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Endovascular Treatment for Spontaneous bilateral carotid artery dissection with acute ischemic stroke: A Case Report with automated postprocessing CT perfusion findings and Review of the Literature
Acta Neurol Taiwan. 2023 Jun 30;32(2):48-56.ABSTRACTCarotid artery dissection (CAD) is a common cause of stroke, accounting for up to 25% of all ischemic strokes in young and middle-aged patients. CAD should be considered in young patients with unexplained head and neck pain, with or without focal neurological symptoms and signs. While the clinical features may raise suspicion for CAD, the diagnosis is confirmed by its typical neuroimaging findings. Meanwhile, simultaneous spontaneous dissection of the bilateral carotid artery has rarely been reported. We herein describe a clinically challenging case of a simultaneous bila...
Source: Acta Neurologica Taiwanica - May 17, 2023 Category: Neurology Authors: Pao-Sheng Yen Yu-Hui Lin Ting-Wei Chang Chun-Pai Yang Source Type: research

Spontaneous vertebral artery dissection with thunderclap headache: a case report and review of the literature.
CONCLUSION: The most common neuroimaging findings of VAD were vertebral artery stenosis, followed by the string and pearls sign, arterial dilation, arterial occlusion, and the less common but most characteristic features of pseudoaneurysm formation, double lumen, and intimal flap. Pain in VAD mostly occurred in the ipsilateral posterior occipitonuchal region, with throbbing features in 50- 60% of the patients. Only one fifth of patients with VAD present with a thunderclap pattern. In stroke among young patients or stroke with pain in the head and neck, angiography study of the craniocervical artery is highly recommended. ...
Source: Acta Neurologica Taiwanica - December 12, 2015 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

A Rare Case of Painful Trigeminal Neuropathy Secondary to Lateral Medullary Infarct: Neuroimaging and Electrophysiological Studies.
CONCLUSION: Painful trigeminal neuropathy attributed to lateral medullary infarct is a unique disease entity. Ophthalmic branch involvement, coexisting sensory deficits, absence of triggers, and rapid evolvement and remission are its characteristics. Our neuroimaging study delineated ischemic stroke pathology within descending tract and spinal nucleus of trigeminal nerve. Serial electrophysiological studies provide evidences supporting ephaptic transmission as the main pathogenesis concordant with dynamics of neuropathic pain and therapeutic implications. PMID: 26179839 [PubMed - in process]
Source: Acta Neurologica Taiwanica - December 12, 2015 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

Guideline of neuropathic pain treatment and dilemma from neurological point of view.
Authors: Yang CM, Chen NC, Shen HC, Chou CH, Yeh PS, Lin HJ, Chang CY, Cheng TJ, Lin KC Abstract Neuropathic pain is a complicated symptomatic disease as migraine in recent years. Not because the pain character differed from the nociceptive inflammatory symptoms but because of its complexity of mechanisms. Though peripheral sensitization, ectopic discharge, central sensitization, central re-organization and loss of inhibition play part of roles in mechanisms, however, based on this mechanistic treatment, the outcome still disappointed physicians and patients, exampled as central post-stroke central pain (CPSP). The...
Source: Acta Neurologica Taiwanica - December 12, 2015 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

The Clot Strikes Thrice: Case Report of a Patient with 3 Concurrent Embolic events.
CONCLUSION: In selected patients with high embolic risks, urgent anticoagulation after acute ischemic stroke can be a possible treatment option. PMID: 27333833 [PubMed - as supplied by publisher]
Source: Acta Neurologica Taiwanica - June 25, 2016 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

A case with prolonged headache after COVID-19 vaccination and later developed Bell's palsy
CONCLUSION: Reactivation of latent herpes virus has been suggested as one of the possible mechanisms underlying the phenomenon, but the causal pathophysiology related to the symptom needs further validation. Moreover, in the event of facial palsy post-vaccination, alternative diagnoses such as Guillain-Barre syndrome (GBS), Ramsey-Hunt syndrome, Lyme disease, trauma, central nervous system infection (CNS) infection, or stroke should also be considered.PMID:37198509
Source: Acta Neurologica Taiwanica - May 17, 2023 Category: Neurology Authors: Yi-Yang Hsiao Ling-Jun Liu Yo-Lin Lin Source Type: research

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