Article
Clinical Neurology
Fana Alemseged, Alessandro Rocco, Francesco Arba, Jaroslava Paulasova Schwabova, Teddy Wu, Leone Cavicchia, Felix Ng, Jo Lyn Ng, Henry Zhao, Cameron Williams, Fabrizio Sallustio, Anna H. Balabanski, Ales Tomek, Mark W. Parson, Peter J. Mitchell, Marina Diomedi, Nawaf Yassi, Leonid Churilov, Stephen M. Davis, Bruce C. Campbell
Summary: By developing the POST-NIHSS, the prognostic accuracy for posterior circulation stroke patients with mild-moderate symptoms can be improved, and it can help identify patients with NIHSS<10 who are at higher risk of poor outcome.
Article
Clinical Neurology
Eva A. Mistry, Sharon D. Yeatts, Pooja Khatri, Akshitkumar M. Mistry, Michelle Detry, Kert Viele, Frank E. Harrell, Roger J. Lewis
Summary: The National Institutes of Health Stroke Scale (NIHSS) is a commonly used outcome measure in stroke research. Analyzing the change in NIHSS from baseline to follow-up (Delta NIHSS) has limitations, but ANCOVA allows for adjusting baseline NIHSS as a covariate in the analysis of follow-up NIHSS, addressing these limitations.
Article
Health Care Sciences & Services
Aimilios Gkantzios, Christos Kokkotis, Dimitrios Tsiptsios, Serafeim Moustakidis, Elena Gkartzonika, Theodoros Avramidis, Gregory Tripsianis, Ioannis Iliopoulos, Nikolaos Aggelousis, Konstantinos Vadikolias
Summary: As a result of social progress and improved living conditions, the prevalence of strokes has increased. This study aimed to develop a machine learning model for predicting stroke-related neurological deficits and identified several biomarkers and parameters associated with it.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Medicine, General & Internal
Bastian Cheng, Ji Chen, Alina Koenigsberg, Carola Mayer, Leander Rimmele, Kaustubh R. Patil, Christian Gerloff, Gotz Thomalla, Simon B. Eickhoff
Summary: This study used advanced machine learning techniques to analyze the dimensional structure of NIHSS and identified a five-dimensional representation, including left motor deficits, right motor deficits, dysarthria and facial palsy, language, and deficits in spatial attention and gaze. The study also validated the neurobiological basis of these dimensions through neuroanatomical and functional analysis, providing a valuable anatomical map for individualized stroke treatment and rehabilitation.
Article
Clinical Neurology
Johanna Maria Ospel, Scott Brown, Manon Kappelhof, Wim van Zwam, Tudor Jovin, Daniel Roy, Bruce C. Campbell, Peter Mitchell, Yvo Roos, Francis Guillemin, Brian Buck, Keith Muir, Serge Bracard, Phil White, Richard du Mesnil de Rochemont, Mayank Goyal
Summary: This study aimed to investigate the combined effect of age and NIHSS in EVT for acute ischemic stroke due to large vessel occlusion. It was found that the impact of a 1-point increase in NIHSS on the chance of a good outcome roughly corresponded to a 3-year increase in patient age. EVT was beneficial across all age/NIHSS subgroups.
Article
Medicine, General & Internal
Yuanyuan Zhuo, Yimin Qu, Jiaman Wu, Xingxian Huang, Weiqu Yuan, Jack Lee, Zhuoxin Yang, Benny Zee
Summary: A study was conducted to estimate the NIHSS grading of stroke patients with retinal characteristics, finding that retinal characteristics provided more information than clinical characteristics in estimating stroke severity.
Article
Clinical Neurology
Adriana Henriques Silva, Pedro Nascimento Alves, Ana Catarina Fonseca, Teresa Pinho-e-Melo, Isabel Pavao Martins
Summary: The National Institutes of Health Stroke Scale (NIHSS) may not accurately predict lesion volume in patients with neglect, but modifying the neglect scoring rules could enhance its predictive capacity.
