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Total 1979 results found since Jan 2013.

What are the barriers for use of pharmacological prophylaxis (PP) to prevent deep vein thrombosis (DVT) in spontaneous intracranial bleeding (sICH)? (P2.253)
Conclusions:Following this QI project, we started a new pilot study where DVT prophylaxis advisor was included in all stroke admission orders. The pilot project was successful and DVT prophylaxis advisor is now included permanently to all stroke admission orders including the intracranial hemorrhage. We hope this will ensure patients are started on prophylactic anticoagulation per guidelines.Disclosure: Dr. Jayaraman has nothing to disclose. Dr. Sapnar has nothing to disclose. Dr. Joe has nothing to disclose. Dr. Edara has nothing to disclose. Dr. Yaddanapudi has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Jayaraman, D. K., Sapnar, S., Joe, J., Edara, A., Yaddanapudi, S. Tags: Intracerebral Hemorrhage Source Type: research

To study the impact of chronic vasodilator therapy on perihematomal edema in primary intracerebral hemorrhage(ICH) (P2.259)
Conclusions:Though limited by small sample size, this retro spective study suggests that chronic vasodilator therapy may serve to prevent worsening cerebral edema. This is a tantalizing finding that, if confirmed, could lead to potential pharmacological interventions for patients with ICH. Further prospective studies evaluating the effect of vasodilators in this patient population will be required.Disclosure: Dr. Singh has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Pennington has nothing to disclose. Dr. Gupta has nothing to disclose. Dr. Shapshak has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Singh, M., Albright, K., Pennington, A., Gupta, S., Shapshak, A. H. Tags: Intracerebral Hemorrhage Source Type: research

Exploring the worth of CTA for ICHUsefulness of CT Angiography in the Diagnosis and Treatment of Intracranial Hemorrhage (P2.263)
Conclusions:Routine CTA after CTH provided little benefit in patients with a hypertensive ICH. CTA after non-hypertensive ICH was especially helpful in patients with subarachnoid hemorrhage, where a treatable underlying vascular abnormality was found in 66.7% of patientsDisclosure: Dr. Alchaki has nothing to disclose. Dr. Gomez has nothing to disclose. Dr. E-Ghanmh has nothing to disclose. Dr. Han has nothing to disclose. Dr. Hillen has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Alchaki, A. R., Gomez, F., El-Ghanem, M., Han, H., Hillen, M. Tags: Intracerebral Hemorrhage Source Type: research

Does Race Predict Surgical Feeding Tube Placement In Intracerebral Hemorrhage? (P2.265)
Conclusions:This work represents the largest analysis of ICH patients that required surgical tube feeding. We found no independent association with race as previously reported. Earlier surgical feeding tube placement may reduce hospital length of stay and should be studied further.Disclosure: Dr. Memon has nothing to disclose. Dr. Jackson has nothing to disclose. Dr. Sharrief has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Saeed has nothing to disclose. Dr. Indupuru has nothing to disclose. Dr. DeGuzman has nothing to disclose. Dr. Shoemake has nothing to disclose. Dr. Clayton has nothing to disclose. Dr. C...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Memon, A., Jackson, W., Sharrief, A., Brown, K., Saeed, U., Indupuru, H., DeGuzman, M., Shoemake, P., Clayton, A., Cooper, S., Xavier, A., Cai, C., Vu, K. Y. T., Barreto, A. Tags: Intracerebral Hemorrhage Source Type: research

Utilization of Modified SPAN-100 index in Patients with Intracerebral Hemorrhage: Predictor of Outcomes and Functionality (P2.266)
Conclusions:Modified SPAN-100 index is comparable to ICH score in predicting 30-day mortality, but in terms of functionality the mSPAN is more accurate in predicting the functionality after intracerebral hemorrhage.Disclosure: Dr. Escabillas has nothing to disclose. Dr. Lara has nothing to disclose. Dr. Navarro has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Escabillas, C., Lara, K. J., Navarro, J. Tags: Intracerebral Hemorrhage Source Type: research

Clinical presentation and outcomes of young adults enrolled in the Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) Study (P2.267)
Conclusions:Young white patients with ICH may have worse outcomes than young black or Hispanic patients. Our results may be limited by selection bias, as enrolled cases are younger and more likely to be black or Hispanic than non-enrolled.Disclosure: Dr. Miyares has nothing to disclose. Dr. Leasure has nothing to disclose. Dr. Kittner has nothing to disclose. Dr. Langefeld has nothing to disclose. Dr. Vagal has nothing to disclose. Dr. Sheth has received personal compensation in an editorial capacity Current Treatment Options in Neurology. Dr. Sheth has received research support from Remedy Pharmaceuticals, Inc. Dr. Woo ha...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Miyares, L., Leasure, A., Kittner, S., Langefeld, C., Vagal, A., Sheth, K., Woo, D. Tags: Intracerebral Hemorrhage Source Type: research

Foley Catheter Use and Infection in Non-Intubated Intracerebral Hemorrhage Patients (P2.269)
Conclusions:Increased duration of Foley catheter exposure among non-intubated ICH patients is associated with higher odds of infectious complications. Efforts should be made to minimize the duration of Foley catheter use among these patients.Disclosure: Dr. Gibson has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Gupta has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Shapshak has nothing to disclose. Dr. Lyerly has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gibson, E., Albright, K., Gupta, S., Boehme, A., Shapshak, A., Lyerly, M. Tags: Intracerebral Hemorrhage Source Type: research

