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Specialty: Neurology
Source: The Neurologist

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Total 148 results found since Jan 2013.

Ischemic Stroke in Young Adults: Profile of SARAH Hospital Brasília From 2008 to 2012
Conclusions: Etiological diagnosis of stroke in the young is challenging for clinicians. Hence, a more effective classification scheme, better investigative mechanisms, and correct determination of causal associations in ischemic stroke are needed. Thrombophilia screening should be performed in the presence of relevant clinical signs and/or family history.
Source: The Neurologist - March 1, 2017 Category: Neurology Tags: Original Article Source Type: research

Stroke Associated With Varicella Zoster Vasculopathy: A Clinicoradiological Profile of 3 Patients
Conclusions: VZ associated vasculopathy may have diverse clinical profile and neuroimaging features. It should be considered as an important and treatable cause of stroke in appropriate clinical settings.
Source: The Neurologist - March 1, 2017 Category: Neurology Tags: Case Report/Case Series Source Type: research

Urgent Bypass Surgery Following Failed Endovascular Treatment in Acute Symptomatic Stroke Patient With MCA Occlusion
Conclusions: Following failed endovascular treatment in patients with acute symptoms attributed to major cerebral artery occlusion, we recommend immediate multimodal neuroimaging. If there are clinical-DWI and DWI–perfusion-weighted imaging mismatch indications, surgical revascularization could be considered as the next salvageable strategy.
Source: The Neurologist - December 24, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Transient Sensory Recovery in Stroke Patients After Pulsed Radiofrequency Electrical Stimulation on Dorsal Root Ganglia: A Case Series
Conclusions: We believe that these preliminary results could be used in the development of future prospective cohort studies and randomized controlled trials that focus on the effect of PRF electrical stimulation on dorsal root ganglia to treat sensory deficits in poststroke patients.
Source: The Neurologist - December 24, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Should We Treat a Patient’s Symptoms or Angiography Image in TIA?: Two Case Reports
Conclusions: The cases presented here raise important questions: (1) How frequently is arterial occlusion present in clinically asymptomatic patients? (2) If occlusion is present but not symptoms, is stroke a more correct diagnosis than TIA? and (3) What would be the benefit of recanalization therapy? Studies addressing these questions should be conducted.
Source: The Neurologist - November 1, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Cessation of Smoking and Alcohol Addiction Following Thalamic Hemorrhage
We describe a case of thalamic intracerebral hemorrhage leading to cessation of smoking. Case Report: A 53-year-old female presented to the emergency department with right-sided weakness and dysarthria. Initial systolic blood pressure was 220 mm Hg. Computed tomography scan showed a left thalamic hemorrhage with associated edema and hemorrhage extending into the left lateral and third ventricle. She recovered uneventfully and was discharged to inpatient rehabilitation and eventually transitioned home. Three months later in the clinic, she reported that following the stroke, she abruptly stopped smoking without any smoking...
Source: The Neurologist - November 1, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Pontine Warning Syndrome: A Chameleon of Ischemic Stroke
Conclusions: PWS is a diagnostic and management challenge for the clinician. Because of its low incidence, this syndrome has been underestimated and understudied. There is, currently, no standard treatment for this condition; however, it is paramount, during treatment, that hypotension/hypoperfusion be avoided, with the goal being asymptomatic normotension to permissive hypertension. The probable mechanism of disease is hypoperfusion due to basilar artery branch disease and perhaps cerebral vascular dysregulation in the affected area.
Source: The Neurologist - November 1, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Dehydration Status is Associated With More Severe Hemispatial Neglect After Stroke
Conclusions: Our data suggest that patients who are in a VCS at the time of stroke may have more frequent and severe neglect, with attenuation of results after adjustment for factors related to stroke size and age. If proven clinically relevant, a formalized rehydration strategy based on objective lab markers may represent an opportunity for improvement in outcome with low-cost, broadly available treatment for acute stroke patients.
Source: The Neurologist - November 1, 2016 Category: Neurology Tags: Original Article Source Type: research

Asymmetric Acute Motor Axonal Neuropathy With Unilateral Tongue Swelling Mimicking Stroke
A 60-year-old man presented with acute onset of left hemiparesis and left hypoglossal nerve palsy with ipsilateral tongue swelling. He then progressed to tetraparesis in a few days. Cerebrospinal fluid showed cell protein dissociation. A nerve conduction study showed motor axonal neuropathy with sensory sparing. A subsequent blood test revealed anti-GD1b IgG antibody positivity. He was diagnosed to have acute motor axonal neuropathy (AMAN) and treated with a course of intravenous immunoglobulin with slow improvement. This is probably the first AMAN with asymmetrical presentation mimicking stroke reported in the literature ...
Source: The Neurologist - November 1, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Mitochondrial Encephalopathy and Optic Neuropathy Due to m.10158 MT-ND3 Complex I Mutation Presenting in an Adult Patient: Case Report and Review of the Literature
Conclusions: ND3 disease due to m.10158T>C mutation was previously described only in patients with Leigh or Leigh-like syndrome. Our findings thus indicate that ND3 disease can manifest with atypical phenotype in adults. The diagnosis of mitochondrial disease caused by other than typical MELAS-associated mutations in adults with stroke-like episodes, headaches, and seizures should be considered. An analysis of tissue other than blood, which is more likely to harbor a tissue-specific mitochondrial DNA mutation at a measurable level, may be necessary for diagnosis.
Source: The Neurologist - June 29, 2016 Category: Neurology Tags: Case Report/Case Series Source Type: research

Intracranial Bleeding Following Bothrops sp. Snakebite
Conclusions: Although uncommon, Bothrops snakebite may present as isolated intracranial bleeding. This case illustrates the importance of the correct identification of the snake as poisonous and the institution of the adequate medical care in a short period of time
Source: The Neurologist - December 28, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Ischemic Cervical Myelopathy Caused by Vertebral Artery Dissection: The Clinical Utility of a Motor-evoked Potential Study
Conclusions: When there is diagnostic ambiguity between the upper and lower motor neuron lesions in VAD, motor-evoked potential study can be helpful to diagnose peripheral neurological complication of VAD.
Source: The Neurologist - December 28, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

De Novo Headache During Pregnancy and Puerperium
Conclusion: De novo headache during pregnancy is relatively common and almost always leads to neurological referral.
Source: The Neurologist - December 28, 2015 Category: Neurology Tags: Review Article Source Type: research

Differential Lesion Patterns on T2WI and FLAIR Sequences in Cryptogenic Stroke Patients With Patent Foramen Ovale
Objectives: The purpose of this study was to determine lesion patterns and stroke mechanisms in cryptogenic ischemic stroke patients with patent foramen ovale (PFO) on T2-weighted magnetic resonance imaging and fluid-attenuated inversion recovery sequences combined. Participants and Methods: Twenty-nine patients with cryptogenic ischemic stroke and an isolated PFO (CS-PFO+ group) compared with 51 cryptogenic stroke patients without PFO (CS-PFO− group) were evaluated and the characteristics of their lesion patterns on T2-weighted and fluid-attenuated inversion recovery sequences combined were investigated. We compared the...
Source: The Neurologist - November 1, 2015 Category: Neurology Tags: Original Article Source Type: research

Bilateral Paramedian Thalamic Infarction
Conclusions: Clinical presentation and imaging patterns described in this group of patients were similar to published data. High level of suspicion based on clinical and imaging findings is essential for early diagnosis of this rare condition. None of our patients had an early diagnosis of acute ischemic stroke and received proper thrombolytic treatment.
Source: The Neurologist - November 1, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research