DecompressiveMyocardial infarctionIschemicCarotid arteryEdemaStrokeIntracranial pressureMalignant brain edemaOcclusionOutcomePatientsOutcomesThrombusCortexPathophysiologyTreatmentSecondaryBrainClinicalRecoveryIschemic StrokeMalignantCoronary arteryPosterior cerebrStenosisIschemiaStrokeSuperficialThrombosisArterialEarlyInjuryClinicalIncludes
Decompressive6
- Decompressive Hemicraniectomy in the Treatment of Malignant Middle Cerebral Artery Infarction: A Meta-Analysis. (jefferson.edu)
- Arac A., Blanchard V., Steinberg G.K. Assessment of outcome following decompressive craniectomy for malignant middle cerebral artery infarction in patients older than 60 years of age. (intensive-care.ru)
- Decompressive craniectomy: a meta-analysis of influences on intracranial pressure and cerebral perfusion pressure in the treatment of traumatic brain surgery. (intensive-care.ru)
- Three patients had a high intracranial pressure (ICP) with brain herniation and eventually underwent decompressive hemicraniectomy. (biomedcentral.com)
- Mugge L, Mansour TR, Krafcik B, Mazur T, Floyd-Bradstock T, Medhkour A. Immunological, vascular, metabolic, and autonomic changes seen with aging possible implications for poor outcomes in the elderly following decompressive hemicraniectomy for malignant MCA stroke: a critical review. (minervamedica.it)
- BACKGROUND AND PURPOSE: The use of decompressive hemicraniectomy (DHC) for the treatment of malignant cerebral edema can decrease mortality rates. (koreamed.org)
Myocardial infarction6
- A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction. (criticalcareblogspot.com)
- Introduction In September 1977, a 38-year-old man presented to the University Hospital in Zurich, Switzerland, with myocardial infarction. (criticalcareblogspot.com)
- Sex-based differences in clinical practice and outcomes for Japanese patients with acute myocardial infarction undergoing primary percutaneous coronary intervention. (hyo-med.ac.jp)
- β-Blocker therapy and cardiovascular outcomes in patients who have undergone percutaneous coronary intervention after ST-elevation myocardial infarction. (hyo-med.ac.jp)
- Distinct survival benefits of angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers in revascularized coronary artery disease patients according to history of myocardial infarction. (hyo-med.ac.jp)
- Worse outcomes in patients without myocardial infarction or heart failure. (hyo-med.ac.jp)
Ischemic5
- Patients with acute ischemic stroke not related to sCAD, healthy probands, and patients undergoing thromboendarterectomy of the carotid artery served as control groups. (bvsalud.org)
- This may be due to the occlusion of a cerebral vessel, in which case the patient suffers an ischemic infarction, or due to the rupture of a blood vessel. (symptoma.mt)
- Hypoxia inducible factor-1α (HIF) is a transcriptional activator of genes, implicated in cerebral oedema formation in cerebral ischemic/reperfusion injury and controlled cortical impact models, but its role in BBI is not well defined. (naccs.org.uk)
- Acute ischemic stroke is caused by thrombotic or embolic occlusion of a cerebral artery and is more common than hemorrhagic stroke. (medscape.com)
- Transient ischemic attack (TIA) is an acute episode of temporary neurologic dysfunction that results from focal cerebral, spinal cord, or retinal ischemia and is not associated with acute tissue infarction. (medscape.com)
Carotid artery1
- Carotid-cavernous fistulas (CCFs) are abnormal vascular shunts between the carotid artery and the cavernous sinus. (neurosurgery-blog.com)
Edema4
- Decreased levels of consciousness, hypertension , bradycardia and anisocoria may indicate a pathological rise of intracranial pressure due to cerebral edema. (symptoma.mt)
- High-altitude cerebral edema (HACE) is a rare life-threatening condition observed in individuals who climb high altitudes. (koreamed.org)
- It is also known that the mortality rate in encephalitis with cerebral edema or transtentorial brain herniation. (koreamed.org)
- Brain edema due to venous thrombosis following stereotactic radiosurgery for a cerebral arteriovenous malformation (AVM) has rarely been reported. (koreamed.org)
Stroke4
- Diagnosis and management of a rare form of stroke, cerebral venous thrombosis (CVT), was the subject of a 2011 American Heart Association/American Stroke Association (AHA/ASA) statement for healthcare professionals. (medscape.com)
- Hemicraniectomy in Older Patients with Extensive Middle-Cerebral-Artery Stroke. (criticalcareblogspot.com)
- EVIDENCE ACQUISITION: This is a critical review performed on all available literature relating to middle cerebral artery (MCA) stroke in the elderly with emphasis on articles examining causality of adverse outcomes in this group over younger populations. (minervamedica.it)
