Recent bacterial and viral infection is a risk factor for cerebrovascular ischemia: clinical and biochemical studies.

Abstract:

:We performed a case-control study to investigate the role of recent infection as stroke risk factor and to identify pathogenetic pathways linking infection and stroke. We examined 166 consecutive patients with acute cerebrovascular ischemia and 166 patients hospitalized for nonvascular and noninflammatory neurologic diseases. Control subjects were individually matched to patients for sex, age, and season of admission. We assessed special biochemical parameters in subgroups of stroke patients with and without recent infection (n = 21) who were similar with respect to demographic and clinical parameters. Infection within the preceding week was a risk factor for cerebrovascular ischemia in univariate (odds ratio [OR] 3.1; 95% confidence interval (CI), 1.57 to 6.1) and age-adjusted multiple logistic regression analysis (OR 2.9; 95% CI, 1.31 to 6.4). The OR of recent infection and age were inversely related. Both bacterial and viral infection contributed to increased risk. Infection elevated the risk for cardioembolism and tended to increase the risk for arterioarterial embolism. Stroke patients with and without preceding infection were not different with respect to factor VII and factor VIII activity, fibrin monomer, fibrin D-dimer, von Willebrand factor, C4b-binding protein, protein S, anticardiolipin antibodies, interleukin-1 receptor antagonist, soluble tumor necrosis factor-alpha receptor, interleukin-6, interleukin-8, and neopterin. In conclusion, recent infection is an independent risk factor for acute cerebrovascular ischemia. Its role appears to be more important in younger age groups. The pathogenetic linkage between infection and stroke is still insufficiently understood.

journal_name

Neurology

journal_title

Neurology

authors

Grau AJ,Buggle F,Becher H,Zimmermann E,Spiel M,Fent T,Maiwald M,Werle E,Zorn M,Hengel H,Hacke W

doi

10.1212/wnl.50.1.196

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

196-203

issue

1

eissn

0028-3878

issn

1526-632X

journal_volume

50

pub_type

杂志文章
  • Increased risk of stroke in patients with chronic kidney disease after recurrent hypoglycemia.

    abstract:OBJECTIVE:In this study, we aimed to investigate the effect of hypoglycemia on cardiovascular outcomes in a sample of patients with chronic kidney disease (CKD). METHODS:Information about study participants was extracted from the National Health Insurance Research Database of Taiwan for the years 1998 through 2008. We...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000711

    authors: Yu TM,Lin CL,Chang SN,Sung FC,Kao CH

    更新日期:2014-08-19 00:00:00

  • The search for a physiologic marker of Machado-Joseph disease.

    abstract::Machado-Joseph disease is a dominantly inherited, multisystem, degenerative disorder that lacks a proven genetic marker. Peripheral nerve conduction-refractory period, sensory evoked potentials, and quantified oculomotor recordings were studied in nine patients affected with this disease to look for a potential physio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.112

    authors: Hotson JR,Langston EB,Louis AA,Rosenberg RN

    更新日期:1987-01-01 00:00:00

  • West Nile virus infection presenting as acute flaccid paralysis in an HIV-infected patient: a case report and review of the literature.

    abstract::We describe a case of West Nile virus (WNV) infection in an HIV-infected patient who presented with an isolated flaccid monoparesis of the right upper extremity. To our knowledge, this is the first reported case of flaccid paralysis caused by WNV infection in an HIV-infected patient. We then review the medical literat...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000253223.07720.bb

    authors: Torno M,Vollmer M,Beck CK

    更新日期:2007-02-13 00:00:00

  • High risk of postpartum relapses in neuromyelitis optica spectrum disorder.

    abstract:OBJECTIVE:To study the effect of pregnancy on the frequency of neuromyelitis optica spectrum disorder (NMOSD) relapse and evaluate rates of pregnancy-related complications in an international multicenter setting. METHODS:We administered a standardized survey to 217 women with NMOSD from 7 medical centers and reviewed ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000004681

    authors: Klawiter EC,Bove R,Elsone L,Alvarez E,Borisow N,Cortez M,Mateen F,Mealy MA,Sorum J,Mutch K,Tobyne SM,Ruprecht K,Buckle G,Levy M,Wingerchuk D,Paul F,Cross AH,Jacobs A,Chitnis T,Weinshenker B

