Vascular Neurology

Bone Mineral Density Associated With Intracranial Aneurysm Presence, Size

Bone Mineral Density Associated With Intracranial Aneurysm Presence, Size

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Patients with the lowest bone mineral density had the largest aneurysm size.

Cardiac Index Affects Cerebral Blood Flow Irrespective of CVD

Cardiac Index Affects Cerebral Blood Flow Irrespective of CVD

In older adults, lower cardiac index is linked to lower cerebral blood blow in the temporal lobe.

Trial Update: Bariatric Surgery vs Dietary Program for Tx of Idiopathic Intracranial Hypertension

Trial Update: Bariatric Surgery vs Dietary Program for Tx of Idiopathic Intracranial Hypertension

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The trial, sponsored by the University of Birmingham, is currently recruiting participants.

Predicting Cerebral Edema Severity After Stroke

Predicting Cerebral Edema Severity After Stroke

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There is some evidence that suggests intravenous thrombolysis for stroke may impair the blood-brain barrier and cause cerebral edema.

Awake Neurologic Testing During Aneurysm Repair Decreases Ischemic Injury Risk

Awake Neurologic Testing During Aneurysm Repair Decreases Ischemic Injury Risk

The treatment of brain aneurysms may be improved with "awake" brain surgery.

Unprovoked Venous Thromboembolism May Be Sign of Occult Cancer

Unprovoked Venous Thromboembolism May Be Sign of Occult Cancer

About 1 in 20 patients with VTE have occult cancer detected within a year.

CSF Pressure Not Directly Linked to Headache in Idiopathic Intracranial Hypertension

CSF Pressure Not Directly Linked to Headache in Idiopathic Intracranial Hypertension

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The study group concluded that the current recommendation for CSF pressure reduction therapy to relieve headaches attributed to IIH should be removed from the International Classification of Headache Disorders 3b criteria.

Cerebral Small Vessel Disease Linked to HTRA1 Mutation

Cerebral Small Vessel Disease Linked to HTRA1 Mutation

Heterozygous mutations may play a role in familial cerebral small vessel disease.

Intravenous Idarucizumab Successfully Reverses Dabigatran

Intravenous Idarucizumab Successfully Reverses Dabigatran

At 90-days, the rate of thrombotic events in both groups was low.

Primary Stroke Center Protocol Significantly Improves Outcomes

Primary Stroke Center Protocol Significantly Improves Outcomes

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Reduced door-to-needle times have been shown to improve outcomes after stroke.

Evaluating Cerebral Blood Flow Velocity During Migraine Headache

Evaluating Cerebral Blood Flow Velocity During Migraine Headache

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Although decreased blood flow velocity correlates with arterial dilatation, studies using transcranial Doppler ultrasound to evaluate intracranial vasodilatation during migraine report conflicting results.

Intracranial Hemorrhage Associated with Arteriovenous Malformations Linked to Better Outcomes

Intracranial Hemorrhage Associated with Arteriovenous Malformations Linked to Better Outcomes

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Compared with other sources of ICH, those associated with arteriovenous malformations had lower odds of death.

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.

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