Stroke

Phuuwadith Wattanachayakul, Pongprueth Rujirachun, Patompong Ungprasert May 17, 2019

The term “systematic” in “systematic review” indicates that the literatures addressing the question of interest are systematically searched for with strict inclusion and exclusion criteria, using comprehensive lists of search terms that are replicable. In the current systematic review and meta-analysis,1 the question of interest is whether patients with chronic rhinosinusitis (CRS) have a higher risk of stroke.… Read More...

Mohammed K. Badi, George K. Vilanilam, Vivek Gupta, Kevin M. Barrett, Elizabeth R. Lesser, Jordan J. Cochuyt, David O. Hodge, Thomas G. Brott, James F. Meschia May 15, 2019

Background: Patients with cerebral microbleeds have increased risk of intracranial hemorrhage and ischemic stroke. No trial specifically informs antithrombotic therapy for patients with cerebral microbleeds and atrial fibrillation. We investigated the safety of anticoagulation versus no anticoagulation with regard to cerebrovascular outcomes and mortality.… Read More...

Ryan C. Hofler, Michael P. Wemhoff, Stephen J. Johans, Russ P. Nockels May 15, 2019

Remote cerebellar hemorrhage is rare but potentially fatal complication of cranial and spinal surgeries. The pathophysiology of this condition following spinal surgery is thought to be related to venous bleeding from cerebellar sagging and cerebrospinal fluid (CSF) hypotension. Most reported cases in the literature following spinal surgery involve intraoperative CSF leakage.… Read More...

Ravi Garg, Elissa Oh, Andrew Naidech, Konrad Kording, Shyam Prabhakaran May 15, 2019

Objective: The manual adjudication of disease classification is time-consuming, error-prone, and limits scaling to large datasets. In ischemic stroke (IS), subtype classification is critical for management and outcome prediction. This study sought to use natural language processing of electronic health records (EHR) combined with machine learning methods to automate IS subtyping.… Read More...

Ryo Shimomura, Naohisa Hosomi, Miwako Tsunematsu, Tomoya Mukai, Yoshimasa Sueda, Yutaka Shimoe, Tomohiko Ohshita, Tsuyoshi Torii, Tomohisa Nezu, Shiro Aoki, Masayuki Kakehashi, Masayasu Matsumoto, Hirofumi Maruyama, Hiroshima ‘Emergency and Weather’ Study-stroke collaborators May 15, 2019

Background and Purpose: The influence of a weather front passage is rarely evaluated on stroke events. We hypothesized that a weather front passage on the stroke onset day or during the previous days may play an important role in the incidence of stroke.… Read More...

Arnavaz Hajizadeh Barfejani, Alejandro A. Rabinstein, Eelco F.M. Wijdicks, Sarah L. Clark May 15, 2019

Objective: To determine adherence to nimodipine administration in patients admitted with aneurysmal subarachnoid hemorrhage (aSAH). Background: Oral nimodipine (60 mg every 4 hours for 21 days) is recommended by the national guidelines for aSAH. A Cochrane systematic review has determined that nimodipine reduces the risk of cerebral ischemia and is currently the only effective drug for the prevention of vasospasm in aSAH patients.… Read More...

Takeru Umemura, Shigeru Nishizawa, Yoshiteru Nakano, Takeshi Saito, Takehiro Kitagawa, Ryo Miyaoka, Kohei Suzuki, Junkoh Yamamoto May 14, 2019

Objective: The concept of embolic stroke of undetermined source refers to cryptogenic strokes caused by either major or minor risks. Although antiplatelet treatments are most often used for secondary prevention of embolic stroke of undetermined source, optimal strategies remain unclear. To determine the ideal treatment strategy for secondary prevention, we investigated embolic sources among patients with embolic stroke of undetermined source.… Read More...

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