Branch occlusive disease: clinical and magnetic resonance angiography findings.

Abstract:

BACKGROUND:We evaluated the clinicoradiologic characteristics of patients with branch occlusive disease (BOD)-type intracranial atherosclerotic stroke (ICAS) compared with those of patients with non-BOD-type ICAS or with small artery disease (SAD). METHODS:We analyzed 201 consecutive patients with acute infarcts within the middle cerebral artery (MCA) distribution but no demonstrable carotid or cardiac embolism sources. According to the diffusion-weighted imaging (DWI) distribution and the presence of ipsilateral MCA stenosis, of any degree, on magnetic resonance angiography (3-T MRI), we divided patients into 3 groups: 1) BOD: subcortical infarcts with MCA stenosis (n = 46); 2) non-BOD: infarcts beyond the subcortical area with MCA stenosis (n = 52); and 3) SAD (n = 103). We compared risk factors, degree of stenoses and distribution, and radiologic features of microangiopathy (leukoaraiosis and cerebral microbleeds) among the groups. RESULTS:Risk factor profiles were similar among the groups, except that hypertension and current smoking were more prevalent in the non-BOD than in the BOD group (p = 0.032 and 0.045). The relevant MCA had more severe and focal stenosis in the non-BOD than in the BOD group (stenosis of ≥70%; 76.9% vs 28.3%; p < 0.001), but the degree of nonrelevant stenosis was similar across the groups. Although clinical features, DWI lesion patterns, and microangiopathy findings were similar between the BOD and SAD groups, nonrelevant stenosis was more prevalent in the BOD than in the SAD group (p < 0.01). CONCLUSIONS:BOD is prevalent (47% of ICAS) and shares common characteristics with non-BOD-type ICAS, although its clinicoradiologic features may resemble those of SAD. The morphologic characteristics of stenosis and risk factors may associate with a stroke phenotype in patients with ICAS.

journal_name

Neurology

journal_title

Neurology

authors

Ryoo S,Park JH,Kim SJ,Kim GM,Chung CS,Lee KH,Kim JS,Bang OY

doi

10.1212/WNL.0b013e31824c4699

subject

Has Abstract

pub_date

2012-03-20 00:00:00

pages

888-96

issue

12

eissn

0028-3878

issn

1526-632X

pii

WNL.0b013e31824c4699

journal_volume

78

pub_type

杂志文章
  • An index to identify stroke-related vs incidental patent foramen ovale in cryptogenic stroke.

    abstract:OBJECTIVE:We aimed to create an index to stratify cryptogenic stroke (CS) patients with patent foramen ovale (PFO) by their likelihood that the stroke was related to their PFO. METHODS:Using data from 12 component studies, we used generalized linear mixed models to predict the presence of PFO among patients with CS, a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a08d59

    authors: Kent DM,Ruthazer R,Weimar C,Mas JL,Serena J,Homma S,Di Angelantonio E,Di Tullio MR,Lutz JS,Elkind MS,Griffith J,Jaigobin C,Mattle HP,Michel P,Mono ML,Nedeltchev K,Papetti F,Thaler DE

    更新日期:2013-08-13 00:00:00

  • APOE epsilon variation in multiple sclerosis susceptibility and disease severity: some answers.

    abstract:BACKGROUND:Previous studies have examined the role of APOE variation in multiple sclerosis (MS), but have lacked the statistical power to detect modest genetic influences on risk and disease severity. The meta- and pooled analyses presented here utilize the largest collection, to date, of MS cases, controls, and famili...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/01.wnl.0000210531.19498.3f

    authors: Burwick RM,Ramsay PP,Haines JL,Hauser SL,Oksenberg JR,Pericak-Vance MA,Schmidt S,Compston A,Sawcer S,Cittadella R,Savettieri G,Quattrone A,Polman CH,Uitdehaag BM,Zwemmer JN,Hawkins CP,Ollier WE,Weatherby S,Enzinger C

    更新日期:2006-05-09 00:00:00

  • Progression in temporal lobe epilepsy: differential atrophy in mesial temporal structures.

