31 results on '"Cano-Nigenda, Vanessa"'
Search Results
2. Effect of Asymptomatic and Symptomatic COVID-19 on Acute Ischemic Stroke Revascularization Outcomes
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Strambo, Davide, Marto, João Pedro, Ntaios, George, Nguyen, Thanh N., Michel, Patrik, Herzig, Roman, Członkowksa, Anna, Demeestere, Jelle, Yassin Mansour, Ossama, Georgiopoulos, Georgios, Nogueira, Raul G., Salerno, Alexander, Wegener, Susanne, Baumgartner, Philipp, Cereda, Carlo W., Bianco, Giovanni, Beyeler, Morin, Arnold, Marcel, Carrera, Emmanuel, Machi, Paolo, Altersberger, Valerian, Bonati, Leo, Gensicke, Henrik, Bolognese, Manuel, Peters, Nils, Wetzel, Stephan, Magriço, Marta, Nuno Ramos, João, Sargento-Freitas, João, Machado, Rita, Maia, Carolina, Machado, Egídio, Paiva-Nunes, Ana, Ferreira, Patrícia, Pinho-e-Melo, Teresa, Carvalho-Dias, Mariana, Paula, André, Alberto Correia, Manuel, Castro, Pedro, Azevedo, Elsa, Albuquerque, Luís, Nuno-Alves, José, Ferreira-Pinto, Joana, Meira, Torcato, Pereira, Liliana, Rodrigues, Miguel, Araújo, André, Rodrigues, Marta, Rocha, Mariana, Pereira-Fonseca, Ângelo, Ribeiro, Luís, Varela, Ricardo, Cappellari, Manuel, Zivelonghi, Cecilia, Sajeva, Giulia, Zini, Andrea, Gentile, Mauro, Forlivesi, Stefano, Migliaccio, Ludovica, Sessa, Maria, Pezzini, Alessandro, Sangalli, Davide, Zedde, Marialuisa, Pascarella, Rosario, Diamanti, Susanna, Beretta, Simone, Schwarz, Ghil, Frisullo, Giovanni, Marcheselli, Simona, Seners, Pierre, Sabben, Candice, Escalard, Simon, Piotin, Michel, Maier, Benjamin, Charbonnier, Guillaume, Vuillier, Fabrice, Legris, Loic, Cuisenier, Pauline, Vodret, Francesca R., Marnat, Gaultier, Liegey, Jean-Sebastien, Sibon, Igor, Flottmann, Fabian, Broocks, Gabriel, Gloyer, Nils-Ole, Bohmann, Ferdinand O., Hendrik Schaefer, Jan, Nolte, Christian H., Audebert, Heinrich, Siebert, Eberhard, Sykora, Marek, Lang, Wilfried, Ferrari, Julia, Mayer-Suess, Lukas, Knoflach, Michael, Gizewski, Elke-Ruth, Stolp, Jeffrey, Stolze, Lotte J., Coutinho, Jonathan M., Nederkoorn, Paul J., van-den-Wijngaard, Ido, de Meris, Joke, Lemmens, Robin, De Raedt, Sylvie, Vandervorst, Fenne, Pierre Rutgers, Matthieu, Guilmot, Antoine, Dusart, Anne, Bellante, Flavio, Calleja-Castaño, Patricia, Ostos, Fernando, Gonzalez-Ortega, Guillermo, Martín-Jiménez, Paloma, García-Madrona, Sebastian, Cruz-Culebras, Antonio, Vera, Rocio, Matute, Maria-Consuelo, Fuentes, Blanca, Alonso-de-Leciñana, María, Rigual, Ricardo, Díez-Tejedor, Exuperio, Pérez-Sánchez, Soledad, Montaner, Joan, Díaz-Otero, Fernando, Perez de la Ossa, Natalia, Flores-Pina, Belén, Muñoz-Narbona, Lucia, Chamorro, Angel, Rodríguez-Vázquez, Alejandro, Renú, Arturo, Ayo-Martin, Oscar, Hernandez-Fernandez, Francisco, Segura, Tomas, Tejada-Meza, Herbert, Hlaing, Thant, See, Isaiah, Simister, Robert, Werring, David J., Saxhaug Kristoffersen, Espen, Nordanstig, Annika, Jood, Katarina, Rentzos, Alexandros, Šimůnek, Libor, Krajíčková, Dagmar, Krajina, Antonín, Mikulík, Robert, Cviková, Martina, Vinklárek, Jan, Školoudík, David, Roubec, Martin, Hurtikova, Eva, Hrubý, Rostislav, Ostry, Svatopluk, Skoda, Ondrej, Pernicka, Marek, Kočí, Lubomír, Eichlová, Zuzana, Jíra, Martin, Kovář, Martin, Panský, Michal, Mencl, Pavel, Paloušková, Hana, Tomek, Aleš, Janský, Petr, Olšerová, Anna, Šrámek, Martin, Havlíček, Roman, Malý, Petr, Trakal, Lukáš, Fiksa, Jan, Slovák, Matěj, Karliński, Michał, Nowak, Maciej, Sienkiewicz-Jarosz, Halina, Bochynska, Anna, Wrona, Pawel, Homa, Tomasz, Sawczynska, Katarzyna, Slowik, Agnieszka, Wlodarczyk, Ewa, Wiącek, Marcin, Tomaszewska-Lampart, Izabella, Sieczkowski, Bartosz, Bartosik-Psujek, Halina, Bilik, Marta, Bandzarewicz, Anna, Dorobek, Malgorzata, Zielińska-Turek, Justyna, Nowakowska-Kotas, Marta, Obara, Krystian, Urbanowski, Paweł, Budrewicz, Sławomir, Guziński, Maciej, Świtońska, Milena, Rutkowska, Iwona, Sobieszak-Skura, Paulina, Łabuz-Roszak, Beata, Dębiec, Aleksander, Staszewski, Jacek, Stępień, Adam, Zwiernik, Jacek, Wasilewski, Grzegorz, Tiu, Cristina, Terecoasă, Elena-Oana, Radu, Razvan-Alexandru, Negrila, Anca, Dorobat, Bogdan, Panea, Cristina, Tiu, Vlad, Petrescu, Simona, Özcan-Özdemir, Atilla, Mahmoud, Mostafa, El-Samahy, Hussam, Abdelkhalek, Hazem, Al-Hashel, Jasem, Ibrahim Ismail, Ismail, Salmeen, Athari, Ghoreishi, Abdoreza, Sabetay, Sergiu, Gross, Hana, Klein, Piers, Abdalkader, Mohamad, Jabbour, Pascal, El Naamani, Kareem, Tjoumakaris, Stavropoula, Abbas, Rawad, Mohamed, Ghada-A., Chebl, Alex, Min, Jiangyong, Hovingh, Majesta, Tsai, Jenny, Khan, Muhib-A., Nalleballe, Krishna, Onteddu, Sanjeeva, Masoud, Hesham E., Michael, Mina, Kaur, Navreet, Maali, Laith, Abraham, Michael, Khandelwal, Priyank, Bach, Ivo, Ong, Melody, Babici, Denis, Khawaja, Ayaz-M., Hakemi, Maryam, Rajamani, Kumar, Cano-Nigenda, Vanessa, Arauz, Antonio, Amaya, Pablo, Llanos, Natalia, Arango, Akemi, Vences, Miguel A., Barrientos, José-Domingo, Caetano, Rayllene, Targa, Rodrigo, Scollo, Sergio, Yalung, Patrick, Nagendra, Shashank, Gaikwad, Abhijit, and Seo, Kwon-Duk
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- 2024
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3. Agenesis of the right internal carotid artery and aqueductal stenosis in a child with hydrocephalus, the role of endoscopic third ventriculostomy: a case report
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Vázquez-Gregorio, Rafael, Jiménez-Guerra, Rolando, Cano-Nigenda, Vanessa, and Garfias-Rau, Yair
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- 2022
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4. Reducing the global burden of cerebral venous thrombosis: An international research agenda
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Coutinho, Jonathan M, primary, van de Munckhof, Anita, additional, Aguiar de Sousa, Diana, additional, Poli, Sven, additional, Aaron, Sanjith, additional, Arauz, Antonio, additional, Conforto, Adriana B, additional, Krzywicka, Katarzyna, additional, Hiltunen, Sini, additional, Lindgren, Erik, additional, Sánchez van Kammen, Mayte, additional, Shu, Liqi, additional, Bakchoul, Tamam, additional, Belder, Rosalie, additional, van den Berg, René, additional, Boumans, Elisheva, additional, Cannegieter, Suzanne, additional, Cano-Nigenda, Vanessa, additional, Field, Thalia S, additional, Fragata, Isabel, additional, Heldner, Mirjam R, additional, Hernández-Pérez, María, additional, Klok, Frederikus A, additional, Leker, Ronen R, additional, Lucas-Neto, Lia, additional, Molad, Jeremy, additional, Nguyen, Thanh N, additional, Saaltink, Dirk-Jan, additional, Saposnik, Gustavo, additional, Sharma, Pankaj, additional, Stam, Jan, additional, Thijs, Vincent, additional, van der Vaart, Michiel, additional, Werring, David J, additional, Wong Ramos, Diana, additional, Yaghi, Shadi, additional, Yeşilot, Nilüfer, additional, Tatlisumak, Turgut, additional, Putaala, Jukka, additional, Jood, Katarina, additional, Arnold, Marcel, additional, and Ferro, José M, additional
