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Neurohospitalist

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https://www.readbyqxmd.com/read/29276569/fulminant-reversible-cerebral-vasoconstriction-syndrome
#1
Kushak Suchdev, Gregory Norris, Imad Zak, Wazim Mohamed, Mohammed Ibrahim
Reversible cerebral vasoconstriction syndrome (RCVS) is increasingly being recognized as a diagnosis in patients presenting with thunderclap headaches. In the vast majority of the cases, the syndrome follows a benign course and patients recover completely without any significant therapeutic intervention. In the rarest of cases, RCVS follows a monophasic course with rapid worsening, severe neurological deficits, and poor outcomes. We present the case of a 25-year-old female who presented with headaches which were worsening over 1 week...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276568/restricted-diffusion-mri-lesions-in-hiv-associated-cmv-encephalitis
#2
Sung-Min Cho, MaryAnn Mays
No abstract text is available yet for this article.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276567/convergence-spasm-in-wernicke-encephalopathy
#3
REVIEW
Syed Shabbir, Olivia Tong, Lauren Gluck, Matthew Robbins
No abstract text is available yet for this article.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276566/methotrexate-induced-neurotoxicity-an-uncommon-stroke-mimic
#4
J David Avila
No abstract text is available yet for this article.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276565/rapidly-growing-thalamic-abscess
#5
REVIEW
Josef G Heckmann, Stefan Ernst, Bernhard Scher, Bernhard Meyer
No abstract text is available yet for this article.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276564/dual-energy-ct-differentiates-contrast-staining-from-hemorrhagic-conversion-of-ischemic-stroke
#6
Derek R Johnson, Norbert G Campeau
No abstract text is available yet for this article.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276563/clinical-problem-solving-lethargy-and-fever-in-an-immunocompromised-patient
#7
Samuel Snider, Konstantin Stojanovic, Dustin Donnelly, Mark Etherton, Steven K Feske, Saef Izzy
We present the case of a 63-year-old woman with a glioblastoma multiforme on immunosuppressive steroid doses who developed lethargy and fever. We review the differential diagnosis and emphasize the importance of reframing the case when the clinical course differs from expectation. Once the diagnosis is evident, we discuss the incidence and clinical course in different patient populations.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276562/multiple-strokes-associated-with-elongation-of-the-hyoid-bone
#8
Cameron Ludt, Michelle Leppert, Asher Jones, John Song, David Kuwayama, Daniel M Pastula, Sharon Poisson
Hyoid bone elongation is an uncommon cause of stroke. Here, we report a case of hyoid bone elongation causing localized trauma to the internal carotid artery, resulting in multiple strokes. A 32-year-old woman presented with unilateral weakness and history of a recent stroke. Imaging revealed the greater horn of the hyoid bone extending between the external and internal carotid with associated thrombus at the carotid bifurcation and acute stroke. Carotid ultrasound demonstrated movement of the hyoid bone in and out of the space between the external carotid artery and internal carotid artery with neck rotation...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276561/jaw-dystonia-and-reversible-basal-ganglia-changes-as-an-initial-presentation-of-systemic-lupus-erythematosus
#9
Meghan Romba, Yujie Wang, Shu-Ching Hu, Sandeep Khot
Dystonia as a manifestation of neuropsychiatric lupus erythematosus (NPSLE) is uncommon. We report a 25-year-old woman who experienced progressive confusion, reduced speech, and difficulty opening her mouth approximately 2 weeks after development of a facial rash. Brain imaging showed bilateral, symmetric signal abnormalities within the basal ganglia and subcortical white matter. Despite treatment with high-dose steroids, she continued to have difficulty speaking with evidence of jaw dystonia on examination...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276560/envenomation-seizures
#10
Ghulam Abbas Kharal, Richard Ryan Darby, Adam B Cohen
Insect sting-related envenomation rarely produces seizures. We present a patient with confusion and seizures that began 24 hours after a yellow jacket (wasp) sting. Given the rapid onset and resolution of symptoms, as well as accompanying dermatological and orbital features, and the lack of any infectious or structural abnormalities identified, the toxic effect of the wasp venom (and related anaphylaxis reaction) was believed to be the cause of his presentation.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276559/door-to-needle-time-in-acute-stroke-treatment-and-the-july-effect
#11
Maximiliano A Hawkes, Federico Carpani, Mauricio F Farez, Sebastian F Ameriso
