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Plaque Steepness is Associated with Hemodynamics in Patients with Atherosclerotic Middle Cerebral Artery Stenosis. 斑块陡度与动脉粥样硬化性大脑中动脉狭窄患者血流动力学相关
IF 0.8 3区 医学
Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-26-00273
Mi Wang, Bin Jiang, Danfeng Zhang
{"title":"Plaque Steepness is Associated with Hemodynamics in Patients with Atherosclerotic Middle Cerebral Artery Stenosis.","authors":"Mi Wang, Bin Jiang, Danfeng Zhang","doi":"10.4103/neurol-india.Neurol-India-D-26-00273","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-26-00273","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between plaque steepness and hemodynamics in middle cerebral artery (MCA) stenosis based on high-resolution magnetic resonance imaging and computational fluid dynamics.</p><p><strong>Methods: </strong>Eighty consecutive patients accompanying with unilateral atherosclerotic MCA stenosis (50%-99%) were prospectively recruited. All patients underwent a cross-sectional scan of the stenotic MCA vessel wall. The parameters and features of the plaque, vessel wall, translesional wall shear stress ratio (WSSR), wall shear stress in stenosis (WSSs), and translesional pressure ratio (RP) were obtained. The patients were divided into the DWI-positive group and the DWI-negative group. The differences in plaque, vessel wall, and hemodynamics were compared between the two groups. Correlations between the plaque steepness and hemodynamics were calculated.</p><p><strong>Results: </strong>The DWI-positive group (31 cases) had a smaller lumen area (LA) (P = 0.024), larger plaque area (PA) (P < 0.001) and normal wall index (NWI) (P = 0.009), higher WSSR (P = 0.009) and WSSs (P = 0.018), and larger plaques' height (P = 0.039) and radio of height/width (P = 0.014) at the most stenotic site. The DWI-positive group had more enhanced plaques (24 vs 13, P = 0.03), positive remodeling patients (23 vs 20, P < 0.001) than the DWI-negative group (49 cases). The height of plaque (r = 0.805, P < 0.001) and ratio of height/width (r = 0.879, P < 0.001) showed positive correlation with WSSR, respectively.</p><p><strong>Conclusion: </strong>Steepness is an important feature of atherosclerotic plaques; individuals with steep plaques might be more prone to stroke.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pure Right Conjugate Horizontal Gaze Palsy due to Isolated Abducens Nuclear Infarction. 孤立性外展核梗死致单纯右侧共轭水平凝视麻痹。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-26-00232
Bhadra Sajeev Nair, Boby Varkey Maramattom
{"title":"Pure Right Conjugate Horizontal Gaze Palsy due to Isolated Abducens Nuclear Infarction.","authors":"Bhadra Sajeev Nair, Boby Varkey Maramattom","doi":"10.4103/neurol-india.Neurol-India-D-26-00232","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-26-00232","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Crossed Cerebellar Diaschisis Following an Acute Stroke. 急性中风后的交叉小脑缺血。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-26-00130
Shreyashi Ganguly, Divya Nagabushana, Rashmi Devaraj, Mohan P Channappanavar
{"title":"Crossed Cerebellar Diaschisis Following an Acute Stroke.","authors":"Shreyashi Ganguly, Divya Nagabushana, Rashmi Devaraj, Mohan P Channappanavar","doi":"10.4103/neurol-india.Neurol-India-D-26-00130","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-26-00130","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decoding Bilateral Chronic Subdural Hematoma in an Infant: Key Neuroimaging Findings. 解码婴儿双侧慢性硬膜下血肿：关键神经影像学发现。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-26-00335
Srishti Dixit, Swarjith Nimmakayala, Ved P Maurya
{"title":"Decoding Bilateral Chronic Subdural Hematoma in an Infant: Key Neuroimaging Findings.","authors":"Srishti Dixit, Swarjith Nimmakayala, Ved P Maurya","doi":"10.4103/neurol-india.Neurol-India-D-26-00335","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-26-00335","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facial Nerve Preservation in Hannover IV Vestibular Schwannomas. What Factors Can Predict Facial Outcome? 汉诺威IV期前庭神经鞘瘤的面神经保护。哪些因素可以预测面部结果？
IF 0.8 3区 医学
Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-25-00710
Guido Caffaratti, Mauro Ruella, Daniel Orfila, Liliana Tiberti, Ricardo Marengo, Andrés Cervio
