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Stroke in young age

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https://www.readbyqxmd.com/read/29455049/poststroke-epilepsy-following-transient-unilateral-middle-cerebral-and-common-carotid-artery-occlusion-in-young-adult-and-aged-f344-rats
#1
Kevin M Kelly, Peter I Jukkola, Guo Yin, Eric R Miller, Elena A Kharlamov, Deng-Shan Shiau, Roger Strong, Jaroslaw Aronowski
The mechanisms of injured brain that establish poststroke seizures and epilepsy are not well understood, largely because animal modeling has had limited development. The main objective of this study was to determine whether an arterial occlusion model of cortical stroke in young adult and aged rats was capable of generating either focal or generalized epileptic seizures within 2 months of lesioning. Four- and 20-month-old male Fischer 344 (F344) sham-operated controls and those lesioned by transient (3 h) unilateral middle cerebral artery (MCA) and common carotid artery (CCA) occlusion (MCA/CCAo) were studied by video-EEG recordings up to 2 months post-procedure...
February 10, 2018: Epilepsy Research
https://www.readbyqxmd.com/read/29454730/short-term-versus-long-term-dual-antiplatelet-therapy-after-drug-eluting-stent-implantation-in-elderly-patients-a-meta-analysis-of-individual-participant-data-from-6-randomized-trials
#2
Seung-Yul Lee, Myeong-Ki Hong, Tullio Palmerini, Hyo-Soo Kim, Marco Valgimigli, Fausto Feres, Antonio Colombo, Martine Gilard, Dong-Ho Shin, Jung-Sun Kim, Byeong-Keuk Kim, Young-Guk Ko, Donghoon Choi, Yangsoo Jang, Gregg W Stone
OBJECTIVES: This study sought to evaluate the optimal duration of dual antiplatelet therapy (DAPT) after the implantation of a drug-eluting stent (DES) in elderly patients. BACKGROUND: Qualified studies to evaluate the optimal duration of DAPT in elderly patients have been very limited. METHODS: Using 6 randomized trials that compared short-term (≤6 months) and long-term (12 months) DAPT, individual participant data meta-analysis was performed in elderly patients (≥65 years of age)...
February 8, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29436194/comparison-of-rhythm-and-rate-control-strategies-for-stroke-occurrence-in-a-prospective-cohort-of-atrial-fibrillation-patients
#3
Yu Jeong Choi, Ki Woon Kang, Tae Hoon Kim, Myung Jin Cha, Jung Myung Lee, Junbeom Park, Jin Kyu Park, Jaemin Shim, Jae Sun Uhm, Jun Kim, Hyung Wook Park, Eue Keun Choi, Jin Bae Kim, Changsoo Kim, Young Soo Lee, Boyoung Joung
PURPOSE: Comparisons of rhythm and rate control strategies for stroke prevention in patients with atrial fibrillation (AF) are still inconclusive. We compared differences in clinical outcomes between the rhythm and rate control strategies. MATERIALS AND METHODS: The COmparison study of Drugs for symptom control and complication prEvention of Atrial Fibrillation (CODE-AF) registry prospectively enrolled 6000 patients who were treated for AF using real-world guideline adherence at multiple referral centers...
March 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29422868/relationship-between-aortic-compliance-and-impact-of-cerebral-blood-flow-fluctuation-to-dynamic-orthostatic-challenge-in-endurance-athletes
#4
Tsubasa Tomoto, Tomoko Imai, Shigehiko Ogoh, Seiji Maeda, Jun Sugawara
Aorta effectively buffers cardiac pulsatile fluctuation generated from the left ventricular (LV) which could be a mechanical force to high blood flow and low-resistance end-organs such as the brain. A dynamic orthostatic challenge may evoke substantial cardiac pulsatile fluctuation via the transient increases in venous return and stroke volume (SV). Particularly, this response may be greater in endurance-trained athletes (ET) who exhibit LV eccentric remodeling. The aim of this study was to determine the contribution of aortic compliance to the response of cerebral blood flow fluctuation to dynamic orthostatic challenge in ET and age-matched sedentary (SED) young healthy men...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29392458/cerebrovascular-events-in-takayasu-arteritis-a-multicenter-case-controlled-study
#5
Priscille Couture, Thibaud Chazal, Charlotte Rosso, Julien Haroche, Anne Léger, Baptiste Hervier, Sandrine Deltour, Zahir Amoura, Fleur Cohen Aubart
OBJECTIVES: Takayasu arteritis (TA) is a giant cell arteritis usually affecting young women and characterized by inflammatory and ischemic signs of large vessel involvement, including extracranial cerebral arteries. The impact of stroke on TA prognosis has not been well evaluated. METHODS: We performed a retrospective multicenter review of patients with definite TA who experienced at least one stroke and compared the findings to 17 matched patients with TA diagnosis without neurological involvement...
