Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
-
J Stroke Cerebrovasc Dis · Jul 2017
Validation of the National Institutes of Health Stroke Scale-8 to Detect Large Vessel Occlusion in Ischemic Stroke.
Patients with acute ischemic stroke and large vessel occlusion (LVO) may benefit from prehospital identification and transfer to a center offering endovascular therapy. ⋯ Accuracy of the NIHSS-8 to identify LVO in a population of patients with suspected acute stroke is comparable to existing prehospital stroke scales. The scale can be performed by EMS with reasonable reliability. Further validation in the field is needed to assess accuracy of the scale to identify patients with LVO eligible for endovascular treatment in a prehospital setting.
-
J Stroke Cerebrovasc Dis · Jul 2017
Case ReportsNeuroimaging of Takayasu Arteritis in a Patient with Ulcerative Rectocolitis.
Takayasu arteritis (TA), also known as aortoarteritis and pulseless disease, is an autoimmune, idiopathic, large-vessel vasculitis that primarily affects the aorta and its major branches, the coronary arteries, and the pulmonary arteries. ⋯ (1) TA has to be suspected in young woman with neck pain, even without neurological symptoms. (2) Magnetic resonance imaging and CDS can depict wall thickening and abnormal caliber in the involved vessels. (3) MRA and CDS are able to demonstrate rare but possible arteriovenous fistula in TA patients. (4) Rectocolitis therapy could be a trigger factor of wall vessel involvement.