Importance of the imaging modality in decision making about carotid endarterectomy.

Abstract:

OBJECTIVE:To determine the influence of all possible imaging strategies on the appropriateness ratings for carotid endarterectomy, because less accurate noninvasive techniques are replacing contrast angiography, which was used in the major efficacy trials. METHODS:An expert panel, using appropriateness methodology, rated 203 scenarios where endarterectomy might be performed. Each scenario was rated where internal carotid artery stenosis was determined using five different imaging sources: 1) conventional angiography, 2) ultrasound carotid Doppler only, 3) CT (CTA) or MR (MRA) angiography only, 4) concordant results from two noninvasive carotid imaging studies, and 5) discordant results from two noninvasive studies. The scenarios deemed appropriate by conventional angiography were identified. The effect of the other imaging modalities on these results was examined. RESULTS:Thirty-three scenarios were identified as being appropriate. Concordant imaging results had no effect on appropriateness ratings in symptomatic carotid artery disease when compared with conventional angiography. Single noninvasive imaging techniques were deemed appropriate for investigation only in the presence of severe symptomatic stenosis. In all other scenarios, single noninvasive imaging and discordant results reduced the appropriateness rating of scenarios to either uncertain benefit or inappropriateness. The single appropriate scenario for asymptomatic carotid artery stenosis was where severe stenosis was determined by concordant noninvasive imaging or by CTA or MRA alone. CONCLUSION:It is important to take into account both the clinical scenario and the imaging modalities utilized to determine the degree of internal carotid artery stenosis in the clinical decision making surrounding carotid endarterectomy.

journal_name

Neurology

journal_title

Neurology

authors

Kennedy J,Quan H,Ghali WA,Feasby TE

doi

10.1212/01.wnl.0000115097.61748.bf

subject

Has Abstract

pub_date

2004-03-23 00:00:00

pages

901-4

issue

6

eissn

0028-3878

issn

1526-632X

journal_volume

62

pub_type

杂志文章
  • Modeling disease trajectory in Duchenne muscular dystrophy.

    abstract:OBJECTIVE:To quantify disease progression in individuals with Duchenne muscular dystrophy (DMD) using magnetic resonance biomarkers of leg muscles. METHODS:MRI and magnetic resonance spectroscopy (MRS) biomarkers were acquired from 104 participants with DMD and 51 healthy controls using a prospective observational stu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009244

    authors: Rooney WD,Berlow YA,Triplett WT,Forbes SC,Willcocks RJ,Wang DJ,Arpan I,Arora H,Senesac C,Lott DJ,Tennekoon G,Finkel R,Russman BS,Finanger EL,Chakraborty S,O'Brien E,Moloney B,Barnard A,Sweeney HL,Daniels MJ,Walter

    更新日期:2020-04-14 00:00:00

  • Left/right asymmetry of atrophy in semantic dementia: behavioral-cognitive implications.

    abstract:OBJECTIVE:To characterize presenting symptomatology in patients with semantic dementia (SD) and to investigate whether left and right temporal variants of the disease have distinct behavioral and cognitive profiles. METHODS:Retrospective examination of case notes was performed in 47 consecutive referrals of patients w...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000091868.28557.b8

    authors: Thompson SA,Patterson K,Hodges JR

    更新日期:2003-11-11 00:00:00

  • IgG receptor IIa alleles determine susceptibility and severity of Guillain-Barré syndrome.

    abstract:OBJECTIVE:Guillain-Barré syndrome (GBS) is characterized by nerve infiltration of leukocytes and autoantibodies of the immunoglobulin G (IgG) isotype directed against nerve constituents. Leukocyte receptors for IgG (FcgammaR) constitute an important link between the humoral and cellular parts of the immune system and c...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.54.8.1661

    authors: van der Pol WL,van den Berg LH,Scheepers RH,van der Bom JG,van Doorn PA,van Koningsveld R,van den Broek MC,Wokke JH,van de Winkel JG

