7,635 results match your criteria Journal of Clinical Neuroscience[Journal]


Awake microvascular decompression with fat-teflon sandwich technique: Clinical implications of a novel approach for cranial nerve neuralgias.

J Clin Neurosci 2019 Apr 20. Epub 2019 Apr 20.

Department of Neurosurgery, SRM Institute of Medical Sciences and Hospital, Chennai, India.

Re-appearance of trigeminal neuralgia (TN) pain following microvascular decompression (MVD) is a challenging issue. A selective ablation with MVD provides the best response in such recurrences. The absence of intra-operative indicator for immediate correction of sub-optimal decompression is the primary factor for failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.04.007DOI Listing

A troponin study on patients with ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage: Type II myocardial infarction is significantly associated with stroke severity, discharge disposition and mortality.

J Clin Neurosci 2019 Apr 20. Epub 2019 Apr 20.

University Hospitals Cleveland Medical Center, Cleveland, OH, United States. Electronic address:

Troponin elevations due to Type II myocardial infarction (T2MI) are associated with hemorrhagic and ischemic strokes but there is little data on stroke severity, troponin elevation and outcome. We studied 1655 patients from a tertiary medical center between 1/2013-4/2015 using multivariate regression analysis for demographics, vascular risk factors, admission stroke severity, laboratory tests, echocardiogram results and discharge disposition. Troponin levels were classified as normal <0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.04.005DOI Listing

Surgical management of patients with coexistent multiple sclerosis and cervical stenosis: A systematic review and meta-analysis.

J Clin Neurosci 2019 Apr 20. Epub 2019 Apr 20.

Department of Neurological Surgery, UCSF Medical Center, San Francisco, CA, United States. Electronic address:

Multiple sclerosis (MS) and cervical stenosis (CS) are two unique pathologies that can present with overlapping symptoms. In patients with concurrent MS and CS, the exact cause for worsening of symptoms is often difficult to decipher. In this study, we aimed to review the medical literature on the benefits of surgical decompression surgery in patients with coexisting CS and MS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.04.001DOI Listing

The clinical characteristics of spontaneous Gram-negative bacterial meningitis in adults: A hospital-based study.

J Clin Neurosci 2019 Apr 17. Epub 2019 Apr 17.

Department of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:

The epidemiologic trend of acute bacterial meningitis can change more dramatically than any other bacterial disease, and a decrease in spontaneous adult bacterial meningitis (ABM) has been noted in serial studies of the epidemiologic trend of ABM in Taiwan. The purpose of this study was to analyze the clinical characteristics, laboratory data and therapeutic outcomes of 149 patients with spontaneous Gram-negative (G(-)) ABM collected during a study period of 31 years (1986-2016). The 149 patients included 107 men and 42 women, aged 18-86 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.047DOI Listing

The diagnosis of ventriculoperitoneal shunt malfunction by using phase-contrast cine magnetic resonance imaging.

J Clin Neurosci 2019 Apr 15. Epub 2019 Apr 15.

Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China. Electronic address:

The ventriculoperitoneal (VP) shunt is a gold standard procedure to treat hydrocephalus. However, shunt malfunction is the common complications after surgery. In this study, we utilize phase-contrast cine magnetic resonance imaging (PC cine MRI) to improve the diagnosis of VP shunt malfunction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.033DOI Listing

Potential contribution of microRNA-125b targeting p38MAPK to relieving intermittent hypoxia-induced dementia of rat models.

J Clin Neurosci 2019 Apr 15. Epub 2019 Apr 15.

Department of Neurology, Shanghai Eighth People's Hospital, Shanghai 200235, China. Electronic address:

Allowing for the correlation between intermittent hypoxia and impaired cognition, we intended to figure out whether and how dementia-relevant biomolecules (e.g. miR-125b and p38MAPK) might participate in weakening of intelligence in the context of intermittent hypoxia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.002DOI Listing

Cerebral embolism and carotid-hyoid impingement syndrome.

J Clin Neurosci 2019 Apr 12. Epub 2019 Apr 12.

