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Hypertensive cerebral hemorrhage

Farahnaz Sadegh Beigee, Fariba Ghorbani, Shagin Shahryari, Meysam Mojtabaee
OBJECTIVES: Donor characteristics can directly affect transplant outcomes. In this study, we examined donor patterns in an organ procurement unit, which covered one-third of the population in Tehran, Iran over the past 12 years (2005 to 2018). MATERIALS AND METHODS: Demographic data of donors, including sex, age, cause of death, blood group, outcome of donation, number of organs per donor, and comorbidities (including diabetes mellitus and hypertension), were assessed...
January 2019: Experimental and Clinical Transplantation
Dian He, YunLi Yu, Shan Wu, ShuFen Tian, Hui Yu, Shu Xu, Lan Chu
BACKGROUND: Mixed cerebrovascular disease is a diagnostic entity that presents with hemorrhagic and ischemic stroke clinically and/or subclinically. Here, we report a patient with mixed vascular risk factors, who presented with multiple intracerebral hemorrhages and a simultaneously occurring cerebral infarction with hemorrhagic transformation. CASE PRESENTATION: A 63-year-old male with no history of trauma or prior neurological disease presented with a sudden onset of weakness in his right limbs, followed by an episode of focal seizure without impaired awareness...
February 12, 2019: BMC Neurology
Elanagan Nagarajan, Keerthivaas Premkumar, Priyadarshee Patel, Adnan I Qureshi, Premkumar C Nattanmai
Objective: We report a case of dural arteriovenous fistula (dAVF) presenting as isolated cerebral aqueduct hemorrhage. Result: A 73-year-old man with a history of hypertension and chronic alcoholism presented with altered mental status and gait difficulties, bilateral fronto-occipital headaches, and intermittent dizziness. He had bilateral upward gaze restriction. Computerized tomography scan showed hyperdensity in the cerebral aqueduct and dilation of the lateral and third ventricles...
November 2018: Journal of Vascular and Interventional Neurology
Claudio Baracchini, Filippo Farina, Alessio Pieroni, Anna Palmieri, Caterina Kulyk, Federica Viaro, Joseph-Domenico Gabrieli, Giacomo Cester, Francesco Causin, Renzo Manara
BACKGROUND: Intracranial hemorrhage (ICH) is the most feared complication of endovascular treatment (EVT) for acute ischemic stroke due to anterior circulation large vessel occlusion (LVO). The purpose of this study was to identify cerebral hemodynamic predictors of ICH and poor outcome in patients with successful recanalization. MATERIALS AND METHODS: Serial transcranial color-coded sonography (TCCS) examinations assessed vessel status and cerebral hemodynamics of 226 [mean-age 69...
February 8, 2019: World Neurosurgery
Fusao Ikawa, Akio Morita, Shinjiro Tominari, Takeo Nakayama, Yoshiaki Shiokawa, Isao Date, Kazuhiko Nozaki, Susumu Miyamoto, Takamasa Kayama, Hajime Arai
OBJECTIVEThe annual rupture rate of small (3-4 mm) unruptured cerebral aneurysms (UCAs) is 0.36% per year, however, the proportion of small ruptured aneurysms < 5 mm is 35%. This discrepancy is explained by the hypothesis that most acute subarachnoid hemorrhage (SAH) is from recently formed, unscreened aneurysms, but this hypothesis is without definitive proof. The authors aimed to clarify the actual number of screened, ruptured small aneurysms and risk factors for rupture.METHODSThe Unruptured Cerebral Aneurysm Study Japan, a project of the Japan Neurosurgical Society, was designed to clarify the natural course of UCAs...
January 25, 2019: Journal of Neurosurgery
Dean Shibata, Astrid Suchy-Dicey, Cara L Carty, Tara Madhyastha, Tauqeer Ali, Lyle Best, Thomas J Grabowski, W T Longstreth, Dedra Buchwald
BACKGROUND: Clinical stroke is prevalent in American Indians, but the risk factors for cerebrovascular pathology have not been well-studied in this population. The purpose of this study was to correlate abnormalities on brain magnetic resonance imaging (MRI) with clinical risk factors in a cohort of elderly American Indians. METHODS: Brain MRI scans from 789 participants of the Strong Heart Study were analyzed for infarcts, hemorrhage, white matter disease, and measures of cerebral atrophy including ventricular and sulcal grade and total brain volume...
January 24, 2019: Neuroepidemiology
Hsin-Hsi Tsai, Marco Pasi, Li-Kai Tsai, Ya-Fang Chen, Bo-Ching Lee, Sung-Chun Tang, Panagiotis Fotiadis, Chen-Yu Huang, Ruoh-Fang Yen, Jiann-Shing Jeng, M Edip Gurol
OBJECTIVE: To test the hypothesis that patients with concomitant lobar and deep intracerebral hemorrhages/microbleeds (mixed ICH) have predominantly hypertensive small vessel disease (HTN-SVD) rather than cerebral amyloid angiopathy (CAA), using in vivo amyloid imaging. METHODS: Eighty Asian patients with primary ICH without dementia were included in this cross-sectional study. All patients underwent brain MRI and 11 C-Pittsburgh compound B (PiB)-PET imaging. The mean cortical standardized uptake value ratio (SUVR) was calculated using cerebellum as reference...
