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Добірка наукової літератури з теми "Diagnosis of strokes «Strokeml»"

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Опубліковано: 30 травня 2022
Оновлено: 31 травня 2022

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Статті в журналах з теми "Diagnosis of strokes «Strokeml»"

1

Zhang, Cen, and Scott Kasner. "Diagnosis, prognosis, and management of cryptogenic stroke." F1000Research 5 (February 12, 2016): 168. http://dx.doi.org/10.12688/f1000research.7384.1.

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Despite many advances in our understanding of ischemic stroke, cryptogenic strokes (those that do not have a determined etiology) remain a diagnostic and therapeutic challenge. Previous classification approaches to cryptogenic stroke have led to inconsistent definitions, and evidence to determine optimal treatment is scarce. These limitations have prompted international efforts to redefine cryptogenic strokes, leading to more rigorous diagnostic criteria, outcome studies, and new clinical trials. Improvement in our ability to detect paroxysmal atrial fibrillation in patients with cryptogenic stroke has strengthened the idea that these strokes are embolic in nature. Further, better understanding of acute biomarkers has helped to identify otherwise occult mechanisms. Together, these strategies will inform long-term outcomes and shape management.
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2

Somasundaran, Abhilash, Hashik Mohammed, Jayaraj Kezhukatt, Alvin Treasa George, and S. Narayanan Potty. "Accuracy of Siriraj stroke scale in the diagnosis of stroke subtypes among stroke patients." International Journal of Research in Medical Sciences 5, no. 3 (February 20, 2017): 1084. http://dx.doi.org/10.18203/2320-6012.ijrms20170666.

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Background: Early detection of intracranial blood is essential for the rational use of anti hemostatic drugs in stroke patients. CT scan is quite expensive as well as it is not easily available especially in the rural areas. Clinical stroke scores were developed to overcome these limitations. Aim of present study is to identify the stroke subtype using Siriraj stroke scoring and thus asses its accuracy by comparing with CT scan reports.Methods: A cross sectional study was conducted in a tertiary centre that evaluated 464 patients admitted with a diagnosis of stroke. Siriraj Stroke score was calculated for each patient and a CT scan of brain was also taken. The results of diagnosis made by Siriraj stroke scoring were compiled and compared with the diagnosis obtained by CT Scan.Results: Of the total 464 patients, the incidence of hemorrhagic stroke was 27.8% and ischemic stroke was 72.2%, as per the CT scan reports, while the Siriraj stroke score diagnosed 16.8% patients to have hemorrhagic stroke and 74.6% to have ischemic stroke and no definite diagnosis was made in rest of the patients (8.6%). The sensitivity of the scoring was found to be 59.2% in diagnosing hemorrhagic stroke and 95.5% in ischemic stroke.Conclusions: Our study has shown that siriraj stroke scoring has a high degree of accuracy in detecting both types of strokes, with roughly 80% of both hemorrhagic and ischemic strokes being correctly identified. However there is a low sensitivity in diagnosing hemorrhagic strokes and higher sensitivity in diagnosing ischemic strokes.
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3

Mahdi, Jasia, Alicia Bach, Alyssa Smith, Stuart Tomko, Melanie Fields, Jennifer Griffith, Stephanie Morris, et al. "IMMU-07. “STROKE MIMICS” ARE NOT BENIGN IN IMMUNOCOMPROMISED CHILDREN." Neuro-Oncology 23, Supplement_1 (June 1, 2021): i28. http://dx.doi.org/10.1093/neuonc/noab090.115.

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Abstract Objective To determine the clinical variances between strokes and stroke mimics in a pediatric immunocompromised population that consists of children with central nervous system (CNS) and non-CNS malignancies and a history of solid organ transplantation. Methods We performed a retrospective cohort analysis of stroke alert activations in patients with high-grade gliomas, low-grade gliomas, atypical teratoid rhabdoid tumors, rare CNS tumors, B-cell acute lymphoblastic leukemia, T-cell acute lymphoblastic leukemia, osteosarcoma, and solid organ transplants at St. Louis Children’s Hospital between February 2013 and September 2019. We categorized final diagnoses as strokes or stroke mimics. We classified diagnoses as a neurologic emergency if the diagnosis necessitated changes in management. Results Out of 217 stroke alerts, 31 alerts occurred for 28 patients meeting inclusion criteria. All final diagnoses constituted neurologic emergencies, including: stroke (39%), chemotherapy-related neurotoxicity (29%), tumor progression (19%), and seizures/posterior reversible encephalopathy syndrome (13%). Patients meeting inclusion criteria with strokes and stroke mimics presented similarly, with the exception of altered mental status, which was more prevalent in patients with strokes than stroke mimics (p = 0.03). One child received hyperacute thrombectomy for stroke. Only 58% of children with stroke mimics had complete resolution of their presenting neurologic symptoms. Children with strokes and stroke mimics had similar mortality incidences of 33% and 37%, respectively. Conclusions Although all acute neurologic changes in immunocompromised children are not strokes, stroke mimics in this population are neither benign nor self-limited and carry long-term neurologic morbidity and mortality. This study highlights the utility of an acute stroke evaluation infrastructure and the need for acute and long-term neurology involvement in the care of these patients.
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4

Kotlęga, Dariusz, Barbara Peda, Tomasz Trochanowski, Monika Gołąb-Janowska, Sylwester Ciećwież, and Przemysław Nowacki. "STROKE MIMICS: A PSYCHOGENIC STROKE PATIENT TREATED WITH ALTEPLASE." Acta Neuropsychologica 17, no. 1 (February 12, 2019): 97–102. http://dx.doi.org/10.5604/01.3001.0013.1852.

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Анотація:
For rtPA treatment to be effective it should be initiated within the first 4.5 hours following the onset of a stroke. Such a short therapeutic window demands a rapid diagnosis and decision making on the part of the physician. There are patients with stroke-like symptoms and an initial diagnosis of a stroke, but who are finally diagnosed as suffering from another condition. According to the subject literature, stroke mimics are diagnosed in about 1.4 – 3.5% of patients initially diagnosed as having had an ischemic stroke. Psychogenic strokes (conversion disorders) may be found in as many as 8.2% of stroke patients. Proper diagnosis is especially important in patients eligible for thrombolytic treatment when there is usually not enough time to establish the diagnosis of a stroke mimic, especially one of psychogenic origin. A patient with an initial diagnosis of an ischemic stroke who was treated with intravenous alteplase infusion. The previous two ischemic strokes treated in the same manner had been diagnosed one and two years earlier. In all hospitalizations no rtPA treatment complications had been observed. In our patient a proper neuropsychological examination was performed and a conversion disorder diagnosed. We would like to underline the importance of cooperation between the neuropsychologist and neurology physician within clinical practice.
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5

Deeg, Karl-Heinz. "Sonographic and Doppler Sonographic Diagnosis of Neonatal Ischemic Stroke." Ultraschall in der Medizin - European Journal of Ultrasound 38, no. 04 (July 13, 2017): 360–76. http://dx.doi.org/10.1055/s-0043-114409.

