keyword
https://read.qxmd.com/read/38516762/physiotherapy-management-focusing-on-proprioceptive-impairment-in-a-patient-with-gait-and-balance-impairments-following-stroke-a-case-report
#1
JOURNAL ARTICLE
Aisuke Takahashi, Shun Kitsunai, Hikaru Kawana, Naoshi Saito, Akioh Yoshihara, Katsuhiro Furukawa
BACKGROUND: Proprioceptive impairment contributes to gait and balance impairments in patients with stroke. Diagnosis functional impairments and evaluation treatment efficacy require quantitative proprioception assessment. However, proprioception assessment has remained limited to ordinal scale measurement, with a lack of ratio scale measurements. PURPOSE: This case report describes a physiotherapy management program focusing on proprioceptive impairment in patients with stroke using quantitative tests such as Threshold to Detect Passive Motion (TDPM) and Joint Position Sense (JPS)...
March 22, 2024: Physiotherapy Theory and Practice
https://read.qxmd.com/read/38476053/a-sunct-like-headache-associated-with-lateral-pontine-infarction-case-series-and-systematic-review
#2
Priabprat Jansem, Nattapat Watanapa, Sekh Thanprasertsuk, Wanakorn Rattanawong, Thanakit Pongpitakmetha, Prakit Anukoolwittaya
BACKGROUND AND AIM: Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and autonomic symptoms (SUNA) are trigeminal autonomic cephalalgias (TACs). The study explores the potential association between SUNCT/SUNA-like headaches and lateral pontine infarctions. METHODS: Case series and systematic review. RESULTS: We present three cases diagnosed with SUNCT following lateral pontine infarction on magnetic resonance imaging (MRI), along with a review of these cases and 10 others from the literature...
March 12, 2024: European Journal of Pain: EJP
https://read.qxmd.com/read/38463582/new-onset-tachycardia-bradycardia-syndrome-following-acute-non-medullary-brainstem-infarction
#3
Jingmin Zhao, Yu Gao, Zhengxian Jin, Yujing Huang, Kwee-Yum Lee, Guangxun Shen
Tachycardia-bradycardia syndrome (TBS) is a variant of sick sinus syndrome (SSS) characterized by alternating tachycardia and bradycardia. A few cases of SSS secondary to structural lesions in the medulla have been reported, but there has never been a reported case of the rare sign akin to TBS following acute non-medullary brainstem infarction. Furthermore, new-onset cardiac arrhythmias in stroke often presented in one continuous pattern - either as bradycardia or tachycardia, but instances of an alternating fashion have been rarely reported...
2024: American Journal of Translational Research
https://read.qxmd.com/read/38432968/the-body-mass-index-as-a-determinant-of-acute-ischemic-location-in-mild-non-cardioembolic-stroke-patients
#4
JOURNAL ARTICLE
Junya Aoki, Kazumi Kimura
Objective Although the body mass index (BMI) is considered a meaningful parameter for evaluating obesity, the association between the BMI and acute non-cardioembolic stroke remains unclear. We investigated how the BMI was related to patients' background, type of infarction, and infarction location in patients with non-cardioembolic stroke using an acute dual study (ADS) cohort. Methods The ADS trial was conducted between May 2011 and June 2017 in Japan. The BMI classifications were those proposed by the World Health Organization classification: underweight, <18...
March 4, 2024: Internal Medicine
https://read.qxmd.com/read/38409927/tg-hdl-c-ratio-as-a-predictor-of-progressive-infarction-in-patients-with-anterior-circulation-single-subcortical-infarction
#5
JOURNAL ARTICLE
Jing Lin, Liangbin Dong, Qin Huang, Hui Xiao, Shumeng Li, Jincai Tang, Xiaocheng Mao, Pengcheng Huang, Xiaobing Li, Daojun Hong
BACKGROUND: The contributors predicting progressive infarction (PI) in patients with anterior circulation single subcortical infarction (ACSSI) and pontine single infarction (PSI) may be unidentical. The role of triglyceride to high-density lipoprotein cholesterol (TG/HDL-c) ratio on PI is unclear. The purpose of our study is to evaluate the correlation between TG/HDL-c ratio and PI in patients with ACSSI or PSI. METHODS: Between January 2020 and October 2022, we retrospectively enrolled 738 patients including 638 ACSSI patients and 100 PSI patients to analyze...
