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Source: Neurology
Condition: Headache

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Total 267 results found since Jan 2013.

Rapid development of 9 cerebral aneurysms in varicella-zoster virus vasculopathy
A patient with zoster in multiple dermatomes, severe headache, and normal magnetic resonance angiography (MRA) and 4-vessel digital subtraction angiogram (DSA) developed 9 anterior circulation aneurysms 2 months later. Antiviral treatment resulted in clinical improvement, size reduction of most aneurysms, and complete resolution of the 2 largest aneurysms.
Source: Neurology - June 9, 2014 Category: Neurology Authors: Liberman, A. L., Nagel, M. A., Hurley, M. C., Caprio, F. Z., Bernstein, R. A., Gilden, D. Tags: All Headache, Viral infections, All Cerebrovascular disease/Stroke, Carotid artery dissection CLINICAL/SCIENTIFIC NOTES Source Type: research

Clinical Reasoning: A 24-year-old woman with progressive headache and somnolence
A 24-year-old woman presented with progressive somnolence and headache following 2 days of nausea and vomiting. She had a history of developmental delay, attention-deficit disorder, and remote seizures. Medications included combined estrogen-progestin oral contraceptives. On presentation, she was afebrile, somnolent but arousable, groaning incoherently, and unable to follow commands. Optic disc margins were blurred bilaterally. Gaze was midline and deviated downward with restricted spontaneous upward gaze but full lateral gaze. She moved the right side less briskly than the left.
Source: Neurology - June 2, 2014 Category: Neurology Authors: Bhattacharyya, S., Berkowitz, A. L., Jha, R. M. Tags: All Headache, Stroke in young adults, Coma, Critical care, Cerebral venous thrombosis RESIDENT AND FELLOW SECTION Source Type: research

Multimorbidity and the risk of restless legs syndrome in 2 prospective cohort studies
Conclusions: Multimorbidity was a strong risk factor for RLS in these 2 population-based cohort studies. The results support the hypothesis that cumulative disease burden is more important than the presence of a specific single disease in the pathophysiology of RLS.
Source: Neurology - June 2, 2014 Category: Neurology Authors: Szentkiralyi, A., Volzke, H., Hoffmann, W., Trenkwalder, C., Berger, K. Tags: Restless legs syndrome, Cohort studies, Risk factors in epidemiology ARTICLE Source Type: research

Stroke and nonstroke brain attacks in children
Conclusions: Brain attack etiologies differ from adults, with stroke being the fourth most common diagnosis. These findings will inform development of ED clinical pathways for pediatric brain attacks.
Source: Neurology - April 21, 2014 Category: Neurology Authors: Mackay, M. T., Chua, Z. K., Lee, M., Yock-Corrales, A., Churilov, L., Monagle, P., Donnan, G. A., Babl, F. E. Tags: Childhood stroke, All Cerebrovascular disease/Stroke, All Pediatric, Prevalence studies ARTICLE Source Type: research

Clinical Reasoning: Acute-onset homonymous hemianopia with hyperglycemia: Seeing is believing
A 32-year-old woman with a history of bipolar disorder, polycystic ovarian syndrome, and hypertension and a 4-year history of uncontrolled type 2 diabetes mellitus (DM) presented with bifrontal headache, elevated blood sugars (>500 mg/dL), and abrupt-onset left homonymous hemianopia upon awakening. Vital signs included temperature 98.0°F, blood pressure 160/89 mm Hg, and heart rate 67 bpm. Neurologic examination showed dense left homonymous hemianopia with macular sparing and without other focal findings.
Source: Neurology - April 14, 2014 Category: Neurology Authors: Strowd, R. E., Wabnitz, A., Balakrishnan, N., Craig, J., Tegeler, C. H. Tags: Endocrine, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Carotid-cavernous fistula caused by fibromuscular dysplasia
A 26-year-old woman developed headache, diplopia, and pulsatile tinnitus in 10 days. Neurologic examination revealed limitation of left eye movement, left dilated pupil with optic disc swelling and mild decreased vision, and a bruit over the left superior orbit. Her family history, laboratory data, and cerebral MRI showed normal findings. Cerebral CT angiography suggested left carotid-cavernous fistula (CCF). Follow-up angiography confirmed left CCF (figure 1). Nevertheless, multiple stenoses interspersed with aneurysmal dilation segments of carotid, vertebral, and renal arteries were found (figure 2). A diagnosis of fibro...
Source: Neurology - April 14, 2014 Category: Neurology Authors: Zhang, Y., Zheng, H., Zhou, M., He, L. Tags: Other cerebrovascular disease/ Stroke, Diplopia (double vision) RESIDENT AND FELLOW SECTION Source Type: research

Clinical Neuroscience Podcasts for Family Medicine, Internal Medicine, and Neurology Residents: A Needs Assessment Study (P1.312)
CONCLUSIONS: There was much interest in clinical neuroscience podcasts among residents in Family Medicine, Internal Medicine, and Neurology. We identified features and content that can be incorporated into our proposed podcasts to specifically address the needs of our potential audience.Disclosure: Dr. Brust has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Brust, T., Yeung, M. Tags: Neurology Education: Graduate Medical Education Source Type: research

Reversible Cerebral Vasoconstriction Syndrome and Fingolimod: Culprit or Innocent Bystander (P2.224)
CONCLUSIONS:Reversible cerebral vasoconstriction syndrome may be a rare complication of Fingolimod treatment and should be considered in patients with new onset thunderclap headache. The mechanism likely involves the effects of Fingolimod on S1P(3) receptors on cerebral arteries.Disclosure: Dr. Fleming has nothing to disclose. Dr. West has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Fleming, J., West, M. Tags: MS and CNS Inflammatory Disease: Treatment Safety Source Type: research