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AbstractChildren are particularly at risk for stroke in the neonatal period. 1/3 of all strokes in children occur during the perinatal period. The incidence of perinatal stroke is 1:4000. A differentiation is made between ischemic stroke and hemorrhagic stroke. Ischemic strokes are caused by arterial occlusion due to thrombosis or embolism. As a result of the nonspecific clinical symptoms in this age group, diagnosis is usually made too late. The only relatively specific symptom is focal cerebral seizure during the first week of life. Therefore, stroke should be ruled out by diagnostic imaging in the case of any seizure in the first days of life. Although the diagnostic method of choice is MRI, it is not always available. Most neonatal ischemic strokes can be detected with high-resolution duplex ultrasound. On ultrasound, ischemic stroke appears as a wedge-shaped focal increase in echogenicity in the supply region of an artery, typically the middle cerebral artery. The corresponding arterial inflow can be visualized with duplex ultrasound and measured with spectral Doppler. Doppler ultrasound can be used to differentiate between complete occlusion and severe stenosis. The success of therapeutic measures can be determined in the further course with Doppler ultrasound on the basis of the recanalization of vessels and the morphological consequences of stroke (cyst formation due to liquefactive necrosis).
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6

Raza, Naheed, and Karisa C. Schreck. "Neurosarcoidosis Presenting With Recurrent Strokes." Neurohospitalist 7, no. 2 (July 7, 2016): 91–95. http://dx.doi.org/10.1177/1941874416656730.

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Neurosarcoidosis is a rare but important cause of stroke as it is treatable. Cases reported thus far have primarily been in young people who are relatively healthy. Here we report the case of a 73-year-old woman presenting with recurrent strokes and high-grade intracranial stenosis caused by probable neurosarcoidosis. This is unique as neurosarcoidosis is not usually considered as an etiology for recurrent strokes in our patient’s age-group. We review and categorize published cases of neurosarcoidosis causing stroke and describe a classification scheme for certainty of diagnosis. Given the implications of this diagnosis for secondary stroke prevention, we recommend that neurosarcoidosis be considered in the differential for patients with few vascular risk factors, recurrent strokes refractory to medical treatment, or possible vasculitis even in the elderly patients.
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7

Natteru, P., M. R. Mohebbi, P. George, D. Wisco, J. Gebel, and C. R. Newey. "Variables That Best Differentiate In-Patient Acute Stroke from Stroke-Mimics with Acute Neurological Deficits." Stroke Research and Treatment 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/4393127.

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Анотація:
Introduction. Strokes and stroke-mimics have been extensively studied in the emergency department setting. Although in-hospital strokes are less studied in comparison to strokes in the emergency department, they are a source of significant direct and indirect costs. Differentiating in-hospital strokes from stroke-mimics is important. Thus, our study aimed to identify variables that can differentiate in-hospital strokes from stroke-mimics. Methods. We present here a retrospective analysis of 93 patients over a one-year period (2009 to 2010), who were evaluated for a concern of in-hospital strokes. Results. About two-thirds (57) of these patients were determined to have a stroke, and the remaining (36) were stroke-mimics. Patients with in-hospital strokes were more likely to be obese (p=0.03), have been admitted to the cardiology service (p=0.01), have atrial fibrillation (p=0.03), have a weak hand or hemiparesis (p=0.03), and have a prior history of stroke (p=0.05), whereas, when the consults were called for “altered mental status” but no other deficits (p<0.0001), it is likely a stroke-mimic. Conclusion. This study demonstrates that in-hospital strokes are a common occurrence, and knowing the variables can aid in their timely diagnosis and treatment.
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8

Borowsky, Leila H., Susan Regan, Yuchiao Chang, Alison Ayres, Steven M. Greenberg, and Daniel E. Singer. "First Diagnosis of Atrial Fibrillation at the Time of Stroke." Cerebrovascular Diseases 43, no. 3-4 (2017): 192–99. http://dx.doi.org/10.1159/000457809.

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Background: Atrial fibrillation (AF) is a major cause of ischemic stroke. Individuals with undiagnosed AF lack the stroke protection afforded by oral anticoagulants. We obtained a contemporary estimate of the percentage of AF patients newly diagnosed at the time of stroke. Methods: We identified patients admitted to the Massachusetts General Hospital (MGH) from January 1, 2010 to December 31, 2013 with acute ischemic stroke and either previously or newly diagnosed AF using hospital stroke registry data and stroke and AF ICD-9 code searches of hospital databases. Reviewers categorized AF as previously known or newly diagnosed, and collected comorbidity and outcome data. To confirm AF as newly diagnosed, we searched patients' pre-event electronic medical records (EMRs) for AF terms. Results: AF was considered newly diagnosed in 156/856 patients (18%; 95% CI 16-21). In 136/156 cases, AF was diagnosed using 12-lead EKG, telemetry, or rhythm strips. New AF strokes had a median NIH stroke scale of 12; 60% had mRankin ≥3 at discharge, including 15% deaths. Pre-stroke CHA2DS2-VASc score was ≥2 in 89%. About half (76/156) had prior records in the MGH EMR. Evidence of pre-stroke AF, often peri-procedural, was found in 8/76, but the AF diagnosis was not carried forward. Conclusions: In this contemporary cohort, nearly one in 5 AF-related strokes occurred without a pre-stroke AF diagnosis. AF was readily diagnosed using standard rhythm monitoring. The vast majority of patients with newly diagnosed AF were at high enough pre-stroke risk to merit anticoagulation. In conclusion, our findings support screening for AF before stroke. Patients with past transient AF may merit more intensive screening.
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9

Chojdak-Łukasiewicz, Justyna, Edyta Dziadkowiak, and Sławomir Budrewicz. "Monogenic Causes of Strokes." Genes 12, no. 12 (November 23, 2021): 1855. http://dx.doi.org/10.3390/genes12121855.

