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Anterior Circulation Stroke

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XingNaoJing injection ameliorates cerebral ischaemia/reperfusion injury via SIRT1-mediated inflammatory response inhibition.

Yue-Ming Zhang, Xiao-Yu Qu, Li-Na Tao, Jing-Hui Zhai, Huan Gao, Yan-Qing Song, Si-Xi Zhang,

Context: XingNaoJing injection (XNJ), extracted from a traditional compound Chinese medicine Angong niuhuang pill, is well known for treating stroke in the clinic, but the specific effects and mechanisms remain unclear.Objective: We investigated the mechanistic basis for the protective effect of XNJ on cerebral ischaemia/reperfusion (I/R) injury.Materials and methods: Five ... Read more >>

Pharm Biol (Pharmaceutical biology)
[2020, 58(1):16-24]

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Remote ischemic conditioning approach for the treatment of ischemic stroke.

Seyed Mohammad Seyedsaadat, David F Kallmes, Waleed Brinjikji,

Neural Regen Res (Neural regeneration research)
[2020, 15(6):1033-1034]

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Effect of In-Hospital Remote Ischemic Perconditioning on Brain Infarction Growth and Clinical Outcomes in Patients With Acute Ischemic Stroke: The RESCUE BRAIN Randomized Clinical Trial.

Fernando Pico, Bertrand Lapergue, Marc Ferrigno, Charlotte Rosso, Elena Meseguer, Marie-Laure Chadenat, Frederic Bourdain, Michael Obadia, Catherine Hirel, Duc Long Duong, Sandrine Deltour, Philippe Aegerter, Julien Labreuche, Amina Cattenoy, Didier Smadja, Hassan Hosseini, Benoit Guillon, Valérie Wolff, Yves Samson, Charlotte Cordonnier, Pierre Amarenco,

Importance:Treatment with remote ischemic perconditioning has been reported to reduce brain infarction volume in animal models of stroke. Whether this neuroprotective effect was observed in patients with acute ischemic stroke remains unknown. Objective:To determine whether treatment with remote ischemic perconditioning administered to the leg of patients with acute ischemic stroke ... Read more >>

JAMA Neurol (JAMA neurology)
[2020, :]

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Brain-Heart Axis and Biomarkers of Cardiac Damage and Dysfunction after Stroke: A Systematic Review and Meta-Analysis.

Chengyang Xu, Ang Zheng, Tianyi He, Zhipeng Cao,

BACKGROUND:Cardiac complications after a stroke are the second leading cause of death worldwide, affecting the treatment and outcomes of stroke patients. Cardiac biomarkers such as cardiac troponin (cTn), brain natriuretic peptide (BNP), and N-terminal pro-brain natriuretic peptide (NT-proBNP) have been frequently reported in patients undergoing a stroke. The aim of ... Read more >>

Int J Mol Sci (International journal of molecular sciences)
[2020, 21(7):]

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Diffusion‐weighted imaging‐documented bilateral small embolic stroke involving multiple vascular territories may indicate occult cancer: A retrospective case series and a brief review of the literature.

Xiaosa Chi, Renliang Zhao, Haitao Pei, Ang Xing, Song Hu, Jingjiao Chen, Yongjun Mao, Xueping Zheng,

AbstractDiffusion‐weighted imaging (DWI) MRI is very sensitive for detecting small embolic brain infarctions. Stroke as the first manifestation of cancer is extremely rare. We performed a retrospective study to identify the clinical and DWI features of patients with acute ischemic stroke as the first manifestation of occult cancer. A total ... Read more >>

Aging Med (Milton) (Aging medicine (Milton (N.S.W)))
[2020, 3(1):53-59]

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Letter by Maestrini et al Regarding Article, "Classification of Covert Brain Infarct Subtype and Risk of Death and Vascular Events".

Ilaria Maestrini, Marta Altieri, Vittorio Di Piero,

Stroke (Stroke)
[2020, :STROKEAHA119028835]

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Early Mortality of Brain Infarction Patients and Red Blood Cell Distribution Width.

