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Total 1014 results found since Jan 2013.

Relation of glycated hemoglobin with carotid atherosclerosis in ischemic stroke patients: An observational study in Indian population
Conclusions: Prediction of future risk and prevention strategies for ischemic stroke could be formulated by utilizing HbA 1 c levels in both diabetic and non-diabetic population.
Source: Annals of Indian Academy of Neurology - May 24, 2013 Category: Neurology Authors: Amit Shankar SinghVirendra AtamShyam Chand ChaudharyKamal Kumar SawlaniMunna Lal PatelSameer SarafBesthenahalli Erappa YathishLiza Das Source Type: research

Summary of evidence-based guideline: Periprocedural management of antithrombotic medications in patients with ischemic cerebrovascular disease: Report of the Guideline Development Subcommittee of the American Academy of Neurology
Objective: To assess evidence regarding periprocedural management of antithrombotic drugs in patients with ischemic cerebrovascular disease. The complete guideline on which this summary is based is available as an online data supplement to this article. Methods: Systematic literature review with practice recommendations. Results and recommendations: Clinicians managing antithrombotic medications periprocedurally must weigh bleeding risks from drug continuation against thromboembolic risks from discontinuation. Stroke patients undergoing dental procedures should routinely continue aspirin (Level A). Stroke patients underg...
Source: Neurology - May 27, 2013 Category: Neurology Authors: Armstrong, M. J., Gronseth, G., Anderson, D. C., Biller, J., Cucchiara, B., Dafer, R., Goldstein, L. B., Schneck, M., Messe, S. R. Tags: Ultrasound, All Medical/Systemic disease, All Neuro-ophthalmology, All Cerebrovascular disease/Stroke, All Trauma SPECIAL ARTICLE Source Type: research

Methotrexate induced leucoencephalopathy: A stroke mimic
We describe the case of a 17 year old girl with acute lymphoblastic leukemia, who developed stroke like episodes on two consecutive challenges with a chemotherapeutic regime which included intravenous and intrathecal methotrexate. She had MRI changes consistent with acute ischemic stroke on both occasions. Her deficits recovered completely and spontaneously, as did the MRI changes. She did not have any further episodes when methotrexate was excluded from the chemotherapeutic regime.
Source: Annals of Indian Academy of Neurology - August 26, 2013 Category: Neurology Authors: Tushar D GosaviMohammed Tauqeer AhmadLai-Heng LeeShih-Hui Lim Source Type: research

Knowledge, attitude and practice of stroke in India versus other developed and developing countries
Sujata Das, Shyamal Kumar DasAnnals of Indian Academy of Neurology 2013 16(4):488-493Rising stroke and higher mortality among Indian population needs focused attention for prevention and early management of stroke. In India, very few studies have been carried out to determine the causes of deficiencies in knowledge, attitude and practice (KAP) of stroke among Indians. Study on KAP is essential to improve the awareness about stroke, early diagnosis and institution of appropriate management. In this article, we have reviewed the existing literature on this issue and tried to compare it with those of developed countries and s...
Source: Annals of Indian Academy of Neurology - October 25, 2013 Category: Neurology Authors: Sujata DasShyamal Kumar Das Source Type: research

Stroke prevention in atrial fibrillation: Commentary regarding the AAN's evidence-based guideline update
Atrial fibrillation is a common, potentially preventable cause of disabling stroke in the elderly, particularly in elderly women, resulting from embolism of stasis-precipitated thrombi formed in the left atrial appendage. In 1989, the first randomized clinical trial of anticoagulant therapy in atrial fibrillation showed that warfarin produced a large reduction in ischemic stroke.1 In the ensuing 25 years, more than 40 additional randomized trials have permitted stroke prophylaxis to be importantly refined. It has been a period of remarkable progress in stroke prevention. Here, we discuss selected aspects of the American Ac...
Source: Nature Clinical Practice - April 14, 2014 Category: Neurology Authors: Hart, R. G., Eikelboom, J. W. Tags: Guideline Perspective Source Type: research

Intravenous thrombolysis in a patient with left atrial myxoma with acute ischemic stroke
In this report we describe our experience of IVT in atrial myxoma patient with ischemic stroke and review the relevant literature.
Source: Annals of Indian Academy of Neurology - November 5, 2014 Category: Neurology Authors: Girish Baburao KulkarniRavi YadavVeerendrakumar MustareSailesh Modi Source Type: research

Updating contextualized clinical practice guidelines on stroke rehabilitation and low back pain management using a novel assessment framework that standardizes decisions
Conclusions: The updating tool provides a simple, standard and novel approach that incorporates evidence hierarchy and quality, and wordings of recommendations. It could be used efficiently by other guideline updaters particularly in developing countries, where resources for guideline development and updates are limited. When many people are involved in guideline writing, there is always the possibility of ‘slippage’ in use of wording and interpretation of evidence. The PARM updating tool provides a mechanism for maintaining a standard process for guideline updating processes that can be followed by clinicians with bas...
Source: BMC Research Notes - November 4, 2015 Category: Research Authors: Ephraim GambitoConsuelo Gonzalez-SuarezKaren GrimmerCarolina ValdecañasJanine DizonMa. BeredoMarcelle Zamora Source Type: research