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Strokes are the main cause of death and long-term disability worldwide. A stroke is a heterogeneous multi-factorial condition, caused by a combination of environmental and genetic factors. Monogenic disorders account for about 1% to 5% of all stroke cases. The most common single-gene diseases connected with strokes are cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) Fabry disease, mitochondrial myopathy, encephalopathy, lactacidosis, and stroke (MELAS) and a lot of single-gene diseases associated particularly with cerebral small-vessel disease, such as COL4A1 syndrome, cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy (CARASIL), and Hereditary endotheliopathy with retinopathy, nephropathy, and stroke (HERNS). In this article the clinical phenotype for the most important single-gene disorders associated with strokes are presented. The monogenic causes of a stroke are rare, but early diagnosis is important in order to provide appropriate therapy when available.
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10

Lestienne, Fanny, Chiara Bruno, David Bertora, Jeanne Benoit, Marie-Hélène Mahagne, and Laurent Suissa. "Ischemic Stroke in a Young Patient Heralding a Left Ventricular Noncompaction Cardiomyopathy." Case Reports in Neurology 9, no. 2 (August 29, 2017): 204–9. http://dx.doi.org/10.1159/000479957.

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Strokes in young patients may be the clinical expression of many complex and extremely rare diseases. Uncommon causes constitute less than 5% of all strokes, but are present in 30% of strokes in young patients. We report the case of a young woman whose ischemic stroke led to the diagnosis of a rare embolic cardiomyopathy, left ventricular noncompaction cardiomyopathy, requiring a heart transplant.
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Більше джерел

Дисертації з теми "Diagnosis of strokes «Strokeml»"

1

Іваненко, В. Ю. "Software system for early diagnosis of strokes «Strokeml»." Thesis, ХНУРЕ, 2021. https://openarchive.nure.ua/handle/document/16155.

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Scientific supervisor of work – Iryna Leshchynska Candidate of Technical Sciences, Associate Professor of the Department of Software Engineering
The aim of the work is to develop a software system that allows the user to be tested, analyzes its results and provides the user with information about his susceptibility to stroke disease. The software system also aims to preserve the results of tests and provide recommendations for nutrition and healthy living.
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2

Walsh, Kyle B. "Plasma Biomarkers for Ischemic and Hemorrhagic Stroke Diagnosis." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1511859455574062.

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3

Brazzelli, Miriam. "Studies to inform the methods for Cochrane systematic reviews of diagnostic accuracy in stroke medicine." Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/5566.

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Анотація:
Background A variety of tests are used in clinical practice to help the diagnostic process and so improve patient care. Many aspects of stroke management depend on accurate and rapid diagnosis. Brain imaging, including CT or MRI, is necessary to identify the location and extent of the cerebral lesion, and to determine the pathological type of stroke and its likely cause. Current treatments - such as thrombolysis - for ischaemic stroke have increased the need for clear evidence on which imaging test is optimal for diagnosis in the acute phase of stroke. Systematic reviews of diagnostic test accuracy may provide evidence on the best use of a diagnostic test in clinical practice and help clinicians to decide among alternative tests. The Cochrane Collaboration has recently included systematic reviews of diagnostic test accuracy within its remit. However, to prepare Cochrane systematic reviews of diagnostic test accuracy is challenging because the methods for such reviews are still in a state of flux. Materials and methods The research work undertaken for this thesis addresses four relevant methodological aspects of such reviews and, I hope, will contribute to informing the development of the methods for Cochrane systematic reviews of test accuracy: i) I assessed the quality of reporting of imaging studies in stroke medicine published between 1995 and 2008 with the current STAndards for the Reporting of Diagnostic accuracy studies (STARD) criteria; ii) I assessed the magnitude of publication bias in diagnostic accuracy studies in stroke medicine, by reviewing all diagnostic abstracts presented at two international stroke meetings between 1995 and 2004 and so evaluating the characteristics and findings of the identified abstracts; iii) I have evaluated the methods for preparing reviews of test accuracy by undertaking a pilot review according to the draft recommendations of the Cochrane Diagnostic Test Accuracy Working Group; iv) I conducted a survey to assess a) how well clinicians and health professionals interpret findings of Cochrane systematic reviews of diagnostic accuracy presented in summary documents; and b) what is the best format for summarising findings of Cochrane reviews of diagnostic accuracy. Conclusions In conclusion, methodological issues concerning the validity and reliability of findings of studies included in systematic reviews of diagnostic accuracy remain of fundamental importance. More empirical evidence is needed to address potential biases such as reporting bias and publication bias. To allow dissemination of diagnostic reviews findings in clinical practice better ways of communicating main characteristics and key results of systematic reviews of diagnostic accuracy should be considered. In the current literature, the quality of reporting and methodological quality of imaging studies for the diagnosis of stroke is less than satisfactory and leaves room for improvement. This is worrying, especially if current health imaging policies are in fact based on poor quality evidence and hence scarce health resources may not being deployed as effectively as they could be.
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4

Whiteley, William Nichol. "Blood markers for the diagnosis and prognosis of stroke." Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/5609.