EUROPEAN JOURNAL OF NEUROLOGY
(2023)
Article
Clinical Neurology
William D. Mulkerin, Ilanit Spokoyny, Jonathan T. Francisco, Brandon Lima, Megan D. Corry, Matthew J. R. Nudelman, Kian Niknam, Ian P. Brown, Michael A. Kohn, Prasanthi Govindarajan
Summary: In this prospective study conducted over a 20-month period, the agreement between prehospital and hospital mNIHSS assessments was found to be reasonable, with mNIHSS >= 8 showing moderate sensitivity in predicting large vessel occlusions.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Amber R. Comer, Evan Templeton, Michelle Glidden, Stephanie Bartlett, Lynn D'Cruz, Donya Nemati, Samantha Zabel, James E. Slaven
Summary: Little consistency was found between initial NIHSS scores provided by neurologists and registered nurses in clinical practice. Around 34.7% of the scores had a clinically meaningful difference of two points or greater. Higher NIHSS scores and aphasia were associated with inconsistency in scoring between neurologists and emergency room RNs.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Mor Saban, Anner Moskovitz, Sona Ohanyan, Anna Reznik, Marc Ribo, Rotem Sivan-Hoffmann
Summary: The study compared the reliability of a remote stroke assessment system with NIHSS scores determined by neurologists in the emergency department, demonstrating that remote assessment using video segments collected by a dedicated platform on a standard smartphone is a reliable measurement compared to bedside evaluation.
FRONTIERS IN NEUROLOGY
(2022)
Article
Neurosciences
Yuzheng Lai, Eric Jou, Mohammad Mofatteh, Thanh N. Nguyen, Jamie Sin Ying Ho, Francesco Diana, Adam A. Dmytriw, Jianfeng He, Wenshan Yan, Yiying Chen, Zile Yan, Hao Sun, Leonard L. Yeo, Yimin Chen, Sijie Zhou
Summary: The 7-day NIHSS score after EVT may serve as a reliable predictor of long-term outcomes in stroke patients. Patients who had an NIHSS score of 6 or lower at 7 days post-EVT had a higher proportion of favorable outcomes at 90 days. This finding provides a valuable tool for predicting the prognosis of stroke patients.
TRANSLATIONAL NEUROSCIENCE
(2023)
Article
Clinical Neurology
Takehiro Katano, Kentaro Suzuki, Masataka Takeuchi, Masafumi Morimoto, Ryuzaburo Kanazawa, Yohei Takayama, Junya Aoki, Yasuhiro Nishiyama, Toshiaki Otsuka, Yuji Matsumaru, Kazumi Kimura
Summary: The NIHSS score <10 at 24 hours after stroke onset is a strong predictor of favorable outcomes at 90 days in patients treated with MT.
Article
Clinical Neurology
Qi Li, Lan Deng, Cheng Huang, Wen-Yu Zhang, Ning Zou, Du Cao, Xiao Wei, Xin-Yue Qin
Summary: The Chongqing Stroke Scale (CQSS) is a simple and easy-to-perform scale that allows quantitative evaluation of stroke severity at symptom onset and assessment of ultra-early neurological deterioration (UND) before hospital admission. It is associated with NIHSS and predicts functional outcomes in patients with acute ischemic stroke.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Mona Guterud, Helge Fagerheim Bugge, Jo Roislien, Jo Krame-Johansen, Mathias Toft, Hege Ihle-Hansen, Kristi G. Bache, Karianne Larsen, Anne-Cathrine Braarud, Else Charlotte Sandset, Maren Ranhoff Hov
Summary: This study aimed to assess whether the use of the National Institutes of Health Stroke Scale (NIHSS) by paramedics in the ambulance could improve communication with the hospital, augment triage, and enhance diagnostic accuracy of acute stroke. The results showed that the intervention did not improve the diagnostic accuracy in patients with suspected stroke.
