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Source: Neurological Sciences

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Total 431 results found since Jan 2013.

Post-stroke hyperkinetic movement disorders: a brain network issue
Source: Neurological Sciences - March 13, 2021 Category: Neurology Source Type: research

Perfusion-computed tomography for simultaneous bilateral middle cerebral artery occlusion
We describe a case of bilateral middle cerebral artery occlusion in which perfusion-computed tomography was crucial both for addressing to endovascular procedure and planning the sequence treatment of mechanical thrombectomies.
Source: Neurological Sciences - March 13, 2021 Category: Neurology Source Type: research

Cardiovascular autonomic dysfunction after stroke
AbstractStrokes are the paradigmatic example of the sudden impairment of the cerebral regulation of cardiac autonomic regulation. Although several aspects of dysautonomic cardiovascular regulation post stroke remain unanswered, there has been a wealth of research in this area in the last decade. In this article, we present a state-of-the-art review on the anatomical and functional organization of cardiovascular autonomic regulation, and the pathophysiology, incidence, time course, diagnosis, clinical aspects, prognosis, and management of post-stroke cardiovascular autonomic dysfunction.
Source: Neurological Sciences - March 9, 2021 Category: Neurology Source Type: research

Pre-stroke cognitive impairment in acute ischemic stroke patients predicts poor functional outcome after mechanical thrombectomy
ConclusionsPSC was significantly and independently associated with poor functional outcome in patients treated with MT.
Source: Neurological Sciences - March 5, 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

Patient tolerability of suprascapular and median nerve blocks for the management of pain in post-stroke shoulder-hand syndrome
ConclusionsSuprascapular and median nerve blocks are safe and well-tolerated procedures for acute pain control in post-stroke SHS. Further studies should address the benefit of these procedures on overall pain reduction, functional recovery, and quality of life in SHS patients.
Source: Neurological Sciences - February 8, 2021 Category: Neurology Source Type: research

Perfusion imaging averting intravenous thrombolysis in stroke mimics
Source: Neurological Sciences - February 5, 2021 Category: Neurology Source Type: research

Correction to: Lynch syndrome-associated repeated stroke with MLH1 frame-shift mutation
A Correction to this paper has been published: https://doi.org/10.1007/s10072-021-05098-1
Source: Neurological Sciences - February 2, 2021 Category: Neurology Source Type: research

Insertable cardiac monitors for detection of atrial fibrillation after cryptogenic stroke: a meta-analysis
ConclusionsThe longer the time of ICM monitoring after cryptogenic stroke, the higher the detection rate of AF. Further research is still needed to determine the optimal duration of long-term cardiac monitoring.
Source: Neurological Sciences - February 2, 2021 Category: Neurology Source Type: research

Thrombophilic alterations, migraine, and vascular disease: results from a case-control study
ConclusionsOur research documented a significative higher prevalence of aPL positivity and protein S deficiency in migraineurs than in controls. Data also showed an association between these alterations and some vascular thrombotic events in migraine patients. We can argue that thrombophilic disorders associated with migraine may contribute to the occurrence of vascular events.
Source: Neurological Sciences - January 20, 2021 Category: Neurology Source Type: research

Effect of the COVID-19 pandemic and the lockdown measures on the local stroke network
DiscussionOur observational study, involving hub-and-spoke stroke network of a wide regional area, indicates that the COVID-19 outbreak impacted on the acute stroke management. This impact was equally observed in hub as well as in spoke centers.
Source: Neurological Sciences - January 15, 2021 Category: Neurology Source Type: research

Prevalence and predictors of atrial fibrillation in patients with embolic stroke of undetermined source: a real-life single-center retrospective study
ConclusionsAtrial fibrillation may be detected in a relevant proportion (up to 50%) of patients with embolic stroke of undetermined source if a careful and extensive diagnostic work-up is employed. Excessive supraventricular electric activity and left atrial enlargement are significant predictors of the occurrence of atrial fibrillation in these patients.
Source: Neurological Sciences - January 14, 2021 Category: Neurology Source Type: research

Antihistamines as a common cause of new-onset seizures: a single-center observational study
ConclusionIn our population, antihistamine accounted for the highest proportion of drug-induced seizures. Considering that antihistamines are widely used as over-the-counter drugs around the world, they should be considered a possible cause of new-onset seizures.
Source: Neurological Sciences - January 12, 2021 Category: Neurology Source Type: research

Stroke and digital technology: a wake-up call from COVID-19 pandemic
ConclusionThe global emergency represented by the COVID-19 pandemic can be the stimulus to accelerate the digitalization process in the field of stroke for the use of new methods on a large scale.
Source: Neurological Sciences - January 12, 2021 Category: Neurology Source Type: research

Lynch syndrome-associated repeated stroke with MLH1 frame-shift mutation
We describe the case of a 34-year-old female patient with 50  days of sudden dizziness and left limb weakness, whose head CT scan showed large infarction in the right frontal temporal parietal lobe and basal ganglia area. Imaging examinations and pathological biopsy indicated high-grade serous carcinoma (HGSC) IIIA1 of the right ovary. In addition, a novel f rame-shift mutation in the MLH1 gene (c.1621dupG, p.A541Gfs*16) was found in the genetic panel sequence. It may render declining of MLH1 protein and also associate with the patient’s progressive clinical manifestations of multiple systems. Therefore, the timely use ...
Source: Neurological Sciences - January 12, 2021 Category: Neurology Source Type: research