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Importance of Early Postoperative Body Temperature Management for Treatment of Subarachnoid Hemorrhage
The importance of acute-phase brain temperature management is widely accepted for prevention of exacerbation of brain damage by a high body temperature.
Source: Journal of Stroke and Cerebrovascular Diseases - March 24, 2016 Category: Neurology Authors: Eiichi Suehiro, Hirokazu Sadahiro, Hisaharu Goto, Takayuki Oku, Fumiaki Oka, Yuichi Fujiyama, Satoshi Shirao, Hiroshi Yoneda, Hiroyasu Koizumi, Hideyuki Ishihara, Michiyasu Suzuki Source Type: research

Atypical Presentation of Aneurysmal Subarachnoid Hemorrhage: Incidence and Clinical Importance
The symptoms of sudden severe headache and/or diminished consciousness characterize the onset of aneurysmal subarachnoid hemorrhage (SAH). However, several studies have suggested that some patients show an atypical presentation at the onset: symptoms lacking sudden headache and diminished consciousness. The aim of this study was to investigate the incidence and clinical features of cases with atypical onset.
Source: Journal of Stroke and Cerebrovascular Diseases - February 26, 2016 Category: Neurology Authors: Yukari Ogasawara, Katsuhiro Ito, Hiroki Ohkuma Source Type: research

Acute Convexity Subarachnoid Hemorrhage Related to Cerebral Amyloid Angiopathy: Clinicoradiological Features and Outcome
The specificities of acute convexity subarachnoid hemorrhage (cSAH) related to cerebral amyloid angiopathy (CAA) and its evolution are not well known. We aimed to describe the clinicoradiological pattern, the magnetic resonance imaging (MRI) evolution, and the risk of recurrent bleeding in such patients.
Source: Journal of Stroke and Cerebrovascular Diseases - February 25, 2016 Category: Neurology Authors: Lionel Calviere, Victor Cuvinciuc, Nicolas Raposo, Alexandre Faury, Christophe Cognard, Vincent Larrue, Alain Viguier, Fabrice Bonneville Source Type: research

Postprandial Hypotension and Coma Following Subarachnoid Hemorrhage in a Patient with Parkinson's Disease
A 79-year-old woman with a history of Parkinson's disease was admitted to our hospital because of a subarachnoid hemorrhage. She underwent clipping the next day. On postoperative days 7-9, she exhibited hypotension and disturbance of consciousness after each meal. The administration of midodrine relieved the hypotension, and postprandial coma was no longer observed. In this case, the autonomic dysfunction in Parkinson's disease and impairment of cerebral autoregulation during cerebral vasospasm may have been involved in the postprandial hypotension (PPH) and coma.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2016 Category: Neurology Authors: Jun Watanabe, Jun Maruya, Kenjyu Hara, Keiichi Nishimaki Tags: Case Studies Source Type: research

Balloon-Occlusion Catheter Onyx Embolization of a Spinal Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage in a Pediatric Patient
In this report, we describe a spinal DAVF in a 3-year-old child whose initial presentation is subarachnoid hemorrhage (SAH). Balloon-test occlusion and balloon–catheter-assisted embolization of DAVF have not been previously described, and their advantages over alternative embolic and surgical techniques are discussed.
Source: Journal of Stroke and Cerebrovascular Diseases - February 2, 2016 Category: Neurology Authors: Dustin M. Hayward, Stephen J. Johans, Jordan D. Rosenblum, Christopher M. Loftus, William W. Ashley Tags: Case Studies Source Type: research

Increased Resting Energy Expenditure after Endovascular Coiling for Subarachnoid Hemorrhage
Appropriate nutritional care from the acute stage is essential for improved functional outcomes and reduced mortality in patients with subarachnoid hemorrhage (SAH). Although endovascular coiling is increasingly being used as an alternative to neurosurgical clipping and craniotomy for ruptured aneurysms, the resting energy expenditure (REE) of patients treated with this new technique has not been systemically evaluated.
Source: Journal of Stroke and Cerebrovascular Diseases - January 18, 2016 Category: Neurology Authors: Ayano Nagano, Yoshitaka Yamada, Hiroji Miyake, Kazuhisa Domen, Tetsuo Koyama Source Type: research

Association of Recreational Marijuana Use with Aneurysmal Subarachnoid Hemorrhage
Our objective was to evaluate the effect of cannabis use on hospitalizations for aneurysmal subarachnoid hemorrhage (aSAH).
Source: Journal of Stroke and Cerebrovascular Diseases - December 18, 2015 Category: Neurology Authors: Kavelin Rumalla, Adithi Y. Reddy, Manoj K. Mittal Source Type: research

Puerperal Extracranial Vertebral Artery Dissection and Nonaneurysmal Subarachnoid Hemorrhage
Previously reported only a few times before, we present a case of extracranial vertebral dissection and spontaneous frontoparietal subarachnoid hemorrhage (SAH) in the puerperium, discussing possible mechanisms and difficulties in management. A 35-year-old woman presented 10 days postcaesarean section with neck pain and vertigo with normal initial investigations. Following recurrent vertigo, headache, and ataxia, imaging revealed a frontoparietal SAH and vertebral artery dissection. The patient was consequently treated with aspirin, and then following a return of symptoms 3 weeks later, warfarin therapy was continued for 6 months.
Source: Journal of Stroke and Cerebrovascular Diseases - December 14, 2015 Category: Neurology Authors: James W. Garrard, Renata F. Simm, Edson Bor-Seng-Shu, Ricardo C. Nogueira Tags: Case Studies Source Type: research

