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Epidemiology study of stroke about 1256 cases
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Abstracts / Journal of the Neurological Sciences 333 (2013) e215–e278
hypesthesia. He also exhibited frequent presyncopes when standing in upright position. The symptoms started around 50 days earlier, and were evolving. Five years before, he noticed episodes of sudden weakness of his left leg, with instantaneously improvement. Gadolinium-enhanced brain MRI showed T2-hiperintense lesions in the inferior thalamus, cerebral peduncles, pons, cerebellum and a small periventricular lesion. Brain angiography pointed complete occlusion of basilar artery and irregular pericallosal arteries. Conclusion: We reported a case of total basilar occlusion confounded with multiple sclerosis presentation. doi:10.1016/j.jns.2013.07.958
Abstract — WCN 2013 No: 2475 Topic: 3 — Stroke Ischemic stroke revealing a celiac disease: A case report and review of the literature N. Slimania, D. Hakema, B. Mansourib, A. Berraha. a Internal Medicine, Dr Mohammad-Lamine Debaghine'Hospital, Bab El Oued Universitary Hospital Center, Algiers, Algeria; bRadiology, Dr Mohammad-Lamine Debaghine'Hospital, Bab El Oued Universitary Hospital Center, Algiers, Algeria Objective: To report a case of celiac disease ‘CD’ revealed by ischemic stroke. Case report: A 38 year old woman is investigated for ischemic stroke associated with generalized convulsive crisis which are stabilized by medical antiepileptic drugs. The examination does not show any sign of clinical call suggesting a disease thrombosis (systemic, neoplastic…). We noted an iron deficiency anemia (hemoglobin at 9 g/100 ml microcytic hypochromic anemia). The levels of calcemia, cholesterol, glycemia, prothrombin index, and albumin are normal. The cardiovascular morphological assessment (Holter ECG, echocardiography, Doppler of the supra-aortic trunks ‘SAT’…) do not objectify any abnormalities (patent foramen ovale, stenosis, thrombosis…). In addition the homocysteinemia, C, S, and antithrombin protein levels are normal. Leiden factor's mutation, antiphospholipid antibodies, anti nuclear antibodies, the flux cytometry etc. are without abnormalities. The anti-gliadin and antitransglutaminase of the type (IgA) antibodies are strongly positive and of this fact the diagnosis of the CD is established. Discussion: The absence of cardiovascular diseases or the metabolic risk factor of young's stroke and the negativity of the immunological assessment plead in favor of the existence of a causal link between the CD and the ischemic stroke. The most widely incriminated factor is autoimmune central nervous system vasculitis, in which tissue transglutaminase, the main auto-antigen contributing to maintaining the integrity of endothelium tissue, plays a major role like reporting in our observation. Conclusion: Being a potentially treatable cause of stroke, CD disease must appear among the etiologies to seek in front of stroke of unknown cause especially in young patients.
Objective: We sought to clarify epidemiology, clinical and etiology aspects of stroke on a Moroccan study. Material and methods: The authors present a retrospective study of 1256 cases of stroke selected among the hospitalized patients at the Department of Neurology of Military Hospital Mohammed V during a period from January 1st 1997 until December 31, 2012. The patient may fulfill the criteria of ad hoc committee of cerebrovascular disease and have imagery which confirms stroke, and minimum of laboratory data. Results: This analysis showed male predominance (77.5%). The patients are aged 24 to 104 years. The most frequency localization was territory of the middle cerebral artery (75.6%). The etiology was multiple, but dominated by angiitis and cardiomyopathy before 45 years and by atherosclerosis over this age. Conclusions: Our study showed that the characteristics of stroke in our country were not different of other studies in the world. doi:10.1016/j.jns.2013.07.960
Abstract — WCN 2013 No: 2380 Topic: 3 — Stroke Sports-related ischemic stroke H. Delgadoa, S. Caladoa, M. Pintoa, A. Lourençob. aNeurology Service, Centro Hospitalar Lisboa Ocidental, Hospital de Egas Moniz; bStroke Unit, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal Background: Ischemic stroke symptoms installation during usual sports activity (Sports-related stroke) has been rarely reported, with only small case series in the literature. Objective: Describe clinical cases of patients with acute stroke with installation during usual sports. We analyzed the clinical features, imaging and prognosis. Patients and methods: Review of patient database of our Neurology Service, searching for patients with acute stroke during sporting activity (2010–2013). Results: We identified 3 patients (2 men) with a mean age of 54 years (47–59). First patient was 47 years old, with a history of hypertension, stroke during gym manifested by paresis of the left upper limb, in the ER with NHISS 4, OSCP-PACI, TOAST indeterminate; outcome: mRS NHISS 3 and 2. Second patient was 57 years old with a history of dyslipidemia, stroke during football practice manifested by imbalance and right hemiparesis, in the ER with NHISS 13, OSCP-POCI, TOAST indeterminate; outcome: mRS NHISS 6 and 2. Third patient was 59 years old, with a history of hypertension and dyslipidemia, stroke during running manifested by imbalance and right hemiparesis and global aphasia in the ER with NHISS 17, OSCP-PACI, TOAST cardioembolic; outcome: mRS NHISS 5 and 1. Conclusion: Although our case series is too small, we can observe that patients had good functional recovery. It will also be taken into account that patients had low risk factors. We cannot correlate etiology with incidence or prognosis.