February 2024: Brain and Behavior
https://read.qxmd.com/read/38369329/-a-case-of-bilateral-middle-cerebellar-peduncle-infarction-with-hot-cross-bun-sign
#6
JOURNAL ARTICLE
Daisuke Kuzume, Yuko Morimoto, Satoshi Tsutsumi, Masahiro Yamasaki, Naohisa Hosomi
A 71-year-old man with hypertension and diabetes mellitus presented to our hospital because he felt lightheaded. Diffusion-weighted images (DWI) on brain MRI showed high signal lesions in the left cerebellar hemisphere and the right pons. The diagnosis of cerebellar infarction was made, but he refused treatment. One month later, he came to our hospital because his body leaned to the left. Neurological examination revealed dysarthria and cerebellar truncal ataxia. An electrocardiogram showed atrial fibrillation...
February 17, 2024: Rinshō Shinkeigaku, Clinical Neurology
https://read.qxmd.com/read/38263044/mri-based-clinical-radiomics-nomogram-to-predict-early-neurological-deterioration-in-isolated-acute-pontine-infarction-a-two-center-study-in-northeast-china
#7
JOURNAL ARTICLE
Jia Wang, Kuang Fu, Zhenqi Wang, Ning Wang, Xiaokun Wang, Tianquan Xu, Haoran Li, Xv Han, Yun Wu
OBJECTIVE: To predict the appearance of early neurological deterioration (END) among patients with isolated acute pontine infarction (API) based on magnetic resonance imaging (MRI)-derived radiomics of the infarct site. METHODS: 544 patients with isolated API were recruited from two centers and divided into the training set (n = 344) and the verification set (n = 200). In total, 1702 radiomics characteristics were extracted from each patient...
January 23, 2024: BMC Neurology
https://read.qxmd.com/read/38248260/disrupted-effective-connectivity-within-the-fronto-thalamic-circuit-in-pontine-infarction-a-spectral-dynamic-causal-modeling-study
#8
JOURNAL ARTICLE
Huiyou Chen, Qianqian Mao, Yujie Zhang, Mengye Shi, Wen Geng, Yuehu Ma, Yuchen Chen, Xindao Yin
This study aims to investigate alterations in effective connectivity (EC) within the fronto-thalamic circuit and their associations with motor and cognitive declines in pontine infarction (PI). A total of 33 right PI patients (RPIs), 38 left PI patients (LPIs), and 67 healthy controls (HCs) were recruited. The spectral dynamic causal modeling (spDCM) approach was used for EC analysis within the fronto-thalamic circuit, including the thalamus, caudate, supplementary motor area (SMA), medial prefrontal cortex (mPFC), and anterior cingulate cortex (ACC)...
January 1, 2024: Brain Sciences
https://read.qxmd.com/read/38206713/an-isolated-pontine-infarct-extending-to-the-basal-pontine-surface-has-a-higher-abnormal-ankle-brachial-index
#9
JOURNAL ARTICLE
Jung Hyun Kim, Youngrok Do
Patients with ischemic stroke and branch atheromatous disease (BAD) have worse neurological deficits and prognoses than those with small vessel occlusion (SVO). However, both disorders are forms of deep brain infarctions. This study aimed to investigate an MRI-based etiological classification for isolated pontine infarctions and assess differences in vascular risk factors and peripheral arterial disease among etiological subtypes. Consecutive data of patients admitted for acute ischemic stroke or transient ischemic attack between August 2016 and July 2019 were reviewed...
December 29, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38174671/clinical-characteristics-in-patients-with-oculomotor-paralysis-caused-by-isolated-midbrain-infarction
#10
JOURNAL ARTICLE
Eryi Zhao, Daimei Wang, Zhongyan Zhao, Shijun Hu, Xiangying He, Peijian Huang
INTRODUCTION: The aim of the study was to investigate the clinical characteristics of isolated oculomotor paralysis (OP) cases caused by pure midbrain infarction (MI) with pupil sparing. MATERIAL AND METHODS: Patients with pure MI and pontine infarction (PI) at our hospital were included in this study. We compared the blood pressure and lipid levels between the two groups. And the clinical data and imaging features were summarized. RESULTS: In total, 33 and 35 patients were included in the MI and PI groups, respectively...