Intravenous thrombolysis improves outcomes in acute ischemic stroke in a time-dependent fashion. As in teaching hospitals, clinical outcomes may worsen due to the arrival of new inexperienced house staff early in the academic year (July effect, JE), we evaluated the impact of the "JE" on the door-to-needle time for intravenous thrombolysis and other stroke outcomes. In this retrospective cohort study, we assessed all acute ischemic strokes treated with intravenous thrombolysis between July 2003 and June 2016...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276558/before-after-study-of-an-electronic-order-set-for-reversal-of-vitamin-k-antagonist-associated-intracerebral-hemorrhage
#12
Jeffrey R Vitt, Lynn V Do, Nirav H Shah, Gary Fong, Nicole Y Nguyen, Anthony S Kim
Background: Vitamin K antagonist (VKA)-associated intracerebral hemorrhages (ICHs) are more likely to expand and are associated with higher mortality than primary ICH. Prompt reversal of anticoagulant effect with prothrombin complex concentrate (PCC) may promote hemostasis and decrease hematoma expansion. The aim of this study was to evaluate the impact of an electronic order set designed to standardize and facilitate more timely reversal of coagulopathy in VKA-associated ICH. Methods: We identified all adults who received PCC for VKA-associated ICH from June 2012 to June 2015 at University of California San Francisco Medical Center, which included a period before and after an electronic order set became available in 2014...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276557/safety-and-costs-of-stroke-unit-admission-for-select-acute-intracerebral-hemorrhage-patients
#13
Corey R Fehnel, Kimberly M Glerum, Linda C Wendell, N Stevenson Potter, Brian Silver, Muhib Khan, Ali Saad, Shadi Yaghi, Richard N Jones, Karen Furie, Bradford B Thompson
Background and Purpose: There are limited data to guide intensive care unit (ICU) versus dedicated stroke unit (SU) admission for intracerebral hemorrhage (ICH) patients. We hypothesized select patients can be safely cared for in SU versus ICU at lower costs. Methods: We conducted a retrospective cohort study of consecutive patients with predefined minor ICH (≤20 cm3, supratentorial, no coagulopathy) receiving care in either an ICU or an SU. Multiple linear regression and inverse probability weighting were used to adjust for differences in patient characteristics and nonrandom ICU versus SU assignment...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276556/atrial-fibrillation-predictors-on-mobile-cardiac-telemetry-in-cryptogenic-ischemic-stroke
#14
Omar Kass-Hout, Tareq Kass-Hout, Ankit Parikh, Michael Hoskins, Stephen D Clements, Srikant Rangaraju, Ali Reza Noorian, Lauren Ayala, Debra Blanke, Laura Bamford, Aaron Anderson, Samir Belagaje, Manuel Yepes, Michael Frankel, Fadi Nahab
Background and Purpose: The objective of our study was to evaluate magnetic resonance imaging (MRI) and echocardiographic characteristics that would identify patients with cryptogenic ischemic stroke (IS) and transient ischemic attack (TIA) who subsequently developed paroxysmal atrial fibrillation (PAF) on mobile cardiac outpatient telemetry (MCOT). Methods: All patients with cryptogenic IS or TIA seen at the Emory University Hospital and Emory University Hospital Midtown from January 1, 2009, to June 30, 2013, who underwent MCOT were included in this analysis...
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29276555/the-rookie-goes-to-bat-is-there-a-july-effect-on-stroke-treatment-at-teaching-hospitals
#15
EDITORIAL
Tigran Kesayan, Juan Ramos-Canseco, David Z Rose
No abstract text is available yet for this article.
January 2018: Neurohospitalist
https://www.readbyqxmd.com/read/28975005/safety-of-intraventricular-rt-pa-for-pan-ventricular-ivh-caused-by-a-ruptured-avm-a-case-report
#16
Sushrut Dharmadhikari, Ashutosh Mahapatra, Anita Tipirneni, Dileep Yavagal, Amer M Malik
Intraventricular recombinant tissue plasminogen activator (IVT rt-PA) has improved outcomes for intraventricular hemorrhage (IVH). Patients with suspected or untreated arteriovenous malformations (AVMs) have been excluded from clinical trials. We present a patient with IVH secondary to a ruptured AVM safely treated with IVT rt-PA. A 48-year-old Hispanic male with a history of dermatomyositis presented to the emergency department with sudden left-sided weakness. En route to computed tomography (CT), he became lethargic...
October 2017: Neurohospitalist
https://www.readbyqxmd.com/read/28975004/bithalamic-inflammation-in-relapsing-remitting-multiple-sclerosis
#17
Andrew R Romeo, Maulik Shah
No abstract text is available yet for this article.
October 2017: Neurohospitalist
https://www.readbyqxmd.com/read/28975003/nodular-leptomeningeal-enhancement-in-neurosarcoidosis-before-and-after-treatment
#18
J David Avila, Robert C Bucelli
No abstract text is available yet for this article.
October 2017: Neurohospitalist
https://www.readbyqxmd.com/read/28975002/restricted-diffusion-of-the-bilateral-inferior-olivary-nuclei-after-severe-hypoglycemia
#19
Cynthia L Kenmuir, Matthew Starr, Ashutosh P Jadhav
No abstract text is available yet for this article.
October 2017: Neurohospitalist
https://www.readbyqxmd.com/read/28975001/intractable-hiccups-in-a-middle-aged-female
#20
Rajeev Nayak
No abstract text is available yet for this article.
October 2017: Neurohospitalist
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