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Stroke in young age

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https://www.readbyqxmd.com/read/29053121/-possibilities-of-cavinton-therapy-regimen-for-infusions-and-cavinton-comforte-in-acute-and-early-recovery-periods-after-ischemic-stroke
#1
L A Belova, V V Mashin, A N Proshin, A N Ovsyannicova, B B Kostishko
AIM: To study the efficacy of a current regimen of treatment with cavinton for infusions and cavinton comforte in patients with ischemic stroke in acute and early recovery periods and to evaluate an impact of treatment on erythrocyte deformity using atomic power microscopy. MATERIAL AND METHODS: One hundred and sixty-four patients with hemispheric ischemic stroke, aged from 30 to 79 years, were randomized into main (n=100) and control (n=64) groups. Patients of the main group received complex treatment (basic therapy and cavinton R for drop infusions (10 intravenously during 10 days) followed by cavinton R comforte in dose 10 mg, 1 tablet 3 times a day during 90 days)...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/29048550/altered-neurophysiological-processing-of-auditory-attention-in-preschool-children-with-sickle-cell-disease
#2
Michelle Downes, Fenella J Kirkham, Paul T Telfer, Michelle de Haan
Objective: Sickle cell disease (SCD) is a genetic red blood cell disorder that often leads to stroke and executive dysfunction in school-age children and adults. This study aimed to characterize the development of the neural correlates of selective attention, an early component of executive function, in preschool children with SCD. Methods: Auditory event-related potentials (ERPs) were recorded while children attended to a story stream in one ear and ignored a second story in the other ear interchangeably...
September 18, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29040967/improvement-and-aggravation-of-spontaneous-unruptured-vertebral-artery-dissection
#3
Tomoya Shibahara, Masahiro Yasaka, Yoshiyuki Wakugawa, Koichiro Maeda, Takeshi Uwatoko, Takahiro Kuwashiro, Gregory Y H Lip, Yasushi Okada
BACKGROUND: Intracranial vertebral artery dissection (VAD) is a well-recognized cause of stroke in young and middle-aged individuals, especially in Asian populations. However, a long-term natural course remains unclear. We investigated the long-term time course of VAD using imaging findings to examine the rate and predisposing factors for improvement. METHODS: We registered 56 consecutive patients (40 males; mean age, 51.8 ± 10.7 years) with acute spontaneous VAD and retrospectively investigated neuroimaging and clinical course within 1 month and at 3 months ± 2 weeks, 6 months ± 2 weeks, and 12 months ± 2 weeks after onset to ascertain predisposing factors and time course for improvement...
October 17, 2017: Cerebrovascular Diseases Extra
https://www.readbyqxmd.com/read/29037003/effects-of-temperature-and-pressure-on-acute-stroke-incidence-assessed-using-a-korean-nationwide-insurance-database
#4
Jae-Sung Lim, Hyung-Min Kwon, Seong-Eun Kim, Juneyoung Lee, Young-Seok Lee, Byung-Woo Yoon
BACKGROUND AND PURPOSE: Many studies have evaluated the association between weather and stroke, with variable conclusions. Herein we determined the relationships between daily meteorological parameters and acute stroke incidence in South Korea. METHODS: Patients with acute stroke (2,894) were identified by standard sampling of a nationwide insurance claims database from January to December 2011. We used multiple Poisson regression analyses of stroke incidence and meteorological parameters (mean temperature, diurnal temperature change, temperature differences over the preceding 24 hours, atmospheric pressure, humidity, wind speed, and physiologically equivalent temperature) to calculate the relative risk of stroke incidence associated with meteorological parameters...
September 2017: Journal of Stroke
https://www.readbyqxmd.com/read/29035431/prognostic-application-of-thoracic-aortic-calcium-scoring-for-adverse-clinical-outcome-risk-in-elderly-patients-with-left-ventricular-hypertrophy
#5
In Jeong Cho, Hyuk Jae Chang, Sang Eun Lee, Chi Young Shim, Geu Ru Hong, Namsik Chung
BACKGROUND AND OBJECTIVES: Left ventricular hypertrophy (LVH) is associated with poor cardiovascular outcomes. Heavy aortic calcification exacerbates arterial stiffness, which consequently heightens left ventricular (LV) afterload. We assessed the usefulness of aortic calcification for predicting adverse cardiovascular outcomes and to determine whether the relationship, if any, differed as a function of LVH. METHODS: The analytic sample was comprised of a total of 487 individuals 65 years of age or older...
