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A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
ConclusionThe literature analyzed invites us to reflect respect to neurorehabilitation approach to the patient with chronic stroke sequelae often considered to have as its objective the maintenance of the present motor function and contain disability: instead, the review reports how, even in chronicity, the patient always reports margins of statistically and clinically significant improvement. The chronic stroke rehabilitation over 6 months has been proved effective in obtaining recovery in different settings.
Source: Frontiers in Neurology - September 15, 2023 Category: Neurology Source Type: research

The role of fetal-type posterior cerebral artery in mediating occipital and thalamic perfusion: An arterial spin labeling MRI study
This study investigates the relationship between the presence of fPCA and arterial spin labeling (ASL) hyperperfusion patterns in the medial occipital cortex and thalami.
Source: Journal of Medical Imaging and Radiation Sciences - September 15, 2023 Category: Radiology Authors: Emilian Kalchev Tags: Clinical Perspectives Source Type: research

Direct puncture of the superior ophthalmic vein for carotid cavernous fistulas: a 21-year experience
Conclusion Direct SOV cannulation to treat CCFs is safe and effective. Although it is typically used after other endovascular approaches have failed, SOV access for CCF treatment may be warranted as a first-line treatment for select patients.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Catapano, J. S., Srinivasan, V. M., De La Pena, N. M., Singh, R., Cole, T. S., Wilkinson, D. A., Baranoski, J. F., Rutledge, C., Pacult, M. A., Winkler, E. A., Jadhav, A. P., Ducruet, A. F., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Relationship between cerebral vasospasm vascular territory and functional outcome after aneurysmal subarachnoid hemorrhage
Conclusions In aneurysmal SAH, left-sided vasospasm is associated with worse discharge functional status. At 6 months, both ACA and BA vasospasm are associated with unfavorable functional status.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Cole, T. S., Rudy, R. F., Faridmoayer, E., Gandhi, S., Cavallo, C., Catapano, J. S., Jadhav, A. P., Lawton, M. T., Albuquerque, F. C., Ducruet, A. F. Tags: Hemorrhagic stroke Source Type: research

Reocclusion after successful endovascular treatment in acute ischemic stroke: systematic review and meta-analysis
Conclusion In cohorts of patients with AIS due to LVO, 5% of patients experienced reocclusion within 7 days after successful EVT. Repeated EVT can be a safe and effective treatment for selected patients with reocclusion.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Oliveira, R., Correia, M. A., Marto, J. P., Carvalho Dias, M., Mohamed, G. A., Nguyen, T. N., Nogueira, R. G., Aboul-Nour, H., Marin, H., Bou Chebl, A., Mohammaden, M. H., Al-Bayati, A. R., Haussen, D. C., Abdalkader, M., Fifi, J. T., Ortega-Gutierrez, S. Tags: Ischemic stroke Source Type: research

Post-reperfusion hyperperfusion after endovascular stroke treatment: a prospective comparative study of TCD versus MRI
Conclusions TCD is a reliable bedside tool to identify post-reperfusion hyperperfusion, correlates well with perfusion MRI, and indicates risk of reperfusion injury after MT.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Kneihsl, M., Hinteregger, N., Nistl, O., Deutschmann, H., Horner, S., Poltrum, B., Fandler-Höfler, S., Hatab, I., Haidegger, M., Pinter, D., Pichler, A., Willeit, K., Knoflach, M., Enzinger, C., Gattringer, T. Tags: Ischemic stroke Source Type: research

Endovascular treatment of wide-necked intracranial aneurysms using the Nautilus Intrasaccular System: initial case series of 41 patients at a single center
Conclusion This study demonstrates good safety and effectiveness using the Nautilus Intrasaccular System to treat both ruptured and unruptured intracranial aneurysms. Larger studies are needed to confirm these findings.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Sirakov, A., Bhogal, P., Sirakova, K., Penkov, M., Minkin, K., Ninov, K., Hristov, H., Hadzhiyanev, A., Karakostov, V., Sirakov, S. Tags: Open access, New devices New devices and techniques Source Type: research

Bridging thrombolysis improves survival rates at 90 days compared with direct mechanical thrombectomy alone in acute ischemic stroke due to basilar artery occlusion: a systematic review and meta-analysis of 1096 patients
Conclusions In patients with AIS due to BAO, bridging IVT was associated with lower mortality rates at 90 days, compared with direct MT. There were no improved functional outcomes or increased sICH or SAH between both arms, However, patients with LAA benefited from bridging IVT, with better functional outcomes.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Lee, K. S., Siow, I., Zhang, J. J., Syn, N. L., Gillespie, C. S., Yuen, L. Z., Anil, G., Yang, C., Chan, B. P., Sharma, V. K., Teoh, H.-L., Mingxue, J., Teo, K. S. H., Myint, M. Z., Bhogal, P., Meyer, L., Schob, S., Sia, C.-H., Mpotsaris, A., Maus, V., An Tags: Vascular neurology Source Type: research