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- 2024
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5. Recommendations for implementing the INTERACT3 care bundle for intracerebral hemorrhage in Latin America: a Delphi Study
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Allende, Ma.Ignacia, primary, Muñoz-Venturelli, Paula, additional, Gonzalez, Francisca, additional, Bascur, Francisca, additional, Anderson, Craig S., additional, Ouyang, Menglu, additional, Cabieses, Báltica, additional, Obach, Alexandra, additional, Cano-Nigenda, Vanessa, additional, and Arauz, Antonio, additional
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- 2024
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6. Risk factors for ischemic antiphospholipid syndrome: A case-control study
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Matus-Mayorga, Roxana, Barrera-Vargas, Ana, Rull-Gabayet, Marina, Aguirre-Aguilar, Eduardo, Valdez-López, Martín, Espinoza-Lira, Fernando, Ramos-Ventura, Cristina, Cano-Nigenda, Vanessa, Barboza, Miguel A., Merayo-Chalico, Javier, and Arauz, Antonio
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- 2021
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7. The Neuropsychiatric Side of Cerebral Venous Thrombosis: A Case of Delirium and Catatonia
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Calva-González, Metzli, primary, Tello-Gerez, Triana Juliana, additional, Serrano-Arias, Fabiola, additional, Cano-Nigenda, Vanessa, additional, and Ramírez-Bermúdez, Jesus, additional
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- 2023
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8. Regional Initiatives to Empower Young Medical Doctors: The Young Stroke Latin American Task Force.
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Rosales, Julieta, Corredor-Quintero, Ángel Basilio, Carbonera, Leonardo Augusto, Alet, Matías J., Amaya, Pablo, Cano-Nigenda, Vanessa, Barboza, Miguel A., Navia, Victor, Jiménez, Claudio Alejandro, Guerrero, Rodrigo, and de Souza, Ana Cláudia
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PHYSICIANS ,TASK forces ,SELF-efficacy - Abstract
The article discusses the creation of the Young Stroke Latin American Task Force (ALATAC), a regional initiative aimed at empowering young medical professionals to reduce the burden of stroke in Latin America. The task force consists of early-career stroke neurologists, neurointerventionalists, and physicians from 17 Latin American countries. ALATAC is structured into six committees, each with a specific focus, such as education, implementation, investigation, mentoring, social media, and empowering young women in stroke. The task force aims to improve stroke research, education, prevention, and treatment access in the region through collaboration and networking opportunities. [Extracted from the article]
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- 2024
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9. World Stroke Organization Brain & hEart globAl iniTiative Program.
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Sposato, Luciano A., Martins, Sheila, Scheitz, Jan F., Aspberg, Sara, Gurol, M Edip, Abdalla, Mohamed, Arauz, Antonio, Cano-Nigenda, Vanessa, Fiorilli, Paul, Israel, Carsten, Kusano, Kengo, Mansour, Ossama, Messé, Steven R, Pille, Arthur, Secchi, Thaís, Polanczyk, Carisi A., Biolo, Andreia, Ramadan, Ismail, Sallam, Ashraf, and Schäbitz, Wolf
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PATENT foramen ovale ,HEALTH facilities ,ATRIAL fibrillation ,STROKE ,CARDIOLOGICAL manifestations of general diseases ,HYPOPLASTIC left heart syndrome ,ORAL medication ,ATRIAL flutter - Abstract
Introduction: The World Stroke Organization (WSO) Brain & Heart Task Force developed the Brain & hEart globAl iniTiative (BEAT), a pilot feasibility implementation program to establish clinical collaborations between cardiologists and stroke physicians who work at large healthcare facilities. Methods: The WSO BEAT pilot project focused on atrial fibrillation (AF) and patent foramen ovale (PFO) detection and management, and poststroke cardiovascular complications known as the stroke-heart syndrome. The program included 10 sites from 8 countries: Brazil, China, Egypt, Germany, Japan, Mexico, Romania, and the USA The primary composite feasibility outcome was the achievement of the following 3 implementation metrics (1) developing site-specific clinical pathways for the diagnosis and management of AF, PFO, and the stroke-heart syndrome; (2) establishing regular Neurocardiology rounds (e.g., monthly); and (3) incorporating a cardiologist to the stroke team. The secondary objectives were (1) to identify implementation challenges to guide a larger program and (2) to describe qualitative improvements. Results: The WSO BEAT pilot feasibility program achieved the prespecified primary composite outcome in 9 of 10 (90%) sites. The most common challenges were the limited access to specific medications (e.g., direct oral anticoagulants) and diagnostic (e.g., prolonged cardiac monitoring) or therapeutic (e.g., PFO closure devices) technologies. The most relevant qualitative improvement was the achievement of a more homogeneous diagnostic and therapeutic approach. Conclusion: The WSO BEAT pilot program suggests that developing neurocardiology collaborations is feasible. The long-term sustainability of the WSO BEAT program and its impact on quality of stroke care and clinical outcomes needs to be tested in a larger and longer duration program. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Regional Initiatives to Empower Young Medical Doctors: The Young Stroke Latin American Task Force
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Rosales, Julieta, primary, Corredor-Quintero, Angel Basilio, additional, Carbonera, Leonardo Augusto, additional, Alet, Matías J., additional, Amaya, Pablo, additional, Cano-Nigenda, Vanessa, additional, Barboza, Miguel A., additional, Navia, Victor, additional, Jiménez, Claudio Alejandro, additional, Guerrero, Rodrigo, additional, and De Souza, Ana Claudia, additional
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- 2023
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11. Characteristics and Outcomes in Patients With COVID-19 and Acute Ischemic Stroke: The Global COVID-19 Stroke Registry
