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Source: Journal of Clinical Neuroscience
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Total 328 results found since Jan 2013.
Crossed cheiro-oral syndrome: A warning sign for medullary involvement and neurological deterioration
In this study, we analyzed the etiology, localization and outcome of CCOS patients. The results showed that ischemic stroke is the exclusive cause of CCOS. The location of responsible stroke is pertinent to the middle or upper level of the lateral medulla oblongata medial to the lateral sulcus. The vascular supply is from the vertebral artery or the posterior inferior cerebellar artery. Half of the CCOS patients progressed to Wallenberg’s syndrome and complicated with disabled daily living. However, no patient died during the follow-up period. A larger size and dorsal extension of the infarction correlated with neurologi...
Source: Journal of Clinical Neuroscience - January 12, 2017 Category: Neuroscience Source Type: research
Long-term follow-up analysis of microsurgical clip ligation and endovascular coil embolization for dorsal wall blister aneurysms of the internal carotid artery
Publication date: Available online 11 January 2017 Source:Journal of Clinical Neuroscience Author(s): Mason A. Brown, Cristian F. Guandique, Jonathan Parish, Aubrey C. McMillan, Stephen Lehnert, Nassir Mansour, Michael Tu, Bradley N. Bohnstedt, Troy D. Payner, Thomas J. Leipzig, Andrew J. DeNardo, John A. Scott, Aaron A. Cohen-Gadol Blister aneurysms at non-branching sites of the dorsal internal carotid artery (dICA) are fragile, rare, and often difficult to treat. The purpose of this study is to address the demographics, treatment modalities, and long-term outcome of patients treated for dICA blister aneurysms. A retrosp...
Source: Journal of Clinical Neuroscience - January 10, 2017 Category: Neuroscience Source Type: research
Stroke in a young man: It gets under your skin
Publication date: Available online 18 December 2016 Source:Journal of Clinical Neuroscience Author(s): Claudio M. de Gusmao
Source: Journal of Clinical Neuroscience - December 17, 2016 Category: Neuroscience Source Type: research
Stroke in a young man: It gets under your skin – Question
Publication date: Available online 18 December 2016 Source:Journal of Clinical Neuroscience Author(s): Claudio M. de Gusmao
Source: Journal of Clinical Neuroscience - December 17, 2016 Category: Neuroscience Source Type: research
Clinical recovery from stroke lesions and related outcomes
This study investigated stroke lesions in terms of clinical recovery and related outcomes. Twenty-seven stroke patients were assessed via longitudinal observational study. Brain lesions were evaluated using MRI. The Fugl-Meyer Assessment and clinical evaluations were performed monthly between 1 and 6months after onset. The anterior limb (ICAL) and genu (ICG) of the internal capsule were associated with recovery of the upper limbs in chronic stroke patients. Involvement of the anterior half of the middle third of the corona radiata, the ICAL, the ICG, and the caudate nucleus were related to recovery of the lower limbs. Invo...
Source: Journal of Clinical Neuroscience - December 17, 2016 Category: Neuroscience Source Type: research
Evaluating the effect of hydrocephalus cause on the manner of changes in the effective parameters and clinical symptoms of the disease
Publication date: January 2017 Source:Journal of Clinical Neuroscience, Volume 35 Author(s): Seifollah Gholampour, Nasser Fatouraee, Amir Saeed Seddighi, Afsoun Seddighi In the present study, the heads of 11 normal subjects and 21 patients affected by hydrocephalus due to three different causes were simulated using fluid–structure interaction (FSI). To validate the results, the calculated diagram of CSF velocity in aqueduct of Sylvius (AS) was compared with the similar velocity diagram measured using Cine PC-MRI for the same subject. After ensuring the agreement of results, other outputs such as CSF pressure were calcul...
Source: Journal of Clinical Neuroscience - December 14, 2016 Category: Neuroscience Source Type: research
Long-term utility and complication profile of open craniotomy for biopsy in patients with idiopathic encephalitis
Publication date: Available online 12 December 2016 Source:Journal of Clinical Neuroscience Author(s): Kalil G. Abdullah, Yin Li, Prateek Agarwal, Nikhil R. Nayak, Jayesh P. Thawani, Ramani Balu, Timothy H. Lucas Neurosurgeons are often asked to perform open biopsy for diagnosis of encephalitis after medical investigations are non-diagnostic. These patients may be critically ill with multiple comorbidities. Patients and their families often request data regarding the success rates and complication profile of biopsy, but minimal literature exists in this area. Retrospective chart review of all patients undergoing open brai...
Source: Journal of Clinical Neuroscience - December 11, 2016 Category: Neuroscience Source Type: research
Venous infarction mimicking top of basilar syndrome; An uncommon complication of adult influenza infection
Publication date: Available online 10 December 2016 Source:Journal of Clinical Neuroscience Author(s): Soo Hyun Cho, Kyung Mi Lee, Bum Joon Kim, Jae Hong Yi, Kyung Chul Noh, Eui Jong Kim, Hak Young Rhee, Key-Chung Park Influenza infection increases the risk of ischemic stroke. Here, we represent a case of a 32year-old female who presented with acutely developed altered mental status after influenza A infection. The clinical manifestation and initial lesion on brain DWI mimicked top of basilar syndrome, but without an arterial occlusion or stenosis. Follow-up neuro imaging analysis suggested cerebral venous infarction. It ...