- ABI is a broader category that refers both to traumatic brain injuries and to brain injuries caused by internal forces such as a stroke, cerebral hemorrhage, or brain tumor. (en-journal.org)
Intracranial pressure1
- 7 It can result in increased intracranial pressure, rapid neurologic deterioration, and cerebral herniation. (bmj.com)
Malignant brain edema1
- 4 Several risk factors, including patients' factors 5 (older age, sex, or chronic brain damage) and periprocedural factors 6 (anesthesia, intraprocedural vasospasm, or vessel injury), may contribute to poor functional outcomes despite successful recanalization of the occluded artery with MT. However, postprocedural malignant brain edema (MBE) may also play an important role in reducing the benefit of MT. (bmj.com)
Occlusion2
- Both the occlusion of a blood vessel supplying the brain and the rupture of a cerebral vessel occur suddenly and mostly unexpectedly. (symptoma.mt)
- It includes occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction. (medscape.com)
Outcome3
- Mortality and functional outcome after hemicraniectomy in patients with malignant middle cerebral artery infarction. (biomedcentral.com)
- Three-year outcome after percutaneous coronary intervention and coronary artery bypass grafting in patients with triple-vessel coronary artery disease: observations from the CREDO-Kyoto PCI/CABG registry cohort-2. (hyo-med.ac.jp)
- Comparison of percutaneous coronary intervention with coronary artery bypass grafting in unprotected left main coronary artery disease - 5-year outcome from CREDO-Kyoto PCI/CABG registry Cohort-2. (hyo-med.ac.jp)
Patients5
- In 104 (80%) patients with successful recanalization (modified Thrombolysis in Cerebral Infarction score of 2b-3), 24 (23.1%) patients exhibited MBE. (bmj.com)
- Four patients remained asymptomatic, 4 developed infarctions, and 1 patient died. (ajnr.org)
- Additionally, aging decreases the ability of elderly patients to regulate their autonomic system resulting in aberrant blood pressures systemically post infarction. (minervamedica.it)
- Comparison of 5-year outcomes in patients with and without unprotected left main coronary artery disease after treatment with sirolimus-eluting stents: insights from the j-Cypher registry. (hyo-med.ac.jp)
- Percutaneous coronary intervention in patients with previous coronary artery bypass grafting (from the j-Cypher Registry). (hyo-med.ac.jp)
Outcomes1
- Sirolimus-eluting stent implantation for ostial right coronary artery lesions: five-year outcomes from the j-Cypher registry. (hyo-med.ac.jp)
Thrombus2
- Maximum intensity projection (MIP) image from a computed tomography angiogram (CTA) demonstrates a filling defect or high-grade stenosis at the branching point of the right middle cerebral artery (MCA) trunk (red circle), suspicious for thrombus or embolus. (medscape.com)
- Endovascular treatment of wide-neck intracranial aneurysms remains a technically challenging procedure due to the risk of coil protrusion into the parent artery and subsequent thrombus formation or parent vessel compromise. (ajnr.org)
Cortex2
- HIF was variably expressed following blast, predominantly in the middle section of the ipsilateral cortex. (naccs.org.uk)
- Cerebral Cortex. (elsevierpure.com)
Pathophysiology1
- An impaired integrity of vascular elements and the extracellular matrix (ECM) has been discussed to play a critical role in the pathophysiology of spontaneous cervical artery dissection (sCAD). (bvsalud.org)
Treatment1
- INTRODUCTION: There is little data on the role of endovascular treatment (EVT) of cerebral venous sinus thrombosis (CVST) due to vaccine-induced immune thrombotic thrombocytopenia (VITT). (bvsalud.org)
Secondary1
- 9 ⇓ ⇓ ⇓ ⇓ - 14 Most operators are reluctant to use antiplatelet therapy in the setting of subarachnoid hemorrhage because of the potential need for a ventriculostomy, the potential for infarction secondary to vasospasm, and the high likelihood of future invasive interventions. (ajnr.org)
Brain1
- Uncontrolled high ICP may lead to a decrease in cerebral blood flow, potentially resulting in fatal brain herniation. (biomedcentral.com)
Clinical1
- The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code for "cerebral infarction" is I63. (medscape.com)
Recovery1
- Finally, there are numerous vascular changes that occur with age including accumulation of homocysteine and atherosclerosis which together contributed to decreased structural integrity of the vasculature in the elderly and render decreased support to the recovery process post infarction. (minervamedica.it)
Ischemic Stroke1
