Journal of Cerebrovascular Sciences最新文献_第6页

Statistical corner: Using R to build, analyse and plot clinical neurological datasets 统计角:使用R构建，分析和绘制临床神经学数据集

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_29_20

Mikko J. Pyysalo, Teemu Vesterinen

引用次数: 0

Posterior communicating artery aneurysms: Analysis of predictors of surgical outcome 后交通动脉瘤:手术预后的预测因素分析

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_16_20

Sumeet Narang, H. Kaur, J. Dil, A. Raja

{"title":"Posterior communicating artery aneurysms: Analysis of predictors of surgical outcome","authors":"Sumeet Narang, H. Kaur, J. Dil, A. Raja","doi":"10.4103/jcvs.jcvs_16_20","DOIUrl":"https://doi.org/10.4103/jcvs.jcvs_16_20","url":null,"abstract":"Background: Although aneurysms of the posterior circulation are not as common as those of the anterior circulation, the threat they pose can be reduced with timely surgical intervention. The study analyses factors that influence the outcome in surgically clipped posterior communicating artery (PCoA) aneurysms. Methods: A retrospective analysis of 85 cases of surgically clipped PCoA aneurysms was carried out, taking into consideration, the presenting signs and World Federation of Neurological Societies (WFNS) grade at admission, the timing of the surgery and the outcome of the surgery as per the Glasgow Outcome Scale. Results: About 56.8% of cases were clinically WFNS Grade I at admission. About 75.9% of all patients and 90% of patients who were Grade I and 74% of patients who were Grade II had a good recovery as per the Glasgow Outcome Scale. The overall mortality was 6.9%, and all patients who did not survive despite surgery were initially WFNS Grade IV patients. Conclusion: A higher or clinically worse WFNS grade of subarachnoid haemorrhage at the time of admission in patients with PCoA aneurysms predicts a poor surgical outcome, regardless of the timing of the surgery.","PeriodicalId":218723,"journal":{"name":"Journal of Cerebrovascular Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128537266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of cerebral bypass revascularisation procedures in adult cerebrovascular ischaemic stroke: Looking beyond COSS – A single surgeon's experience of 7 years 成人缺血性脑卒中脑搭桥血运重建术的有效性:超越COSS -单个外科医生7年的经验

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_30_20

V. Kumar, V. Ratha, Rithesh Nair, S. Karthikeyan, A. Rajendran, R. Soundararajan

{"title":"Effectiveness of cerebral bypass revascularisation procedures in adult cerebrovascular ischaemic stroke: Looking beyond COSS – A single surgeon's experience of 7 years","authors":"V. Kumar, V. Ratha, Rithesh Nair, S. Karthikeyan, A. Rajendran, R. Soundararajan","doi":"10.4103/jcvs.jcvs_30_20","DOIUrl":"https://doi.org/10.4103/jcvs.jcvs_30_20","url":null,"abstract":"Context: Adults with haemodynamic stroke secondary to cerebrovascular ischaemic events, continue to develop stroke despite optimum medical management. Aims: This study aims to identify patients with adult ischaemic stroke presenting with significant haemodynamic failure based on radiological and molecular imaging and perform Revascularisation procedure to prevent further stroke. Settings and Design: This is a retrospective database analysis of patients with CVOD requiring cerebral revasularisation procedure from 2013 to 2019. Materials and Methods: Twenty-two adult patients with age ranging from 26 to 72 years presenting with recurrent transient ischaemic attacks (TIAs) were evaluated for haemodynamic insufficiency by neuroimaging and acetazolamide challenged single-photon emission computed tomography perfusion. Those with decompensated haemodynamic insufficiency underwent cerebral revascularisation with superficial temporal artery (STA) to middle cerebral artery (MCA) bypass. Results: Of the 22 patients, in 12 patients, the procedure was done electively and in remaining 10 patients as emergency (<48 h of the onset of symptoms). Ninety-one per cent of the patients recovered well without any further TIAs. Neurological worsening was observed in 4.5%. Two patients who presented with refractory migraine like symptoms improved dramatically without further headaches. Uneventful wound complications were associated in 9% of cases. Follow-up radiological evaluation showed good graft patency in 95% (21/22) patients. The single case of graft thrombosis developed new MCA territory infarct requiring prolonged rehabilitation for the neurological deterioration. Conclusion: Cerebral revascularisation with STA-MCA bypass in selected patients with impending haemodynamic insufficiency results in good outcome and prevents further strokes despite continuing optimum medical therapy.","PeriodicalId":218723,"journal":{"name":"Journal of Cerebrovascular Sciences","volume":"32 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120912993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A hospital-based study of stroke-related mortality 一项基于医院的中风相关死亡率研究