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Анотація:
Many blood markers have been associated with stroke. I set out to determine whether blood markers can be applied to: (i) improve the accuracy of the clinical diagnosis of stroke or TIA, and/or (ii) improve the prediction of poor outcome in patients who are still symptomatic at the time of admission with stroke or TIA. I systematically reviewed the existing literature on the diagnostic performance of a range of blood markers measured soon after stroke onset, to inform the choice of markers for my subsequent prospective studies in this thesis. Many studies had deficiencies in their design, which may have explained the apparently – and perhaps spuriously - impressive diagnostic performance of several markers. In the light of these data I was able to improve the design of my own studies and suggest how future studies of diagnostic markers could be improved. In order to define an appropriate comparator test for assessing the diagnostic accuracy of blood markers, I first examined the performance of emergency room nurses and doctors. I assessed the accuracy of their diagnosis of TIA or stroke (‘acute cerebrovascular disease’) in patients presenting with symptoms of suspected stroke, and compared them with a number of stroke diagnostic scales. In the 405 patients recruited to the study, the sensitivity of emergency department staff was 77% and specificity 58%. Each stroke diagnostic scale had a slightly better sensitivity, though worse specificity, than an emergency department clinician. I decided to use the diagnosis by an emergency department clinician of ‘probable or definite acute cerebrovascular disease’ as the best clinical performance reference standard. In blood taken from the same cohort of 405 patients, accredited research laboratories measured markers of inflammation, thrombosis, thrombolysis, cardiac strain and cerebral damage. Tissue plasminogen activator and loge N-terminal pro brain natriuretic peptide were associated positively with a diagnosis of acute cerebrovascular disease, though each marker did not add diagnostic value to the diagnosis of an emergency department doctor or nurse. I systematically reviewed the literature examining the association between the levels of blood markers with poor outcome (i.e. death or dependency) after stroke. I found that although almost all markers studied had a positive association with poor outcome, there were methodological problems with many studies, chiefly small sample size, publication bias or within study reporting biases, and lack of adjustment for important confounders such as age or stroke severity. With data from the Edinburgh Stroke Study, I examined the association between circulating markers of the inflammatory response (white cell count, interleukin-6, Creactive protein and fibrinogen) and poor outcome after stroke. After adjustment for age, whether the patient lived alone, was independent of activities of daily living, was orientated, able to lift both arms and able to walk, I found that higher levels of interleukin-6, white cell count and glucose were associated with poor outcome. The relevant test of a biological marker is not its predictive ability alone, but whether, when added to a validated predictive model based on clinical variables, it improves the prediction of outcome. No individual marker improved the prediction of poor outcome when added to a validated prognostic model based on clinical variables alone. From my cohort of 405 patients with suspected stroke 285 patients had a confirmed diagnosis. Follow up of these 285 patients with confirmed acute cerebrovascular disease showed that, after adjustment for neurological impairment and age, only interleukin-6 and N-terminal pro brain natriuretic peptide were significantly associated with death or disability at 3 months. Neither marker improved the predictions of a model to predict poor outcome based on clinical variables alone. To examine the relationship between circulating markers of the inflammatory response and recurrent stroke, myocardial infarction, and vascular death (‘recurrent vascular events’), again I used data from the Edinburgh Stroke Study. After adjustment for clinical predictors (age, prior MI, stroke, or TIA and AF) I found that higher levels of interleukin-6, C-reactive protein and fibrinogen remained significantly associated with an increased risk of recurrent vascular events. However, the relationship with deaths from all causes was somewhat stronger for each marker, perhaps suggesting that higher marker levels were associated with debility rather than vascular events per se. In conclusion, I found no marker measured could improve on the diagnostic accuracy of an emergency department clinician for acute cerebrovascular disease, nor improve the prediction of poor outcome by a prognostic model based upon clinical variables. The work of this thesis does not support the routine use of blood markers as an aid to the diagnosis of, or the prediction of outcome of, acute stroke.
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5

Fattori, Alves Allan Felipe. "Image Processing for Enhancement of Ischemic Stroke in Computed Tomography Examinations." Thesis, Orléans, 2019. http://www.theses.fr/2019ORLE2003.

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L’Accident Vasculaire Cérébral (AVC) est l'une des principales causes de décès dans le monde. Le scanner et l'Imagerie par Résonance Magnétique (IRM) sont les deux principales techniques d'imagerie utilisées pour détecter les AVC. L’examen par scanner reste donc la principale méthode de diagnostic. Dans la plupart des cas, l'évaluation de la région cérébrale compromise est effectuée de manière subjective et peut entraîner des difficultés pour déterminer la région atteinte. Ce travail de thèse propose une approche basée sur un algorithme permettant de mettre en évidence les régions atteintes d’AVC ischémique dans les examens de scanner rétrospectifs. Différentes méthodes de traitement des images ont été utilisées pour réhausser les régions des tissus ischémiques. Afin de permettre aux médecins moins expérimentés de détecter de manière fiable les signes précoces AVC, une nouvelle approche est proposée pour améliorer la perception visuelle de l’accident ischémique cérébral. Une série de 41 images scanner rétrospectifs ont été utilisées, réparties en 25 cas d’AVC ischémiques et 16 patients normaux. Les cas d'AVC ont été obtenus dans les 4,5 heures suivant l'apparition des symptômes. Après la sélection des coupes importantes, une moyenne d'image est effectuée pour réduire le bruit. Ensuite, un modèle de décomposition variationnelle est appliqué afin de conserver la composante pertinente de l'image. Enfin, un algorithme d’espérance-maximisation est appliqué. Un test est proposé afin d’évaluer la performance des observateurs dans un environnement clinique avec et sans l'aide d'images rehaussées. La sensibilité globale de l'analyse de l'observateur a été améliorée de 64,5% à 89,6% et la spécificité de 83,3% à 91,7%. Ces résultats montrent l'importance d'un outil informatique d'aide à la décision en neuroradiologie, notamment dans les situations critiques telles que le diagnostic d'accident ischémique cérébral
Stroke is one of the highest causes of death worldwide. Non-enhanced computed tomography (CT) and nuclear magnetic resonance imaging (MRI) are the two main imaging techniques used to detect stroke. CT has a lower cost and greater accessibility of the population, so it is still the main method used. In most cases, the assessment of the compromised brain area is performed subjectively and may lead to difficulties in diagnosis. This research proposes an approach based on a computational algorithm, highlighting regions of ischemic stroke. Different image processing methods were used to enhance ischemic tissues. A set of 41 retrospective CT scans from Botucatu Medical School (Brazil) was used, divided into 25 cases of acute ischemic stroke and 16 normal patients. Stroke cases were obtained within 4.5 h of symptom onset. After selection of CT slices, image averaging was performed to reduce the noise. This was followed by a variational decomposition model and the expectation maximization method was applied to generate enhanced images. We determined a test to evaluate the performance of observers in a clinical environment with and without the aid of enhanced images. The overall sensitivity of the observer’s analysis was 64.5 % and increased to 89.6 % and specificity was 83.3 % and increased to 91.7 %. These results show the importance of a computational tool to assist neuroradiology decisions, especially in critical situations such as the diagnosis of ischemic stroke
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6

Sit, Bik-yan Sonia, and 薛碧茵. "Cognitive function in Chinese stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45010390.

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7

Moreira, Rafaella Pessoa. "Stroke â the nursing diagnoses analysis show in the activity/exercise branch." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2511.