Leonardo Lorente, María M Martín, Pedro Abreu-González, Antonia Pérez-Cejas, Agustín F González-Rivero, Luis Ramos-Gómez, Mónica Argueso, Jordi Solé-Violán, Juan J Cáceres, Alejandro Jiménez, Victor García-Marín,

BACKGROUND:Meta-analysis has found that high baseline red blood cell distribution width (RDW) is associated with increased long-term mortality (mortality at one year or more) in ischemic stroke. The objectives of this study were to determine whether there is an association between RDW and 30-day mortality, and to explore whether RDW ... Read more >>

Brain Sci (Brain sciences)
[2020, 10(4):]

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Different risk factors in identical features of intracranial atherosclerosis plaques in the posterior and anterior circulation in high-resolution MRI.

Ziqi Xu, Mingyao Li, Jinhao Lyu, Zhikai Hou, Jianfeng He, Dapeng Mo, Feng Gao, Xin Liu, Binbin Sui, Mi Shen, Yuesong Pan, Yongjun Wang, Xin Lou, Zhongrong Miao, Benyan Luo, Ning Ma,

Background:We constructed a high-volume registry to identify whether risk factors of intracranial atherosclerotic plaque (ICAP) features differ in the posterior and anterior circulation in patients with symptomatic intracranial atherosclerotic stenosis (ICAS) investigated by high-resolution magnetic resonance imaging (HRMRI). Methods:The registry was constructed for patients with symptomatic ICAS who underwent HRMRI ... Read more >>

Ther Adv Neurol Disord (Therapeutic advances in neurological disorders)
[2020, 13:1756286420909991]

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Response by Gutierrez et al to Letter Regarding Article, "Classification of Covert Brain Infarct Subtype and Risk of Death and Vascular Events".

Jose Gutierrez, Marco R Di Tullio, Tatjana Rundek, Ralph L Sacco, Clinton B Wright, Mitchell Sv Elkind,

Stroke (Stroke)
[2020, :STROKEAHA120028937]

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Long-Term Survival After Decompressive Craniectomy for Malignant Brain Infarction: A 10-Year Nationwide Study.

Charles Champeaux, Joconde Weller,

BACKGROUND:Decompressive craniectomy (DC) has been shown to be an effective treatment for malignant cerebral infarction (MCI). There are limited nationwide studies evaluating outcome after craniectomy for MCI. OBJECTIVE:To describe the evolution in DC practices for MCI, long-term survival, and associated prognostic factors. METHODS:We searched the French medico-administrative national database to ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, 32(2):522-531]

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Intra-carotid arterial transfusion of circulatory-derived autologous endothelial progenitor cells in rodent after ischemic stroke — evaluating the impact of therapeutic time points on prognostic outcomes

Hon-Kan Yip, Kun-Chen Lin, Han-Tan Chai, Kuan-Hung Chen, Pei‐Hsun Sung, John Chiang, Pei-Lin Shao, Chi-Ruei Huang, Yi-Chen Li, Sheung-Fat Ko,

<title>Abstract</title> <p> Background: This study tested the optimal time point for left intra-carotid arterial (LICA) administration of circulatory-derived autologous endothelial progenitor cells (EPCs) for improving the outcome in rat after acute ischemic stroke (IS). Methods and Results: Adult-male SD rats (n=70) were equally categorized into group 1 (sham-operated ... Read more >>

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Endothelium-targeted overexpression of krüppel-like factor 11 protects blood-brain barrier function after ischemic brain injury.

Xuejing Zhang, Xuelian Tang, Feifei Ma, Yanbo Fan, Ping Sun, Tianqing Zhu, Jifeng Zhang, Milton H Hamblin, Y Eugene Chen, Ke-Jie Yin,

Microvascular endothelial cell (EC) injury and the subsequent blood-brain barrier (BBB) breakdown are frequently seen in many neurological disorders, including stroke. We have previously documented that peroxisome proliferator-activated receptor gamma (PPARγ)-mediated cerebral protection during ischemic insults needs Krüppel-like factor 11 (KLF11) as a critical coactivator. However, the role of endothelial ... Read more >>

Brain Pathol. (Brain pathology (Zurich, Switzerland))
[2020, :]

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Endothelium-Targeted Deletion of microRNA-15a/16-1 Promotes Post-Stroke Angiogenesis and Improves Long-Term Neurological Recovery.

