Abstract:
:Patients with infarctions in the territory of the right middle cerebral artery (RMCA) sometimes present with an agitated confusional state. We reviewed clinical data on 46 patients with RMCA infarcts and compared neurologic findings in patients with and without agitated confusion. Neither of the two patients presenting with agitated confusion showed obvious localizing neurologic signs; subtle motor, visual field and sensory deficits referable to the infarcted regions were present, but difficult to elicit because of the mental state. In contrast, all but one of the patients without agitated confusion had prominent motor and sensory signs. Infarction of the RMCA territory may cause agitated confusion in patients without prominent localizing signs; the initial neurologic findings may suggest a metabolic encephalopathy. However, the possibility of a cerebrovascular cause should not be dismissed in confused and agitated patients who have no definite lateralizing signs.
journal_name
Strokejournal_title
Strokeauthors
Schmidley JW,Messing ROdoi
10.1161/01.str.15.5.883subject
Has Abstractpub_date
1984-09-01 00:00:00pages
883-5issue
5eissn
0039-2499issn
1524-4628journal_volume
15pub_type
杂志文章相关文献
STROKE文献大全abstract:BACKGROUND:Hyperpolarization of vascular muscle in response to activation of potassium channels is a major mechanism of vasodilatation. In cerebral blood vessels, four different potassium channels have been described: ATP-sensitive potassium channels, calcium-activated potassium channels, delayed rectifier potassium ch...
journal_title:Stroke
pub_type: 杂志文章,评审
doi:10.1161/01.str.26.9.1713
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Aspirin is preventive against stroke not only because of its antithrombotic properties but also by other direct effects. The aim of this study was to elucidate its direct neuroprotective effects. METHODS:Viability parameters, glutamate release and uptake, and ATP levels were measured in cultured...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/hs0102.101299
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Although the stroke rate associated with atrial fibrillation has declined over the last 10 years, the emerging atrial fibrillation epidemic threatens to increase the incidence of cardioembolic stroke. Summary of Review-Oral anticoagulants are superior antithrombotic agents but are underused due t...
journal_title:Stroke
pub_type: 杂志文章,评审
doi:10.1161/STROKEAHA.110.589218
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:With decision-analytic models becoming more popular to assess the cost-effectiveness of health care interventions, the need for robust estimates on the costs of cerebrovascular disease is paramount. This study reports the results from a literature review of the costs of cerebrovascular diseases, ...
journal_title:Stroke
pub_type: 杂志文章,meta分析,评审
doi:10.1161/STROKEAHA.108.529776
更新日期:2009-02-01 00:00:00
abstract::A case of simultaneous rupture of two intracranial aneurysms is reported. This is a rare event, and we found no CT reports of such a case. This case points out that the usual assumption of a single aneurysm rupture in a patient with multiple aneurysms may be erroneous and difficult to diagnose angiographically, but ma...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.16.3.518
更新日期:1985-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Evidence suggests that the protease-activated receptor-1 (PAR-1), a thrombin receptor, mediates neuronal injury in experimental cerebral ischemia. The present study investigated whether PAR-1 plays a role in brain injury after global cerebral ischemia. METHODS:Adult male wild-type or PAR-1 knock...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.112.661819
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A prominent feature of cerebral ischemia is the excessive intracellular accumulation of both Na(+) and Ca(2+) ions, which results in subsequent cell death. The plasma membrane Na(+)/Ca(2+) exchanger (NCX), regulates the distribution of these ions acting either in the forward mode or in its revers...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.106.478644
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The majority of pharmacological agents for stroke were developed based on the assumption that neurological deficits will be reduced upon the successful interruption of biochemical mechanisms leading to neuronal death. Despite significant evidence of preclinical efficacy, none of these agents succ...
journal_title:Stroke
pub_type: 杂志文章,评审
doi:10.1161/STROKEAHA.109.559914
更新日期:2009-10-01 00:00:00
abstract::Cerebral autoregulation can be duplicated in vitro using the large middle cerebral arteries from a calf. The limits of autoregulation were between 50 and 150 mm Hg. Excessively high pressures may lead to the appearance of the "sausage- or bead-string" response followed by forced dilation. These results suggest the exi...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.12.5.640
更新日期:1981-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several studies have reported poor outcomes in patients too good to treat with intravenous thrombolysis because of mild or rapidly improving symptoms. We sought to determine baseline clinical and imaging predictors of poor outcome in these patients. METHODS:Among 3950 consecutive stroke admissio...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.116.014871
更新日期:2016-12-01 00:00:00
abstract::Background and Purpose- Given inconclusive studies, it is debated whether clinical and imaging characteristics, as well as functional outcome, differ among patients with intracerebral hemorrhage (ICH) related to vitamin K antagonists (VKA) versus non-vitamin K antagonist (NOAC)-related ICH. Notably, clinical character...
journal_title:Stroke
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1161/STROKEAHA.118.023492
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Many foods have been suggested to influence the risk of stroke. However, no previous studies have examined the relationship between overall dietary patterns and risk of stroke. METHODS:Using dietary information collected in 1984 from 71,768 women aged 38 to 63 years without a history of cardiova...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000135762.89154.92
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Data from epidemiological and case-control studies suggest that increased total homocysteine (tHcy) levels are associated with increased risk for thromboembolic disease. The mechanisms by which hyperhomocysteinemia contributes to thrombogenesis are incompletely understood. The main objectives of ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.30.5.974
更新日期:1999-05-01 00:00:00
abstract::Background and Purpose- The optimal antithrombotic strategy to balance thromboembolic and bleeding events, especially acute stroke, for patients with atrial fibrillation following coronary stenting remains a matter of debate. We conducted a network meta-analysis to identify the antithrombotic regimen associated with t...
