Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
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J Stroke Cerebrovasc Dis · Jan 2009
Multicenter StudyAneurysmal subarachnoid hemorrhage in a Mexican multicenter registry of cerebrovascular disease: the RENAMEVASC study.
Information on risk factors and outcome of persons with aneurysmal subarachnoid hemorrhage (SAH) in Mexico is unknown. We sought to describe the clinical characteristics, risk factors, and outcome at discharge of Mexican patients with aneurysmal SAH. ⋯ Hypertension is the main risk factor for aneurysmal SAH in hospitalized patients from Mexico. The female:male ratio is 2:1. A relatively low in-hospital mortality and a high frequency of invasive interventions are observed. However, a high proportion of patients are discharged with important neurologic impairment.
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J Stroke Cerebrovasc Dis · Jan 2009
Review Case ReportsA case of unilateral thalamic hemorrhagic infarction as a result of the vein of Galen and straight sinus thrombosis.
Straight sinus vein thrombosis represents 15% of all diagnosed sinus vein thrombosis. Thrombotic occlusion of the deep cerebral venous system, the straight sinus, and the vein of Galen causes centrally located and usually bilateral thalamic infarcts. ⋯ The clinical and radiologic findings can be nonspecific and diagnostically challenging. We report a patient with this unusual condition and review the available literature.
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J Stroke Cerebrovasc Dis · Nov 2008
The incidence of stroke mimics among stroke department admissions in relation to age group.
Acute stroke therapies are effective but may have serious adverse effects. This makes an accurate diagnosis mandatory. Acute stroke is diagnosed on the basis of neurologic findings, laboratory testing, and a computed tomography scan of the brain. This is the first study to investigate the incidence of stroke mimics beyond the triaging stage and just before therapy decisions across age groups. ⋯ In patients being considered for acute stroke interventions, stroke mimics need to be considered particularly when the patient is younger than 50 years. In older patients, features typical of stroke mimics do not rule out a stroke.
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J Stroke Cerebrovasc Dis · Nov 2008
Multicenter StudyA risk score to predict intracranial hemorrhage after recombinant tissue plasminogen activator for acute ischemic stroke.
Ability to predict risk of postthrombolysis intracerebral hemorrhage (ICH) is currently limited. ⋯ A simple risk score may be useful for predicting postthrombolysis ICH.
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J Stroke Cerebrovasc Dis · Nov 2008
Predictors of clinical outcome and mortality in vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography.
Vertebrobasilar dolichoectasia (VBD) is a poorly understood vasculopathy. VBD may be associated with an increased likelihood of stroke and all-cause mortality. The purpose of this study was to establish predictors for clinical outcome in VBD, and better guide therapeutic medical and surgical interventions. ⋯ In patients with VBD, BA involvement increases the risk of neurologic morbidity, whereas mortality seems more predicted by classic vascular risk factors than VBD features. This study may aid in predicting annual risk of stroke recurrence or death in VBD.