Article
Health Care Sciences & Services
Amit Kumar, Indrakshi Roy, Pamela R. Bosch, Corey R. Fehnel, Nicholas Garnica, Jon Cook, Meghan Warren, Amol M. Karmarkar
Summary: This study is a retrospective cohort study of 43,241 Medicare beneficiaries with ischemic stroke, aiming to examine the predictive ability of claim-based NIHSS for 30-day mortality and readmission rates. The NIHSS was found to be significantly associated with 30-day mortality and exhibited stronger discriminant property compared to the Elixhauser comorbidity index.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Acoustics
Andre Kumar, Yingjie Weng, Youyou Duanmu, Sally Graglia, Farhan Lalani, Kavita Gandhi, Viveta Lobo, Trevor Jensen, Sukyung Chung, Jeffrey Nahn, John Kugler
Summary: This study conducted lung ultrasound examinations on 22 hospitalized adults with COVID-19, and found that patients with clinical deterioration had more lung abnormalities. These abnormalities may occur at any time within the first 28 days of illness. Further investigation is needed to explore the predictive utility of these findings on clinical outcomes.
JOURNAL OF ULTRASOUND IN MEDICINE
(2022)
Article
Acoustics
Andre Kumar, Isabel Weng, Sally Graglia, Thomas Lew, Kavita Gandhi, Farhan Lalani, David Chia, Youyou Duanmu, Trevor Jensen, Viveta Lobo, Jeffrey Nahn, Nicholas Iverson, Molly Rosenthal, Alexandra June Gordon, John Kugler
Summary: This study found that lung POCUS conducted within 24 hours of admission can provide rapid risk stratification for important clinical outcomes in COVID-19 patients, and normal ultrasound results may have a protective effect. The ultrasound findings remained stable within a 28-day scanning window after symptom onset.
JOURNAL OF ULTRASOUND IN MEDICINE
(2022)
Article
Environmental Sciences
Sebastian T. Rowland, Lawrence G. Chillrud, Amelia K. Boehme, Ander Wilson, Johnathan Rush, Allan C. Just, Marianthi-Anna Kioumourtzoglou
Summary: This study found that hourly temperature is positively associated with ischemic stroke and negatively associated with hemorrhagic stroke. This suggests that ultra short-term weather influences stroke risk and hypertension may confer vulnerability.
ENVIRONMENTAL RESEARCH
(2022)
Article
Neurosciences
Richard Idro, Amelia K. Boehme, Michael Kawooya, Samson K. Lubowa, Deogratias Munube, Paul Bangirana, Robert Opoka, Ezekiel Mupere, Angela Lignelli, Philip Kasirye, Nancy S. Green, Frank J. Minja
Summary: The study found that over half of Ugandan children with sickle cell anaemia had cerebrovascular infarcts and/or arterial stenoses. These vascular diseases were often undetectable by clinical assessments, highlighting the importance of MRI-MRA brain imaging in defining SCA cerebrovascular disease.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2022)
Letter
Medicine, General & Internal
Maja Artandi, John Norcini, Brian Garibaldi, Sonoo Thadaney Israni, John Kugler, Andre Kumar, Stephen Russell
Article
Clinical Neurology
Thanh N. Nguyen, Jean Raymond, Raul G. Nogueira, Urs Fischer, James E. Siegler
Summary: Since 2015, endovascular trials have revolutionized the management of large vessel occlusion stroke patients. However, the translation of restrictive trial eligibility criteria into guidelines has limited the use of thrombectomy to only highly selected patients. This article proposes a tiered approach to identify treatment beneficiaries more rigorously and to offer more treatment opportunities to those who would otherwise be denied.
Article
Clinical Neurology
Daniel DePolo, Stefan Gillen, Kyle Marden, Swarna Rajagopalan, Olga R. Thon, James E. Siegler, Jesse M. Thon
Summary: Wernicke's encephalopathy is a neurological emergency caused by thiamine deficiency, commonly associated with alcohol consumption. This report describes a severe case of non-alcoholic Wernicke's encephalopathy with atypical brain MRI findings, which improved with high-dose thiamine treatment. The case highlights the importance of recognizing unusual imaging features of Wernicke's encephalopathy in order to make a timely diagnosis and initiate treatment.