Royal Perth Hospital, Western Australia, Australia. Electronic address:

Embolic stroke of undetermined source (ESUS) is not uncommon in young patients. Here, we describe two cases of stroke from an unusual aetiology; cerebral embolization from carotid artery injury presumed secondary to hyoid bone impingement. Both patients demonstrated angiographic evidence of hyoid bone impingement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.040DOI Listing
April 2019
1 Read

Dynamic digital tomosynthesis-radiculography is useful for diagnosis of lumbar foraminal stenosis at an adjacent level after lumbar fusion surgery: A case report.

J Clin Neurosci 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan. Electronic address:

After spine fusion surgery, it is difficult to evaluate the spinal canal and nerve roots using magnetic resonance imaging (MRI) because of metallic implant-related artifacts. Digital tomosynthesis is a new radiographic technique that can acquire tomographic images with reduced metallic artifact effects compared with MRI. We report a case demonstrating the visualization of nerve roots nearby metallic implants using dynamic tomosynthesis-radiculography (DTRG) after spinal fusion surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.065DOI Listing
April 2019
2 Reads

Bilateral thigh compartment syndromes from extended sitting with forward bending.

J Clin Neurosci 2019 Apr 6. Epub 2019 Apr 6.

Department of Neurology, Juntendo University, Japan.

Alcohol consumption and subsequent sleeping in unusual positions often causes compression neuropathies. In this case, we experienced a unique case of bilateral leg palsy after sleeping in a forward bending position that was photographed by his colleague. We expected that prolonged blockage of the circulation of the femoral arteries resulted in bilateral thigh compartment syndromes (TCSs), leading to sciatic nerve damage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.027DOI Listing
April 2019
1 Read

Familial, long-term pollakisuria as initial manifestation of HSP4 due to the SPAST variant c.683-2A>C.

J Clin Neurosci 2019 Apr 5. Epub 2019 Apr 5.

Institute of Medical Genetics, Head of the Section "Clinical Genetics", Medical School of Vienna, Vienna, Austria. Electronic address:

Objective: Hereditary spastic paraplegia type-IV (HSP4) is the most common of the autosomal-dominant HSPs. Though urinary dysfunction is a frequent phenotypic feature, long-term pollakisuria as the initial manifestation of HSP4 has not been reported.

Case Report: The patient is a 56yo female with an uneventful history until age 46y, when she developed pollakisuria. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S09675868193038
Publisher Site
http://dx.doi.org/10.1016/j.jocn.2019.03.067DOI Listing
April 2019
2 Reads

Orexin secretion abnormality involved in excessive somnolence in CNS lymphoma without hypothalamic lesions.

J Clin Neurosci 2019 Apr 5. Epub 2019 Apr 5.

Department of Gastroenterology and Neurology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan.

A 72-year-old woman developed excessive somnolence as one of the symptoms of diffuse large B-cell lymphoma in the central nervous system (CNS). Although somnolence might be caused by reduced orexin secretion associated with hypothalamic lesions, neither brain MRI nor 18F-fluorodeoxyglucose positron emission tomography identified hypothalamic lesions. However, the decreased cerebrospinal fluid (CSF) orexin levels recovered to near normal values with improvement of somnolence after chemotherapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.066DOI Listing
April 2019
1 Read

Pharmacoresistant seizures in neurofibromatosis type 1 related to hippocampal sclerosis: Three case presentation and review.

J Clin Neurosci 2019 Apr 5. Epub 2019 Apr 5.

Department of Neurology, School of Medicine, Hacettepe University Hospitals, Ankara, Turkey. Electronic address:

Neurofibromatosis type 1 (NF1) is an autosomal dominantly inherited disorder, with an estimated prevalence of 1 in 3000-4000 people. Seizures occur 4-7% of individuals with NF1, mostly due to associated brain tumors or cortical malformations. Hippocampal sclerosis (HS) in the patients with NF1 has been reported very rarely and only 15 patients were found in review of English literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.055DOI Listing
April 2019
1 Read

Hippocampus and amygdalar volumes in patients with obsessive-compulsive personality disorder.

J Clin Neurosci 2019 Apr 5. Epub 2019 Apr 5.

Firat University, School of Medicine, Department of Psychiatry, Elazig, Turkey.

Objectives: Moving from the point that there might be an association between the neuroanatomy of obsessive-compulsive disorder (OCD) and obsessive-compulsive personality disorder, we decided to examine the volumes of hippocampus and amygdala of patients with obsessive-compulsive personality disorder, which was previously evaluated in OCD patients by us.

