keyword
Keywords National institute of health s...

National institute of health stroke scale

https://read.qxmd.com/read/38454521/orbital-infarction-syndrome-following-mechanical-thrombectomy-in-internal-carotid-artery-occlusion-a-case-report
#21
JOURNAL ARTICLE
Binh Q Tran, Lanh C Nguyen, Tinh T Trinh, An T T Vo, Minh V Do, Minh Q Tran, Khanh C Tran, Loan H T Tran, Duc T Ha
BACKGROUND: Orbital ischemic syndrome is a rare entity. The clinical signs typically demonstrate acute loss of visual acuity, chemosis, proptosis, ptosis, and total ophthalmoparesis. We report a case of a man who suffered an acute internal carotid artery occlusion and developed orbital ischemic syndrome after a mechanical thrombectomy. CASE PRESENTATION: A 57-year-old Vietnamese (Kinh ethnicity) man was brought to the emergency room with complaints of a speech disturbance, facial palsy, and severe weakness of the left arm and leg, which had started 4 hours earlier, after waking up...
March 8, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38453701/intensive-blood-pressure-control-after-endovascular-thrombectomy-for-acute-ischemic-stroke-a%C3%A2-systematic-review-and-meta-analysis
#22
JOURNAL ARTICLE
Mohamed Abuelazm, Yehya Khildj, Ahmed A Ibrahim, Abdelrahman Mahmoud, Ahmed Mazen Amin, Ibrahim Gowaily, Ubaid Khan, Basel Abdelazeem, James Robert Brašić
BACKGROUND AND PURPOSE: Optimal clinical outcome with successful recanalization from endovascular thrombectomy (EVT) requires optimal blood pressure (BP) management. We aimed to evaluate the efficacy and safety of the intensive BP target (< 140 mm Hg) versus the standard BP target (< 180 mm Hg) after EVT for acute ischemic stroke. METHODS: We conducted a systematic review and meta-analysis synthesizing evidence from randomized controlled trials (RCTs) obtained from PubMed, Embase Cochrane, Scopus, and WOS until September 7th, 2023...
March 7, 2024: Clinical Neuroradiology
https://read.qxmd.com/read/38452715/how-well-does-peripheral-blood-neutrophil-to-lymphocyte-ratio-predict-the-severity-and-prognosis-of-hemorrhagic-stroke
#23
JOURNAL ARTICLE
Anadi Mishra, Ruchika Tandon, Vimal Paliwal, Sanjeev Jha
OBJECTIVE: We explored the blood neutrophil-to-lymphocyte ratio (NLR) as a prognostic marker and its relation with mortality and Modified Rankin Scale (mRS) score at discharge and at 3 months following ICH and also compared NLR with intracerebral hemorrhage (ICH) score, Sequential Organ Failure Assessment (SOFA) score and National Institutes of Health Stroke Scale (NIHSS) score. METHODS: The investigators calculated the NIHSS score, SOFA score, ICH score and NLR of 90 adult patients within 3 days of onset of stroke with evidence of hemorrhagic stroke in brain imaging and correlated it with in-hospital mortality, 3-month mortality and mRS at 3 months following stroke using regression analysis...
February 28, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38450998/the-non-paretic-hand-to-opposite-ear-test-a-simple-test-to-detect-aphasia-and-neglect-and-an-indicator-of-large-anterior-vessel-occlusion-in-patients-with-suspected-acute-stroke
#24
JOURNAL ARTICLE
Matthias L Herrmann, Clara Franck, Florian F Schuchardt, Simone Meier, Max Henningsen, Nicole Wimmesberger, Diana Rau, Hans-Jörg Busch, Christian A Taschner, Erik Farin-Glattacker, Jochen Brich
INTRODUCTION: Aphasia and neglect in combination with hemiparesis are reliable indicators of large anterior vessel occlusion (LAVO). Prehospital identification of these symptoms is generally considered difficult by emergency medical service (EMS) personnel. Therefore, we evaluated the simple non-paretic-hand-to-opposite-ear (NPE) test to identify aphasia and neglect with a single test. As the NPE test includes a test for arm paresis, we also evaluated the diagnostic ability of the NPE test to detect LAVO in patients with suspected stroke...
