Journal of neurology, neurosurgery, and psychiatry
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Factors associated with early outcome in patients with large-vessel carotid strokes.
To describe the severity and early neurological deterioration (END) in patients with symptomatic carotid stenosis and to analyse the influence of related factors. ⋯ Strokes due to large vessel disease in the carotid artery are in general of mild severity and have a high rate of END. The degree of stenosis has a clear association with higher severity and END risk.
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Ischaemic stroke: the ocular motor system as a sensitive marker for motor and cognitive recovery.
To evaluate the sensitivity of measuring cognitive processing in the ocular motor system as a marker for recovery of deficit in post stroke patients. ⋯ Standard neurological assessments of stroke patients are weighted significantly towards motor and sensory function, underestimating cognitive deficits. Ocular motor assessment demonstrates cognitive effects of even mild stroke and may provide improved quantifiable measurements of cognitive recovery post stroke. We demonstrated abnormality in patients just after onset, extending beyond 3 months, when there was apparent full recovery of motor and sensory function, implying more widespread disruption of cognitive mechanisms, consistent with the subjective complaints received from patients. This may provide insight into cognitive rehabilitation strategies leading to improved functional outcomes.
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Prognosis of acute subdural haematoma from intracranial aneurysm rupture.
Acute subdural haematoma (aSDH) is a rare complication of aneurysmal subarachnoid haemorrhage (SAH) and is associated with poor clinical condition on admission and poor outcome. ⋯ The presence of aSDH in patients with aneurysmal SAH is an independent risk factor for poor outcome at 3 months.