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Stroke prediction with CHA2DS2-VASc score in patients with mesenteric ischemia without atrial fibrillation-insights from a nationwide cohort
Conclusions A higher CHA2DS2-VASc score is demonstrated to be associated with an increased risk of ischemic stroke among patients with mesenteric ischemia without comorbid AF.
Source: Journal of Clinical Neuroscience - July 3, 2017 Category: Neuroscience Source Type: research

Carotid artery disease and perioperative stroke risk after surgical aortic valve replacement: A nationwide inpatient sample analysis
In conclusion, perioperative stroke risk has remained more or less constant despite advancements in surgical techniques with risk having gone up in patients <65years of age. CS and cerebral arterial occlusion significantly increase stroke risk following SAVR. Improved patient selection with pre-operative risk stratification and institution of preventive strategies are necessary to improve operative outcomes following SAVR.
Source: Journal of Clinical Neuroscience - June 29, 2017 Category: Neuroscience Source Type: research

Clinical and radiological assessment of cerebral hemodynamics after cranioplasty for decompressive craniectomy – A Clinical study
Conclusion Cranioplasty influences the cerebral hemodynamics after cranioplasty and has a positive correlation on the functional outcome and cerebral blood flow in the MCA territory.
Source: Journal of Clinical Neuroscience - June 29, 2017 Category: Neuroscience Source Type: research

Bilateral cerebral embolism as a characteristic feature of patients with Trousseau syndrome
This study suggests that bilateral infarctions presenting microembolisms are important features of cerebral embolism attributed to Trousseau syndrome.
Source: Journal of Clinical Neuroscience - June 29, 2017 Category: Neuroscience Source Type: research

Association of ischemic and hemorrhagic strokes hospital admission with extreme temperature in Nanchang, China —A case-crossover study
This study suggests that extreme high temperature might be a risk factor for both hemorrhagic and ischemic strokes, and that extreme low temperature might be a risk factor of hemorrhagic stroke. Further studies are necessary in order to clarify this relationship and provide evidence for stroke prevention.
Source: Journal of Clinical Neuroscience - June 17, 2017 Category: Neuroscience Source Type: research

Prognostic value of peripheral leukocyte counts and plasma glucose in intracerebral haemorrhage
Conclusion These results suggest that a logistic regression model using low admission glucose and low total leukocyte count may be markers of better prognosis in acute haemorrhagic stroke with a differential effect between sexes.
Source: Journal of Clinical Neuroscience - June 12, 2017 Category: Neuroscience Source Type: research

Clinical effects of air pollution on the central nervous system; a review
Publication date: Available online 18 May 2017 Source:Journal of Clinical Neuroscience Author(s): Robin M. Babadjouni, Drew M. Hodis, Ryan Radwanski, Ramon Durazo, Arati Patel, Qinghai Liu, William J. Mack The purpose of this review is to describe recent clinical and epidemiological studies examining the adverse effects of urban air pollution on the central nervous system (CNS). Air pollution and particulate matter (PM) are associated with neuroinflammation and reactive oxygen species (ROS). These processes affect multiple CNS pathways. The conceptual framework of this review focuses on adverse effects of air pollution wi...
Source: Journal of Clinical Neuroscience - May 19, 2017 Category: Neuroscience Source Type: research

Chronic kidney disease is independently associated with acute recurrent cerebral infarct in patients with atrial fibrillation
Conclusions We found that RCI frequently develops about 5days after admission in patients with AIS and AF and that chronic kidney disease is independently associated with RCI.
Source: Journal of Clinical Neuroscience - March 8, 2017 Category: Neuroscience Source Type: research

Metabolic syndrome and stroke: A meta-analysis of prospective cohort studies
Conclusions This meta-analysis suggests that metabolic syndrome might be an important risk factor of stroke, particularly among women and those with ischemic stroke.
Source: Journal of Clinical Neuroscience - March 7, 2017 Category: Neuroscience Source Type: research

Breakthroughs in the spasticity management: Are non-pharmacological treatments the future?
Publication date: Available online 3 March 2017 Source:Journal of Clinical Neuroscience Author(s): Antonino Naro, Antonino Leo, Margherita Russo, Carmela Casella, Antonio Buda, Aurelio Crespantini, Bruno Porcari, Luigi Carioti, Luana Billeri, Alessia Bramanti, Placido Bramanti, Rocco Salvatore Calabrò The present paper aims at providing an objective narrative review of the existing non-pharmacological treatments for spasticity. Whereas pharmacologic and conventional physiotherapy approaches result well effective in managing spasticity due to stroke, multiple sclerosis, traumatic brain injury, cerebral palsy and incomplet...
Source: Journal of Clinical Neuroscience - March 2, 2017 Category: Neuroscience Source Type: research

Clinical predictors for favorable outcomes from endovascular recanalization in wake-up stroke
Conclusions The results of this study suggest that the SRDT is an independent predictor of both an improvement of NIHSS score and a good functional outcome in endovascular recanalization for WUS patients.
Source: Journal of Clinical Neuroscience - March 1, 2017 Category: Neuroscience Source Type: research

Pharmacologic cardioversion with intravenous amiodarone is likely safe in neurocritically Ill patients
Publication date: Available online 13 February 2017 Source:Journal of Clinical Neuroscience Author(s): Michael Su, David Seki, Asma M. Moheet Neurological injury is often associated with cardiac abnormalities, including electrophysiological issues. Cardioversion of acute atrial fibrillation (<48h’ duration) without anticoagulation carries about a 0.7% risk of thromboembolism. There is limited data on managing acute atrial fibrillation specifically in the neuroscience intensive care unit (NSICU) setting. We sought to determine the safety of using intravenous (IV) amiodarone for restoring sinus rhythm in patients w...
Source: Journal of Clinical Neuroscience - February 13, 2017 Category: Neuroscience Source Type: research

Is carpal tunnel syndrome present in acute stroke patients? An investigative study using clinical and imaging screening tools
Publication date: Available online 10 February 2017 Source:Journal of Clinical Neuroscience Author(s): Chen Lin, Aaron I. Loochtan, Brian Dresser, Jianhong Chang, Alfredo E. Farjat, Kingshuk Choudhury, Lisa D. Hobson-Webb Carpal tunnel syndrome (CTS) is known to develop post-stroke. Median nerve ultrasound (US) is an inexpensive, effective means of screening. In this prospective feasibility study, we compared the ability of the physical exam, the Boston Carpal Tunnel Questionnaire (BCTQ) and median nerve US to screen for carpal tunnel syndrome (CTS) within 72hours of stroke onset. We enrolled 24 consecutive patients. Usin...
Source: Journal of Clinical Neuroscience - February 10, 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

Long-term follow-up analysis of microsurgical clip ligation and endovascular coil embolization for dorsal wall blister aneurysms of the internal carotid artery
Publication date: Available online 11 January 2017 Source:Journal of Clinical Neuroscience Author(s): Mason A. Brown, Cristian F. Guandique, Jonathan Parish, Aubrey C. McMillan, Stephen Lehnert, Nassir Mansour, Michael Tu, Bradley N. Bohnstedt, Troy D. Payner, Thomas J. Leipzig, Andrew J. DeNardo, John A. Scott, Aaron A. Cohen-Gadol Blister aneurysms at non-branching sites of the dorsal internal carotid artery (dICA) are fragile, rare, and often difficult to treat. The purpose of this study is to address the demographics, treatment modalities, and long-term outcome of patients treated for dICA blister aneurysms. A retrosp...
Source: Journal of Clinical Neuroscience - January 10, 2017 Category: Neuroscience Source Type: research

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