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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Diabetes
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Total 164 results found since Jan 2013.
Early Clinical Signs, Lesion Localization, and Prognostic Factors in Unilateral Symptomatic Internal Carotid Artery Occlusion
Conclusions: In unilateral symptomatic intracranial carotid artery occlusion, poor prognosis and high mortality–associated territorial stroke pattern is frequently observed. Besides, presence of severe stenosis or occlusion and absence of collateral circulation in MCA are associated with poor prognosis.
Source: Journal of Stroke and Cerebrovascular Diseases - April 18, 2014 Category: Neurology Authors: Sibel Güler, Ufuk Utku, Özer Aynaci Tags: Original Articles Source Type: research
Infarction in the Anterior Choroidal Artery Territory: Clinical Progression and Prognosis Factors
This study was undertaken to describe the still poorly known evolving profile of anterior choroidal artery (AChA) infarctions, identify their prognosis factors, and evaluate responses to intravenous (IV) thrombolysis. During 42 months, we prospectively enrolled patients with an isolated AChA stroke. Clinical and radiologic parameters were compared between patients with or without progression, defined as any clinical worsening. Factors associated with poor outcome (dependence or death) were tested, and IV thrombolysis responses were assessed. For the 100 of 1234 (8.1%) analyzed patients with AChA stroke (predominantly lacu...
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2014 Category: Neurology Authors: Nicolas Chausson, Julien Joux, Martine Saint-Vil, Mireille Edimonana, Séverine Jeannin, Mathieu Aveillan, Philippe Cabre, Stéphane Olindo, Didier Smadja Tags: Original Articles Source Type: research
The Effect of Cilostazol on Carotid Intima–Media Thickness Progression in Patients with Symptomatic Intracranial Atherosclerotic Stenosis
Conclusion: Cilostazol has a beneficial effect in preventing the progression of CIMT in ischemic stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - December 9, 2013 Category: Neurology Authors: Bum Joon Kim, Joung-Ho Rha, Seong Rae Kim, Dong-Eog Kim, Hahn Young Kim, Ju-Hun Lee, Hee-Joon Bae, Moon-Ku Han, Dong-Wha Kang, Disya Ratanakorn, Jong S. Kim, Sun U. Kwon Tags: Original Articles Source Type: research
Quality of Referrals and Guideline Compliance for Time to Consultation at an Acute Neurovascular Clinic
The Age, Blood pressure, Clinical features, Duration of symptoms, Diabetes (ABCD2) score can be used to predict early recurrent stroke risk following Transient ischemic attack (TIA). Given that recurrent stroke risk can be as high as 20% in the first week, international guidelines recommend “high-risk” TIAs (ABCD2>3) be seen by specialist services such as dedicated acute neurovascular clinics within 24 hours. The goal of this study was to examine the associations of both quality of referrals to a specialist acute clinic and of “guideline congruence” of time-to-clinic consultation after TIA/minor stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 26, 2015 Category: Neurology Authors: Milton Sales, Debbie Quain, Dan Lasserson, Christopher Levi, Christopher Oldmeadow, Moyez Jiwa, Mark Parsons, Michelle Russell, Jamie Clarey, Parker Magin Source Type: research
Association between Hypertriglyceridemia and Lacunar Infarction in Type 2 Diabetes Mellitus
This study attempted to evaluate whether hypertriglyceridemia is associated with lacunar stroke in diabetes mellitus (DM).
Source: Journal of Stroke and Cerebrovascular Diseases - May 21, 2015 Category: Neurology Authors: Dong-Won Shin, Kyung Bok Lee, Jae-Young Seo, Ji-Sun Kim, Hakjae Roh, Moo-Young Ahn, Ji-Sung Lee Source Type: research
Clinical Characteristics of Cardioembolic Transient Ischemic Attack: Comparison with Noncardioembolic Transient Ischemic Attack
Conclusions: Clinical features are similar in tissue-defined TIA of cardioembolic and noncardioembolic etiologies. The CHADS2 score can be useful in assessing the probability of cardioembolic TIA.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2014 Category: Neurology Authors: Takeshi Hayashi, Yoshihide Seahara, Yuji Kato, Takuya Fukuoka, Ichiro Deguchi, Yasuko Ohe, Hajime Maruyama, Yohsuke Horiuchi, Hiroyasu Sano, Yuito Nagamine, Norio Tanahashi Tags: Original Articles Source Type: research
Blood Pressure Is the Determinant for the Increased Risk for Intracranial Arterial Stenosis in Subjects with Elevated Glycated Hemoglobin Levels: The Kangbuk Samsung Health Study
Ischemic stroke is known to be an important vascular complication of diabetes. Intracranial arterial stenosis (ICAS) is considered as an important cause of stroke in Asians. We aimed to analyze the risk for ICAS assessed by transcranial Doppler (TCD) ultrasonography in different groups of young Korean subjects divided by glycated hemoglobin (HbA1c) levels.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2016 Category: Neurology Authors: Hyung-Geun Oh, Eun-Jung Rhee Source Type: research
Cost-effectiveness of carotid artery stenting vs endarterectomy: A simulation
Clinical trials conducted before the introduction of modern medical management to prevent stroke demonstrated that carotid endarterectomy (CEA) and carotid artery stenting (CAS) prevent stroke following transient ischemic attack (TIA). We compared the cost-effectiveness of CEA, CAS, and modern medical management in two secular settings of medical management in individuals with incident TIA and type 2 diabetes.
