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Source: Neurological Sciences
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Total 431 results found since Jan 2013.
Carotid free-floating thrombus during COVID-19 vaccine era: causality or not?
AbstractCarotid free-floating thrombus (FFT) is very rarely diagnosed in patients with acute ischemic stroke. It is a real clinical emergency due to the significant risk of death associated with thromboembolic complications. Herein, we present three patients with ischemic stroke caused by carotid FFT after less than 20 days from administration of mRNA vaccine BNT162b1 (Pfizer/BioNTech) for Severe Acute Respiratory Syndrome—CoronaVirus 2 (SARS-CoV-2). To our knowledge, these are the first cases reporting carotid FTT following SARS-CoV-2 vaccination.
Source: Neurological Sciences - August 3, 2022 Category: Neurology Source Type: research
Imaging patterns of cerebral ischemia in hypereosinophilic syndrome: case report and systematic review
ConclusionsBorder zone distribution of cerebral ischemia without hemodynamic compromise is the most frequent imaging pattern in patients with HES, occurring in 2/3 of patients who develop ischemic stroke.
Source: Neurological Sciences - August 1, 2022 Category: Neurology Source Type: research
Serum glial fibrillary acidic protein (GFAP) predicts outcome after intracerebral and subarachnoid hemorrhage
ConclusionsElevated GFAP levels at admission to hospital predicted mortality and poor outcome in our cohort of intracerebral and subarachnoid hemorrhage patients. Neuroglobin levels did not provide additional information. Combining GFAP measurements with clinical disease severity scores increased outcome prediction precision. This may suggest that GFAP measurement could improve prognostication in patients with intracerebral or subarachnoid hemorrhage.Registration: This sub-trial was not registered.
Source: Neurological Sciences - July 27, 2022 Category: Neurology Source Type: research
Intravenous thrombolysis before mechanical thrombectomy for acute ischemic stroke due to large vessel occlusion; should we cross that bridge? A systematic review and meta-analysis of 36,123 patients
ConclusionFor AIS-LVO, IVT + MT is associated with slightly better rates of survival, successful and complete recanalization, and favorable functional outcome as compared with MT alone. Further clinical trials are needed to corroborate such benefits of bridging IVT.
Source: Neurological Sciences - July 23, 2022 Category: Neurology Source Type: research
High serum total cholesterol associated with good outcome in endovascular thrombectomy for acute large artery occlusion
ConclusionsA high TC level was associated with favorable outcomes after EVT, especially in patients with cardioembolism and complete recanalization.
Source: Neurological Sciences - July 13, 2022 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
Emotional facial palsy: an unusual and rarely explored neurological sign
AbstractThe anatomy of the cortico-bulbar tract that drives voluntary movements of mimic muscles is well described. Some cases of facial palsy with inverse automatic-voluntary dissociation (emotional facial palsy; EFP) are reported in the literature. These cases suggested a completely independent path of the fibers whose lesion results in EFP. We aimed to review the clinical reports of EFP available in the literature to characterize the anatomical aspect of the fibers whose lesion results in the isolated impairment of spontaneous smiling. Cortico-pontine fibers that control spontaneous smiling arise from the medial surface...
Source: Neurological Sciences - July 11, 2022 Category: Neurology Source Type: research
Stroke admissions during the COVID-19 pandemic: a single-center retrospective analysis
ConclusionThese findings reflect changing patient attitudes during the COVID-19 pandemic or the success of health system and public health campaigns to reassure patients about the safety of seeking emergency care when needed, not only for more severe stroke symptoms.
Source: Neurological Sciences - June 20, 2022 Category: Neurology Source Type: research
Anti-seizure medication treatment and outcomes in acute ischemic stroke patients undergoing continuous EEG monitoring
ConclusionsIn our study, ASM treatment in AIS patients with cEEG abnormalities was not significantly associated with a change in 90-day mortality and functional recovery. Larger comparative effectiveness studies are indicated to identify which acute ischemic stroke patients with cEEG abnormalities benefit most from ASM treatment.
Source: Neurological Sciences - June 17, 2022 Category: Neurology Source Type: research
Noninvasive neuromodulation for unilateral neglect after stroke: a systematic review and network meta-analysis
ConclusionExisting evidence showed that NINM could improve UN after stroke and that TBS was best. Due to the number of included studies and sample size, more large-sample, multicenter, double-blinded, high-quality clinical RCTs are still needed in the future to further confirm the results of this research.
Source: Neurological Sciences - June 6, 2022 Category: Neurology Source Type: research
Research progress of clinical intervention and nursing for patients with post-stroke dysphagia
AbstractPost-stroke dysphagia (PSD) is a common and costly complication of stroke and is associated with increased mortality, morbidity, and hospitalization. Although most patients can spontaneously resume swallowing, there are still many patients who do not recover and even die. Despite multiple advances in the acute treatment and secondary prevention of stroke, the effective treatment of PSD remains a neglected area. Studies have shown that repair mechanisms of neurostimulation techniques and increased cortical activity play an important role in the treatment of PSD. In addition, nutritional interventions are also crucia...
Source: Neurological Sciences - June 4, 2022 Category: Neurology Source Type: research
Complex oculomotor nerves palsy and incidental ischemic stroke as atypical presentation of giant cell arteritis
Source: Neurological Sciences - May 20, 2022 Category: Neurology Source Type: research
Severe hypomagnesaemia as new potential stroke mimic: a case report
Source: Neurological Sciences - May 20, 2022 Category: Neurology Source Type: research
Safety and efficacy of intravenous thrombolysis in patients with acute stroke and active cancer: retrospective cohort study
Source: Neurological Sciences - May 20, 2022 Category: Neurology Source Type: research
Relationship between neutrophil to lymphocyte ratio and intracranial hemorrhage in stroke
Source: Neurological Sciences - May 18, 2022 Category: Neurology Source Type: research
