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Source: Neurological Sciences

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Total 431 results found since Jan 2013.

The incidence of hemorrhagic stroke in Japan is twice compared with western countries: the Akita stroke registry
Abstract The purpose of this study is to find out new knowledge about stroke among huge Japanese stroke registry involving complete brain images. The first stroke events from 1995 to 2004 in the Akita stroke registry (28,781 cases) were included in this study. According to brain images, we classified them into three types; cerebral infarction (CI 18,018 cases, 62.6 %), cerebral hemorrhage (CH 7,423 cases, 25.8 %), and subarachnoid hemorrhage (SAH 3,340, 11.6 %). CI and CH were classified according to the lesional areas, respectively. SAH was divided into three types according to arterial sites of ruptured aneu...
Source: Neurological Sciences - January 1, 2015 Category: Neurology Source Type: research

Prevalence, causes and risk factors of hospital readmissions after acute stroke and transient ischemic attack: a systematic review and meta-analysis
In conclusion, there is high risk of early and long-term hospital readmissions after survival of acute stroke and TIA. These patients with coronary artery disease, longer length of index admission and higher NIHSS deserve deep attention after hospital discharge.
Source: Neurological Sciences - April 28, 2016 Category: Neurology Source Type: research

Serum levels of homocysteine at admission are associated with post-stroke depression in acute ischemic stroke
AbstractThe primary purpose of this study was to assess the serum levels of homocysteine (HCY) at admission to the presence of post-stroke depression (PSD). From September 2014 to December 2015, first-ever acute ischemic stroke patients within the first 24  h after stroke onset were consecutively recruited and followed-up for 3 months. Based on the symptoms, diagnoses of depression were made in accordance with DSM-IV criteria for depression. By the time of 3 month after stroke, 238 had finished the follow-up and included in our study. Totally, 65 o ut of the 238 patients were diagnosed as depression (27.3%; 95% CI 19.6â...
Source: Neurological Sciences - February 17, 2017 Category: Neurology Source Type: research

Post Soft Care: Italian implementation of a post-stroke checklist software for primary care and identification of unmet needs in community-dwelling patients
AbstractThe needs of community-dwelling stroke patients are often not fully addressed. The Global Stroke Community Advisory Panel had developed the Post Stroke Checklist (PSC) with the aim of standardizing long-term stroke assessment and consequently care of patients. PSC has been validated for UK and Singapore, and an Italian version has been proposed. The aim of this study is to assess the needs of community-dwelling Italian stroke patients using an online version of PSC. Secondary aim is to assess utility of PSC for patients and clinicians. The PSC was administered to a sample of 64 patients with stroke in Italy by gene...
Source: Neurological Sciences - January 1, 2018 Category: Neurology Source Type: research

Embolic strokes of undetermined source in a cohort of Polish stroke patients
AbstractWe aimed to provide a descriptive analysis of embolic stroke of undetermined etiology (ESUS) population based on a long-term prospective stroke registry. We retrospectively analyzed data collected in a detailed registry regarding consecutive patients admitted for first-ever ischemic stroke (IS) between January 2001 and December 2015. We used Org 10172 in Acute Stroke Treatment classification supplemented with ESUS criteria proposed by the Cryptogenic Stroke/ESUS International Working Group. Within the ESUS group, we additionally compared patients ≤ 60 and>  60 years of age. During the study period, there ...
Source: Neurological Sciences - March 19, 2018 Category: Neurology Source Type: research

The initial glycemic variability is associated with early neurological deterioration in diabetic patients with acute ischemic stroke
This study attempted to explore whether initial glycemic variability increases END in diabetic patients with acute ischemic stroke. We enrolled type 2 diabetic patients undergoing acute ischemic stroke from November 2015 to November 2016. A total of 336 patients within 72  h from stroke onset were included. The serum glucose levels were checked four times per day during the initial 3 hospital days. The standard deviation of blood glucose (SDBG) values and the mean amplitude of glycemic excursions (MAGE) were calculated for glycemic variability. END was defined as an increase in the National Institutes of Health Stroke Sca...
Source: Neurological Sciences - June 5, 2018 Category: Neurology Source Type: research