Stroke and Etonogestrel/Ethinyl Estradiol Ring (NuvaRing): Clinical, Radiological, and Prognostic Features. (P2.012)
Conclusions: In this largest case series of NuvaRing associated stroke to date, approximately half of the strokes are venous and half are arterial. Stroke typically occurred within the first year of use, and as soon as 2 weeks after NuvaRing initiation.Disclosure: Dr. Piran has nothing to disclose. Dr. Balucani has nothing to disclose. Dr. Tark has nothing to disclose. Dr. Adler has nothing to disclose. Dr. Levine has received personal compensation in an editorial capacity for MedLink. Dr. Levine has received royalty payments as editor of a book.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Piran, P., Balucani, C., Tark, B., Adler, Z., Levine, S. Tags: Cerebrovascular Disease and Interventional Neurology I Source Type: research

Stroke And Cerebrovascular Risk Factors Knowledge In Patients Admitted To A Cardiovascular Ward. (P1.135)
Conclusion: Even in these selected population, with previous or current CVD, a large amount of RF and a high rate of previous medical consultations, knowledge about stroke showed to be very low indicating a poor quality of preventive measures and the need to emphasize educational interventions.Disclosure: Dr. Muñoz has nothing to disclose. Dr. Gonzalez Toledo has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Tamargo has nothing to disclose. Dr. Thomson has nothing to disclose. Dr. Nadile has nothing to disclose. Dr. Ferre has nothing to disclose. Dr. Klein has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Munoz Giacomelli, F., Gonzalez Toledo, M., Pagani Cassara, F., Tamargo, A., Thomson, A., Nadile, D., Ferre, A., Klein, F. Tags: Cerebrovascular Disease and Interventional Neurology: Atrial Fibrillation and Miscellaneous Source Type: research

Rare Presentation of Churg-Strauss Syndrome: Intracerebral Hemorrhage, Subdural Hemorrhage and an Intracranial Aneurysm (P2.103)
DISCUSSION:CSS can present with rare neurologic complications namely peripheral neuropathy, ischemic and hemorrhagic stroke and much less commonly - intracranial aneurysms. Our patient also had cardiac masses that resolved after treatment with high dose steroids. Subdural hemorrhage along with a left MCA aneurysm related to CSS has not been previously reported in literature.Disclosure: Dr. Chahil has nothing to disclose. Dr. Morgan has nothing to disclose. Dr. Gonzales has nothing to disclose. Dr. Wu has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Chahil, M., Morgan, J., Gonzales, N., Wu, T.-C. Tags: Cerebrovascular Disease and Interventional Neurology: Acquired and Congenital Vascular Malformations Source Type: research

Stroke in a Young Patient: A Sentinel Presentation of Neurosyphilis and HIV (P2.109)
Conclusions: Neurosyphilis should be a diagnostic consideration in young patients with ischemic stroke. Clinicians should be aware of the high incidence of concomitant syphilis and HIV in at-risk populations. Effort should be made to inquire about high-risk behaviors and initiate testing for these infections early in the diagnostic workup to avoid missing these crucial diagnoses.Disclosure: Dr. Flaherty has nothing to disclose. Dr. Cutting has received personal compensation for activities with F1000.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Flaherty, E., Cutting, S. Tags: Cerebrovascular Disease and Interventional Neurology: Childhood and Young Adult Source Type: research

Cardiovascular Risk Factors in Young Adults with Stroke from the AISYF Study (P2.110)
CONCLUSIONS:CRF are very frequent in young patients with stroke and requires strong preventive measures. Early recognition of FD in young patients with stroke is essential for appropriate treatment.Study Supported by:Supported by: Shire HGT.Disclosure: Dr. Mazziotti has received research support from Shire Pharmaceuticals Group. Dr. Reisin has received personal compensation for activities with Shire Pharmaceuticals Group. Dr. Reisin has received personal compensation in an editorial capacity for Neurology. Dr. Reisin has received research support from Shire Pharmaceuticals Group.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Mazziotti, J., Reisin, R. Tags: Cerebrovascular Disease and Interventional Neurology: Childhood and Young Adult Source Type: research

Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopthy (CADASIL) in Argentina (P2.123)
ConclusionsTo the best of our knowledge, this is the first cases series of patients with CADASIL in Argentina. Our findings are similar to those reported in the literature for other regions.Study Supported by:Disclosure: Dr. Hawkes has nothing to disclose. Dr. Wilken has nothing to disclose. Dr. Bruno has nothing to disclose. Dr. Pujol Lereis has nothing to disclose. Dr. Povedano has nothing to disclose. Dr. Taratuto has nothing to disclose. Dr. Taratuto has nothing to disclose. Dr. Ameriso has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Hawkes, M., Wilken, M., Bruno, V., Pujol Lereis, V., Povedano, G., Lubieniecki, F., Taratuto, A. L., Ameriso, S. Tags: Cerebrovascular Disease and Interventional Neurology: Behavioral, Cognitive, and Miscellaneous Source Type: research

Episodic Aphasia After Subdural Hemorrhage Due to Cortical Spreading Depression: A Case Report (P2.124)
CONCLUSION:CSD can be difficult to detect due to its brief and focal pathology. EEG should be done to exclude seizure and MRI/MRA to exclude stroke. CSD should be considered with a focal deficit with brief episodes when all other tests are negative. Better knowledge of the pathophysiolgy of CSD and its possible manifestations may facilitate a better way to diagnose as well as treatment to prevent CSD from causing permanent damage.Disclosure: Dr. Grayson has nothing to disclose. Dr. Shah has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Forteza has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Grayson, J., Shah, N., Patel, S., Forteza, A. Tags: Cerebrovascular Disease and Interventional Neurology: Behavioral, Cognitive, and Miscellaneous Source Type: research