当前位置： SCI文献检索 > CLINICAL NEUROLOGY AND NEUROSURGERY期刊下所有文献 > CT perfusion-guided versus time-guided mechanical recanalization in acute ischemic stroke patients.

CT perfusion-guided versus time-guided mechanical recanalization in acute ischemic stroke patients.

Abstract：

OBJECTIVE:Perfusion studies are increasingly used to triage acute stroke patients for endovascular recanalization therapies. We compare the safety and efficacy of CT perfusion (CTP)-guided to time-guided mechanical recanalization in acute ischemic stroke (AIS) patients. METHODS:A review was conducted on 132 patients, 94 undergoing CTP-guided and 38 undergoing time-guided (maximum 8h from symptom onset) mechanical recanalization at our institution. RESULTS:The rate of partial-to-complete recanalization did not differ between the CTP and the non-CTP group (78.7% vs. 81.6%, respectively, p=0.71). ICH occurred respectively in 18.1% in the CTP group versus 31.6% in the non-CTP group (p=0.06). The overall in-hospital mortality rate was significantly lower in the CTP group (15.9% vs. 36.8%, p=0.04). In multivariable analysis, CTP-guided patient selection was an independent negative predictor of in-hospital mortality (OR=3.2; p=0.01). CTP-guided patient selection, however, was not a predictor of favorable outcome (Modified Rankin Scale 0-2 or 0-3). CONCLUSIONS:CTP-based patient selection was associated with lower ICH and mortality rates. Favorable outcomes, however, did not differ between the 2 groups. These results may suggest a possible benefit in terms of in-hospital mortality with CTP-guided triage of AIS patients for endovascular treatment.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Chalouhi N,Ghobrial G,Tjoumakaris S,Dumont AS,Gonzalez LF,Witte S,Davanzo J,Starke RM,Randazzo C,Flanders AE,Hasan D,Chitale R,Rosenwasser R,Jabbour P

doi

10.1016/j.clineuro.2013.09.036

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

2471-5

issue

12

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(13)00390-9

journal_volume

115

pub_type

杂志文章

相关文献

CLINICAL NEUROLOGY AND NEUROSURGERY文献大全
  • Evaluating the effect of adding Fish oil to Fingolimod on TNF-α, IL1β, IL6, and IFN-γ in patients with relapsing-remitting multiple sclerosis: A double-blind randomized placebo-controlled trial.

    abstract：OBJECTIVES:Fish oil is claimed to improve outcome in multiple sclerosis (MS) through anti-inflammatory and antioxidant effects by reducing cytokines including TNF-α, IFN-γ, IL6, and IL-1β. We aimed to evaluate the efficacy of adding fish oil to Fingolimod on these serum cytokines. PATIENTS AND METHODS:This double-blin...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.clineuro.2017.10.004

    authors： Zandi-Esfahan S,Fazeli M,Shaygannejad V,Hasheminia J,Badihian S,Aghayerashti M,Maghzi H

    更新日期：2017-12-01 00:00:00

  • Treatment of the chronic progressive form of multiple sclerosis with a combination of cyclophosphamide and prednisone.

    abstract：:32 patients with the chronic progressive form of the multiple sclerosis were treated with high doses of cyclophosphamide and prednisone during 20 days, to produce immunosuppression. The effect of treatment was measured by scoring three different Kurtzke scales just before treatment (1), just after treatment (II), and ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(75)80007-2

    authors： Hommes OR,Prick JJ,Lamers KJ

    更新日期：1975-01-01 00:00:00

  • Epidemiology and short-term surgical outcomes of children presenting with cerebellar tumors.

    abstract：OBJECTIVE:Posterior fossa tumor surgery in children poses a significant morbidity and mortality. Large multi-institutional datasets characterizing the epidemiology and morbidity of children undergoing posterior fossa tumor surgery are lacking. The objective of this study is to describe the epidemiology and short term s...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.02.038

    authors： Totapally BR,Shah AH,Niazi T

    更新日期：2018-05-01 00:00:00

  • Basilar artery occlusive disease in stroke survivors in a multiethnic population.

    abstract：OBJECTIVES:To describe clinical, radiological findings, and outcome in a multiethnic population of stroke survivors with basilar artery occlusive disease (BAOC). METHODS:Forty patients with infarcts in the basilar artery (BA) territory, alive 30 days after the ictus, participated in the study. BA stenosis (>50%) or oc...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2009.11.019

    authors： Ciríaco JG,Leite Cda C,dMartin Ma,Barros CV,Puglia P Jr,Caldas JG,Scaff M,Conforto AB

    更新日期：2010-04-01 00:00:00

  • Apparent diffusion coefficients distinguish amyotrophic lateral sclerosis from cervical spondylotic myelopathy.

