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Telman G - - 2008
BACKGROUND: There is limited information about distribution of etiologies of ischemic stroke in different age groups. MATERIALS AND METHODS: In this study, we applied the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) classification in 87 patients aged < or = 45, and in 347 patients aged 46-60 years ...
Jaramillo Arturo - - 2008
BACKGROUND AND AIMS: In acute stroke patients, mild and moderate hypothermia with a body temperature (T core) target of 32 degrees C to 34 degrees C is being tested and has shown some promising results. The feasibility of MH to control of ICP increases in patients with malignant ischemic stroke ...
Batmanian Julia J - - 2007
OBJECTIVE: To assess efficacy and safety of a 24-hour comprehensive protocol-driven model for rapid assessment and thrombolysis of stroke patients in the emergency department. DESIGN: Prospective open observational study. PARTICIPANTS AND SETTING: All patients with acute stroke presenting within 3 hours to the St Vincent's Hospital (Sydney) emergency department between ...
Covic Adrian - - 2008
BACKGROUND: Stroke is one of the leading causes of death and of serious disability with significant impact on patients' long-term survival. The short-term evolution following stroke can associate acute kidney injury (AKI) as a possible complication, frequently overlooked and underestimated in clinical trials. We aimed to describe in an East ...
Sharobeem K M - - 2007
BACKGROUND: Stroke is a continuing cause of excess cardiovascular disease (CVD) mortality amongst migrants from the Indian subcontinent (South Asians) living in Britain. However, little is known about the dyslipidaemia associated with stroke in South Asians. In particular, the highly atherogenic lipoprotein (a) [Lp(a)] and high apolipoprotein (Apo) B to ...
Łabuz-Roszak Beata - - 2007
BACKGROUND AND PURPOSE: Autonomic dysfunction in patients with stroke worsens their health status and can induce life-threatening complications. The purpose of the study was to evaluate the prevalence of autonomic disturbances in post-stroke patients using selected methods and to analyse the correlation between their results. MATERIAL AND METHODS: The examined ...
Koh Seong-Beom - - 2007
Cerebral infarction as a complication of tubercular (TB) meningitis is not uncommon, but an adequate comparison of patients with and without stroke has not been carried out. This study was performed to evaluate the clinical characteristics of cerebral infarction secondary to TB meningitis, and to investigate predictive factors for cerebral ...
Bertrand A - - 2008
The high rate of normal diffusion-weighted imaging (DWI) in patients with transient ischemic attack (TIA) raises the question as to its sensitivity for detecting small ischemic lesions. We compared standard and optimized DWI in 36 consecutive patients with TIA. Optimized DWI was positive in more patients than standard DWI (19 ...
Chou C-Y - - 2009
Dialysis patients have a higher incidence of cerebrovascular events compared with the general population. However, the value of C-reactive protein (CRP) in predicting stroke in chronic haemodialysis patients is unknown. The aim of this study was to determine the association between serum CRP levels and ischaemic stoke in chronic haemodialysis ...
Kimura Kazumi - - 2008
BACKGROUND AND PURPOSE: Intravenous administration of tissue plasminogen activator (t-PA) dissolves the clot and can improve clinical outcome in patients with acute ischemic stroke. However, lack of early recanalization frequently does not result in good outcome. METHODS: We prospectively studied acute stroke patients treated with t-PA and examined clinical factors ...
Kunihara Takashi - - 2008
In patients undergoing total arch replacement with protruding or mobile atheroma in the proximal aorta, we isolate cerebral circulation from systemic one by starting selective cerebral perfusion (SCP) before systemic arterial perfusion to prevent aortogenic embolic stroke. We disclose the safety of this isolation technique by measuring cerebral oxygenation and ...
Shah Kaushal H - - 2008
STUDY OBJECTIVE: It is now clear that transient ischemic attacks and strokes are different manifestations of the same disease and transient ischemic attacks are often warning signs of an impending stroke. Unfortunately, it is unclear when the next event will occur in an individual patient. It is critical for emergency ...
Purroy Francisco - - 2007
BACKGROUND AND PURPOSE: The risk of recurrent stroke is highest within the first few weeks after a transient ischemic attack (TIA), and it is likely to be related to the underlying pathology. We sought to study the early risk of recurrent stroke by etiologic subtype. METHODS: We prospectively studied 388 ...