    更新日期:2000-04-25 00:00:00

  • Sporadic Creutzfeldt-Jakob disease: co-occurrence of different types of PrP(Sc) in the same brain.

    abstract::Phenotypic heterogeneity of sporadic Creutzfeldt-Jakob disease (CJD) has been linked to biochemically distinct types of the protease-resistant form of the prion protein (type 1 and type 2 PrP(Sc)). We investigated 14 cases of sporadic CJD and found that both type 1 and type 2 PrP(Sc) coexisted in 5 subjects. The disti...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.9.2173

    authors: Puoti G,Giaccone G,Rossi G,Canciani B,Bugiani O,Tagliavini F

    更新日期:1999-12-10 00:00:00

  • Lifetime cumulative incidence of dementia in a community-dwelling elderly population in Japan.

    abstract:OBJECTIVE:To estimate the lifetime cumulative incidence of dementia and its subtypes from a community-dwelling elderly population in Japan. METHODS:A total of 1,193 community-dwelling Japanese individuals without dementia, aged 60 years or older, were followed up prospectively for 17 years. The cumulative incidence of...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009917

    authors: Yoshida D,Ohara T,Hata J,Shibata M,Hirakawa Y,Honda T,Furuta Y,Oishi E,Sakata S,Kanba S,Kitazono T,Ninomiya T

    更新日期:2020-08-04 00:00:00

  • Progressive dementia, visual deficits, amyotrophy, and microinfarcts.

    abstract::Data from three patients and 22 previously reported cases suggest that cerebral microinfarction causes a recognizable clinical syndrome. All cases present with stroke, followed by progressive dementia and often with visual field deficits, peripheral vascular disease, and signs of motor neuron dysfunction. The average ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.6.789

    authors: Kaplan JG,Katzman R,Horoupian DS,Fuld PA,Mayeux R,Hays AP

    更新日期:1985-06-01 00:00:00

  • Effects of valproic acid in cultured mammalian neurons.

    abstract::Valproic acid (VPA) has been postulated to exert its anticonvulsant effects by interaction with the postsynaptic GABA receptor. To test that hypothesis, we applied VPA in clinically appropriate concentrations to cortical neurons in dissociated cell culture. VPA did not enhance the postsynaptic effect of GABA, but did ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.2.259

    authors: Buchhalter JR,Dichter MA

    更新日期:1986-02-01 00:00:00

  • Up-regulation of hippocampal serotonin metabolism in mild cognitive impairment.

    abstract:OBJECTIVE:Recent studies have suggested modifications of serotonin cerebral metabolism and of 5-HT(1A) receptors density in Alzheimer disease (AD). This study aims at exploring hippocampus 5-HT(1A) receptor density in patients at the amnesic mild cognitive impairment (aMCI) and mild AD dementia stages. METHODS:With us...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000271377.52421.4a

    authors: Truchot L,Costes SN,Zimmer L,Laurent B,Le Bars D,Thomas-Antérion C,Croisile B,Mercier B,Hermier M,Vighetto A,Krolak-Salmon P

    更新日期:2007-09-04 00:00:00

  • Contemporary approaches to the pharmacotherapeutic management of Parkinson's disease: an overview.

    abstract::A number of unresolved issues complicate the effective management of patients with Parkinson's disease (PD). Chief among these is the role of neuroprotective versus symptomatic pharmacologic interventions. Until the etiology of PD is further defined, consensus on appropriate management of this illness is unlikely. Cli...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.49.1_suppl_1.s2

    authors: Stern MB

    更新日期:1997-07-01 00:00:00

  • Evidence in focus: Nusinersen use in spinal muscular atrophy: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.