{"title":"Facial Nerve Preservation in Hannover IV Vestibular Schwannomas. What Factors Can Predict Facial Outcome?","authors":"Guido Caffaratti, Mauro Ruella, Daniel Orfila, Liliana Tiberti, Ricardo Marengo, Andrés Cervio","doi":"10.4103/neurol-india.Neurol-India-D-25-00710","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-25-00710","url":null,"abstract":"<p><strong>Objective: </strong>This article aims to analyze the multiple clinical, imaging, and perioperative factors that may contribute with postoperative facial nerve (FN) function in a series of Hannover IV Vestibular Schwannomas (VS) operated by a single surgeon at a third-level center in Argentina.</p><p><strong>Materials and methods: </strong>Retrospective, single-center, analytical study of a cohort of 133 Hannover IV VS operated by the senior author between 2008 and 2023.</p><p><strong>Results: </strong>Mean follow-up was 14 months (12, 33). Gross total resection (GTR) was achieved in 55% and near total resection (NTR) in 23%. FN function was optimal (HB I and II) in 46% of patients immediately after surgery, which improved up to 66% during follow-up. Multivariate analysis revealed that factors linked to poorer early facial outcomes included preoperative gait instability, larger tumor size, and postoperative hemorrhagic complications. Regarding late facial status, factors associated with poorer outcomes included the facial grade at diagnosis and postoperatively, second surgery, and complications such as meningitis.</p><p><strong>Conclusions: </strong>Surgery for Hannover IV VS remains a surgical challenge, even in experienced hands. There are individual factors that might contribute to FN results like revision surgery, size, ventral-superior FN displacement, and complications. A detailed analysis of the MRI, FN monitoring and a precise FN dissection could be crucial for a satisfactory result.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vascular Layers of the Macaroni: Revisiting the Classic Sign of Takayasu Arteritis. 通心粉的血管层：重访高须动脉炎的经典征象。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-26-00173
Supraja Laguduva Mohan, Stuti Chandola, Manisha Jana
{"title":"Vascular Layers of the Macaroni: Revisiting the Classic Sign of Takayasu Arteritis.","authors":"Supraja Laguduva Mohan, Stuti Chandola, Manisha Jana","doi":"10.4103/neurol-india.Neurol-India-D-26-00173","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-26-00173","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148795672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lt. Col. (Dr.) Prahlad Kumar Sethi: A Pioneer in Indian Neurology and Military Medicine (Oct 14th 1939 to March 24th 2026). Prahlad Kumar Sethi中校（博士）：印度神经病学和军事医学的先驱（1939年10月14日至2026年3月24日）。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-26-00504
S Venkatraman
{"title":"Lt. Col. (Dr.) Prahlad Kumar Sethi: A Pioneer in Indian Neurology and Military Medicine (Oct 14th 1939 to March 24th 2026).","authors":"S Venkatraman","doi":"10.4103/neurol-india.Neurol-India-D-26-00504","DOIUrl":"10.4103/neurol-india.Neurol-India-D-26-00504","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"764-766"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in Performing Targeted Epidural Blood Patch for Secondary Intracranial Hypotension Following Thoracic Instrumentation. 胸廓内固定术后继发性颅内低血压硬膜外靶向补血的挑战。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-00358
Basir Ahamed, Gandham Edmond Jonathan, Ramamani Mariappan
{"title":"Challenges in Performing Targeted Epidural Blood Patch for Secondary Intracranial Hypotension Following Thoracic Instrumentation.","authors":"Basir Ahamed, Gandham Edmond Jonathan, Ramamani Mariappan","doi":"10.4103/neurol-india.Neurol-India-D-25-00358","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-00358","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"700-702"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Clues from Eye Movements Clinch Vermian Localization. 眼动的临床线索确定蠕虫定位。
IF 0.8 3区 医学
Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-00604
Sandhya Manorenj, S Sravan Kumar, Chillapuram Shashanka
{"title":"Clinical Clues from Eye Movements Clinch Vermian Localization.","authors":"Sandhya Manorenj, S Sravan Kumar, Chillapuram Shashanka","doi":"10.4103/neurol-india.Neurol-India-D-25-00604","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-00604","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"742-743"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Can a Stethoscope be Useful to a Neurologist? 听诊器对神经科医生有何帮助？
IF 0.8 3区 医学
Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-26-00022
Josef Finsterer
{"title":"How Can a Stethoscope be Useful to a Neurologist?","authors":"Josef Finsterer","doi":"10.4103/neurol-india.Neurol-India-D-26-00022","DOIUrl":"10.4103/neurol-india.Neurol-India-D-26-00022","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"738-739"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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