    更新日期:2017-11-28 00:00:00

  • Fatigue in Parkinson's disease.

    abstract::Fatigue is a common but poorly understood symptom in Parkinson's disease (PD). Using previously validated scales, we asked 58 nondemented PD patients and 58 controls to fill out questionnaires assessing fatigue and depression and found that PD patients were more depressed and more fatigued than age-matched controls. A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.10.2016

    authors: Friedman J,Friedman H

    更新日期:1993-10-01 00:00:00

  • Patients with MCI and N400 or P600 abnormalities are at very high risk for conversion to dementia.

    abstract:OBJECTIVE:We sought cognitive event-related potential (ERP) biomarkers of disease progression and subsequent conversion to dementia in mild cognitive impairment (MCI). BACKGROUND:Two ERP components, the P600 and N400, are sensitive to abnormal episodic/declarative memory and semantic processing. When congruous categor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000281689.28759.ab

    authors: Olichney JM,Taylor JR,Gatherwright J,Salmon DP,Bressler AJ,Kutas M,Iragui-Madoz VJ

    更新日期:2008-05-06 00:00:00

  • Respiratory epithelial cells masquerading as agents of primary amebic meningoencephalitis: distinguishing features.

    abstract::CSF does not normally contain motile cells within flagella or cilia. When motile cells are seen in the CSF, they may be incorrectly assumed to be amebae. We studied a patient with a traumatic mucocele, in whom motile ciliated respiratory epithelial cells were seen in the CSF and within a frontal lobe brain abscess. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.10.1487

    authors: Davis LE,Visvesvara GS,McLaren DL,Randell R,Fenoglio CC,McLaren LC,Purdy M,Cooper V,Healy GR

    更新日期:1985-10-01 00:00:00

  • Surgical treatment for intracerebral hemorrhage (STICH): a single-center, randomized clinical trial.

    abstract:OBJECTIVE:To perform a single-center pilot investigation of early hematoma removal in patients with intracerebral hemorrhage (ICH). BACKGROUND:Considerable debate remains regarding the utility of surgical clot evacuation for ICH. METHODS:This was a prospective trial of open craniotomy within 12 hours of ICH symptom o...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.51.5.1359

    authors: Morgenstern LB,Frankowski RF,Shedden P,Pasteur W,Grotta JC

    更新日期:1998-11-01 00:00:00

  • Does platelet antiaggregant therapy lessen the severity of stroke?

    abstract::Data from the Aspirin in Transient Ischemic Attack (AITIA) study, an ongoing study of two platelet antiaggregant drugs, and other published therapeutic trials were reviewed to determine whether the severity of stroke is reduced in patients taking platelet antiaggregants. Data from three of four studies suggest that st...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:10.1212/wnl.35.5.632

    authors: Grotta JC,Lemak NA,Gary H,Fields WS,Vital D

    更新日期:1985-05-01 00:00:00

  • Neurofilament protein levels in CSF are increased in dementia.

    abstract::The neurofilament is the major cytoskeletal structure of myelinated axons. In this study, CSF levels of the light subunit of the neurofilament protein (NFL) were increased in patients with vascular dementia (VAD), AD, and frontotemporal dementia (FTD) compared with neurologically healthy individuals. Because NFL is lo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.5.1090

    authors: Rosengren LE,Karlsson JE,Sjögren M,Blennow K,Wallin A

    更新日期:1999-03-23 00:00:00

  • MRI as a biomarker of disease progression in a therapeutic trial of milameline for AD.

    abstract:OBJECTIVE:To assess the feasibility of using MRI measurements as a surrogate endpoint for disease progression in a therapeutic trial for AD. METHODS:A total of 362 patients with probable AD from 38 different centers participated in the MRI portion of a 52-week randomized placebo-controlled trial of milameline, a musca...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000042480.86872.03

    authors: Jack CR Jr,Slomkowski M,Gracon S,Hoover TM,Felmlee JP,Stewart K,Xu Y,Shiung M,O'Brien PC,Cha R,Knopman D,Petersen RC

    更新日期:2003-01-28 00:00:00

  • A new explanation for recessive myotonia congenita: exon deletions and duplications in CLCN1.