Mizrahi E H - - 2008
Low serum albumin level is associated with poor functional outcome and predicting a greater functional decline in the elderly. The aim of this study is to determine the interrelation between change of serum albumin level during rehabilitation period and functional outcome in hip fracture patients. We studied 433 consecutive elderly ...
Markus Hugh S - - 2007
BACKGROUND: Determining whether the distribution of stroke subtypes differs between ethnic groups is important in understanding the mechanisms of the increased stroke incidence in black patients. METHODS AND RESULTS: In this study, 600 black and 600 white patients with stroke were prospectively and consecutively recruited to determine differences in stroke ...
Scollato A - - 2008
BACKGROUND AND PURPOSE: Idiopathic normal pressure hydrocephalus (iNPH) represents a diagnostic challenge, given its variable presentation and progression. Stroke volume (SV), defined as the mean volume of CSF passing through the aqueduct during both systole and diastole, greater than or equal to 42 muL, serves as a selection criterion for ...
Hong S H - - 2008
OBJECTIVES: Angiotensin-converting enzyme (ACE) polymorphism may play a role in stroke and silent brain infarction (SBI) susceptibility, but the results among the populations studied to date have not been consistent. Thus, we investigated the association between ACE genotypes and ischemic stroke and SBI in Korean patients. SUBJECTS AND METHODS: DNA ...
Saver Jeffrey L - - 2007
Paradoxical embolism through a patent foramen ovale (PFO) is a commonly identified potential mechanism of ischemic stroke, especially in young patients. The recurrent stroke rate among young cryptogenic stroke patients with a PFO is modest, but higher than normal for their age. Co-existing atrial septal aneurysm is a substantial, and ...
Tamura Harutoshi - - 2007
BACKGROUND: Serum fibrin-monomer (FM) is a precursor of stable fibrin, and is a sensitive marker of a systemic hypercoagulable state. It has been reported that, in patients with acute ischemic stroke, higher levels of serum FM reflect intracardiac thrombus formation. METHODS AND RESULTS: Serum coagulation and fibrinolytic activity were measured ...
González Sánchez Juan A - - 2007
BACKGROUND AND PURPOSE: Data characterizing stroke patients among Hispanic population are scant. The aim of this study was to describe this population and to assess baseline knowledge of stroke type, risk factors, and family history, among others. METHODS: A retrospective chart review of 253 stroke patients admitted to the University ...
Kim Youngsun - - 2007
The purpose of this study was to investigate the relationship between prolonged stage transition duration (STD) and aspiration. STDs and aspiration ratings were made from videofluoroscopic examinations previously obtained for other studies. Three groups of subjects were examined: (1) 20 stroke patients who aspirated, (2) 31 stroke patients who did ...
de Oliveira Mônica H C F - - 2007
Platelet membrane glycoprotein receptors mediate key reactions in arterial thrombosis. The relationship between glycoprotein Ia polymorphisms and the risk of ischemic stroke, however, remains controversial. A matched case-control study was conducted to evaluate this question in young patients. Seventy patients with ischemic stroke of undetermined etiology, with ages ranging from ...
Hankey Graeme J - - 2007
Recent trials of antiplatelet therapy for stroke prevention indicate that the combination of clopidogrel (75 mg/d) plus low-dose aspirin (75-162 mg/d) was not more effective than low-dose aspirin alone in the long-term prevention of major vascular events among patients at high risk of atherothrombotic events, nor was it more effective ...
Rigatelli Gianluca - - 2007
BACKGROUND: Although extracerebral embolism accounts for 5-10% of all paradoxical embolisms, it still remains a ghostlike entity in cardiovascular pathophysiology. The aim of this brief report was to analyze the profile of patients with paradoxical extracerebral embolism and intracardiac shunts, and the role of shunt closure on the recurrence of ...
Treger I - - 2007
PURPOSE: To present the current state of knowledge regarding return to work (RTW) following stroke. METHOD: A comprehensive review of the current stroke rehabilitation literature pertaining to prognostic and treatment factors for RTW following stroke. RESULTS: Stroke is a major healthcare problem and one of the most expensive diseases in ...