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Ntaios, George, Michel, Patrik, Georgiopoulos, Georgios, Guo, Yutao, Li, Wencheng, Xiong, Jing, Calleja, Patricia, Ostos, Fernando, González-Ortega, Guillermo, Fuentes, Blanca, Alonso de Leciñana, María, Díez-Tejedor, Exuperio, García-Madrona, Sebastian, Masjuan, Jaime, DeFelipe, Alicia, Turc, Guillaume, Gonçalves, Bruno, Domigo, Valerie, Dan, Gheorghe-Andrei, Vezeteu, Roxana, Christensen, Hanne, Christensen, Louisa Marguerite, Meden, Per, Hajdarevic, Lejla, Rodriguez-Lopez, Angela, Díaz-Otero, Fernando, García-Pastor, Andrés, Gil-Nuñez, Antonio, Maslias, Errikos, Strambo, Davide, Werring, David J., Chandratheva, Arvind, Benjamin, Laura, Simister, Robert, Perry, Richard, Beyrouti, Rahma, Jabbour, Pascal, Sweid, Ahmad, Tjoumakaris, Stavropoula, Cuadrado-Godia, Elisa, Campello, Ana Rodríguez, Roquer, Jaume, Moreira, Tiago, Mazya, Michael V., Bandini, Fabio, Matz, Karl, Iversen, Helle K., González-Duarte, Alejandra, Tiu, Cristina, Ferrari, Julia, Vosko, Milan R., Salzer, Helmut J.F., Lamprecht, Bernd, Dünser, Martin W., Cereda, Carlo W., Quintero, Ángel Basilio Corredor, Korompoki, Eleni, Soriano-Navarro, Eduardo, Soto-Ramírez, Luis Enrique, Castañeda-Méndez, Paulo F., Bay-Sansores, Daniela, Arauz, Antonio, Cano-Nigenda, Vanessa, Kristoffersen, Espen Saxhaug, Tiainen, Marjaana, Strbian, Daniel, Putaala, Jukka, and Lip, Gregory Y.H.
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- 2020
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12. Predictors of Mortality and Functional Outcome in Pregnancy and Puerperium-Related Cerebral Venous Thrombosis.
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Khan, Maria, Arauz, Antonio, Uluduz, Derya, Barboza, Miguel A., Duman, Taskin, Cano-Nigenda, Vanessa, Awan, Safia, and Wasay, Mohammad
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PREGNANCY outcomes ,CEREBRAL embolism & thrombosis ,VENOUS thrombosis ,FUNCTIONAL status ,MEDICAL personnel ,SINUS thrombosis ,ANTIPHOSPHOLIPID syndrome - Abstract
Introduction: Cerebral venous thrombosis (CVT) associated with pregnancy and puerperium has long been recognized, with poor information in terms of functional outcomes. Our objective was to analyze risk factors, clinical, imaging, and laboratory variables to predict functional outcome and death in this population. Methods: CVT registries from three referral centers from Pakistan, Turkey, and Mexico, recruiting prospective cases, were combined for CVT associated with pregnancy or puerperium. Datasets and variables were standardized. Demographic characteristics, presentation, risk factors, and functional outcomes in pregnancy/puerperium-related CVT were analyzed. Binary logistic regression was used to assess predictors of outcome. The main outcome was modified Rankin score >2 at 30 days and mortality at 30 days. Results: Five hundred fifty-three cases (median age 28 years [IQR 23–34]) of CVT associated with pregnancy and puerperium were included; 439 cases (79.4%) happened in the puerperium and 20.6% during pregnancy (53.5% occurred during the first trimester). Anemia (36.7%) and dehydration (22.9%) were the commonest obstetric risk factors identified. Predictors of poor outcome (mRS >2) were encephalopathy (OR 12.8, p < 0.001), cases from Mexican origin (OR 3.1, p = 0.004), fever/puerperal infection (OR 2.7, p = 0.02), and anemia (OR 2.2, p = 0.01). Cases from Mexican origin (OR 12.0, p = 0.003) and Encephalopathy (OR 7.7, p < 0.001), presented with the highest mortality association in the final adjusted model. Discussion/Conclusion: In CVT associated with pregnancy and puerperium, encephalopathy, fever/puerperal infection, and anemia are associated with bad functional outcomes, meanwhile encephalopathy and cases from Mexican origin with higher mortality in the acute (30-days) of CVT onset. Anemia and infection are potential reversible predictors of poor outcome that clinicians should be aware of in order to prevent poor outcomes in these patients. [ABSTRACT FROM AUTHOR]
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- 2023
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13. Actuación de enfermería en el infarto cerebral agudo
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Menéndez-Manjarrez, Fernanda, primary, Cano-Nigenda, Vanessa, additional, Castellanos-Pedroza, Enrique, additional, Manrique-Otero, Diana, additional, Toledo Treviño, Roberto Abel, additional, Calderón-García, Miguel, additional, Chavira-Hernández, Gerardo, additional, and Arauz-Góngora, Ángel Antonio, additional
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- 2022
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14. Enfermedad de Fabry y Enfermedad Vascular Cerebral
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Pérez Jovel, Enrique Alexander, primary, Cano-Nigenda, Vanessa, additional, Manrique-Otero, Diana, additional, Castellanos-Pedroza, Enrique, additional, Aguilar-Parra, Lilia Georgina, additional, Galnares-Olalde, Javier Andrés, additional, and Arauz, Antonio, additional
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- 2022
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15. Popcorn Brain: Familial Multiple Cerebral Cavernomatosis
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Men��ndez-Manjarrez, Fernanda, M��ndez-Gallardo, Juan J, Cano-Nigenda, Vanessa, Toledo-Trevino, Roberto, and Arauz, Antonio
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Cavernoma ,Structural Epilepsy ,Magnetic Resonance Imaging ,Familial Cavernomatosis - Abstract
Introduction.Cerebral vascular malformations are a heterogeneous group of disorders with several clinical manifestations. Cerebral Cavernous Malformations (CCM) are defined by dilated vascular spaces, with a single layer of endothelium, no mature vessel wall, and no intervening brain parenchyma. CCM may be sporadic or have an autosomal dominant hereditary pattern. Case Report.Here we present the case of a 31-year-old male with a medical history of multiple vascular malformations, difficult to treat epilepsy, and multiple hemorrhagic strokes. At initial evaluation the patient revealed mild dysarthria, left hemiparesis 4/5, hyperreflexia, left dysdiadochokinesia and dysmetria with a modified Rankin scale (mRS) score of 1. Magnetic Resonance Imaging (MRI) of the brain showed multiple supra and infratentorial parenchymal lesions with heterogeneous components on T1-weighted and T2-weighted sequences, surrounded by a rim of signal loss, demonstrating a “popcorn” appearance on Susceptibility-Weighted Angiography (SWAN) MRI. Molecular testing reported a heterozygous KRIT1 c.1099dup (p. His367Profs*3). Screening of fist degree relatives was performed, and antiepileptic treatment was adjusted. As of today, our patient has a mRS of 3, with refractary epileptic seizures. Conclusion.Symptomatic CCM must receive targeted medical treatment with a multidisciplinary approach. If a patient presents with more than one lesion, a familial case should be suspected, molecular testing and a screening head computed tomography (CT) should be done in first degree relatives. It is important to follow-up any patient with CCM with an annual MRI to monitor the size and number of lesions, symptomatic medical treatment is indicated, and surgical treatment should also be assessed.
