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Source: Journal of Clinical Neuroscience
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Total 328 results found since Jan 2013.
Experience with FRED junior flow diverter in treatment of cerebral aneurysms at or distal to the circle of Willis
Publication date: Available online 23 August 2019Source: Journal of Clinical NeuroscienceAuthor(s): Rajeev Sivasankar, Manish Shrivastava, Uday S. LimayeAbstractThis retrospective study was aimed at assessing our results of endovascular management using the FRED junior flow diverter in cerebral aneurysms at or distal to the circle of Willis. 12 patients with 15 small cerebral vessel aneurysms at or distal to the circle of Willis underwent endovascular treatment using the FRED junior flow diverter at two tertiary care centres in Mumbai, India. 12 of the 15 aneurysms were unruptured, one was treated in an acutely ruptured se...
Source: Journal of Clinical Neuroscience - August 24, 2019 Category: Neuroscience Source Type: research
Association between homocysteine and multivascular atherosclerosis in stroke-related vascular beds determined by three-dimensional magnetic resonance vessel wall imaging
ConclusionsHomocysteine is independently associated with stroke-related multivascular plaques and combination of age and homocysteine has stronger predictive value.
Source: Journal of Clinical Neuroscience - August 23, 2019 Category: Neuroscience Source Type: research
Cone beam-computed tomography angiography by intravenous contrast injection is reliable to evaluate patients with large vessel occlusion
ConclusionsAlthough prospective study of AIS patients at a radiography department is indispensable, CB-CTA performed in an angiography-suite might be useful to evaluate patients with ELVO.
Source: Journal of Clinical Neuroscience - August 22, 2019 Category: Neuroscience Source Type: research
Air retrieval for clot retrieval; time-metrics and outcomes of stroke patients from rural and remote regions air-transported for mechanical thrombectomy at a state stroke unit
ConclusionWith the availability of an efficient aeromedical retrieval service, LVO stroke patients in rural and remote regions can achieve excellent outcomes following transfer to a high volume thrombectomy unit, even if distances involved are very large.
Source: Journal of Clinical Neuroscience - August 20, 2019 Category: Neuroscience Source Type: research
Thrombolysis’ benefits on early post-stroke language recovery in aphasia patients
ConclusionThe percentage of resolved aphasia was significantly higher in the treated patients compared to the non-treated, with the latter showing a higher percentage of global aphasia. Identifying classic aphasia subtypes after thrombolysis is still possible since reperfused areas do not necessary change the classification or lead to completely different aphasic syndromes. Reperfusion treatment, baseline NIHSS, and lacunar stroke were the main predictors of aphasia recovery.
Source: Journal of Clinical Neuroscience - August 20, 2019 Category: Neuroscience Source Type: research
Moyamoya disease with epileptic nystagmus: A case report
We report a case of moyamoya disease with epileptic nystagmus. A 23-year-old woman presented with a headache and transient hemiparesis on her left side. Magnetic resonance imaging showed no ischemic or hemorrhagic stroke lesions. Digital subtraction angiography confirmed stenosis of the terminal portion of the right internal carotid artery and the formation of moyamoya vessels on the right side. 123I-N-isopropyl-iodoamphetamine (123I-IMP) single photon emission computed tomography (SPECT) showed decreased uptake in the right basal ganglia, frontal, and parietal regions. After electroencephalography (EEG) and a hyperventila...
Source: Journal of Clinical Neuroscience - August 20, 2019 Category: Neuroscience Source Type: research
Neuroprotection for ischemic stroke in the endovascular era: A brief report on the future of intra-arterial therapy
Publication date: Available online 17 August 2019Source: Journal of Clinical NeuroscienceAuthor(s): Julius Griauzde, Vijay M. Ravindra, Neeraj Chaudhary, Joseph J. Gemmete, Aditya S. PandeyAbstractMechanical thrombectomy is now at the forefront of the treatment of large vessel acute ischemic stroke (AIS). Selective intra-arterial (IA) access has opened a new avenue for neuroprotection in AIS that has the potential to maximize local benefit while minimizing systemic effects. On a cellular level, neuroprotective strategies are aimed at reducing inflammation and free-radical formation, maintaining blood-brain barrier fidelity...
