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Recurrent Stroke after Silent Brain Infarction in Patients with Primary Brain Tumors (S51.007)
Conclusions:The short-term risk of recurrent ischemic stroke in patients with PBTs was substantial and the risk was comparable whether the stroke was silent or symptomatic.Study Supported by: Babak Navi was supported by grants from the NINDS (K23NS091395) and the Florence Gould Endowment for Discovery in Stroke. Hooman Kamel was supported by grants from the NINDS (K23NS082367) and the Michael Goldberg Stroke Research Fund.Disclosure: Dr. Parikh has nothing to disclose. Dr. Burch has nothing to disclose. Dr. Kamel has received personal compensation for activities with Genentech as a speaker. Dr. Kamel has received personal ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Parikh, N., Burch, J., Kamel, H., DeAngelis, L., Navi, B. Tags: Cerebrovascular Disease and Interventional Neurology: Stroke Prevention and Translation Source Type: research

'Moderate global aphasia': A generalized decline of language processing caused by glioma surgery but not stroke
Brain Lang. 2021 Dec 6;224:105057. doi: 10.1016/j.bandl.2021.105057. Online ahead of print.ABSTRACTUnlike stroke, neurosurgical removal of left-hemisphere gliomas acts upon a reorganized language network and involves brain areas rarely damaged by stroke. We addressed whether this causes the profiles of neurosurgery- and stroke-induced language impairments to be distinct. K-means clustering of language assessment data (neurosurgery cohort: N = 88, stroke cohort: N = 95) identified similar profiles in both cohorts. But critically, a cluster of individuals with specific phonological deficits was only evident in the stroke but...
Source: Brain and Language - December 9, 2021 Category: Neurology Authors: Andrey Zyryanov Ekaterina Stupina Elizaveta Gordeyeva Olga Buivolova Evdokiia Novozhilova Yulia Akinina Oleg Bronov Natalia Gronskaya Galina Gunenko Ekaterina Iskra Elena Ivanova Anton Kalinovskiy Evgenii Kliuev Dmitry Kopachev Elena Kremneva Oksana Kryuc Source Type: research

Glial fibrillary acidic protein in patients with symptoms of acute stroke : Diagnostic marker of cerebral hemorrhage.
Abstract Glial fibrillary acidic protein (GFAP) is a highly brain-specific protein that is expressed in large quantities in astrocytes and has important functions in terms of maintaining and stabilizing the cytoskeleton. Acute intracerebral hemorrhage leads to an immediate mechanical destruction of astroglial cells with the subsequent release of GFAP into the extracellular space and the bloodstream. On the other hand, necrosis, cytolysis and GFAP release does not occur before 6-12 h after symptom onset in ischemic stroke. Thus, in the early hours after stroke increased GFAP values could indicate intracerebral hem...
Source: Der Nervenarzt - July 25, 2014 Category: Neurology Authors: Foerch C, Pfeilschifter W, Zeiner P, Brunkhorst R Tags: Nervenarzt Source Type: research

Mitochondrial Encephalopathy with Lactic Acidosis and Stroke (MELAS) presenting as an apparent neoplastic process (P5.015)
CONCLUSION: MELAS can mimic more common disorders. The slow onset of her symptoms and the MRI's appearance led to suspicion for neoplasm. This is the first report to our knowledge where MELAS has presented as such. Documentation of this and other unusual presentations of mitochondrial disease is crucial to appropriate diagnosis of the condition.Disclosure: Dr. Rothstein has nothing to disclose. Dr. Haq has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Rothstein, A., Haq, I. Tags: Aging, Dementia, Cognitive, and Behavioral Neurology ePosters Source Type: research

Stroke-like migraine attacks in long term survivors of high grade glioma. (P1.174)
Conclusions:Stroke-like migraine attacks are difficult to treat and the pathophysiology is unknown. With more sophisticated imaging techniques, a better understanding of this phenomenon will aid in the treatment and prophylaxis of the syndrome with a goal of improving quality of life for this small but slowly growing population.Disclosure: Dr. New has nothing to disclose. Dr. Mirza has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: New, P., Mirza, H. Tags: Neuro-oncology: Gliomas I Source Type: research

A glioma presenting as a posterior circulation stroke.
PMID: 32329427 [PubMed - as supplied by publisher]
Source: The Canadian Journal of Neurological Sciences - April 23, 2020 Category: Neurology Authors: Lu F, Fowler A, Tam K, Camara-Lemarroy CR Tags: Can J Neurol Sci Source Type: research