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- 2022
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16. Safety and Outcome of Revascularization Treatment in Patients With Acute Ischemic Stroke and COVID-19: The Global COVID-19 Stroke Registry
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Marto, João Pedro, Strambo, Davide, Ntaios, George, Nguyen, Thanh N, Herzig, Roman, Czlonkowska, Anna, Demeestere, Jelle, Mansour, Ossama Yassin, Salerno, Alexander, Wegener, Susanne, Baumgartner, Philipp, Cereda, Carlo W, Bianco, Giovanni, Beyeler, Morin, Arnold, Marcel, Carrera, Emmanuel, Machi, Paolo, Altersberger, Valerian, Bonati, Leo, Gensicke, Henrik, Bolognese, Manuel, Peters, Nils, Wetzel, Stephan, Magriço, Marta, Ramos, João Nuno, Sargento-Freitas, João, Machado, Rita, Maia, Carolina, Machado, Egídio, Nunes, Ana Paiva, Ferreira, Patricia, Pinho E Melo, Teresa, Dias, Mariana Carvalho, Paula, André, Correia, Manuel Alberto, Castro, Pedro, Azevedo, Elsa, Albuquerque, Luís, Alves, José Nuno, Ferreira-Pinto, Joana, Meira, Torcato, Pereira, Liliana, Rodrigues, Miguel, Araujo, Andre Pinho, Rodrigues, Marta, Rocha, Mariana, Pereira-Fonseca, Ângelo, Ribeiro, Luís, Varela, Ricardo, Malheiro, Sofia, Cappellari, Manuel, Zivelonghi, Cecilia, Sajeva, Giulia, Zini, Andrea, Gentile, Mauro, Forlivesi, Stefano, Migliaccio, Ludovica, Sessa, Maria, La Gioia, Sara, Pezzini, Alessandro, Sangalli, Davide, Zedde, Marialuisa, Pascarella, Rosario, Ferrarese, Carlo, Beretta, Simone, Diamanti, Susanna, Schwarz, Ghil, Frisullo, Giovanni, Marcheselli, Simona, Seners, Pierre, Sabben, Candice, Escalard, Simon, Piotin, Michel, Maïer, Benjamin, Charbonnier, Guillaume, Vuillier, Fabrice, Legris, Loïc, Cuisenier, Pauline, Vodret, Francesca R, Marnat, Gaultier, Liegey, Jean-Sebastien, Sibon, Igor, Flottmann, Fabian, Broocks, Gabriel, Gloyer, Nils-Ole, Bohmann, Ferdinand O, Schaefer, Jan Hendrik, Nolte, Christian, Audebert, Heinrich J, Siebert, Eberhard, Sykora, Marek, Lang, Wilfried, Ferrari, Julia, Mayer-Suess, Lukas, Knoflach, Michael, Gizewski, Elke Ruth, Stolp, Jeffrey, Stolze, Lotte J, Coutinho, Jonathan M, Nederkoorn, Paul, van den Wijngaard, Ido, De Meris, Joke, Lemmens, Robin, De Raedt, Sylvie, Vandervorst, Fenne, Rutgers, Matthieu Pierre, Guilmot, Antoine, Dusart, Anne, Bellante, Flavio, Calleja-Castaño, Patricia, Ostos, Fernando, González-Ortega, Guillermo, Martín-Jiménez, Paloma, García-Madrona, Sebastian, Cruz-Culebras, Antonio, Vera, Rocio, Matute, Maria Consuelo, Fuentes, Blanca, Alonso-de-Leciñana, María, Rigual, Ricardo, Díez-Tejedor, Exuperio, Perez-Sanchez, Soledad, Montaner, Joan, Díaz-Otero, Fernando, Pérez-de-la-Ossa, Natalia, Flores-Pina, Belén, Muñoz-Narbona, Lucia, Chamorro, Angel, Rodríguez-Vázquez, Alejandro, Renú, Arturo, Ayo-Martin, Oscar, Hernández-Fernández, Francisco, Segura, Tomas, Tejada-Meza, Herbert, Sagarra-Mur, Daniel, Serrano-Ponz, Marta, Hlaing, Thant, See, Isaiah, Simister, Robert, Werring, David, Kristoffersen, Espen Saxhaug, Nordanstig, Annika, Jood, Katarina, Rentzos, Alexandros, Šimůnek, Libor, Krajíčková, Dagmar, Krajina, Antonín, Mikulik, Robert, Cviková, Martina, Vinklárek, Jan, Školoudík, David, Roubec, Martin, Hurtikova, Eva, Hrubý, Rostislav, Ostry, Svatopluk, Skoda, Ondrej, Pernicka, Marek, Jurak, Lubomir, Eichlová, Zuzana, Jíra, Martin, Kovar, Martin, Panský, Michal, Mencl, Pavel, Palouskova, Hana, Tomek, Aleš, Janský, Petr, Olšerová, Anna, Sramek, Martin, Havlicek, Roman, Malý, Petr, Trakal, Lukáš, Fiksa, Jan, Slovák, Matěj, Karlinski, Michal Adam, Nowak, Maciej, Sienkiewicz-Jarosz, Halina, Bochynska, Anna, Wrona, Pawel, Homa, Tomasz, Sawczynska, Katarzyna, Slowik, Agnieszka, Wlodarczyk, Ewa, Wiacek, Marcin, Tomaszewska-Lampart, Izabella, Sieczkowski, Bartosz, Bartosik-Psujek, Halina, Bilik, Marta, Bandzarewicz, Anna, Dorobek, Malgorzata, Zielinska-Turek, Justyna, Nowakowska-Kotas, Marta, Obara, Krystian, Urbanowski, Paweł, Budrewicz, Slawomir, Guziński, Maciej, Świtońska, Milena, Rutkowska, Iwona, Sobieszak-Skura, Paulina, Labuz-Roszak, Beata M, Debiec, Aleksander, Staszewski, Jacek, Stępień, Adam, Zwiernik, Jacek, Wasilewski, Grzegorz, Tiu, Cristina, Terecoasă, Elena Oana, Radu, Razvan Alexandru, Negrila, Anca, Dorobat, Bogdan, Panea, Cristina, Tiu, Vlad, Petrescu, Simona, Ozdemir, Atilla, Mahmoud, Mostafa, El-Samahy, Hussam, Abdelkhalek, Hazem, Al-Hashel, Jasem, Ismail, Ismail Ibrahim, Salmeen, Athari, Ghoreishi, Abdoreza, Sabetay, Sergiu Ionut, Gross, Hana, Klein, Piers, Abdalkader, Mohamad, Jabbour, Pascal, El Naamani, Kareem, Tjoumakaris, Stavropoula, Abbas, Rawad, Mohamed, Ghada A, Chebl, Alex, Min, Jiangyong, Hovingh, Majesta, Tsai, Jenney P, Khan, Muhib, Nalleballe, Krishna, Onteddu, Sanjeeva, Masoud, Hesham, Michael, Mina, Kaur, Navreet, Maali, Laith, Abraham, Michael G, Khandelwal, Priyank, Bach, Ivo, Ong, Melody, Babici, Denis, Khawaja, Ayaz M, Hakemi, Maryam, Rajamani, Kumar, Cano-Nigenda, Vanessa, Arauz, Antonio, Amaya, Pablo, Llanos, Natalia, Arango, Akemi, Vences, Miguel Ángel, Barrientos Guerra, Jose Dominguo, Caetano, Rayllene, Martins, Rodrigo Targa, Scollo, Sergio Daniel, Yalung, Patrick Matic, Nagendra, Shashank, Gaikwad, Abhijit, Seo, Kwon-Duk, Georgiopoulos, Georgios, Nogueira, Raul G, Michel, Patrik, Neurology, Clinical sciences, Neuroprotection & Neuromodulation, Faculty of Medicine and Pharmacy, Biology, and Brussels Heritage Lab
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Fibrinolytic Agents/therapeutic use ,Cerebral Hemorrhage/complications ,Stroke/epidemiology ,Brain Ischemia/complications ,Treatment Outcome ,Ischemic Stroke/epidemiology ,COVID-19/complications ,Humans ,Cohort studies ,Endovascular Procedures/adverse effects ,Registries ,Neurology (clinical) ,610 Medicine & health ,Intracranial Hemorrhages/etiology ,Thrombolytic Therapy/adverse effects ,Research Article - Abstract