Letter
Education, Scientific Disciplines
Orly N. Farber, Alex Dahlen, Andre D. Kumar
Article
Neurosciences
Jared Wolfe, Solomon Oak, Justin Tiongson, Nicholas Vigilante, Emma Frost, Mary Penckofer, Lauren Thau, Zachary Iezzi, Pratit Patel, James E. Siegler
Summary: This study compared the clinical and radiographic patterns between patients with embolic stroke of undetermined source (ESUS) and those with atrial fibrillation (AF). The results showed that cortical infarctions were more common in patients with AF, while subcortical infarctions were strongly associated with chronic microvascular ischemic changes and may not represent embolic phenomena.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2022)
Review
Clinical Neurology
Alexandre Mason Sharma, Alana Birnhak, Emma Sanborn, Nikhil Bhana, Khuram Kazmi, Jesse M. M. Thon, Olga R. R. Thon, James E. E. Siegler
Summary: Diffuse cortical diffusion changes on MRI, commonly seen in global cerebral anoxia, are not specific and can occur in various disease states. Different underlying causes have unique imaging features on MRI that can aid in diagnosis. Understanding the distinct etiologies and neuroimaging characteristics of diffuse cortical diffusion restriction is important for clinicians and radiologists.
JOURNAL OF NEUROIMAGING
(2023)
Article
Clinical Neurology
Christopher Edwards, Brian Drumm, James E. Siegler, Wouter J. Schonewille, Piers Klein, Xiaochuan Huo, Yimin Chen, Mohamad Abdalkader, Muhammad M. Qureshi, Daniel Strbian, Xinfeng Liu, Wei Hu, Xunming Ji, Chuanhui Li, Urs Fischer, Simon Nagel, Volker Puetz, Patrik Michel, Fana Alemseged, Simona Sacco, Hiroshi Yamagami, Shadi Yaghi, Davide Strambo, Espen Saxhaug Kristoffersen, Else C. Sandset, Robert Mikulik, Georgios Tsivgoulis, Hesham E. Masoud, Diana Aguiar de Sousa, Joao Pedro Marto, Kyriakos Lobotesis, Dylan Roi, Anne Berberich, Jelle Demeestere, Thomas R. Meinel, Rodrigo Rivera, Sven Poli, Mai Duy Ton, Yuyou Zhu, Fengli Li, Hongfei Sang, Goetz Thomalla, Mark Parsons, Bruce C. V. Campbell, Osama O. Zaidat, Hui-Sheng Chen, Thalia S. Field, Jean Raymond, Johannes Kaesmacher, Raul G. Nogueira, Tudor G. Jovin, Dapeng Sun, Raynald Liu, Adnan I. Qureshi, Zhongming Qiu, Zhongrong Miao, Soma Banerjee, Thanh N. Nguyen
Summary: This international survey found that most stroke providers believed EVT to be superior to medical management in carefully selected patients, and indicated they would not randomize a BAO patient to medical treatment. There were small differences in preference for patient selection between interventionalists and non-interventionalists, but these preferences were unsupported by clinical trial data at the time of the survey.
JOURNAL OF NEUROIMAGING
(2023)
Article
Neurosciences
Zachary Iezzi, Pratit Patel, Jared Wolfe, Justin Tiongson, Nicholas Vigilante, Scott Kamen, Mary Penckofer, Jane Khalife, James E. Siegler
Summary: This study aimed to investigate the effectiveness of endovascular thrombectomy (EVT) in patients with large vessel occlusions (LVO) beyond 24 hours. The results showed that EVT did not significantly improve functional outcomes in eligible patients. Larger studies are needed to evaluate the outcomes when more liberal criteria are used for thrombectomy eligibility.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2023)
Article
Clinical Neurology
Karan Patel, Kamil Taneja, Matthew B. Obusan, Shadi Yaghi, Thanh N. Nguyen, Jesse M. Thon, Tareq Kass-Hout, James R. Brorson, Shyam Prabhakaran, James E. Siegler
Summary: Thrombectomy may be associated with better functional outcomes in patients with mild symptoms of basilar artery occlusion, but further validation is needed in a clinical trial setting.
Review
Virology
James E. Siegler, Savanna Dasgupta, Mohamad Abdalkader, Mary Penckofer, Shadi Yaghi, Thanh N. Nguyen
Summary: Never before in the history of transmissible illnesses has a viral infection, namely the novel human coronavirus SARS-CoV-2, been so strongly associated with acute cerebrovascular disease. The impact of the COVID-19 pandemic on psychosocial behaviors and medical care has resulted in shifts in epidemiology and changes in treatment practices. This narrative review provides a summary of the history and impact of the COVID-19 pandemic on cerebrovascular disease, as well as lessons learned in managing patients during this significant period in human history.