January 4, 2024: Folia Neuropathologica
https://read.qxmd.com/read/37991236/atypical-presentation-of-the-classical-form-of-locked-in-syndrome-in-a-young-patient
#11
JOURNAL ARTICLE
Ngoda Manongi, Jana Clough, Ryan Mirchin, Kory A Byrns, Steven Tversky
Locked-in syndrome (LIS) is an uncommon neurologic disorder that manifests in quadriplegia and anarthria with preserved cognition and self-awareness. Generally, patients with LIS may live for years with preserved quality of life and cognitive function, but with severe disability. There are 3 types of LIS: classic, partial, and total. The classical form is defined by total immobility, with preservation of the ability to perform vertical eye movements, blink, and maintain a normal level of consciousness. We present an unusual case of classical LIS in a 54-year-old man who presented initially with acute-onset left lower extremity weakness and dysarthria with radiographic evidence of extensive, acute right paramedian pontine infarction and high-grade vertebral artery stenosis...
2023: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/37953842/-raisin-bread-sign-feature-of-pontine-autosomal-dominant-microangiopathy-and-leukoencephalopathy
#12
JOURNAL ARTICLE
Mai Kikumoto, Takashi Kurashige, Tomohiko Ohshita, Kodai Kume, Osamu Kikumoto, Tomohisa Nezu, Shiro Aoki, Kazuhide Ochi, Hiroyuki Morino, Eiichi Nomura, Hiroshi Yamashita, Mayumi Kaneko, Hirofumi Maruyama, Hideshi Kawakami
Pontine autosomal dominant microangiopathy and leukoencephalopathy is one of hereditary cerebral small vessel diseases caused by pathogenic variants in COL4A1 3'UTR and characterized by multiple small infarctions in the pons. We attempted to establish radiological features of this disease. We performed whole exome sequencing and Sanger sequencing in one family with undetermined familial small vessel disease, followed by clinicoradiological assessment and a postmortem examination. We subsequently investigated clinicoradiological features of patients in a juvenile cerebral vessel disease cohort and searched for radiological features similar to those found in the aforementioned family...
2023: Brain communications
https://read.qxmd.com/read/37928165/the-value-of-computed-tomography-perfusion-deficit-volumes-in-acute-isolated-brainstem-infarction
#13
JOURNAL ARTICLE
Pengjun Chen, Yiying Pan, Jingke Wang, Junguo Hui, Ruijie Gao, Guihan Lin, Bingrong Li, Jie Rao, Shuiwei Xia, Jiansong Ji
PURPOSE: Diagnosis of acute isolated brainstem infarction is challenging owing to non-specific, variable symptoms, and the effectiveness of non-contrast computed tomography (NCCT) is poor owing to limited spatial resolution and artifacts. Computed tomography perfusion (CTP) imaging parameters are significantly associated with functional outcomes in posterior circulation acute ischemic stroke; however, the role of CTP in isolated brainstem infarction remains unclear. We aimed to determine the value of CTP imaging parameters in predicting functional outcomes for affected patients...
2023: Frontiers in Neurology
https://read.qxmd.com/read/37872758/sudden-hearing-loss-and-vertigo-with-silent-pontine-infarction-a-case-report
#14
Jae Yeong Jeong, Hayoung Byun, Seung Hwan Lee, Jae Ho Chung
Most cases of sudden sensorineural hearing loss (SSNHL) occur without a specific identifiable cause, although vascular factors may serve as potential etiological contributors. Silent infarction refers to ischemic changes observed on imaging studies without accompanying clinical symptoms; however, this condition is clinically significant owing to the increased risk of future stroke. We report a case of left-sided SSNHL accompanied by dizziness in a 62-year-old male patient who was diagnosed with left pontine infarction without any other neurological symptoms...
October 2023: Journal of Audiology & Otology
https://read.qxmd.com/read/37868328/acute-cranial-nerve-vi-palsy-following-prolonged-prone-positioning-in-an-adolescent-with-neurofibromatosis-type-1-a-rare-complication-of-spinal-surgery-in-the-prone-position
#15
Christian Mpody, Vanessa Olbrecht, Joseph D Tobias
The abducens or sixth cranial nerve provides motor innervation to the lateral rectus muscle, which abducts the ipsilateral eye with secondary innervation of the contralateral medial rectus muscle to allow for coordinated movement of both eyes. Various acute and chronic pathologic conditions, most importantly pontine infarctions and increased intracranial pressure, can result in acute sixth cranial nerve palsies. We report the uncommon occurrence of acute abducens nerve palsy following spinal fusion surgery in an 18-year-old male patient with a history of multiple neurological and orthopedic conditions...