Spontaneous Subarachnoid Hemorrhage with Negative Angiography Managed in a Stroke Unit: Clinical and Prognostic Characteristics
Perimesencephalic subarachnoid hemorrhage (p-SAH) is linked to a benign prognosis compared with aneurysmal SAH. However, the outcome in nonperimesencephalic angiographically negative SAH (np-SAH) is not well established. We reviewed our experience and evaluated the clinical and prognostic differences between patients with p-SAH and np-SAH.
Source: Journal of Stroke and Cerebrovascular Diseases - September 12, 2015 Category: Neurology Authors: Beatrice Canneti, Antonio Jesús Mosqueira, Florentino Nombela, Francisco Gilo, José Vivancos Source Type: research

Cranioplasty and Duraplasty with Transcranial Color-Coded Duplex Sonography after Aneurysmal Subarachnoid Hemorrhage
Transcranial color-coded duplex sonography (TCCS) is a noninvasive technique for monitoring of cerebral vasospasm after neurosurgery for aneurismal subarachnoid hemorrhage. In this surgery, surgical materials are used. The goal of the study was to identify materials that can be used with ultrasound and to propose methods for cranioplasty and duraplasty using materials that permit TCCS.
Source: Journal of Stroke and Cerebrovascular Diseases - September 6, 2015 Category: Neurology Authors: Hirokazu Sadahiro, Akinori Inamura, Kazutaka Sugimoto, Akiko Yamane, Hideyuki Ishihara, Satoshi Shirao, Hiroshi Yoneda, Michiyasu Suzuki Source Type: research

Positive Fluid Balance Is Associated With Poor Outcomes in Subarachnoid Hemorrhage
Strict maintenance of normovolemia is standard of care in the treatment of aneurysmal subarachnoid hemorrhage (aSAH), and induced hypervolemia is often used to treat delayed cerebral ischemia from vasospasm. We tested the hypothesis that positive fluid balance could adversely affect clinical outcomes in aSAH.
Source: Journal of Stroke and Cerebrovascular Diseases - August 12, 2015 Category: Neurology Authors: Narayan R. Kissoon, Jay N. Mandrekar, Jennifer E. Fugate, Giuseppe Lanzino, Eelco F.M. Wijdicks, Alejandro A. Rabinstein Source Type: research

Cardiac Troponin Elevation and Outcome after Subarachnoid Hemorrhage: A Systematic Review and Meta-analysis
Cardiac abnormalities frequently occur after subarachnoid hemorrhage (SAH). Cardiac troponin (cTn) is a preferred biomarker for the diagnosis of cardiac damage, and the clinical significance of cTn elevation after SAH remains controversial. This meta-analysis was performed to assess the association between cTn elevation and patient outcomes, including delayed cerebral ischemia (DCI), poor outcome (death or dependency), and death in SAH patients.
Source: Journal of Stroke and Cerebrovascular Diseases - July 28, 2015 Category: Neurology Authors: Limin Zhang, Zhilong Wang, Sihua Qi Source Type: research

Influence of Antiplatelet Drugs on the Outcome of Subarachnoid Hemorrhage Differs with Age
The aim of this study was to examine the risk factor profiles and functional outcomes of subarachnoid hemorrhage (SAH) in different age groups, focusing on the effect of antiplatelet drugs when used before stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 20, 2015 Category: Neurology Authors: Yuji Kato, Takeshi Hayashi, Norio Tanahashi, Shotai Kobayashi, the Japan Standard Stroke Registry Study Group Source Type: research

Cerebral Vasospasm and Delayed Cerebral Ischemia after Warfarin-Induced Subarachnoid Hemorrhage
Subarachnoid hemorrhage (SAH) associated with anticoagulation is a rare event. About 30% of in-hospital patients with aneurysmal SAH develop delayed cerebral ischemia (DCI); however, the occurrence of vasospasm and DCI in patients with nonaneurysmal SAH is still controversial.
Source: Journal of Stroke and Cerebrovascular Diseases - July 18, 2015 Category: Neurology Authors: Irapuá Ferreira Ricarte, Fabrício G. Calente, Maramélia M. Alves, Daniela L. Gomes, Raul A. Valiente, Flávio A. Carvalho, Gisele S. Silva Tags: Case Report Source Type: research

Cerebral Blood Flow after Acute Bypass with Parent Artery Trapping in Patients with Ruptured Supraclinoid Internal Carotid Artery Aneurysms
Bypass with parent artery trapping is an alternative treatment method for ruptured internal carotid artery (ICA) aneurysms when clipping or coiling is contraindicated. However, the efficacy and safety of this strategy during the acute stage of subarachnoid hemorrhage (SAH) is undetermined.
Source: Journal of Stroke and Cerebrovascular Diseases - July 17, 2015 Category: Neurology Authors: Hidenori Endo, Miki Fujimura, Hiroaki Shimizu, Takashi Inoue, Kenichi Sato, Kuniyasu Niizuma, Teiji Tominaga Source Type: research

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