    abstract:OBJECTIVE:To assess whether exon deletions or duplications in CLCN1 are associated with recessive myotonia congenita (MC). METHODS:We performed detailed clinical and electrophysiologic characterization in 60 patients with phenotypes consistent with MC. DNA sequencing of CLCN1 followed by multiplex ligation-dependent p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318259e19c

    authors: Raja Rayan DL,Haworth A,Sud R,Matthews E,Fialho D,Burge J,Portaro S,Schorge S,Tuin K,Lunt P,McEntagart M,Toscano A,Davis MB,Hanna MG

    更新日期:2012-06-12 00:00:00

  • Gabapentin relieves trigeminal neuralgia in multiple sclerosis patients.

    abstract::This report describes the effectiveness of gabapentin, a recently approved anticonvulsant, in seven patients with MS experiencing trigeminal neuralgia refractory to treatment with conventional medical therapy. Gabapentin relieved pain completely in six and significantly in the seventh patient. Gabapentin may be a valu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.2.611

    authors: Khan OA

    更新日期:1998-08-01 00:00:00

  • Clinical and electrophysiologic correlates of IVIg responsiveness in CIDP.

    abstract::To identify clinical and electrophysiologic features related to IV immunoglobulin (IVIg) responsiveness in chronic inflammatory demyelinating polyneuropathy (CIDP), the authors conducted a multicenter study on 312 patients with CIDP (199 responders and 113 nonresponders). Muscle atrophy and decreased compound muscle a...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1212/01.WNL.0000158680.89323.F8

    authors: Iijima M,Yamamoto M,Hirayama M,Tanaka F,Katsuno M,Mori K,Koike H,Hattori N,Arimura K,Nakagawa M,Yoshikawa H,Hayasaka K,Onodera O,Baba M,Yasuda H,Saito T,Nakazato M,Nakashima K,Kira J,Kaji R,Oka N,Sobue G

    更新日期:2005-04-26 00:00:00

  • Sample sizes for brain atrophy outcomes in trials for secondary progressive multiple sclerosis.

    abstract:BACKGROUND:Progressive brain atrophy in multiple sclerosis (MS) may reflect neuroaxonal and myelin loss and MRI measures of brain tissue loss are used as outcome measures in MS treatment trials. This study investigated sample sizes required to demonstrate reduction of brain atrophy using three outcome measures in a par...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/01.wnl.0000335765.55346.fc

    authors: Altmann DR,Jasperse B,Barkhof F,Beckmann K,Filippi M,Kappos LD,Molyneux P,Polman CH,Pozzilli C,Thompson AJ,Wagner K,Yousry TA,Miller DH

    更新日期:2009-02-17 00:00:00

  • Congenital muscular dystrophies with defective glycosylation of dystroglycan: a population study.

    abstract:BACKGROUND:Congenital muscular dystrophies (CMD) with reduced glycosylation of alpha-dystroglycan (alpha-DG) are a heterogeneous group of conditions associated with mutations in six genes encoding proven or putative glycosyltransferases. OBJECTIVES:The aim of the study was to establish the prevalence of mutations in t...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/01.wnl.0000346518.68110.60

    authors: Mercuri E,Messina S,Bruno C,Mora M,Pegoraro E,Comi GP,D'Amico A,Aiello C,Biancheri R,Berardinelli A,Boffi P,Cassandrini D,Laverda A,Moggio M,Morandi L,Moroni I,Pane M,Pezzani R,Pichiecchio A,Pini A,Minetti C,Mon

    更新日期:2009-05-26 00:00:00

  • Primary intramedullary spinal cord lymphoma.

    abstract:OBJECTIVE:Among the rare causes of myelopathies is primary intramedullary spinal cord lymphoma (PISCL). As PISCL is often underrecognized, delaying appropriate treatment, we sought to describe its presentation, imaging characteristics, and outcomes. METHODS:Mayo Clinic medical records, lymphoma database, and autopsies...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31822b00b9

    authors: Flanagan EP,O'Neill BP,Porter AB,Lanzino G,Haberman TM,Keegan BM

    更新日期:2011-08-23 00:00:00

  • Virtual Reality Training for Upper Extremity in Subacute Stroke (VIRTUES): A multicenter RCT.