Article
Cardiac & Cardiovascular Systems
Ekaterina Bakradze, Liqi Shu, Nils Henninger, Shyam Prabhakaran, James E. Siegler, Gian Marco De Marchis, James A. Giles, Tolga Dittrich, Mirjam R. Heldner, Kateryna Antonenko, Wayneho Kam, David S. Liebeskind, Alexis N. Simpkins, Thanh N. Nguyen, Shadi Yaghi, Ava L. Liberman
Summary: A quarter of patients with CVT were diagnosed more than 10 days after symptom onset, with delayed diagnosis associated with isolated headache but not adverse clinical outcomes. Identifying factors associated with delayed diagnosis of CVT can inform future strategies for early detection.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Neurosciences
Adam Vacek, Grant Mair, Philip White, Philip M. Bath, Keith W. Muir, Rustam Al-Shahi Salman, Chloe Martin, David Dye, Francesca M. Chappell, Ruediger von Kummer, Malcolm Macleod, Nikola Sprigg, Joanna M. Wardlaw
Summary: This study evaluated the performance of e-ASPECTS software in delineating the extent of intracranial hemorrhage (ICH) on brain CT scans. The results showed that the software achieved excellent or good delineation of ICH extent in 71% of cases. However, it was more likely to over- or under-estimate the extent when ICH was more extensive, intraventricular, or extra-axial.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Mathias Jacobsen Bach, Audrone Jakubauskaite, Ian Law, Otto Molby Henriksen, Inger Havsteen, Alexander Cuculiza Henriksen, Sverre Rosenbaum, Lisbeth Marner
Summary: This study found that the rCBFacz value after ACZ challenge can serve as an important indicator for predicting future cerebrovascular events, with high accuracy and prognostic value.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Tak Kyu Oh, Saeyeon Kim, In-Ae Song
Summary: The study found that many survivors of nontraumatic intracranial hemorrhage in South Korea experience unemployment, decreased household income, and newly acquired disability after intensive care unit admission. However, these changes are not associated with 2-year all-cause mortality.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Eduardo Sousa de Melo, Rodrigo de Paiva Bezerra, Arthur Cesario de Holanda, Maria Junia Lira e Silva, Paloma Peter Travassos, Tayne Fernanda Lemos da Silva, Genova Maria de Azevedo Oliveira, Silvia Marinho Martins Alves, Carolina de Araujo Medeiros, Maria das Neves Dantas da Silveira Barros, Wilson Alves de Oliveira, Gisele Sampaio Silva, Luciana Patrizia Alves de Andrade Valenca
Summary: Cardiac involvement has been found to be the predominant factor correlated with stroke in Chagas disease. While atherosclerosis-related risk factors are prevalent, their influence on ischemic stroke in Chagas disease appears limited.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Pingping Zheng, Ning Zhang, Zixi Chen
Summary: This case presents a rare infectious cause of stroke and air embolism involving a pulmonary abscess and pulmonary vein thrombosis. Early detection, diagnosis, and appropriate treatment of infected systemic embolism in young patients are crucial to prevent serious complications.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Filippo Luca Gurgoglione, Luigi Vignali, Maria Alberta Cattabiani, Emilia Solinas, Giorgio Benatti, Iacopo Tadonio, Federico Barocelli, Chiara Dizdari, Domenico Tuttolomondo, Diego Ardissino, Francesco Nicolini, Giampaolo Niccoli
Summary: The incidence of recurrent ischemic neurological events after transcatheter patent foramen ovale closure is relatively low. Obesity, Risk of Paradoxical Embolism score < 7, and migraine are independent positive predictors of recurrent stroke or transient ischemic attack.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Angelo Cascio Rizzo, Ghil Schwarz, Amedeo Cervo, Giuditta Giussani, Chiara Ceresa, Antonella Gatti, Fausto De Angeli, Cristina Motto, Angelo Guccione, Rachele Tortorella, Giuseppe Granata, Claudia Rollo, Antonio Macera, Mariangela Piano, Guglielmo Pero, Elio Clemente Agostoni
Summary: This study aimed to evaluate the efficacy and safety of endovascular treatment (EVT) in primary and EVT-induced secondary medium-vessel occlusions (MeVO). The results showed that primary MeVO had poorer outcomes in terms of complications, EVT efficacy, and the proportion of patients with a modified Rankin Scale (mRS) of 0-2 at 3 months compared to exclusive large-vessel occlusion (LVO). However, EVT-induced secondary MeVO showed similar safety and efficacy outcomes as exclusive LVO and had better outcomes in terms of mRS 0-2 compared to primary MeVO.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Jing Zhang, Chenming Wei, Jian Wu