Ping Sun, Kai Zhang, Sulaiman H Hassan, Xuejing Zhang, Xuelian Tang, Hongjian Pu, R Anne Stetler, Jun Chen, Ke-Jie Yin,

Rationale: Angiogenesis promotes neurological recovery after stroke and is associated with longer survival of stroke patients. Cerebral angiogenesis is tightly controlled by certain microRNAs (miRs), such as the miR-15a/16-1 cluster, among others. However, the function of the miR-15a/16-1 cluster in endothelium on post-ischemic cerebral angiogenesis is not known. Objective: To ... Read more >>

Circ. Res. (Circulation research)
[2020, :]

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Do thrombolysis outcomes differ between anterior circulation stroke and posterior circulation stroke? A systematic review and meta-analysis.

Sang-Hun Lee, Jung Hoon Han, Ileok Jung, Jin-Man Jung,

BACKGROUND:It remains unclear whether thrombolysis outcomes can be influenced by the affected vascular territory (i.e. anterior circulation stroke vs. posterior circulation stroke) in stroke patients owing to the lack of randomized controlled trials. AIMS:Using multiple comprehensive databases, we searched for observational studies of the safety and efficacy of intravenous thrombolytics ... Read more >>

Int J Stroke (International journal of stroke : official journal of the International Stroke Society)
[2020, :1747493020909634]

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Left Atrial Dynamics Is Altered in Young Adults With Cryptogenic Ischemic Stroke: A Case-Control Study Utilizing Advanced Echocardiography.

Jani Pirinen, Vesa Järvinen, Nicolas Martinez-Majander, Juha Sinisalo, Pauli Pöyhönen, Jukka Putaala,

Background Ischemic stroke in young individuals often remains cryptogenic. Some of these strokes likely originate from the heart, and atrial fibrosis might be one of the etiological mechanisms. In this pilot study, we investigated whether advanced echocardiography findings of the left atrium (LA) of young cryptogenic stroke patients differ from ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2020, 9(7):e014578]

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PEGylated Erythropoietin Protects against Brain Injury in the MCAO-Induced Stroke Model by Blocking NF-κB Activation.

Jun Hyung Im, In Jun Yeo, Chul Ju Hwang, Kyung Sun Lee, Jin Tae Hong,

Cerebral ischemia exhibits a multiplicity of pathophysiological mechanisms. During ischemic stroke, the reactive oxygen species (ROS) concentration rises to a peak during reperfusion, possibly underlying neuronal death. Recombinant human erythropoietin (EPO) supplementation is one method of treating neurodegenerative disease by reducing the generation of ROS. We investigated the therapeutic effect ... Read more >>

Biomol Ther (Seoul) (Biomolecules & therapeutics)
[2020, 28(2):152-162]

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Stroke patients treated by thrombectomy in real life differ from cohorts of the clinical trials: a prospective observational study.

Milani Deb-Chatterji, Hans Pinnschmidt, Fabian Flottmann, Hannes Leischner, Anna Alegiani, Caspar Brekenfeld, Jens Fiehler, Christian Gerloff, Götz Thomalla,

BACKGROUND:Randomized controlled trials (RCTs) demonstrated efficacy and safety of endovascular treatment (ET) in anterior circulation large vessel occlusions (LVO). We aimed at investigating how stroke patients treated by thrombectomy in clinical practice and their outcome compare to cohorts and results of thrombectomy trials. METHODS:In a prospective study, we consecutively included ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):81]

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Risk Factors for Distal Clot Migration during Mechanical Thrombectomy of Anterior Circulation Large Vessel Occlusion.

Mahmoud H Mohammaden, Christopher J Stapleton, Denise Brunozzi, Eman M Khedr, Peter Theiss, Gursant Atwal, Ali Alaraj,

INTRODUCTION:Distal clot migration (DCM) is a known complication of mechanical thrombectomy (MT), but neither risk factors for DCM nor ways of how it might affect clinical outcomes have been extensively studied to date. METHODS:To identify risk factors for and outcomes in the setting of DCM, the records of all patients ... Read more >>

Cerebrovasc. Dis. (Cerebrovascular diseases (Basel, Switzerland))
[2020, :1-7]

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Restoration of L-OPA1 alleviates acute ischemic stroke injury in rats via inhibiting neuronal apoptosis and preserving mitochondrial function.