Background and ObjectivesCOVID-19–related inflammation, endothelial dysfunction, and coagulopathy may increase the bleeding risk and lower the efficacy of revascularization treatments in patients with acute ischemic stroke (AIS). We aimed to evaluate the safety and outcomes of revascularization treatments in patients with AIS and COVID-19.MethodsThis was a retrospective multicenter cohort study of consecutive patients with AIS receiving intravenous thrombolysis (IVT) and/or endovascular treatment (EVT) between March 2020 and June 2021 tested for severe acute respiratory syndrome coronavirus 2 infection. With a doubly robust model combining propensity score weighting and multivariate regression, we studied the association of COVID-19 with intracranial bleeding complications and clinical outcomes. Subgroup analyses were performed according to treatment groups (IVT-only and EVT).ResultsOf a total of 15,128 included patients from 105 centers, 853 (5.6%) were diagnosed with COVID-19; of those, 5,848 (38.7%) patients received IVT-only and 9,280 (61.3%) EVT (with or without IVT). Patients with COVID-19 had a higher rate of symptomatic intracerebral hemorrhage (SICH) (adjusted OR 1.53; 95% CI 1.16–2.01), symptomatic subarachnoid hemorrhage (SSAH) (OR 1.80; 95% CI 1.20–2.69), SICH and/or SSAH combined (OR 1.56; 95% CI 1.23–1.99), 24-hour mortality (OR 2.47; 95% CI 1.58–3.86), and 3-month mortality (OR 1.88; 95% CI 1.52–2.33). Patients with COVID-19 also had an unfavorable shift in the distribution of the modified Rankin score at 3 months (OR 1.42; 95% CI 1.26–1.60).DiscussionPatients with AIS and COVID-19 showed higher rates of intracranial bleeding complications and worse clinical outcomes after revascularization treatments than contemporaneous non–COVID-19 patients receiving treatment. Current available data do not allow direct conclusions to be drawn on the effectiveness of revascularization treatments in patients with COVID-19 or to establish different treatment recommendations in this subgroup of patients with ischemic stroke. Our findings can be taken into consideration for treatment decisions, patient monitoring, and establishing prognosis.Trial Registration InformationThe study was registered under ClinicalTrials.gov identifierNCT04895462.
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- 2022
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17. Stroke Among SARS-CoV-2 Vaccine Recipients in Mexico
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López-Mena, Diego, primary, García-Grimshaw, Miguel, additional, Saldivar-Dávila, Sergio, additional, Hernandez-Vanegas, Laura Elena, additional, Saniger-Alba, María del Mar, additional, Gutiérrez-Romero, Alonso, additional, Carrillo-Mezo, Roger, additional, Valdez-Ruvalcaba, Hector Eduardo, additional, Cano-Nigenda, Vanessa, additional, Flores-Silva, Fernando Daniel, additional, Cantú-Brito, Carlos, additional, Santibañez-Copado, Ana María, additional, Diaz-Ortega, Jose-Luis, additional, Ceballos-Liceaga, Santa Elizabeth, additional, Murillo-Bonilla, Luis Manuel, additional, Sepulveda-Núñez, Ana Isabel, additional, García-Talavera, Verónica, additional, Gonzalez-Guerra, Eduardo, additional, Cortes-Alcala, Ricardo, additional, Lopez-Gatell, Hugo, additional, Carbajal-Sandoval, Guillermo, additional, Reyes-Terán, Gustavo, additional, Valdés-Ferrer, Sergio Iván, additional, and Arauz, Antonio, additional
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- 2022
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18. Barriers to Optimal Acute Management of Stroke: Perspective of a Stroke Center in Mexico City
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Cano-Nigenda, Vanessa, primary, Castellanos-Pedroza, Enrique, additional, Manrique-Otero, Diana, additional, Méndez, Beatriz, additional, Menéndez-Manjarrez, María Fernanda, additional, Toledo-Treviño, Roberto, additional, Calderón, Miguel, additional, and Arauz, Antonio, additional
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- 2021
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19. Prognostic Factors for Long-Term Recovery of Homonymous Visual Field Defects After Posterior Circulation Ischemic Stroke
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Barboza Miguel A, Arauz Antonio, González-Olhovich Irene, Cano-Nigenda Vanessa, and Cárdenas-Belaunzarán Jorge
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TOAST Classification ,Adult ,Brain Infarction ,Male ,medicine.medical_specialty ,Time Factors ,Infarction ,Logistic regression ,Imaging data ,Risk Assessment ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Medicine ,Humans ,In patient ,Aged ,Ischemic Stroke ,Retrospective Studies ,business.industry ,Rehabilitation ,Posterior circulation infarct ,Age Factors ,Recovery of Function ,Middle Aged ,medicine.disease ,Prognosis ,Visual field ,Ischemic stroke ,Cardiology ,Hemianopsia ,Visual Field Tests ,Surgery ,Female ,Neurology (clinical) ,Visual Fields ,Cardiology and Cardiovascular Medicine ,business ,030217 neurology & neurosurgery - Abstract
Ischemic stroke (IS) is the main cause of homonymous visual field defects (HVFDs) in adults. Some reports suggest recovery even in late-phase strokes, but data is sparse. This study examines the frequency of long-term recovery from HVFDs in patients with posterior circulation infarction (POCI) and evaluates whether demographic or clinical characteristics are prognostic factors of perimetric recovery.Our study included patients with HVFDS due to POCI who had undergone 2 or more kinetic perimetric evaluations at least 6 months after the index IS. Clinical and imaging data were systematically reviewed and we performed univariate and multivariate logistic regression analyses to determine whether demographic, stroke etiology (TOAST classification), and initial perimetric patterns were prognostic factors of visual recovery occurring 6 months and beyond from POCI.One hundred one patients with POCI were included. Median subject age was 60 years and 54.4% were female. After a median perimetric follow-up time of 13.5 months, spontaneous visual improvement was observed in 15.8% of patients. Prognostic factors for visual improvement were age50 years (OR 4.6; P = 0.093), POCI associated with hypercoagulable states (OR 12.3; P = 0.048), and vertebral artery dissection (OR 12.6; P = 0.048), while the presence of complete homonymous hemianopia was a negative predictor of recovery (OR 0.2; P = 0.048).Partial visual recovery in HVFDs is observed even 6 months and beyond POCI. Age50 years and stroke etiology were predictors of recovery.
