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Early Depression Screening is Feasible in Hospitalized Stroke Patients (S62.005)
CONCLUSIONS:Screening stroke inpatients for depression is feasible and early depression after stroke is common, although it is possible that depression preceded stroke in some of our patients. Younger patients and women are more likely to experience early depression after stroke. Our results provide preliminary evidence supporting the continued use of early depression screening after stroke, though additional studies on quality of life and long-term outcome are necessary to further assess the utility of early post-stroke depression screening.Disclosure: Dr. Karamchandani has nothing to disclose. Dr. Vahidy has nothing to d...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Karamchandani, R., Vahidy, F., Bajgur, S., Vu, K. Y. T., Choi, H. A., Oladunjoye, A., Hamilton, R., Savitz, S. Tags: Cerebrovascular Disease and Interventional Neurology: Cognitive and Behavioral Source Type: research

Stroke Mortality And Its Predictors In Nigeria: Results Of A Hospital-Based Study (I10-1.008)
Conclusion: The 30-day case fatality rate among our stroke patients is high while the independent predictors of this outcome are severity of stroke on admission and presence of complications. Continuing health education of the public on stroke recognition and the need for early hospital presentation is necessary while optimal management of cases in a stroke care unit is advocated in order to improve outcome.Disclosure: Dr. Wahab has nothing to disclose. Dr. Sanya has nothing to disclose. Dr. Ademiluyi has nothing to disclose. Dr. Abiodun has nothing to disclose. Dr. Alaofin has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Wahab, K., Sanya, E., Ademiluyi, B., Abiodun, B., Alaofin, W. Tags: The Global Burden of Neurological Diseases Poster Presentations Source Type: research

Intravenous Thrombolysis Resulting In Acute Ischemic Stroke Recanalization Can Lead To Cerebral Hyperperfusion Syndrome (P7.123)
Conclusion- Cerebral hyperperfusion syndrome after intravenous thrombolysis in acute ischemic stroke should be suspected in patients that achieve arterial recanalization and develop unexplained new neuropsychiatric manifestations.Disclosure: Dr. Ong has nothing to disclose. Dr. Yeo has nothing to disclose. Dr. Ting has nothing to disclose. Dr. Sinha has nothing to disclose. Dr. Teoh has nothing to disclose. Dr. Chan has nothing to disclose. Dr. Seet has nothing to disclose. Dr. Sharma has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ong, J., Yeo, L., Ting, E., Sinha, A., Teoh, H. L., Chan, B., Seet, C. S., Sharma, V. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Stroke Treatment Source Type: research

Stroke Survivors with Aphasia May Overestimate Communication Skills: Survivor versus Caregiver Report (S45.001)
ConclusionsStroke survivors with aphasia can give information on their own communication skills with the Communicative Effectiveness Index_this information may be very useful for therapy planning. However, cognitive anosognosia may prevent this information from being fully objective. Specific counseling to survivors and caregivers may help prevent differences in communication perception from becoming barriers to care. Future research should also explore whether current aphasia treatment.is effective at evaluating and addressing self-awareness of communication ability.Supported by: Kessler Foundation, O’Brien Technolo...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Behravan, V., Maniscalco, J., Williamson, D., Barrett, A. Tags: Cerebrovascular Disease and Interventional Neurology: Rehabilitation, Recovery, and Complications Source Type: research