Infection is Not Associated with Poor Outcome in Young Adults with Hemorrhagic Stroke (P2.271)
Conclusions:In our single-center study, neither HAI nor infection POA is associated with poor outcomes in young adults with SAH and ICH. This is in contrast to what has been seen previously for ischemic stroke.Disclosure: Dr. Sundheim has nothing to disclose. Dr. Miller has nothing to disclose. Dr. Willey has received personal compensation for activities with Heartware Incoporated as a consultant, from Claret Medical and Reliant Heart as a clinical trial endpoint committee member, and from Up-to-Date as a topic reviewer, Dr. Willey has received personal compensation in an editorial capacity for the the American College of ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Sundheim, K., Miller, E., Willey, J., Marshall, R., Shao, Y., Boehme, A. Tags: Intracerebral Hemorrhage Source Type: research

Off-Hours Emergency Department Arrival Does Not Result in Poor Outcomes Among Intracerebral Hemorrhage Patients Admitted to a Comprehensive Stroke Center (P2.275)
Conclusions:Off-hour admission was not associated with increased risk of infectious complications, length of stay, discharge functional status or discharge disposition. The lack of an off-hours effect in ICH patients may be related to the standardized protocols and available resources found at a CSC. Further studies are needed to confirm these findings in a larger sample.Disclosure: Dr. Gupta has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Gropen has nothing to disclose. Dr. Lyerly has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gupta, S., Albright, K., Gropen, T., Lyerly, M. Tags: Intracerebral Hemorrhage Source Type: research

Systematic Review and Meta-Analysis of Cohort Studies Examining Effect of Anticoagulation and Risk of Cerebral Hemorrhage in patients with Cerebral Microbleeds (P2.276)
Conclusions:Results of this meta-analysis suggest that patients with CMBs started on anticoagulation after ischemic stroke are more likely to have ICH outcomes than patients without CMBs. However, the study was limited by small sample sizes based on extracted data and lack of quality prospective cohort studies meeting inclusion criteria. Further investigation is necessary to conclude increased risk of ICH in this patient population.Disclosure: Dr. Faheem has nothing to disclose. Dr. Wang has received research support from TEVA Pharmaceuticals Ltd. Dr. Gronseth has received personal compensation in an editorial capacity for...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Faheem, N., Wang, Y., Gronseth, G. Tags: Intracerebral Hemorrhage Source Type: research

Headache as an Independent Predictor of Favorable Outcome in Older Intracerebral Hemorrhage Patients (P2.278)
Conclusions:Although older patients had lower odds of reporting a headache at the time of presentation, we found that those that did report a headache were at higher odds of a good outcome at discharge. This may factor into discussions regarding ICH prognosis although further study incorporating this into existing prognostic models is needed.Disclosure: Dr. Gupta has nothing to disclose. Dr. Shapshak has nothing to disclose. Dr. Gropen has nothing to disclose. Dr. Lyerly has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gupta, S., Shapshak, A. H., Gropen, T., Lyerly, M. Tags: Intracerebral Hemorrhage Source Type: research

Could Cocaine Exposure Mitigate Edema Formation in Spontaneous Intracerebral Hemorrhage? (P2.279)
Conclusions:Our study demonstrates that cocaine was associated with higher ICH volumes, with comparatively lower volumes of PHE. Due to small sample size, there, was insufficient power to draw conclusions regarding the effect of cocaine exposure on PHE or ICH volume; nevertheless, the difference in the ICH: PHE ratio was significant. The mechanism for lower relative edema volume remains unclear and a large prospective study is needed to assess the roles of vasoconstrictors in preventing edema expansion in ICH.Disclosure: Dr. Singh has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Pennington has nothing to ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Singh, M., Albright, K., Pennington, A., Gropen, T., Shapshak, A. H. Tags: Intracerebral Hemorrhage Source Type: research

The Temporospatial Role of Microcirculatory Dysfunction in the Prediction of Ischemia or Infarction in Patients with Aneurysmal Subarachnoid Hemorrhages (P2.281)
Conclusions:This ongoing study suggests that patients with low mean minimal pulsatility index had poor functional outcomes relative to patients that had higher mean pulsatility index.Study Supported by: This work was supported in part by a grant from the McKnight Brain Research Foundation, Brain and Spinal Cord Injury Research Trust Fund, a grant from NIH National Institute of Neurological Disorders and Stroke, a Medical Student Anesthesia Research Fellowship awarded by the Foundation for Anesthesiology Education and Research, a grant from the Medical Student Research Program at the University of Florida, and the Departmen...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Zamora, A., Gupta, A., Leclerc, J., Vasilopoulos, T., Dore, S. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Success of Intravenous Infusion of Verapamil for Refractory Vasospasm in aneurysmal Subarachnoid Hemorrhage (P2.291)
Conclusions:This report indicates that intravenous continuous infusion of verapamil may be used for rescue therapy in transiently responsive cerebral vasospasm to IA verapamil. This therapy did not seem to compromise hemodynamic stability or increase ICP.Disclosure: Dr. Mehta has nothing to disclose. Dr. Kulhari has nothing to disclose. Dr. Z Arango has nothing to disclose. Dr. Suhan has nothing to disclose. Dr. DeCarvalho has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mehta, S., Kulhari, A., Arango, A., Suhan, L., DeCarvalho, B., Patel, A., Kirmani, J. F. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Trends and Predictors of Utilization of Endovascular Coiling vs Microsurgical Clipping of Ruptured Intracranial Aneurysms (P2.292)
Conclusions:Study highlights significant increase in utilization rates of coiling over the past eleven years for RIA in USA.Disclosure: Dr. Balasetti has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Jani has nothing to disclose. Dr. To has nothing to disclose. Dr. Fessler has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Balasetti, V., Patel, U., Jani, V., To, C. Y., Fessler, R. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research