February 1, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29386827/mortality-and-comorbidity-profiles-of-patients-with-bullous-pemphigoid-in-korea
#6
Hyeon Woo Jeon, Sook Jung Yun, Seung-Chul Lee, Young Ho Won, Jee-Bum Lee
Background: Bullous pemphigoid (BP) is a common autoimmune-mediated blistering skin disease that is significantly associated with mortality and morbidity. However, few studies regarding the mortality and comorbidity profiles of BP have been reported in Korea. Objective: To evaluate and compare the mortality, comorbidity profiles, and risk factors between patients with BP who visited our clinic and an age-matched general population of Korea. Methods: We retrospectively evaluated 103 patients diagnosed with BP between 2006 and 2013 at Chonnam National University Hospital in Gwangju, Korea...
February 2018: Annals of Dermatology
https://www.readbyqxmd.com/read/29383868/impact-of-testosterone-replacement-therapy-on-thromboembolism-heart-disease-and-obstructive-sleep-apnea-in-men
#7
Alexander P Cole, Julian Hanske, Wei Jiang, Nicollette K Kwon, Stuart R Lipsitz, Martin N Kathrins, Peter A Learn, Maxine Sun, Adil H Haider, Shehzad S Basaria, Quoc-Dien Trinh
OBJECTIVES: To assess the association of TRT with thromboembolism, cardiovascular disease (stroke, coronary artery disease, and heart failure) and obstructive sleep apnea (OSA). METHODS: A cohort of 3,422 male United States military service members, retirees and their dependents, aged 40-64 was identified, who were prescribed TRT between 2006-2010 for low testosterone. Men in this cohort were matched on a 1:1 basis by age and comorbidities to men without a prescription for TRT...
January 30, 2018: BJU International
https://www.readbyqxmd.com/read/29382802/acute-or-delayed-systemic-administration-of-human-amnion-epithelial-cells-improves-outcomes-in-experimental-stroke
#8
Megan A Evans, Rebecca Lim, Hyun Ah Kim, Hannah X Chu, Chantelle V Gardiner-Mann, Kimberly W E Taylor, Christopher T Chan, Vanessa H Brait, Seyoung Lee, Quynh Nhu Dinh, Antony Vinh, Thanh G Phan, Velandai K Srikanth, Henry Ma, Thiruma V Arumugam, David Y Fann, Luting Poh, Cameron P J Hunt, Colin W Pouton, John M Haynes, Stavros Selemidis, William Kwan, Leon Teo, James A Bourne, Silke Neumann, Sarah Young, Emma K Gowing, Grant R Drummond, Andrew N Clarkson, Euan M Wallace, Christopher G Sobey, Brad R S Broughton
BACKGROUND AND PURPOSE: Human amnion epithelial cells (hAECs) are nonimmunogenic, nontumorigenic, anti-inflammatory cells normally discarded with placental tissue. We reasoned that their profile of biological features, wide availability, and the lack of ethical barriers to their use could make these cells useful as a therapy in ischemic stroke. METHODS: We tested the efficacy of acute (1.5 hours) or delayed (1-3 days) poststroke intravenous injection of hAECs in 4 established animal models of cerebral ischemia...
January 30, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29370976/risk-factors-in-childhood-arterial-ischaemic-stroke-findings-from-a-population-based-study-in-germany
#9
Lucia Gerstl, Raphael Weinberger, Ruediger von Kries, Florian Heinen, A Sebastian Schroeder, Michaela V Bonfert, Ingo Borggraefe, Moritz Tacke, Katharina Vill, Mirjam N Landgraf, Karin Kurnik, Martin Olivieri
OBJECTIVE: Acute treatment of childhood arterial ischaemic stroke and prevention strategies for recurrent stroke episodes depend strongly on each child's individual risk profile. The aim of this study is to characterize risk factors for childhood stroke, their occurrence in isolation or combination, and to identify possible common risk factor patterns. METHODS: This population-based study was conducted via ESPED, a surveillance unit for rare paediatric diseases in Germany...