N-terminal pro-brain natriuretic peptide levels and short term prognosis in acute ischemic stroke
Conclusions: Plasma log NT-pro-BNP level appears to be a useful biological marker for predicting in-hospital mortality inpatients presenting with acute ischemic stroke.
Source: Annals of Indian Academy of Neurology - November 17, 2015 Category: Neurology Authors: Vandanapu NaveenBhuma VengammaAlladi MohanVelam Vanajakshamma Source Type: research

Sensitivity and Specificity of a Nurse Dysphagia Screen in Stroke Patients.
CONCLUSIONS: An easy-to-use, institutionally developed nurse dysphagia screening tool successfully identified patients with swallowing difficulties after stroke later diagnosed by SLP. PMID: 26434033 [PubMed - indexed for MEDLINE]
Source: Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses - November 30, 2015 Category: Nursing Tags: Medsurg Nurs Source Type: research

Kinematic and Kinetic Outcome of Robot Assisted Neurorehabilitation in Chronic Moderate-to-Severe Hemiparetic Stroke (P3.298)
Conclusions: RT+TTT was not significantly different from RT alone, suggesting that TTT did not interfere with motor learning conferred by RT. Study Supported by: American Academy of Neurology (AAN) and the VA Department of Research and Development VA Merit Award B6935RDisclosure: Dr. Iqbal has nothing to disclose. Dr. Conroy has nothing to disclose. Dr. Roy has nothing to disclose. Dr. Bever has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Iqbal, T., Conroy, S., Roy, A., Bever, C. Tags: Neurorehabilitation Source Type: research

Nutritional Improvement Correlates with Recovery of Activities of Daily Living among Malnourished Elderly Stroke Patients in the Convalescent Stage: A Cross-Sectional Study
Conclusions These findings suggest that nutritional improvement such as maintenance of body weight is associated with the efficient recovery of activities of daily living among malnourished elderly convalescent stroke patients.
Source: Journal of the Academy of Nutrition and Dietetics - April 24, 2016 Category: Nutrition Source Type: research

Mechanical thrombectomy for acute ischemic stroke in pregnancy using the penumbra system
Sanjith Aaron, NK Shyamkumar, Sunithi Alexander, P Suresh Babu, AT Prabhakar, Vinu Moses, TV Murthy, Mathew AlexanderAnnals of Indian Academy of Neurology 2016 19(2):261-263Even though intravenous thrombolysis with tissue plasminogen activator (IV tPA) is the standard of care in acute ischemic stroke, its use in pregnancy is not clearly defined. Mechanical thrombectomy devices can be an option; however, literature on the use of such mechanical devices in stroke in pregnancy is lacking. Here we describe two cases that developed acute embolic stroke during pregnancy who were successfully treated by mechanical clot retrieval ...
Source: Annals of Indian Academy of Neurology - May 11, 2016 Category: Neurology Authors: Sanjith AaronNK ShyamkumarSunithi AlexanderP Suresh BabuAT PrabhakarVinu MosesTV MurthyMathew Alexander Source Type: research

Innovations in acute stroke reperfusion strategies
Venugopalan Y Vishnu, MV Padma SrivastavaAnnals of Indian Academy of Neurology 2019 22(1):6-12 Vascular neurology is witnessing unprecedented innovations in the management of acute ischemic stroke, especially in reperfusion strategies. The emergence of mechanical thrombectomy with new generation devices has revolutionized the treatment of acute ischemic stroke with large vessel occlusion. The reperfusion strategies are evolving with the extension of the window period for thrombolysis and endovascular therapy through the concept of “tissue clock” in addition to the established “time c...
Source: Annals of Indian Academy of Neurology - December 26, 2018 Category: Neurology Authors: Venugopalan Y Vishnu MV Padma Srivastava Source Type: research

The risk of symptomatic intracranial hemorrhage after thrombolysis for acute stroke: Current concepts and perspectives
Conclusions: In addition to the already known risk factors considered in the standard protocols, an individualized evaluation of risks is needed to minimize the risk of brain hemorrhage after thrombolysis for ischemic stroke.
Source: Annals of Indian Academy of Neurology - June 30, 2019 Category: Neurology Authors: Pedro J Modrego Source Type: research

Burden faced by caregivers of stroke patients who attend rural-based medical teaching hospital in western India
Conclusions: A structured and targeted caregiver intervention is urgently needed to relieve caregivers' burden and related psychological comorbidities in an Indian setup.
Source: Annals of Indian Academy of Neurology - January 20, 2020 Category: Neurology Authors: Bhavin Mandowara Alpa N Patel Amee A Amin Ajay Phatak Soaham Desai Source Type: research