Methods: Volumes of the hippocampus, and amygdala were measured by magnetic resonance imaging (MRI) in patients with obsessive-compulsive personality disorder and healthy control subjects. Manual tracing was used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.060DOI Listing
April 2019
1 Read

Volumetric MRI study of orbito-frontal cortex and thalamus in obsessive-compulsive personality disorder.

J Clin Neurosci 2019 Apr 5. Epub 2019 Apr 5.

Department of Radiology, Firat University School of Medicine, Elazig, Turkey.

Objectives: Obsessive compulsive personality disorder (OCPD) is currently thought to bear a close relationship with obsessive-compulsive disorder (OCD), and other compulsive disorders such as eating disorder and autistic spectrum disorder, as well as with the personality disorders, focusing on some important dimensions like phenomenology, heritability, environmental risk factors, comorbidity, course of illness, neurocognitive endophenotypes, and treatment response. In the present study, when we have taken into consideration the knowledge aforementioned, we aimed to examine OFC and thalamus volumes in patients with OCPD.

Methods: We comparatively measured orbito-frontal cortex (OFC) and thalamus volumes of patients with OCPD and healthy control subjects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.062DOI Listing
April 2019
2 Reads

Fabry's disease and stroke: Effectiveness of enzyme replacement therapy (ERT) in stroke prevention, a review with meta-analysis.

J Clin Neurosci 2019 Apr 4. Epub 2019 Apr 4.

Department of Neurology, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 500, Little Rock, AR 72205, United States.

Back Ground And Objective: Fabry's disease, is the most prevalent lysosomal storage disorder and is notorious for its early multi-organ involvement leading to complications, including ischemic strokes and transient ischemic attacks. Since 2001, enzyme replacement therapy (ERT) has become the mainstay treatment for Fabry's patients but the indications are not clearly defined. We did a meta-analysis of the available data to review the benefit of ERT for stroke prevention in Fabry's patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.064DOI Listing

A comparison of lateral ventricle volume estimation on magnetic resonance and cadaveric section images using the planimetry method.

J Clin Neurosci 2019 Apr 4. Epub 2019 Apr 4.

Department of Anatomy, Faculty of Medicine, Karabük University, Karabük, Turkey. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.046DOI Listing
April 2019
1 Read

Incremental benefits of EEG informed fMRI in the study of disorders related to meso-corticolimbic dopamine pathway dysfunction: A systematic review of recent literature.

J Clin Neurosci 2019 Apr 4. Epub 2019 Apr 4.

Centre for Diagnostic Nuclear Imaging, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia; Department of Imaging, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia. Electronic address:

Functional magnetic resonance imaging (fMRI) is a non-invasive imaging modality that enables the assessment of neural connectivity and oxygen utility of the brain using blood oxygen level dependent (BOLD) imaging sequence. Electroencephalography (EEG), on the other hands, looks at cortical electrical impulses of the brain thus detecting brainwave patterns during rest and thought processing. The combination of these two modalities is called fMRI with simultaneous EEG (fMRI-EEG), which has emerged as a new tool for experimental neuroscience assessments and has been applied clinically in many settings, most commonly in epilepsy cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.054DOI Listing

Distal myopathy and rapidly progressive dementia associated with a novel mutation in the VCP gene: Expanding inclusion body myopathy with early-onset Paget disease and frontotemporal dementia spectrum.

J Clin Neurosci 2019 Apr 4. Epub 2019 Apr 4.

Department of Neurosciences and Mental Health, Centro Hospitalar Universitário de Lisboa-Norte, Lisbon, Portugal; Instituto de Medicina Molecular and Instituto de Fisiologia, Faculdade de Medicina, Universidade de Lisboa, Portugal.

Distal myopathies are a clinically and genetically heterogeneous group characterized by distal weakness at onset. Distal myopathies are classified according to age of onset, inheritance pattern, clinical features and molecular diagnosis. Inclusion body myopathy with early-onset Paget disease and fronto-temporal dementia is a rare adult late-onset disease related to valosin-containing protein gene mutations with an autosomal dominance inheritance. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.063DOI Listing
April 2019
1 Read

An alternative technique for pituitary tumour removal: Sequential endoscopic-microscopic pituitary procedure (SEMPP).