Zubkov Alexander Y - - 2007
BACKGROUND: Amyloidosis is an uncommon disorder that ultimately leads to fatal multiorgan failure. Ischemic strokes have been sporadically described but are not well characterized. The purpose of this study was to review the pathophysiologic relationship between primary systemic amyloidosis and ischemic stroke, and to determine how often stroke is the ...
Iguchi Y - - 2008
BACKGROUND AND AIMS: We investigated whether new ischaemic lesions (NIL) on follow-up diffusion weighted magnetic resonance imaging (DWI) are associated with microembolic signals (MES) within 24 h or at 48 h after stroke onset. METHODS: Patients had acute ischaemic stroke and were studied within 24 h of onset. Transcranial Doppler ...
Purdy Mary - - 2007
Rehabilitation programs strive to help patients become more independent in all aspects of daily living. Therefore, management of a patient's healthcare requirements should be an integral part of the rehabilitation program, including management of medications. Some rehabilitation programs implement self-medication programs (SMP); however, patients with cognitive deficits are often excluded. ...
Belvís Robert - - 2007
Patent foramen ovale (PFO) is more frequent in cryptogenic stroke patients than in the general population. The aim of this study was to determine prothrombotic markers regarding PFO in young cryptogenic stroke patients. We prospectively included consecutive cryptogenic stroke patients younger than 55 years. PFO was diagnosed with simultaneous transcranial ...
Olson Scott E - - 2007
OBJECTIVE: Endovascular therapy for acute ischemic stroke offers hope to those patients who do not meet the strict inclusion criteria for intravenous tissue plasminogen activator. Because no approach or device can be optimal for every patient, it is desirable to have options. This case is the first report on a ...
Mizrahi Eliyahu H - - 2007
OBJECTIVE: To evaluate whether a previous stroke may affect the functional outcome gain of elderly patients undergoing rehabilitation for a hip fracture. DESIGN: A retrospective cohort study. SETTING: The division of geriatric medicine with rehabilitation wards at a university-affiliated referral hospital. PARTICIPANTS: Patients with hip fractures (N=460) undergoing a standard ...
White Christopher J - - 2007
The primary therapeutic strategy for ischemic stroke, as for MI patients, is early reperfusion. Improvement in stroke treatment will require dedicated stroke centers to emulate MI quality indicators such as minimizing the "door-to-balloon time". A critical element in achieving this goal will be organizing the existing multidisciplinary pool of carotid ...
Ong Cheung-Ter - - 2007
A study was conducted for 121 patients (55 female, 66 male; age 68.7 +/- 10.4 years) with first-ever ischemic stroke to investigate the frequency and risk factors of early neurological deterioration (ND). The initial evaluation was carried out within 24 hours of stroke onset. National Institutes of Health Stroke Scale ...
Braun Susy M - - 2007
OBJECTIVE: To determine the feasibility of the Structural Dimension Analysis of Motor Memory (SDA-M), a method derived from sports psychology, in establishing the mental representations of complex movements in patients after stroke. DESIGN: Case series of patients, with age-matched healthy controls. SETTING: A rehabilitation nursing home. SUBJECTS: Sixteen patients 3-26 ...
Karaye K M KM Department of Medicine, Bayero University/Aminu Kano Teaching Hospital, Kano, - - 2007
Stroke is an important cause of morbidity and mortality worldwide. The case fatality rates from stroke are two- to three-fold higher in sub-Saharan Africa, including Nigeria, than in the developed world, mainly because of limited healthcare facilities and untreated risk factors. The aim was to determine the prevalence of traditional ...
Ross Amy Miner AM School of Nursing, Oregon Health & Science University, Ashland, Oregon 97520, USA. - - 2007
The peripheral inflammatory response, as a proxy for the acute-phase response (a known mechanism for ischemic preconditioning), and non-damage-producing transient ischemia must exist together in humans if this candidate mechanism confers ischemic tolerance. The present study was aimed at determining whether the peripheral inflammatory response (ie, elevated white blood cell, ...
Shah Imtiaz M - - 2008
INTRODUCTION: The metabolic syndrome (MetS) is associated with macrovascular disease and an altered pattern of cerebrovascular disease. We investigated stroke subtype presentation in Type 2 diabetic (T2D) patients, and analysed patients with and without the MetS. METHODS: We performed a retrospective analysis of 243 T2D patients with first presentation of ...