Amusia: Unique Presentation of Stroke (P6.261)
CONCLUSIONS:Even though music and speech are similar in principle and execution they are functions of different hemispheres of the brain. Unlike aphasia, anatomical localization of amusia has not been established but it is known that right non dominant hemisphere is concerned with musical ability. Impairment of musical ability in the presence of intact speech can be the only presenting finding in stroke. Their identification is the key to early and appropriate treatment.Study Supported by:NoneDisclosure: Dr. Ramchandani has nothing to disclose. Dr. Alsmaan has nothing to disclose. Dr. Schwarz has nothing to disclose. Dr. A...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ramchandani, C., Alsmaan, F., Schwarz, H., Alkhoury, Z. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Basilar TIAs of Symptomatic Carotid Artery Stenosis (P7.168)
CONCLUSIONS: Otherwise unexplainable Basilar TIAs maybe manifestations of significant Carotid artery disease and should be treated as symptomatic Carotid artery stenosis.Study Supported by: Self-supported.Disclosure: Dr. Veloso has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Veloso, F. Tags: Cerebrovascular Disease and Interventional Neurology: Carotid Disease Source Type: research

Spinning Out of Control: The Black Box of Basilar and Hemiplegic Migraine (P7.176)
CONCLUSIONS:In this retrospective study, triptans were used effectively with no subsequent vascular events for the abortive treatment of migraines with basilar and hemiplegic features. This data also suggests that beta blockers, tricyclic anti-depressants, anti-convulsants, and Botox injections have some efficacy in the treatment of migraines with basilar type and hemiplegic features.Disclosure: Dr. Krel has nothing to disclose. Dr. Mathew has nothing to disclose. Dr. Spinner has received personal compensation for activities with Merz Pharma and Allergan Inc. as speaker bureau member. Dr. Joshi has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Krel, R., Mathew, P., Spinner, W., Joshi, S. Tags: Headache: Treatment Source Type: research

Analysis of Comorbidities in Ischemic Stroke Patients (P6.278)
CONCLUSIONS: The results indicate evidence of comorbid correlations with patients’ symptoms. A follow-up analysis using the Charlson comorbidity index will provide a method for classifying comorbidity. This will provide a simple, readily applicable and valid method of estimating risk of death from comorbidities in ischemic stroke for use in longitudinal studies and in outcomes research in ischemic stroke. This may provide a valid prognostic indicator for ischemic stroke.Study Supported by: GHSDisclosure: Dr. Cochran has nothing to disclose. Dr. Chaves has nothing to disclose. Dr. Fulmer has nothing to disclose. Dr. B...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Cochran, T., Chaves, J., Fulmer, E., Blackhurst, D., Sternberg, S., Leacock, R., Nathaniel, T. Tags: Cerebrovascular Disease and Interventional Neurology: Risk Factors Source Type: research

Randomized Controlled Trial Of Constraint-Induced Aphasia Therapy In Patients With Chronic Stroke (S21.001)
Conclusions: Overall, this randomized controlled trial did not show improvement in language abilities in this small group of subjects with chronic post-stroke aphasia receiving CIAT when compared to observation.Disclosure: Dr. Szaflarski has received personal compensation for activities with UCB Pharma. Dr. Szaflarski has received research support from the National Institutes of Health, the American Academy of Neurology, the Shor Foundation for Epilepsy Research, Neuren, and Eisai Inc. Dr. Allendorfer has received research support from the Shor Foundation for Epilepsy Research. Dr. Ball has nothing to disclose. Dr. Banks h...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Szaflarski, J., Allendorfer, J., Ball, A., Banks, C., Dietz, A., Hart, K., Lindsell, C., Martin, A., Vannest, J. Tags: Neuro-rehabilitation and Neural Repair Source Type: research

Measuring Health-Related Quality Of Life (HRQOL) During Inpatient Stroke Rehabilitation (S21.002)
CONCLUSIONS: EQ-5 ratings converged between stroke survivors and clinicians, suggesting it is valid and reliable to measure moderate stroke survivor HRQOL in inpatient rehabilitation. EQ-5 and FIM improvement were poorly associated; HRQOL may independently complement functional outcome assessment in inpatient rehabilitation. Future studies could explore different areas of function to clarify the factor structure of improvement on these measures relative to HRQL.Study Supported by: NIH, Kessler FoundationDisclosure: Dr. Frisina has received personal compensation for activities with Kessler Institute for Rehabilitation as an...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Frisina, P., Kutlik, A., Hreha, K., Barrett, A. Tags: Neuro-rehabilitation and Neural Repair Source Type: research