Wake-up stroke and CT perfusion: effectiveness and safety of reperfusion therapy
ConclusionThe main finding of this study is that wake-up stroke with adequate selection by CT perfusion may benefit reperfusion treatment.
Source: Neurological Sciences - July 10, 2018 Category: Neurology Source Type: research

Serum magnesium but not calcium was associated with hemorrhagic transformation in stroke overall and stroke subtypes: a case-control study in China
AbstractAssociation between serum calcium and magnesium versus hemorrhagic transformation (HT) remains to be identified. A total of 1212 non-thrombolysis patients with serum calcium and magnesium collected within 24  h from stroke onset were enrolled. Backward stepwise multivariate logistic regression analysis was conducted to investigate association between calcium and magnesium versus HT. Calcium and magnesium were entered into logistic regression analysis in two models, separately: model 1, as continuous va riable (per 1-mmol/L increase), and model 2, as four-categorized variable (being collapsed into quartiles). HT oc...
Source: Neurological Sciences - July 19, 2018 Category: Neurology Source Type: research

Hyperbaric oxygen therapy in acute stroke: is it time for Justitia to open her eyes?
AbstractHypoxia is a critical component of neuronal death in patients with stroke. Therefore increasing oxygenation of brain tissue seems to be a logical therapy against cerebral ischemia. Oxygen therapy exists in two modalities: normobaric hyperoxia therapy and hyperbaric oxygen therapy (HBO). HBO is a therapeutic procedure in which pure (100%) oxygen is administered at greater than atmospheric pressure in HBO therapy chambers. In this review article, we aimed to summarize the current knowledge regarding the therapeutic use of HBO in acute stroke patients. Literature review and electronic search were performed using PubMe...
Source: Neurological Sciences - January 10, 2020 Category: Neurology Source Type: research

Incidence of stroke among Saudi population: a systematic review and meta-analysis
ConclusionThe findings indicate that there are 29 stroke cases for every 100,000 people annually for individuals residing Saudi Arabia. Our values were lower than those of other high-income countries. Establishing a nationwide stroke registry is warranted for monitoring and improving healthcare services provided to stroke survivors.
Source: Neurological Sciences - June 19, 2020 Category: Neurology Source Type: research

Changed pattern of hospital admission in stroke during COVID-19 pandemic period in Iran: a retrospective study
ConclusionsThe present study provided new pieces of evidence regarding the changed pattern of hospital admission in stroke especially the possible reasons for its decline.
Source: Neurological Sciences - January 4, 2021 Category: Neurology Source Type: research

Stroke management during the coronavirus disease 2019 (COVID-19) pandemic: experience from three regions of the north east of Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige)
ConclusionsOur study confirmed a decrease in admission rate of stroke patients in a large area of northern Italy during the lockdown period, especially during the first dramatic phase. Overall, there was no decrease in thrombolysis rate, confirming an effect of emergency care system for stroke patients. Instead, the significant decrease in thrombectomy rate during lockdown addresses some considerations of local and regional stroke networks during COVID-19 pandemic evolution.
Source: Neurological Sciences - March 4, 2021 Category: Neurology Source Type: research

Serum TG/HDL-C level at the acute phase of ischemic stroke is associated with post-stroke cognitive impairment
ConclusionsOur study demonstrated that a higher level of TG/HDL-C at the acute phase of ischemic stroke predicted the presence of PSCI at 3  months after stroke.
Source: Neurological Sciences - July 13, 2022 Category: Neurology Source Type: research

Untreated hypertension and prognosis paradox in acute ischemic stroke
ConclusionsPatients with untreated HTN had significantly more favorable outcomes at 3 months after ischemic stroke compared to those with no or treated HTN when the stroke was LAA/CE with large vessel occlusion/stenosis. Untreated HTN patients also showed an association between higher MAP and favorable outcomes.
Source: Neurological Sciences - February 9, 2023 Category: Neurology Source Type: research

Association between post-stroke smoking and stroke recurrence in first-ever ischemic stroke survivors: based on a 10-year prospective cohort
ConclusionsSmoking could elevate the risk of IS recurrence, and IS survivor should be advised to quit or smoke less. Add-on effect of clopidogrel may not exist in smoking strokers taking clopidogrel.
Source: Neurological Sciences - June 8, 2023 Category: Neurology Source Type: research