Brain Hemorrhages最新文献_第7页

Outcomes of endovascular treatment alone or with intravenous alteplase in acute ischemic stroke Patients: A retrospective cohort study 急性缺血性脑卒中患者单纯血管内治疗或静脉注射阿替普酶的疗效：回顾性队列研究

Brain Hemorrhages Pub Date : 2024-02-01 DOI: 10.1016/j.hest.2023.09.003

Mahmoud Galal Ahmed , Nour Shaheen , Ahmed Shaheen , Mostafa Meshref , Abdulqadir J. Nashwan , Nourelhuda Ahmed Nassar , Khaled Sobh

{"title":"Outcomes of endovascular treatment alone or with intravenous alteplase in acute ischemic stroke Patients: A retrospective cohort study","authors":"Mahmoud Galal Ahmed , Nour Shaheen , Ahmed Shaheen , Mostafa Meshref , Abdulqadir J. Nashwan , Nourelhuda Ahmed Nassar , Khaled Sobh","doi":"10.1016/j.hest.2023.09.003","DOIUrl":"10.1016/j.hest.2023.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study is to compare the clinical outcomes, safety, and workflow of patients who underwent endovascular treatment (EVT) alone or in combination with intravenous thrombolysis (IVT), against a control group who only received EVT.</p></div><div><h3>Methods</h3><p>A retrospective analysis from May 2018 to September 2021 was conducted on 50 patients exhibiting acute ischemic stroke symptoms. 35 patients received EVT alone, while 15 received EVT and IVT. The data collected included demographic information, comorbid diseases, symptom onset time, duration from admission to puncture, and clinical outcomes via the National Institutes of Health Stroke Scale score and modified Rankin scale score at admission and 90 days post-procedure.</p></div><div><h3>Results</h3><p>No significant differences were observed in the 90-day modified Rankin scale scores between the EVT + IVT and EVT alone groups (p > 0.05). NIHSS scores were also similar between the groups (p > 0.05). The EVT + IVT group demonstrated higher intracranial hemorrhage and symptomatic intracranial hemorrhage rates than the EVT alone group, but the difference became insignificant after adjusting for age and sex (p < 0.01). Mortality outcomes showed no significant difference (p > 0.05).</p></div><div><h3>Conclusion</h3><p>The combined EVT and IVT treatment's safety outcomes are not inferior, aligning with existing literature.</p></div>","PeriodicalId":33969,"journal":{"name":"Brain Hemorrhages","volume":"5 1","pages":"Pages 21-28"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589238X23000384/pdfft?md5=c5607302725aab7c4d4a11bba7aa2d3c&pid=1-s2.0-S2589238X23000384-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Free-hand bedside catheter evacuation without 3D reconstruction for extensive revascularization-associated hemorrhage after ischemic stroke 缺血性脑卒中后广泛血管再通相关出血的床边导管抽吸术，无需三维重建

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2023.04.001

Wang Chen , Lei Yang , Feng He , Xianjun Wang , Zhenchuan Liu , Wenli Hu

{"title":"Free-hand bedside catheter evacuation without 3D reconstruction for extensive revascularization-associated hemorrhage after ischemic stroke","authors":"Wang Chen , Lei Yang , Feng He , Xianjun Wang , Zhenchuan Liu , Wenli Hu","doi":"10.1016/j.hest.2023.04.001","DOIUrl":"10.1016/j.hest.2023.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the feasibility of free-hand bedside catheterization using axial computed tomography (CT) in patients with brain hemorrhage after ischemic revascularization.</p></div><div><h3>Methods</h3><p>Patients who received revascularization therapy and underwent bedside catheterization were consecutively screened from December 2020 to July 2022. Revascularization included intravenous thrombolysis with or without mechanical thrombectomy, balloon angioplasty, and stenting. The catheter trajectory was designed according to the axial CT along the long axis of the hematoma body and projected onto the scalp at the calculated distance and angle. Urokinase was used locally to drain the hematoma.</p></div><div><h3>Results</h3><p>In 12 patients (mean age 66 ± 8 years), an 86% reduction in hematoma volume was found after catheter drainage, from 48.6 ± 20.4 ml to 6.7 ± 5.7 ml (P＜0.001). In accordance with the reduction of the hematoma volume, the Glasgow Coma Scale improved from 7 (6.5–8) to 10 (7–10.5) (P = 0.031). Four patients (33.3%) achieved good outcomes (modified Rankin Scale 0–3) at the 180-day follow-up. All-cause mortality was 25%. One patient experienced active hemorrhage. No bacterial brain infections were observed.</p></div><div><h3>Conclusions</h3><p>Free-hand bedside catheterization according to axial CT localization is feasible for treating extensive revascularization-related hematoma after ischemic stroke.</p></div>","PeriodicalId":33969,"journal":{"name":"Brain Hemorrhages","volume":"4 4","pages":"Pages 189-194"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589238X23000128/pdfft?md5=961a33994d595a9adcbc93e1b61af05f&pid=1-s2.0-S2589238X23000128-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88073303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attribute fatal, multiple cavitary lesions with air-fluid levels and hemorraghe to SARS-CoV-2 or ECMO only after ruling out differentials 只有在排除鉴别因素后，才能将致命的、多发性空腔病变、气液水平和瘀血归因于 SARS-CoV-2 或 ECMO

