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Total 585 results found since Jan 2013.

Predictors of early infection in cerebral ischemic stroke.
CONCLUSION: Patients with older age, tube feeding, lower conscious level, worse baseline stroke severity, large cerebral infarcts in CT scan, and increased IL-10 serum level were more susceptible to infection. The baseline serum level of IL-10 ≥ 14.5 pg/ ml and the size of infarct area > 3.5 cm3 were the independent predictors of PSI. PMID: 27453748 [PubMed - in process]
Source: Journal of Medicine and Life - July 28, 2016 Category: Journals (General) Tags: J Med Life Source Type: research

CSF-Based Volumetric Imaging Biomarkers Highlight Incidence and Risk Factors for Cerebral Edema After Ischemic Stroke
ConclusionsCerebral edema can be measured in a majority of patients with stroke on follow-up computed tomography using volumetric biomarkers evaluating CSF shifts, including in many without visible midline shift. Edema formation is influenced by clinical and radiographic stroke severity but also by chronic vascular risk factors and contributes to worse stroke outcomes.
Source: Neurocritical Care - May 15, 2023 Category: Neurology Source Type: research

A Radiographic Target Sign For Abnormal Vertebral Artery Flow In Stroke Patients With Acute Vestibular Syndrome (I1-5B)
We report percentages for presence of target sign in each group, odds ratio, target sign and lesion laterality, presence of target sign in stroke patients with negative initial DWI MRI, and Kappa for inter-rater reliability. Results: Of the 145 AVS patients with available axial T2 MRI scans, 71 had stroke, and 74 were diagnosed with vestibular neuritis (VN). VA V4 segment hyper-intensity was seen in 42.2[percnt] of stroke patients (30/71), and 8.1[percnt] of patients with VN (6/74). Odds ratio of stroke in patients with a "target sign" was 8.29 (95[percnt] CI 3.18-21.6). With the exception of one stroke patient, all found ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kattah, J., DeSanto, J., Saber Tehrani, A., Pula, J., Newman-Toker, D. Tags: New Windows into the Brain: Technological Advances in Frontline Neurologic Diagnosis via the Visual and Oculomotor Systems Poster Presentations Source Type: research

A Radiographic Target Sign For Abnormal Vertebral Artery Flow In Stroke Patients With Acute Vestibular Syndrome (S26.007)
We report percentages for presence of target sign in each group, odds ratio, target sign and lesion laterality, presence of target sign in stroke patients with negative initial DWI MRI, and Kappa for inter-rater reliability. Results: Of the 145 AVS patients with available axial T2 MRI scans, 71 had stroke, and 74 were diagnosed with vestibular neuritis (VN). VA V4 segment hyper-intensity was seen in 42.2[percnt] of stroke patients (30/71), and 8.1[percnt] of patients with VN (6/74). Odds ratio of stroke in patients with a "target sign" was 8.29 (95[percnt] CI 3.18-21.6). With the exception of one stroke patient, all found ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kattah, J., DeSanto, J., Saber Tehrani, A., Pula, J., Newman-Toker, D. Tags: Neuro-ophthalmology/Neuro-otology Source Type: research

Interaction of cardiac implantable electronic device and patent foramen ovale in ischemic stroke: A case ‐only study
ConclusionAmong admitted ischemic stroke patients, we did not find a higher prevalence of CIED in patients with PFO compared to controls. Therefore, in the underlying source population, the presence of CIED did not increase the PFO ‐associated ischemic stroke risk.This article is protected by copyright. All rights reserved
Source: Pacing and Clinical Electrophysiology : PACE - January 8, 2019 Category: Cardiology Authors: Kolade M. Agboola, Jin ‐Moo Lee, Xiaoyan Liu, Eric Novak, Phillip S. Cuculich, Daniel H. Cooper, Amit Noheria Tags: DEVICES Source Type: research

Hemorrhagic Transformation and Stroke Recurrence in Children with Cardiac Disease Receiving Antithrombotic Therapy for Secondary Stroke Prevention
CONCLUSIONS: In spite of the 24% hemorrhagic transformation rate, antithrombotic therapy has a positive risk-balance in certain cardioembolic stroke subgroups, particularly in those with single-ventricle physiology, when accounting for stroke volume.PMID:34152075 | DOI:10.1111/jth.15428
Source: Thrombosis and Haemostasis - June 21, 2021 Category: Hematology Authors: Elizabeth Pulcine Mike Seed Leonardo R Brand ão Mahmoud Slim Sunitha Palasamudram Manohar Shroff Mahendranath Moharir Gabrielle deVeber Nomazulu Dlamini Source Type: research