January 23, 2019: Neurology
Peipei Zhang, Keda Lu, Hong Xia
PURPOSE: This study investigates some clinical characteristics of maintenance hemodialysis patients with new-onset epilepsy. METHODS: Thirty-five patients with new-onset epilepsy who underwent maintenance hemodialysis were selected for study. Sixty patients undergoing routine hemodialysis were selected as the control group. We evaluated and compared the general characteristics, clinical features, and prognosis of patients in both groups. RESULTS: Investigation of the etiology of the 35 cases of new-onset epilepsy identified 17 cases of metabolic encephalopathy, 6 cases of viral encephalitis, 5 cases of cerebral infarction, 5 cases of cerebral hemorrhage, and 2 cases of purulent meningitis...
January 23, 2019: Therapeutic Apheresis and Dialysis
Jian Zhang, Xianghui Liu, Jun Zhou, Zhiying Zhang, Meizhi Fu, Yunlin Guo, Gang Li
BACKGROUND: The aim of this study was to identify risk factors and explore the possible prevention measures for seizures following cranioplasty. METHODS: The authors performed a retrospective review of 142 consecutive patients who underwent cranioplasty following craniectomy for trauma or cerebral hemorrhage in Dezhou People's Hospital between January 2010 and January 2017. Patients who were diagnosed with aneurysms, arteriovenous malformations, cerebral infarction, and tumors (14), had seizures prior to cranioplasty (9) and those lost to follow-up (7) were excluded...
January 3, 2019: Journal of Craniofacial Surgery
Wenwen Li, Qiying Sun, Xian Duan, Fang Yi, Yafang Zhou, Yacen Hu, Lingyan Yao, Hongwei Xu, Lin Zhou
To determine the etiologies and risk factors of intracerebral hemorrhage in young people.
 Methods: A total of 401 young patients with intracerebral hemorrhage were enrolled, and they were assigned into a 20-29 , a 30-39, and a 40-45 age group. The differences of various etiologies and risk factors among the three groups were analyzed.
 Results: There were 273 men and 128 women in the 401 young patients. The etiologies of 294 patients (73.32%) were identified while 107 patients (26.68%) were unknown. Among those with identified etiology, 226 patients (56...
November 28, 2018: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
Guoqing Sun, Xiaolong Li, Xiangtao Chen, Yuhai Zhang, Zhen Xu
By comparing the intraoperative and postoperative conditions under different surgical methods, namely, keyhole endoscopy and craniotomy, we aim to provide more reasonable surgical treatment for patients with hypertensive cerebral hemorrhage.Eighty-nine patients with cerebral hemorrhage at Rizhao People's Hospital between January 2015 and December 2016 were analyzed retrospectively. Patients were assigned to the keyhole endoscopy group and the craniotomy group. The intraoperative (the duration of operation, operative blood transfusion and loss, and hematoma clearance rate) and the postoperative parameters (death rate, rebleeding rate, edema, and postoperative activity of daily living [ADL] scores) of the 2 groups were compared...
January 2019: Medicine (Baltimore)
Feina Shi, Xiaoxian Gong, Chang Liu, Qiang Zeng, Meixia Zhang, Zhicai Chen, Shenqiang Yan, Min Lou
Purpose To develop a quantitative assessment of collateral perfusion at CT and to investigate its value in the prediction of outcome in patients with acute ischemic stroke (AIS). Materials and Methods This retrospective study reviewed data from consecutive patients with AIS and an occluded M1 segment of the middle cerebral artery who underwent pretreatment perfusion CT between May 2009 and August 2017. The maximum cerebral blood flow (CBF) of collateral vessels (cCBFmax ) within the Sylvian fissure was calculated for each patient...
January 8, 2019: Radiology
Marco Pasi, Andreas Charidimou, Gregoire Boulouis, Panagiotis Fotiadis, Andrea Morotti, Li Xiong, Sandro Marini, Alison Ayres, Matthew P Frosch, Joshua N Goldstein, Jonathan Rosand, M Edip Gurol, Steven M Greenberg, Anand Viswanathan
BACKGROUND: Spontaneous cerebellar-intracerebral hemorrhage (ICH) can be associated with both cerebral amyloid angiopathy (CAA) and hypertensive small vessel disease (HTN-SVD, i.e. arteriolosclerosis). To better understand the underlying microangiopathy of cerebellar-ICH, we aimed to evaluate the spatial distribution of supratentorial cerebral microbleeds (CMBs) and neuropathologic profiles in these patients. METHODS: We enrolled consecutive cerebellar-ICH patients...