journal_title:Stroke
pub_type: 杂志文章,meta分析
doi:10.1161/STROKEAHA.119.026078
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Quality of life (QoL) is important to stroke survivors yet is often recorded as a secondary measure in acute stroke randomized controlled trials. We examined whether commonly used stroke outcome measures captured aspects of QoL. METHODS:We examined primary outcomes by National Institutes of Heal...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.113.001126
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Hyperglycemia may worsen brain injury during acute cerebral infarction. We tested the feasibility and tolerability of aggressive hyperglycemia correction with intravenous insulin compared with usual care during acute cerebral infarction. METHODS:We conducted a randomized, multicenter, blinded pi...
journal_title:Stroke
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1161/STROKEAHA.107.493544
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We aimed to determine the effect of intracisternal administration of an endothelin-A receptor antagonist (BQ-123) against vasospasm in a monkey model and to determine whether this drug would have adverse interactions with intracisternal tissue plasminogen activator (TPA). METHODS:Thirty-three mo...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.27.9.1629
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The extent of cardiac investigation required in patients with coexistent symptomatic carotid and cardiac disease is unsettled. This study compared the outlook for patients symptomatic from carotid stenosis with and without a history of symptomatic ischemic heart disease (IHD). METHODS:The risk o...
journal_title:Stroke
pub_type: 临床试验,杂志文章
doi:10.1161/01.str.0000030110.05246.2c
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Diffusion-weighted MRI (DWI) and perfusion-weighted MRI (PWI) are new techniques that can be used for the evaluation of acute ischemic stroke. However, their potential role in the management of patients treated with recombinant tissue plasminogen activator (rtPA) has yet to be determined. CASE DESCRIPTION:T...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.30.3.678
更新日期:1999-03-01 00:00:00
abstract::Adenylate cyclase activity was investigated in either homogenate or particulate fractions from the frontal cerebral cortex of the gerbil following five experimental conditions of bilateral ischemia. After periods of 15 min ischemia, 15 min ischemia plus 15 min of recirculation or 60 min ischemia the enzyme generally d...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.15.2.329
更新日期:1984-03-01 00:00:00
abstract::We examined cerebral lipid peroxidation, estimated by a thiobarbituric acid test, in rat brain regions after 30 minutes of severe forebrain ischemia and at recirculation periods of up to 72 hours. The lipid peroxide levels remained unaltered in all brain regions during ischemia and during the first hour of recirculati...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.20.7.918
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The aim of our study was to clarify the pathophysiology of perioperative cerebral complications during carotid endarterectomy in our series. METHODS:By means of transcranial Doppler ultrasonography and stump pressure measurement, we monitored 112 patients who underwent carotid endarterectomy und...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.28.12.2448
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Accurate data on the distribution of stroke subtypes are essential for understanding the forces driving recent morbidity and mortality trends. The introduction of diagnosis-related groups (DRGs) in the 1980s may have affected the distribution of stroke subtypes as defined by International Classif...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.32.7.1487
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Treatment of cerebral sinus thrombosis with heparin is controversial. We conducted a double-blind, placebo-controlled multicenter trial to examine whether anticoagulant treatment improves outcome in patients with sinus thrombosis. METHODS:Patients were randomized between body weight-adjusted sub...
journal_title:Stroke
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1161/01.str.30.3.484
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Noncontrast computed tomographic (CT) hypodensities have been shown to be associated with hematoma expansion in intracerebral hemorrhage (ICH), but their impact on functional outcome is yet to be determined. We evaluated whether baseline noncontrast CT hypodensities are associated with poor clini...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.116.014425
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Priorities in the care of stroke patients are often intuitive. An open and translucent priority-setting procedure would benefit patients, professionals, and decision-makers. Prioritization is an innovative part of the new Swedish national stroke guidelines. METHODS:Working groups identified diag...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.106.481457
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:the association of autosomal-dominant polycystic kidney disease (ADPKD) with intracranial aneurysm (ICAN) is well known but little is known about the characteristics of ICAN in ADPKD. The purpose of this study was to investigate the prevalence and characteristics of ICAN in ADPKD. METHODS:we scr...
journal_title:Stroke
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1161/STROKEAHA.110.578740
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To date, studies on neonatal stroke have mainly focused on cortical stroke. We have focused on perforator strokes, noncortical strokes in the arterial vascular perforator area. We sought to identify risk factors and evaluate clinical presentation and neuroimaging findings for neonatal perforator ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.113.001064
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Pial arterioles transiently dilate during cortical spreading depression (CSD), although the mechanisms are unclear. We tested the hypothesis that increased production of nitric oxide (NO) promotes arteriolar dilation. METHODS:Urethane-anesthetized rabbits were equipped with cranial windows, and ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.25.12.2463
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The significance of structural changes associated with cerebral small-vessel disease (SVD), including white matter lesions (WML), lacunes, and brain atrophy, to outcome from acute intracerebral hemorrhage is uncertain. We determined associations of computed tomographic radiological manifestations...
journal_title:Stroke
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1161/STROKEAHA.115.012147
更新日期:2016-03-01 00:00:00