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Source: Journal of the Neurological Sciences

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Total 856 results found since Jan 2013.

Urinary tract infection after stroke: A narrative review
Urinary tract infection (UTI) is one of the most common infections seen in patients hospitalized for acute stroke, resulting in greater utilization of hospital resources in addition to patient discomfort. Although post-stroke infections (PSIs) are commonly referenced for interference with stroke recovery as well as associations with worse clinical outcome, factors associated specifically with UTI after stroke remain unclear.
Source: Journal of the Neurological Sciences - June 4, 2019 Category: Neurology Authors: Colin Smith, Eyad Almallouhi, Wayne Feng, Wuwei Feng Tags: Review Article Source Type: research

General anesthesia vs local anesthesia during mechanical thrombectomy in acute ischemic stroke
To investigate the effect of general anesthesia (GA) on functional outcomes and complications rates in acute ischemic stroke (AIS) patients treated with mechanical thrombectomy (MT) compared to the use of local anesthesia (LA) at the puncture site.
Source: Journal of the Neurological Sciences - May 29, 2019 Category: Neurology Authors: Longfei Wu, Ashutosh P. Jadhav, Wenbo Zhao, Di Wu, Jian Chen, Shuyi Yang, Chuanjie Wu, Chuanhui Li, Jiangang Duan, Yuchuan Ding, Xunming Ji Source Type: research

Effect of direct oral anticoagulant for acute major cerebral artery occlusion in cardioembolic stroke/transient ischemic attack patients with non-valvular atrial fibrillation
Direct oral anticoagulants (DOACs) can reduce the frequency of cardioembolic stroke with non-valvular atrial fibrillation as well as or better compared to vitamin K antagonists (VKAs). However, whether taking DOACs prior to stroke can prevent acute major cerebral artery occlusion (MCAO) has not been fully elucidated.
Source: Journal of the Neurological Sciences - May 22, 2019 Category: Neurology Authors: Shinya Tomari, Junnosuke Arima, Takashi Yoshida, Hitomi Yamashita, Reiko Sata, Rikuzo Hamada, Naoaki Kanda, Hiroshi Takashima Source Type: research

Estimating morbidity due to stroke in Nigeria: a systematic review and meta-analysis
The response to stroke in Nigeria is impaired by inadequate epidemiologic information. We sought to collate available evidence and estimate the incidence of stroke and prevalence of stroke survivors in Nigeria.
Source: Journal of the Neurological Sciences - May 22, 2019 Category: Neurology Authors: Davies Adeloye, Martinsixtus Ezejimofor, Asa Auta, Rex G. Mpazanje, Nnenna Ezeigwe, Evelyn N. Ngige, Michael O. Harhay, Wondimagegnehu Alemu, Isaac F. Adewole Source Type: research

Neuroimaging signatures of cerebral small vessel disease and risk of falls in stroke-free older adults living in rural Ecuador. The Atahualpa Project
This study aimed to assess the association between neuroimaging signatures of cerebral small vessel disease (cSVD) and the risk of falls in stroke-free older adults living in rural Ecuador.
Source: Journal of the Neurological Sciences - May 20, 2019 Category: Neurology Authors: Oscar H. Del Brutto, Carlos D. Peinado, Robertino M. Mera, Victor J. Del Brutto, Mark J. Sedler Tags: Clinical Short Communication Source Type: research

Atrial fibrillation, not atrial cardiopathy, is associated with stroke: A single center retrospective study
Atrial fibrillation (AF) increases the risk of thromboembolism. Atrial cardiopathy, defined as structural left atrial enlargement (LAE), has been proposed to be a unifying risk factor for stroke, with or without atrial fibrillation (AF). We sought to understand the relative importance of LAE and AF as risk factors for stroke.
Source: Journal of the Neurological Sciences - May 14, 2019 Category: Neurology Authors: Muhammad Affan, Abhimanyu Mahajan, Sumul Modi, Lonni Schultz, Angelos Katramados, Stephan A. Mayer, Daniel Miller Source Type: research

Do acute stroke patients develop hypocapnia? A systematic review and meta-analysis
Purpose: Carbon dioxide (CO2) is a potent cerebral vasomotor agent. Despite reduction in CO2 levels (hypocapnia) being described in several acute diseases, there is no clear data on baseline CO2 values in acute stroke. The aim of the study was to systematically assess CO2 levels in acute stroke. Material and methods: Four online databases, Web of Science, MEDLINE, EMBASE and CENTRAL, were searched for articles that described either partial pressure of arterial CO2 (PaCO2) and end-tidal CO2 (EtCO2) in acute stroke.
Source: Journal of the Neurological Sciences - April 29, 2019 Category: Neurology Authors: Angela S.M. Salinet, Jatinder S. Minhas, Ronney B. Panerai, Edson Bor-Seng-Shu, Thompson G. Robinson Tags: Review Article Source Type: research

Fall risk in stroke survivors: Effects of stroke plus dementia and reduced motor functional capacity
Despite extensive research on falls among individuals with stroke, little is known regarding the impact of neurological conditions with comorbid diagnoses and motor functional capacity on the risk of falls in these individuals. Hence, the purpose of this study was to determine the fall risk and the contribution of reduced motor functional capacity to fall risk in individuals with stroke, dementia, and stroke plus dementia.
Source: Journal of the Neurological Sciences - April 25, 2019 Category: Neurology Authors: Daniel Whitney, Aviroop Dutt-Mazumder, Mark D. Peterson, Chandramouli Krishnan Source Type: research