Source: Journal of Stroke and Cerebrovascular Diseases - November 30, 2022 Category: Neurology Authors: Deanna J. Marriott, Shihchen Kuo, Wen Ye, Deborah A. Levine, William H. Herman Source Type: research
Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes diagnosed after metformin-triggered stroke-like episodes
A 40-year-old man with sensorineural hearing loss and diabetes mellitus was hospitalized with acute-onset impaired consciousness and clumsiness in his left hand. He had been taking metformin (750 mg/day) for 4 months. He had no febrile illness, energy failure, or use of mitochondria-toxic drugs other than metformin. The patient had a family history of diabetes mellitus (maternal uncle and aunt). His weight and height were 35 kg and 1.58 m, respectively. A neurological examination revealed confusion and weakness in the left upper limb.
Source: Journal of Stroke and Cerebrovascular Diseases - March 16, 2023 Category: Neurology Authors: Keishu Murakami, Ken Sakamoto, Hiroshi Ishiguchi, Hidefumi Ito Tags: Case Report Source Type: research
Hemorrhagic Transformation during Thrombolytic Therapy and Reperfusion: Effects of Age, Blood Pressure, and Matrix Metalloproteinases
Background: Despite the increasing use of thrombolytic therapy for acute ischemic stroke, hemorrhagic transformation remains a significant complication. Transformation appears to occur more frequently with age, diabetes, and hypertension, but clinical data are mixed. In addition to risk factors, matrix metalloproteinase expression mediates hemorrhage. We sought to test the effects of age, hypertension, and matrix metalloproteinases during recombinant tissue plasminogen activator (rt-PA) treatment in a standard model of filament occlusion of the middle cerebral artery.Methods: We compared young and aged rats who were geneti...
Source: Journal of Stroke and Cerebrovascular Diseases - March 4, 2013 Category: Neurology Authors: Patrick D. Lyden Tags: Original Articles Source Type: research
Comparison of Carotid and Cerebrovascular Stenosis between Diabetic and Nondiabetic Patients Using Digital Subtraction Angiography
Conclusions: This retrospective study suggests that diabetes be associated with higher incidence of nonobstructive stenosis and that there be no significant difference observed in the extent and distribution of the extra- and intracranial artery stenoses between diabetic and nondiabetic patients.
Source: Journal of Stroke and Cerebrovascular Diseases - January 6, 2014 Category: Neurology Authors: Fang Yang, Ling Liu, Weijun Xu, Haibo Liu, Qin Yin, Hua Li, Ruibing Guo, Renliang Zhang, Xinfeng Liu Tags: Original Articles Source Type: research
Diagnostic Accuracy and Risk Factors of the Different Lacunar Syndromes
Conclusions: The clinical diagnosis of patients with lacunar syndromes is inaccurate, especially among patients with sensorimotor syndrome. DWI is mandatory for obtaining an accurate diagnosis of the infarct.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Marianne Altmann, Bente Thommessen, Ole Morten Rønning, Antje S. Reichenbach, Brynjar Fure Tags: Original Articles Source Type: research
Cerebral Aspergillosis in a Diabetic Patient Leading to Cerebral Artery Occlusion and Ischemic Stroke: A Case Report and Literature Review
We describe the case of a 50-year-old female diabetic with a history of otitis media, an uncharacterized inflammatory nasopharyngeal process, and prior ischemic strokes who presented with a new cerebral infarction in the setting of an angioinvasive fungal infection of the large cerebral arteries.
Source: Journal of Stroke and Cerebrovascular Diseases - November 8, 2014 Category: Neurology Authors: Wentao Li, Neelofer Shafi, Ramayee Periakaruppan, Tibor Valyi-Nagy, John Groth, Fernando D. Testai Tags: Case Report Source Type: research
Sulfonylurea Pretreatment and In-Hospital Use Does Not Impact Acute Ischemic Strokes (AIS) Outcomes Following Intravenous Thrombolysis
Preliminary studies have indicated that sulfonylurea drugs (SUD) may confer protection against cerebral swelling and hemorrhagic transformation in severe acute ischemic stroke (AIS). We sought to determine whether pretreatment and in-hospital use of SUD may be associated with better outcomes in diabetic AIS patients treated with intravenous thrombolysis (IVT).
Source: Journal of Stroke and Cerebrovascular Diseases - November 15, 2016 Category: Neurology Authors: Georgios Tsivgoulis, Nitin Goyal, Sulaiman Iftikhar, Ramin Zand, Jason J. Chang, Lucas Elijovich, Anne W. Alexandrov, Marc D. Malkoff, Andrei V. Alexandrov Source Type: research
Transient Global Amnesia Secondary to Atherosclerotic Stenosis of Accessory Posterior Cerebral Artery
A 65-year-old woman was presented with a sudden onset of anterograde amnesia and iterative questioning after physical activity. Her past medical history included hypertension, diabetes, 2 symptomatic stroke events involving left temporal lobe infarction (Fig 1, A), and left basal ganglia infarction. There were no other positive neurological signs on this admission except for the previously right hemiparesis. At 3 days after onset, diffusion-weighted imaging (DWI) showed left hippocampal restricted diffusion foci (Fig 1, B).
Source: Journal of Stroke and Cerebrovascular Diseases - January 29, 2019 Category: Neurology Authors: Zhiyong Zhang, Zhiqin Liu, Dantao Peng Tags: Case Study Source Type: research
