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Total 48 results found since Jan 2013.

Rectal administration of baclofen at the end of life
Spasticity can be a complicating symptom of a variety of neurological conditions such as multiple sclerosis, motor neuron disease, Creutzfeldt-Jakob disease, or post-stroke. Several pharmacological treatment options are available, including baclofen, tizanidine, gabapentin, botulinum toxin A and tetrahydrocannabinol/canabidiol (1, 2). However, treatment feasibility decreases as the end of life approaches, e.g. when patients are no longer able to tolerate oral medications, the onset of action would be too long, or the initiation of parenteral drug therapy (intravenous, intrathecal) is no longer indicated or appropriate.
Source: Journal of Pain and Symptom Management - August 7, 2018 Category: Palliative Care Authors: Charlotte Selge, Claudia Bausewein, Constanze Remi Source Type: research

Crossed cerebellar diaschisis in Creutzfeldt-Jakob disease evaluated through single photon emission computed tomography
Sporadic Creutzfeldt-Jakob disease (sCJD) is the most common form of human prion disease; it is characterized as a transmissible spongiform encephalopathy. Previously, only two case reports have discussed crossed cerebellar diaschisis (CCD) and sCJD. Herein, we detected CCD in five patients with sCJD and four patients with genetic CJD through SPECT. The combined data of the nine patients further supported CCD when analyzed by 3D-SSP. CCD can occur in several disorders, including, stroke, epilepsy, and encephalitis.
Source: Journal of the Neurological Sciences - September 24, 2018 Category: Neurology Authors: Kenya Nishioka, Michimasa Suzuki, Katsuya Satoh, Nobutaka Hattori Tags: Letter to the Editor Source Type: research

Renewed assessment of the risk of emergent advanced cell therapies to transmit neuroproteinopathies
AbstractThe inadvertent transmission of long incubating, untreatable and fatal neurodegenerative prionopathies, notably iatrogenic Creutzfeldt –Jakob disease, following transplantation of cadaver-derived corneas, pituitary growth, hormones and dura mater, constitutes a historical precedent which has underpinned the application of precautionary principles to modern day advanced cell therapies. To date these have been reflected by geograph ic or medical history risk-based deferral of tissue donors. Emergent understanding of other prion-like proteinopathies, their potential independence from prions as a transmissible agent ...
Source: Acta Neuropathologica - November 27, 2018 Category: Neurology Source Type: research

Progressive ataxia and cognitive decline in a 67-year-old male: a diagnostic challenge.
We report the case of a 67-year-old male who presented with a six-week history of progressive unsteadiness, cognitive impairment and weight loss, in the context of a recent bereavement. Magnetic resonance imaging (MRI) performed several weeks earlier excluded acute stroke. Examination revealed gross bilateral ataxia, bradyphrenia and physical manifestations of depression. Collateral history suggested rapidly progressing symptoms over three months. Repeat MRI head showed features suggestive of Creutzfeldt-Jakob disease (CJD) including T2 hyperintensities in the basal ganglia. Cerebrospinal ˜fluid (CSF) samples were positiv...
Source: Journal of the Royal College of Physicians of Edinburgh - September 17, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Advance Care Planning and Transitions to Comfort Measures after Stroke
Journal of Palliative Medicine, Ahead of Print.
Source: Journal of Palliative Medicine - December 23, 2020 Category: Palliative Care Authors: Rebecca J. Lank Fatema Shafie-Khorassani Xingyu Zhang Carmen Ortiz Sehee Kim Erin Case Claire J. Creutzfeldt Lewis B. Morgenstern Darin B. Zahuranec Source Type: research

Will MRI replace the EEG for the diagnosis of nonconvulsive status epilepticus, especially focal?
Authors: Gelisse P, Genton P, Crespel A, Lefevre PH Abstract Magnetic resonance imaging (MRI) can now be used to diagnose or to provide confirmation of focal nonconvulsive status epilepticus (NCSE). Approximately half of patients with status epilepticus (SE) have signal changes. MRI can also aid in the differential diagnosis with generalized NCSE when there is a clinical or EEG doubt, e.g. with metabolic/toxic encephalopathies or Creutzfeldt-Jakob disease. With the development of stroke centers, MRI is available 24h/24 in most hospitals. MRI has a higher spatial resolution than electroencephalography (EEG). MRI wit...
Source: Revue Neurologique - January 26, 2021 Category: Neurology Tags: Rev Neurol (Paris) Source Type: research

Medical and Surgical Management of Left Ventricular Assist Device-Associated Intracranial Hemorrhage
Management of left ventricular assist device (LVAD)-associated intracranial hemorrhage (ICH) is complicated by the competing concerns of hematoma expansion and the risk of thrombosis. Strategies include reversal or withholding of anticoagulation (AC) and neurosurgical (NSG) interventions. The consequences of these decisions can significantly impact both short- and long-term survival. Currently no guidelines exist. We reviewed medical and NSG practices following LVAD-associated ICH and analyzed outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - August 18, 2021 Category: Neurology Authors: Chinwe Ibeh, David L. Tirschwell, Claudius Mahr, Claire J. Creutzfeldt Source Type: research

Exploring the Recent Trends in Management of Dementia and Frailty: Focus on Diagnosis and Treatment
Curr Med Chem. 2022 Apr 8. doi: 10.2174/0929867329666220408102051. Online ahead of print.ABSTRACTDementia and frailty increase health adversities in older adults, which are topics of growing research interest. Frailty is considered to correspond to a biological syndrome associated with age. Frail patients may ultimately develop multiple dysfunctions across several systems, including stroke, transient ischemic attack, vascular dementia, Parkinson's disease, Alzheimer's disease, frontotemporal dementia, dementia with Lewy bodies, cortico-basal degeneration, multiple system atrophy, amyotrophic lateral sclerosis, and Creutzfe...
Source: Current Medicinal Chemistry - April 11, 2022 Category: Chemistry Authors: Md Mominur Rahman Sadia Afsana Mim Md Rezaul Islam Anwar Parvez Fahadul Islam Mohammad Borhan Uddin Md Saidur Rahaman Pollob Ahmed Shuvo Muniruddin Ahmed Nigel H Greig Mohammad Amjad Kamal Source Type: research

Documented Goals of Care Conversations with Hospitalized Patients After Severe Stroke (S513)
1. Understand the prevalence, frequency, timing, and content of a goals-of-care conversation (GOCC)2. Learn best practices in GOCC documentation
Source: Journal of Pain and Symptom Management - April 12, 2022 Category: Palliative Care Authors: Amber Comer, Claire Creutzfeldt, Robert Holloway, Stephanie Bartlett, James Slaven, Linda Williams, Alexia Torke Source Type: research

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