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Total 1942 results found since Jan 2013.

Development and validation of a nomogram for the risk prediction of malignant cerebral edema after acute large hemispheric infarction involving the anterior circulation
ConclusionOur nomogram based on LASSO-logistic regression is accurate and useful for the early prediction of MCE after LHI. This model can serve as a precise and practical tool for clinical decision-making in patients with LHI who may require aggressive therapeutic approaches.
Source: Frontiers in Neurology - September 14, 2023 Category: Neurology Source Type: research

Diffusion-Restricted Lesions of the Splenium: Clinical Presentation, Radiographic Patterns, and Patient Outcomes
Discussion Vascular DR lesions of the splenium were more common than CLOCCs and other etiologies in this cohort. While splenial DR lesions can present a clinical challenge, their associated clinical and radiographic characteristics may predict outcome and guide prognosis.
Source: Neurology Clinical Practice - September 8, 2023 Category: Neurology Authors: Stamm, B., Lineback, C. M., Tang, M., Jia, D. T., Chrenka, E., Sorond, F., Sabayan, B. Tags: MRI, DWI, All Cerebrovascular disease/Stroke Research Article Source Type: research

Impact of e-ASPECTS software on the performance of physicians compared to a consensus ground truth: a multi-reader, multi-case study
ConclusionDecision support with the e-ASPECTS software significantly improves the accuracy of ASPECTS scoring, even by expert US neurologists and neuroradiologists.
Source: Frontiers in Neurology - September 7, 2023 Category: Neurology Source Type: research

Lower 25-hydroxyvitamin D is associated with severer white matter hyperintensity and cognitive function in patients with non-disabling ischemic cerebrovascular events
Vascular cognitive impairment (VCI) is the second most common type of cognitive impairment, referring to the entire spectrum of cognitive impairment contributed by cerebrovascular pathology1. Due to the progressively higher incidence of stroke and cerebrovascular diseases, VCI, including post-stroke cognitive impairment are the leading causes of disability epidemic worldwide2-3. White matter lesions, manifested as white matter hyperintensities (WMH) on T2-weighted magnetic resonance imaging (MRI) scans, are one of the most common pathological characteristics of VCI4.
Source: Journal of Stroke and Cerebrovascular Diseases - August 31, 2023 Category: Neurology Authors: Zhengsheng Gu, Xu Sun, Chenghao Wu, Binghan Li, Jingjing Chen, Weisen Wang, Xin Gao, Yuhao Tan, Bin Li, Ge Yin, Yawen Xu, Chenrui Song, Bingying Du, Xiaoying Bi Source Type: research

Mobile point-of-care MRI demonstration of a normal volunteer in a telemedicine-equipped ambulance
Several centers have implemented ambulances equipped with CT scanners and telemedicine capabilities, known as mobile stroke units (MSU), to expedite acute stroke care delivery in the pre-hospital setting. While MSUs have been shown to improve outcomes compared with standard emergency medical management, there are limitations to incorporating CT, including radiation exposure to emergency medical services personnel. Recently, a portable, low-field strength MRI (Swoop ®, Hyperfine, Inc., Guilford, CT) received FDA clearance for in-hospital use.
Source: Journal of Stroke and Cerebrovascular Diseases - August 12, 2023 Category: Neurology Authors: Donna R. Roberts, Todd McGeorge, Dave Abrams, Russell Hewitt, Dustin LeBlanc, William Dennis, Mark Rosenberg, Sami Al Kasab, Christine Holmstedt, Maria V. Spampinato, Sam Torres-Rosado, Richard Ancrum, Michael Haschker, Jillian Harvey Source Type: research

Quiz case: a clinical reasoning challenge in the emergency stroke setting
AbstractA right-handed woman in her 80s was admitted to the emergency department 1 h after sudden-onset global aphasia and right-sided hemiparesis. Medical history included arterial hypertension, dyslipidemia, hyperuricemia, aortic stenosis, osteoporosis, and recent pulmonary embolism. Medication consisted of apixaban, bisoprolol, hydrochlorothiazide, allopurinol, fenofibrate, and vitamin D. Vital parameters (blood pressure, heart rate, body temperature, oxygen saturation) and glycemia were all within normal range. Electrocardiogram showed a first-degree atrioventricular block. The patient was promptly transported to the e...
Source: Neurological Sciences - August 5, 2023 Category: Neurology Source Type: research

A randomized controlled trial of Changes in resting-state functional connectivity associated with short-term motor learning of chopstick use with the non-dominant hand
CONCLUSION]: Offline enhancement of RSFC in these networks was shown to contribute to early chopstick-use motor learning with the left hand. These results serve as a basis for future studies on compensatory networks in individuals with stroke.PMID:37506851 | DOI:10.1016/j.bbr.2023.114599
Source: Brain Research - July 28, 2023 Category: Neurology Authors: Sayori Takeda Reiko Miyamoto Source Type: research

Characteristics of post ‐stroke dysphagia: A retrospective study based on FEES
ConclusionsThe infratentorial stroke may lead to worse swallowing function as compared to a supratentorial stroke. Additionally, patients with infratentorial stroke, PAS  >  5, PR ≥ 3, or vocal fold motion impairment may contribute to a longer duration of nasogastric tube placement.
Source: Brain and Behavior - July 21, 2023 Category: Neurology Authors: Fang Sun, Jia Qiao, Xiaoyan Huang, Zitong He, Zulin Dou Tags: ORIGINAL ARTICLE Source Type: research

Combining convolutional attention mechanism and residual deformable Transformer for infarct segmentation from CT scans of acute ischemic stroke patients
ConclusionThe strong correlation between the infarct segmentation obtained via our method and the ground truth allows us to conclude that our method could accurately segment infarcts from NCCT images.
Source: Frontiers in Neurology - July 20, 2023 Category: Neurology Source Type: research

White Matter Microstructural Alterations over the Year after Acute Ischemic Stroke in Patients with Baseline Impaired Cognitive Functions
CONCLUSION: The finding suggests that the patients with baseline impaired cognitive functions still have WM microstructural damages at 1 year poststroke, even if their cognitive function has improved or returned to normal. Cautions should be taken against the possible negative impact of these changes on long-term cognition.PMID:37456365 | PMC:PMC10348854 | DOI:10.1155/2023/6762225
Source: Neural Plasticity - July 17, 2023 Category: Neurology Authors: Bingyuan Wu Shida Guo Xiuqin Jia Zuojun Geng Qi Yang Source Type: research