October 2023: Journal of Medical Cases
https://read.qxmd.com/read/37853573/endovascular-treatment-of-symptomatic-basilar-artery-stenosis
#16
JOURNAL ARTICLE
Jae Ho Kim, Kwang-Chun Cho, Taemin Kim, Sang Woo Ha, Sang Hyun Suh
PURPOSE: While symptomatic basilar artery (BA) stenosis is associated with a higher risk of recurrent stroke or death, there is no consensus on the management of these patients who are refractory to antiplatelet therapy. This study retrospectively assesses the outcomes of endovascular treatment (EVT) for symptomatic BA stenosis. MATERIALS AND METHODS: We conducted a retrospective review of patients with symptomatic BA stenosis who underwent EVT, including angioplasty or stenting, from 2006 to 2018...
November 2023: Neurointervention
https://read.qxmd.com/read/37800786/the-association-between-monocyte-to-high-density-lipoprotein-cholesterol-ratio-and-clinical-prognosis-of-acute-ischemic-stroke-after-intravenous-thrombolysis-therapy
#17
JOURNAL ARTICLE
Ning Yang, Liqun Hu, Yulong Han
The monocyte-to-high-density lipoprotein cholesterol (HDL) ratio (MHR) is accepted as a novel marker for demonstrating inflammation. We investigated whether the monocyte-to-HDL ratio is related to the 90-day clinical prognosis of acute ischemic stroke (AIS) after intravenous thrombolysis (IVT). Patients with AIS treated with alteplase IVT were included consecutively, and clinical information and laboratory data were collected. The 90-day prognosis of all patients was determined with a clinical assessment using the modified Rankin Scale (mRS)...
October 6, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37757583/dyslipidemia-is-associated-with-progressive-infarction-in-anterior-circulation-single-subcortical-infarction-patients
#18
JOURNAL ARTICLE
Shumeng Li, Liangbin Dong, Qin Huang, Jiacheng Xu, Zubing Xu, Xiaocheng Mao, Jincai Tang, Xiaobing Li, Jing Lin, Daojun Hong
BACKGROUND: The predictors of progressive infarction (PI) in patients with anterior circulation single subcortical infarction (ACSSI) and pontine single infarction (PSI) may be different. Our study aims to evaluate the association between various lipid markers and PI in patients with ACSSI or PSI. METHODS: A total of 629 patients (546 patients diagnosed as ACSSI and 83 patients diagnosed as PSI) were retrospectively enrolled between January 2020 and October 2022...
September 25, 2023: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/37654949/covid-19-and-crossed-eye-a-case-report-and-literature-review
#19
Hui Di Khor, Pooi Wah Lott, Siti Nor Roha Daman Huri, Sujaya Singh, Tajunisah Iqbal
This study aims to report a case of neuro-ophthalmic manifestation in a coronavirus disease 2019 (COVID-19) patient and a literature review of neuro-ophthalmological manifestation in COVID-19 patients. A 57-year-old male presented with headache, giddiness, and sudden onset of diplopia over two days after having a flu-like illness. Clinical examination revealed bilateral bizarre extraocular movement with right lower motor neuron facial nerve palsy. A polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was positive...
July 2023: Curēus
https://read.qxmd.com/read/37568140/the-island-sign-on-diffusion-weighted-imaging-predicts-early-neurological-deterioration-in-penetrating-artery-territory-infarctions-a-retrospective-study
#20
JOURNAL ARTICLE
Yang Yang, Zhihua Si, Dawei Wang, Dong Dong, Rutao Liu, Xianwen Yu, Jiyou Tang, Aihua Wang
BACKGROUND: Early neurological deterioration (END) sometimes occurs in patients with penetrating artery territory infarction (PATI) and leads to poor prognosis. In this study, we analyzed clinical and neuroimaging characteristics of PATI, and focused on the infarct patterns on diffusion-weighted imaging (DWI). We tried to investigate whether the "island sign" pattern is associated with END. METHODS: We enrolled consecutive patients admitted with acute PATI within 48 h after onset from May 2020 to July 2022...
August 11, 2023: BMC Neurology
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