    abstract:OBJECTIVE:To identify the level of evidence for use of nusinersen to treat spinal muscular atrophy (SMA) and review clinical considerations regarding use. METHODS:The author panel systematically reviewed nusinersen clinical trials for patients with SMA and assigned level of evidence statements based on the American Ac...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006502

    authors: Michelson D,Ciafaloni E,Ashwal S,Lewis E,Narayanaswami P,Oskoui M,Armstrong MJ

    更新日期:2018-11-13 00:00:00

  • Serial study of gadolinium-DTPA MRI enhancement in multiple sclerosis.

    abstract::We performed serial baseline and gadolinium (Gd)-DTPA-enhanced MRI in 4 patients with definite multiple sclerosis. Studies were performed every month for a total of 4 scans. We obtained short TR/short TE sequences at 10 and 60 minutes after Gd-DTPA injection. All patients had multiple hyperintense lesions seen on base...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.4.591

    authors: Bastianello S,Pozzilli C,Bernardi S,Bozzao L,Fantozzi LM,Buttinelli C,Fieschi C

    更新日期:1990-04-01 00:00:00

  • Alcohol intake and the risk of intracerebral hemorrhage in the elderly: The MUCH-Italy.

    abstract:OBJECTIVE:To investigate the role of alcohol as a causal factor for intracerebral hemorrhage (ICH) and whether its effects might vary according to the pathogenic mechanisms underlying cerebral bleeding. METHODS:We performed a case-control analysis, comparing a cohort of consecutive white patients with ICH aged 55 year...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000005814

    authors: Costa P,Grassi M,Iacoviello L,Zedde M,Marcheselli S,Silvestrelli G,DeLodovici ML,Sessa M,Zini A,Paciaroni M,Azzini C,Gamba M,Del Sette M,Toriello A,Gandolfo C,Bonifati DM,Tassi R,Cavallini A,Chiti A,Calabrò RS,Gri

    更新日期:2018-07-17 00:00:00

  • Novel missense mutation in the early growth response 2 gene associated with Dejerine-Sottas syndrome phenotype.

    abstract:BACKGROUND:Mutations in the early growth response 2 (EGR2) gene have recently been found in patients with congenital hypomyelinating neuropathy and Charcot-Marie-Tooth type 1 (CMT1) disease. OBJECTIVE:To determine the frequency of EGR2 mutations in patients with a diagnosis of CMT1, Dejerine-Sottas syndrome (DSS), or ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.9.1827

    authors: Timmerman V,De Jonghe P,Ceuterick C,De Vriendt E,Löfgren A,Nelis E,Warner LE,Lupski JR,Martin JJ,Van Broeckhoven C

    更新日期:1999-06-10 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

  • Subtraction ictal SPECT co-registered to MRI improves clinical usefulness of SPECT in localizing the surgical seizure focus.

    abstract::Traditional side-by-side visual interpretation of ictal and interictal single-photon emission computed tomography (SPECT) scans can be difficult in identifying the surgical focus, particularly in patients with extratemporal or otherwise unlocalized intractable epilepsy. Computer-aided subtraction ictal SPECT co-regist...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.2.445

    authors: O'Brien TJ,So EL,Mullan BP,Hauser MF,Brinkmann BH,Bohnen NI,Hanson D,Cascino GD,Jack CR Jr,Sharbrough FW

    更新日期:1998-02-01 00:00:00

  • Canine and human myasthenia gravis autoantibodies recognize similar regions on the acetylcholine receptor.

    abstract::Serum from 35 cases of naturally occurring acquired canine myasthenia gravis (MG) were assayed for patterns of autoantibody specificities against canine acetylcholine receptor (AChR) using monoclonal antibodies (mAbs) and antiserum against defined regions of the AChR as competitive inhibitors of autoantibody binding. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.9.1417

    authors: Shelton GD,Cardinet GH,Lindstrom JM

    更新日期:1988-09-01 00:00:00

  • Syndromes dominated by apraxia of speech show distinct characteristics from agrammatic PPA.