    abstract:OBJECTIVE:To compare the effectiveness of upper extremity virtual reality rehabilitation training (VR) to time-matched conventional training (CT) in the subacute phase after stroke. METHODS:In this randomized, controlled, single-blind phase III multicenter trial, 120 participants with upper extremity motor impairment ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000004744

    authors: Brunner I,Skouen JS,Hofstad H,Aßmus J,Becker F,Sanders AM,Pallesen H,Qvist Kristensen L,Michielsen M,Thijs L,Verheyden G

    更新日期:2017-12-12 00:00:00

  • Associative and predictive biomarkers of dementia in HIV-1-infected patients.

    abstract:BACKGROUND:Infection with HIV can result in a debilitating CNS disorder known as HIV dementia (HIV-D). Since the advent of highly active antiretroviral therapy (HAART), the incidence of HIV-D has declined, but the prevalence continues to increase. In this new era of HIV-D, traditional biomarkers such as CSF viral load ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000260610.79853.47

    authors: Bandaru VV,McArthur JC,Sacktor N,Cutler RG,Knapp EL,Mattson MP,Haughey NJ

    更新日期:2007-05-01 00:00:00

  • Predictive role of heterozygous p.R4810K of RNF213 in the phenotype of Chinese moyamoya disease.

    abstract:OBJECTIVE:Precise genetic analyses were conducted with ring finger protein 213 (RNF213) in relation to a particular clinical phenotype in Chinese patients with moyamoya disease (MMD) to determine whether heterozygosity is responsible for the early-onset and severe form of this disease. METHODS:A case-control study for...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008901

    authors: Wang Y,Zhang Z,Wei L,Zhang Q,Zou Z,Yang L,Li D,Shang M,Han C,Mambiya M,Bao X,Li Q,Hao F,Zhang K,Wang H,Liu S,Liu M,Zeng F,Nie F,Wang K,Liu W,Duan L

    更新日期:2020-02-18 00:00:00

  • Centrotemporal spikes in families with rolandic epilepsy: linkage to chromosome 15q14.

    abstract:OBJECTIVE:To localize a gene predisposing to benign epilepsy of childhood with centrotemporal spikes (BECTS). BACKGROUND:BECTS, or rolandic epilepsy, is the most prevalent idiopathic epilepsy syndrome in childhood. Functional relevant defects in the alpha 4 subunit of the neuronal nicotinic acetylcholine receptor (ACh...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.6.1608

    authors: Neubauer BA,Fiedler B,Himmelein B,Kämpfer F,Lässker U,Schwabe G,Spanier I,Tams D,Bretscher C,Moldenhauer K,Kurlemann G,Weise S,Tedroff K,Eeg-Olofsson O,Wadelius C,Stephani U

    更新日期:1998-12-01 00:00:00

  • Improvement in multiple sclerosis during prolonged induced hypothermia.

    abstract::Moderate hypothermia (33 degrees C) was induced for 7 and 3 days, respectively, in two patients with multiple sclerosis. In both patients, striking improvement of clinical signs persisted throughout the period of cooling, indicating the potential for sustained reversal of the neurologic deficit. Hypothermia may aid ma...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.3.302

    authors: Symington GR,Mackay IR,Currie TT

    更新日期:1977-03-01 00:00:00

  • "Preclinical" AD revisited: neuropathology of cognitively normal older adults.

    abstract:OBJECTIVE:To classify neuropathologic alterations in the brains of nondemented older adults using current sets of criteria for AD. BACKGROUND:AD neuropathologic alterations are found in the brains of some nondemented elderly subjects and suggest the possibility of presymptomatic AD. Three sets of guidelines have been ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.3.370

    authors: Schmitt FA,Davis DG,Wekstein DR,Smith CD,Ashford JW,Markesbery WR

    更新日期:2000-08-08 00:00:00

  • Effects of 3-OM-dopa on monoamine metabolism in rat brain.

    abstract::We studied the effects of 3-methoxy, 4-hydroxy-phenylalanine (3-OM-dopa) on monoamine turnover, L-3-4-dihydroxy-phenylalanine (L-dopa) reversal of catecholamine depletion induced by alpha-methyl-paratyrosine (alpha-MT), and the passage of L-dopa across the blood-brain barrier of the rat brain. 3-OM-dopa did not affect...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.3.278

    authors: Gervas JJ,Muradás V,Bazán E,Aguado EG,de Yébenes JG

    更新日期:1983-03-01 00:00:00

  • A randomized, placebo-controlled trial of repeated IV antibiotic therapy for Lyme encephalopathy.