J Clin Neurosci 2019 Apr 4. Epub 2019 Apr 4.

Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, University of Sydney, Australia.

Several authors have reported advantages of the purely endoscopic (PE) approach over traditional purely microscopic (PM) techniques for many sinus and anterior skull base procedures. However, in pituitary surgery, the PE approach carries a number of limitations. Experienced microscopically-trained neurosurgeons are required to master the endoscopic technique which has a steep learning curve due to its one-handed nature and optically-distorted 2-dimensional view. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.059DOI Listing

Mirror writing after perimesencephalic subarachnoid haemorrhage.

J Clin Neurosci 2019 Apr 3. Epub 2019 Apr 3.

Department of Neurosurgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Surgery, University of Melbourne, Victoria, Australia.

We report a case of a right-handed Caucasian woman who developed mirror writing following a non-aneurysmal, non-traumatic subarachnoid haemorrhage. The patient was unaware of having this phenomenon, and it was detected by clinical staff when the patient was writing a card to a family member. Serial imaging has ruled out a stroke as well as an underlying vascular abnormality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.039DOI Listing
April 2019
1 Read

A school-aged boy with super-refractory status epilepticus secondary to cortical dysplasia treated with dexmedetomidine.

J Clin Neurosci 2019 Apr 3. Epub 2019 Apr 3.

University of Florida, Department of Pediatrics, Division of Neurology, 1600 SW Archer Road, Gainesville, FL 32608, United States. Electronic address:

This case report details a novel approach to the management of super-refractory status epilepticus (SRSE) in a boy with new-onset seizures progressing to SRSE. After exhausting multiple medications, dexmedetomidine, an α2-adrenoreceptor agonist used for sedation, stopped his SRSE. Dexmedetomidine provides a unique mechanism of action to treat this condition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.050DOI Listing
April 2019
1 Read

The effect of gamma tACS over the M1 region and cerebellar hemisphere does not depend on current intensity.

J Clin Neurosci 2019 Apr 3. Epub 2019 Apr 3.

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Japan.

Transcranial alternating current stimulation (tACS) has been shown to modulate neural connectivity in the cortical area under experimental electrodes. Although gamma tACS over the M1 region and the cerebellar hemisphere has been shown to improve motor performance, the optimal stimulation method has not been clarified. In this study, we aimed to clarify whether the effect of gamma tACS over M1 and the cerebellar hemisphere depends on current intensity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.045DOI Listing

Utility of diagnostic cerebral angiography in the management of suspected central nervous system vasculitis.

J Clin Neurosci 2019 Apr 2. Epub 2019 Apr 2.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.

Vasculitis of the central nervous system is a rare and poorly understood disease of the brain and spinal cord. Cerebral angiography is the radiological gold standard for diagnosis in patients with compatible clinical findings. However, advances in the quality of noninvasive neuroimaging techniques of cerebral and spinal vasculature such as magnetic resonance angiography (MRA) and computed tomography angiography (CTA) may obviate the need for invasive catheter angiography. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.058DOI Listing
April 2019
1 Read
1.318 Impact Factor

Intravenous thrombolysis with tissue-plasminogen activator in small vessel occlusion.

J Clin Neurosci 2019 Apr 2. Epub 2019 Apr 2.

Department of Neurology, Ilsan Paik Hospital Inje University, Goyang, Republic of Korea. Electronic address:

Intravenous tissue-plasminogen activator (IV-TPA) treatment in acute ischemic stroke (AIS) patients due to small vessel occlusion (SVO) has been debated because of its small expected benefit and symptomatic intracranial hemorrhage (SICH) risk. Furthermore, data on subgroups of SVO patients are limited. From a prospective multicenter stroke registry database, AIS patients due to SVO within 24 h from onset were selected. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.036DOI Listing
April 2019
2 Reads

Extensive meningeal enhancement in acute central nervous system Lyme: Case series and review of literature.

J Clin Neurosci 2019 Apr 2. Epub 2019 Apr 2.

Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.

Introduction: Clinical presentation of the central nervous system Lyme disease is nonspecific and therefore brain imaging and disease-specific serological testing is generally pursued to assist with diagnosis. Brain imaging findings are, however, rare and often unspecific.