    abstract:OBJECTIVE:To determine the relationship between hippocampal, amygdalar, and entorhinal cortex atrophy and duration of epilepsy, presence of secondary generalized seizures, and prolonged childhood febrile convulsions in patients with pharmacologically intractable temporal lobe epilepsy (TLE). METHODS:Volumetric MRI of ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000169066.46912.fa

    authors: Bernasconi N,Natsume J,Bernasconi A

    更新日期:2005-07-26 00:00:00

  • Headache types and panic disorder: directionality and specificity.

    abstract:OBJECTIVE:To examine the relationship of migraine and other severe headaches with panic disorder. METHODS:Representative samples of persons with migraine, non-migrainous severe headaches, and controls with no history of severe headaches, identified by a telephone survey, were interviewed in person, using a standardize...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.3.350

    authors: Breslau N,Schultz LR,Stewart WF,Lipton R,Welch KM

    更新日期:2001-02-13 00:00:00

  • The ALS-FTD-Q: a new screening tool for behavioral disturbances in ALS.

    abstract:OBJECTIVE:The assessment of behavioral disturbances in amyotrophic lateral sclerosis (ALS) is important because of the overlap with the behavioral variant of frontotemporal dementia (ALS-bvFTD). Motor symptoms and dysarthria are not taken into account in currently used behavioral questionnaires. We examined the clinime...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31826c1aa1

    authors: Raaphorst J,Beeldman E,Schmand B,Berkhout J,Linssen WH,van den Berg LH,Pijnenburg YA,Grupstra HF,Weikamp JG,Schelhaas HJ,Papma JM,van Swieten JC,de Visser M,de Haan RJ

    更新日期:2012-09-25 00:00:00

  • Discontinuation of anticonvulsant therapy in children with partial epilepsy.

    abstract::To evaluate when it is possible to discontinue anticonvulsant treatment in children with cryptogenic partial epilepsy, the authors studied 89 epileptic children divided into two groups: Group A, 45 children whose therapy was discontinued after 1 year from the last seizure; and Group B, 44 children whose therapy was st...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.9.1393

    authors: Verrotti A,Morresi S,Basciani F,Cutarella R,Morgese G,Chiarelli F

    更新日期:2000-11-14 00:00:00

  • The incidence and significance of anti-natalizumab antibodies: results from AFFIRM and SENTINEL.

    abstract:OBJECTIVE:To determine the incidence and clinical effects of antibodies that develop during treatment with natalizumab. METHODS:In two randomized, double-blind, placebo-controlled studies (natalizumab safety and efficacy in relapsing remitting multiple sclerosis [MS, AFFIRM] and safety and efficacy of natalizumab in c...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000277457.17420.b5

    authors: Calabresi PA,Giovannoni G,Confavreux C,Galetta SL,Havrdova E,Hutchinson M,Kappos L,Miller DH,O'Connor PW,Phillips JT,Polman CH,Radue EW,Rudick RA,Stuart WH,Lublin FD,Wajgt A,Weinstock-Guttman B,Wynn DR,Lynn F,Panzar

    更新日期:2007-10-02 00:00:00

  • Loss of independence in early Parkinson disease: A 5-year population-based incident cohort study.

    abstract:OBJECTIVE:To determine the risk, predictors, and prognosis of independence loss and institutionalization in patients with early Parkinson disease (PD). METHODS:We conducted a prospective population-based 5-year longitudinal study following 189 patients with incident PD and 174 controls matched for age, sex, and comorb...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003213

    authors: Bjornestad A,Tysnes OB,Larsen JP,Alves G

    更新日期:2016-10-11 00:00:00

  • Season of birth and risk of brain tumors in adults.

    abstract:BACKGROUND:Recent studies demonstrated an excess of winter births in children with brain tumors and in adults with various neurologic or psychiatric diseases relative to the general population. OBJECTIVE:To investigate a possible association between month of birth and risk of brain tumors in adults using data from a l...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/01.wnl.0000129984.01327.9d

    authors: Brenner AV,Linet MS,Shapiro WR,Selker RG,Fine HA,Black PM,Inskip PD

    更新日期:2004-07-27 00:00:00

  • Mitchell's case of "pendulum spasms": psychogenic movement disorder considered as male hysteria.