Summary: This case report describes a patient with Bloom syndrome who developed acute cerebral infarction along with elevated antiphospholipid antibodies, suggesting a possible association between immune and coagulation abnormalities caused by Bloom syndrome and the development of acute cerebral infarction.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Yunxia Zhou, Shenglan He, Yanhong Hu
Summary: Compared with clopidogrel, DAPT with ticagrelor plus aspirin was associated with significantly lower thromboembolic events without an increase in hemorrhagic events in the treatment of intracranial aneurysms, according to the one-year clinical outcome analysis. However, larger upcoming trials are needed to confirm the effectiveness and safety of ticagrelor-associated DAPT.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Edvania Andrade de Moura Silva, Ludmilla Ribeiro Batista, Marcela Aline Fernandes Braga, Luci Fuscaldi Teixeira-Salmela, Christina Danielli Coelho de Morais Faria, Iza Faria-Fortini
Summary: The study found that stroke severity is the best predictor of self-perceived manual ability at both three and six months after stroke. Age, although significant, contributes little to the prediction of manual ability.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Sidarrth Prasad, Erica M. Jones, Mehari Gebreyohanns, Veronica Aguilera, DaiWai M. Olson, Jane A. Anderson, Sean I. Savitz, Salvador C. Flores, Steven J. Warach, Charlotte E. Rhodes, Mark P. Goldberg, Nneka L. Ifejika
Summary: This study identified the barriers and facilitators to adopting tenecteplase (TNK) as a thrombolytic treatment for acute ischemic stroke (AIS) by conducting qualitative research with stroke clinicians in Texas. The findings suggest that providing evidence and identifying key change processes can help clinicians achieve consensus on adopting TNK for AIS treatment.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Jeshma Jayan, Sunil K. Narayan, Yasmin Nesha Haniffa, Navin Kumar
Summary: This study investigated the effects of transcranial electrical and magnetic stimulation on somatosensory evoked potentials in chronic ischemic stroke patients, finding that the real tDCS and rTMS combination results in significant improvement and is safe for use.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Phoebe M. Tran, Cenjing Zhu, William T. Harris II, Sajeesh K. Kamala Raghavan, Agricola Odoi, Liem Tran
Summary: This study assessed the geographic accessibility of stroke rehabilitation facilities in Tennessee. The study found that rural counties had significantly longer travel distances and times compared to urban counties. Counties with high and medium stroke prevalence also had higher travel times and distances compared to low stroke prevalence counties. Therefore, addressing transportation barriers and implementing tele-rehabilitation are crucial for improving access to stroke aftercare in these areas.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Lili Xu, Shuaiyu Chen, Jing Xu, Yanyan Shi, Zhihang Huang, Meng Wang, Ziqiao Wei, Hui Cao, Junshan Zhou, Wei Wang, Mingyang Du
Summary: This study found that the Chinese Visceral Adiposity Index (CVAI) is positively correlated with 90-day poor outcome in Chinese ischemic stroke patients after endovascular thrombectomy (EVT).
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)
Article
Neurosciences
Guangying Wu, Shuhua Li, Min Luo, Xiaotian Li, Xinghua Zhu, Junhuai Zhang, Qian He, Qian Yang, Guojiang Zhao, Shasha Luo, Zhijie Yang
Summary: The study aimed to investigate the relationship between serum alkaline phosphatase (ALP) levels and the severity and prognosis of intracerebral hemorrhage (ICH). The results showed that serum ALP levels in ICH patients were significantly elevated and correlated with hematoma volume and Glasgow coma scale (GCS) score. High serum ALP levels may serve as a potential predictor for the severity and unfavorable prognosis of ICH.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2024)