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_25_20

Masaraf Hussain, S. Sharma, Baiakmenlang Synmon, Y. Hynniewta

{"title":"A hospital-based study of stroke-related mortality","authors":"Masaraf Hussain, S. Sharma, Baiakmenlang Synmon, Y. Hynniewta","doi":"10.4103/jcvs.jcvs_25_20","DOIUrl":"https://doi.org/10.4103/jcvs.jcvs_25_20","url":null,"abstract":"Background: Stroke is the second-most common cause of mortality worldwide. Stroke-related mortality data are needed for following health trends and for planning health policy. Objective: The objective is to determine the incidence of stroke-related mortality in 1 year, to study the demographic profile and risk factors of stroke mortality, and to study the complications due to stroke leading to mortality. Materials and Methods: We conducted a retrospective hospital-based study for stroke-related mortality that had occurred between March 2019 and March 2020. The data were reviewed for demographic profile, co-morbidities and complications which had occurred during hospital stay. Results: A total of 51 patients had stroke-related mortality, mostly involving the age group of 41–50 years. There was a male pre-dominance of stroke-related mortality, except in the oldest (>80 years) age group. Haemorrhagic stroke had higher mortality, as compared to ischaemic stroke, with a lower mean age of mortality. Hypertension and alcohol consumption were the most common co-morbidities for haemorrhagic stroke-related morbidities, while dyslipidaemia, diabetes mellitus, smoking and cardiac illness were more common in ischaemic stroke-related mortality. Aspiration pneumonia was the most common complication in stroke-related mortalities. Conclusion: The study has shown a concerning trend of stroke-related mortality involving younger age group. Aggressive treatment of co-morbidities and complications is necessary to reduce mortality due to stroke.","PeriodicalId":218723,"journal":{"name":"Journal of Cerebrovascular Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117023902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dual microcatheter technique for coil embolisation of irregular and wide-necked intracranial aneurysms: A case series 双微导管技术用于不规则和宽颈颅内动脉瘤的线圈栓塞:一个病例系列

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_2_21

Amit Sharma, A. Jagetia, A. Srivastava, Daljit Singh

{"title":"Dual microcatheter technique for coil embolisation of irregular and wide-necked intracranial aneurysms: A case series","authors":"Amit Sharma, A. Jagetia, A. Srivastava, Daljit Singh","doi":"10.4103/jcvs.jcvs_2_21","DOIUrl":"https://doi.org/10.4103/jcvs.jcvs_2_21","url":null,"abstract":"Background: The endovascular coiling of ruptured aneurysms with complicated geometry presents a significant treatment challenge, especially with the non-availability of adequate sized coils and balloon/stent. The dual microcatheter technique is an alternative treatment for stent-assisted coiling in acutely ruptured wide-necked aneurysms because of no antiplatelet therapy. Objective: We report our initial experience with the use of a dual microcatheter technique in seven patients. The technique provided an efficient strategy for treating aneurysms with complicated configurations and high risks. Patients and Methods: We describe a technique used to treat seven patients with irregular shaped and wide-necked aneurysms. In the initial attempts at embolisation, coil instability within the aneurysm or significant impingement of coil loops on the parent artery was observed. The advancement of a second microcatheter into the aneurysm allowed two coils to be braced across the aneurysmal neck before the detachment of either coil. This technique permitted successful coil treatment. Conclusion: The dual microcatheter technique is a safe and effective treatment for acutely ruptured wide-necked aneurysms due to few treatment-related complications and mortality rate.","PeriodicalId":218723,"journal":{"name":"Journal of Cerebrovascular Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123287609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aneurysm surgery during the COVID-19 pandemic: Ecstasy, agony and dilemma COVID-19大流行期间的动脉瘤手术:狂喜、痛苦和困境

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_3_21

Daljit Singh

引用次数: 0

Effectiveness of speech and language therapy and spontaneous recovery in anomic aphasia 失语症的语言治疗效果及自发性康复

Journal of Cerebrovascular Sciences Pub Date : 2020-07-01 DOI: 10.4103/jcvs.jcvs_11_20

K. Sandhya

{"title":"Effectiveness of speech and language therapy and spontaneous recovery in anomic aphasia","authors":"K. Sandhya","doi":"10.4103/jcvs.jcvs_11_20","DOIUrl":"https://doi.org/10.4103/jcvs.jcvs_11_20","url":null,"abstract":"Introduction: Anomia is a problem with naming objects. Anomic aphasia, also called as anomia or amnesic aphasia, is characterised by word-finding difficulties in the absence of major syntactic impairment. Objectives: To determine the effectiveness of therapy techniques in recovery of language abilities in a patient with anomic aphasia. Materials and Methods: Prospective study of a patient diagnosed with anomic aphasia secondary to ischaemic stroke, whose response and progress was followed from the time of presentation, along the course of therapy with techniques including semantic feature analysis (SFA) and phonological component analysis (PCA), and scored according to the guidelines of Manual for Adult Non-Fluent Aphasia Therapy in Kannada (MANAT-K). Results: Significant improvement was noted in the patient's naming skills, with an increase in almost 20% in the score in confrontation naming, responsive naming, and word fluency, post-therapy, as compared to pre-therapy. Conclusion: Although there is contribution of spontaneous recovery in the betterment of a person with aphasia, timely planned therapy brings about a marked improvement in the patient's language abilities.","PeriodicalId":218723,"journal":{"name":"Journal of Cerebrovascular Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130414243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral subdural haematomas secondary to spontaneous intracranial hypotension-A dilemma in management 自发性颅内低血压继发的双侧硬膜下血肿——治疗困境

Journal of Cerebrovascular Sciences Pub Date : 2020-01-01 DOI: 10.4103/jcvs.jcvs_19_20

G. Menon, Sandesh Onkarappa, R. Sanjeev, Saurabh Beedkar, R. Nair

引用次数: 0

Pitfalls in diagnosis: Acute hypodense posterior fossa subarachnoid haemorrhage on computed tomography scan – An unusual entity 诊断陷阱:计算机断层扫描显示急性低密度后窝蛛网膜下腔出血-一种不寻常的实体

Journal of Cerebrovascular Sciences Pub Date : 2020-01-01 DOI: 10.4103/jcvs.jcvs_22_20

Gautam Dutta, Daljit Singh, A. Jagetia, A. Srivastava

引用次数: 0

Surgery for anterior communicating artery aneurysms: Lessons learnt 前交通动脉瘤的手术治疗:经验教训

Journal of Cerebrovascular Sciences Pub Date : 2020-01-01 DOI: 10.4103/jcvs.jcvs_8_20

J. Dil, Sumeet Narang, H. Kaur, A. Raja

引用次数: 0