doi:10.1016/j.jns.2013.07.959
doi:10.1016/j.jns.2013.07.961
Abstract — WCN 2013 No: 2525 Topic: 3 — Stroke Epidemiology study of stroke about 1256 cases
Abstract — WCN 2013 No: 2334 Topic: 3 — Stroke Prevalence of Fabry disease in young patients with ischemic stroke in Tokyo Japan
A. Bourazzaa, Y. Hsainib. aNeurology of Military Hospital Mohammed V Souissi, Morocco; bMohammed V Souissi, Rabat, Morocco Background: Stroke is the frequent cause of hospitalization in the neurology department.
M. Sakamakia, G. Mizukoshib, K. Utsumic, Y. Katanoa, T. Fukuchib, Y. Katayamaa. aDepartment of Neurology, Nippon Medical School; b Department of Neurology, Fuchu Keijinkai Hospital, Tokyo; c Utsumi Clinic, Saitama, Japan
Abstracts / Journal of the Neurological Sciences 333 (2013) e215–e278
hypesthesia. He also exhibited frequent presyncopes when standing in upright position. The symptoms started around 50 days earlier, and were evolving. Five years before, he noticed episodes of sudden weakness of his left leg, with instantaneously improvement. Gadolinium-enhanced brain MRI showed T2-hiperintense lesions in the inferior thalamus, cerebral peduncles, pons, cerebellum and a small periventricular lesion. Brain angiography pointed complete occlusion of basilar artery and irregular pericallosal arteries. Conclusion: We reported a case of total basilar occlusion confounded with multiple sclerosis presentation. doi:10.1016/j.jns.2013.07.958
Abstract — WCN 2013 No: 2475 Topic: 3 — Stroke Ischemic stroke revealing a celiac disease: A case report and review of the literature N. Slimania, D. Hakema, B. Mansourib, A. Berraha. a Internal Medicine, Dr Mohammad-Lamine Debaghine'Hospital, Bab El Oued Universitary Hospital Center, Algiers, Algeria; bRadiology, Dr Mohammad-Lamine Debaghine'Hospital, Bab El Oued Universitary Hospital Center, Algiers, Algeria Objective: To report a case of celiac disease ‘CD’ revealed by ischemic stroke. Case report: A 38 year old woman is investigated for ischemic stroke associated with generalized convulsive crisis which are stabilized by medical antiepileptic drugs. The examination does not show any sign of clinical call suggesting a disease thrombosis (systemic, neoplastic…). We noted an iron deficiency anemia (hemoglobin at 9 g/100 ml microcytic hypochromic anemia). The levels of calcemia, cholesterol, glycemia, prothrombin index, and albumin are normal. The cardiovascular morphological assessment (Holter ECG, echocardiography, Doppler of the supra-aortic trunks ‘SAT’…) do not objectify any abnormalities (patent foramen ovale, stenosis, thrombosis…). In addition the homocysteinemia, C, S, and antithrombin protein levels are normal. Leiden factor's mutation, antiphospholipid antibodies, anti nuclear antibodies, the flux cytometry etc. are without abnormalities. The anti-gliadin and antitransglutaminase of the type (IgA) antibodies are strongly positive and of this fact the diagnosis of the CD is established. Discussion: The absence of cardiovascular diseases or the metabolic risk factor of young's stroke and the negativity of the immunological assessment plead in favor of the existence of a causal link between the CD and the ischemic stroke. The most widely incriminated factor is autoimmune central nervous system vasculitis, in which tissue transglutaminase, the main auto-antigen contributing to maintaining the integrity of endothelium tissue, plays a major role like reporting in our observation. Conclusion: Being a potentially treatable cause of stroke, CD disease must appear among the etiologies to seek in front of stroke of unknown cause especially in young patients.