Case Description: In the current report, we are presenting a rare magnetic resonance imaging (MRI) finding of extensive meningeal enhancement in two patients with acute Lyme disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.048DOI Listing
April 2019
2 Reads

Long-term glioblastoma survival following recovery from cytomegalovirus colitis: A case report.

J Clin Neurosci 2019 Apr 1. Epub 2019 Apr 1.

Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States; Ken and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States; Robert H. Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States; Lou and Jean Malnati Brain Tumor Institute, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States. Electronic address:

Survival outcomes for patients with glioblastoma (GBM) are universally poor with only a small percentage of patients surviving five years beyond initial diagnosis. Activation of the immune system against tumor cells is the basis of immunotherapy and aims to facilitate long-term immune surveillance and tumor suppression. Cytomegalovirus (CMV) has emerged as an immunologic target in GBM given that tumor cells have been shown to express the CMV-associated proteins IE1 and pp65. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S09675868193036
Publisher Site
http://dx.doi.org/10.1016/j.jocn.2019.03.051DOI Listing
April 2019
2 Reads

Brain tissue saving effects by single-dose intralesional administration of Neuroprotectin D1 on experimental focal penetrating brain injury in rats.

J Clin Neurosci 2019 Apr 1. Epub 2019 Apr 1.

Department of Neuroscience, Section of Experimental Traumatology, Karolinska Institutet, Stockholm, Sweden. Electronic address:

Traumatic brain injury (TBI) is followed by a secondary inflammation in the brain. Neuroprotectin D1 (NPD1) is synthesized from docosahexaenoic acid (DHA) and has anti-inflammatory and antiapoptotic effects in experimental models of neurodegenerative disease and brain ischemia-reperfusion. It is not known whether intralesional administration of NPD1 ameliorates inflammation and cell death after severe TBI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.032DOI Listing
April 2019
1 Read

YKL-40 can promote angiogenesis in sporadic cerebral cavernous malformation (CCM).

J Clin Neurosci 2019 Apr 1. Epub 2019 Apr 1.

Department of Neurosurgery, Huashan Hospital, Fudan University, 12 Wulumiqi Rd., Shanghai 200040, PR China. Electronic address:

The factors affecting the formation of sporadic CCMs remain unclear. A cDNA microarray was used to identify characteristic gene expression patterns in sporadic CCMs. Transcription level of YKL-40 was confirmed by reverse transcription-polymerase chain reaction (RT-PCR). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.035DOI Listing
April 2019
1 Read

Analysis of the prevalence and onset of dysphonia and dysphagia symptoms in movement disorders at an academic medical center.

J Clin Neurosci 2019 Apr 1. Epub 2019 Apr 1.

Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Voice and swallowing impairments are common in movement disorders, but their effect on patients' quality of life is not well known. This study was conducted to determine the onset and prevalence of patient-reported dysphonia and dysphagia symptoms in Parkinson's disease (PD), dystonia, Atypical Parkinsonian Syndromes (APS), and Essential Tremor (ET). Patients referred to a movement disorders clinic in a tertiary care academic medical center completed validated voice and swallowing specific Quality of Life (QOL) questionnaires: Voice Handicap Index-10 (VHI-10) and Eating Assessment Tool-10 (EAT-10). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.043DOI Listing
April 2019
3 Reads

Unruptured brain arteriovenous malformations and hydrocephalus: Case series and review of the literature.

J Clin Neurosci 2019 Apr 1. Epub 2019 Apr 1.

200 First St. SW, Rochester, MN 55905, United States. Electronic address:

Objective: Hydrocephalus is an uncommon presentation of unruptured brain arteriovenous malformations (AVMs). The goal of this case series and literature review is to present possible pathological mechanisms, management strategies and outcomes in patients with hydrocephalus due to unruptured AVMs.

Methods: Three consecutive patients with hydrocephalus caused by unruptured AVMs as well as all cases previously reported in the literature were retrospectively reviewed to determine clinical symptoms, AVM location, nidus size, venous drainage, mechanism of hydrocephalus, level/cause of obstruction, and degree of hydrocephalus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.042DOI Listing
April 2019
3 Reads

Age-related increase in GABAA receptor distribution in the prefrontal cortex.

J Clin Neurosci 2019 Apr 1. Epub 2019 Apr 1.

Department of Neurology, Niigata National Hospital, National Hospital Organization, Kashiwazaki, Niigata, Japan.

