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Neurophysiology tools to lower the stroke onset to treatment time during the golden hour: microwaves, bioelectrical impedance and near infrared spectroscopy
Ann Med. 2022 Dec;54(1):2658-2671. doi: 10.1080/07853890.2022.2124448.ABSTRACTReperfusion therapy administration timing in acute ischaemic stroke is the main determinant of patients' mortality and long-term disability. Indeed, the first hour from the stroke onset is defined the "golden hour", in which the treatment has the highest efficacy and lowest side effects. Delayed ambulance transport, inappropriate triage and difficulty in accessing CT scans lead to delayed onset to treatment time (OTT) in clinical practice. To date brain CT scan is needed to rule out intracranial haemorrhage, which is a major contraindication to t...
Source: Annals of Medicine - September 26, 2022 Category: Internal Medicine Authors: Lazzaro di Biase Adriano Bonura Maria Letizia Caminiti Pasquale Maria Pecoraro Vincenzo Di Lazzaro Source Type: research

Non-Hodgkin's lymphoma revealed by a cerebral vascular stroke: A case report
We report the case of a 75-year-old patient admitted to the emergency room following a classic hemorrhagic stroke. The CT scan showed a hyperdense tumor-like process with perilesional edema, the diagnosis reinforced by (MRI). The patient underwent macroscopically total surgical excision and the anatomo pathological examination concluded a diffuse non-Hodgkin's B large cell lymphoma. The follow up was marked by a clear clinical improvement. Primary cerebral lymphomas can be polymorphic, so this diagnosis should always be kept in mind during stroke manifestations. This case illustrates the diagnostic difficulty of this rare ...
Source: Annals of Medicine - April 7, 2022 Category: Internal Medicine Authors: Oufaa Jamal Marouane Makhchoune Yassin Tahrir Khadija El Guettabi Abdelhakim Lakhdar Source Type: research

Cerebral venous sinus thrombosis as a complication of COVID-19 infection - A case report
CONCLUSION: High index of suspicion of CVST is necessary when a patient presents with unexplained neurological manifestation following a recent COVID-19 infection to prevent from life-threatening complications. Furthermore, clinicians should not underestimate the multisystem involvement of COVID-19.PMID:35127077 | PMC:PMC8800506 | DOI:10.1016/j.amsu.2022.103326
Source: Annals of Medicine - February 7, 2022 Category: Internal Medicine Authors: Suyasha Rajbhandari Saujanya Rajbhandari Avinash Chandra Pritam Gurung Pravesh Rajbhandari Basant Pant Source Type: research

Recurrent migraine with binocular transient vision loss associated with acute stroke: A case report
CONCLUSION: Recurrent migraine with TBVL can be associated with acute stroke. It thus merits urgent evaluation and referral to the relevant department for a better outcome.PMID:34917346 | PMC:PMC8646124 | DOI:10.1016/j.amsu.2021.103062
Source: Annals of Medicine - December 17, 2021 Category: Internal Medicine Authors: Nabita Aulia Yunita Mansyur Batari Todja Umar Anastasia Vanny Launardo Source Type: research

Ischemic stroke revealing COVID-19 infection: Case report
CONCLUSION: SARS-COV 2 infection can spread from the respiratory system to the central nervous system, resulting in an inflammatory response and excessive secretion of inflammatory markers, leading to ischemic stroke.PMID:34631044 | PMC:PMC8492013 | DOI:10.1016/j.amsu.2021.102912
Source: Annals of Medicine - October 11, 2021 Category: Internal Medicine Authors: Alkouh Rajae Merbouh Manal El Aidouni Ghizlane Bouabdlaoui Amine None I Zaid Bkiyar Houssam Mabrouk Yassine Housni Brahim Source Type: research

The utility of brain CT scan modality in the management of dizziness at the emergency department: A retrospective single-center study
CONCLUSION: The study's findings indicate low effectiveness of head CT scan compared to MRI for dizziness management. Future studies are suggested to provide more insights into the cost-effectiveness and utility of head CT scans and MRI in providing valuable findings.PMID:33796287 | PMC:PMC7995485 | DOI:10.1016/j.amsu.2021.102220
Source: Annals of Medicine - April 2, 2021 Category: Internal Medicine Authors: Khaled Z Alawneh Liqaa A Raffee Ahmad A Oqlat Ammar A Oglat Majdi Al Qawasmeh Musaab K Ali Anas M Okour Abdel-Hameed Al-Mistarehi Source Type: research

Vertebral artery injury due to air rifle: A case report
Ann Med Surg (Lond). 2021 Feb 5;63:102149. doi: 10.1016/j.amsu.2021.01.097. eCollection 2021 Mar.ABSTRACTINTRODUCTION: This case report presents a rare case of vertebral artery and spinal cord injury due to air rifle pellet.CASE PRESENTATION: A previously healthy 19-year-old male was shot on his left neck incidentally during recreational air rifle game. He was taken to the other hospital before being referred to our hospital.CLINICAL FINDINGS AND INVESTIGATIONS: The patient presented with total loss of motoric function on his left side of the body together with sensoric function on the contralateral side from the level of ...
Source: Annals of Medicine - March 4, 2021 Category: Internal Medicine Authors: Harmantya Mahadhipta Muhammad Alvin Shiddieqy Pohan Andryan Hanafi Bakri Source Type: research