January 10, 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29366986/antithrombin-levels-are-associated-with-the-risk-of-first-and-recurrent-arterial-thromboembolism-at-a-young-age
#10
F Nanne Croles, Janine E Van Loon, Diederik W J Dippel, Moniek P M De Maat, Frank W G Leebeek
BACKGROUND AND AIMS: It is as yet unknown whether antithrombin levels are associated with arterial thromboembolism (ATE) at a young age. To investigate the association between antithrombin levels and premature and recurrent ATE, we performed a case-control study and a subsequent nested cohort study of premature coronary heart disease (CHD) patients. METHODS: In the case-control study, we included 571 patients who had a recent premature ATE, including CHD and ischemic stroke (IS), and 461 healthy controls...
January 16, 2018: Atherosclerosis
https://www.readbyqxmd.com/read/29365092/the-influence-of-advanced-age-on-venous-arterial-extracorporeal-membrane-oxygenation-outcomes
#11
Michael Salna, Koji Takeda, Paul Kurlansky, Hirohisa Ikegami, Liqiong Fan, Jiho Han, Samantha Stein, Veli Topkara, Melana Yuzefpolskaya, Paolo C Colombo, Dimitrios Karmpaliotis, Yoshifumi Naka, Ajay J Kirtane, Arthur R Garan, Hiroo Takayama
OBJECTIVES: Ethical and health care economic concerns surround the use of venous-arterial extracorporeal membrane oxygenation (VA-ECMO) in elderly patients. Patients requiring VA-ECMO are often in critical condition and the decision to cannulate is time-sensitive. We investigated the relationship between age and VA-ECMO outcomes to better inform this decision. METHODS: This is a retrospective study of 355 patients placed on VA-ECMO between March 2007 and August 2016 at our institution...
January 22, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29354235/compare-the-intracranial-pressure-trend-after-the-decompressive-craniectomy-between-massive-intracerebral-hemorrhagic-and-major-ischemic-stroke-patients
#12
Joon Huh, Seo-Yeon Yang, Han-Yong Huh, Jae-Kun Ahn, Kwang-Wook Cho, Young-Woo Kim, Sung-Lim Kim, Jong-Tae Kim, Do-Sung Yoo, Hae-Kwan Park, Cheol Ji
Objective: Massive intracerebral hemorrhage (ICH) and major infarction (MI) are devastating cerebral vascular diseases. Decompression craniectomy (DC) is a common treatment approach for these diseases and acceptable clinical results have been reported. Author experienced the postoperative intracranaial pressure (ICP) trend is somewhat different between the ICH and MI patients. In this study, we compare the ICP trend following DC and evaluate the clinical significance. Methods: One hundred forty-three patients who underwent DC following massive ICH (81 cases) or MI (62 cases) were analyzed retrospectively...
January 2018: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29353860/association-of-hyperthyroidism-and-thyroid-autoantibodies-with-moyamoya-disease-and-its-stroke-event-a-population-based-case-control-study-and-meta-analysis
#13
Jun Hyong Ahn, Jin Pyeong Jeon, Jeong Eun Kim, Eun Jin Ha, Won-Sang Cho, Young Joo Park, Nam Han Cho, Hoon Sung Choi, Hyun-Seung Kang, Young-Je Son, Jae Seung Bang, Chang Wan Oh
The aim of this study was to investigate the specific thyroid condition and thyroid autoantibodies in adult moyamoya disease (MMD) according to clinical presentation (ischemia vs. hemorrhage stroke). In addition, a meta-analysis was performed to reveal the association between adult MMD and elevated thyroid function, or autoantibodies. Prospectively collected data on 169 consecutive patients with MMD at a single institution were analyzed. Community-based controls matched for age and sex were selected for comparison...
January 19, 2018: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/29353094/effects-of-scaling-task-constraints-on-emergent-behaviours-in-children-s-racquet-sports-performance
#14
Anna Fitzpatrick, Keith Davids, Joseph A Stone
Manipulating task constraints by scaling key features like space and equipment is considered an effective method for enhancing performance development and refining movement patterns in sport. Despite this, it is currently unclear whether scaled manipulation of task constraints would impact emergent movement behaviours in young children, affording learners opportunities to develop relevant skills. Here, we sought to investigate how scaling task constraints during 8 weeks of mini tennis training shaped backhand stroke development...
January 17, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29351598/smooth-muscle-cells-of-intracranial-vessels-from-development-to-disease
#15
Juhana Frösen, Anne Joutel
Cerebrovascular diseases that cause ischemic or hemorrhagic stroke with subsequent loss of life or functional capacity due to damage of the brain tissue are among the leading causes of human suffering and economic burden inflicted by diseases in the developed world. Diseases affecting intracranial vessels are significant contributors to ischemic and hemorrhagic strokes. Brain arteriovenous malformations (bAVM), which are a collection of abnormal blood vessels connecting arteries to veins, are the most common cause of intracranial hemorrhage in children and young adults...