Comparison of the Checkerboard P300 Speller vs. the Row-Column Speller in Normal Elderly and an Aphasic Stroke Population (S21.006)
CONCLUSION: Our study demonstrates that stroke patients with Broca’s aphasia can use a P300 visual speller to communicate. Our results also indicate that in the elderly population, CBP is a superior paradigm compared to RCP. Disclosure: Dr. Shih has received research support from Eisai Inc., and Visualase Inc. Dr. Townsend has nothing to disclose. Dr. Krusienski has nothing to disclose. Dr. Shih has nothing to disclose. Dr. Shih has nothing to disclose. Dr. Heggeli has nothing to disclose. Dr. Paris has nothing to disclose. Dr. Meschia has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Shih, J., Townsend, G., Krusienski, D., Shih, K., Shih, R., Heggeli, K., Paris, T., Meschia, J. Tags: Neuro-rehabilitation and Neural Repair Source Type: research

Individualized Treatment With Transcranial Direct Current Stimulation In Patients With Chronic Nonfluent Aphasia Due To Stroke (S21.007)
CONCLUSIONS: Consistent with prior investigations, tDCS may be a promising technique for enhancing post-stroke aphasia recovery in a persistent manner. Optimal electrode arrangement appears to vary across participants, suggesting that individualized treatment may further improve language outcomes.Disclosure: Dr. Shah has nothing to disclose. Dr. Norise has nothing to disclose. Dr. Garcia has nothing to disclose. Dr. Torres has nothing to disclose. Dr. Faseyitan has nothing to disclose. Dr. Hamilton has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Shah, P., Norise, C., Garcia, G., Torres, J., Faseyitan, O., Hamilton, R. Tags: Neuro-rehabilitation and Neural Repair Source Type: research

Clinical Reasoning: A woman with recurrent aphasia and visual field defects
A 73-year-old woman with a history of hypertension and a recent stroke presented with recurrent nonsensical speech and visual problems. One month prior, she had been diagnosed with a stroke, after sudden-onset speech and visual difficulties that resolved after a few hours. Thirteen days before, she had had a second episode of similar symptoms. She was seen in our institution after a few hours of sudden-onset unintelligible speech. Her vital signs were within normal limits. She was not in distress, but appeared frustrated. Her general physical examination was unremarkable. She had no carotid, ophthalmic, or cranial bruits. ...
Source: Neurology - November 4, 2013 Category: Neurology Authors: Nourbakhsh, B., Rojas, J. C., Banerjee, C., Novakovic, R. L., Warnack, W. Tags: Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke, Aphasia RESIDENT AND FELLOW SECTION Source Type: research

Mystery Case: An unexpected complication of IV thrombolysis for acute ischemic stroke
A 46-year-old man with psoriasis and morbid obesity developed acute aphasia and right hemiplegia. As a result of his weakness, he had fallen and struck his right eye on a desk. His presenting examination demonstrated right periorbital ecchymosis without accompanying ptosis, expressive aphasia, left gaze deviation with corresponding hemianopsia, and dense right hemiplegia, summating an NIH Stroke Scale score of 13.
Source: Neurology - August 12, 2013 Category: Neurology Authors: Sheth, S. A., Yee, A. H. Tags: Stroke in young adults, Optic nerve, Orbit, Visual loss, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Isolated buccofacial apraxia subsequent to a left ventral premotor cortex infarction
We report a patient with pure BFA and discuss the localization of the brain lesion.
Source: Neurology - June 3, 2013 Category: Neurology Authors: Kwon, M., Lee, J.-H., Oh, J. S., Koh, J. Y. Tags: MRI, All Cerebrovascular disease/Stroke, Apraxia CLINICAL/SCIENTIFIC NOTES Source Type: research

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