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Does isolated somatosensory impairment affect the balance and ambulation of patients with supratentorial stroke after the acute phase?
Publication date: Available online 10 February 2020Source: Journal of Clinical NeuroscienceAuthor(s): Minsun Kim, Hyun Haeng Lee, Jongmin LeeAbstractBalance and ambulation are the result of a multicomponent control process through the interaction of the sensory and motor information. Despite the clinical relevance of the somatosensory system, its role has not drawn much attention from clinical researchers in that motor impairment is considered a major cause of dysfunction. There is little research on how somatosensory impairment alone affects functional disability after stroke. The purpose of this study was to investigate ...
Source: Journal of Clinical Neuroscience - February 10, 2020 Category: Neuroscience Source Type: research

Clinical characteristics and treatment outcomes among stroke patients hospitalized to Nekemte referral hospital, western Ethiopia
ConclusionAbout two third of the patients had poor treatment outcome. Educational status and mean length of hospital stays were independent predictors of poor treatment out-comes. An emergency care setup capable of early patient evaluation, identification and management of stroke complications is crucial to overcome early stroke related mortality.
Source: Journal of Clinical Neuroscience - January 25, 2020 Category: Neuroscience Source Type: research

Thrombolysis safety and effectiveness in acute ischemic stroke patients with pre-morbid disability
ConclusionPatients with mRS 2 and 3 may benefit from rt-PA with a moderate risk of sICH and mortality.
Source: Journal of Clinical Neuroscience - December 25, 2019 Category: Neuroscience Source Type: research

Adjunctive statin therapy reduces intracranial hemorrhage and 1-year mortality in patients with atrial fibrillation after acute ischemic stroke: A population-based epidemiological study from Taiwan
ConclusionsStatin therapy reduced the risk of ICH and 1-year mortality in AF patients who experienced acute ischemic stroke.
Source: Journal of Clinical Neuroscience - July 20, 2019 Category: Neuroscience Source Type: research

“In Safe Hands” – A costly integrated care program with limited benefits in stroke unit care
Publication date: Available online 6 November 2018Source: Journal of Clinical NeuroscienceAuthor(s): Sheila Jala, Sarah Giaccari, Melissa Passer, Carin Bertmar, Susan Day, Dayna Griffith, Martin KrauseAbstractGiven reported favourable outcomes of accountable care unit models of health care delivery (Taylor et al., 2017; Stein et al., 2015; Kara et al., 2015), the Clinical Excellence Commission of NSW has embraced “In Safe Hands” (ISH) to enhance coordination of care. ISH embraces the structured interdisciplinary bedside round (SIBR) component, for which reported outcomes include reduced length of stay (Taylor et al., 2...
Source: Journal of Clinical Neuroscience - November 6, 2018 Category: Neuroscience Source Type: research

Survival after in-hospital cardiac arrest among cerebrovascular disease patients
Publication date: August 2018Source: Journal of Clinical Neuroscience, Volume 54Author(s): Corey R. Fehnel, Alissa Trepman, Dale Steele, Muhib A. Khan, Brian Silver, Susan L. MitchellAbstractStroke is a leading cause of death and disability, and while preferences for cardiopulmonary resuscitation (CPR) are frequently discussed, there is limited evidence detailing outcomes after CPR among acute cerebrovascular neurology (inclusive of stroke, subarachnoid hemorrhage (SAH)) patients. Systematic review and meta-analysis of PubMed and Cochrane libraries from January 1990 to December 2016 was conducted among stroke patients unde...
Source: Journal of Clinical Neuroscience - July 10, 2018 Category: Neuroscience Source Type: research