January 16, 2018: Cardiovascular Research
https://www.readbyqxmd.com/read/29345501/-it-s-nothing-you-could-ever-prepare-anyone-for-the-experiences-of-young-people-and-their-families-following-parental-stroke
#16
Clare Coppock, Scott Ferguson, Anna Green, David Winter
AIMS: This study sought to explore the experiences of young people (aged 8-16) and their families following parental acquired brain injury (ABI), with the aim of developing an understanding of the ways in which members of a family make sense of events post-injury, and to consider the implications of different perspectives on adjustment and coping. DESIGN: The study applied a qualitative approach using a thematic analysis methodology. PROCEDURE: Individual semi-structured interviews were conducted with 10 individuals from three families affected by parental stroke...
January 18, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29339666/preventive-cold-acclimation-augments-the-reparative-function-of-endothelial-progenitor-cells-in-mice
#17
Cheng Peng, Li-Ping Wang, Xia Tao, Xiao-Hui Dong, Chun-Fang Xu, Yu Jiang, Chun-Long Liu, Hui-Fang Ma, Chuan Zhang, Alex F Chen, He-Hui Xie
BACKGROUND/AIMS: Chronic cold exposure may increase energy expenditure and contribute to counteracting obesity, an important risk factor for cerebrocardiovascular diseases. This study sought to evaluate whether preventive cold acclimation before ischemia onset might be a promising option for preventing cerebral ischemic injury. METHODS: After a 14-day cold acclimation period, young and aged mice were subjected to permanent cerebral ischemia, and histological analyses and behavioral tests were performed...
January 15, 2018: Cellular Physiology and Biochemistry
https://www.readbyqxmd.com/read/29334856/stroke-after-minor-head-trauma-in-infants-and-young-children-with-basal-ganglia-calcification-a-lenticulostriate-vasculopathy
#18
Jatinder Singh Goraya, Shivankshi Berry, Kavita Saggar, Archana Ahluwalia
The authors retrospectively reviewed charts of the children with basal ganglia stroke who either had preceding minor head injury or showed basal ganglia calcification on computed tomography (CT) scan. Twenty children, 14 boys and 6 girls were identified. Eighteen were aged between 7 months to 17 months. Presentation was with hemiparesis in 17 and seizures in 3. Preceding minor head trauma was noted in 18. Family history was positive in 1 case. Bilateral basal ganglia calcification on CT scan was noted in 18...
February 2018: Journal of Child Neurology
https://www.readbyqxmd.com/read/29334265/prevalence-and-covariates-of-uncontrolled-hypertension-in-ischemic-stroke-survivors-the-norwegian-stroke-in-the-young-study
#19
Åshild Oftedal, Eva Gerdts, Ulrike Waje-Andreassen, Annette Fromm, Halvor Naess, Anja Linde, Sahrai Saeed
PURPOSE: Hypertension is the most important modifiable risk factor for stroke. Few data are available on control of hypertension in younger ischemic stroke survivors. MATERIAL AND METHODS: We assessed clinic and ambulatory blood pressure (BP) measurements in 320 patients aged 15-60 years (mean 48 ± 10) included in the Norwegian Stroke in the Young Study during 3-months follow-up after the index stroke. Controlled hypertension was defined as ambulatory BP <130/80 mmHg...
January 15, 2018: Blood Pressure
https://www.readbyqxmd.com/read/29329693/bold-fmri-signal-in-stroke-patients-and-its-importance-for-prognosis-in-the-subacute-disease-period-preliminary-report
#20
Anetta Lasek-Bal, Joanna Kidoń, Monika Błaszczyszyn, Bartłomiej Stasiów, Amadeusz Żak
Functional magnetic resonance imaging (fMRI) allows for the assessment of neuronal activity through the blood-level-dependent signal. The purpose of study was to evaluate the pattern of brain activity in fMRI in patients with ischemic stroke and to assess the potential relationship between the activity pattern and the neurological/functional status. METHODS: The fMRI was performed in patients up to 4th day of stroke. All the patients were analyzed according to NIHSS on 1st day and mRankin scale on 14th day of stroke, followed by analyzing of fMRI signal...
December 24, 2017: Neurologia i Neurochirurgia Polska
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