Cerebrovascular disease—stroke

Caplan, Louis R.; Simon, Roger P.; Hassani, Sara

doi:10.1016/b978-0-323-85654-6.00044-7

Cited by 11 publications

(7 citation statements)

References 46 publications

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“…The incremental arterial constriction within the Circle of Willis in MMD ultimately progresses to total occlusion, thus diminishing blood flow and culminating in potential cerebral infarction[ 6 ]. A longitudinal study executed in Japan (2007) revealed a 3.2% annual stroke rate amongst 34 primary MMD patients without surgical intervention, with a mean follow-up duration of 44 mo[ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Is medical management useful in Moyamoya disease?

Muengtaweepongsa,

Panpattanakul

2024

World J Clin Cases

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Moyamoya disease (MMD), characterized by progressive internal carotid artery stenosis and collateral vessel formation, prompts cerebral perfusion complications and is stratified into idiopathic and Moyamoya syndrome subtypes. A multifaceted approach toward MMD management addresses cerebral infarctions through revascularization surgery and adjunctive medical therapy, while also navigating risks such as intracranial hemorrhage and cerebral infarction resulting from arterial stenosis and fragile collateral vessels. Addressing antithrombotic management reveals a potential role for treatments like antiplatelet agents and anticoagulants, despite the ambiguous contribution of thrombosis to MMD-related infarctions and the critical balance between preventing ischemic events and averting hemorrhagic complications. Transcranial doppler has proven useful in thromboembolic detection, despite persisting challenges concerning the efficacy and safety of antithrombotic treatments. Furthermore, antihypertensive interventions aim to manage blood pressure meticulously, especially during intracerebral hemorrhage, with recommendations and protocols varying based on the patient’s hypertension status. Additionally, lipid-lowering therapeutic strategies, particularly employing statins, are appraised for their possible beneficial role in MMD management, even as comprehensive data from disease-specific clinical trials remains elusive. Comprehensive guidelines and protocols to navigate the multifaceted therapeutic avenues for MMD, while maintaining a delicate balance between efficacy and safety, warrant further meticulous research and development. This protocol manuscript seeks to elucidate the various aspects and challenges imbued in managing and navigating through the complex landscape of MMD treatment.

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Section: Introductionmentioning

confidence: 99%

Is medical management useful in Moyamoya disease?

Muengtaweepongsa,

Panpattanakul

2024

World J Clin Cases

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“…Stroke is an acute focal or global functional brain disorder due to obstruction of blood flow to the brain due to bleeding or blockage (Caplan et al, 2022;Losseff et al, 2016;Peisker et al, 2017;Venkat et al, 2017;Whitehead, 2022), with symptoms and signs according to the part of the brain affected, which can heal completely, heal with disability, or death (Yuanita et al, 2015). Stroke or brain attack is a clinical syndrome that has a sudden, progressive, rapid onset in the form of focal and/or global neurological deficits, lasting 24 hours or more or directly causing death, and is solely caused by non-traumatic cerebral circulatory disorders (Khairunnisa et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Relationship between early treatment and extent of neurological damage in stroke patients

Linawati,

Sudrajat

2024

IJOMS

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Stroke is a disease that has a high mortality and disability rate, stroke sufferers need fast and precise treatment, especially at the golden time where it is the best time to deal with stroke. This study aims to determine the relationship between initial treatment and the extent of neurological damage to stroke patients. This researcher also uses quantitative methods with a cross-sectional approach. Meanwhile, sampling is carried out using non-probability sampling techniques, the type of total sampling with independent variables is the initial handling of stroke at home and the dependent variable, namely neurological damage that occurs. The results showed that the initial treatment carried out at home by the family was not related to the neurological damage of stroke patients. The initial treatment of stroke was only related to the stiffness experienced by respondents. Meanwhile, the initial treatment of stroke is not related to feeling bad, visual impairment, dizziness, confusion, balance disturbance, headache, paralysis, loss of taste, impaired field of view, difficulty forming words, unable to speak, impaired perception, impaired orientation, and level of consciousness.

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“…Integrating AI into stroke diagnosis is crucial for promptly commencing therapy, hence greatly improving patient outcomes and survival rates. Cerebrovascular accidents, caused by disruptions in blood circulation to the brain, need immediate medical attention to minimize long-term harm [4]. Deep learning expedites the analysis of medical imaging such as MRIs or CT scans, aiding in stroke identification, and contributing to swift diagnosis [5,6].…”

Section: Introductionmentioning

confidence: 99%

Enhancing Brain Stroke Detection: A Novel Deep Neural Network with Weighted Binary Cross Entropy Training

Qasim,

Alani,

Mahmood

et al. 2024

RIA

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Cerebrovascular disease—stroke

Cited by 11 publications

References 46 publications

Is medical management useful in Moyamoya disease?

Is medical management useful in Moyamoya disease?

Relationship between early treatment and extent of neurological damage in stroke patients

Enhancing Brain Stroke Detection: A Novel Deep Neural Network with Weighted Binary Cross Entropy Training

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