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Source: Journal of Stroke and Cerebrovascular Diseases
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Total 6824 results found since Jan 2013.
Preclusion of Ischemic Stroke Patients from Intravenous Tissue Plasminogen Activator Treatment for Mild Symptoms Should Not be Based on Low National Institutes of Health Stroke Scale Scores
Conclusions: Language impairment, distal (hand) paresis, and gait disorder are common disabling deficits in patients with low NIHSS scores. Judgment of whether a stroke is disabling should not be based on the NIHSS score but on the assessment of the individual neurologic deficits and their impact on functional impairment.
Source: Journal of Stroke and Cerebrovascular Diseases - February 25, 2013 Category: Neurology Authors: Matthias Wendt, Serdar Tütüncü, Jochen B. Fiebach, Jan F. Scheitz, Heinrich J. Audebert, Christian H. Nolte Tags: Original Articles Source Type: research
Interleukin-6 Gene -174 G/C Promoter Polymorphism Predicts Severity and Outcome in Acute Ischemic Stroke Patients from North India
Conclusions: Patients with the GC genotype had more severe strokes with poorer short and long-term outcomes and increased mortality. The GG genotype was associated with less severe strokes, better short and long-term prognosis, and survival. The GG genotype appears to be protective against stroke severity, outcome, and mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - March 12, 2012 Category: Neurology Authors: Baidarbhi Chakraborty, Debashish Chowdhury, Gaurav Vishnoi, Binita Goswami, Jugal Kishore, Sarita Agarwal Tags: Original Articles Source Type: research
Time to Stroke Magnetic Resonance Imaging
Conclusions: Stroke guidelines favor the use of MRI over CT only during the first 12 hours from symptom onset, yet less than one-third of stroke MRIs are actually performed within this timeframe.
Source: Journal of Stroke and Cerebrovascular Diseases - April 30, 2012 Category: Neurology Authors: James F. Burke, Jeremy B. Sussman, Lewis B. Morgenstern, Kevin A. Kerber Tags: Original Articles Source Type: research
Alkaline Phosphatase and Risk of Stroke Among Japanese: The Circulatory Risk in Communities Study (CIRCS)
Although serum alkaline phosphatase (ALP) levels have been associated with mortality from all-cause and from either ischemic or hemorrhagic stroke, no study has been published of the associations between ALP and the incidence of stroke. We therefore examined the associations of ALP with risk of stroke among Japanese, stratified by drinking status because ALP is known as an enzyme affected by alcohol consumption. We conducted a prospective cohort study of 10,754 Japanese subjects (4098 men and 6656 women) aged 40-69 years and living in 4 communities under systematic surveillance for stroke incidence. During the 16-year foll...
Source: Journal of Stroke and Cerebrovascular Diseases - July 30, 2012 Category: Neurology Authors: Yuji Shimizu, Hironori Imano, Tetsuya Ohira, Akihiko Kitamura, Masahiko Kiyama, Takeo Okada, Yoshinori Ishikawa, Takashi Shimamoto, Kazumasa Yamagishi, Takeshi Tanigawa, Hiroyasu Iso, CIRCS Investigators Tags: Original Articles Source Type: research
The Spectrum of Aphasia Subtypes and Etiology in Subacute Stroke
Background: Aphasia is one of the most common stroke syndrome presentations, yet little is known about the spectrum of different subtypes or their stroke mechanisms. Yet, subtypes and etiology are known to influence the prognosis and recovery.Aim: Our aim is to analyze aphasia subtypes and etiology in a large subacute stroke population.Methods: Consecutive patients from a dedicated cognitive stroke registry were accrued. A validated cognitive screening examination was administered during the first month of stroke presentation, which enabled a diagnosis of 14 different aphasic subtypes. The evolution from one subtype to ano...
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2013 Category: Neurology Authors: Michael Hoffmann, Ren Chen Tags: Original Articles Source Type: research
Dysphagia Screening and Hospital-acquired Pneumonia in Patients with Acute Ischemic Stroke: Findings from Get with the Guidelines–Stroke
Conclusions: HAP occurs in 1 of 17 hospitalized stroke patients and is associated with a greater than 5-fold increase in mortality. DS did not occur in 31.1% of eligible patients, with increased screening among those with more severe strokes and those who developed HAP. The attenuation of the relationship between DS and HAP risk when controlling for NIHSS score suggests the association between screening and pneumonia is confounded by severity. Controlled trials are needed to determine DS effectiveness.
Source: Journal of Stroke and Cerebrovascular Diseases - January 9, 2013 Category: Neurology Authors: Shihab Masrur, Eric E. Smith, Jeffrey L. Saver, Mathew J. Reeves, Deepak L. Bhatt, Xin Zhao, DaiWai Olson, Wenqin Pan, Adrian F. Hernandez, Gregg C. Fonarow, Lee H. Schwamm Tags: Original Articles Source Type: research
Migraine Improves after Ischemic Stroke
Objective: To assess if migraine frequency spontaneously changes after stroke.Background: Patent foramen ovale (PFO) closure has been reported to decrease migraine attacks. Because many closures are carried out after an ischemic stroke, it is possible that migraine spontaneously improves after stroke.Methods: We have prospectively collected all patients with ischemic stroke and active migraine admitted to our stroke unit and have compared their migraine frequency before and 6, 12, and 24 months after stroke.Results: We studied 43 patients. Mean follow-up was 1.3 ± .5 years. The mean number of migraine attacks per month de...