    abstract:OBJECTIVE:We assessed whether clinical and imaging features of subjects with apraxia of speech (AOS) more severe than aphasia (dominant AOS) are more similar to agrammatic primary progressive aphasia (agPPA) or to primary progressive AOS (PPAOS). METHODS:Sixty-seven subjects (PPAOS = 18, dominant AOS = 10, agPPA = 9, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31829c5ed5

    authors: Josephs KA,Duffy JR,Strand EA,Machulda MM,Senjem ML,Lowe VJ,Jack CR Jr,Whitwell JL

    更新日期:2013-07-23 00:00:00

  • Retraction of the lower eyelid.

    abstract::Retraction of the lower eyelid is a useful sign of disease. It is an early manifestation of weakness of the facial muscles, occurring with myopathies, myasthenia, and upper and lower motor neuron facial paresis. Rarely, lower and upper lid retraction occur without proptosis in patients with Graves disease. Lower lid r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.3.386

    authors: Cohen MM,Lessell S

    更新日期:1979-03-01 00:00:00

  • Sign language aphasia due to left occipital lesion in a deaf signer.

    abstract::Localization of sign language production and comprehension in deaf people has been described as similar to that of spoken language aphasia. However, sign language employs a visuospatial modality through visual information. We present the first report of a deaf signer who showed substantial sign language aphasia with s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000277455.08067.9c

    authors: Saito K,Otsuki M,Ueno S

    更新日期:2007-10-02 00:00:00

  • POLG mutations causing ophthalmoplegia, sensorimotor polyneuropathy, ataxia, and deafness.

    abstract::The authors identified two novel heterozygous missense transitions in the gene for the mitochondrial polymerase gammaA subunit (POLG) in a family with an autosomal recessive syndrome comprising progressive external ophthalmoplegia (PEO), polyneuropathy, ataxia, sensorineural hearing loss, and affective disorders. Thes...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.62.2.316

    authors: Mancuso M,Filosto M,Bellan M,Liguori R,Montagna P,Baruzzi A,DiMauro S,Carelli V

    更新日期:2004-01-27 00:00:00

  • Predictive factors of in-hospital CNS complications following liver transplantation.

    abstract::We prospectively evaluated 84 consecutive adult patients with chronic liver disease before and after liver transplantation to define the type and frequency of post-transplant neurologic complications, and to assess possible pretransplant and operative variables associated with in-hospital CNS complications. There were...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.7.1226

    authors: Pujol A,Graus F,Rimola A,Beltrán J,Garcia-Valdecasas JC,Navasa M,Grande L,Galofré J,Visa J,Rodés J

    更新日期:1994-07-01 00:00:00

  • Domain-dependent clustering and genotype-phenotype analysis of LGI1 mutations in ADPEAF.

    abstract:OBJECTIVE:In families with autosomal dominant partial epilepsy with auditory features (ADPEAF) with mutations in the LGI1 gene, we evaluated clustering of mutations within the gene and associations of penetrance and phenotypic features with mutation location and predicted effect (truncation or missense). METHODS:We ab...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318247ccbf

    authors: Ho YY,Ionita-Laza I,Ottman R

    更新日期:2012-02-21 00:00:00

  • Reemergence of activation with poststroke somatosensory recovery: a serial fMRI case study.

    abstract::The authors demonstrate the potential for poststroke return of activation in regions normally involved in touch discrimination in a serial, whole-brain fMRI study of a patient with marked sensory loss followed by good recovery. A return of activation in ipsilesional primary and bilateral secondary somatosensory cortic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.59.5.749

    authors: Carey LM,Abbott DF,Puce A,Jackson GD,Syngeniotis A,Donnan GA

    更新日期:2002-09-10 00:00:00

  • Treatment of amyotrophic lateral sclerosis with the TRH analog DN-1417.

