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Total 626 results found since Jan 2013.
The organisation of the acute ischemic stroke management: key notes of the Italian Neurological Society and of the Italian Stroke Organization
AbstractThe main aim of acute ischemic stroke treatment is the as much possible prompt, safe and effective arterial recanalisation, in order to restore reperfusion into the ischemic brain area. The procedures obtaining this result are rapidly evolving and in the last years, we observed new evidences that affirmed the therapeutical benefit of the concomitant treatment using endovenous thrombolysis and mechanical thrombectomy in selected patients with ischemic stroke. However, all treatments are time-sensitive and the main limitation for their application is represented by the time. For this reason, the optimisation of the a...
Source: Neurological Sciences - November 27, 2017 Category: Neurology Source Type: research
Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): a prospective, single-blinded, randomised trial
Publication date: Available online 28 August 2018Source: The Lancet NeurologyAuthor(s): Rainer Dziewas, Rebecca Stellato, Ingeborg van der Tweel, Ernst Walther, Cornelius J Werner, Tobias Braun, Giuseppe Citerio, Mitja Jandl, Michael Friedrichs, Katja Nötzel, Milan R Vosko, Satish Mistry, Shaheen Hamdy, Susan McGowan, Tobias Warnecke, Paul Zwittag, Philip M Bath, Tobias Braun, Rainer Dziewas, Michael FriedrichsSummaryBackgroundDysphagia after stroke is common, especially in severely affected patients who have had a tracheotomy. In a pilot trial, pharyngeal electrical stimulation (PES) improved swallowing function in this ...
Source: The Lancet Neurology - August 29, 2018 Category: Neurology Source Type: research
The clinical management and rehabilitation of post stroke aphasia in Italy: evidences from the literature and clinical experience
AbstractAphasia is one of the most devastating symptoms in stroke survivors and severely affects patients ’ communication, quality of life, and social interactions. Several factors are critical to the prediction of aphasia recovery, including acute stroke management and subsequent language rehabilitation. A comprehensive assessment of language skills with appropriate instruments in different phases of post stroke months and years is needed in patients, in order to monitor their language improvement and to guide speech therapies over time. Beyond spontaneous recovery, the effects of speech and language therapy in terms of...
Source: Neurological Sciences - March 20, 2019 Category: Neurology Source Type: research
Adherence to recommendations and clinical outcomes of patients hospitalized for stroke: the role of the admission ward —a real-life investigation from Italy
ConclusionsFor patients with acute ischemic and hemorrhagic stroke, admission to neuro vs. general wards is associated with better out-of-hospital healthcare and long-term adverse outcomes.
Source: Neurological Sciences - April 1, 2019 Category: Neurology Source Type: research
Evaluation of the psychometric properties of the Barthel Index in an Italian ischemic stroke population in the acute phase: a cross-sectional study.
This study demonstrates the psychometric properties of the IcaBI in an Italian stroke population, and therefore shows that the scale can be considered a valid and reliable assessment tool for measuring functional disability in Italian acute ischemic stroke survivors.
PMID: 31172937 [PubMed - in process]
Source: Functional Neurology - June 9, 2019 Category: Neurology Tags: Funct Neurol Source Type: research
Stroke-Like Presentation of Paraneoplastic Cerebellar Degeneration: a Single-Center Experience and Review of the Literature.
We report herein incidence and clinical features of hyperacute onset PCD, a vertebrobasilar stroke mimic. We performed a retrospective analysis of all suspected PCD cases referred to the Udine University Hospital between 2009 and 2017. Our center provides the only neuroimmunology laboratory for three provinces of the Friuli-Venezia Giulia region, Italy (983,190 people as of January 1, 2017). Inclusion criteria were (1) abrupt onset of neurological symptoms; (2) initial consideration of a vascular etiology; (3) final diagnosis of "definite PCD." We also carried out a systematic review of the literature in order to identify ...
Source: Cerebellum - August 28, 2019 Category: Neuroscience Authors: Vogrig A, Bernardini A, Gigli GL, Corazza E, Marini A, Segatti S, Fabris M, Honnorat J, Valente M Tags: Cerebellum Source Type: research
Request of hospital care dropped for TIA but remained stable for stroke during COVID-19 pandemic at a large Italian university hospital
AbstractReduced incidence of stroke during COVID-19 pandemic was sometimes reported. While decrease in stroke incidence and fear of patients to go to the hospitals were sometimes invoked to explain this decrease, reduction in urban pollution was also hypothesized as a possible cause. We investigated statistically the incidence of ischemic and hemorrhagic stroke, and of transient ischemic attacks, at a large Italian tertiary stroke center during the pandemic. We analyzed statistically the number of transient ischemic attacks (TIA), ischemic strokes (IS) and hemorrhagic strokes (HS) between March 8 and May 2, 2020, the pe...