September 18, 2017: Korean Circulation Journal
https://www.readbyqxmd.com/read/29030421/serotonin-transporter-gene-polymorphisms-may-be-associated-with-poststroke-neurological-recovery-after-escitalopram-use
#6
Eun-Jae Lee, Mi-Sun Oh, Jong S Kim, Dae-Il Chang, Jong-Ho Park, Jae-Kwan Cha, Ji Hoe Heo, Sung-Il Sohn, Dong-Eog Kim, Hahn Young Kim, Jei Kim, Woo-Keun Seo, Jun Lee, Sang-Won Park, Yun Joong Kim, Byung-Chul Lee
OBJECTIVE: Selective serotonin reuptake inhibitors (SSRIs) putatively improve neurological recovery after stroke. We aimed to investigate whether serotonin transporter (SERT) gene polymorphisms are related to the responsiveness to SSRIs in the poststroke neurological recovery. METHODS: This was a post hoc analysis of the EMOTION study (ClinicalTrials.gov NCT01278498), a randomised, placebo-controlled, double-blind trial examining the efficacy of escitalopram on emotional and neurological disturbances after acute stroke...
October 13, 2017: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29030342/the-sex-specific-impact-of-aging-on-the-blood-pressure-response-to-exercise
#7
Joel D Trinity, Gwenael Layec, Corey R Hart, Russell S Richardson
An exaggerated blood pressure (BP) response to exercise has been linked to cardiovascular disease (CVD), but little is known about the impact of age and sex on this response. Therefore, this study examined the hemodynamic and skeletal muscle metabolic response to dynamic plantar flexion exercise, at 40% of WRmax, in 40 physical activity-matched young (n=20, 23±1 yr) and old (n=20, 73±2 yr), equally distributed, male and female subjects. Central hemodynamics and BP (finometer), popliteal artery (PA) blood flow (Doppler ultrasound), and skeletal muscle metabolism (phosphorous magnetic resonance spectroscopy, (31)P-MRS) were measured during 5 mins of plantar flexion exercise...
October 13, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/29030063/immediate-and-midterm-results-of-balloon-angioplasty-for-recurrent-aortic-coarctation-in-children-aged-1-year
#8
Bruno Lefort, Matthias Lachaud, Jean Marc El Arid, Paul Neville, Nathalie Soulé, Patrice Guérin, Alain Chantepie
BACKGROUND: Several publications have considered results of percutaneous angioplasty for aortic recoarctation, but none focused on procedures performed in children aged<1 year. AIMS: To describe the immediate and midterm results of balloon angioplasty for recoarctation before the age of 1 year, and to define the factors that might influence outcome. METHODS: We retrospectively reviewed data from 20 consecutive children undergoing percutaneous dilatation for aortic recoarctation before the age of 1 year in the University Hospitals of Tours and Nantes...
October 10, 2017: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/29026379/distribution-of-symptoms-of-post-stroke-depression-in-relation-to-some-characteristics-of-the-vulnerable-patients-in-socio-cultural-context
#9
Sam C Ibeneme, Akachukwu O Nwosu, Georgian C Ibeneme, Muideen O Bakare, Gerhard Fortwengel, Dnyanesh Limaye
OBJECTIVE: To determine the distribution of symptoms of post-stroke depression (PSD) in relation to some predisposing factors in an African population. RELEVANCE: Environment is a key determinant of behavior, and varied socio-cultural contexts must have implications for modifiable characteristics (age, duration of the stroke, marital status, type of employment, gender, the location of cerebral lesion and complications) of individuals vulnerable to PSD, which may be targeted to enhance recovery...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29023958/stroke-induced-chronic-systolic-dysfunction-driven-by-sympathetic-overactivity
#10
Michael Bieber, Rudolf A Werner, Edit Tanai, Ulrich Hofmann, Takahiro Higuchi, Kai Schuh, Peter U Heuschmann, Stefan Frantz, Oliver Ritter, Peter Kraft, Christoph Kleinschnitz
OBJECTIVE: Cardiac diseases are established risk factors for ischemic stroke incidence and severity. Conversely, there is increasing evidence that brain ischemia can cause cardiac dysfunction. The mechanisms underlying this neurogenic heart disease are incompletely understood. While it is established that ischemic stroke is associated with cardiac arrhythmias, myocardial damage, elevated cardiac enzymes and plasma catecholamines in the acute phase, nothing is known about the delayed consequences of ischemic stroke on cardiovascular function...