    abstract:BACKGROUND:Optimal treatment remains uncertain for patients with cognitive impairment that persists or returns after standard IV antibiotic therapy for Lyme disease. METHODS:Patients had well-documented Lyme disease, with at least 3 weeks of prior IV antibiotics, current positive IgG Western blot, and objective memory...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.WNL.0000284604.61160.2d

    authors: Fallon BA,Keilp JG,Corbera KM,Petkova E,Britton CB,Dwyer E,Slavov I,Cheng J,Dobkin J,Nelson DR,Sackeim HA

    更新日期:2008-03-25 00:00:00

  • Treatment of early onset multiple sclerosis with subcutaneous interferon beta-1a.

    abstract::The authors studied the tolerability of subcutaneous interferon beta-1a (IFNbeta-1a) in 51 patients with early-onset multiple sclerosis. The most frequent systemic adverse effects were flu-like symptoms in 65%. Laboratory abnormalities included asymptomatic leukopenia (27%) and elevated hepatic transaminases (35%). Tr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000153570.33845.6A

    authors: Pohl D,Rostasy K,Gärtner J,Hanefeld F

    更新日期:2005-03-08 00:00:00

  • Nerve ultrasound improves detection of treatment-responsive chronic inflammatory neuropathies.

    abstract:OBJECTIVE:To examine the diagnostic accuracy of nerve ultrasound in a prospective cohort of consecutive patients with a clinical suspicion of chronic inflammatory neuropathies, including chronic inflammatory demyelinating polyneuropathy, Lewis-Sumner syndrome, and multifocal motor neuropathy, and to determine the added...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008978

    authors: Herraets IJT,Goedee HS,Telleman JA,van Eijk RPA,van Asseldonk JT,Visser LH,van den Berg LH,van der Pol WL

    更新日期:2020-04-07 00:00:00

  • Differences in cognitive impairment of relapsing remitting, secondary, and primary progressive MS.

    abstract:OBJECTIVE:To investigate the cognitive skills of patients with relapsing remitting multiple sclerosis (RRMS), secondary progressive MS (SPMS), and primary progressive MS (PPMS) relative to healthy control subjects and to assess whether there is heterogeneity in the type of cognitive disabilities demonstrated by patient...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000129828.03714.90

    authors: Huijbregts SC,Kalkers NF,de Sonneville LM,de Groot V,Reuling IE,Polman CH

    更新日期:2004-07-27 00:00:00

  • Practice parameter update: management issues for women with epilepsy--focus on pregnancy (an evidence-based review): vitamin K, folic acid, blood levels, and breastfeeding: report of the Quality Standards Subcommittee and Therapeutics and Technology Asses

    abstract:OBJECTIVE:To reassess the evidence for management issues related to the care of women with epilepsy (WWE) during pregnancy, including preconceptional folic acid use, prenatal vitamin K use, risk of hemorrhagic disease of the newborn, clinical implications of placental and breast milk transfer of antiepileptic drugs (AE...

    journal_title:Neurology

    pub_type: 杂志文章,实务指引,评审

    doi:10.1212/WNL.0b013e3181a6b325

    authors: Harden CL,Pennell PB,Koppel BS,Hovinga CA,Gidal B,Meador KJ,Hopp J,Ting TY,Hauser WA,Thurman D,Kaplan PW,Robinson JN,French JA,Wiebe S,Wilner AN,Vazquez B,Holmes L,Krumholz A,Finnell R,Shafer PO,Le Guen C,Americ

    更新日期:2009-07-14 00:00:00

  • The clinical profile of MS in Australia: a comparison between medium- and high-frequency prevalence zones.

    abstract::Recent epidemiologic studies of multiple sclerosis (MS) in Australia defined the State of Queensland as a medium-frequency zone and the more southerly placed cities of Perth, Newcastle, and Hobart as high-frequency zones. Clinical profiles in the patient populations of both frequency zones were remarkably similar in m...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.6.980

    authors: Hammond SR,English D,de Wytt C,Maxwell IC,Millingen KS,Stewart-Wynne EG,McLeod JG,McCall MG

    更新日期:1988-06-01 00:00:00