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- 2021
20. Safety and Outcome of Revascularization Treatment in Patients With Acute Ischemic Stroke and COVID-19
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Marto, João Pedro, Strambo, Davide, Ntaios, George, Nguyen, Thanh N., Herzig, Roman, Czlonkowska, Anna, Demeestere, Jelle, Mansour, Ossama Yassin, Salerno, Alexander, Wegener, Susanne, Baumgartner, Philipp, Cereda, Carlo W., Bianco, Giovanni, Beyeler, Morin, Arnold, Marcel, Carrera, Emmanuel, Machi, Paolo, Altersberger, Valerian, Bonati, Leo, Gensicke, Henrik, Bolognese, Manuel, Peters, Nils, Wetzel, Stephan, Magriço, Marta, Ramos, João Nuno, Sargento-Freitas, João, Machado, Rita, Maia, Carolina, Machado, Egídio, Nunes, Ana Paiva, Ferreira, Patricia, Pinho e Melo, Teresa, Dias, Mariana Carvalho, Paula, André, Correia, Manuel Alberto, Castro, Pedro, Azevedo, Elsa, Albuquerque, Luís, Alves, José Nuno, Ferreira-Pinto, Joana, Meira, Torcato, Pereira, Liliana, Rodrigues, Miguel, Araujo, Andre Pinho, Rodrigues, Marta, Rocha, Mariana, Pereira-Fonseca, Ângelo, Ribeiro, Luís, Varela, Ricardo, Malheiro, Sofia, Cappellari, Manuel, Zivelonghi, Cecilia, Sajeva, Giulia, Zini, Andrea, Gentile, Mauro, Forlivesi, Stefano, Migliaccio, Ludovica, Sessa, Maria, La Gioia, Sara, Pezzini, Alessandro, Sangalli, Davide, Zedde, Marialuisa, Pascarella, Rosario, Ferrarese, Carlo, Beretta, Simone, Diamanti, Susanna, Schwarz, Ghil, Frisullo, Giovanni, Marcheselli, Simona, Seners, Pierre, Sabben, Candice, Escalard, Simon, Piotin, Michel, Maïer, Benjamin, Charbonnier, Guillaume, Vuillier, Fabrice, Legris, Loïc, Cuisenier, Pauline, Vodret, Francesca R., Marnat, Gaultier, Liegey, Jean-Sebastien, Sibon, Igor, Flottmann, Fabian, Broocks, Gabriel, Gloyer, Nils-Ole, Bohmann, Ferdinand O., Schaefer, Jan Hendrik, Nolte, Christian, Audebert, Heinrich J., Siebert, Eberhard, Sykora, Marek, Lang, Wilfried, Ferrari, Julia, Mayer-Suess, Lukas, Knoflach, Michael, Gizewski, Elke Ruth, Stolp, Jeffrey, Stolze, Lotte J., Coutinho, Jonathan M., Nederkoorn, Paul, van den Wijngaard, Ido, De Meris, Joke, Lemmens, Robin, De Raedt, Sylvie, Vandervorst, Fenne, Rutgers, Matthieu Pierre, Guilmot, Antoine, Dusart, Anne, Bellante, Flavio, Calleja-Castaño, Patricia, Ostos, Fernando, González-Ortega, Guillermo, Martín-Jiménez, Paloma, García-Madrona, Sebastian, Cruz-Culebras, Antonio, Vera, Rocio, Matute, Maria Consuelo, Fuentes, Blanca, Alonso-de-Leciñana, María, Rigual, Ricardo, Díez-Tejedor, Exuperio, Perez-Sanchez, Soledad, Montaner, Joan, Díaz-Otero, Fernando, Pérez-de-la-Ossa, Natalia, Flores-Pina, Belén, Muñoz-Narbona, Lucia, Chamorro, Angel, Rodríguez-Vázquez, Alejandro, Renú, Arturo, Ayo-Martin, Oscar, Hernández-Fernández, Francisco, Segura, Tomas, Tejada-Meza, Herbert, Sagarra-Mur, Daniel, Serrano-Ponz, Marta, Hlaing, Thant, See, Isaiah, Simister, Robert, Werring, David, Kristoffersen, Espen Saxhaug, Nordanstig, Annika, Jood, Katarina, Rentzos, Alexandros, Šimůnek, Libor, Krajíčková, Dagmar, Krajina, Antonín, Mikulik, Robert, Cviková, Martina, Vinklárek, Jan, Školoudík, David, Roubec, Martin, Hurtikova, Eva, Hrubý, Rostislav, Ostry, Svatopluk, Skoda, Ondrej, Pernicka, Marek, Jurak, Lubomir, Eichlová, Zuzana, Jíra, Martin, Kovar, Martin, Panský, Michal, Mencl, Pavel, Palouskova, Hana, Tomek, Aleš, Janský, Petr, Olšerová, Anna, Sramek, Martin, Havlicek, Roman, Malý, Petr, Trakal, Lukáš, Fiksa, Jan, Slovák, Matěj, Karlinski, Michal Adam, Nowak, Maciej, Sienkiewicz-Jarosz, Halina, Bochynska, Anna, Wrona, Pawel, Homa, Tomasz, Sawczynska, Katarzyna, Slowik, Agnieszka, Wlodarczyk, Ewa, Wiacek, Marcin, Tomaszewska-Lampart, Izabella, Sieczkowski, Bartosz, Bartosik-Psujek, Halina, Bilik, Marta, Bandzarewicz, Anna, Dorobek, Malgorzata, Zielinska-Turek, Justyna, Nowakowska-Kotas, Marta, Obara, Krystian, Urbanowski, Paweł, Budrewicz, Slawomir, Guziński, Maciej, Świtońska, Milena, Rutkowska, Iwona, Sobieszak-Skura, Paulina, Labuz-Roszak, Beata M., Debiec, Aleksander, Staszewski, Jacek, Stępień, Adam, Zwiernik, Jacek, Wasilewski, Grzegorz, Tiu, Cristina, Terecoasă, Elena Oana, Radu, Razvan Alexandru, Negrila, Anca, Dorobat, Bogdan, Panea, Cristina, Tiu, Vlad, Petrescu, Simona, Ozdemir, Atilla, Mahmoud, Mostafa, El-Samahy, Hussam, Abdelkhalek, Hazem, Al-Hashel, Jasem, Ismail, Ismail Ibrahim, Salmeen, Athari, Ghoreishi, Abdoreza, Sabetay, Sergiu Ionut, Gross, Hana, Klein, Piers, Abdalkader, Mohamad, Jabbour, Pascal, El Naamani, Kareem, Tjoumakaris, Stavropoula, Abbas, Rawad, Mohamed, Ghada A., Chebl, Alex, Min, Jiangyong, Hovingh, Majesta, Tsai, Jenney P., Khan, Muhib, Nalleballe, Krishna, Onteddu, Sanjeeva, Masoud, Hesham, Michael, Mina, Kaur, Navreet, Maali, Laith, Abraham, Michael G., Khandelwal, Priyank, Bach, Ivo, Ong, Melody, Babici, Denis, Khawaja, Ayaz M., Hakemi, Maryam, Rajamani, Kumar, Cano-Nigenda, Vanessa, Arauz, Antonio, Amaya, Pablo, Llanos, Natalia, Arango, Akemi, Vences, Miguel Ángel, Barrientos Guerra, Jose Dominguo, Caetano, Rayllene, Martins, Rodrigo Targa, Scollo, Sergio Daniel, Yalung, Patrick Matic, Nagendra, Shashank, Gaikwad, Abhijit, Seo, Kwon-Duk, Georgiopoulos, Georgios, Nogueira, Raul G., and Michel, Patrik
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- 2023
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21. Abstract P31: Intravenous Thrombolysis And Short-term Functional Outcome In Minor Stroke: Observational Study.
