Brain Circulation最新文献_第10页

Optimal rehabilitation strategies for early postacute stroke recovery: An ongoing inquiry 脑卒中急性期后早期恢复的最佳康复策略：持续探索

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-10-01 DOI: 10.4103/bc.bc_33_23

Yanna Tong, Yuchuan Ding, Zhenzhen Han, Honglian Duan, Xiaokun Geng

{"title":"Optimal rehabilitation strategies for early postacute stroke recovery: An ongoing inquiry","authors":"Yanna Tong, Yuchuan Ding, Zhenzhen Han, Honglian Duan, Xiaokun Geng","doi":"10.4103/bc.bc_33_23","DOIUrl":"https://doi.org/10.4103/bc.bc_33_23","url":null,"abstract":"Early rehabilitation is crucial in reducing stroke-related disability, but the optimal training model remains unclear. We conducted a trial comparing different initiation timings and intensities of mobilization strategies after stroke. Results showed that early intensive mobilization had favorable outcomes at 3 months post-stroke, while very early intensive mobilization had poorer chances of favorable outcomes. Our investigation into brain injury mechanisms induced by very early exercise within 24 hours of stroke onset aligned with guidelines advising against high-dose very early mobilization. Additionally, we are studying the effects of various exercise intensities and frequencies on early stroke rehabilitation. Integrated rehabilitation models, such as combining remote ischemic conditioning (RIC) with exercise (RICE), hold promise. Our study found RICE to be safe and feasible for early rehabilitation of acute ischemic stroke patients, and further research is underway to determine its efficacy in a larger sample size. Despite extensive research, identifying the most effective early recovery strategies remains a complex challenge, necessitating ongoing work in the field of early rehabilitation after stroke.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"7 1","pages":"201 - 204"},"PeriodicalIF":1.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Recurrent ischemic stroke from reversible extracranial internal carotid artery and middle cerebral artery vasospasm: A case report 可逆性颅外颈内动脉和大脑中动脉血管痉挛导致的复发性缺血性中风：病例报告

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-10-01 DOI: 10.4103/bc.bc_47_23

Aini He, K. Dong, Wenbo Zhao, Benke Zhao, Wei Sun, Xiao Wu, Xia Lu, Yanfei Chen, Haiqing Song

引用次数: 0

Rule out alternative causes before attributing polyradiculitis to influenza or severe acute respiratory syndrome coronavirus 2 vaccination 在将多发性神经炎归咎于流感或严重急性呼吸道综合征冠状病毒 2 疫苗接种之前，应排除其他原因

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-10-01 DOI: 10.4103/bc.bc_14_23

J. Finsterer

引用次数: 0

The microbiome and neurosurgery 微生物组与神经外科

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-10-01 DOI: 10.4103/bc.bc_59_23

James Kelbert, Thomas C. Varkey

引用次数: 0

Recurrent paraneoplastic cerebral hemorrhage in lung cancer: A case report. 肺癌复发性副肿瘤脑出血1例。

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-04-01 DOI: 10.4103/bc.bc_78_22

Michele Alessiani, Adriano Bonura, Gianmarco Iaccarino, Marilena Mangiardi, Francesca Romana Pezzella, Maria Cristina Bravi, Domenica Crupi, Michele Galluzzo, Sabrina Anticoli

引用次数: 0

Basilar artery recanalization by proximal balloon occlusion and aspiration in a single vessel vertebrobasilar system: A case report. 单血管椎基底动脉系统近端球囊闭塞与抽吸再通1例。

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-04-01 DOI: 10.4103/bc.bc_79_22

Matthew Gusler, Seyed-Mostafa Razavi, Aaron Grossman, Charles Prestigiacomo, Ashkan Mowla, Peyman Shirani

引用次数: 0

Transradial access for neurointerventional procedures: A practical approach. 神经介入手术的经桡骨通路:一种实用的方法。

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-04-01 DOI: 10.4103/bc.bc_101_22

Mohammad Hossein Mirbolouk, Feizollah Ebrahimnia, Reza Gorji, Payam Sasannejad, Samira Zabihyan, Mohammad Adeeb Hoveizavi, Yousefali Garivani, Zahra Mirzaasgari, Saeed Abdollahifard, Ashkan Mowla, Humain Baharvahdat

