Stroke

Geoffroy Farouil, Denis Sablot, Franck Leibinger, Laurène Van Damme, Francis Coll, Nicolas Gaillard, Majo Ibanez, Philippe Smadja, Laurent Benayoun, Anais Dutray, Maxime Tardieu, Ludovic Nguyen Them, Jean-Marie Bonnec, Snejana Jurici, Zoubir Mourad Bensalah, Nadège Olivier, Lucie Desmond, Bénédicte Fadat, Jean Louis Bertrand, Julie Mas, Aziz Akouz, Thibaut Allou, Isabelle Mourand, Adelaïde Ferraro-Allou, Adrian Dumitrana, Sabine Aptel, Caroline Arquizan, Vincent Costalat, Alain Bonafe September 16, 2019

Introduction: Little is known about the effectiveness of endovascular treatment (EVT) in patients with acute ischemic stroke (AIS) due to large vessel occlusion (LVO) admitted to a primary stroke center (PSC). The aim of this study was to assess EVT effectiveness after transfer from a PSC to a distant (156 km apart; 1.5 hour by car) comprehensive stroke center (CSC), and to discuss perspectives to improve access to EVT, if indicated.… Read More...

Tetsuo Koyama, Yuki Uchiyama, Kazuhisa Domen September 14, 2019

Background: Diffusion-tensor fractional anisotropy (FA) is an index of neural-fiber damage in patients following stroke. To better characterize FA, tract-based spatial statistics (TBSS) is frequently used, which involves spatial transformation into the standard brain space. Despite its utility, this technique is susceptible to space-occupying hematoma in patients with intracerebral hemorrhage.… Read More...

Hitoshi Fukuda, Toshio Yanagawa, Fumihiko Horikawa, Norio Nakajima, Masashi Kitagawa, Benjamin Lo, Keisuke Yamada September 14, 2019

Traumatic cerebral aneurysms are histologically dissecting aneurysms or pseudoaneurysms, thus requiring parent artery occlusion for cure. Combination of endovascular parent artery occlusion and extracranial-intracranial bypass is considered optimal to obtain complete obliteration of the aneurysm and to avoid hemodynamic hypoperfusion. However, endovascular parent artery occlusion of the supraclinoid internal carotid artery (ICA) is at risk of ischemic complications due to distal coil protrusion to adjacent perforating arteries or distal embolism of the thrombi generated in the coil mass.… Read More...

Kazuhiro Yoshioka, Takahisa Mori September 14, 2019

A 64-year-old woman was admitted to our hospital 48 minutes after sudden onset of dysphasia and right hemiplegia. Head computed tomography revealed small infarcts in the left putamen and 4-dimensional computed tomography angiography depicted high-degree stenosis in the left middle cerebral artery and delayed filling of the contrast media in the left middle cerebral artery territory.… Read More...

Aurauma Chutinet, Saysavath Keosodsay, Pongpat Vorasayan, Jitlada Samajarn, Wasan Akarathanawat, Naruchorn Kijpaisalratana, Naly Norsakpeseuth, Ketmany Phetsiriseng, Snong Thongsna, Pakkawan Vongvasinkul, Nijasri C. Suwanwela September 14, 2019

Background: Acute ischemic stroke patients in Lao People’s Democratic Republic (Lao PDR) are unable to access the intravenous thrombolytic therapy using recombinant tissue plasminogen activator (rtPA) due to various reasons. Aims: This study aimed to evaluate the feasibility and safety of thrombolytic therapy administration at Mittaphab Hospital, Lao PDR under the international telestroke consultation system from King Chulalongkorn Memorial Hospital, Thailand.… Read More...

Gyung Ho Chung, Seung Bae Hwang, Hyo Sung Kwak September 13, 2019

Background: Three-dimensional, black-blood, contrast-enhanced, T1-weighted magnetic resonance imaging (3D-BB-ceT1-MRI) could play a role in detection of thrombi and symptomatic intracranial atherosclerotic stenosis. We investigated the role of 3D-BB-ceT1-MRI in patients with acute ischemic stroke in the posterior circulation, and compared our findings with those from susceptibility-weighted imaging (SWI).… Read More...

Yu Yong Shin, Sang Hee Ha, Ho Geol Woo, Sung Hyuk Heo, Dae-il Chang, Bum Joon Kim September 12, 2019

Background: Peripheral arterial disease (PAD) is an advanced form of atherosclerosis defined by an abnormal ankle-brachial index (ABI). However, the ABI provides no information about the location of atherosclerosis. We investigated the clinical implication of PAD confirmed using lower-extremity ultrasonography (LEUS), with consideration of the atherosclerosis location.… Read More...

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