    abstract：OBJECTIVE:Fifty percent of patients with amyotrophic lateral sclerosis (ALS) have cervical spondylotic myelopathy (CSM) as a complication. Because patients with ALS do not develop bulbar signs and symptoms at onset, differentiating them from patients with CSM is sometimes difficult. We aimed to determine whether the ap...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2015.02.009

    authors： Koike Y,Kanazawa M,Terajima K,Watanabe K,Ohashi M,Endo N,Shimohata T,Nishizawa M

    更新日期：2015-05-01 00:00:00

  • The sensory-motor profile awake-A new tool for pre-, intra-, and postoperative assessment of sensory-motor function.

    abstract：OBJECTIVES:Awake craniotomy is a well-established procedure in surgery of intracranial tumors in eloquent areas. However, sufficiently standardized instruments for the assessment of sensory-motor function before, during and after the operation are currently lacking, despite their importance for evaluation of operative ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2016.05.022

    authors： Becker J,Jehna M,Steinmann E,Mehdorn HM,Synowitz M,Hartwigsen G

    更新日期：2016-08-01 00:00:00

  • Seizures and epilepsy in patients with a spontaneous intracerebral haematoma.

    abstract：BACKGROUND:Seizures occur more frequently in patients with an intracerebral haematoma (ICH) than in those with a cerebral infarct. However, the risk factors for seizures in association with an ICH are less well known. PURPOSE:The characteristics of medically treated patients with spontaneous ICHs, who developed seizur...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2007.04.001

    authors： De Reuck J,Hemelsoet D,Van Maele G

    更新日期：2007-07-01 00:00:00

  • Reduced life-space of non-professional caregivers to Parkinson's disease patients with increased disease duration.

    abstract：OBJECTIVE:To evaluate the impact of Parkinson's disease (PD) on unpaid, non-professional caregiver (CG) social relationships and related issues, as well as home-help services, over the time-course of the disease. MATERIALS AND METHODS:Cross-sectional telephone survey using a structured questionnaire where CGs were div...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2009.05.011

    authors： Lökk J

    更新日期：2009-09-01 00:00:00

  • High long-term symptomatic recurrence rates after Chiari-1 decompression without dural opening: a single center experience.

    abstract：OBJECTIVE:We evaluated long-term outcomes of posterior fossa decompression (PFD) without duroplasty in consecutive patients with newly diagnosed Chiari-1 malformation. METHODS:We searched the institutional database for all adult patients who underwent Chiari decompression between 1995 and 2007. PFD was offered to all ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2013.12.016

    authors： Krishna V,McLawhorn M,Kosnik-Infinger L,Patel S

    更新日期：2014-03-01 00:00:00

  • Diagnosis of tuberculosis infection based on synthetic peptides from Mycobacterium tuberculosis antigen 85 complex.

    abstract：AIM:The laboratory diagnosis of pulmonary tuberculosis (TB) and tuberculous meningitis (TBM) is particularly challenging. The aim of the present work is to develop an immunoassay for the diagnosis of TB infection, using synthetic peptides of antigen (Ag) 85 complex of M. tuberculosis (Mtb) H37Rv. METHODS:Four peptides...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2012.07.031

    authors： Kashyap RS,Shekhawat SD,Nayak AR,Purohit HJ,Taori GM,Daginawala HF

    更新日期：2013-06-01 00:00:00

  • Role of the ketogenic diet in acute neurological diseases.

    abstract：:The current review outlines the role of ketogenic diet (KD) in the management of acute neurological conditions namely traumatic brain injury, ischemic stroke, status epilepticus and primary aggressive brain tumor. An overview of the scientific literature- both clinical and pre-clinical studies is presented along with ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2020.105727

    authors： Arora N,Mehta TR

    更新日期：2020-05-01 00:00:00

  • Laboratory confirmed polymethyl-methacrylate (Palacos)-hypersensitivity after cranioplasty.

    abstract：:Polymethyl-methacrylate (PMMA) as part of bone cement is a widely used material in the context of orthopaedic implants and also in cranioplasty. Although PMMA is characterised by excellent biocompatibility with low intrinsic toxicity and inflammatory activation, a minor portion of patients develop allergic reactions. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2010.07.013

    authors： Gautschi OP,Schlett CL,Fournier JY,Cadosch D

    更新日期：2010-12-01 00:00:00

  • Correlating subcortical interhemispheric connectivity and cortical hemispheric dominance in brain tumor patients: A repetitive navigated transcranial magnetic stimulation study.

    abstract：OBJECTIVE:The present study aims to investigate the relationship between transcallosal interhemispheric connectivity (IC) and hemispheric language lateralization by using a novel approach including repetitive navigated transcranial magnetic stimulation (rTMS), hemispheric dominance ratio (HDR) calculation, and rTMS-bas...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2015.12.010

    authors： Sollmann N,Ille S,Tussis L,Maurer S,Hauck T,Negwer C,Bauer JS,Ringel F,Meyer B,Krieg SM

