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  • 1
    In: Angiology, SAGE Publications, Vol. 51, No. 3 ( 2000-03), p. 257-261
    Abstract: The etiology of transient global amnesia (TGA) is debatable. The hypothesis of a throm boembolic cause of TGA has been questioned by recent case control studies. Occlusion of the common carotid artery (CCA) is rare. Although amaurosis fugax (AF) is a hallmark of ipsilateral internal carotid artery disease, its occurrence in CCA occlusion is less known. Association of these three conditions in a patient may imply pathophysiologic signifi cance. Here, the authors report a 76-year-old man who suffered from a spell of TGA and then several attacks of AF of the right eye. Progressive occlusion of the right CCA was documented by repeat carotid duplex scans and was finally confirmed by cerebral angiog raphy. In this patient, the occurrence of CCA occlusion and AF implicates a vascular etiology for the event of TGA. A noninvasive carotid ultrasonographic screen may, therefore, be worthwhile for patients with TGA.
    Type of Medium: Online Resource
    ISSN: 0003-3197 , 1940-1574
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2065911-8
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  • 2
    Online Resource
    Online Resource
    Elsevier BV ; 2007
    In:  Journal of the Neurological Sciences Vol. 253, No. 1-2 ( 2007-2), p. 90-93
    In: Journal of the Neurological Sciences, Elsevier BV, Vol. 253, No. 1-2 ( 2007-2), p. 90-93
    Type of Medium: Online Resource
    ISSN: 0022-510X
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2007
    detail.hit.zdb_id: 1500645-1
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  • 3
    Online Resource
    Online Resource
    S. Karger AG ; 2006
    In:  European Neurology Vol. 56, No. 4 ( 2006), p. 230-234
    In: European Neurology, S. Karger AG, Vol. 56, No. 4 ( 2006), p. 230-234
    Abstract: We studied the clinical and neuroradiological features of 41 cases with spontaneous bilateral internal carotid artery dissection (ICAD), including 3 cases in our hospital and 38 retrieved from the English literature. Bilateral ICAD accounts for 15.8% of young stroke patients with ICAD in our hospital. The most common presentations are head and/or neck pain, cerebral ischemia, carotid bruit and Horner’s syndrome. The cerebral ischemic symptoms are extremely variable in bilateral ICAD, including unilateral hemisphere, bilateral hemisphere or brainstem-like symptoms. Although the underlying pathogenesis remains uncertain, good vascular and clinical outcomes are achieved for spontaneous bilateral ICAD.
    Type of Medium: Online Resource
    ISSN: 0014-3022 , 1421-9913
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2006
    detail.hit.zdb_id: 1482237-4
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  • 4
    Online Resource
    Online Resource
    S. Karger AG ; 2005
    In:  Cerebrovascular Diseases Vol. 20, No. 4 ( 2005), p. 251-257
    In: Cerebrovascular Diseases, S. Karger AG, Vol. 20, No. 4 ( 2005), p. 251-257
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Assess the accuracy of transcranial color-coded sonography (TCCS) for detecting middle cerebral artery (MCA) stem occlusion and compare it with cerebral angiography. 〈 i 〉 Methods: 〈 /i 〉 This study enrolled a series of patients who received TCCS and cerebral angiography at the Department of Neurology in Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, between January 1997 and July 2003. MCA stem occlusion was diagnosed based on digital subtraction angiography and/or computed tomographic angiography. The effect of the supplying artery on the insonation of MCA stem was considered. The sonographic criteria for MCA stem occlusion were defined as absent MCA stem signal + visible signal on the reference arteries, including ipsilateral posterior cerebral artery, ipsilateral anterior cerebral artery or contralateral MCA stem. 〈 i 〉 Results: 〈 /i 〉 A total of 419 consecutive patients were enrolled. Factors that significantly influenced MCA stem insonation included ≧50% ipsilateral carotid artery stenosis, ≧50% MCA stem stenosis, female gender, and age ≧60 years. Comparing patients with 〈 50% and those with ≧50% carotid stenosis, the MCA stem insonation rate was significantly reduced from 69.1% to 45.6% (p 〈 0.001). In patients with 〈 50% ipsilateral carotid artery stenosis, the sonographic criteria had a positive predictive value of 10.5% and a negative predictive value of 98.9%, and could predict MCA stem occlusion with high specificity but low sensitivity (specificity = 89.6, sensitivity = 54.5, overall accuracy = 88.9, p 〈 0.001). 〈 i 〉 Conclusion: 〈 /i 〉 Absent MCA stem signal may result from MCA stem occlusion/tight stenosis and tight stenosis of ipsilateral carotid arteries, and has a limited value in detecting MCA stem occlusion. TCCS can be useful in identifying nonoccluded MCA stem, and cerebral angiography is necessary to confirm MCA stem occlusion.