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Castellanos Pedroza, Enrique, primary, Manrique Otero, Diana, additional, Cano Nigenda, Vanessa, additional, Menéndez-Manjarrez, María Fernanda, additional, Calderón García, Miguel, additional, Toledo, Roberto, additional, and Arauz, Antonio, additional
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- 2021
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22. Abstract P347: Thrombus Age and Volume as Predictors of Recanalization and Functional Outcome in Patients With Cerebral Venous Thrombosis
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Manrique, Diana M, primary, Barboza, Miguel, additional, Alvarado Bolaños, Alonso, additional, Cano Nigenda, Vanessa, additional, Castellanos Pedroza, Enrique, additional, Toledo Treviño, Roberto, additional, Calderón García, Miguel, additional, Menéndez-Manjarrez, María Fernanda, additional, and Arauz, Antonio, additional
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- 2021
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23. Update on the management of acute stroke. A practical clinical guide
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Méndez-Gallardo, Juan J., primary, Mendez, Beatriz, additional, Cano-Nigenda, Vanessa, additional, Farington-Terrero, Esmirna Y., additional, Manrique-Otero, Diana, additional, Castellanos-Pedroza, Enrique, additional, Merino, José G., additional, and Arauz, Antonio, additional
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- 2020
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24. Patrón de «de Winter» como equivalente de infarto agudo de miocardio con elevación del ST
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Cano-Nigenda, Vanessa, primary, Ixta-Rojas, Francisco, additional, Chagoya-Triana, Miguel, additional, Hernández-Valerio, Raúl, additional, and Burelo-López, Guillermo, additional
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- 2020
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25. Opisthotonus (arc de cercle) in anti-NMDAR encephalitis
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Delgado-García, Guillermo, primary, Cano-Nigenda, Vanessa, additional, Abundes-Corona, Arturo, additional, Carrillo-Loza, Karina, additional, Calleja-Castillo, Juan, additional, and Flores-Rivera, José, additional
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- 2018
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26. Caracterización de factores asociados con estenosis carotídea en una población de alto riesgo
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Chiquete, Erwin, primary, Torres Octavo, Benjamín, additional, Cano Nigenda, Vanessa, additional, Valle Rojas, Deyanira, additional, Domínguez Moreno, Rogelio, additional, Tolosa Tort, Paulina, additional, Flórez Cardona, José Alejandro, additional, Flores Silva, Fernando, additional, Reyes Melo, Isael, additional, Higuera Calleja, Jesús, additional, García Ramos, Guillermo, additional, and Cantú Brito, Carlos, additional
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- 2014
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27. Abstract HUP11: Alliance Of Young Neurologists To Examine And Resolve Stroke Disparities In Latin America
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Orjuela, Karen D, Barboza, Miguel A, Amaya, Pablo F, De Souza, Ana C, Cano-Nigenda, Vanessa, NAVIA GONZALEZ, VICTOR HUGO, Guerrero, Rodrigo, Alet, Matias, Jimenez-Monsalve, Claudio A, Carbonera, Leonardo, Corredor, Angel B, and rosales, julieta s
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Background:Reducing the burden stroke in Latin America (LATAM) is imperative. Stroke remains the first or second leading cause of death in LATAM. The Declaration of Gramado crafted in 2018 established priorities for stroke care in the region. Understanding the design and implementation of acute stroke systems of care at a local level is critical to guide health policy, clinical research, and education resources. Young neurologists are at the forefront of these efforts. ALATAC (Alianza joven LATinoamericana contra el ACv) is an organization of young neurologists in LATAM that uses innovative online communication strategies (social media and instant messaging) to examine and resolve disparities in stroke care in the region.Methods:An 11-question survey was sent to 76 members of ALATAC via email and instant messaging (WhatsApp). The survey queried demographic, geographic information, acute stroke treatment and availability of stroke unit data.Results:76 young neurologists from LATAM and Spain were surveyed. 54 neurologists from 13 countries took the survey (71% response rate) (see graph). 16 (29.6%) identified as woman and 38 (70.4%) as man. 43 (79.6%) are between 31-40 years of age. 31 (57.4%) practice in more than 1 hospital and 21 (38.9%) do not have a stroke unit in their hospitals. Each neurologist sees a mean of 10 stroke patients per week (range 0-40); the majority had access to intravenous thrombolytics 53 (98.1%), but 12 (22.2%) do not have mechanical thrombectomy available at their hospitals.Conclusions:ALATAC is professional movement designed to examine and resolve stroke disparities via new communication technologies enabling real time collaboration. Future ALATAC efforts will develop peer to peer mentorship, networking, clinical research, and implementation of evidence-based medicine aiming to reduce stroke burden in LATAM. This study provides introductory, baseline data to better define the stroke care in LATAM
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- 2023
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28. Recommendations for Implementing the INTERACT3 Care Bundle for Intracerebral Hemorrhage in Latin America: Results of a Delphi Method.