    更新日期：2016-02-01 00:00:00

  • A case of thalamic hydatid cyst.

    abstract：:Cerebral hydatidosis account for approximately 1-2% of patients with hydatid disease. Fifty percent to 75% of intracranial hydatid cysts are seen in children. The cerebral hydatid cysts are usually single and located in the watershed of the middle cerebral artery. To our knowledge, no case of hydatid cyst in the thala...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(95)00052-l

    authors： Erşahin Y,Mutluer S,Dermirtaş E,Yurtseven T

    更新日期：1995-11-01 00:00:00

  • Twist drill craniostomy with closed drainage for chronic subdural haematoma in the elderly: an effective method.

    abstract：OBJECTIVE:Chronic subdural haematoma is a disease of the elderly and surgery in these patients carries a much higher risk. The common surgical procedures for chronic subdural haematoma include twist drill craniostomy, burr hole evacuation or craniotomy. The aim of this study was to analyse the results of twist drill cr...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2008.04.013

    authors： Ramnarayan R,Arulmurugan B,Wilson PM,Nayar R

    更新日期：2008-09-01 00:00:00

  • Migraine-related vertigo: towards a distinctive entity.

    abstract：:Both migraine and vertigo are common complaints. Although they may coincide by chance, there is growing evidence for a clinical entity of recurrent vestibular symptoms related to migraine. This syndrome implies a possible causal relationship although the pathophysiology of migraine-related vertigo has not been fully e...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2004.07.003

    authors： Crevits L,Bosman T

    更新日期：2005-02-01 00:00:00

  • Hemorrhage rates of external ventricular drain (EVD), intracranial pressure gauge (ICP) or combined EVD and ICP gauge placement within 48 h of endovascular coil embolization of cerebral aneurysms.

    abstract：OBJECT:In single patients with a cerebral aneurysm an external ventricular drain (EVD), an intracranial pressure (ICP) gauge or a combined EVD and ICP gauge placement is necessary after coil embolization and initiation of postprocedural anticoagulation. The aim of this study was to examine the hemorrhage rates of drain...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2013.01.023

    authors： Scholz C,Hubbe U,Deininger M,Deininger MH

    更新日期：2013-08-01 00:00:00

  • Multiple sclerosis in Brazil: A systematic review.

    abstract：BACKGROUND:The natural history of multiple sclerosis (MS) in Brazil has been available in different regions of country. There is no nationwide population-based studies that express general data in Brazil. OBJECTIVE:To review and synthesize available data about MS in Brazil. MATERIAL AND METHODS:Systematic review was ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2016.07.011

    authors： Vasconcelos CC,Thuler LC,Rodrigues BC,Calmon AB,Alvarenga RM

    更新日期：2016-12-01 00:00:00

  • Predictive value of haptoglobin genotype as a risk of cerebral vasospasm after aneurysmal subarachnoid hemorrhage.

    abstract：OBJECTIVE:This study aims to investigate the genetic predisposition of haptoglobin (Hp) genotype as a predictor for cerebral vasospasm (CV) after acute subarachnoid hemorrhage (aSAH) in the Egyptian population. This permits CV risk factors stratification of patients with aSAH. Hence, it will guide the treatment plan an...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2020.106296

    authors： Ateia AM,Elbassiouny A,El-Nabi SH,Fahmy NA,Ibrahim MH,El-Garawani I,Geba KM,Khalaf M

    更新日期：2020-12-01 00:00:00

  • Sylvian fissure dermoid cyst with intratumoral hemorrhage: case report.

    abstract：:It is rare for a dermoid cyst to develop intratumoral hemorrhage. A 61-year-old woman had a sudden-onset left hemiparesis and slow response to verbal requests for one week when unenhanced computed tomography scanning revealed a mixed iso- and hypo-dense heterogeneous lesion in the right fronto-temporal area. T1-weight...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2004.11.003

    authors： Chen JC,Chen Y,Lin SM,Tseng SH

    更新日期：2005-12-01 00:00:00

  • Outcome of diabetes insipidus in patients with Rathke's cleft cysts.

    abstract：OBJECTIVES:It is well-known that Rathke's cleft cysts (RCCs) infrequently cause headache, endocrinological dysfunction, and visual disturbance, and in rare cases, cause diabetes insipidus (DI). Although surgical evacuation of the cyst content can result in high rates of symptomatic improvement, not only the treatment e...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2018.02.031

    authors： Oishi M,Hayashi Y,Sasagawa Y,Kita D,Tachibana O,Nakada M

    更新日期：2018-04-01 00:00:00

  • Direct measurement of patient's entrance skin dose during neurointerventional procedure to avoid further radiation-induced skin injuries.