Patient and hospital characteristics associated with do-not-resuscitate/do-not-intubate orders: a cross-sectional study based on the Taiwan stroke registry
Previous studies of do-not-resuscitate (DNR) or do-not-intubate (DNI) orders in stroke patients have primarily been conducted in North America or Europe. However, characteristics associated with DNR/DNI orders...
Source: BMC Palliative Care - September 15, 2023 Category: Palliative Care Authors: Hsu-Ling Yeh, Fang-I Hsieh, Li-Ming Lien, Wen-Hua Kuo, Jiann-Shing Jeng, Yu Sun, Cheng-Yu Wei, Po-Yen Yeh, Hei-Tung Yip, Cheng-Li Lin, Nicole Huang and Kai-Cheng Hsu Tags: Research Source Type: research

The murky waters of sex differences in post-stroke cognitive impairment
Nature Reviews Neurology, Published online: 15 September 2023; doi:10.1038/s41582-023-00880-5A new study indicates that although men and women are equally likely to experience cognitive impairment after acute ischaemic stroke, there are sex differences in particular cognitive domains. Whether these differences are directly linked to biological sex is uncertain, as many factors, including age and pre-stroke factors, could contribute to cognitive outcomes.
Source: Nature Reviews Neurology - September 15, 2023 Category: Neurology Authors: Louise D. McCullough Source Type: research

The Association of Spirituality with Anxiety and Depression in Stroke Survivor-Caregiver Dyads: An Actor-Partner Interdependence Model
CONCLUSIONS: This study highlights the importance of studying spirituality in the population with stroke. Spirituality seems to play an important protective role in both stroke survivors' and caregivers' depression but not in anxiety.PMID:37707977 | DOI:10.1097/JCN.0000000000000798
Source: The Journal of Cardiovascular Nursing - September 14, 2023 Category: Nursing Authors: Tatiana Bolgeo Maddalena De Maria Ercole Vellone Rossella Ambrosca Silvio Simeone Rosaria Alvaro Gianluca Pucciarelli Source Type: research

Bibliometric analysis of the worldwide scientific production on COVID-19 infection and cerebrovascular disease
CONCLUSION: It was observed that the United States was the country with the highest scientific production on COVID-19 and cerebrovascular disease in the year 2020 in the different health areas; however, more research is still needed worldwide for a better analysis of the bibliometric indicators on the subject.PMID:37706386 | DOI:10.4103/aca.aca_70_22
Source: Annals of Cardiac Anaesthesia - September 14, 2023 Category: Anesthesiology Authors: Camila Palomino-Leyva Jhonny Rivera-Recuenco Alicia Fernandez-Giusti John Barja-Ore Yesenia Retamozo-Siancas Frank Mayta-Tovalino Source Type: research

Aggressive LDL-C Lowering and the Brain: Impact on Risk for Dementia and Hemorrhagic Stroke: A Scientific Statement From the American Heart Association
The objective of this scientific statement is to evaluate contemporary evidence that either supports or refutes the conclusion that aggressive low-density lipoprotein cholesterol lowering or lipid lowering exerts toxic effects on the brain, leading to cognitive impairment or dementia or hemorrhagic stroke. The writing group used literature reviews, references to published clinical and epidemiology studies, clinical and public health guidelines, authoritative statements, and expert opinion to summarize existing evidence and to identify gaps in current knowledge. Although some retrospective, case control, and prospective lon...
Source: Arteriosclerosis, Thrombosis and Vascular Biology - September 14, 2023 Category: Cardiology Authors: Larry B Goldstein Peter P Toth Jennifer L Dearborn-Tomazos Robert P Giugliano Benjamin J Hirsh Jessica M Pe ña Magdy H Selim Daniel Woo American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Source Type: research

Assessment of Complex Flow Patterns in Patients With Carotid Webs, Patients With Carotid Atherosclerosis, and Healthy Subjects Using 4D Flow MRI
CONCLUSION: Lower TAWSS and higher OSI are present in the ICA bulb in patients with CaW when compared to patients with atherosclerotic or healthy subjects.EVIDENCE LEVEL: 2 TECHNICAL EFFICACY: Stage 2.PMID:37706274 | DOI:10.1002/jmri.29013
Source: Atherosclerosis - September 14, 2023 Category: Cardiology Authors: Retta El Sayed Charlie C Park Zahraw Shah Fadi B Nahab Diogo C Haussen Jason W Allen John N Oshinski Source Type: research

Risk factors and a prediction model for unruptured intracranial aneurysms in patients with ischemic stroke using carotid intima-media thickness and systemic atherosclerosis
CONCLUSION: The findings revealed that the risk factors for UIA in patients with IS included aspirin use, elevated CRP level, and smaller carotid IMT, and the predictive value of the prediction model was relatively better.PMID:37706007 | PMC:PMC10495834 | DOI:10.3389/fneur.2023.1227673
Source: Atherosclerosis - September 14, 2023 Category: Cardiology Authors: Gaiming Gao Dezhi Kang Jinning Zhang Zhixian Jiang Xueyang He Yanyu Wu Source Type: research