- Acute ischemic stroke is caused by thrombotic or embolic occlusion of a cerebral artery and is more common than hemorrhagic stroke. (medscape.com)
Malignant11
- 16. Decompressive hemicraniectomy versus medical treatment of malignant middle cerebral artery infarction: a systematic review and meta-analysis. (nih.gov)
- Malignant unilateral PCA infarctions have not been previously reported. (cns.org)
- Retrospective review of three cases of unilateral PCA infarction exhibiting malignant progression, with cerebral edema-related mass effect, increased intracranial pressure, and transtentorial herniation. (cns.org)
- Patients 2 and 3 both underwent decompressive hemicraniectomy after clinical signs of transtentorial herniation developed, and both died in the acute phase from malignant intracranial hypertension. (cns.org)
- Congenital and/or acquired variability in the distribution and extent of territory supplied by the PCA may lead to the rare syndrome of malignant PCA infarction. (cns.org)
- This manuscript will have an impact by highlighting a rare clinical entity in malignant PCA infarctions that could benefit greatly from early surgical decompression. (cns.org)
- 2) Identify risk factors for the development of malignant PCA infarction. (cns.org)
- 3) Appreciate the need for increased surveillance for malignant conversion of PCA infarctions in patients with certain vascular risk factors. (cns.org)
- 3. Hacke W, Schwab S, Horn M, Spranger M, De Georgia M, von Kummer R: 'Malignant' middle cerebral artery territory infarction: clinical course and prognostic signs. (cns.org)
- Quality of life following hemicraniectomy for malignant MCA territory infarction. (cns.org)
- Kelly and colleague Robert Holloway, M.D., studied three separate analyses of patients who had had a serious type of stroke known as a malignant middle cerebral artery infarction, in which blood flow to a large part of the brain is cut off. (sciencedaily.com)
Coronary artery1
- Advanced age, female gender, previous coronary artery disease, non-smoking, stroke subtype, admission on a holiday, referral from other hospitals, high NIHSS on admission, and admission before the establishment of CSC were associated with increased 30-day stroke case fatality. (j-stroke.org)
Posterior cerebr4
- Posterior cerebral artery (PCA) infarctions are usually small in extent and are thus expected to follow a benign course. (cns.org)
- 1. Arboix A, Arbe G, Garcia-Eroles L, Oliveres M, Parra O, Massons J: Infarctions in the vascular territory of the posterior cerebral artery: clinical features in 232 patients. (cns.org)
- 2. Kumral E, Bayulkem G, Atac C, Alper Y: Spectrum of superficial posterior cerebral artery territory infarcts. (cns.org)
- 7. Ng YS, Stein J, Salles SS, Black-Schaffer RM: Clinical characteristics and rehabilitation outcomes of patients with posterior cerebral artery stroke. (cns.org)
Stenosis1
- Maximum intensity projection (MIP) image from a computed tomography angiogram (CTA) demonstrates a filling defect or high-grade stenosis at the branching point of the right middle cerebral artery (MCA) trunk (red circle), suspicious for thrombus or embolus. (medscape.com)
Ischemia1
- Diffusion-weighted imaging (DWI) is highly sensitive to early cellular edema, which correlates well with the presence of cerebral ischemia. (medscape.com)
Stroke2
- PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke. (cambridge.org)
- Mortality is particularly high among patients with Total Anterior Circulation Stroke (TACS), generally representing patients with middle cerebral artery occlusions. (cambridge.org)
Superficial1
- The arterial neurovascular structures of interest to avoid pinning include the superficial temporal artery, occipital artery, and supraorbital artery (and nerve). (neurosurgicalatlas.com)
Thrombosis2
- Supranuclear oculomotor palsy in cerebral venous sinus thrombosis: a case report. (e-jnc.org)
- Basilar artery thrombosis can present with progressive neurologic deficits and can result in tetra paresis, coma, or locked-in syndrome. (abcmedicalnotes.com)
Arterial1
- 10. van der Zwan A, Hillen B, Tulleken CA, Dujovny M. A quantitative investigation of the variability of the major cerebral arterial territories. (cns.org)
Early1
- MRI not only provides great structural detail but also can demonstrate early cerebral edema. (medscape.com)
Injury1
- Placement of the pins in this configuration avoids iatrogenic injury to the supraorbital artery and nerve, so that the single pin is placed lateral to these structures. (neurosurgicalatlas.com)
Clinical1
- The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code for "cerebral infarction" is I63. (medscape.com)
Includes1
- Evidence of MCA infarction includes a large parenchymal hypodensity of greater than 50% of the MCA territory. (medscape.com)