March 2024: Brain and Behavior
https://read.qxmd.com/read/38449050/trends-in-stroke-severity-at-hospital-admission-and-rehabilitation-discharge-before-and-during-the-covid-19-pandemic-in-hesse-germany-a-register-based-study
#25
JOURNAL ARTICLE
Matthias Hans Belau, Björn Misselwitz, Uta Meyding-Lamadé, Burc Bassa
BACKGROUND: The COVID-19 pandemic has affected acute stroke care, resulting in a decrease in stroke admissions worldwide. We examined trends in stroke severity at hospital admission, including (1) probable need for rehabilitation (National Institutes of Health Stroke Scale score > 6 points) and (2) probable need for assistance (modified Rankin Scale score > 2 points), and discharge to rehabilitation after acute care among inpatients with acute ischemic stroke and intracerebral hemorrhage...
March 7, 2024: Neurological research and practice
https://read.qxmd.com/read/38447221/the-testamentary-capacity-in-acute-stroke-a-cross-sectional-study
#26
JOURNAL ARTICLE
Anna Tsiakiri, Ioanna Trypsiani, Foteini Christidi, Gregory Trypsianis, Christos Bakirtzis, Pinelopi Vlotinou, Dimitrios Tsiptsios, Panagiota Voskou, Sokratis Papageorgiou, Nikolaos Aggelousis, Konstantinos Vadikolias, Aspasia Serdari
Succession law, which governs the creation and validity of wills, is closely tied to testamentary capacity (TC), the cognitive competence required for a valid will. This study explores TC in acute stroke patients and its connections to demographic and clinical characteristics. The research included first-time stroke patients admitted within 24 hours of symptom onset, meeting specific criteria. Data were collected, and assessment tools like the Addenbrooke's Cognitive Examination III (ACE-III) and Testamentary Capacity Assessment Tool (TCAT) were used...
March 6, 2024: Applied Neuropsychology. Adult
https://read.qxmd.com/read/38445467/inflammatory-type-focal-cerebral-arteriopathy-of-the-posterior-circulation-in-children-a-comparative-cohort-study
#27
JOURNAL ARTICLE
Nedelina Slavova, Robin Muenger, Iciar Sanchez-Albisua, Maria Regényi, Gabriela Oesch, Joël Fluss, Annette Hackenberg, Sébastien Lebon, Oliver Maier, Alexandre N Datta, Sandra Bigi, Sebastian Grunt, Maja Steinlin
BACKGROUND: Inflammatory type focal cerebral arteriopathy (FCA-i) in the anterior circulation (AC) is well characterized, and the focal cerebral arteriopathy severity score (FCASS) reflects the severity of the disease. We identified cases of FCA-i in the posterior circulation (PC) and adapted the FCASS to describe these cases. METHODS: In this comparative cohort study, patients from the Swiss NeuroPaediatric Stroke Registry with ischemic stroke due to FCA-i between January 2000 and December 2018 were analyzed...
March 6, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38444269/relationship-of-day-by-day-blood-pressure-variability-and-admission-stroke-severity-in-acute-ischemic-stroke
#28
JOURNAL ARTICLE
Yuan Zhu, Minghua Wu, Yawei Zheng, Xintong Wang, Jingyi Xiayang, Tianrui Zhang, Shana Wang, Zhuyuan Fang
OBJECTIVES: Research on the association between stroke severity and day-by-day blood pressure variability (BPV) in acute ischemic stroke (AIS) is rare as the majority focus on the blood pressure (BP) or the short-term BPV. Our study aims to explore the exact roles of daily BPV through the 7-day commencement on stroke severity in AIS. METHODS: The study included 633 patients with AIS, defining AIS as the time from the beginning of symptom up to 7 days with recording BP twice a day as well as calculating the daily BPV, and then matching them to the stroke severity...