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2022.09.003

Josef Finsterer , Fulvio A Scorza , Antonio-Carlos de Almeida

引用次数: 1

Before attributing diastolic dysfunction to basal ganglia bleeding differential etiologies need to be ruled out 在将舒张功能障碍归咎于基底节出血之前，需要排除不同的病因

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2022.10.010

Josef Finsterer

引用次数: 0

A case of spontaneous acute subdural hematoma in Plasmodium falciparum malaria: A systematic review 恶性疟原虫疟疾自发性急性硬膜下血肿病例：系统综述

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2023.02.006

Mehul Modi , Prakash Mahantshetti , Purvi Gandhi

引用次数: 0

The CSA cerebral hemorrhage Minimal Invasive treatment Society was successfully established CSA 脑出血微创治疗学会成功成立

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2023.09.002

Shengjie Li , Ping Zhang , Chao Pan , Gang Chen

引用次数: 0

Call for papers: Special issue on new insights in diagnosis and treatment of hemorrhagic stroke 征稿：出血性中风诊断与治疗新观点特刊

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2023.11.001

Iris Tang , Serge Marbacher

引用次数: 0

Progress in the treatment of chronic intracranial large artery occlusion: Time for large, randomized trials? 慢性颅内大动脉闭塞的治疗进展：是时候进行大型随机试验了吗？

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2022.10.009

Zhicheng Zhang , Chao Pan , Devin McBride , Zhuojin Wu , Ge Zhang , Danyang Chen , John H. Zhang , Zhouping Tang

{"title":"Progress in the treatment of chronic intracranial large artery occlusion: Time for large, randomized trials?","authors":"Zhicheng Zhang , Chao Pan , Devin McBride , Zhuojin Wu , Ge Zhang , Danyang Chen , John H. Zhang , Zhouping Tang","doi":"10.1016/j.hest.2022.10.009","DOIUrl":"10.1016/j.hest.2022.10.009","url":null,"abstract":"<div><p>Chronic cerebral artery occlusion is an important cause of ischemic stroke, resulting in up to 45% of all ischemic strokes. Therefore, treatment of chronic cerebral artery occlusion is critical to improve outcomes in effected patients. In the past, treatment of chronic cerebral artery occlusion focused on drugs and surgical bypass, but effectiveness and potential benefits are not well-supported. In recent years, endovascular recanalization therapy has become more prominent as a treatment for chronic cerebral artery occlusion, due to advances in endovascular procedures, experience and equipment, as well as more advanced imaging methods. Small clinical studies have shown that interventional therapy for chronic cerebral artery occlusions may be safe and effective, yet, there is still a lack of uniform guidelines. This review discusses the current support for recanalization of chronic intracranial large vessel occlusion.</p></div>","PeriodicalId":33969,"journal":{"name":"Brain Hemorrhages","volume":"4 4","pages":"Pages 204-209"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589238X2200078X/pdfft?md5=7187fa016525bc7ec4995aec609223b2&pid=1-s2.0-S2589238X2200078X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84801702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous subdural effusion in a hospitalized Covid-19 patient: Case report 一名住院的 Covid-19 患者自发性硬膜下积液：病例报告

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2023.02.002

Artur Eduardo Martio , Ana Luisa dos Santos Carregosa , Octávio Ruschel Karam , Wagner Lazaretto Padua , Paulo Moacir Mesquita Filho

{"title":"Spontaneous subdural effusion in a hospitalized Covid-19 patient: Case report","authors":"Artur Eduardo Martio , Ana Luisa dos Santos Carregosa , Octávio Ruschel Karam , Wagner Lazaretto Padua , Paulo Moacir Mesquita Filho","doi":"10.1016/j.hest.2023.02.002","DOIUrl":"10.1016/j.hest.2023.02.002","url":null,"abstract":"<div><p>Subdural effusions (SE) have already been associated with several viruses, but there are few associations with Covid-19 reported to date, and all of them had one thing in common: the presence of superimposed bacterial rhinosinusitis. Here we describe the case of a 76-year-old male patient that was transferred to our center due to severe SARS-CoV-2 infection and developed a SE during hospital stay. He presented sensory level impairment during hospitalization, but an initial Head CT scan showed no alterations. A new CT scan performed six days later evidentiated a bilateral SE. The patient had a cardiorespiratory arrest during the night of the same day, resulting in death. Covid-19 as a direct cause of subdural effusion (positive Covid-19 PCR in subdural fluid) has never before been reported in the literature, and, unfortunately, it was not possible to rule out or confirm this phenomenon in our case due to the rapid evolution of the clinical picture. However, our case clearly differs from the literature as the patient did not show any signs of sinus disease or intracranial hypotension, and the possible causes of the effusion boil down to spontaneity and the direct action of Covid-19 in the CNS and subdural space.</p></div>","PeriodicalId":33969,"journal":{"name":"Brain Hemorrhages","volume":"4 4","pages":"Pages 215-218"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10766706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inauguration & 1st Annual Conference of Cerebral Hemorrhage Minimal Invasive Treatment Society of Chinese Stroke Association was successfully held 中国卒中学会脑出血微创治疗学会成立大会暨第一届学术年会成功举办

Brain Hemorrhages Pub Date : 2023-12-01 DOI: 10.1016/j.hest.2023.09.001

Yeguang Xu , Ping Zhang , Chao Pan , Gang Chen

引用次数: 0