    abstract：:Although several cases of radiation-induced skin injury (RSI) have been reported in association with neurointerventional procedures such as endovascular embolization for cerebral aneurysm, cerebral arteriovenous malformation, and dural arteriovenous fistula, in most cases the absorbed doses are not measured directly; ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2010.03.019

    authors： Hayakawa M,Moritake T,Kataoka F,Takigawa T,Koguchi Y,Miyamoto Y,Akahane K,Matsumaru Y

    更新日期：2010-07-01 00:00:00

  • Acinetobacter, an infrequent cause of community acquired bacterial meningitis.

    abstract：:A 19-year-old previously healthy woman developed meningitis due to Acinetobacter calcoaceticus. This is a Gram-negative coccobacillus belonging to the family Neisseriaceae. Most reported cases of Acinetobacter meningitis were hospital-acquired and due to strains highly resistant to amoxycillin. Our patient was treated...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(93)90096-y

    authors： Reindersma P,Nohlmans L,Korten JJ

    更新日期：1993-03-01 00:00:00

  • Congenital malformations of the spinal cord without early symptoms.

    abstract：:Description of 11 patients with congenital malformations of the spinal cord. Six of them were males, five females and the age varied from 7 to 70 years. Most of these cases produced clinical neurological signs indicating spinal cord disease in later life during an intercurrent disease. It was thought that changes in t...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/0303-8467(86)90004-1

    authors： Moffie D,Stefanko SZ,Makkink B

    更新日期：1986-01-01 00:00:00

  • Feasibility and limitations of C1 lateral mass screw placement in patients of atlas assimilation.

    abstract：BACKGROUND:C1 lateral mass is a common place for screw fixation in normal anatomy; whereas there is no research about whether screw placement is suitable in patients of C1 assimilation (C1A). OBJECTIVE:To study the feasibility and limitations of C1 lateral mass screw placement in patients with C1A. PATIENTS AND METHO...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2011.12.017

    authors： Jian FZ,Su CH,Chen Z,Wang XW,Ling F

    更新日期：2012-07-01 00:00:00

  • A five-generation family with occipital encephalocele.

    abstract：:This study reports a Chinese family that has suffered from occipital encephalocele over five generations with a pattern of autosomal dominant inheritance. There were 113 family members in this family, and 21 of them had an occipital subscalp encephalocele. The patients with the disease showed normal or nearly normal n...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2006.03.003

    authors： Zhao X,Chi L,Zhao Y,Chi Z

    更新日期：2007-01-01 00:00:00

  • Cavernous malformations isolated from cranial nerves: Unexpected diagnosis?

    abstract：OBJECTIVES:Cranial nerves (CN) cavernous malformations (CMs) are lesions that are isolated from the CNs. The authors present three cases of CN CMs, for which MR was demonstrated to be critical for management, and surgical resection produced good outcomes for the patients. Surgical removal is the recommended course of a...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.clineuro.2014.08.013

    authors： Rotondo M,Natale M,D'Avanzo R,Pascale M,Scuotto A

    更新日期：2014-11-01 00:00:00

  • Thalamic deep brain stimulation for posttraumatic action tremor.

    abstract：:We report a case of thalamic deep brain stimulation (DBS) for treatment of posttraumatic tremor. An 18-year-old right-handed man developed a disabling and medically refractory action tremor in the right upper extremity 9 months after sustaining diffuse axonal injury in a motor vehicle collision. DBS of the left ventra...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2003.12.004

    authors： Umemura A,Samadani U,Jaggi JL,Hurtig HI,Baltuch GH

    更新日期：2004-09-01 00:00:00

  • Bilateral phrenic neuropathies in a diabetic patient responsive to intravenous immunoglobulin: a case report.

    abstract：INTRODUCTION:Bilateral phrenic neuropathy is an uncommon complication of diabetes mellitus. CASE PRESENTATION:We present a patient with diabetes mellitus who developed dyspnea from diaphragmatic paresis secondary to bilateral phrenic neuropathies on the background of subclinical generalized polyneuropathy documented b...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.clineuro.2011.08.012

    authors： Rison RA,Beydoun SR

    更新日期：2011-11-01 00:00:00

  • Myelomalacia as clinical presentation of acute leukemia.

    abstract：:The case of a 27-year-old man is reported in whom neurological symptoms of obstruction of spinal arteries (myelomalacia) was the initial picture of acute leukemia. A review is given of the literature. There are no other reported cases of this very rare association. ...

    journal_title：Clinical neurology and neurosurgery

    pub_type： 杂志文章

    doi：10.1016/s0303-8467(89)80016-2

    authors： Avilés A,Gómez G,Rubio ME

    更新日期：1989-01-01 00:00:00