March 6, 2024: Neurologist
https://read.qxmd.com/read/38443730/paroxetine-effect-on-nerve-growth-factor-human-neurotrophin-4-brain-derived-neurotrophic-factor-levels-in-post-stroke-depression
#29
JOURNAL ARTICLE
Yuhua Jin, Lamei Yu, Yan Li
The aim of this study is to explore paroxetine's effect on nerve growth factor (NGF), human neurotrophin-4 (NT-4), and brain-derived neurotrophic factor (BDNF) levels in post-stroke depression. Ninety-two post-stroke depression patients from April 2021 to April 2023 in our hospital were selected and numbered 1 to 92 after enrollment. Forty-six patients with odd number and 46 patients with even number were, respectively, included in the control and observation group. In addition to basic treatment, control group was treated with flupentixol melitracen tablets orally, and observation group received paroxetine hydrochloride orally...
March 5, 2024: Molecular Neurobiology
https://read.qxmd.com/read/38439524/successful-thrombectomy-of-the-posterior-cerebral-artery-p2-segment-in-a-61-year-old-man-with-acute-ischaemic-stroke-a-case-report
#30
JOURNAL ARTICLE
Paola Palazzo, Eike I Piechowiak, Mirjam R Heldner
BACKGROUND Acute ischemic stroke in the posterior cerebral artery (PCA) territory can lead to persistent disabling deficits. The PCA is divided into 4 segments. The P2 segment begins at the posterior communicating artery and curves around the midbrain and above the tentorium cerebelli. This report is of a 61-year-old man with acute ischemic stroke involving the left hippocampus treated with direct thrombectomy of the P2 segment of the PCA. CASE REPORT A 61-year-old white man presented with transient amnesia, aphasia, right-sided hemianopia, dizziness, and persistent acute memory deficits...
March 5, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38439027/effect-of-postoperative-prolonged-sedation-with-dexmedetomidine-after-successful-reperfusion-with-endovascular-thrombectomy-on-long-term-prognosis-in-patients-with-acute-ischemic-stroke-ppdet-study-protocol-for-a-randomized-controlled-trial
#31
JOURNAL ARTICLE
Li-Na Yang, Yi Sun, Yu-Zhu Wang, Jing Wang, Yi-Sha Qi, Shan-Shan Mu, Yun-Peng Liu, Zi-Qing Zhang, Zi-Mo Chen, Xiao-Jie Wang, Wu-Xiang Xie, Chang-Wei Wei, Yang Wang, An-Shi Wu
BACKGROUND: Endovascular thrombectomy (EVT) is a standard treatment for acute ischemic stroke (AIS) with large vessel occlusion. Hypertension and increased blood pressure variability within the first 24 h after successful reperfusion are related to a higher risk of symptomatic intracerebral hemorrhage and higher mortality. AIS patients might suffer from ischemia-reperfusion injury following reperfusion, especially within 24 h. Dexmedetomidine (DEX), a sedative commonly used in EVT, can stabilize hemodynamics by inhibiting the sympathetic nervous system and alleviate ischemia-reperfusion injury through anti-inflammatory and antioxidative properties...
March 4, 2024: Trials
https://read.qxmd.com/read/38436184/the-relationship-between-hemoglobin-to-red-cell-distribution-width-rdw-ratio-hrr-and-mortality-in-stroke-patients
#32
JOURNAL ARTICLE
A Eyiol, B Ertekin
OBJECTIVE: In recent years, many studies have shown that hemoglobin to red cell distribution width ratio (HRR), which is the ratio of hemoglobin (Hb) to red cell distribution width (RDW), is associated with inflammation. Inflammation is linked to both the development of stroke and the severe effects that follow. Therefore, the relationship between the HRR and mortality in patients with stroke was investigated in our study. PATIENTS AND METHODS: 127 stroke patients who visited the emergency department between March 1, 2023, and June 1, 2023, were retrospectively evaluated...