Objective: We sought to clarify epidemiology, clinical and etiology aspects of stroke on a Moroccan study. Material and methods: The authors present a retrospective study of 1256 cases of stroke selected among the hospitalized patients at the Department of Neurology of Military Hospital Mohammed V during a period from January 1st 1997 until December 31, 2012. The patient may fulfill the criteria of ad hoc committee of cerebrovascular disease and have imagery which confirms stroke, and minimum of laboratory data. Results: This analysis showed male predominance (77.5%). The patients are aged 24 to 104 years. The most frequency localization was territory of the middle cerebral artery (75.6%). The etiology was multiple, but dominated by angiitis and cardiomyopathy before 45 years and by atherosclerosis over this age. Conclusions: Our study showed that the characteristics of stroke in our country were not different of other studies in the world. doi:10.1016/j.jns.2013.07.960
Abstract — WCN 2013 No: 2380 Topic: 3 — Stroke Sports-related ischemic stroke H. Delgadoa, S. Caladoa, M. Pintoa, A. Lourençob. aNeurology Service, Centro Hospitalar Lisboa Ocidental, Hospital de Egas Moniz; bStroke Unit, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal Background: Ischemic stroke symptoms installation during usual sports activity (Sports-related stroke) has been rarely reported, with only small case series in the literature. Objective: Describe clinical cases of patients with acute stroke with installation during usual sports. We analyzed the clinical features, imaging and prognosis. Patients and methods: Review of patient database of our Neurology Service, searching for patients with acute stroke during sporting activity (2010–2013). Results: We identified 3 patients (2 men) with a mean age of 54 years (47–59). First patient was 47 years old, with a history of hypertension, stroke during gym manifested by paresis of the left upper limb, in the ER with NHISS 4, OSCP-PACI, TOAST indeterminate; outcome: mRS NHISS 3 and 2. Second patient was 57 years old with a history of dyslipidemia, stroke during football practice manifested by imbalance and right hemiparesis, in the ER with NHISS 13, OSCP-POCI, TOAST indeterminate; outcome: mRS NHISS 6 and 2. Third patient was 59 years old, with a history of hypertension and dyslipidemia, stroke during running manifested by imbalance and right hemiparesis and global aphasia in the ER with NHISS 17, OSCP-PACI, TOAST cardioembolic; outcome: mRS NHISS 5 and 1. Conclusion: Although our case series is too small, we can observe that patients had good functional recovery. It will also be taken into account that patients had low risk factors. We cannot correlate etiology with incidence or prognosis.
doi:10.1016/j.jns.2013.07.959
doi:10.1016/j.jns.2013.07.961
Abstract — WCN 2013 No: 2525 Topic: 3 — Stroke Epidemiology study of stroke about 1256 cases
Abstract — WCN 2013 No: 2334 Topic: 3 — Stroke Prevalence of Fabry disease in young patients with ischemic stroke in Tokyo Japan
A. Bourazzaa, Y. Hsainib. aNeurology of Military Hospital Mohammed V Souissi, Morocco; bMohammed V Souissi, Rabat, Morocco Background: Stroke is the frequent cause of hospitalization in the neurology department.
M. Sakamakia, G. Mizukoshib, K. Utsumic, Y. Katanoa, T. Fukuchib, Y. Katayamaa. aDepartment of Neurology, Nippon Medical School; b Department of Neurology, Fuchu Keijinkai Hospital, Tokyo; c Utsumi Clinic, Saitama, Japan