Source: Journal of Clinical Neuroscience - December 9, 2016 Category: Neuroscience Source Type: research
Acute bithalamic infarct manifesting as sleep-like coma: A diagnostic challenge
Publication date: December 2016 Source:Journal of Clinical Neuroscience, Volume 34 Author(s): Asaf Honig, Ruth Eliahou, Roni Eichel, Ari Aharon Shemesh, Tamir Ben-Hur, Eitan Auriel Bilateral thalamic infarction (BTI) typically presents as a sleep-like coma (SLC) without localizing signs, posing a diagnostic challenge that may lead the treating physician to search for toxic or metabolic causes and delay treatment. We review our experience with BTI of different etiologies, and emphasize the critical role of timely imaging, diagnosis, and management in a series of 12 patients with a presentation of SLC and acute BTI who were...
Source: Journal of Clinical Neuroscience - November 10, 2016 Category: Neuroscience Source Type: research
Intravascular lymphoma mimicking vasculitis
This report documents the presence of intravascular lymphoma diagnosed on a brain biopsy in a 60-year-old man. He initially presented 6months before brain biopsy with chest pain and hypotension, warranting coronary artery bypass graft surgery. Four months later, he presented with signs attributed to a stroke (diaphoresis, slumped over in a chair and left hand weakness). He subsequently developed a sudden onset wide-based gait, left leg numbness, word finding difficulties and worsening confusion. A MRI study showed multiple infarcts in the brain, including cerebellum. Invasive angiogram suggested vasculitis. He was started ...
Source: Journal of Clinical Neuroscience - November 10, 2016 Category: Neuroscience Source Type: research
High-sensitivity C-reactive protein in stroke patients – The importance in consideration of influence of multiple factors in the predictability for disease severity and death
Publication date: Available online 4 November 2016 Source:Journal of Clinical Neuroscience Author(s): Hong Yu, Yue Huang, XinYu Chen, WenBao Nie, YongJun Wang, Yan Jiao, Guy L. Reed, Weikuan Gu, Hong Chen High sensitivity C-reactive protein (hsCRP) has been evaluated as a biomarker in stroke and relevant pathological diseases. While its predictive values in several pathological phenotypes have been confirmed, controversy exists among different studies. This review summarizes reports of the predictive values of hsCRP for the diagnosis, etiology, prognosis and mortality of stroke diseases. The current literature suggests th...
Source: Journal of Clinical Neuroscience - November 3, 2016 Category: Neuroscience Source Type: research
Association between pneumonia in acute stroke stage and 3-year mortality in patients with acute first-ever ischemic stroke
In conclusion, pneumonia during the acute stroke stage is associated with increased risk of 3-year mortality. Interventions to prevent pneumonia in acute stroke stage might improve ischemic stroke outcome.
Source: Journal of Clinical Neuroscience - October 9, 2016 Category: Neuroscience Source Type: research
Relationship between intracranial pressure and phase contrast cine MRI derived measures of intracranial pulsations in idiopathic normal pressure hydrocephalus
Publication date: November 2016 Source:Journal of Clinical Neuroscience, Volume 33 Author(s): Matthias Jaeger, Angela K. Khoo, David A. Conforti, Ramesh Cuganesan Phase contrast cine MRI with determination of pulsatile aqueductal cerebrospinal fluid (CSF) stroke volume and flow velocity has been suggested to assess intracranial pulsations in idiopathic normal pressure hydrocephalus (iNPH). We aimed to compare this non-invasive measure of pulsations to intracranial pressure (ICP) pulse wave amplitude from continuous ICP monitoring. We hypothesised that a significant correlation between these two markers of intracranial pul...
Source: Journal of Clinical Neuroscience - October 9, 2016 Category: Neuroscience Source Type: research
Clinically important difference of Stroke-Specific Quality of Life Scale for aneurysmal subarachnoid hemorrhage
In conclusion, our study defined the CID for SS-QOL applied to SAH patients and should be further validated in another SAH patient population.
Source: Journal of Clinical Neuroscience - October 9, 2016 Category: Neuroscience Source Type: research
Distinct inflammatory responses differentiate cerebral infarct from transient ischaemic attack
Publication date: Available online 30 September 2016 Source:Journal of Clinical Neuroscience Author(s): Christopher W.L. Armstrong, Erika Bosio, Claire Neil, Simon G.A. Brown, Graeme J. Hankey, Daniel M. Fatovich We previously reported on a 26-year-old patient who presented early during a large and eventually fatal cerebral infarct. Microarray analysis of blood samples from this patient demonstrated initially up-regulated and subsequently down-regulated Granzyme B (GzmB) expression, along with progressive up-regulation of genes for S100 calcium binding protein A12 (S100A12) and matrix metalloproteinase 9 (MMP-9). To confi...
Source: Journal of Clinical Neuroscience - September 30, 2016 Category: Neuroscience Source Type: research