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Allende, Ma. Ignacia, Muñoz-Venturelli, Paula, Gonzalez, Francisca, Bascur, Francisca, Anderson, Craig S., Ouyang, Menglu, Cabieses, Baltica, Obach, Alexandra, Cano-Nigenda, Vanessa, and Arauz, Antonio
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MEDICAL personnel , *CEREBRAL hemorrhage , *BLOOD pressure , *GLYCEMIC control , *DELPHI method - Abstract
The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial (INTERACT3) showed that the implementation of a care bundle improves outcomes after acute intracerebral hemorrhage (ICH). We aimed to establish consensus-based recommendations for the broader integration of the care bundle across Latin American countries (LAC).Introduction: A 3-phase Delphi study allowed a panel of 32 healthcare workers from 14 LAC to sequentially rank statements relevant to 7 domains (training, resources/infrastructure, patient education, blood pressure, temperature, glycemic control, and anticoagulation reversal). The pre-defined consensus threshold was 75%.Methods: A total of 43 statements reached consensus by the third round, with 12 new statements emerging through rounds. The highest-ranked statements in each domain emphasized critical aspects, but successful implementation requires appropriate resourcing. Key priorities were continuous training of all healthcare workers in ICH management, establishing protocols aligned with available resources, and collaborative interdisciplinary care supported by institutional networks. Statements related to anticoagulation reversal had the highest priority.Results: Consensus statements are provided to facilitate integration of the INTERACT3 care bundle to reduce disparities in ICH outcomes in LAC. [ABSTRACT FROM AUTHOR]Conclusions: - Published
- 2024
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29. Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke.
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Toledo-Trevino R, Manrique-Otero D, Castellanos-Pedroza E, Cano-Nigenda V, Alvarado-Bolaños A, Calleja-Castillo J, and Arauz A
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Introduction: Foix-Chavany-Marie syndrome (FCMS) is a type of pseudobulbar palsy that affects facio-pharyngo-glosso-masticatory muscles., Materials and Methods: A 62-year-old man was admitted to the emergency department after 9 hours of acute dysarthria and dysphagia. MRI showed restricted diffusion in the right operculum on diffusion-weighted imaging (DWI). No thrombolytic therapy was given. The patient had a history of mechanical aortic valve replacement under anticoagulation with a vitamin K antagonist. Work-up demonstrated suboptimal levels of INR. Due to severe dysphagia during hospitalization, a percutaneous endoscopic gastrostomy (PEG) was performed., Results: The patient was discharged 5 days later, with a modified Rankin scale (mRs) score of 3, and secondary stroke prevention. He had achieved an excellent functional outcome (mRs 1) at 6-month follow-up., Conclusion: Our patient had a satisfactory recovery due to prompt diagnosis, secondary stroke prevention, and compliance with treatment., Learning Points: In the presence of acute dysarthria and dysphagia, Foix-Chavany-Marie syndrome (FCMS) should be considered.FCMS may occur in the presence of unilateral opercular stroke.Swallowing and speech therapy play an essential role in rehabilitation after the acute setting., Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests., (© EFIM 2021.)
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- 2021
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30. Bilateral Decompressive Craniectomy in Malignant Cerebral Venous Thrombosis.
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Soriano-Navarro E, Cano-Nigenda V, Menéndez-Manjarrez F, Farington-Terrero E, Méndez-Gallardo JJ, García-Irigoyen A, and Arauz A
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Introduction: Despite the extremely favourable prognosis of patients with cerebral venous thrombosis (CVT), death occurs in 10-15% of patients. In severe cases of malignant CVT with supratentorial haemorrhagic lesions, cerebral oedema and brain herniation, decompressive surgery may be the only life-saving treatment., Patient and Methods: We present the case of a puerperal young woman with progressive headache, seizures and decreased alertness. Thrombosis of the entire superior sagittal sinus with bifrontal venous infarcts and midline shift was confirmed by magnetic resonance imaging with venography sequencing. Despite medical treatment with anticoagulation, progressive neurological deterioration was observed, so bilateral, frontal decompressive craniectomy was performed., Results: At the 6-month follow-up, we observed partial functional recovery with a modified Rankin score of 3., Discussion: Bilateral decompressive craniectomy may be a life-saving therapeutic option when medical therapy fails and there are clinical and radiological features of progression in both cerebral hemispheres., Learning Points: Malignant cerebral venous thrombosis presents with diffuse haemorrhagic lesions or cerebral oedema associated with brain herniation and rapid clinical deterioration.Decompressive surgery may be the only life-saving treatment in severe cases.Early and adequate intervention based on the characteristics of the lesions allowed preservation of life and improvement in long-term functionality., Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests., (© EFIM 2020.)
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- 2020
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31. [Characterisation of factors associated with carotid stenosis in a population at high risk].
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Chiquete E, Torres-Octavo B, Cano-Nigenda V, Valle-Rojas D, Dominguez-Moreno R, Tolosa-Tort P, Florez-Cardona JA, Flores-Silva F, Reyes-Melo I, Higuera-Calleja J, Garcia-Ramos G, and Cantu-Brito C
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- Adult, Age Factors, Aged, Aged, 80 and over, Arteriosclerosis complications, Arteriosclerosis diagnostic imaging, Arteriosclerosis epidemiology, Atrial Fibrillation epidemiology, Carotid Stenosis complications, Carotid Stenosis diagnostic imaging, Comorbidity, Diabetes Mellitus epidemiology, Dyslipidemias epidemiology, Female, Humans, Hypertension epidemiology, Male, Mexico epidemiology, Middle Aged, Myocardial Ischemia epidemiology, Obesity epidemiology, Prevalence, Risk Factors, Smoking epidemiology, Stroke etiology, Ultrasonography, Doppler, Pulsed, Young Adult, Carotid Stenosis epidemiology
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Introduction: Moderate to severe stenosis is the less prevalent among the forms of carotid atherosclerotic disease), but it carries a high risk of ischaemic stroke., Aim: To characterise factors associated with moderate to severe carotid stenosis in a high-risk population., Patients and Methods: We performed an analysis on traditional risk factors associated with carotid stenosis ≥50% in 533 patients who received Doppler ultrasound due to a history of stroke (34%) or who had = 2 of the risk factors: age ≥55 years (86%), hypertension (65%), dyslipidemia (52%), obesity (42%), diabetes (40%) or smoking (40%)., Results: The prevalence of carotid stenosis ≥50% was 7.1%, symptomatic (associated with stroke in congruent territory) in 5.6%, bilateral in 2.1% and bilateral symptomatic in 1.5%. A 36.8% of patients had moderate to severe load (≥4) of atherosclerotic plaques (25.9% moderate: 4-6 plaques, and 10.9% severe: ≥7 plaques). By multivariate analysis we identified the age ≥75 years, dyslipidemia, and smoking as factors independently associated with carotid stenosis ≥50%, and hypertension and smoking with symptomatic stenosis. The number of risk factors was strongly associated with the prevalence of carotid stenosis. Notably, neither diabetes nor obesity explained the degree of moderate to severe carotid stenosis., Conclusions: As forms of carotid atherosclerotic disease, moderate to severe stenosis is less frequent than a high burden of atherosclerotic plaques. Advanced age, smoking, dyslipidemia and hypertension are the main traditional risk factors associated with the degree of carotid stenosis.
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- 2014
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