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Анотація:
Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico
To determine nursing diagnoses is a very necessary task, for it contributes to the better planning of the interventions in clients who survived after the stroke and who, in most of the cases, presented incapabilities. Due to this, the study aimed to analyze the nursing diagnoses shown in the Activity/Exercise branch in clients with stroke during the period of rehabilitation. A transversal study was done amongst 121 clients who attended one of the eight units of Cearense Beneficent Association of Rehabilitation (ABCR) in Fortaleza City- CearÃ, whose data collection occurred within the period of November, 2007 and March, 2008. The including criteria were: a) to be registered in the ABCR; b) to have suffered from stroke at least once, and presented the diagnosis confirmation by the doctor; c) to be over 18 years old. A form was used for the data collection, which had undergone content validation by two nurses expertise in the care of clients with stroke. The information was collected through interview and physical tests. To name the nursing diagnoses, the Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA), published in 2008, was followed as reference. With the data compiled in the Excel program, the statistic analysis was done within the EpiInfo and SPSS program. The level of significance adopted in the study was of 5%. All ethical recommendations were followed during the stages of the research. Taking the social and demographic data into account, it was verified that the majority of these participants was from masculine gender, elderly, without a partner, retired or pensioners and had low education and income per capita. Amongst the various risk indicators, the most frequent one was the arterial hypertension, followed by the sedentarism, dislipidemy, cardiopathies and diabetes mellitus. Half of the clients studied had at once suffered from stroke 12 months before, beginning rehabilitation in one of the units of the ABCR for at maximum seven months. The participants showed an average of 6.7 nursing diagnoses; 25.1 defining characteristics; 4.6 related factors and 10.1 risky factors. All the diagnoses of the branch studied were identified, but seven: Falling risk, Impaired physical mobility, Impaired deambulation, Sedentary lifestyle, Risk for disuse syndrome, Risk for intolerance to the activity and Impaired transference capability had the frequency of over 50% and were used for the statistic analysis. According to the tests, there was a statistically significant relation among the diagnoses, with the exception of the followings: Falling risk, Impaired physical mobility, Impaired deambulation and Impaired transference capability with the diagnosis Risk for intolerance to the activity. The defining characteristics, related factors and risky factors were statistically associated with the major part of the nursing diagnoses analyzed. Such fact can be justified by the fact that all of them are part of the same branch within the NANDA (2008). One may conclude that the majority of the nursing diagnoses showed statistically association amongst them. It is verified that the Impaired muscular force and Neuromuscular damage were the most frequent related factors found, causing thus, the main consequences for the stroke. The study permitted a deep knowledge upon the Activity/Exercise branch in clients with stroke
Determinar diagnÃsticos de enfermagem à uma atividade de assistÃncia muito necessÃria, pois contribui para o melhor planejamento de intervenÃÃes em clientes que sobreviveram ao acidente vascular encefÃlico (AVE) e que na maioria dos casos apresentam incapacidades. Diante disso, o estudo teve por objetivo analisar os diagnÃsticos de enfermagem pertencentes à classe Atividade/ExercÃcio em clientes com acidente vascular encefÃlico no perÃodo de reabilitaÃÃo. Um estudo transversal foi desenvolvido com 121 clientes que freqÃentavam uma das oito unidades da AssociaÃÃo Beneficente Cearense de ReabilitaÃÃo (ABCR) na cidade de Fortaleza-CearÃ, cuja coleta de dados ocorreu no perÃodo de novembro de 2007 a marÃo de 2008. Os critÃrios de inclusÃo foram: a) ser cadastrado na ABCR; b) ter apresentado pelo menos um episÃdio de acidente vascular encefÃlico, com diagnÃstico confirmado por mÃdico; c) ter idade acima de 18 anos. Para a coleta de dados utilizou-se um formulÃrio submetido à validaÃÃo de conteÃdo de duas enfermeiras especialistas no cuidado a clientes com acidente vascular encefÃlico. As informaÃÃes foram coletadas por meio de entrevista e exame fÃsico. Para nomeaÃÃo dos diagnÃsticos de enfermagem seguiu-se como referÃncia a Taxonomia II da North American Nursing Diagnosis Association (NANDA), publicada em 2008. Com os dados compilados no Excel fez-se a anÃlise estatÃstica no programa EpiInfo versÃo 3.2 e no SPSS versÃo 16.0. O nÃvel de significÃncia adotado no estudo foi 5%. Todas as recomendaÃÃes Ãticas foram seguidas durante as etapas da pesquisa. Quanto aos dados sociodemogrÃficos, a maioria dos participantes era do sexo masculino, idosos, sem companheiros, aposentados ou pensionistas com baixa escolaridade e baixa renda per capita. Dos diversos indicadores de risco, o mais freqÃente foi a hipertensÃo arterial, seguida do sedentarismo, dislipidemias, cardiopatias e diabetes mellitus. Metade dos clientes estudados teve um episÃdio de AVE hà doze meses, com inÃcio de reabilitaÃÃo em uma das unidades da ABCR de no mÃximo sete meses. Em mÃdia, os participantes apresentaram 6,7 diagnÃsticos de enfermagem; 25,1 caracterÃsticas definidoras; 4,6 fatores relacionados e 10,1 fatores de risco. Todos os diagnÃsticos da classe em estudo foram identificados, mas sete: Risco de queda, Mobilidade fÃsica prejudicada, DeambulaÃÃo prejudicada, Estilo de vida sedentÃrio, Risco de sÃndrome do desuso, Risco de intolerÃncia à atividade e Capacidade de transferÃncia prejudicada tiveram freqÃÃncia acima de 50% e foram utilizados para anÃlise estatÃstica. De acordo com os testes, identificou-se associaÃÃo estatisticamente significante entre os diagnÃsticos, com exceÃÃo dos seguintes: Risco de queda, Mobilidade fÃsica prejudicada, DeambulaÃÃo prejudicada e Capacidade de transferÃncia prejudicada com o diagnÃstico Risco de intolerÃncia à atividade. As caracterÃsticas definidoras, fatores relacionados e os fatores de risco estiveram associados estatisticamente com a maior parte dos diagnÃsticos de enfermagem analisados. Tal fato pode ser justificado por todos fazerem parte da mesma classe da NANDA (2008). Conclui-se que a maioria dos diagnÃsticos de enfermagem mostrou associaÃÃo estatÃstica entre eles. Destaca-se que a ForÃa muscular diminuÃda e PrejuÃzos neuromusculares foram os fatores relacionados mais freqÃentes, sendo as principais conseqÃÃncias do AVE. O estudo permitiu o conhecimento aprofundado da classe Atividade/ExercÃcio da NANDA em portadores de AVE
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Guest, Richard M. "The diagnosis of visuo-spatial neglect through the computer-based analysis of hand-executed drawing tasks." Thesis, University of Kent, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310163.

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Moreira, Miguel Alexandre Rodrigues. "Diagnosis support in the stroke: Suporte ao diagnóstico em acidentes cardiovasculares." Master's thesis, Universidade de Aveiro, 2010. http://hdl.handle.net/10773/6624.

