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Source: Neurology
Procedure: CT Scan

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Total 127 results found since Jan 2013.

Serpiginous cranial arterial calcification in uremia
A 65-year-old man with chronic kidney disease (CKD) on hemodialysis presented with a subcortical stroke. Unenhanced CT scan of the brain revealed widespread arterial calcification, notably involving the carotid siphons (figure 1) and external carotid artery branches (figure 2, A and B). Vascular calcification in CKD closely resembles ossification, and may involve the intima (as in atherosclerosis) or more commonly the media.1 Both patterns of calcification are associated with increased cardiovascular mortality, though no specific treatment has been shown to modify this risk.2 This example is particularly striking for the s...
Source: Neurology - October 2, 2017 Category: Neurology Authors: Shamy, M. C., Yogendrakumar, V., Iancu, D., Bourque, P. R. Tags: CT, All Medical/Systemic disease, All Cerebrovascular disease/Stroke NEUROIMAGES Source Type: research

Evaluation of hyperacute infarct volume using ASPECTS and brain CT perfusion core volume
Conclusions: We found no significant difference between the accuracy of CT perfusion and ASPECTS to predict hyperacute MRI lesion volume in ischemic stroke.
Source: Neurology - June 12, 2017 Category: Neurology Authors: Demeestere, J., Garcia-Esperon, C., Garcia-Bermejo, P., Ombelet, F., McElduff, P., Bivard, A., Parsons, M., Levi, C. Tags: CT, MRI, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Effect Of Insufficient Blood Pressure Control On Intracerebral Hemorrhage Volume In Patients Transferred To A Comprehensive Stroke Center (P2.255)
Conclusions:Poorly controlled BP following ICH transfer to a CSC was associated with increased hematoma volume without worsening overall clinical outcome. Further analysis with a larger sample size may support and expand our observations and lend support to performance improvement initiatives focused on improving BP control at the referring hospital prior to patient transfer.Disclosure: Dr. Tversky has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Tversky, S. Tags: Intracerebral Hemorrhage Source Type: research

To study the impact of chronic vasodilator therapy on perihematomal edema in primary intracerebral hemorrhage(ICH) (P2.259)
Conclusions:Though limited by small sample size, this retro spective study suggests that chronic vasodilator therapy may serve to prevent worsening cerebral edema. This is a tantalizing finding that, if confirmed, could lead to potential pharmacological interventions for patients with ICH. Further prospective studies evaluating the effect of vasodilators in this patient population will be required.Disclosure: Dr. Singh has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Pennington has nothing to disclose. Dr. Gupta has nothing to disclose. Dr. Shapshak has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Singh, M., Albright, K., Pennington, A., Gupta, S., Shapshak, A. H. Tags: Intracerebral Hemorrhage Source Type: research

Retinal and Ophthalmic Artery Studies in Ischemic Stroke Patients Using Fundus Photography and Transcranial Doppler Methods (P4.252)
Conclusions:Our study in a robust sample of non-severe stroke patients showed that abnormal retinal AVR is strongly associated with IS patients even after accounting for traditional risk factors. OA-TCD studies, on the other hand, did not have significant associations with stroke group.Disclosure: Dr. Patil has nothing to disclose. Dr. Narayan has nothing to disclose. Dr. Babu K has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Patil, K., Narayan, S., Babu, K. R. Tags: Acute and Diagnostic Imaging in Ischemic Stroke and TIA Source Type: research

Clinical and imaging characteristics of silent brain infarction and symptomatic stroke (P4.257)
Conclusions:In an imaging-defined brain infarct cohort, SBI is highly prevalent and encompasses a spectrum of clinical presentations. The majority of individuals with SBI have no documented symptoms or deficits.Disclosure: Dr. Albazli has nothing to disclose. Dr. Leung has nothing to disclose. Dr. Huggins has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Albazli, K., Leung, L., Huggins, H. Tags: Acute and Diagnostic Imaging in Ischemic Stroke and TIA Source Type: research

Intravenous Thrombolysis for Acute Ischemic Stroke in Patients with Thrombocytopenia (P4.264)
Conclusions:IV rtPA for AIS might be safe in patients with platelet count <100,000/mm3 and it is reasonable not to delay IV rtPA administration while waiting for the platelet count result, unless there is strong suspicion for abnormal platelet count .Disclosure: Dr. Mowla has nothing to disclose. Dr. Kamal has nothing to disclose. Dr. Lail has nothing to disclose. Dr. Vaughn has nothing to disclose. Dr. Mehla has nothing to disclose. Dr. Deline has nothing to disclose. Dr. Ching has nothing to disclose. Dr. Crumlish has nothing to disclose. Dr. Sawyer has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mowla, A., Kamal, H., Lail, N., Vaughn, C., Mehla, S., Deline, C., Ching, M., Crumlish, A., Sawyer, R. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research

Collaborative Interventions Reduce Time-to-Thrombolysis for Acute Ischemic Stroke in an Urban, Public Hospital (P4.270)
Conclusions:Targeted, multidisciplinary, collaborative interventions are associated with substantial and significant reductions in time to thrombolysis. Such targeted interventions are effective and feasible in the unique setting of a public safety net hospital.Disclosure: Dr. Threlkeld has nothing to disclose. Dr. Kozak has nothing to disclose. Dr. Cole has nothing to disclose. Dr. Martin has nothing to disclose. Dr. Singh has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Threlkeld, Z., Kozak, B., Cole, S., Martin, C., Singh, V. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research