    abstract::Thyrotropin-releasing hormone has been reported to increase strength in patients with amyotrophic lateral sclerosis (ALS). DN-1417 is an analog of thyrotropin-releasing hormone, which has less endocrinologic activity, but more anterior horn cell stimulating effect (with no "autorefractory state"). However, 2 mg DN-141...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.4.715

    authors: Hawley RJ,Kratz R,Goodman RR,McCutchen CB,Sirdofsky M,Hanson PA

    更新日期:1987-04-01 00:00:00

  • Faster cognitive decline in elders without dementia and decreased risk of cancer mortality: NEDICES Study.

    abstract:OBJECTIVE:To assess whether faster cognitive decline in elders without dementia is associated with decreased risk of cancer mortality. METHODS:In this population-based, prospective study of 2,627 people without dementia aged 65 years and older (Neurological Disorders in Central Spain), a 37-item version of the Mini-Me...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000350

    authors: Benito-León J,Romero JP,Louis ED,Bermejo-Pareja F

    更新日期:2014-04-22 00:00:00

  • Characteristics of temporal lobe epilepsy with mesial temporal sclerosis, with special reference to psychotic episodes.

    abstract::This study investigates the histories and the clinical course of 111 patients who had nonlesional temporal lobe epilepsy. We compared 61 patients with unilateral hippocampal sclerosis (UHS group) and 50 patients with minimal change (MRI negative group) assessed on the basis of MRI. In agreement with previous reports, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.5.1199

    authors: Kanemoto K,Takeuchi J,Kawasaki J,Kawai I

    更新日期:1996-11-01 00:00:00

  • Collagen VI involvement in Ullrich syndrome: a clinical, genetic, and immunohistochemical study.

    abstract:BACKGROUND:Ullrich congenital muscular dystrophy (UCMD) is a form of merosin-positive congenital muscular dystrophy characterized by proximal contractures, distal laxity, rigidity of the spine, and respiratory complications. Recently, a deficiency of collagen VI on muscle and skin biopsy together with recessive mutatio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.9.1354

    authors: Mercuri E,Yuva Y,Brown SC,Brockington M,Kinali M,Jungbluth H,Feng L,Sewry CA,Muntoni F

    更新日期:2002-05-14 00:00:00

  • The humoral response in the pathogenesis of gluten ataxia.

    abstract:OBJECTIVE:To characterize humoral response to cerebellum in patients with gluten ataxia. BACKGROUND:Gluten ataxia is a common neurologic manifestation of gluten sensitivity. METHODS:The authors assessed the reactivity of sera from patients with gluten ataxia (13), newly diagnosed patients with celiac disease without ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.8.1221

    authors: Hadjivassiliou M,Boscolo S,Davies-Jones GA,Grünewald RA,Not T,Sanders DS,Simpson JE,Tongiorgi E,Williamson CA,Woodroofe NM

    更新日期:2002-04-23 00:00:00

  • Tuberculous meningitis in the southwest United States: a community-based study.

    abstract::This community-based study analyzed 54 patients with definite or probable tuberculous meningitis (TBM) in New Mexico from 1970 through 1990. Patients ranged in age from 4 months to 86 years. The highest age-specific incidence occurred in the elderly, but 22% of patients were less than 10 years old. Native American pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.9.1775

    authors: Davis LE,Rastogi KR,Lambert LC,Skipper BJ

    更新日期:1993-09-01 00:00:00

  • Hepatitis C augments cognitive deficits associated with HIV infection and methamphetamine.

    abstract:OBJECTIVE:To examine the contribution of hepatitis C virus (HCV) infection to neurocognitive dysfunction in individuals with comorbid HIV infection or methamphetamine (METH) dependence. METHODS:Neurocognitive functioning was examined in 430 study participants who were either normal controls or had HCV infection, HIV i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000158328.26897.0D

    authors: Cherner M,Letendre S,Heaton RK,Durelle J,Marquie-Beck J,Gragg B,Grant I,HIV Neurobehavioral Research Center Group.

    更新日期:2005-04-26 00:00:00