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Source: Neurology
Condition: Disability

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Total 221 results found since Jan 2013.

Quality of life in patients with TIA and minor ischemic stroke
Conclusions: Impairment in HRQOL is common at 3 months after MIS and TIA. Predictors of impaired HRQOL include age, index stroke severity, and recurrent stroke. Future studies should include HRQOL measures in outcome assessment, as these may be more sensitive to mild deficits than traditional disability scales.
Source: Neurology - November 30, 2015 Category: Neurology Authors: Sangha, R. S., Caprio, F. Z., Askew, R., Corado, C., Bernstein, R., Curran, Y., Ruff, I., Cella, D., Naidech, A. M., Prabhakaran, S. Tags: Outcome research, Quality of life, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Shortage of neurologists in the Brazilian Amazon
Neurologic disorders, including headache, epilepsy, and cerebrovascular disease, are common sources of medical consults and hospital admissions.1 Conditions such as stroke, the world's second leading cause of death, are medical emergencies that demand fast and efficient actions to reduce mortality and disability rates. These 2 points highlight the growing importance of neurology health care in developing countries.
Source: Neurology - November 9, 2015 Category: Neurology Authors: dos Santos-Lobato, B. L., Pontes-Neto, O. M. Tags: Medical care, Models of care, Health care reform, Methods of education, Other Education GLOBAL PERSPECTIVES Source Type: research

IV thrombolysis in patients with ischemic stroke and alcohol abuse
Conclusions: IS patients with chronic alcohol consumption or acute intoxication have decreased likelihood of receiving IVT and are not at an increased risk of associated SICH. This supports current practice guidelines, which do not list chronic alcohol consumption or acute intoxication as an exclusion criterion.
Source: Neurology - November 2, 2015 Category: Neurology Authors: Gattringer, T., Enzinger, C., Fischer, R., Seyfang, L., Niederkorn, K., Khalil, M., Ferrari, J., Lang, W., Brainin, M., Willeit, J., Fazekas, F. Tags: Alcohol, Cohort studies, Infarction ARTICLE Source Type: research

Dual antiplatelet therapy for TIA reduces subsequent disability: A CHANCE to improve outcomes?
In this study, they explored the outcomes of functional disability, as measured by the modified Rankin Scale, and quality of life, as measured by the EuroQol-5 Dimension. The published CHANCE trial results demonstrated that the combination of clopidogrel and aspirin (for 21 days, followed by clopidogrel alone until 90 days) was superior to aspirin plus placebo for 90 days in preventing recurrent stroke after TIA or minor stroke.2 The current study demonstrates the superiority of dual antiplatelet therapy compared to aspirin in improving the 90-day functional outcome. The analysis suggests that this is mediated via a reduct...
Source: Neurology - August 17, 2015 Category: Neurology Authors: Alderazi, Y. J. Tags: Stroke prevention, Clinical trials Methodology/study design, Infarction EDITORIALS Source Type: research

Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes
Conclusions: AIS are missed in patients with younger age with a lower cerebrovascular risk profile and may be masked by other acute conditions. Patients with chameleons present more often with milder strokes or coma, fewer focal signs and cerebellar strokes, and have higher disability and mortality rates at 12 months. These findings may be used to raise awareness in emergency departments to recognize and treat such patients appropriately.
Source: Neurology - August 10, 2015 Category: Neurology Authors: Richoz, B., Hugli, O., Dami, F., Carron, P.-N., Faouzi, M., Michel, P. Tags: Other cerebrovascular disease/ Stroke, Natural history studies (prognosis), Risk factors in epidemiology, Infarction ARTICLE Source Type: research

MRI in acute stroke: Good times are coming
When considering IV tissue plasminogen activator (tPA) for ischemic stroke, acute imaging must ensure neurologic deficits are not due to intracerebral hemorrhage and ascertain the presence of early ischemic changes in the 3- to 4.5-hour window. The National Institute of Neurological Disorders and Stroke IV tPA study required a CT for this purpose, but the European Cooperative Acute Stroke Study (ECASS) III trial allowed both CT and MRI for screening for treatment in the 3- to 4.5-hour window.1,2 However, of the 821 patients enrolled in ECASS III, only 50 (6%) were screened with MRI before randomization.1 Thus, our success ...
Source: Neurology - June 15, 2015 Category: Neurology Authors: Ford, A. L., Leker, R. R. Tags: MRI, All Cerebrovascular disease/Stroke EDITORIALS Source Type: research