February 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38434312/unveiling-the-negative-association-of-faecalibacterium-prausnitzii-with-ischemic-stroke-severity-impaired-prognosis-and-pro-inflammatory-markers
#33
JOURNAL ARTICLE
Yayin Luo, Geng Chang, Guangxiang Yu, Yanan Lin, Qiuyi Zhang, Zhe Wang, Jie Han
BACKGROUND: The correlation between acute ischemic stroke (AIS) and gut microbiota has opened a promising avenue for improving stroke prognosis through the utilization of specific gut bacterial species. This study aimed to identify gut bacterial species in AIS patients and their correlation with stroke severity, 3-month prognosis, and inflammatory markers. Methods : We enrolled 59 AIS patients (from June 2021 to July 2022) and 31 age-matched controls with similar cerebrovascular risk profiles but no stroke history...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38434206/the-short-term-outcome-of-intracranial-stenosis-with-distal-thrombosis-treated-with-balloon-assisted-tracking
#34
JOURNAL ARTICLE
Hui Li, Xiangyu Meng, Kai Mao, Linlin Liu, Lifeng Xu, Lingyou Chen, Can Xu, Wenqing Wang, Conghui Li
BACKGROUND AND PURPOSES: Treating intracranial stenosis with distal thrombosis (IS&DT) using traditional mechanical thrombectomy (MT) techniques has proven challenging. This study aimed to summarize the experience of utilizing the balloon-assisted tracking (BAT) technique for IS&DT. METHODS: Demographic and morphologic characteristics of patients with IS&DT were collected for this study. The BAT technique, involving a half-deflated balloon outside the intermediate catheter tip, was used in all patients to navigate through the proximal stenosis...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38434201/the-effect-of-the-interaction-of-sleep-onset-latency-and-age-on-ischemic-stroke-severity-via-inflammatory-chemokines
#35
JOURNAL ARTICLE
Yuyu Zhou, Xiaoli Han, Qingshuang Mu, Lifei Xing, Yan Wu, Cunbao Li, Yanlong Liu, Fan Wang
OBJECTIVE: Prolonged sleep onset latency (PSOL) and age have been linked to ischemic stroke (IS) severity and the production of chemokines and inflammation, both of which contribute to IS development. This study aimed to explore the relationship between chemokines, inflammation, and the interplay between sleep onset latency (SOL) and age in influencing stroke severity. METHODS: A cohort of 281 participants with mild to moderate IS was enrolled. Stroke severity was assessed using the National Institutes of Health Stroke Scale (NIHSS), and SOL was recorded...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38432871/inflammatory-marker-profiles-and-in-hospital-neurological-deterioration-in-patients-with-acute-minor-ischemic-stroke
#36
JOURNAL ARTICLE
Luo Yi, Zi-Xiao Li, Ying-Yu Jiang, Yong Jiang, Xia Meng, Hao Li, Xing-Quan Zhao, Yi-Long Wang, Li-Ping Liu, Yong-Jun Wang, Hong-Qiu Gu
AIM: The aim of the study was to analyze the association between inflammatory marker profiles and in-hospital neurological deterioration (ND) in acute ischemic stroke (AIS) patients. METHODS: Data from patients with minor AIS from the Third China National Stroke Registry were analyzed. Inflammatory cytokine levels within 24 h of admission were measured. The primary outcome was in-hospital ND (an increase in National Institutes of Health Stroke Scale score ≥4 from admission to discharge)...
March 2024: CNS Neuroscience & Therapeutics
https://read.qxmd.com/read/38429754/clopidogrel-with-indobufen-or-aspirin-in-minor-ischemic-stroke-or-high-risk-transient-ischemic-attack-a-randomized-controlled-clinical-study
#37
RANDOMIZED CONTROLLED TRIAL
Xudong Liu, Xuxian Lv, Yanfang Peng, Jianing Wang, Junjie Lei, Chaogang Tang, Shijian Luo, Weihua Mai, Yiming Cai, Qian Fan, Chenhao Liu, Lei Zhang
BACKGROUND: Ischemic stroke and transient ischemic attack (TIA) are the most prevalent cerebrovascular diseases. The conventional antiplatelet drugs are associated with an inherent bleeding risk, while indobufen is a new antiplatelet drug and has the similar mechanism of antiplatelet aggregation as aspirin with more safety profile. However, there have been no studies evaluating the combination therapy of indobufen and clopidogrel for antiplatelet therapy in cerebrovascular diseases. OBJECTIVE: The CARMIA study aims to investigate the effectiveness and safety of a new dual antiplatelet therapy consisting of indobufen and clopidogrel comparing with the conventional dual antiplatelet therapy consisting of aspirin and clopidogrel in patients with minor ischemic stroke or high-risk TIA...