Yongxing Lai, Peiqiang Lin, Manli Chen, Yixian Zhang, Jianhao Chen, Mouwei Zheng, Ji Liu, Houwei Du, Ronghua Chen, Xiaodong Pan, Nan Liu, Hongbin Chen,

BACKGROUND:Ischemic stroke can induce changes in mitochondrial morphology and function. As a regulatory gene in mitochondria, optic atrophy 1 (OPA1) plays a pivotal role in the regulation of mitochondrial dynamics and other related functions. However, its roles in cerebral ischemia-related conditions are barely understood. METHODS:Cultured rat primary cortical neurons were ... Read more >>

Redox Biol (Redox biology)
[2020, :101503]

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Stroke Prognostic Scores and Data-Driven Prediction of Clinical Outcomes After Acute Ischemic Stroke.

Koutarou Matsumoto, Yasunobu Nohara, Hidehisa Soejima, Toshiro Yonehara, Naoki Nakashima, Masahiro Kamouchi,

Background and Purpose- Several stroke prognostic scores have been developed to predict clinical outcomes after stroke. This study aimed to develop and validate novel data-driven predictive models for clinical outcomes by referring to previous prognostic scores in patients with acute ischemic stroke in a real-world setting. Methods- We used retrospective ... Read more >>

Stroke (Stroke)
[2020, :STROKEAHA119027300]

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The silencing of circular RNA in neural stem cells - A gateway to new therapeutic strategies in cerebral ischemia?

Daniel Navin Olschewski, Maria Adele Rueger,

EBioMedicine (EBioMedicine)
[2020, 53:102705]

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Stroke as the initial presentation of Takayasu's arteritis: A case report.

Paran Davari, Paige Sutton, Kimberly S Jones,

In this study, we report the case of a pediatric neurology stroke patient who was ultimately diagnosed with Takayasu's Arteritis. Our case describes a 14-year-old Hispanic female with no significant past medical history who presented to an outside hospital for acute onset of confusion and right sided weakness. She was ... Read more >>

Radiol Case Rep (Radiology case reports)
[2020, 15(5):556-559]

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Acupuncture promotes functional recovery after cerebral hemorrhage by upregulating neurotrophic factor expression.

Dan Li, Qiu-Xin Chen, Wei Zou, Xiao-Wei Sun, Xue-Ping Yu, Xiao-Hong Dai, Wei Teng,

Acupuncture is widely used in the treatment of cerebral hemorrhage, and it improves outcomes in experimental animal models and patients. However, the mechanisms underlying the effectiveness of acupuncture treatment for cerebral hemorrhage are still unclear. In this study, a model of intracerebral hemorrhage was produced by injecting 50 μL autologous ... Read more >>

Neural Regen Res (Neural regeneration research)
[2020, 15(8):1510-1517]

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Reduced Cognitive Assessment Scores Among Individuals With Magnetic Resonance Imaging-Detected Vascular Brain Injury.

Sonia S Anand, Matthias G Friedrich, Dipika Desai, Karleen M Schulze, Philip Awadalla, David Busseuil, Trevor J B Dummer, Sébastien Jacquemont, Alexander Dick, David Kelton, Anish Kirpalani, Scott A Lear, Jonathan Leipsic, Michael D Noseworthy, Louise Parker, Grace Parraga, Paul Poirier, Paula Robson, Jean-Claude Tardif, Koon Teo, Jennifer Vena, Salim Yusuf, Alan R Moody, Sandra E Black, Eric E Smith, ,

Background and Purpose- Little is known about the association between covert vascular brain injury and cognitive impairment in middle-aged populations. We investigated if scores on a cognitive screen were lower in individuals with higher cardiovascular risk, and those with covert vascular brain injury. Methods- Seven thousand five hundred forty-seven adults, ... Read more >>

Stroke (Stroke)
[2020, 51(4):1158-1165]

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Hypothermia but not NMDA receptor antagonism protects against stroke induced by distal middle cerebral arterial occlusion in mice.

Che-Wei Liu, Kate Hsiurong Liao, Hsin Tseng, Ching Mei Wu, Hsiao-Yun Chen, Ted Weita Lai,

Excitotoxicity mediated by the N-methyl-D-aspartate receptor (NMDAR) is believed to be a primary mechanism of neuronal injury following stroke. Thus, many drugs and therapeutic peptides were developed to inhibit either the NMDAR at the cell surface or its downstream intracellular death-signaling cascades. Nevertheless, the majority of focal ischemia studies concerning ... Read more >>

PLoS ONE (PloS one)
[2020, 15(3):e0229499]

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