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2013 Category: Neurology Authors: Bruno Censori, Tania Partziguian, Marco Poloni Tags: Original Articles Source Type: research
Greater Stroke Severity Predominates over All Other Factors for the Worse Outcome of Cardioembolic Stroke
Conclusion: Greater stroke severity predominates over all other factors for the worse outcome of CE stroke. Primary prevention and more efficient acute therapy for stroke victims should be given top priorities to reduce the burden of CE strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - May 21, 2013 Category: Neurology Authors: Keun-Sik Hong, Juneyoung Lee, Hee-Joon Bae, Ji Sung Lee, Dong-Wha Kang, Kyung-Ho Yu, Moon-Ku Han, Yong-Jin Cho, Pamela Song, Jong-Moo Park, Mi-Sun Oh, Jaseong Koo, Byung-Chul Lee Tags: Original Articles Source Type: research
Predictors of Functional Dependency after Stroke in Nigeria
This study examined the risk factors for functional dependency in a group of Nigerian African stroke survivors.Methods: One hundred twenty-eight stroke survivors attending a tertiary general hospital in southwestern Nigeria were consecutively recruited and assessed for functional dependency using the modified Rankin Scale (mRS). Stroke was diagnosed according to the World Health Organization criteria. Candidate independent variables assessed included the demographic and clinical characteristics of survivors, cognitive dysfunction, and a diagnosis of major depressive disorder. Variables with significant relationship to func...
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2013 Category: Neurology Authors: Akin Ojagbemi, Mayowa Owolabi Tags: Original Articles Source Type: research
The Aesthetic and Cultural Pursuits of Patients with Stroke
Conclusions: This study gives a perspective for the first time on the aesthetic and cultural pursuits of stroke patients before their stroke. It portrays a wide variety of cultural and leisure activities and the cessation of these poststroke. It revealed the restrictions patients felt on gaining access to leisure pursuits both while in hospital and following discharge.
Source: Journal of Stroke and Cerebrovascular Diseases - June 10, 2013 Category: Neurology Authors: Clare O’Connell, Aoife Cassidy, Desmond O'Neill, Hilary Moss Tags: Original Articles Source Type: research
A Proposal for the Classification of Etiologies of Neurologic Deterioration after Acute Ischemic Stroke
Conclusions: In the present study, the authors identified probable etiologies of ND after ischemic stroke. Delineating the cause of ND could play an important role in the management of the patient and help set expectations for prognosis after ND has occurred. Prospective studies are needed to validate these proposed definitions of ND.
Source: Journal of Stroke and Cerebrovascular Diseases - July 17, 2013 Category: Neurology Authors: James E. Siegler, Amelia K. Boehme, Karen C. Albright, Alexander J. George, Dominique J. Monlezun, T. Mark Beasley, Sheryl Martin-Schild Tags: Original Articles Source Type: research
Diagnosis of Stroke by Emergency Medical Dispatchers and Its Impact on the Prehospital Care of Patients
Background: Emergency medical dispatchers represent the first line of communication with a patient, and their decision plays an important role in the prehospital care of stroke. We evaluated the rate and accuracy of stroke diagnosis by dispatchers and its influence in the prehospital care of potential stroke patients.Methods: We analyzed the 2009 National Emergency Medical Services Information System. Study population was based on the diagnosis of stroke made by emergency medical technicians (EMT). This was then divided in those coded as stroke/cerebrovascular accident versus others reported by dispatchers and compared wi...
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2013 Category: Neurology Authors: J. Alfredo Caceres, Malik M. Adil, Vikram Jadhav, Saqib A. Chaudhry, Swaroop Pawar, Gustavo J. Rodriguez, M. Fareed K. Suri, Adnan I. Qureshi Tags: Original Articles Source Type: research
Electrocardiographic Assessment of Coronary Artery Disease and Stroke Risk Factors in Rural and Urban Tanzania: A Case–control Study
Conclusions: This is the first published study of ECG assessment of CAD and other stroke risk factors in an incident population of stroke cases in sub-Saharan Africa. It suggests that concomitant CAD in black African stroke cases is more common than previously suggested.
Source: Journal of Stroke and Cerebrovascular Diseases - April 1, 2013 Category: Neurology Authors: Richard W. Walker, Matthew Dewhurst, William K. Gray, Ahmed Jusabani, Eric Aris, Nigel Unwin, Mark Swai, Philip C. Adams, Ferdinand Mugusi Tags: Original Articles Source Type: research
A Simple Bedside Stroke Dysphagia Screen, Validated against Videofluoroscopy, Detects Dysphagia and Aspiration with High Sensitivity
Conclusion: The BJH-SDS, validated against videofluoroscopy, is a simple bedside screen for sensitive identification of dysphagia and aspiration in the stroke population.
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2013 Category: Neurology Authors: Jeff Edmiaston, Lisa Tabor Connor, Karen Steger-May, Andria L. Ford Tags: Original Articles Source Type: research