Source: Internal and Emergency Medicine - October 15, 2020 Category: Emergency Medicine Source Type: research
Stroke management during the COVID-19 outbreak: challenges and results of a hub-center in Lombardy, Italy
ConclusionEndovascular treatment of stroke presented several challenges during the COVID-19 outbreak. Within the hospital, special pathways can be used to maintain both procedural safety and procedural times.
Source: Neuroradiology - January 7, 2021 Category: Radiology Source Type: research
Sensors, Vol. 21, Pages 6739: Reactive Exercises with Interactive Objects: Interim Analysis of a Randomized Trial on Task-Driven NMES Grasp Rehabilitation for Subacute and Early Chronic Stroke Patients
Conclusions: The S2 system, developed according to shared clinical directives, was tested in a clinical proof of concept. Variations of ARAT scores confirm the feasibility of clinical investigation for hand rehabilitation after stroke.
Source: Sensors - October 11, 2021 Category: Biotechnology Authors: Andrea Crema Ivan Furfaro Flavio Raschell à Mauro Rossini Johannes Zajc Constantin Wiesener Walter Baccinelli Davide Proserpio Andreas Augsten Nancy Immick Sebastian Becker Matthias Weber Thomas Schauer Karsten Krakow Giulio Gasperini Franco Molteni Mich Tags: Article Source Type: research
Home Rehabilitation System in Chronic Stroke: An Observational Study in Central Italy
Conclusions: Territorial rehabilitation system should consider some fundamental aspects: centrality of the person and the individual health project; identification of specific and personalized rehabilitation plan and prognosis based on the results of a follow-up; ultra-specialization of interventions; multidisciplinary team; highlight of the emerging needs; and coordination of the different care pathways.
Source: Neurology India - October 30, 2021 Category: Neurology Authors: Raoul Saggini Roberto Veraldi Simona Maria Carmignano Tommaso Palermo Chiara Russo Giovanni Barassi Rosa Grazia Bellomo Source Type: research
IJERPH, Vol. 19, Pages 5215: Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study
Conclusions: This work has shown how, thanks to the implementation of protocols for the management of the COU of the Neurology and Stroke Unit, the work of doctors has improved, and this is evident from the values of the parameters taken into consideration.
Source: International Journal of Environmental Research and Public Health - April 26, 2022 Category: Environmental Health Authors: Giovanni Improta Anna Borrelli Maria Triassi Tags: Article Source Type: research
The PRESTO study: awareness of stroke symptoms and time from onset to intervention
In conclusion, our results may suggest that an informative campaign can be successf ul in making people rapidly aware of stroke onset, with the consequent rapid access to hospitals. Considering the changing of way of access to information, we think that an extensive multimedia campaign should be evaluated in the next future.
Source: Neurological Sciences - October 3, 2022 Category: Neurology Source Type: research
Current territorial organization for access to revascularization therapies for acute ischemic stroke in the Veneto region (Italy) from 2017 to 2021
ConclusionsTreatment target rates of IVT and MT set by Action Plan for Stroke in Europe 2018 –2030 has been globally exceeded in the Veneto region. However, the target rate of MT and access revascularization treatments is heterogeneous among different macro-areas. Further efforts should be made to homogenize the current territorial organization.
Source: Neurological Sciences - February 8, 2023 Category: Neurology Source Type: research
The impact of cognitive function deficits and their recovery on functional outcome in subjects affected by ischemic subacute stroke: results from the Italian multicenter longitudinal study CogniReMo
CONCLUSIONS: The relationship between cognitive and motor deficits is increasingly highlighted and the recovery of executive functions deficits seems to contribute to motor recovery.CLINICAL REHABILITATION IMPACT: Our results suggest that the recovery of executive functions may promote the recovery of the functional outcome of the patient with subacute stroke. Future treatment protocols may benefit from paying more attention to the recovery of executive functions.PMID:37184413 | DOI:10.23736/S1973-9087.23.07716-X
Source: Health Physics - May 15, 2023 Category: Physics Authors: Mauro Mancuso Marco Iosa Laura Abbruzzese Alessandro Matano Michela Coccia Silvia Baudo Adonella Benedetti Carmen Gambarelli Simona Spaccavento Giordano Ambiveri Marisa Megna Paola Tognetti Alessandra Maietti Maria L Rinaldesi Giulia Gamberini Valentina V Source Type: research