{"title":"Transradial access for neurointerventional procedures: A practical approach.","authors":"Mohammad Hossein Mirbolouk, Feizollah Ebrahimnia, Reza Gorji, Payam Sasannejad, Samira Zabihyan, Mohammad Adeeb Hoveizavi, Yousefali Garivani, Zahra Mirzaasgari, Saeed Abdollahifard, Ashkan Mowla, Humain Baharvahdat","doi":"10.4103/bc.bc_101_22","DOIUrl":"https://doi.org/10.4103/bc.bc_101_22","url":null,"abstract":"Introduction: Transradial approach (TRA) is a new technique proposed for performing cerebral angiography and neuro-interventional procedures. In this article, we sought to provide a step-by-step guide for carrying out a diagnostic cerebral angiography using this approach and summarize our center's experience.Material and methods: Records of patients since January 2020 were investigated, and data on demographic indices, reports of the procedures, outcomes, and complications were extracted. Then, these data were used to develop a step-by-step instruction for TRA cerebral angiography.Results: Two hundred eighty-nine patients matched our eligibility criteria with a mean age of 50 years and a female-to-male ratio of 1.18. Overall, TRA was carried out successfully for 97.2% (281 patients). In case TRA failed, transfemoral approach was considered for the procedure. Three minor complications (two vasospasm and one small hematoma) and two major complications (one pseudoaneurysm of the radial artery and one radial artery avulsion) were observed.Conclusion: This article covers challenges a neurointerventionalist may face during a diagnostic cerebral angiography using TRA. Furthermore, our findings indicated that cerebral angiography with TRA might be performed safely and with a great success rate.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"9 2","pages":"88-93"},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/2a/BC-9-88.PMC10419729.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9996326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An ischemic myelopathy case series: Flaccid paraplegia following a spike ball save and numbness while walking normally. 缺血性脊髓病病例系列:刺球后的弛缓性截瘫和正常行走时的麻木。

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-04-01 DOI: 10.4103/bc.bc_80_22

Caroline A Heckman, Derryl J Miller, Kelly M Kremer, Mesha L Martinez, Andrew H Jea

{"title":"An ischemic myelopathy case series: Flaccid paraplegia following a spike ball save and numbness while walking normally.","authors":"Caroline A Heckman, Derryl J Miller, Kelly M Kremer, Mesha L Martinez, Andrew H Jea","doi":"10.4103/bc.bc_80_22","DOIUrl":"https://doi.org/10.4103/bc.bc_80_22","url":null,"abstract":"Spinal cord infarctions in children are rare and early magnetic resonance imaging studies are often negative. A high clinical suspicion must be maintained to identify stroke and initiate workup for underlying etiology to suggest appropriate treatment. We present two cases of spinal cord infarction without major preceding trauma. The first was caused by disc herniation and external impingement of a radiculomedullary artery and the second was due to fibrocartilaginous embolism with classic imaging findings of ventral and dorsal cord infarctions, respectively. These cases were treated conservatively with diagnostic workup and aspirin, though additional treatments which can be considered with prompt diagnosis are also explored in our discussion. Both cases recovered the ability to ambulate independently within months. Case 1 is attending college and ambulates campus with a single-point cane. Case 2 ambulates independently, though has some difficulty with proprioception of the feet so uses wheelchairs for long-distance ambulation.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"9 2","pages":"107-111"},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/93/BC-9-107.PMC10419739.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9996327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modifying skin flaps for achieving very large decompressive craniectomies in malignant middle cerebral artery territory infarcts: A technical note. 改良皮瓣用于恶性大脑中动脉区域梗死的大面积减压颅骨切除术:技术说明。

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-04-01 DOI: 10.4103/bc.bc_98_22

Shamshuddin Patel, Rajesh Bhosle, Nabanita Ghosh, Sayan Das, Prasad Krishnan

{"title":"Modifying skin flaps for achieving very large decompressive craniectomies in malignant middle cerebral artery territory infarcts: A technical note.","authors":"Shamshuddin Patel, Rajesh Bhosle, Nabanita Ghosh, Sayan Das, Prasad Krishnan","doi":"10.4103/bc.bc_98_22","DOIUrl":"https://doi.org/10.4103/bc.bc_98_22","url":null,"abstract":"Introduction: Decompressive craniectomy is a well described treatment to salvage life in large middle cerebral artery (MCA) territory infarcts. The size of the craniectomy is limited by the size of the skin incision and very large craniectomies need large skin flaps that are prone to necrosis at the wound margins.Material and methods: We describe two modifications in the skin flap that we have used in 7 patients to achieve very large bony decompressions in malignant MCA infarctions without compromising on flap vascularity. One consists of a linear extension posteriorly from the question mark or reverse question mark incision while the other is an \"n\" shaped incision.Results: With these modifications we achieved craniectomies of size 15.6-17.8 cm in the anteroposterior and 10.7-12 cm in vertical axis of the bone flap removed in our patients. There were no additional procedural or wound related complications in a 6-month follow up.Conclusions: Removal of a standard size bone flap may achieve suboptimal decompression in cases of large MCA territory infarctions. Imaginative tailoring of skin flaps helps to remove larger volumes of skull with no added procedural morbidity.","PeriodicalId":9288,"journal":{"name":"Brain Circulation","volume":"9 2","pages":"116-120"},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/a3/BC-9-116.PMC10419731.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intravenous thrombolysis for acute ischemic stroke: From alteplase to tenecteplase. 静脉溶栓治疗急性缺血性卒中:从阿替普酶到替尼替普酶。

IF 1.9 4区医学

Brain Circulation Pub Date : 2023-04-01 DOI: 10.4103/bc.bc_70_22

Nan Yang, Hangil Lee, Chuanjie Wu

引用次数: 0