October 10, 2017: Annals of Neurology
https://www.readbyqxmd.com/read/29016531/myocardial-preload-alters-central-pressure-augmentation-through-changes-in-the-forward-wave
#11
Lennart van de Velde, Daan W Eeftinck Schattenkerk, Pascale A H T Venema, Hendrik J Best, Bas van den Bogaard, Wim J Stok, Berend E Westerhof, Bert Jan H van den Born
OBJECTIVE: Augmentation index (AIx) is often used to quantify the contribution of wave reflection to central pulse pressure. Recent studies have challenged this view by showing how contractility-induced changes in the forward pressure wave can markedly impact AIx. We hypothesized that changes in preload will also affect AIx through changes in the forward wave and studied this in two experiments. METHODS: Noninvasively obtained aortic pressure was used to study central haemodynamics and wave morphology...
October 7, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28993560/clinical-applicability-and-psychometric-properties-of-manual-function-test-for-patients-with-stroke
#12
Hyun Jung Kim, Kyunghoon Min, Chan Ho Lee, Yun Kyung Cho, Jin Soo Yoon, Dong Rae Cho, Kyoung Suk Woo, Je Young Song, MinYoung Kim
The Manual Function Test (MFT) is a tool to assess upper extremity motor impairment associated with stroke. This study investigated psychometric properties of the Korean version of the MFT and to establish normative data. Eighty-one patients were enrolled to evaluate MFT, Fugl-Meyer Assessment (FMA) and manual muscle test (MMT). MFT was completed by eight raters on two occasions separated by 6 weeks. Absolute and relative reliability and validity were examined. Additionally, MFT was assessed on 75 healthy controls of different ages...
2017: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/28991717/new-diagnostic-criteria-for-cerebral-autosomal-dominant-arteriopathy-with-subcortical-infarcts-and-leukocencephalopathy-in-japan
#13
Ikuko Mizuta, Akiko Watanabe-Hosomi, Takashi Koizumi, Mao Mukai, Ai Hamano, Yasuhiro Tomii, Masaki Kondo, Masanori Nakagawa, Hidekazu Tomimoto, Teruyuki Hirano, Makoto Uchino, Osamu Onodera, Toshiki Mizuno
PURPOSE: Definite diagnosis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukocencephalopathy (CADASIL) is mostly done by identification of NOTCH3 mutations. We aimed to develop criteria for selecting patients suspected for CADASIL to undergo genetic testing. SUBJECTS AND METHODS: All subjects were Japanese. We recruited CADASIL patients genetically diagnosed up until 2011 (n=37, Group 1) or after 2011 (n=65, Group 2), 67 young stroke patients (≤55 years old), and 53 NOTCH3-negative CADASIL-like patients...
October 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28987310/spontaneous-subclavian-artery-dissection-causing-ischemia-of-the%C3%A2-medulla-oblongata-and-cerebellum
#14
Naoto Nagino, Hiraku Funakoshi, Takashi Shiga, Kuniyasu Saigusa
BACKGROUND: Spontaneous subclavian artery dissection is a rare etiology. Spontaneous artery dissection causing brain ischemia is rare in all ischemic strokes. However, in young to middle-aged patients with brain ischemia, spontaneous carotid or vertebral artery dissection causing ischemic stroke accounts for 10-25%. CASE REPORT: A 58-year-old man with a history of hypertension presented to the Emergency Department with a sudden onset of left-arm paresthesia and numbness followed by symptoms of vertigo and vomiting...
October 5, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28986426/increase-of-stroke-incidence-in-young-adults-in-a-middle-income-country-a-10-year-population-based-study
#15
Norberto Luiz Cabral, Aracélli Tavares Freire, Adriana Bastos Conforto, Nayara Dos Santos, Felipe Ibiapina Reis, Vivian Nagel, Vanessa V Guesser, Juliana Safanelli, Alexandre L Longo
BACKGROUND AND PURPOSE: The incidence of stroke is on the rise in young adults in high-income countries. However, there is a gap of knowledge about trends in stroke incidence in young adults from low- and middle-income countries. We aimed to measure trends in incidence of ischemic stroke (IS) and intracerebral hemorrhage (IH) in young people from 2005 to 2015 in Joinville, Brazil. METHODS: We retrospectively ascertained all first-ever IS subtypes and IH that occurred in Joinville in the periods of 2005 to 2006, 2010 to 2011, and 2014 to 2015...