March 1, 2024: BMC Neurology
https://read.qxmd.com/read/38429099/anesthetic-management-for-large-vessel-occlusion-acute-ischemic-stroke-with-tandem-lesions
#38
JOURNAL ARTICLE
Mudassir Farooqui, Milagros Galecio-Castillo, Ameer E Hassan, Afshin A Divani, Mouhammad Jumaa, Marc Ribo, Nils H Petersen, Michael G Abraham, Johanna T Fifi, Waldo R Guerrero, Amer Malik, James E Siegler, Thanh N Nguyen, Sunil A Sheth, Albert J Yoo, Guillermo Linares, Nazli Janjua, Darko Quispe-Orozco, Wondwossen G Tekle, Sara Y Sabbagh, Syed F Zaidi, Marta Olive Gadea, Ayush Prasad, Abid Qureshi, Reade Andrew De Leacy, Mohamad Abdalkader, Sergio Salazar-Marioni, Jazba Soomro, Weston Gordon, Charoskhon Turabova, Aaron Rodriguez-Calienes, Juan Vivanco-Suarez, Maxim Mokin, Dileep R Yavagal, Tudor G Jovin, Santiago Ortega-Gutierrez
BACKGROUND: Endovascular therapy (EVT) stands as an established and effective intervention for acute ischemic stroke in patients harboring tandem lesions (TLs). However, the optimal anesthetic strategy for EVT in TL patients remains unclear. This study aims to evaluate the impact of distinct anesthetic techniques on outcomes in acute ischemic stroke patients presenting with TLs. METHODS: Patient-level data, encompassing cases from 16 diverse centers, were aggregated for individuals with anterior circulation TLs treated between January 2015 and December 2020...
March 1, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38427274/the-association-between-national-institutes-of-health-stroke-scale-score-and-clinical-outcome-in-patients-with-large-core-infarctions-undergoing-endovascular-treatment
#39
JOURNAL ARTICLE
Lingyu Zhang, Jinfu Ma, Mengmeng Wang, Lin Zhang, Wenzhe Sun, Honghong Ji, Chengsong Yue, Jiacheng Huang, Wenjie Zi, Fengli Li, Changwei Guo, Pengfei Wang
INTRODUCTION: This study aimed to analyze the association between baseline National Institutes of Health Stroke Scale (NIHSS) scores and clinical outcomes in patients with large core infarctions undergoing endovascular treatment (EVT), a relationship that remains unclear. METHODS: Data were obtained from the MAGIC study, a prospective multicenter cohort study focusing on patients with acute large core ischemic stroke. This analysis evaluated the impact of NIHSS scores on EVT outcomes in patients with large core infarctions...
March 1, 2024: Neurology and Therapy
https://read.qxmd.com/read/38426606/amide-proton-transfer-weighted-mri-associations-with-clinical-severity-and-prognosis-in-ischemic-strokes
#40
JOURNAL ARTICLE
Le Zhou, Wanqian Pan, Renjun Huang, Tianye Wang, Zifan Wei, Hui Wang, Yi Zhang, Yonggang Li
BACKGROUND: The National Institutes of Health Stroke Scale (NIHSS) and the modified Rankin scale (mRS) scores have important shortcomings. Amide proton transfer-weighted (APTw) imaging might offer more valuable information in ischemic strokes assessment. PURPOSE: To utilize APTw, apparent diffusion coefficient (ADC), and computed tomography perfusion (CTP) for the assessment of clinical symptom severity and 90-day prognosis in patients diagnosed with ischemic stroke...
March 1, 2024: Journal of Magnetic Resonance Imaging: JMRI
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