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A Myocardial Infarction During Intravenous Recombinant Tissue Plasminogen Activator Infusion for Evolving Ischemic Stroke
Conclusions: An embolic MI seems to be a rare but serious complication in thrombolysis therapy with rtPA.
Source: The Neurologist - September 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Successful Systemic Thrombolysis in an Adolescent With Acute Ischemic Stroke
Conclusions: Despite the lack of evidence regarding the safety and the efficacy of recombinant tissue plasminogen activator in pediatric stroke, this treatment option should be considered, especially in adolescents presenting within 3 hours from symptom onset in centers with consolidated experience in adult thrombolysis.
Source: The Neurologist - September 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Chronic Kidney Disease and Carotid Atherosclerosis in Patients With Acute Stroke
Background and Purpose: Chronic kidney disease (CKD) is increasingly recognized as an independent risk factor for cardiovascular disease and stroke. Our aim was to examine the association between estimated glomerular filtration rate (eGFR) and carotid plaques, stenosis and occlusions, and to assess whether CKD and its severity affect carotid atherosclerosis in a cohort of unselected patients with acute stroke. Methods: A total of 249 consecutive patients with acute stroke (ischemic or hemorrhagic) were included in this study and baseline eGFR, carotid intima-media thickness (cIMT), and carotid stenosis were evaluated. The ...
Source: The Neurologist - August 1, 2015 Category: Neurology Tags: Original Articles Source Type: research

Which Comorbidities and Complications Predict Ischemic Stroke Recovery and Length of Stay?
Conclusions: Greater age and higher National Institute of Health Stroke Scale at admission were associated with both higher disability and longer LOS. Congestive heart failure, CRF, presence of arrhythmias, and development of acute renal failure were associated with greater LOS. The development of urinary tract infection caused higher disability.
Source: The Neurologist - August 1, 2015 Category: Neurology Tags: Original Articles Source Type: research

Charles Bonnet Syndrome in a Patient With Right Medial Occipital Lobe Infarction: Epileptic or Deafferentation Phenomenon?
Conclusions: CBS may develop in a patient with occipital lobe infarction following an embolic event. CBS associated with medial occipital lobe infarction and epilepsy may coexist and reflects the abnormal functioning of an integrated neuronal network.
Source: The Neurologist - July 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Consecutive Lacunar Strokes Mimicking Brainstem Symptoms in a Patient With Pseudobulbar Palsy
Discussion: Patients who suffer from a pseudobulbar palsy usually have—compared with the rather small lesions within the central nervous system—clinically dramatic presentations and due to bulbar symptoms severe medical secondary complications and social-economic consequences to deal with.
Source: The Neurologist - July 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Acute Global Ischemic Stroke After Cranioplasty: Case Report and Review of the Literature
Conclusions: Although global intracerebral infarction after cranioplasty is extremely rare, the concepts of vessel injury, venous stasis, and reperfusion into dysfunctional cerebral tissue after cranioplasty should be considered when evaluating the risk of this procedure.
Source: The Neurologist - May 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

An Unusual Stroke-like Clinical Presentation of Creutzfeldt-Jakob Disease: Acute Vestibular Syndrome
Conclusions: To our knowledge, this is the first report of an initial presentation of Creutzfeldt-Jacob disease closely mimicking vestibular neuritis, expanding the known clinical spectrum of prion disease presentations. Despite the initial absence of neurological signs, the central lesion location was differentiated from a benign peripheral vestibulopathy at the first visit using simple bedside vestibular tests. Familiarity with these tests could help providers prevent initial misdiagnosis of important central disorders in patients presenting vertigo or dizziness.
Source: The Neurologist - April 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Perfusion Imaging in the 3-hour Time Window Predicts a tPA-associated Hemorrhage in Acute Ischemic Stroke
We report a case of a patient presenting within the 3-hour time window where computerized tomographic perfusion imaging before intravenous thrombolysis identified a large volume of severely ischemic tissue and where intravenous tissue plasminogen activator administration subsequently resulted in a fatal intracerebral hemorrhage. Whether perfusion imaging can predict an increased risk of tissue plasminogen activator–associated symptomatic hemorrhage in patients presenting within the standard thrombolytic time window requires further study.
Source: The Neurologist - February 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Profuse Unilateral Hyperhidrosis Induced by Urinary Retention in a Stroke Patient
Conclusions: This case provides the first description of unilateral hyperhidrosis as a manifestation of urinary retention in a stroke patient. It is important for clinicians to recognize this condition so that appropriate management can be implemented in time to prevent potential detrusor injury and renal impairment caused by bladder overdistension.
Source: The Neurologist - February 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

The Syndrome of Stroke-like Migraine Attacks After Radiation Therapy Associated With Prolonged Unresponsiveness in an Adult Patient
Conclusions: Reduced level of consciousness of such severity and duration as observed here has not previously been described in SMART syndrome. This report, however, suggests that an excellent prognosis can be expected even in cases of prolonged unresponsiveness. The pathogenic mechanisms of SMART syndrome remain unclear, but may involve pathways common to both migraine and epilepsy.
Source: The Neurologist - January 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Global Aphasia Without Hemiparesis: The Underlying Mechanism Examined by Transcranial Magnetic Stimulation
Conclusions: We recommend that GAWH was caused by the sparing of the decussated pyramidal tract. The pyramidal tract was intact in cases of GAWH caused by cardioembolism and subclinically impaired by other causes.
Source: The Neurologist - January 1, 2013 Category: Neurology Tags: Original Articles Source Type: research

Cheiro-Oral Syndrome Secondary to Thalamic Infarction: A Case Report and Literature Review
Conclusions: This report highlights both common and unusual clinical presentations of isolated thalamic infarctions, correlating clinical symptomatology with anatomic localization. In patients with such findings on examination, thalamic infarction should be considered, with a thorough workup initiated to both confirm the diagnosis and optimally reduce future stroke risk.
Source: The Neurologist - January 1, 2013 Category: Neurology Tags: Case Report/Case Series Source Type: research

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