    abstract:BACKGROUND:In the late 19th century, a man with a psychogenic movement disorder was evaluated by many of the Philadelphia neurologists associated with Silas Weir Mitchell. In 1885, prior to the development of movie cameras or projectors, the patient was photographed by pioneering photographer Eadweard Muybridge, in col...

    journal_title:Neurology

    pub_type: 历史文章,杂志文章

    doi:10.1212/WNL.0000000000001192

    authors: Lanska DJ

    更新日期:2015-01-27 00:00:00

  • Perinatal stroke in term infants with neonatal encephalopathy.

    abstract::In a prospective cohort of 124 encephalopathic term infants, six infants had an acute focal stroke. All six encephalopathic patients with strokes presented with seizures. Neurodevelopmental outcome at 30 months was abnormal in all six patients and significantly worse when compared with the entire cohort overall. These...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000129909.77753.c4

    authors: Ramaswamy V,Miller SP,Barkovich AJ,Partridge JC,Ferriero DM

    更新日期:2004-06-08 00:00:00

  • Retrievable stents, "stentrievers," for endovascular acute ischemic stroke therapy.

    abstract::Endovascular therapy for acute ischemic stroke continues to evolve to improve both efficacy and safety. In the late 1990 s, intra-arterial chemical thrombolysis with prourokinase was shown to be effective in achieving partial recanalization and improving clinical outcome, in comparison with intra-arterial heparin admi...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e3182697e9e

    authors: Novakovic RL,Toth G,Narayanan S,Zaidat OO

    更新日期:2012-09-25 00:00:00

  • Stenting for symptomatic vertebral artery stenosis: The Vertebral Artery Ischaemia Stenting Trial.

    abstract:OBJECTIVE:To compare in the Vertebral Artery Ischaemia Stenting Trial (VIST) the risks and benefits of vertebral angioplasty and stenting with best medical treatment (BMT) alone for symptomatic vertebral artery stenosis. METHODS:VIST was a prospective, randomized, open-blinded endpoint clinical trial performed in 14 h...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000004385

    authors: Markus HS,Larsson SC,Kuker W,Schulz UG,Ford I,Rothwell PM,Clifton A,VIST Investigators.

    更新日期:2017-09-19 00:00:00

  • A dose-comparison trial of topiramate as monotherapy in recently diagnosed partial epilepsy.

    abstract:OBJECTIVE:To evaluate topiramate as monotherapy in adults and children with recently diagnosed, localization-related epilepsy, comparing two dosages of topiramate in a multicenter, randomized, double-blind study. METHODS:Adults and children (>/=3 years of age) were eligible if the maximum interval since epilepsy diagn...

    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.0000048200.12663.bc

    authors: Gilliam FG,Veloso F,Bomhof MA,Gazda SK,Biton V,Ter Bruggen JP,Neto W,Bailey C,Pledger G,Wu SC

    更新日期:2003-01-28 00:00:00

  • Prospective observational cohort study of early recurrent TIA: Features, frequency, and outcome.

    abstract:OBJECTIVES:To evaluate the frequency, clinical and etiologic features, and short- and long-term outcomes of early recurrent TIA. METHODS:This prospective observational cohort study enrolled all consecutive patients with TIA referred to our emergency department and diagnosed by a vascular neurologist. Expedited assessm...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010317

    authors: Foschi M,Pavolucci L,Rondelli F,Spinardi L,Favaretto E,Filippini M,Degli Esposti D,Strocchi E,Faggioli G,Cortelli P,Guarino M,Bologna TIA Study-Group.