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Mestrado em Engenharia de Computadores e Telemática
O acidente vascular cerebral é uma das causas de morte mais frequente em todo o mundo e a decisão de tratamento e o resultado final é altamente dependente da qualidade do diagnóstico. Recentemente, a tomografia de perfusão tem sido utilizada com resultados promissores na avaliação de Acidentes Cardio Vasculares (AVCs), principalmente porque esta técnica dá mais informação sobre as alterações hemodinâmicas dentro da área de enfarte. No entanto, muitos parâmetros diferentes são actualmente usados para analisar os resultados da tomografia de perfusão, tentando integrar a informação temporal que contém. Alguns desses parâmetros são o volume sanguíneo, o fluxo sanguíneo ou o tempo de trânsito por exemplo. Neste trabalho foi desenvolvido um conjunto de ferramentas que permitem aplicar os diversos métodos encontrados na literatura assim como uma aplicação que nos permite seleccionar os métodos e a forma de os aplicar. Desta forma foi possível investigar e trabalhando com os médicos descobrir os métodos mais promissores, assim como implementar ferramentas para a detecção das ares passíveis de recuperação.
Stroke is among the most frequent cause of death around the world and the decision to treat and final outcome is highly dependent on the quality of diagnosis. Recently, cerebral perfusion tomography have been used with promising results in the stroke evaluation mainly because this technique gives further information about the hemodynamic changes within the stroke area. However many different parameters are actually used to analyze the CT perfusion results, trying to integrate the temporal information it contains. Some of these parameters are Blood Volume, Blood Flow or Transit Time for example. We developed a framework that applies several methods present in literature as well as an application that allows us to select the methods and how to apply them. This made it possible to investigate and working with clinical experts to discover the most promising methods and implement tools for detecting potentially recoverable areas.
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TAKAYASU, MASAKAZU, KOJI OSUKA, YOSHIHISA KITAMURA, AKIRA TAMASE, KATSUYOSHI MIYASHITA, KENTARO MORI, MOTOHIRO NOMURA, MUNEYOSHI YASUDA, and HIROSHI SHIMA. "A SPINAL EPIDURAL HEMATOMA WITH SYMPTOMS MIMICKING CEREBRAL STROKE." Nagoya University School of Medicine, 2012. http://hdl.handle.net/2237/16040.

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Книги з теми "Diagnosis of strokes «Strokeml»"

1

Bowman, James P. Strokes: An illustrated guide to brain structure, blood supply, and clinical signs. Upper Saddle River, N.J: Prentice Hall, 2003.

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Caplan, Louis R., and J. Van Gijn. Stroke syndromes. 3rd ed. Cambridge: Cambridge University Press, 2012.

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Yatsu, Frank M. Stroke. London: Arnold, 1992.

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4

Lee, Seung-Hoon, ed. Stroke Revisited: Diagnosis and Treatment of Ischemic Stroke. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-1424-6.

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5

Stroke. New York: Demos, 2006.

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6

Caplan, Louis R. Stroke. New York: Demos, 2006.

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7

Stroke: Pathophysiology, diagnosis, and management. 5th ed. Philadelphia, PA: Elsevier/Saunders, 2011.

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R, Caplan Louis, ed. Stroke essentials. 2nd ed. Sudbury, MA: Physicians' Press, 2010.

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9

C, Grotta James, and Pettigrew L. Creed, eds. Stroke: 100 maxims. London: E. Arnold, 1995.

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Weinberger, Jesse. Contemporary diagnosis and management of stroke. 3rd ed. Newtown, Pa: Handbooks in Health Care Co., 2002.

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Частини книг з теми "Diagnosis of strokes «Strokeml»"

1

Warlow, Charles, Derick Wade, Peter Sandercock, John Muir, Allan House, John Bamford, Robert Anderson, and Chris Allen. "The Diagnosis of Stroke." In Strokes, 49–73. Dordrecht: Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-011-7724-5_4.

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Warlow, Charles, Derick Wade, Peter Sandercock, John Muir, Allan House, John Bamford, Robert Anderson, and Chris Allen. "The Diagnosis of Transient Ischaemic Attacks." In Strokes, 35–48. Dordrecht: Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-011-7724-5_3.

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3

Flemming, Kelly D. "Diagnosis of Stroke Mechanisms and Secondary Prevention." In Stroke, 55–77. Oxford: John Wiley & Sons, 2013. http://dx.doi.org/10.1002/9781118560730.ch4.

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Song, Yunsun, and Seung Chai Jung. "Imaging Diagnosis." In Posterior Circulation Stroke, 135–64. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-6739-1_9.

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Gill, Sumanjit K. "A Diagnosis Not to Forget." In Stroke Medicine, 191–94. London: Springer London, 2015. http://dx.doi.org/10.1007/978-1-4471-6705-1_30.

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Wintermark, Max, and Tanvir Rizvi. "Principles of Clinical Diagnosis of Hemorrhagic Stroke." In Stroke Revisited, 109–32. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-10-1427-7_9.

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Rowley, Howard, and Achala Vagal. "Stroke and Stroke Mimics: Diagnosis and Treatment." In IDKD Springer Series, 25–36. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38490-6_3.

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Lee, Seung-Hoon. "Identification of Stroke Mechanism: Stroke Classification." In Stroke Revisited: Diagnosis and Treatment of Ischemic Stroke, 121–34. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-1424-6_11.

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Uehara, Toshiyuki, and Kazuo Minematsu. "Stroke Center." In Stroke Revisited: Diagnosis and Treatment of Ischemic Stroke, 3–11. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-1424-6_1.

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Rha, Joung-Ho. "Stroke Unit." In Stroke Revisited: Diagnosis and Treatment of Ischemic Stroke, 13–18. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-1424-6_2.

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Тези доповідей конференцій з теми "Diagnosis of strokes «Strokeml»"

1

Silva, Bruno Custódio, Vivianne Amanda do Nascimento, Maria Isabelle Nakano Vieira, Guilherme Rocha Spiller, and Celso David Lago. "Medium cerebral artery thrombosis – radiological fing: hyperdense MCA sign – case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.244.