Source: Journal of Clinical Neuroscience - August 18, 2019 Category: Neuroscience Source Type: research
The effect of uric acid on sleep quality after acute ischemic stroke
In conclusion, high UA levels may reduce the risk of poor sleep quality after acute ischemic stroke. Further randomized controlled trials are necessary in examining whether appropriate UA supplement could provide a potential prevention or therapeutic target for sleep disturbance after stroke.
Source: Journal of Clinical Neuroscience - August 14, 2019 Category: Neuroscience Source Type: research
Brain oscillatory activity and CT perfusion in hyper-acute ischemic stroke
ConclusionThe results of this preliminary study show that the combined use of EEG and CTP, as highly available techniques, in acute ischemic stroke may be helpful in clinical practice and provide information about functional and metabolic aspects of brain involvement. The joint use of these methodologies may give a better clinical insight of the functionality of injured area in the hyperacute phase.
Source: Journal of Clinical Neuroscience - August 12, 2019 Category: Neuroscience Source Type: research
Paediatric acute lymphoblastic leukaemia causing acute leukaemic occlusion of the proximal middle cerebral artery: Treatment with endovascular thrombectomy
We describe an ischaemic stroke in an adolescent with ALL who underwent successful endovascular thrombectomy following leukaemic arterial occlusion. Endovascular thrombectomy should be considered in paediatric ALL patients with acute ischaemic stroke and large vessel occlusion.
Source: Journal of Clinical Neuroscience - August 9, 2019 Category: Neuroscience Source Type: research
Worsening clinical features in a patient with right middle cerebral artery territory stroke – Answer
Publication date: Available online 31 July 2019Source: Journal of Clinical NeuroscienceAuthor(s): Vijay K. Sharma, Arvind K. Sinha
Source: Journal of Clinical Neuroscience - August 2, 2019 Category: Neuroscience Source Type: research
Worsening clinical features in a patient with right middle cerebral artery territory stroke
We describe a case with acute ischemic stroke in the right MCA territory. He developed secondary deterioration for which no obvious cause could be found. He underwent FDG-PET for evaluating carotid plaque inflammation as part of a research study, which revealed considerable hypometabolism in the left cerebellar hemisphere-responsible for the neurological deterioration. This phenomenon is often called ‘crossed cerebellar diaschisis. Various imaging findings are presented.
Source: Journal of Clinical Neuroscience - July 28, 2019 Category: Neuroscience Source Type: research
Fetal origin of posterior cerebral artery related to poor collaterals in patients with acute ischemic stroke
Publication date: Available online 20 July 2019Source: Journal of Clinical NeuroscienceAuthor(s): Pornpatr A. Dharmasaroja, Nattaphol Uransilp, Pritsana PiyabhanAbstractThe anatomic variation of Circle of Willis (CW) has been shown to have a great impact on its compensatory capacity during acute ischemic stroke. The purpose of the study was to evaluate the effect of variations in CW on collateral circulation in patients with acute ischemic stroke who had major artery occlusion. Patients with acute ischemic stroke within 4.5 h of stroke onset who had at least moderate severity of stroke (NIHSS ≥ 6), caused by major ...
Source: Journal of Clinical Neuroscience - July 21, 2019 Category: Neuroscience Source Type: research
Safety and efficacy of the Neuroform Atlas for stent-assisted coiling of intracranial aneurysms: A multicenter experience
ConclusionsOur results demonstrate that treatment of intracranial aneurysms with the Neuroform Atlas stent is associated with low morbidity and a high aneurysm occlusion rate at mid-term follow-up. Further studies will be necessary to confirm our results.
Source: Journal of Clinical Neuroscience - July 20, 2019 Category: Neuroscience Source Type: research
Brachial-ankle pulse wave velocity for predicting functional outcomes in patients with cryptogenic stroke
Publication date: Available online 18 July 2019Source: Journal of Clinical NeuroscienceAuthor(s): Minho Han, Young Dae Kim, Hyung Jong Park, In Gun Hwang, Junghye Choi, Jimin Ha, Ji Hoe Heo, Hyo Suk NamAbstractEven after extensive standard evaluation, the probable cause of stroke in some patients remains unclear; this condition is defined as cryptogenic stroke (CS). The prognosis of patients with CS is largely undetermined. We investigated whether higher brachial-ankle pulse wave velocities (baPWVs) can predict poor functional outcomes at 3 months after stroke onset in these patients. We investigated patients with CS wit...
Source: Journal of Clinical Neuroscience - July 20, 2019 Category: Neuroscience Source Type: research