Profound insight into age-related changes in γ-aminobutyric acid type A receptor (GABAA-R) distribution using iodine-123-iomazenil single photon emission computed tomography (IMZ-SPECT) can contribute to accurate in vivo evaluation. We evaluated the age-related changes in prefrontal cortex (PFC), which is the key region involved in various neurological and psychiatric diseases. In this study, IMZ-SPECT imaging data of 21 healthy males with an age range of 22-59 (mean, 38 ± 12) years were analyzed using three-dimensional stereotactic surface projection (3D-SSP). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.044DOI Listing
April 2019
1 Read

Extensive intracranial haemorrhage as a complication of acute lymphoblastic leukaemia with hyperleukocytosis.

J Clin Neurosci 2019 Apr 2. Epub 2019 Apr 2.

Division of Paediatric Haematology-Oncology, Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.

We report a rare case of distinctive extensive punctate intracranial haemorrhage associated with acute lymphoblastic leukaemia with hyperleukocytosis. A 7-year-old girl presented with hyperleukocytosis (white cell count 788.7 × 10/L; 94% peripheral blasts) and laboratory tumour lysis syndrome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.056DOI Listing
April 2019
3 Reads

Healing of type II odontoid fracture without surgery in an octogenarian - Case report and literature review.

J Clin Neurosci 2019 Mar 30. Epub 2019 Mar 30.

Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, MD, United States. Electronic address:

Odontoid fractures are the most common cervical spine fracture in the elderly. There is considerable controversy regarding the optimal management of type II odontoid fractures in this population. We present the case of an 89-year-old woman presented with neck pain after a mechanical fall. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.049DOI Listing
March 2019
1 Read

White matter lesion loads associated with dynamic functional connectivity within attention network in patients with relapsing-remitting multiple sclerosis.

J Clin Neurosci 2019 Mar 30. Epub 2019 Mar 30.

Department of Radiology, the First Affiliated Hospital, Nanchang University, Nanchang, Jiangxi Province 330006, China; Jiangxi Province Medical Imaging Research Institute, Nanchang, Jiangxi Province 330006, China.

Using time-variant of blood oxygenation level dependent (BOLD) signal to investigate the temporal changes in functional connectivity (FC) between key nodes may shed light on the dynamic characteristics of network. Twenty-two relapsing-remitting multiple sclerosis (RRMS) and 22 well-matched healthy control subjects (HCs) participated in this study. Previously validated key nodes of attention network seeds were defined as spherical regions of interests (ROIs); then, we captured the pattern of dFC using sliding window correlation of ROIs in the RRMS and HCs during rest. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.034DOI Listing
March 2019
1 Read

The truth about cognitive impairment in functional motor symptoms: An experimental deception study with the Guilty Knowledge Task.

J Clin Neurosci 2019 Mar 30. Epub 2019 Mar 30.

Dipartimento di Scienze della Salute, Universita degli Studi di Milano, Milano, Italy; Unità di Psichiatria, ASST Santi Paolo e Carlo, Milano, Italy; "Aldo Ravelli" Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Italy.

Background: A century ago, Janet was the first to conceptualize conversion reactions as having a neurocognitive component, as disorders of memory processing that arise in the wake of trauma. The available evidence suggests that this impairment might arise from dysfunction in the fronto-subcortical circuits. Our aim was to examine the cognitive functions regulating deception in patients with functional motor symptoms (FMS), using a computerised task, the Guilty Knowledge Task (GKT). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.005DOI Listing
March 2019
4 Reads

Transfer times and patient outcomes - A review of head injuries requiring surgery in Tasmania 2006-2017.

J Clin Neurosci 2019 Mar 29. Epub 2019 Mar 29.

Department of Neurosurgery, Royal Hobart Hospital, 48 Liverpool Street, Hobart, TAS 7000, Australia.

The Royal Hobart Hospital (RHH) provides the only neurosurgical service in the state of Tasmania, Australia, with many patients requiring surgical treatment of intracranial injuries needing to be transferred from peripheral hospitals around the state to Hobart. This retrospective review analysed the medical records of all patients who underwent a neurosurgical intervention at RHH for an intracranial injury over a 10½ year period to ascertain if prolonged transfer times correlated with poorer patient outcomes. A total of 360 patients were included in the study, with 159 patients presenting initially to a peripheral hospital and subsequently transferred to RHH for surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.038DOI Listing

"Hearing" with electrophysiology and "seeing" with ultrasound: A useful multidimensional approach for nerve disease assessment.