Krejci, Eric
Capstone design final report
Baruch Lawrence - - 2007
BACKGROUND AND PURPOSE: Patients with atrial fibrillation have a varied risk of stroke, depending on age and comorbid conditions. The objective of this study was to assess the predictive value of stroke risk classification schemes and to identify patients with atrial fibrillation who are at substantial risk of stroke despite ...
Ueno Yuji - - 2007
BACKGROUND AND PURPOSE: Multiple brain infarcts are often seen on diffusion-weighted images in cardioembolic stroke patients. Recently, mobile aortic plaques (MAPs) have been proposed as embolic sources. However, the clinical characteristics of patients with MAPs are unclear. METHODS: We prospectively studied patients with acute ischemic stroke who underwent transesophageal echocardiography. ...
Prabhakaran Shyam - - 2007
OBJECTIVE: To characterize short-term prognoses among patients with transient ischemic attack (TIA) and normal diffusion-weighted imaging (DWI) results, TIA patients with abnormal DWI results (transient symptoms associated with infarction [TSI]), and patients with completed ischemic stroke (IS). DESIGN: Retrospective study. SETTING: University hospital. PATIENTS: We reviewed patient medical records between ...
Alevizaki M - - 2007
BACKGROUND: Low triiodothyronine (T3) has been associated with increased short-term mortality in intensive care unit patients and long-term mortality in patients with heart disease. The objective of this study was to investigate possible associations of thyroid hormone status with clinical outcome in patients admitted for acute stroke. MATERIALS AND METHODS: ...
Jensen Jesper K - - 2008
We evaluated characteristics and prevalence of ST-segment depression and/or T-wave inversion in the resting electrocardiogram of 244 consecutive patients with acute ischemic stroke, but without ischemic heart disease. The prevalence of ST-T changes ranged from 13% to 16% and this is what to expect in the background population.
Mizrahi Eliyahu H - - 2007
BACKGROUND AND AIMS: Low serum albumin level is considered a marker of poor health outcome in various medical conditions. A relationship between low albumin levels and poor functional outcome has been found in the elderly, lower albumin predicting a greater functional decline. The objective of this study was to evaluate ...
Kumral Emre E Cerebrovascular Unit, Department of Neurology, Ege University, Bornova, Izmir, 35100, Turkey. - - 2007
Acute isolated disorientation of time, chronotaraxis, is an uncommon manifestation of thalamic stroke. To our knowledge, acute thalamic chronotaraxis with MRI findings has not previously been reported. To describe five patients with chronotaraxis after thalamic stroke and attempt to demonstrate the correlation between lesion location and neurological findings. Isolated time ...
Carod-Artal Francisco Javier - - 2007
American trypanosomiasis, also known as Chagas' disease (CD), is a major public health problem and a frequent cause of chronic cardiomyopathy and stroke in South America. The role of CD as an independent stroke risk factor is reviewed. Chronic cardiomyopathy can appear 10-30 years after the initial infection and affects ...
De Keyser Jacques - - 2007
Because of the risk of hemorrhage, especially in the brain, thrombolytic therapy with intravenous alteplase is restricted by guidelines, and only a small number of selected patients are being treated. Findings from metaanalyses, post hoc analyses of the randomized trials, and postlicensing experience suggest that more subjects, who otherwise have ...
Palmieri Vittorio - - 2008
Whether intracardiac right-to-left shunt (RLS) is an independent risk factor for cerebrovascular accidents is disputed. In patients with RLS, venous thrombo-embolism (VTE) may predispose to paradoxical embolic events, among which stroke and transient ischemic attack (TIA). Whether genetic or acquired thrombophilia is associated with RLS is unclear. Thus, we compared ...
Bashir, Shahid
The purpose of this thesis was to investigate whether (1) the motor performance of stroke patients can be improved by training on a hand ergometer and (2) the motor performance of cerebellar patients by training on a climbing wall. The thesis consists of 3 experimental parts. The first part concerns ...
Ravipati Gautham - - 2008
We investigated in 306 patients, mean age 57 +/- 10 years, with diabetes mellitus (202 patients) or hypertension (179 patients) whether microalbuminuria was a significant independent risk factor for the development of new stroke or new myocardial infarction (MI) or death. At 39-month follow-up, new stroke or new MI or ...
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