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Source: Journal of Clinical Neuroscience
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Total 163 results found since Jan 2013.

“Sequential multimodality stimulation” for post-stroke-hemineglect: Feasibility and outcome in a pilot randomized controlled trial
ConclusionMultimodality stimulation, in addition to standard physiotherapy, is feasible and potentially results in better neurocognitive and functional recovery following right hemispheric ischemic strokes. However, larger studies are warranted to prove these preliminary observations beyond doubt.
Source: Journal of Clinical Neuroscience - September 6, 2019 Category: Neuroscience Source Type: research

Postoperative 30-day outcomes after craniotomy for supratentorial AVM resection in children
ConclusionIn the NSQIP-P dataset, the incidence of perioperative complications and suboptimal outcomes among patients undergoing AVM resection were low.
Source: Journal of Clinical Neuroscience - September 4, 2019 Category: Neuroscience Source Type: research

Experience with FRED junior flow diverter in treatment of cerebral aneurysms at or distal to the circle of Willis
Publication date: Available online 23 August 2019Source: Journal of Clinical NeuroscienceAuthor(s): Rajeev Sivasankar, Manish Shrivastava, Uday S. LimayeAbstractThis retrospective study was aimed at assessing our results of endovascular management using the FRED junior flow diverter in cerebral aneurysms at or distal to the circle of Willis. 12 patients with 15 small cerebral vessel aneurysms at or distal to the circle of Willis underwent endovascular treatment using the FRED junior flow diverter at two tertiary care centres in Mumbai, India. 12 of the 15 aneurysms were unruptured, one was treated in an acutely ruptured se...
Source: Journal of Clinical Neuroscience - August 24, 2019 Category: Neuroscience Source Type: research

Association between homocysteine and multivascular atherosclerosis in stroke-related vascular beds determined by three-dimensional magnetic resonance vessel wall imaging
ConclusionsHomocysteine is independently associated with stroke-related multivascular plaques and combination of age and homocysteine has stronger predictive value.
Source: Journal of Clinical Neuroscience - August 23, 2019 Category: Neuroscience Source Type: research

Cone beam-computed tomography angiography by intravenous contrast injection is reliable to evaluate patients with large vessel occlusion
ConclusionsAlthough prospective study of AIS patients at a radiography department is indispensable, CB-CTA performed in an angiography-suite might be useful to evaluate patients with ELVO.
Source: Journal of Clinical Neuroscience - August 22, 2019 Category: Neuroscience Source Type: research

Thrombolysis’ benefits on early post-stroke language recovery in aphasia patients
ConclusionThe percentage of resolved aphasia was significantly higher in the treated patients compared to the non-treated, with the latter showing a higher percentage of global aphasia. Identifying classic aphasia subtypes after thrombolysis is still possible since reperfused areas do not necessary change the classification or lead to completely different aphasic syndromes. Reperfusion treatment, baseline NIHSS, and lacunar stroke were the main predictors of aphasia recovery.
Source: Journal of Clinical Neuroscience - August 20, 2019 Category: Neuroscience Source Type: research

The effect of uric acid on sleep quality after acute ischemic stroke
In conclusion, high UA levels may reduce the risk of poor sleep quality after acute ischemic stroke. Further randomized controlled trials are necessary in examining whether appropriate UA supplement could provide a potential prevention or therapeutic target for sleep disturbance after stroke.
Source: Journal of Clinical Neuroscience - August 14, 2019 Category: Neuroscience Source Type: research

Brain oscillatory activity and CT perfusion in hyper-acute ischemic stroke
ConclusionThe results of this preliminary study show that the combined use of EEG and CTP, as highly available techniques, in acute ischemic stroke may be helpful in clinical practice and provide information about functional and metabolic aspects of brain involvement. The joint use of these methodologies may give a better clinical insight of the functionality of injured area in the hyperacute phase.
Source: Journal of Clinical Neuroscience - August 12, 2019 Category: Neuroscience Source Type: research

Worsening clinical features in a patient with right middle cerebral artery territory stroke
We describe a case with acute ischemic stroke in the right MCA territory. He developed secondary deterioration for which no obvious cause could be found. He underwent FDG-PET for evaluating carotid plaque inflammation as part of a research study, which revealed considerable hypometabolism in the left cerebellar hemisphere-responsible for the neurological deterioration. This phenomenon is often called ‘crossed cerebellar diaschisis. Various imaging findings are presented.
Source: Journal of Clinical Neuroscience - July 28, 2019 Category: Neuroscience Source Type: research

Fetal origin of posterior cerebral artery related to poor collaterals in patients with acute ischemic stroke
Publication date: Available online 20 July 2019Source: Journal of Clinical NeuroscienceAuthor(s): Pornpatr A. Dharmasaroja, Nattaphol Uransilp, Pritsana PiyabhanAbstractThe anatomic variation of Circle of Willis (CW) has been shown to have a great impact on its compensatory capacity during acute ischemic stroke. The purpose of the study was to evaluate the effect of variations in CW on collateral circulation in patients with acute ischemic stroke who had major artery occlusion. Patients with acute ischemic stroke within 4.5 h of stroke onset who had at least moderate severity of stroke (NIHSS ≥ 6), caused by major ...
Source: Journal of Clinical Neuroscience - July 21, 2019 Category: Neuroscience Source Type: research

Safety and efficacy of the Neuroform Atlas for stent-assisted coiling of intracranial aneurysms: A multicenter experience
ConclusionsOur results demonstrate that treatment of intracranial aneurysms with the Neuroform Atlas stent is associated with low morbidity and a high aneurysm occlusion rate at mid-term follow-up. Further studies will be necessary to confirm our results.
Source: Journal of Clinical Neuroscience - July 20, 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

Carotid artery plaque detected on ultrasound is associated with impaired cognitive state in the elderly: A population-based study in Wakiso district, Uganda
This study set out to determine the prevalence of abnormal carotid ultrasound findings and their association with cognitive function among the adults ≥60 years in Wakiso district, Uganda in 2018. A total of 210 participants were included. Carotid artery stenosis, presence of plaque, stenosis and intima-media thickness were assessed by ultrasound. Cognitive status was assessed using a Mini Mental State Exam (MMSE) test. The prevalence of plaque was 21.4%. Variables which included; presence of plaque, age, education, gender, marital status, whether participant stayed alone or with someone else, care for self, occupation ...
Source: Journal of Clinical Neuroscience - July 12, 2019 Category: Neuroscience Source Type: research

Perioperative stroke associated in-hospital morbidity and in-hospital mortality in common non-vascular non-neurological surgery
This study identified perioperative stroke as an independent predictor of 30-day in-hospital morbidity and mortality following non-vascular, non-neurological surgery.
Source: Journal of Clinical Neuroscience - July 2, 2019 Category: Neuroscience Source Type: research

Acute isolated aphasia as a challenging symptom in the emergency setting: Predictors of epileptic mimic versus ischemic stroke
ConclusionsOur study underscores the importance of an accurate clinical bed-side assessment as the first step in the diagnostic and therapeutic decision-making process for patients presenting with aphasia. The detection of clinical and anamnestic features associated with an epileptic SM could be useful for the diagnostic process and for time-critical treatments.
Source: Journal of Clinical Neuroscience - June 17, 2019 Category: Neuroscience Source Type: research