J Clin Neurosci 2019 Mar 29. Epub 2019 Mar 29.

Neuroriabilitazione ad Alta Intensità, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Department of Geriatrics, Neurosciences and Orthopaedics, Università Cattolica del Sacro Cuore, Rome, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.031DOI Listing
March 2019
1 Read

Recurrent ischemic stroke in atrial fibrillation with non-vitamin K antagonist oral anticoagulation.

J Clin Neurosci 2019 Mar 28. Epub 2019 Mar 28.

Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea. Electronic address:

The etiology or rate of recurrent ischemic stroke according to dosing methods including drug adherence in patients taking non-vitamin K antagonist oral anticoagulants (NOACs) remain uncertain. We investigated the association between dosing methods including drug adherence achieved with NOACs and the presence of major vessel occlusion (MVO) in patients with ischemic stroke with non-valvular atrial fibrillation (NVAF). From July 2013 through December 2016, 120 patients with recurrent ischemic stroke with NVAF on NOACs were retrospectively analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.037DOI Listing
March 2019
2 Reads

Prognostic value of elevated high-sensitivity cardiac troponin T levels in patients with acute ischemic stroke treated with endovascular thrombectomy.

J Clin Neurosci 2019 Mar 28. Epub 2019 Mar 28.

Department of Interventional Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. Electronic address:

Our objective was to assess the impact of hs-cTnT elevation on functional outcome and mortality in AIS patients with large vessel occlusion (LVO) in the anterior circulation 3 months after ET and explore factors affecting hs-cTnT elevation. A total of 143 consecutive AIS patients with large vessel occlusion (LVO) in the anterior circulation following ET in a single stroke center were enrolled between January 2015 and November 2017. Hs-cTnT was quantitated on admission. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.030DOI Listing

Cisternal lavage via third ventriculostomy through the fenestrated lamina terminalis after aneurysm clipping: Technical note.

J Clin Neurosci 2019 Mar 25. Epub 2019 Mar 25.

Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106 Freiburg Germany.

Delayed cerebral infarction (DCI) contributes to the burden of morbidity and mortality acquired by patients with aneurysmal subarachnoid hemorrhage (SAH). Cisternal lavage may prevent DCI. Delivery of lavage therapy to the basal cisterns, however, is challenging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.026DOI Listing
March 2019
1 Read

Thermal injury to spinal cord, a rare complication of percutaneous microwave spine tumor ablation: Case report.

J Clin Neurosci 2019 Mar 25. Epub 2019 Mar 25.

Department of Neurosurgery, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Meyer Building 7-109, Baltimore, MD 21287, United States.

Metastatic disease to the spine are becoming increasingly common with an aging population and improvements in systemic cancer therapies. Surgery, radiation, and vertebroplasty are mainstay modalities for treating painful spine metastases. Recently, image-guided percutaneous ablation techniques have emerged a promising therapeutic option. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.018DOI Listing
March 2019
1 Read

Intradural osteogenic sarcoma in the lumbar spine.

J Clin Neurosci 2019 Mar 25. Epub 2019 Mar 25.

Department of Neurosurgery, University of California San Francisco, San Francisco, CA, United States.

To our knowledge, this is the third reported case of spinal intradural osteogenic sarcoma. The two prior reported cases had a history of iophendylate injection whereas this patient did not. Other cases involved the cranial meninges, not the spine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.022DOI Listing

Diffusion-weighted imaging negative M232R familial Creutzfeldt-Jakob disease.

J Clin Neurosci 2019 Mar 22. Epub 2019 Mar 22.

Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Republic of Korea. Electronic address:

The familial Creutzfeldt-Jakob disease (fCJD) usually has similar clinical and neuroimaging features as sporadic CJD (sCJD). A 57-year-old man presented with a four-month history of rapidly progressive dementia (RPD). Laboratory tests for RPD were all normal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.019DOI Listing

Ischemic stroke of the "hand knob area": A case series and literature review.

J Clin Neurosci 2019 Mar 22. Epub 2019 Mar 22.