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Introduction: Vascular diseases are the leading cause of death in the world. Although major advances in neuroimaging and stroke treatment have contributed to a decrease in mortality, strokes occupy second place in the list. Case report: A 75-year-old man is admitted to emergency with an altered neurological examination: right hemiplegia, Broca’s aphasia and dysphagia. Conscience was preserved. Computed tomography (CT) was performed, which showed the radiological finding of hyperdense MCA sign, confirming the diagnosis of ischemic stroke with involvement of the left middle cerebral artery branch. The treatment, in this case, was outside the criteria for thrombolytics. Discussion: Irrigation of the brain is done by Willis polygon. One of the essential branches is the medium cerebral artery (MCA), the most important termination of the internal carotid arteries, responsible for blood supply of the dorsolateral hemifacial of both cerebral hemispheres, irrigating the frontal, parietal and temporal lobes. The imaging exam in suspected cases of stroke focuses on confirming its diagnosis and etiology, location of the lesion, extent of ischemic evolution, therapeutic treatment and prognosis. CT is the main modality of neuroimaging for stroke and an important radiological finding is the hyperdense artery sign, which is more common in MCA and demonstrates an evolving or impending infarction and is secondary to a plunger housed in this vessel. Therefore, it is an important early tomographic sign of ischemic stroke found on non-contrast blood CT. Conclusion: Ischemic stroke is the most common etiology among strokes. The diagnosis must be based mainly on anamnesis and image exam, such as a CT scan. The CT performed helps to guide treatment, prognosis and clinical evolution. Finally, the recognition of the hyperdense MCA sign, found in the first 6 hours, is also extremely helpful for stroke classification.
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Ngun, Mei Yan, Mark Tacey, and Douglas Crompton. "052 Predictive value of signs and symptoms in code strokes for diagnosis of ischaemic stroke or TIA." In ANZAN Annual Scientific Meeting 2021 Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/bmjno-2021-anzan.52.

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3

Sponsler, Jeffrey L. "StrokeDx: A Stroke Diagnosis Program." In Modelling and Simulation. Calgary,AB,Canada: ACTAPRESS, 2013. http://dx.doi.org/10.2316/p.2013.802-006.

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4

Disserol, Caio, João Henrique Fregadolli Ferreira, Carolina Magalhães Britto, Maria Clara Spesotto, Carla Guariglia, and Marcos Christiano Lange. "Progressive lacunar stroke presenting as cheiro-oral syndrome, dysarthria and hemiataxia." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.636.

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Context: Lacunar infarcts are small infarcts caused by occlusion of a single penetrating vessel, affecting mostly the basal ganglia, subcortical white matter and pons1. Around 20-30% of patients may progress symptoms over hours to days, and this presentation is associated with disability and poor prognosis2. Case report: A 70-year-old man with history of smoking, hypertension and a previous right occipital stroke reported right upper lip paresthesias since awakening. In 2-hours the right perioral region and his right hand were affected. After 3-hours he noted slurred speech. After 4-hours, imbalance was added to the previous symptoms. On admission, NIHSS was 4, mostly by previous left hemianopia, new right arm ataxia and cerebellar dysarthria. There were no weakness or sensory déficits. Brain MRI showed a subacute lacunar stroke in the left thalamus. Discussion: Thalamic lacunar strokes can present in a wide range of symptoms depending on the affected nuclei. The ventral posterior lateral nucleus (VPLn) and the ventral posterior medial nucleus (VPMn) carries sensory input from the contralateral body and face, respectively3. Cheiro-oral syndrome (COS) is considered a pure sensory thalamic lacunar syndrome with symptoms that affect the face, hand and/or foot, but may be accompanied by ipsilateral ataxia if the ventral lateral nucleus is also affected4 . Although classically associated with thalamic ischemic lesions, there are descriptions of hemorrhagic strokes5 and multiple different affected regions presenting as COS, including brainstem5 , internal capsule6 , operculum7 , cortex8 , corona radiata9 and thalamus10. Early recognition and diagnosis is essencial to institute adequate early treatment and secondary prophylaxis.
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Torquato, Ana Claudia Crispiniano Siqueira, Silvana Sobreira Santos, and Rodrigo Pinto Pedrosa. "Association between obstructive sleep apnea and ischemic stroke etiology." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.147.

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Introduction: Stroke is a potentially disabling event, therefore determining its etiology is the key in the development of management strategies to reduce the risk of a new event and costs. Obstructive sleep apnea (OSA) is common in stroke and is an independent risk factor. The objective of this study was to determine the association between the etiology of ischemic stroke and the presence of OSA. Methods: Observational, descriptive, patients with ischemic stroke or acute transient ischemic attack (TIA) in the Hospital Memorial São José and Hospital Esperança Recife-PE for one year, the etiology of stroke was categorized by TOAST classification and portable polysomnography for diagnosis of OSA. Results: 100 patients analyzed, 81 ischemic strokes and 19 TIA. The prevalence OSA (AHI≥15) was 51%. The mean age of the sample was 67.9±14.6 years, with older OSA patients (70.0±14.2 vs 65.6±14.7, p=0.128). There was a higher occurrence of females, DM, dyslipidemia and previous ictus in patients with OSA (p=0.052 /0.008 /0.055 /0.018, respectively). BMI was 27.22±4.3kg/m² in patients without OSA and 28.05±3.8kg/m² among patients with OSA. There was no association between the etiological subtype of ictus and the presence of OSA (p=0.698). Conclusions: Our study included an elderly population with a higher frequency of dyslipidemia, DM and previous ictus in patients with OSA, but it was not possible to establish a relationship between the etiology of the stroke and the presence of OSA.
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Iglesias, Carolina Da Mota, Liara Eickhoff Coppetti, Marcela Menezes Teixeira, Paula Loredo Siminovich, Bernardo Neuhaus Lignati, Catarina Roos Mariano Da Rocha, Eduarda Jovigelevicius, and Manoel Ernani Garcia Junior. "Stroke death profiles in Brazil between the years 2010 and 2019." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.585.

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Background: In most cases, strokes are events with an abrupt onset characterized by a neurological deficit attributed to a focal vascular cause. Such events can have ischemic or hemorrhagic origin with diagnosis attributed to clinical and imaging exams. In this work, we analyze the profile of deaths by stroke in the Brazilian population, outlining an overview of the disease in Brazil. Objective: Analyze stroke death profiles between the years 2010 and 2019. Methodology: We perform a descriptive documentary study based on the Mortality Information System (SIM) for the years 2010 to 2019, made available by the Brazilian Unified Health System (SUS) Information Department. Our study is delimited by age, starting from 15-year-olds, and considering the ICD-10 I64 pathologies. Results: In the analyzed period, 400.395 stroke deaths were registered. Over the years, these deaths showed a decrease of approximately 24.47% with 2011 being the year with the highest number of registered deaths (n=44 892). The southeast region registered most deaths with 38.18% of the total. The most affected groups were men (50.79%), whites (46.43%), over 80 years-old (41.80%) and with no formal education (27.31%). Conclusion: There is a decrease in stroke cases in Brazil between 2010 and 2019. The high prevalence of deaths from stroke in the elderly highlights the need for greater control of modifiable risk factors to reduce mortality. Thus, the continuous improvement of socioeconomic, educational, and hospital care conditions in Brazil is necessary.
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Doi, C., A. Doi, T. Obara, T. Inoue, M. Sasaki, and A. Ogawa. "A study for semi-automatic diagnosis support of strokes from 2D MRI/FLAIR sequences." In BIOMEDICINE 2005. Southampton, UK: WIT Press, 2005. http://dx.doi.org/10.2495/bio050531.