January 8, 2019: Journal of Neurology
Zhilong Ma, Bin Xu, Long Wang, Yukan Mao, Bo Zhou, Zhenshun Song, Tingsong Yang
BACKGROUND: The spontaneous rupture of the gallbladder is extremely rare, majority of ruptures occur secondary to traumatic injuries. Here, we report a case of spontaneous rupture of the gallbladder with probably cause of oral anticoagulants. CASE PRESENTATION: A 51-year-old woman presented to the emergency room with sudden-onset severe abdominal pain, as well as hypotension and low level of hemoglobin. Abdominal computed tomography (CT) scan showed a 2.5 cm filling defect and discontinuity in the wall of the gallbladder body, and a massive hematocele in the abdominal cavity...
January 5, 2019: BMC Surgery
M A Alkireidmi, F A Al-Abbasi, M G Mehanna, Said S Moselhy
Objective: The use of a biomarker was extremely useful in clinical emergencies such as stroke to aid in triage and early management of cases. The diagnostic accuracy of laboratory biomarkers is run to approve the identification of easy, cheap and fast tests associated with cerebral ischemia and intracranial hemorrhage. The present study was designed to screen serum enolase activity, activities of CK-BB, LDH and lipid profile in patients with ischemic or related diseases as good diagnostic/ prognostic indicator for ischemic diseases...
June 2018: African Health Sciences
Yusuke Morinaga, Kouhei Nii, Kimiya Sakamoto, Ritsurou Inoue, Takafumi Mitsutake, Hayatsura Hanada
BACKGROUND: Intracranial pseudoaneurysm is a rare complication of endoscopic endonasal surgery. Herein, we describe two-staged stent-assisted coil embolization for posterior communicating artery pseudoaneurysm after endoscopic endonasal surgery for pituitary adenoma. CASE DESCRIPTION: A 68-year-old man had a history of severe adult growth hormone secretion deficiency, requiring growth hormone replacement therapy; secondary adrenocortical hypofunction; hyperthyroidism; hypertension; constipation; glaucoma; and hyperuricemia...
December 21, 2018: World Neurosurgery
Marion Boulanger, Romain Schneckenburger, Claire Join-Lambert, David J Werring, Duncan Wilson, Jérome Hodel, Mathieu Zuber, Emmanuel Touzé
Background and Purpose- Diffusion-weighted imaging (DWI) hyperintensities in intracerebral hemorrhage (ICH) are associated with increased risk of recurrent ICH, cognitive impairment, and death, but whether these lesions are specific to a subtype of ICH remains uncertain. We investigated the association between DWI lesions and ICH subtype and explored the risk factors for DWI lesions. Methods- In a systematic review of ICH studies, we identified those reporting prevalence of DWI lesions. Two reviewers independently assessed study eligibility and risk of bias and collected data...
December 7, 2018: Stroke; a Journal of Cerebral Circulation
Shuwen Sun, Yuping Li, Hengzhu Zhang, Xiaodong Wang, Lei She, Zhengcun Yan, Guangyu Lu
BACKGROUND: Mannitol has been widely applied as a priority drug in the clinical treatment for brain edema and increased intracranial pressure (ICP) after intracerebral hemorrhage (ICH). However, no consensus on the efficacy and safety of mannitol has been achieved. Our meta-analysis was conducted to assess the effect of mannitol in the early stage of supratentorial hypertensive intracerebral hemorrhage (HICH) and provided a treatment reference for clinicians. METHOD: All relevant studies on mannitol treatment of supratentorial HICH were identified from the databases including PubMed, EMBASE, Cochrane Library, VIP, CNKI and Wan Fang...
December 18, 2018: World Neurosurgery
Pian Wang, Yan Wang, Qingbin Zhang
RATIONAL: Intracranial hemorrhage (ICH) after carotid artery stenting (CAS) is a rare but fatal complication, and it primarily occurs in the corresponding vascular distribution area. Herein, a case of ICH after CAS in both anterior and posterior circulation has been described. PATIENT CONCERNS: A 62-year-old female was referred to the hospital for left-side limb weakness and right nasal hemianopia for 1 month. DIAGNOSIS: Cerebral MRI following hospitalization revealed cerebral infarction in the right posterior cortical watershed area...
December 2018: Medicine (Baltimore)
M López-Espejo, M Hernández-Chávez, I Huete
INTRODUCTION: Cerebral venous thrombosis (CVT) is an uncommon and poorly studied condition in the pediatric population. OBJECTIVES: To describe and compare the clinical and radiological features of non-neonatal children with CVT according to age and to analyze their association with functional impairment or mortality at hospital discharge. METHODOLOGY: An observational cohort study of chil dren older than 30 days with a first CVT diagnosed with imaging/venography by magnetic resonance (IMR/VMR)...
October 2018: Revista Chilena de Pediatría
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