Neurology Department, Hospital Británico de Buenos Aires, Argentina.

Isolated hand paresis may reflect an infarction of the "hand knob area", which represents less than 1% of all ischemic strokes. In this type of stroke, a potential source of embolism is often identified. There are no large case series regarding this topic in Latin America. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.025DOI Listing
March 2019
1 Read

Biopsy-proven primary angiitis of the central nervous system mimicking leukodystrophy: A case report and review of the literature.

J Clin Neurosci 2019 Mar 22. Epub 2019 Mar 22.

Department of Clinical Neurosciences, Fondazione IRCCS Istituto Neurologico "C. Besta", Via Celoria 11, 20133 Milan, Italy.

Primary Angiitis of the Central Nervous System (PACNS) is a rare form of idiopathic CNS vasculitis. Neuroimaging is often abnormal and characterized by multifocal brain lesions, but brain biopsy definitely confirms the diagnosis. We report the rare case of a 45-year-old female presenting with symptoms of intracranial hypertension and leukodystrophy-like neuroimaging findings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.021DOI Listing
March 2019
1 Read

Visual snow: Not so benign.

J Clin Neurosci 2019 Mar 22. Epub 2019 Mar 22.

Department of Neurology, Auckland City Hospital, Auckland, New Zealand.

Visual snow is the perception of flickering dots throughout the entire visual field and occurs with other symptoms of dysfunctional central sensory processing. We describe a patient who presented with visual snow, illusory visual motion, photopsia, and reduced night vision. He subsequently developed progressive cognitive impairment, myoclonus and ataxia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.023DOI Listing
March 2019
5 Reads

Baicalein enhances the effect of low dose Levodopa on the gait deficits and protects dopaminergic neurons in experimental Parkinsonism.

J Clin Neurosci 2019 Mar 21. Epub 2019 Mar 21.

Division of Neurosurgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. Electronic address:

Parkinson's Disease (PD) is the second most common neurodegenerative disease with the clinical characteristics of gait deficits. The classical symptomatic treatment for PD is Levodopa (L-DOPA) which brings a plethora of side effects and dosage problems in a prolonged drug regimen. Baicalein is a flavonoid extracted from Scutellaria baicalensis Georgi with the properties of neuroprotection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.02.005DOI Listing
March 2019
1 Read

Late recurrence of medulloblastoma after 17 years of complete remission.

J Clin Neurosci 2019 Mar 21. Epub 2019 Mar 21.

Neurological Surgery Department, Hospital General Universitario Gregorio Marañón, C/ Doctor Esquerdo, 46 28007 Madrid, Spain.

Background: To describe an exceptional case of late recurrence of medulloblastoma after 17 years of complete remission.

Case Description: A 42-year-old male consulted in ER for 10-day occipital headache. He had a previous history of cerebellar medulloblastoma 17 years ago treated with gross total resection, chemotherapy and radiotherapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.028DOI Listing
March 2019
1 Read

Vasospasm as a major complication after acute mechanical thrombectomy with stent retrievers.

J Clin Neurosci 2019 Mar 20. Epub 2019 Mar 20.

Department of Neurosurgery, Hokuto Hospital, Obihiro, Japan. Electronic address:

Objective: Mechanical thrombectomy using a stent retriever for acute large vessel occlusion is indispensable in stroke treatment, however, vasospasm may occur. The objective of this retrospective study was to investigate which cases are more likely to experience vasospasm after thrombectomy with stent retrievers.

Methods: We included 29 patients diagnosed with acute cardiogenic cerebral embolism who were treated with stent retrievers at our facility from December 2014 to December 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.011DOI Listing
March 2019
1 Read

Extravasation control with preserved vessel patency after wire perforation during neurothrombectomy: Case report and literature review.

J Clin Neurosci 2019 Mar 20. Epub 2019 Mar 20.

Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA; Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. Electronic address:

Parallel to a more widespread application of endovascular neurothrombectomy in acute ischemic stroke, it is critical to understand the nature and management of associated complications, including wire perforation of the middle cerebral artery (MCA). Sacrifice of the perforated vessel may be necessary to avoid fatal intra-cranial hemorrhage. Here we describe a case of right MCA distribution ischemia complicated by a right MCA perforation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2019.03.024DOI Listing
March 2019
1 Read