Vascular Neurology

In Endovascular Therapy for Stroke, Monitored Anesthesia Is Safe, Effective

In Endovascular Therapy for Stroke, Monitored Anesthesia Is Safe, Effective

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Monitored anesthesia was found to be as safe and effective as general anesthesia in patients undergoing endovascular therapy for stroke.

Headache and Arteriovenous Malformations: Strategies for Identification, Treatment

Headache and Arteriovenous Malformations: Strategies for Identification, Treatment

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Several mechanisms involving trigeminovascular activation are often proposed in the literature as mechanisms underlying nonhemorrhagic headache in patients with AVM.

Ischemic Stroke Risk Elevated in Systemic Lupus Erythematosus

Ischemic Stroke Risk Elevated in Systemic Lupus Erythematosus

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The relative risk of developing ischemic stroke was increased in patients with systemic lupus erythematosus, especially within the first year after diagnosis.

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

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Neurologists need to engage their emergency medicine colleagues to identify protocols and pathways for when to trigger appropriate neurological consultation or initiate acute stroke therapies.

Prevalence of Ischemic Stroke Increasing in Young Adults

Prevalence of Ischemic Stroke Increasing in Young Adults

During the study period, the percentage of people with 3 or more stroke risk factors roughly doubled for all age groups.

Stroke Risk and Serum Uric Acid Levels: Does Gender Play a Role?

Stroke Risk and Serum Uric Acid Levels: Does Gender Play a Role?

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Previous studies have produced contradictory evidence of a link between serum UA and stroke risk, with some pointing to greater risks in women compared with men.

Endovascular Stroke Treatment Shows Sustained Response Up to 2 Years

Endovascular Stroke Treatment Shows Sustained Response Up to 2 Years

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Over 32% of patients were functionally independent at 90 days and 37.1% were functionally independent at 2 years.

Biomarker Identified for Cerebral Small Vessel Disease Burden, Progression

Biomarker Identified for Cerebral Small Vessel Disease Burden, Progression

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Serum neurofilament light chain levels show potential in predicting the burden and progression of cerebral small vessel disease.

Mobile Stroke Unit Tied to Decreased Time to Imaging, Treatment

Mobile Stroke Unit Tied to Decreased Time to Imaging, Treatment

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Use of mobile stroke units is associated with reduced time to imaging and thrombolysis compared with traditional care.

Migraine Linked to Ischemic Stroke Via Cervical Artery Dissection

Migraine Linked to Ischemic Stroke Via Cervical Artery Dissection

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Up to 20% of stroke cases in young adults occur in those with cervical artery dissection, the leading cause of stroke in this population.

Prestroke CHA2DS2-VASc Score Predicts Stroke Severity, Outcomes

Prestroke CHA2DS2-VASc Score Predicts Stroke Severity, Outcomes

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Clinicians should closely monitor patients with atrial fibrillation, especially if they are female and of increasing age.

Increased Use of Antithrombotics Driving Subdural Hematoma Prevalence

Increased Use of Antithrombotics Driving Subdural Hematoma Prevalence

The increase in usage of antithrombotics, especially vitamin K antagonists, has been linked to an increase in prevalence of subdural hematomas.

Glucocorticoids May Worsen Reversible Cerebral Vasoconstriction Syndrome

Glucocorticoids May Worsen Reversible Cerebral Vasoconstriction Syndrome

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Glucocorticoids are often prescribed to RCVS patients either due to a misdiagnosis of PACNS, or fear of missing PACNS.

Estradiol Hormone Therapy May Reduce Mortality in Vascular Dementia

Estradiol Hormone Therapy May Reduce Mortality in Vascular Dementia

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Hormone therapy may reduce risk for death from vascular dementia in older women.

Guideline Update: Management of Recurrent Stroke With Patent Foramen Ovale

Guideline Update: Management of Recurrent Stroke With Patent Foramen Ovale

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Despite 3 large randomized trials and updated guidelines, the question of PFO closure remains a complex entity.

Migraine, Venous Thromboembolism May Share Mechanistic Link

Migraine, Venous Thromboembolism May Share Mechanistic Link

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Risk of VTE was only observed in patients with migraine with aura, suggesting a mechanistic link between the 2 conditions.

Microbleed Volume Influences Risk of Cognitive Decline, Dementia

Microbleed Volume Influences Risk of Cognitive Decline, Dementia

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Microbleeds were prevalent in 15.3% of the cohort.

More Choices of Antiplatelet Agents for the Secondary Prevention of Stroke

More Choices of Antiplatelet Agents for the Secondary Prevention of Stroke

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Ticagrelor may have an opportunity to shine in patients already on aspirin or clopidogrel.

Obesity, Oral Contraceptives Increase Risk of Cerebral Venous Thrombosis

Obesity, Oral Contraceptives Increase Risk of Cerebral Venous Thrombosis

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Women who were obese and taking oral contraceptives had a 29-fold increased risk of CVT.

Pioglitazone May Prevent Recurrent Stroke, Heart Attack in Patients Without Diabetes

Pioglitazone May Prevent Recurrent Stroke, Heart Attack in Patients Without Diabetes

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Patients taking pioglitazone saw a 24% reduction in risk for recurrent stroke or myocardial infarction compared to placebo.

Functional Outcomes After Stroke May Be Worse in Women, Minorities

Functional Outcomes After Stroke May Be Worse in Women, Minorities

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The authors speculate that women may have pre-stroke functional deficits, and minorities may have poorer access to care.

Gait, Gray Matter Predict Mortality in Cerebral Small Vessel Disease

Gait, Gray Matter Predict Mortality in Cerebral Small Vessel Disease

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Compared to cognition, gait speed may be more predictive of mortality due to its relationship with other organ systems.

New Guidelines for Antithrombotic Therapy in Venous Thromboembolism

New Guidelines for Antithrombotic Therapy in Venous Thromboembolism

New recommendations address 3 topics.

Reduced Cerebral Blood Flow May Persist After Concussion

Reduced Cerebral Blood Flow May Persist After Concussion

More research needs to be conducted to determine any harmful effects.

Coating on Intravascular Devices May Cause Patient Harm, FDA Warns

Coating on Intravascular Devices May Cause Patient Harm, FDA Warns

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The FDA has issued a safety communication for medical devices used in intravascular procedures.

Loss of Consciousness During Hemorrhage a Marker of Early Brain Injury

Loss of Consciousness During Hemorrhage a Marker of Early Brain Injury

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Loss of consciousness during subarachnoid hemorrhage is associated with a 2.8-fold increase in death and poor functional outcome at 1 year.

D-Dimer Levels Predict Deep Vein Thrombosis in Spinal Cord Injury

D-Dimer Levels Predict Deep Vein Thrombosis in Spinal Cord Injury

D-dimer level at 2 weeks after injury accurately predicts deep vein thrombosis formation.

Botulinum Toxin May Prevent Atrial Fibrillation After Bypass Surgery

Botulinum Toxin May Prevent Atrial Fibrillation After Bypass Surgery

30 days after surgery, only 7% of those who received the botulinum toxin developed A-Fib compared to 30% given saline.

Causes, Treatment of Cryptogenic Stroke Still Uncertain, Survey Finds

Causes, Treatment of Cryptogenic Stroke Still Uncertain, Survey Finds

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Nearly 60% of health care professionals felt uncertain that their treatment would prevent another stroke.

Cerebral Small Vessel Disease May Contribute to Parkinsonism

Cerebral Small Vessel Disease May Contribute to Parkinsonism

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Those who developed vascular parkinsonism had a greater risk if they had microbleeds and low gray matter volume.

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