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8

Sponsler, Jeffrey L. "StrokeDx: A Logic Programming System to Diagnose Stroke." In Biomedical Engineering. Calgary,AB,Canada: ACTAPRESS, 2012. http://dx.doi.org/10.2316/p.2012.765-003.

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9

Pastorio, Indianara Keila, Nayara Christina de Lima Curti, Francine de Paula Roberto Domingos, Sayuri Aparecida Hirayama, Lorena Dias Araújo, Rafael de Almeida, Marilia Pires de Sousa e. Silva, and William de Souza Delfim. "Post-traumatic vertebral artery dissection." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.515.

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Introduction: Vertebral artery dissections are responsible for 2% of all ischemic strokes and correspond to more than 25% of events in young adults. Its main etiologies, such as spontaneous and traumatic, which compromise the structural integrity of the arterial wall, allowing blood to accumulate between the layers of the vessel as an intramural hematoma, which can progress to stenosis or luminal occlusion in stroke. Case report: We attended a woman, 29 years old, who suffered a mild trauma in the cervical region during weight training in the gym presenting symptoms hours after the accident, a sudden headache of strong intensity irradiated to cervical, which evolves to a picture of cerebral ischemia characterized by changes in balance and coordination. The diagnosis was confirmed through complementary examinations of cranial tomography and angiotomography and treatment was composed by a combination of aspirin and clopidogrel with favorable evolution of the condition. Conclusion: The report illustrates that the change in cerebral circulation due to ischemia can occur either suddenly or even days after the injury, and it is likely that many cases classified as “spontaneous” without identifying the cause, may have been caused by minor trauma. In general, there is a good prognosis if early recognition and correct management.
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Nascimento, Andressa Schmidt do, Letícia Karen Rodrigues de Souza, Ana Maria Ramos Miranda, Jade Menezes Maia, Daniele Sutherland W. Rizziolli, Mara Iza Alves Silva, Karine Gomes Bandeira Desteffani, Cristiane dos Santos Lima, Priscylla Celeste Milhomem Silva Fecury, and Lilian Coelho Heringer Diniz. "Increased incidence of stroke in postCovid patients: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.156.

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Background: Stroke causes severe damage to the brain, with prevalence in the elderly. Experts realized that infection by COVID-19 causes neurological problems, with cases of individuals diagnosed with stroke having also tested positive for Sars-CoV2, under 50 years of age. Objectives: To assess the increased incidence of stroke in post-covid-19 patients. Methods: This is a literature review, covering results on COVID-19 and stroke, from the last 2 years, with the descriptors “Coronavirus infections” and “Stroke.” 10 articles were selected in English and Portuguese from SCIELO and PUBMED. Results: There was an increase in the incidence of stroke in POST-COVID patients, pointing out that while a single health system identified five cases of these in a period of two weeks, in patients under 50 years of age; in other periods before the pandemic, approximately 0.7 strokes occurred over a twoweek interval in individuals under 50 years old, strengthening this hypothesis. Conclusions: Therefore, coronavirus infection causes neurological complications such as stroke. Thus, the performance of a multiprofessional team attentive to clinical and laboratory manifestations minimizes the risks of stroke.
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Звіти організацій з теми "Diagnosis of strokes «Strokeml»"

1

Fitch, J. P. Technologies for diagnosis and treatment of acute stroke. Office of Scientific and Technical Information (OSTI), February 1998. http://dx.doi.org/10.2172/654334.

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Basu, Sayani. Nanoparticle-Based Therapeutics for the Treatment of Stroke. Nature Library Ltd, November 2020. http://dx.doi.org/10.47496/nl.blog.13.

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Chen, Gengbin, Tuo Lin, Manfeng Wu, Guiyuan Cai, Qian Ding, Jiayue Xu, Wanqi Li, Cheng Wu, Hongying Chen, and Yue Lan. Effects of repetitive transcranial magnetic stimulation on upper-limb and finger function in stroke patients: a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0121.

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Review question / Objective: P:Adult patients (age ≥ 18 years) diagnosed with stroke based on relevant clinical examination; I:Intervention group with rTMS alone or in combination with other treatments with rTMS; C:Control group received sham treatment or no rTMS; O: Upper extremity function:the Fugl-Meyer Assessment Upper Extremity (FMA-UE); Hand function:box and block test(BBT), nine-hole peg test(NHPT), and Purdue pegboard test(PPT); S:Randomized controlled trials (rather than crossover designs). Condition being studied: In Europe, more than 1 million new cases of stroke are reported each year. The absolute number of stroke patients is expected to increase in the near future due to the progressive aging of the population. Approximately 50-80% of stroke survivors present with upper extremity dysfunction. Recovery of upper extremity function is associated with improvements in activities of daily living and mental health. However, few stroke survivors show full recovery of upper extremity function 6 months after stroke. In addition, rehabilitation has a limited impact on the recovery of hand motor function.
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LI, Zhendong, Chengcheng Zhang, Hangjian Qiu, Xiaoqian Wang, and Yuejuan Zhang. Different Acupuncture Intervention Time-points for Rehabilitation of Post-Stroke Cognitive Impairment：Protocol For a Network Meta-analysis of Randomized Controlled Trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0043.

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Review question / Objective: This study will provide evidence-based references for the efficacy of different acupuncture interventions time-point in the treatment of post-stroke cognitive impairment(PSCI). 1. Types of studies. Only randomized controlled trials (RCTs) of acupuncture for PSCI will be recruited. Additionally, Studies should be available in full papers as well as peer-reviewed and the original data should be clear and adequate. 2. Types of participants. All adults with a recent or previous history of ischaemic or hemorrhagic stroke and diagnosed according to clearly defined or internationally recognized diagnostic criteria, regardless of nationality, race, sex, age, or educational background. 3. Types of interventions and controls. The control group takes non-acupuncture treatment, including conventional rehabilitation or in combination with symptomatic support therapy. The experimental group should be treated with acupuncture on basis of the control group. 4. Types of outcomes. The primary outcomes are measured with The Mini-Mental State Examination (MMSE) and/or The Montreal Cognitive Assessment Scale (MoCA), which have been widely used to evaluate cognitive abilities.
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Cheng, Yu-Chung N. Development and Testing of Iron Based Phantoms as Standards for the Diagnosis of Microbleeds and Oxygen Saturation with Applications in Dementia, Stroke, and Traumatic Brain Injury. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada601806.

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