    更新日期:2020-09-22 00:00:00

  • Cognitive correlates of 1H MRSI-detected hippocampal abnormalities in temporal lobe epilepsy.

    abstract:OBJECTIVES:To examine associations between 1H magnetic resonance spectroscopic imaging (1H MRSI)-detected hippocampal creatine to N-acetylaspartate (Cr/NAA) ratios and neuropsychological measures sensitive to mesial temporal lobe function. BACKGROUND:The measurement of 1H MRSI-detected hippocampal metabolites has prov...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.9.2052

    authors: Martin RC,Sawrie S,Hugg J,Gilliam F,Faught E,Kuzniecky R

    更新日期:1999-12-10 00:00:00

  • Relationship between mesial temporal seizure focus and elevated serum prolactin in temporal lobe epilepsy.

    abstract::We evaluated the relationship between mesial temporal seizure focus and serum prolactin (PRL) in patients before and after they underwent anterior temporal lobectomy (ATL) for medically intractable temporal lobe epilepsy (TLE). These patients had a confirmed unilateral epileptogenic focus in mesial temporal structures...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.2.528

    authors: Lin YY,Su MS,Yiu CH,Shih YH,Yen DJ,Kwan SY,Wu ZA,Chan SH

    更新日期:1997-08-01 00:00:00

  • Multiple sclerosis among utility workers.

    abstract::The incidence of MS was assessed in a nationwide cohort study of 31,990 employees of Danish utility companies between 1900 and 1993. Overall, 32 cases of MS were diagnosed, as compared with 23.7 expected from national incidence rates, to yield a standardized incidence ratio of 1.35 (95% confidence interval, 0.92 to 1....

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.6.1279

    authors: Johansen C,Koch-Henriksen N,Rasmussen S,Olsen JH

    更新日期:1999-04-12 00:00:00

  • HTLV-I-associated myelopathy/tropical spastic paraparesis in the United States.

    abstract::HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is endemic in the Caribbean basin and Japan. Because of the close proximity of the United States to the Caribbean and the presence of HTLV-I-seropositive persons in the United States, we sought reports of patients who were HTLV-I seropositive and had ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.9.1355

    authors: Janssen RS,Kaplan JE,Khabbaz RF,Hammond R,Lechtenberg R,Lairmore M,Chiasson MA,Punsalang A,Roberts B,McKendall RR

    更新日期:1991-09-01 00:00:00

  • Altered brain activation in cognitively intact individuals at high risk for Alzheimer's disease.

    abstract:OBJECTIVE:To determine whether brain function is altered in cognitively normal individuals at high risk for AD several years before the typical age at onset for this illness. BACKGROUND:Neuropathologic alterations in AD precede cognitive impairment by several years. It is unknown whether functional alterations in neur...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.7.1391

    authors: Smith CD,Andersen AH,Kryscio RJ,Schmitt FA,Kindy MS,Blonder LX,Avison MJ

    更新日期:1999-10-22 00:00:00

  • Meta-analysis and cost-effectiveness of second-line antiepileptic drugs for status epilepticus.

    abstract:OBJECTIVE:Compare the cost and effectiveness of nonbenzodiazepine antiepileptic drugs (non-BZD AEDs) for treatment of BZD-resistant convulsive status epilepticus (SE). METHODS:Decision analysis model populated with effectiveness data from a systematic review and meta-analysis of the literature, and cost data from publ...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/WNL.0000000000007503

    authors: Sánchez Fernández I,Gaínza-Lein M,Lamb N,Loddenkemper T

    更新日期:2019-05-14 00:00:00

  • A pilot study of MRI activity before and during interferon beta-1a therapy.

    abstract::We compared the number of new gadolinium-enhancing and T2-weighted lesions on six monthly MRI scans in eight patients with relapsing multiple sclerosis before and during treatment with weekly intramuscular interferon beta-1a (Avonex; 30 microg). MRI activity was modestly reduced during treatment (p = 0.016). The treat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.4.874

    authors: Waubant E,Goodkin DE,Sloan R,Andersson PB

    更新日期:1999-09-11 00:00:00

  • Ulnar nerve lesions at the wrist: new technique for recording from the sensory dorsal branch of the ulnar nerve.

