Arch Neurol Chicago
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Arch Neurol Chicago · Jul 2004
Multicenter StudyPrediction of hospital disposition after thrombolysis for acute ischemic stroke using the National Institutes of Health Stroke Scale.
Early determination of discharge destination after acute stroke may promote earlier rehabilitation and reduce costs by shortening the duration of hospitalization. ⋯ Stroke severity as determined by the admission NIHSS score is the major independent predictor of disposition after hospitalization and treatment with rt-PA for acute stroke in a broad-based population. However, symptomatic ICH after rt-PA is a catastrophic event that may preclude discharge to home.
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Arch Neurol Chicago · Jul 2004
Comparative StudyCorpus callosum axonal injury in multiple sclerosis measured by proton magnetic resonance spectroscopic imaging.
Axonal damage has been observed in normal-appearing white matter (NAWM) for patients with multiple sclerosis (MS). ⋯ The CC was a more sensitive location for depicting axonal injury than other regions of NAWM. A correlation between the reduction of the N-acetylaspartate-creatine-phosphocreatine ratio in the normal-appearing CC and the T1 lesions may suggest that transection of axons in lesions may cause distant axonal damage and/or dysfunction that are expressed and more sensitively detectable in the CC.
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Arch Neurol Chicago · Jul 2004
Comparative StudyDigital video-electroencephalographic monitoring in the neurological-neurosurgical intensive care unit: clinical features and outcome.
Prolonged electroencephalographic (EEG) recordings in the neurological-neurosurgical intensive care unit (NICU) may be performed in patients with status epilepticus, repetitive seizure activity, or an encephalopathy with or without seizures. The electroclinical correlation and neurological outcome of patients undergoing digital video-EEG monitoring (DVEEG) in the NICU has not been determined. ⋯ Continuous EEG monitoring is essential in the diagnosis and treatment of refractory status epilepticus or an encephalopathy with seizures in the NICU. A minority of these patients, however, experienced a favorable neurological outcome.