    Type of Medium: Online Resource
    ISSN: 1015-9770 , 1421-9786
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2005
    detail.hit.zdb_id: 1482069-9
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  • 5
    Online Resource
    Online Resource
    S. Karger AG ; 2006
    In:  Cerebrovascular Diseases Vol. 22, No. 1 ( 2006), p. 33-39
    In: Cerebrovascular Diseases, S. Karger AG, Vol. 22, No. 1 ( 2006), p. 33-39
    Abstract: 〈 i 〉 Background: 〈 /i 〉 The causes of basal ganglia-thalamic hemorrhage in the young are not well established. Therefore, its clinical profile, etiology, and risk factors were studied. 〈 i 〉 Methods: 〈 /i 〉 Retrospectively, collected data were evaluated using the χ 〈 sup 〉 2 〈 /sup 〉 test and logistic regression analysis. 〈 i 〉 Results: 〈 /i 〉 Gender differences occurred in the clinical profile, risk factors, and etiological spectrum. Large hematoma, Glasgow Coma Scale ≤10 on admission, and the need for surgical intervention occurred significantly more frequently in males. The etiologies included vascular anomaly in 13 of 247 enrollees (5.3%), hypertension (80.2%), alcoholism/cigarette smoking (4.9%), medical problems (8.5%), and cryptogenic causes (5.3%). 〈 i 〉 Conclusion: 〈 /i 〉 The need for aggressive investigation is suggested in normotensive patients, especially in females and those aged below 30 years.
    Type of Medium: Online Resource
    ISSN: 1015-9770 , 1421-9786
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2006
    detail.hit.zdb_id: 1482069-9
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  • 6
    Online Resource
    Online Resource
    S. Karger AG ; 2003
    In:  European Neurology Vol. 50, No. 1 ( 2003), p. 58-60
    In: European Neurology, S. Karger AG, Vol. 50, No. 1 ( 2003), p. 58-60
    Type of Medium: Online Resource
    ISSN: 0014-3022 , 1421-9913
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2003
    detail.hit.zdb_id: 1482237-4
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  • 7
    Online Resource
    Online Resource
    Elsevier BV ; 2005
    In:  Journal of the Neurological Sciences Vol. 238, No. 1-2 ( 2005-11), p. 101-104
    In: Journal of the Neurological Sciences, Elsevier BV, Vol. 238, No. 1-2 ( 2005-11), p. 101-104
    Type of Medium: Online Resource
    ISSN: 0022-510X
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2005
    detail.hit.zdb_id: 1500645-1
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  • 8
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2002
    In:  Stroke Vol. 33, No. 8 ( 2002-08), p. 1950-1955
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 33, No. 8 ( 2002-08), p. 1950-1955
    Abstract: Background and Purpose — The etiologic mechanisms of young ischemic stroke in Chinese are largely unknown. This work thus studied the etiologies of young ischemic stroke in Taiwan Chinese and made a comparison with previous reports. Methods — From January 1997 to October 2001, a total of 264 consecutive young ischemic stroke patients (18 to 45 years old) were admitted to the Department of Neurology in our hospital. The risk factors for stroke and the distribution of stroke subtype were studied. The vascular ultrasound and angiographic findings of these patients were also studied. Results — The sample contained 188 men and 76 women. Cerebral infarction was diagnosed in 241 patients and transient ischemic attack in 23 (8.7%). Regarding stroke subtype, stroke of small-vessel occlusion was diagnosed in 20.5% of cases, large-artery atherosclerosis in 7.2%, cardioembolism in 17.8%, other determined etiology in 22.3%, and undetermined etiology in 23.5%. The 4 most common risk factors were hyperlipidemia (53.1%), smoking (49.8%), hypertension (45.8%), and family history of stroke (29.3%). Twenty-three patients (9.6%) had significant stenosis (≥50%) of the carotid (7.5%) and vertebral arteries (2.1%), the