October 6, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28975241/targeting-pioglitazone-hydrochloride-therapy-after-stroke-or-transient-ischemic-attack-according-to-pretreatment-risk-for-stroke-or-myocardial-infarction
#16
Walter N Kernan, Catherine M Viscoli, Jennifer L Dearborn, David M Kent, Robin Conwit, Pierre Fayad, Karen L Furie, Mark Gorman, Peter D Guarino, Silvio E Inzucchi, Amber Stuart, Lawrence H Young
Importance: There is growing recognition that patients may respond differently to therapy and that the average treatment effect from a clinical trial may not apply equally to all candidates for a therapy. Objective: To determine whether, among patients with an ischemic stroke or transient ischemic attack and insulin resistance, those at higher risk for future stroke or myocardial infarction (MI) derive more benefit from the insulin-sensitizing drug pioglitazone hydrochloride compared with patients at lower risk...
September 18, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28974389/high-prevalence-of-small-vessel-disease-long-after-cranial-irradiation
#17
Masatomo Miura, Makoto Nakajima, Akiko Fujimoto, Yasuyuki Kaku, Takayuki Kawano, Masaki Watanabe, Jun-Ichi Kuratsu, Yukio Ando
Accelerated atherosclerosis of intra- or extracranial large arteries is a major cause of radiation-induced strokes. Recent development of MRI techniques has enabled detection of another important vasculopathy: microinfarcts or microbleeds after cranial irradiation. The purpose of this study was to investigate the incidence and characteristics of small vessel disease after cranial irradiation. MR images and clinical records of 102 outpatients who had undergone cranial irradiation to brain tumors were retrospectively reviewed...
September 30, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28970279/national-trends-in-patients-hospitalized-for-stroke-and-stroke-mortality-in-france-2008-to-2014
#18
Camille Lecoffre, Christine de Peretti, Amélie Gabet, Olivier Grimaud, France Woimant, Maurice Giroud, Yannick Béjot, Valérie Olié
BACKGROUND AND PURPOSE: Stroke is the leading cause of death in women and the third leading cause in men in France. In young adults (ie, <65 years old), an increase in the incidence of ischemic stroke was observed at a local scale between 1985 and 2011. After the implementation of the 2010 to 2014 National Stroke Action Plan, this study investigates national trends in patients hospitalized by stroke subtypes, in-hospital mortality, and stroke mortality between 2008 and 2014. METHODS: Hospitalization data were extracted from the French national hospital discharge databases and mortality data from the French national medical causes of death database...
September 29, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28969739/hyperhomocysteinemia-presenting-with-complete-unilateral-intracranial-and-extracranial-carotid-occlusion-in-a-young-patient
#19
Farheen Niazi, Abdul Rahman, Uzma Batool
Hyperhomocysteinemia has been associated with premature peripheral vascular, cerebrovascular, and coronary artery disease. It has been associated with vascular diseases including cerebrovascular disease, particularly in subjects with significant carotid stenosis. However, hyperhomocysteinemia causing unilateral complete occlusion of whole of internal carotid, common carotid, and external carotid has been rarely reported. We report a case of an adult patient aged 35-year with complete occlusion of right common carotid, internal carotid, both intracranial and extracranial part, presented with recurrent TIAs and stroke and was found to be having hyperhomocysteinemia as the cause of this complete occlusion and showed marked clinical recovery with appropriate treatment...
September 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28968032/-epidemiological-clinical-and-pathogenic-features-of-stroke-in-elderly-and-senile-age
#20
E S Ostapchuk, V S Myakotnykh
A comparative investigation of the epidemiological, clinical and pathogenetic indices of cerebral stroke in 1 153 representatives of different age was conducted. The predominance in the incidence of strokes among women of elderly and senile age largely is due to higher life expectancy of women compared to men. A significant number of intracerebral blood effusions in elderly and senile can arise secondarily, after the ischemic focus formation by the type of «red softening». This, to a certain extent, can be explained by the high frequency of somatic complications of stroke, disorders of consciousness and high mortality among persons older than 60 years compared to younger...
2017: Advances in Gerontology, Uspekhi Gerontologii
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