Reduced Upper Limb Recovery in Subcortical Stroke Patients With Small Prior Radiographic Stroke
Conclusions: ICARE clinical imaging revealed information useful for UE motor trial design: stratification of persons with and without prior radiographic stroke may be required in participants with subcortical stroke, the majority of motor rehabilitation trial participants. Most of the prior radiographic strokes were small and cortically-based, suggesting even minor prior brain injury remote to the acute stroke lesion may limit spontaneous and therapy-related recovery. Lesion location may be associated with response to different therapy regimens, but the effects are variable and of unclear significance.
Source: Frontiers in Neurology - May 7, 2019 Category: Neurology Source Type: research

Identifying Gaps and Missed Opportunities for Intravenous Thrombolytic Treatment of Inpatient Stroke
Conclusion: In our study, one in three ISC were true strokes. IVT treatment rates were low with a MTO of 1 in 6 IVT-eligible patients. The most common reason for not treating was NIHSS ≤4. Knowing predictors of true stroke and the common barriers to IVT treatment can help narrow this treatment gap.
Source: Frontiers in Neurology - February 25, 2020 Category: Neurology Source Type: research

Stroke after Aortic Valve Surgery: Results from a Prospective Cohort.
CONCLUSIONS: Clinical stroke after AVR was more common than previously reported, more than double for this same cohort in the STS database, and silent cerebral infarctions were detected in over half of patients undergoing AVR. Clinical stroke complicating AVR is associated with increased length of stay and mortality. PMID: 24690611 [PubMed - as supplied by publisher]
Source: Circulation - April 1, 2014 Category: Cardiology Authors: Messé SR, Acker MA, Kasner SE, Fanning M, Giovannetti T, Ratcliffe SJ, Bilello M, Szeto WY, Bavaria JE, Hargrove WC, Mohler ER, Floyd TF, for the Determining Neurologic Outcomes from Valve Operations (DeNOVO) investigators Tags: Circulation Source Type: research

Corrective spinal surgery may be protective against stroke in patients with blunt traumatic vertebral artery occlusion.
CONCLUSIONS Traumatic VA occlusion is associated with a risk of ischemic stroke and mortality. Corrective cervical spine surgery potentially decreases the risk of ischemic stroke by stabilizing the spine and thereby reducing motion across the occluded segment of the VA and preventing embolization of thrombus. While a high stoke risk may be inherent to the disease, novel therapies should be investigated. PMID: 26186525 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery.Spine - July 17, 2015 Category: Neurosurgery Authors: Foreman PM, Griessenauer CJ, Chua M, Hadley MN, Harrigan MR Tags: J Neurosurg Spine Source Type: research

Delay in Diagnosis of Basilar Artery Stroke
Conclusions Our results suggest that both pre-hospital and in-hospital processes cause substantial, clinically significant delays in the diagnosis of BA stroke.
Source: Neurocritical Care - October 26, 2015 Category: Neurology Source Type: research

Acute Stroke Diagnosis
Am Fam Physician. 2022 Jun 1;105(6):616-624.ABSTRACTStroke accounts for significant morbidity and mortality and is the fifth leading cause of death in the United States, with direct and indirect costs of more than $100 billion annually. Expedient recognition of acute neurologic deficits with appropriate history, physical examination, and glucose testing will help diagnose stroke and rule out mimicking presentations. The National Institutes of Health Stroke Scale should be used to determine stroke severity and to monitor for evolving changes in clinical presentation. Initial neuroimaging is used to differentiate between isc...
Source: American Family Physician - June 15, 2022 Category: Primary Care Authors: Edwin Y Choi Gilberto A Nieves Darrell Edward Jones Source Type: research

Initial Conservative Management of Severe Hemispheric Stroke Reduces Decompressive Craniectomy Rates
Conclusions Delayed DC for hemispheric stroke patients managed under protocol in the neurocritical care unit is a safe alternative to early, prophylactic DC for adults with severe hemispheric stroke. This strategy reduced DC rates by 60 % without an excess of death or survival with severe disabilities.
Source: Neurocritical Care - April 20, 2016 Category: Neurology Source Type: research