Herniation despite Decompression Hemicraniectomy in Large Hemispherical Strokes (P4.288)
Conclusions:Besides craniectomy length, volume not centered over the stroke bed may be a predictor of progressive herniation.Disclosure: Dr. Hinduja has nothing to disclose. Dr. Hannawi has nothing to disclose. Dr. Samant has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Hinduja, A., Hannawi, Y., Samant, R. Tags: In-Hospital Stroke Care Source Type: research

Giant-Cell Arteritis Presenting as Isolated Bilateral CN-VI Palsies: A Rare Case Report of a 65 Year Male. (P2.378)
Conclusions:GCA is the most prevalent systemic vasculitis in the elderly. It can present with a wide variety of symptoms ranging from fatigue, headache, visual loss, and even stroke. However as noted in this case, isolated CN-VI palsy can be a very rare, early manifestation of GCA. As GCA responds well to corticosteroid therapy, prompt diagnosis and treatment is critical to prevent and/or limit neurologic sequelae. As highlighted by this case, in the event of recurrent incidents and absence of other diagnosis; GCA should be considered even if headache is absent.Disclosure: Dr. Lunagariya has nothing to disclose. Dr. Patel ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Lunagariya, A., Patel, U., Kotadiya, F., Wilson, C. Tags: CNS Inflammatory Diseases and Differential Diagnosis II Source Type: research

Paradoxical Embolism in the Setting of Inferior Vena Cava Filter Removal (P1.283)
Conclusions:Although clinically relevant events secondary to IVC filter migration and fracture are rare, they can be life-threatening. Care should be taken when choosing to place these devices, and alternative therapies should be considered when possible. They should be removed when no longer needed, as fracture rates are increased with longer dwell times. Up to half of complications can be avoided with retrieval within 3 months.Disclosure: Dr. Yost has nothing to disclose. Dr. Klaas has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yost, M., Klaas, J. Tags: Cerebrovascular Disease Case Reports I Source Type: research

Multiplanar CT Reconstruction to Aid in Recognition of the MCA "Dot" Sign: The Sagittal String Sign (P1.302)
Conclusions:The MCA "dot" sign is often a sign of poor prognostic outcomes in ischemic stroke patients. This is the first report of using the CT sagittal plane for diagnosis of the MCA "dot" sign. Incorporating multiplanar reconstruction and producing the sagittal plane may lead to a higher sensitivity of the MCA "dot" sign. Further studies incorporating a patient cohort will be needed to determine how much the sagittal plane view augments predictive value of the MCA "dot" sign.Disclosure: Dr. Mannel has nothing to disclose. Dr. Silliman has received research support from Sanofi Genzyme, Biogen Idec, Bristol Myers and Novartis.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mannel, R., Silliman, S. Tags: Cerebrovascular Disease Case Reports I Source Type: research

Acute Ischemic Stroke as a Presenting Feature of Multiple Myeloma (P3.279)
Conclusions:Stroke is a leading and preventable cause of disability in the US adult population. The majority of strokes are due to atherosclerotic vascular or cardioembolic disease. Understanding the diagnostic work up of stroke and recognizing rare etiologies like MM is important for stroke prevention. This brings to light the importance of recognizing stroke as an initial presenting feature of multiple myeloma and of multiple myeloma as an important treatable etiology of stroke.Disclosure: Dr. Chung has nothing to disclose. Dr. Ramamoorthy has nothing to disclose. Dr. Kar has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Chung, S., Ramamoorthy, R., Kar, J. Tags: Cerebrovascular Disease Case Reports II Source Type: research

Contrast induced encephalopathy mimicking reperfusion injury (P3.285)
Conclusions:Diagnostic or therapeutic angiography is frequently performed for acute ischemic or hemorrhagic stroke. Clinicians should be aware of contrast induced encephalopathy and consider it in cases of neurologic deterioration after angiography in order to initiate appropriate treatment and avoid unnecessary invasive tests.Disclosure: Dr. Bakradze has nothing to disclose. Dr. Pasquale has nothing to disclose. Dr. Kirchoff-Torres has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bakradze, E., Pasquale, D., Kirchoff-Torres, K. Tags: Cerebrovascular Disease Case Reports II Source Type: research

Cerebral Microbleeds in patients with asymptomatic carotid stenosis. (P3.074)
Conclusions:Our study demonstrated high frequency of CMB in asymptomatic patients with ACS >70%. After that, some questions remain to be answered: are microbleeds a marker with potential to change the management of ACS?Disclosure: Dr. Oliveira e Sousa has nothing to disclose. Dr. Carrijo Filho has nothing to disclose. Dr. Cendes has nothing to disclose. Dr. Coan has nothing to disclose. Dr. Min has nothing to disclose. Dr. Avelar has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Oliveira e Sousa, A. A. V., Filho, S. L. C., Cendes, F., Coan, A. C., Min, L. L., Avelar, W. M. Tags: Cerebrovascular Disease and Interventional Neurology ePoster Session Source Type: research