and no reported randomised studies, definitive recommendations could not be reached. However, considering thrombus composition, thrombolysis is most probably not sufficient and priority should be given to EVT.
Source: Journal of Clinical Neuroscience - November 6, 2017 Category: Neuroscience Source Type: research
Incidence of poststroke seizures: A meta-analysis
Conclusion Our results are relevant to the epidemiology of late-onset poststroke seizure, with 14 days being the ideal cutoff time point. The pooled incidence density of late-onset poststroke seizure was 1.12 per 100 person-years in 4 cohort studies.
Source: Journal of Clinical Neuroscience - November 4, 2017 Category: Neuroscience Source Type: research
Early partial recanalization after intravenous thrombolysis leads to prediction of favorable outcome in cases of acute ischemic stroke with major vessel occlusion
Publication date: December 2017 Source:Journal of Clinical Neuroscience, Volume 46 Author(s): Jun Young Chang, Hyun Park, Se Young Jang, Seunguk Jung, Hee-Joon Bae, O-Ki Kwon, Moon-Ku Han We investigated the association between early recanalization degree after intravenous thrombolysis (IVT), occurrence of hemorrhagic transformation, and functional outcome. We also evaluated whether recombinant tissue plasminogen activator (rTPA) dosing error could influence the outcome. Patients with ischemic stroke with major vessel occlusion (n=256) who underwent IVT were included. Recanalization status (no recanalization, partial reca...
Source: Journal of Clinical Neuroscience - October 27, 2017 Category: Neuroscience Source Type: research
Successful endovascular thrombectomy 90h after stroke onset
We present a case of near-complete left M1 occlusion in which EVT achieved reperfusion 90h 41min after stroke onset with excellent clinical outcome. Current guidelines on treatment windows for EVT according to HERMES collaboration do not reflect individual patient factors. In appropriate patients delayed EVT may give positive clinical outcomes.
Source: Journal of Clinical Neuroscience - October 27, 2017 Category: Neuroscience Source Type: research
Clinical characteristics of patients with ischemic stroke following the 2016 Kumamoto earthquake
Publication date: December 2017 Source:Journal of Clinical Neuroscience, Volume 46 Author(s): Yuichiro Inatomi, Makoto Nakajima, Toshiro Yonehara, Yukio Ando To investigate the clinical characteristics of patients with ischemic stroke following the 2016 Kumamoto earthquake. We retrospectively studied patients with ischemic stroke admitted to our hospital for 12weeks following the earthquake. We compared the clinical backgrounds and characteristics of the patients: before (the same period from the previous 3years) and after the earthquake; and the early (first 2weeks) and late (subsequent 10weeks) phases. A total of 194 pa...
Source: Journal of Clinical Neuroscience - October 27, 2017 Category: Neuroscience Source Type: research
High prevalence of small vessel disease long after cranial irradiation
In conclusion, small vessel disease is not a rare complication after cranial irradiation, even in young patients. Patients after cranial irradiation should be followed up with MR imaging including a hemosiderin-sensitive sequence.
Source: Journal of Clinical Neuroscience - October 27, 2017 Category: Neuroscience Source Type: research
Endovascular treatment of acute tandem occlusion strokes and stenting first experience
This study demonstrates the radiologic and clinical findings, etiologies and intervention strategy in 8 acute ischemic stroke patients with tandem occlusions. The mean age was 57 and mean NIHSS score was 19. Stent-assisted thrombectomy (SAT) was performed on all of the patients. Additionally, 6 patients underwent carotid artery stenting before SAT. Recanalization with TICI≥2b was attained in 7/8 patients. The 90thday median mRS was 2 and mortality was 1/8. The etiologies of the tandem occlusions were either extracranial high grade ICA stenosis/occlusion or cervical ICA dissection. When the stent-first approach was applie...
Source: Journal of Clinical Neuroscience - October 9, 2017 Category: Neuroscience Source Type: research
Factors associated with early dramatic recovery following successful recanalization of occluded artery by endovascular treatment in anterior circulation stroke
Publication date: Available online 3 October 2017 Source:Journal of Clinical Neuroscience Author(s): Dae-Hyun Kim, Hyun-Wook Nah, Hyun-Seok Park, Jae-Hyung Choi, Myung-Jin Kang, Jae-Kwan Cha Endovascular treatment (EVT) significantly increases the recanalization rate and improves functional outcomes in acute ischemic stroke. However, despite successful recanalization by EVT, some stroke patients demonstrate no early dramatic recovery (EDR). We assessed factors associated with EDR following recanalization by EVT. We included subjects with anterior circulation stroke treated with EVT who met the following criteria: Thrombol...
Source: Journal of Clinical Neuroscience - October 3, 2017 Category: Neuroscience Source Type: research
The current role of decompressive craniectomy for severe traumatic brain injury
Publication date: September 2017 Source:Journal of Clinical Neuroscience, Volume 43 Author(s): S. Honeybul, K.M. Ho, C.R.P. Lind, G.R. Gillett There is little doubt that decompressive craniectomy can reduce mortality however, the results of a recent study has provided more evidence to inform the debate regarding clinical and ethical concerns that it merely converts death into survival with severe disability or in a vegetative state. The recently published RESCUEicp trial compared last-tier secondary decompressive craniectomy with continued medical management for refractory intracranial hypertension after severe traumatic ...
Source: Journal of Clinical Neuroscience - August 1, 2017 Category: Neuroscience Source Type: research
Access disparities to Magnet hospitals for ischemic stroke patients
We examined the association of African–American race with Magnet status hospitalization after ischemic stroke. A mixed effects propensity adjusted multivariable regression analysis was used to control for confounding. During the study period, 176,557 patients presented with ischemic stroke, and met the inclusion criteria. Overall, 4,624 (13.7%) African-Americans, and 27,468 (19.2%) non African-Americans with ischemic stroke were admitted to Magnet hospitals. Using a multivariable logistic regression, we demonstrate that African-Americans were associated with lower admission rates to Magnet institutions (OR 0.70; 95% CI, ...
Source: Journal of Clinical Neuroscience - August 1, 2017 Category: Neuroscience Source Type: research
Isolated intracranial fibromuscular dysplasia of the posterior cerebral artery
We report a patient with FMD involving the posterior cerebral arteries (PCAs). A 24year old female was presented with a 4day history of right homonymous hemianopsia with throbbing headache in the left temporo-occipital area. The brain magnetic resonance imaging (MRI) revealed an acute ischemic stroke in the left PCA territory, while the Time of Flight (TOF) magnetic resonance angiogram (MRA) showed segmental luminal irregularities in the left proximal PCA. The conventional angiogram revealed the “string of beads” appearance, a characteristic that is pathognomonic for FMD. The patient’s inhospital clinical course was ...
Source: Journal of Clinical Neuroscience - August 1, 2017 Category: Neuroscience Source Type: research