Long-term outcome after arterial ischemic stroke in children and young adults
Conclusion: There were no major differences in long-term outcome after AIS in children and young adults for mortality, disability, quality of life, psychological, or social variables.
Source: Neurology - May 11, 2015 Category: Neurology Authors: Goeggel Simonetti, B., Cavelti, A., Arnold, M., Bigi, S., Regenyi, M., Mattle, H. P., Gralla, J., Fluss, J., Weber, P., Hackenberg, A., Steinlin, M., Fischer, U. Tags: Childhood stroke, Stroke in young adults, Prognosis, All Cerebrovascular disease/Stroke, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Enhancement of TIA management in primary care with a novel electronic tool
Cerebrovascular disease causes a heavy burden for society.1 To avoid disability and reduce costs, stroke prevention is essential. The Early Use of Existing Preventive Strategies for Stroke (EXPRESS) and Transient Ischemic Attack Clinic with Round-the-Clock Access (SOS-TIA) studies in Oxfordshire and Paris suggested that rapid investigation and treatment can prevent early stroke in TIA patients.2,3 Neurologist-led rapid access clinics are not available to all, however, and it is general practitioners (GPs) who most commonly play the crucial role in early management, making the diagnosis and urgent transfer to hospital, or i...
Source: Neurology - April 13, 2015 Category: Neurology Authors: Canavero, I., Gerraty, R. P. Tags: Cost effectiveness/economic, Stroke prevention, All Clinical trials, All Cerebrovascular disease/Stroke, All Practice Management EDITORIALS Source Type: research

Stroke In Young Adults: A 4-Year Retrospective Hospital-Based Study, First Report From United Arab Emirates (P1.020)
CONCLUSIONS: Stroke in young adults is prevalent in our region; main cause is unknown. The increased mortality in this age population is alarming requiring better risk-factor control measures. MR: Mortality rates, ICH: intracerebral hemorrhage, SAH: subarachnoid hemorrhageDisclosure: Dr. AlAmeri has nothing to disclose. Dr. AlNuaimi has nothing to disclose. Dr. Alsaadi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: AlAmeri, M., AlNuaimi, A., Alsaadi, T. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research

Differences in Ischaemic and Haemorrhagic Strokes in Sri Lanka: 7-year data from the Ragama Stroke Registry (P1.092)
CONCLUSIONS:Clinical and risk factor profiles were different between ICH and IS patients. Stroke severity and functional disability were higher among ICH patients. Study Supported by:Ragama Stroke Registry has been partly supported by research grants from the University of Kelaniya and Research Institute, International Medical Centre of Japan.Disclosure: Dr. Ranawaka has nothing to disclose. Dr. Peiris has nothing to disclose. Dr. Thirumavalavan has nothing to disclose. Dr. Premawansa has nothing to disclose. Dr. Kasthuriratne has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ranawaka, U., Peiris, A., Thirumavalavan, K., Premawansa, G., Kasthuriratne, A. Tags: Neuroepidemiology: Cerebrovascular Disease, Critical Care, Epilepsy, Child Neurology, and Sleep Source Type: research

Central Retinal Artery Occlusion in Patients with Sickle Cell Disease (P2.260)
Conclusions: The incidence of CRAO is relatively high among patients with SCD and was associated with disability.Disclosure: Dr. Zeb has nothing to disclose. Dr. Chughtai has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Suri has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Zeb, H., Chughtai, M., Malik, A., Qureshi, A., Suri, F. Tags: Cerebrovascular Disease and Interventional Neurology: Genetics and Stroke Source Type: research

Increasing Rural-Urban Disparities in Acute Stroke Care Despite Primary Stroke Center Growth (P1.064)
Conclusions: Geographic disparities in tPA utilization have increased despite PSC growth. Greater understanding of the effectors of tPA utilization is necessary to ensure that access to tPA treatment is equitable for all communities in the US.Disclosure: Dr. Gonzles has nothing to disclose. Dr. Thibault has nothing to disclose. Dr. Willis has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Gonzles, S., Thibault, D., Willis, A. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Outcomes of in-hospital Cardiopulmonary Resuscitation in stroke patients admitted in the United States, Years 2005-2011 (P2.276)
CONCLUSION: CPR in stroke patients is associated with significantly higher rates of disability at discharge. Survival appears to be improving over the last 6 years in these patients.Disclosure: Dr. Qureshi has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Vidal has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Saeed has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Qureshi, M., Adil, M., Vidal, G., Malik, A., Saeed, F., Qureshi, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: PFO and Other Cardiac Disease Source Type: research

Prevention of Catheter Associated Urinary Tract Infections in Stroke Patients (P1.009)
Conclusion: Steps taken to reduce unnecessary catheterization resulted in reduced rates of CAUTI. The study could prove to be a useful pilot for a prospective study for the prevention of CAUTI in stroke patients and may help reduce comorbidities in this population.Disclosure: Dr. Aroor has nothing to disclose. Dr. Branson has nothing to disclose. Dr. Turner has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Aroor, S., Branson, P., Turner, A., Lee, J. Tags: Cerebrovascular Disease and Interventional Neurology Poster Discussion Session Source Type: research

Improvement in Rates of Thrombolytic Therapy in Acute Stroke by a Telestroke Program in Rural Northern Wisconsin (P1.011)
Conclusion: Following development of a Telestroke program in northern Wisconsin, rural stroke patients benefited from dramatic increases in access to neurological expertise and acute thrombolytic treatment. Patients and providers have embraced the program with plans to expand Telestroke to other remote access hospitals.Disclosure: Dr. Kartje has nothing to disclose. Dr. Klemm has nothing to disclose. Dr. Heil has nothing to disclose. Dr. Antoniotti has nothing to disclose. Dr. Martin has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kartje, R., Klemm, S., Heil, L., Antoniotti, N., Martin, T. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research