    abstract::The forearm segment of the ulnar nerve is difficult to assess if the nerve has been injured severely at the wrist. A new, simple nerve conduction technique of recording from the sensory dorsal branch of the nerve localizes the lesion and enables easier evaluation of that segment than do other techniques. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.8.873

    authors: Jabre JF

    更新日期:1980-08-01 00:00:00

  • Familial frontotemporal dementia with ubiquitin-positive, tau-negative inclusions.

    abstract:OBJECTIVE:To describe the clinical features, neuropathology, and genetic studies in a family with autosomal dominant frontotemporal dementia (FTD). BACKGROUND:Clinical Pick's disease, or FTD with parkinsonism, has been described in several families linked to chromosome 17 (FTDP-17). Most of these have shown tau protei...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.4.818

    authors: Kertesz A,Kawarai T,Rogaeva E,St George-Hyslop P,Poorkaj P,Bird TD,Munoz DG

    更新日期:2000-02-22 00:00:00

  • Short-chain fatty acids and encephalopathy of Reye's syndrome.

    abstract::Plasma levels of six short-chain fatty acids (SCFA) were measured in 23 Reye's syndrome patients. In sequential measurements, only propionic acid correlated closely with neurologic severity. Although admission SCFA levels were slightly elevated, there were no significant differences between patients grouped by severit...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.6.831

    authors: McArthur B,Sarnaik AP,Mitchell RA

    更新日期:1984-06-01 00:00:00

  • Multiple sclerosis and age at exposure to childhood diseases and animals: cases and their friends.

    abstract::Eighty-eight multiple sclerosis case-friend pairs were interviewed by telephone to elicit information about early-life exposures. Available mothers were also interviewed. Risk factors included childhood diseases, exposures to animals, and residence. We found a positive association between MS and having measles at a la...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.9.1144

    authors: Sullivan CB,Visscher BR,Detels R

    更新日期:1984-09-01 00:00:00

  • Bioavailability of interferon beta 1b in MS patients with and without neutralizing antibodies.

    abstract:BACKGROUND:Neutralizing antibodies (NAB) to interferon beta (IFNbeta) occur in about one-third of MS patients treated with IFNbeta-1b and there is an association with a loss of clinical and MRI efficacy. However, there are no data regarding the bioavailability of IFNbeta-1b in patients with and without NAB. METHODS:Th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.6.1239

    authors: Deisenhammer F,Reindl M,Harvey J,Gasse T,Dilitz E,Berger T

    更新日期:1999-04-12 00:00:00

  • Paradoxical longevity in obese patients with intracerebral hemorrhage.

    abstract:BACKGROUND:The paradoxical phenomenon of relative longevity among obese patients with established diseases has been reported for various disease conditions. The authors sought to investigate whether the obesity paradox also applies to intracerebral hemorrhage (ICH) survivors. METHODS:A total of 1,604 patients with ICH...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e31820b7667

    authors: Kim BJ,Lee SH,Ryu WS,Kim CK,Lee J,Yoon BW

    更新日期:2011-02-08 00:00:00

  • Diagnostic criteria for idiopathic intracranial hypertension.

    abstract::The syndrome of increased intracranial pressure without hydrocephalus or mass lesion and with normal CSF composition, previously referred to as pseudotumor cerebri, is a diagnosis of exclusion now termed idiopathic intracranial hypertension (IIH). Diagnostic criteria of this disorder have not been updated since the Mo...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000029570.69134.1b

    authors: Friedman DI,Jacobson DM

    更新日期:2002-11-26 00:00:00

  • Treatment of Rasmussen's syndrome with ganciclovir.

    abstract::Since cytomegalovirus (CMV) has been implicated in the pathogenesis of Rasmussen's syndrome, we treated four patients with ganciclovir, a potent anti-CMV drug. A 7-year-old girl with seizures escalating to 60/day over 3 months despite triple antiepileptic drug therapy became seizure-free 5 days after initiation of tre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.4.925

    authors: McLachlan RS,Levin S,Blume WT

    更新日期:1996-10-01 00:00:00