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Local anesthesia vs general anesthesia during endovascular therapy for acute posterior circulation stroke
The optimal anesthetic approach during endovascular therapy (EVT) in acute stroke patients remains an area of uncertainty. We investigated the impact of different anesthetic approaches on the outcome of posterior circulation stroke (PCS) patients undergoing EVT.
Source: Journal of the Neurological Sciences - July 14, 2020 Category: Neurology Authors: Longfei Wu, Ashutosh P. Jadhav, Jian Chen, Chenghe Sun, Kangxiang Ji, Weili Li, Wenbo Zhao, Chuanhui Li, Chuanjie Wu, Di Wu, Xunming Ji 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

Carotid artery stenosis and PERI-operative stroke in cardiac surgery. A bridge between heart and brain
The cerebral injury following cardiac surgery encompasses a wide spectrum of clinical disorders ranging from acute cerebrovascular events to cognitive dysfunction. Despite improvement in surgical expertise and anesthetic techniques and advancement in brain protection strategies, it still represents a striking clinical issue whose incidence has not been significantly lowered over the time. In this regard, there is accruing evidence that patient-related variables may play a role, and the risk stratification should be of aid to tailor treatment strategies, reduce the hazard of post-procedural complications and improve the outcome.
Source: Journal of the Neurological Sciences - October 6, 2017 Category: Neurology Authors: Simona Lattanzi, Mauro Silvestrini Tags: Editorial Source Type: research

Response to a letter regarding a paper entitled, “Post-intervention TCD examination may be useful to predict outcome in acute ischemic stroke patients with successful intra-arterial intervention”
We thank Dr. Dale Ding for his thoughtful comments regarding our previous study, entitled “Post-intervention TCD examination may be useful to predict outcome in acute ischemic stroke patients with successful intra-arterial (IA) intervention” . He clearly presented the potential utility of the pulsatility index (PI) of the middle cerebral artery citing a recent study reported by Uzuner et al. . As he pointed out, our study has a limitation regarding the definition of the poor outcome. Because our study was retrospective and limited to hospitalization records, we defined poor outcomes as in-hospital death or decompressiv...
Source: Journal of the Neurological Sciences - January 21, 2014 Category: Neurology Authors: Junya Aoki, Larry N. Raber, Irene L. Katzan, Muhammad Shazam Hussain, Ferdinand K. Hui, Ken Uchino Tags: Letters to the Editor Source Type: research

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While pain is neither uncommon nor novel, the concept of central pain (CP) has only recently become a prominent concern in the medical literature. CP results from lesions to the central nervous system caused by conditions such as stroke, multiple sclerosis, epilepsy, Parkinson's disease, and brain and spinal cord injuries. With the incidence of disability from these conditions increasing dramatically worldwide, it is no surprise that the diagnosis and treatment of CP are of growing interest in the fields of pain management, neurology, neurosurgery, and anesthesiology. However, inconsistent and contradictory reporting has e...
Source: Journal of the Neurological Sciences - January 14, 2013 Category: Neurology Authors: Aimee L. Alphonso, Jack W. Tsao Tags: Book Reviews Source Type: research