A Stroke Alert With Unexpected Outcome
Conclusion: We report a case of thrombolysis administered in a patient with high-grade glioma with no apparent complications.
Source: The Neurologist - September 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Arterial Spin Labeling Imaging Characteristics of Anti-leucine-rich Glioma-Inactivated 1 Encephalitis: A Qualitative and Quantitative Analysis
DiscussionIn this preliminary study of six patients, we demonstrate an ASL hyperperfusion pattern, with a possible predilection for the right mesial temporal lobe on both qualitative and quantitative assessments in patients with seropositive LGI1. Larger scale studies are necessary to further characterize the strength of these associations.
Source: Frontiers in Neurology - July 28, 2022 Category: Neurology Source Type: research

Chapter 15 Vascular complications in glioma patients
Publication date: 2016 Source:Handbook of Clinical Neurology, Volume 134 Author(s): Emilie Le Rhun, James R. Perry Vascular complications in patients with glioma most commonly include venous and arterial thromboembolism; however, treatment-induced vasculopathies are also problematic, especially in long-term survivors. The interactions between treatment such as radiation and chemotherapy, the coagulation cascade, endothelium, and regulators of angiogenesis are complex, drive glioma growth and invasion, and create common management problems in the clinic. We review the incidence of thrombotic complications in glioma, the...
Source: Handbook of Clinical Neurology - March 4, 2016 Category: Neurology Source Type: research

Early Prophylactic Hypothermia for Patients With Severe Traumatic Injury: Premature to Close the Case
This study demonstrates that there is no role for the initiation of hypothermia during the acute phase of TBI (1, 2). However, it would be damaging to abandon the concept prematurely. Inflammation Also Paves the Way to Tissue Repair As soon as trauma occurs, the inflammatory cascade begins to take place. The deleterious role of inflammation in the secondary injury response is well-documented, hence the rationale to attempt early prophylactic hypothermia in TBI. However, inflammation also initiates tissue repair and regeneration (3–6). We now know that the secondary injury response accompanies the regenerating and...
Source: Frontiers in Neurology - April 8, 2019 Category: Neurology Source Type: research

Why is Clinical fMRI in a Resting State?
Conclusions Despite some perceived impediments to expanding clinical rs-fMRI use, neuroradiologists were generally enthusiastic about rs-fMRI in research and clinical applications, believing that their current workplace MRI systems are suitable for rs-fMRI acquisition. Many of the concerns associated with using rs-fMRI in clinical contexts are related to: (1) developing better methods for minimizing physiological noise effects, (2) improving methods for detecting the spatial characteristics of clinically-relevant brain processing systems in individual patients, and (3) overcoming remaining standardization, training, and r...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Unilateral basal ganglia restricted diffusion in anti ‐leucine‐rich glioma‐inactivated 1 encephalitis mimicking cerebral infarction: A report on two cases and literature review
ConclusionOur report adds to the heterogeneity of anti-leucine-rich glioma-inactivated  1 encephalitis and highlights the need to consider this diagnosis in patients who present atypically.
Source: Clinical and Experimental Neuroimmunology - July 23, 2021 Category: Neurology Authors: Mervyn Q. W. Poh, Hui Jin Chiew, Zheyu Xu, Kevin Tan, Tchoyoson C. C. Lim, Tianrong Yeo Tags: CASE REPORT Source Type: research

Organotypic brain slices: a model to study the neurovascular unit micro-environment in epilepsies
This study demonstrates that NVU regulation can be investigated using OHCs. We observed in this model system an increase in vascularization and a down-regulation of TJ proteins, similar to the vascular changes described in a chronic focus of epileptic patients, and in rodent models of epilepsy or inflammation. We observed that Zonula occludens-1 (ZO-1) protein disappeared after seizures associated with neuronal damage. In these conditions, the angiopoeitin-1 system was down-regulated, and the application of r-angiopoeitin-1 allowed TJ re-assembly. This article demonstrates that organotypic culture is a useful model to deci...
Source: Cerebrospinal Fluid Research - February 7, 2013 Category: Neurology Authors: Mélanie Morin-BrureauFrédéric De BockMireille Lerner-Natoli Source Type: research

"Pseudostroke": Clinically Diagnosed Ischemia Shown to Be Multiple Sclerosis at Autopsy, A Case Report (P6.266)
CONCLUSIONS:This case emphasizes the difficult clinical and neuroradiological differential between acute stroke and acute MS in a patient presenting with new neurologic deficits with sudden onset. It appears that ADC in very acute lesions of MS may show low signal, contrary to the usual expectations. The high ADC signal reflects the increased extracellular space produced by extracellular edema or demyelination. Acute MS lesions can thus present as "Pseudostrokes".Disclosure: Dr. Uppal has nothing to disclose. Dr. Kataria has nothing to disclose. Dr. Rani has nothing to disclose. Dr. Miller has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Uppal, G., Kataria, N., Rani, P., Miller, D. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

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