most common cause of which was dissection (60.9%). Forty-five patients (26.5%) had significant intracranial stenosis with 18.8% in the carotid and 10.6% in the vertebrobasilar system, and 5 (2.9%) had stenosis in both systems. Premature atherosclerosis (33.3%) was the most common cause of intracranial stenosis. Conclusions — Our study found that strokes of other determined etiology and undetermined etiology were most common among the sample group, and a battery of extensive examinations is indicated to elucidate the etiology for further stroke prevention. Intracranial stenosis is more common than extracranial stenosis in both the carotid and vertebrobasilar systems.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2002
    detail.hit.zdb_id: 1467823-8
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  • 9
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1998
    In:  Stroke Vol. 29, No. 8 ( 1998-08), p. 1687-1697
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 29, No. 8 ( 1998-08), p. 1687-1697
    Abstract: Background and Purpose —In vitro studies have shown that nerve growth factor (NGF) is protective to cortical neurons against various insults. However, the role of NGF in relation to its high-affinity trkA receptor in the cortical neurons has not been well discussed. In this experiment, we studied the possible involvement of the NGF/receptor system in the ischemic injury of cortical neurons after focal cerebral ischemia in rats. Methods —Male Wistar rats received right middle cerebral artery occlusion of 90 minutes’ duration. The rats were decapitated at different reperfusion time points: hour 4 and days 1, 3, 7, and 14 of recirculation. Brain sections at the level of striatum were immunostained against NGF, trkA, glial fibrillary acidic protein (GFAP), and stress protein HSP70. Double immunostaining against NGF and GFAP was also performed. Optical density of NGF immunoreactivity in the ischemic and nonischemic cortexes was compared between sham-control and ischemic animals. Results —In the sham-control rats, NGF immunoreactivity was present in the cortical and striatal neurons. However, beginning at hour 4 after recirculation, there was a significant decrease of NGF in the ischemic cortex and striatum. Beginning at day 1, NGF was absent completely in the infarcted striatum and cortex. However, in the peri-infarct penumbra area, despite a decrease in NGF at hour 4 and day 1, NGF recovered beginning at day 3 and returned almost to the sham-control level at day 14. In the nonischemic cortex, NGF increased beginning at hour 4, peaked at day 7, and returned almost to the sham-control level at day 14. The trkA and HSP70 immunoreactivities were not present in the sham-control cortex. However, trkA was induced at hour 4 in the ischemic cortex and at days 1 and 3 in the peri-infarct penumbra cortex. The HSP70 was induced at days 1 and 3 in the peri-infarct penumbra area. Double immunostaining showed that the number of GFAP-positive cells increased gradually, and NGF immunoreactivity in the GFAP-positive cells became gradually intense after ischemia. Conclusions —Our study demonstrated a temporal profile of NGF and trkA in the ischemic cortex and NGF expression by reactive astrocytes. Our data suggest that the NGF/receptor system may play a role in the astrocyte/neuron interaction under certain pathological conditions, such as focal cerebral ischemia.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1998
    detail.hit.zdb_id: 1467823-8
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  • 10
    In: Journal of Neuroscience Research, Wiley, Vol. 76, No. 5 ( 2004-06-01), p. 705-712
    Type of Medium: Online Resource
    ISSN: 0360-4012 , 1097-4547
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2004
    detail.hit.zdb_id: 1474904-X
    SSG: 12
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