Effect of icosapent ethyl on stroke risk: Different strokes for different folks?
In the Reduction of Cardiovascular Events with Icosapent Ethyl –Intervention Trial (REDUCE-IT) [1], among patients with elevated triglycerides on statins, ischemic event risk was lower among those who received icosapent ethyl vs. placebo. However, while coronary events were reduced in both REDUCE-IT and another pure EPA trial, Japan EPA lipid intervention stu dy (JELIS) [2], ischemic stroke risk was lowered in REDUCE-IT (HR 0.64, 0.49-0.85), but not decreased in JELIS (HR 0.97, 0.85-1.10). The discrepancy between these two pure EPA trials might be due to the varied race-ethnicity composition of participants, since partic...
Source: Journal of the Neurological Sciences - April 18, 2019 Category: Neurology Authors: Meng Lee, Bruce Ovbiagele Tags: Letter to the Editor Source Type: research

Upper-limb movement smoothness after stroke and its relationship with measures of body function/structure and activity – A cross-sectional study
After a stroke, upper limb (UL) motor impairments interfere with functional activities and quality of life. Even though a range of assessment tools has been developed to assess UL, few studies explore the interfaces between different levels of functioning after stroke.
Source: Journal of the Neurological Sciences - April 12, 2019 Category: Neurology Authors: Maria Laura Schiefelbein, Ana Paula Salazar, Ritchele Redivo Marchese, K átia Daniele Rech, Giulia Palermo Schifino, Caroline Santos Figueiredo, Veronica Cimolin, Aline Souza Pagnussat Source Type: research

Can we stop the stuttering in stroke? Interventions in 40 patients with acute lacunes
Whether any treatment can stop fluctuations of stuttering lacunar syndromes (SLS) is unclear. Case reports have variably suggested effectiveness of intravenous thrombolysis, dual antiplatelet treatment, blood pressure augmentation and anticoagulation. We aim to describe our experience with different treatments used in in patients presenting with SLS and their effect on clinical fluctuations and functional outcome.
Source: Journal of the Neurological Sciences - April 11, 2019 Category: Neurology Authors: Maximiliano A. Hawkes, Sherri A. Braksick, Wei Zhang, Eelco F.M. Wijdicks, Alejandro A. Rabinstein Source Type: research

Incidence, characteristics and outcomes in patients with embolic stroke of undetermined source: A population-based study
Embolic stroke of undetermined source (ESUS) represents a subgroup of cryptogenic ischemic stroke (CS) distinguished by high probability of an underlying embolic mechanism. There are scarce population-based data regarding the incidence, characteristics and outcomes of ESUS. Consecutive patients included with first-ever ischemic stroke of undetermined cause in the previously published population-based Evros Stroke Registry were further subdivided into ESUS and non-ESUS CS. Crude and adjusted [according to the European Standard Population (ESP), WHO and Segi population] incidence rates (IR) for ESUS and non-ESUS CS were calculated.
Source: Journal of the Neurological Sciences - April 11, 2019 Category: Neurology Authors: Georgios Tsivgoulis, Odysseas Kargiotis, Aristeidis H. Katsanos, Athanasia Patousi, Dimitris Mavridis, Sofia Tsokani, Maria Pikilidou, Theodosis Birbilis, Michael Mantatzis, Christina Zompola, Sokratis Triantafyllou, Nikolaos Papanas, Panagiotis Skendros, Source Type: research

Trends in stroke outcomes at hospital discharge in first-ever stroke patients: Observations from the Malaysia National Stroke Registry (2009 –2017)
Stroke outcomes could be a quality indicator across the continuum of care and inform stroke management policymaking. However, this topic has rarely to date been studied directly.
Source: Journal of the Neurological Sciences - April 9, 2019 Category: Neurology Authors: Xin Wee Chen, Mohd Nazri Shafei, Zariah Abdul Aziz, Norsima Nazifah Sidek, Kamarul Imran Musa Source Type: research

Accurate etiology diagnosis in patients with stroke and atrial fibrillation: A role for brain natriuretic peptide
Atrial fibrillation (AF) is the leading cause of cardioembolic stroke (CES), and patients with stroke and AF are frequently assumed to have CES. However, strokes presumably due to atherosclerotic pathophysiologies in large or small vessels can also occur in patients with AF. The aims of the present study were to clarify the prevalence of and factors related to a non-cardioembolic etiology in acute stroke patients with AF.
Source: Journal of the Neurological Sciences - March 28, 2019 Category: Neurology Authors: Yuki Sakamoto, Chikako Nito, Yasuhiro Nishiyama, Satoshi Suda, Noriko Matsumoto, Junya Aoki, Takashi Shimoyama, Takuya Kanamaru, Kentaro Suzuki, Yuki Go, Masahiro Mishina, Kazumi Kimura Source Type: research

The Sub-Saharan Africa Conference on Stroke (SSACS): An idea whose time has come
Stroke is a leading cause of global morbidity and mortality. Sub-Saharan Africa (SSA), where an unprecedented rise in stroke burden is currently raging, has the highest age-standardized stroke incidence, stroke prevalence, and stroke mortality rates. This is in sharp contrast to the relative decline in stroke incidence in high-income countries over the past four decades through better awareness and control of vascular risk factors. Compared to other groups, Africans tend to have a higher risk of stroke, higher percentage of the hemorrhagic type and much poorer outcomes.
Source: Journal of the Neurological Sciences - March 28, 2019 Category: Neurology Authors: Mayowa Owolabi, Fred Stephen Sarfo, Rufus Akinyemi, Mehari Gebreyohanns, Bruce Ovbiagele Tags: Review Article Source Type: research