Long-term effect of repetitive transcranial magnetic stimulation on disability in patients with stroke
Publication date: January 2018 Source:Journal of Clinical Neuroscience, Volume 47 Author(s): Kyung Eun Nam, Leechan Jo, So Yeon Jun, Won Jin Sung, Joon Sung Kim, Bo Young Hong, Bomi Sul, Seong Hoon Lim High-frequency repetitive transcranial magnetic stimulation (rTMS) is widely used to improve motor function in stroke patients. However, the long-term effects of rTMS on disability and motor function are not clear. We investigated the effects of high-frequency rTMS administered within 1 month of stroke on disability and motor function 6 months after stroke onset. The study was conducted by an open-label longitudinal study...
Source: Journal of Clinical Neuroscience - December 16, 2017 Category: Neuroscience Source Type: research

The current role of decompressive craniectomy for severe traumatic brain injury
Publication date: September 2017 Source:Journal of Clinical Neuroscience, Volume 43 Author(s): S. Honeybul, K.M. Ho, C.R.P. Lind, G.R. Gillett There is little doubt that decompressive craniectomy can reduce mortality however, the results of a recent study has provided more evidence to inform the debate regarding clinical and ethical concerns that it merely converts death into survival with severe disability or in a vegetative state. The recently published RESCUEicp trial compared last-tier secondary decompressive craniectomy with continued medical management for refractory intracranial hypertension after severe traumatic ...
Source: Journal of Clinical Neuroscience - August 1, 2017 Category: Neuroscience Source Type: research

Crossed cheiro-oral syndrome: A warning sign for medullary involvement and neurological deterioration
In this study, we analyzed the etiology, localization and outcome of CCOS patients. The results showed that ischemic stroke is the exclusive cause of CCOS. The location of responsible stroke is pertinent to the middle or upper level of the lateral medulla oblongata medial to the lateral sulcus. The vascular supply is from the vertebral artery or the posterior inferior cerebellar artery. Half of the CCOS patients progressed to Wallenberg’s syndrome and complicated with disabled daily living. However, no patient died during the follow-up period. A larger size and dorsal extension of the infarction correlated with neurologi...
Source: Journal of Clinical Neuroscience - January 12, 2017 Category: Neuroscience Source Type: research

Emergent revascularization of acute tandem vertebrobasilar occlusions: Endovascular approaches and technical considerations —Confirming the role of vertebral artery ostium stenosis as a cause of vertebrobasilar stroke
We describe our experience in the endovascular recanalization of tandem vertebrobasilar occlusions using endovascular techniques. The BA was accessed through the normal VA (clean-road) or the occluded, thrombotic VA (dirty-road), and stentriever-based thrombectomy was performed using antegrade or reverse revascularization variants. Seven patients underwent successful stentriever-assisted mechanical thrombectomy of the BA and five sustained concomitant VA revascularization. Stroke onset to endovascular intervention initiation (time-to-treatment) ranged from 4.5–13hours (mean 8.6). In two of seven patients, the BA occlusio...
Source: Journal of Clinical Neuroscience - August 10, 2016 Category: Neuroscience Source Type: research

Neurological complications of acute multifocal placoid pigment epitheliopathy
The objective of this patient series is to describe the neurological complications of AMPPE. We retrospectively identified patients with neurological complications of AMPPE seen at Auckland Hospital between 2008 and 2013 and summarised cases in the literature between 1976 and 2013. We identified five patients with neurological complications of AMPPE at Auckland Hospital and 47 reported patients. These patients demonstrated a spectrum of neurological involvement including isolated headache, stroke or transient ischaemic attack, seizures, venous sinus thrombosis, optic neuritis, sensorineural hearing loss and peripheral vest...
Source: Journal of Clinical Neuroscience - May 11, 2016 Category: Neuroscience Source Type: research

In-hospital mortality after pre-treatment with antiplatelet agents or oral anticoagulants and hematoma evacuation of intracerebral hematomas
In conclusion a higher rate of in-hospital mortality after pre-treatment with antiplatelet agents in combination with hematoma evacuation after spontaneous ICH was observed in the presented cohort.
Source: Journal of Clinical Neuroscience - December 12, 2015 Category: Neuroscience Source Type: research